What are the responsibilities and job description for the Departmental Specialist 13 - Inpatient Hospital and Coordination of Benefits Specialist position at State of Michigan?
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 is considered the specialist for the Michigan Medicaid Inpatient Hospital coverage and Coordination of Benefits (COB) policy, as well as the General Information for Providers chapter and beneficiary cost sharing. This position establishes authoritative direction for all aspects of Inpatient Hospital coverage, COB policy and the General Information for Providers chapter and beneficiary cost sharing by developing and implementing relevant State Plan pages, Provider Manual pages, and associated provider and beneficiary publications. These documents define program content, requirements, policies and procedures. This position is the designated specialist and implements policy coverage for Inpatient Hospital, COB and the General Information for Providers chapter and beneficiary cost sharing issues. This position performs complex policy research and analysis for the Medicaid program and represents the Department at meetings, conferences, etc. on these issues. This position also serves as lead for workgroups responsible for addressing Inpatient Services coverage, reimbursement, and billing issues; serves as liaison with the Inpatient covered services provider community; provides expert consultation to operational areas of the Department on Medicaid Inpatient Hospital coverage, COB related policy and the General Information for Providers chapter and beneficiary cost sharing issues. Finally, this position is considered the lead for the Medicaid Advisory Committee (MAC). This position serves as a key resource to the MAC, providing analytical assistance, research, and strategic support to ensure effective oversight and informed decision-making related to Medicaid policies and programs.
Position Description
Job Specification
To be considered for this position you must:
- apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
- relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening.
- attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
- attach a cover letter.
- if applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts. We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature.
Education
Possession of a bachelor’s degree in any major
A bachelor degree in a health care or health policy related field preferred.
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.
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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.
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 MDHHSVacancies@michigan.gov. Please reference the job posting number in subject line.
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Salary : $31 - $46
