Operations Specialist Job Vacancy in Community Mental Health Partners Of Southeast Michigan Ann Arbor, MI – Latest Jobs in Ann Arbor, MI

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Company Name : Community Mental Health Partners Of Southeast Michigan
Location : Ann Arbor, MI
Position : Operations Specialist

Job Description : Job SummaryUnder administrative supervision of the Chief Operating Officer, the Operations Specialist coordinates operations for the Community Mental Health Partnership of Southeast Michigan, a four-county prepaid inpatient health plan. The Operations department handles a broad range of organizational activities including both internal projects and external contracting and monitoring functions with the provider network. The Operations Specialist manages and coordinates certain functions related to maintaining contracts, regional provider network data, internal and external communications, procurement, customer service, quality improvement, monitoring and auditing. The Regional Operations Specialist provides organization and operational skills across the four-county region and with external partners/stakeholders to ensure structures, composition and workplans support consistent implementation of these functions.Essential Duties and ResponsibilitiesObtain, process, analyze, organize, and produce reports from various data sets utilized within the role.Interpret and communicate work procedures and company policies to internal and external employees.Maintain general organization and file management of regional operation functions including provider contracts, administrative contracts, provider communications, coordinating and submission of regional information to MDHHS or other payer organizationsCompile data from multiple sources, generate reports, identify, and correct errors or discrepancies, and review against reporting submission criteriaCommunicate with external agencies to discuss and clarify data submission requirements; ensure adjustments are made when notified of changes to reporting requirements or proceduresMake decisions about which data meet reporting requirements; ensure data are included on correct report and document reasons for decision to include/excludeProvide direction on data collection procedures to improve quality of dataProvide regional and state partners with data that facilitates the provision of the highest quality of serviceFacilitate regional meetings to ensure information is disseminated, resources are available, and issues are resolvedDiagnose, analyze, and resolve problems with systems and processes; determine and correct root causesEngage in process improvement activities to maintain complete and accurate dataReview reports received from external agencies; identify and correct errors or discrepancies in dataMeet with staff or providers to review and interpret data and reportsMonitor data entry, assess training needs to improve reporting process; design and deliver training to staff and providerDevelop, implement, and maintain processes to track and maintain contract functions, including but not limited to maintaining templates, ensuring execution of contracts, and tracking and reporting contract data.Develop, implement, and maintain processes related to provider network adequacy including contractual compliance, service analyses, financial reimbursement analyses, general and targeted provider communications and other operational initiatives.Develop, implement, and maintain processes related to vendor and service procurement and purchasing.Develop, implement, and maintain processes to track and manage PIHP auditing functions, including but not limited to assisting with audits, compilation of data, and outcomes/reporting writing, and monitoring corrective action plans.Develop, implement, and maintain processes to track and manage customer services data, including but not limited to assisting with data cleaning, data entry, compilation of data, and data reporting.Develop, implement, and maintain processes to track and manage PIHP quality improvement functions, including but not limited to assisting with data cleaning, data entry, compilation of data, and data reporting.Develop and monitor the phases of projects within the organization. Provide planning, budgeting, monitoring and reporting of individual projects. The CMHPSM administers a variety of internal, regional, external projects from ad-hoc one-time projects to sustained long-term initiatives.Supervisory ResponsibilitiesThis position does not supervise other employees but may direct, schedule or train other positions as directed by the COO.Other Duties and ResponsibilitiesSpecial projects, as assignedOther duties as requested, directed, or assignedEducation and Experience RequirementsEquivalent to a bachelor’s degree in Public Administration, Business Administration, Project Management, Contract Management, Operations Management, Social Work or other closely related fieldsAt least one year of related experience; experience in a public agency or healthcare agency, preferredOr any equivalent combination of education, experience, and training that provides the required knowledge, skills, and abilitiesJob Type: Full-timePay: $50,648.00 – $72,072.00 per year

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