Federal Compliance Site Reviewer
A company is looking for a Departmental Analyst 12 - Federal Compliance Site Reviewer. Key Responsibilities Conduct annual site reviews for Pre-paid Inpatient Health Plans (PIHP) and related programs Complete credentialing and clinical reviews of Medicaid beneficiary records and compile findings into reports Analyze corrective action plans for compliance and evaluate the effectiveness of remediation efforts Required Qualifications, Training, and Education Possession of a bachelor's degree in any major Three years of professional experience, including one year at the experienced (P11) level in state service Experience may be substituted with relevant military service at or above the E-6 level Knowledge of state and federal regulations related to Habilitation Supports Waiver and State Plan Amendment Understanding of Michigan Mental Health Code and related laws applicable to Medicaid beneficiaries
A company is looking for a Departmental Analyst 12 - Federal Compliance Site Reviewer.
Key Responsibilities
Conduct annual site reviews for Pre-paid Inpatient Health Plans (PIHP) and related programs
Complete credentialing and clinical reviews of Medicaid beneficiary records and compile findings into reports
Analyze corrective action plans for compliance and evaluate the effectiveness of remediation efforts
Required Qualifications, Training, and Education
Possession of a bachelor's degree in any major
Three years of professional experience, including one year at the experienced (P11) level in state service
Experience may be substituted with relevant military service at or above the E-6 level
Knowledge of state and federal regulations related to Habilitation Supports Waiver and State Plan Amendment
Understanding of Michigan Mental Health Code and related laws applicable to Medicaid beneficiaries
