An employee at this level is required to perform some or all the following duties, which do not include all tasks to be performed:

·Development and maintenance of Community Mental Health (CMH) Provider agreements 

·Oversight and coordination of CMH Provider reporting, evaluations, and correspondence

·Provide Subject Matter Expert (SME) support for CMH Provider contract monitoring

·Lead CMH contract monitoring on-site reviews including subcontractor reviews

·Lead CMH Provider network adequacy oversight including monitoring and reporting

·Liaison to CMH Provider Network

·Coordination and oversight of CMH Provider Special Program Certification Process

·Report development and submission to MDHHS

·Assist with support of State Site Reviews and external quality reviews

·Provider Network Management policy development and maintenance

•    Bachelor’s Degree in behavioral health or relevant field

§Experience working at Pre-Paid Inpatient Health Plan (PIHP) and/or Community Mental Health (CMH) and/or Healthcare field

•    Experience in writing reports, analyzing data and administrative projects

•    Ability to be a “work leader” (of a person or function), or advise others

•    Experience in managing projects and teams

•    Advanced knowledge of Microsoft Word and Excel

•    Ability to exercise some flexibility in problem solving, when expected results are clear and generally set by others, provided certain outcomes are avoided

•    Ingenuity is required to adapt, alter or improvise alternatives when unexpected situations occur

•    Ability to exercise discretion and some flexibility in selecting an optimal solution from established alternatives to obtain the desired outcome

•    Ability to use or exert influence in a work process

•    Ability to provide, exchange and explain information which conveys an opinion or evaluation of the facts or analyses

•    Ability to develop and/or maintain effective work relationships with new, established, or non-receptive individuals/organizations through tact, diplomacy and persuasion

•    Valid State of Michigan Driver’s License

•    Must have access to transportation

•Master’s Degree in behavioral health field

•Experience with data reporting / analysis / validation

•Experience / knowledge of statistical analysis

·Basic knowledge of Microsoft PowerPoint

•Basic knowledge of MDHHS reporting

•    Knowledge of State of Michigan Medicaid Provider Manual