Departmental Specialist 13 - HS Quality Performance, Payment, and Integrity Section

State-of-Michigan; Lansing (MI); Hybrid; USD 65,000 - 95,000; Full time

Benefits offered by this job

Remote work options

Equipment provided

Job summary

The Michigan Department of Health and Human Services is seeking a Departmental Specialist to serve as a quality data expert within the division of contracts and quality management. You will review and analyze quality measures focused on behavioral health and provide high-level data guidance to state systems and local agencies.

Responsibilities include leading research projects, presenting findings to leadership, supporting performance-based incentive programs, ensuring data quality, and

Qualifications

• Bachelor’s degree required.
• Experience analyzing behavioral health data and producing performance reports.
• Knowledge of state health data systems and data quality processes.

Responsibilities

• Lead quality data projects and analyze Medicaid health plan data to identify trends.
• Produce and present performance reports to policymakers and leadership.
• Ensure data quality, completeness, timeliness, and accuracy across state systems.

Skills

Data analysis

Statistical consultation

Data quality monitoring

Report writing

Project management

Education

Bachelor's degree in any major

Tools

Care Connect 360

MDHHS Data Warehouse

Job description

The Michigan Department of Health and Human Services mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit MDHHS Diversity Equity and Inclusion.

This position serves as a quality data expert within the division of contracts and quality management. The position reviews and analyzes several quality measures focused on behavioral health and provides high-level data and data system guidance, management, and coordination expertise to state systems, and local agencies. This position specializes in analyzing large amounts of data from Medicaid health plans to discover trends and patterns for policymakers, produces performance measurement/quality reports, and provides statistical consultation for local health agencies and other clients. Duties include acting as a leader in the behavioral health field for encounter reconciliation and use of encounter data in support of performance-based incentive programs, e.g., conducting the annual performance bonus and incentive scoring, and addressing statistically significant racial/ethnic disparity in behavioral health. The position fulfills ad-hoc data/research requests involving the use of encounter data, monitors encounter data quality, completeness, timeliness, and accuracy, prepares reports of data quality, as well as develops corrective action plans to address data discrepancies and data integrity issues. Validates Symmetry performance measure rates and approves Optum data upload to Care Connect 360 that is used by external stakeholders. Manage research projects, write research projects into reports, and present findings to leadership and at conferences when needed. Fills the role for the administration by providing subject matter expertise related to changes being implemented to state systems, such as the MDHHS Data Warehouse and CHAMPS. This position works closely with others, both within and outside of the Department including Pre-Paid Inpatient Health Plans (PIHPs), Community Mental Health Service Programs (CMHSPs), and Optum to provide technical assistance and information on data systems. Lastly, another function of this position is to lead research projects and serve as the bureau representative based on Administration priorities.

Education

Possession of a bachelor’s degree in any major

Experience

Departmental Specialist 13

Four years of professional experience, including two years equivalent to the experienced (P11) level or one year equivalent to the advanced (12) level.

The physical location of this position is 400 S. Pine Street, with remote options available. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered.

Selected candidates who have been approved to work remotely or a hybrid schedule must complete that work within Michigan. Candidates should confirm work location and schedule at the time of interview.

Employees will be provided computers to perform state work. Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including:

• A secure work location that allows privacy and prevents distractions.
• A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
• Suitable lighting, furniture, and utilities.

The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises.

YOUR APPLICATION FOR ANY POSITION DOES NOT GUARANTEE YOU WILL BE CONTACTED BY THE DEPARTMENT/AGENCY FOR FURTHER CONSIDERATION. ONLY THOSE APPLICANTS INTERVIEWED WILL BE NOTIFIED OF THE RESULTS.

The department reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received.

If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement. Reinstatement is not guaranteed or required.

For information about this specific position, please email [e-mail]. Please reference the job posting number in subject line.

MDHHS is proud to be a Michigan Veteran’s Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer.