Public Consulting Group

Home Community Based Services Compliance Specialist I

Job Locations US-MI-Detroit | US-MI-Grand Rapids | US-MI-Kalamazoo | US-MI-Lansing
Posted Date 3 weeks ago(7/15/2021 11:13 AM)
Job ID
2021-6811
# of Openings
1
Category
Operation Support
Type
Regular Full-Time
Practice Area
Health Services

Overview

About Public Consulting Group

 

Public Consulting Group, Inc. (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve lives. Founded in 1986 and headquartered in Boston, Massachusetts, PCG has over 2,500 professionals in more than 60 offices worldwide. PCG’s Health practice offers in-depth programmatic knowledge and regulatory expertise to help state and municipal health agencies respond to regulatory change, improve access to health care, maximize program revenue, improve business processes, and achieve regulatory compliance. Using industry best practices, PCG’s Health team helps organizations deliver quality services with constrained resources to promote improved client outcomes. To learn more, visit http://www.publicconsultinggroup.com/health/.

Responsibilities

 

Duties & Responsibilities 

 

  • Evaluates case worker records for compliance with applicable regulations and business practices through a combination of virtual and on-site reviews
  • Collects data and documentation from worker sites to support compliance findings 
  • Utilizes technology to convert hardcopy documentation to electronic and submit via Web-based application
  • Ability to summarize on-site and web-based findings, in-person and through concise reporting to State of Michigan staff
  • Data entry and assists in determining trends in non-compliance and inadequate business processes 
  • Apply both high-level and detailed information concerning the state programs’ practices and policies to accurately review all aspects of case work
  • Coordinates with location staff to schedule onsite visits 
  • Makes appropriate and timely recommendations to project management 

 

Qualifications

 

Education/Experience: 

 

  • Bachelor’s Degree with a concentration in Health, Human Services, Public Health, Social Work, or a similar field of study 
  • 2+ years' of relevant work experience in Home and Community Based Services (HCBS) or a related field such as Public Health, Home Care, or a Medical Provider
  • Relevant work experience in Home and Community Based Services (HCBS) monitoring, Medicaid, Third-Party Payer Provider Billing, or Provider Training 

 

Working Conditions: 

 

  • Travel required throughout the State of Michigan
  • Office Setting / Remote 

 

Required Skills:

 

  • Ability to work with and relate to the client and their staff while demonstrating active listening skills 
  • Computer literacy, competency with MS Word, Excel, Outlook, and ability to learn other programs
  • Ability to work well independently to meet deadlines
  • Process oriented and results-driven work strategy 
  • Ability to foster teamwork with all levels of management and staff 
  • Exemplary Customer Service relationship techniques, including superior verbal and written communication skills 
  • Accuracy, attention to detail, and strong organizational skills
  • Ability to think critically, incorporating multiple factors into larger concepts

 

#LI - BC1

 

EEO Statement

Public Consulting Group is an Equal Opportunity Employer dedicated to celebrating diversity and intentionally creating a culture of inclusion. We believe that we work best when our employees feel empowered and accepted, and that starts by honoring each of our unique life experiences. At PCG, all aspects of employment regarding recruitment, hiring, training, promotion, compensation, benefits, transfers, layoffs, return from layoff, company-sponsored training, education, and social and recreational programs are based on merit, business needs, job requirements, and individual qualifications. We do not discriminate on the basis of race, color, religion or belief, national, social, or ethnic origin, sex, gender identity and/or expression, age, physical, mental, or sensory disability, sexual orientation, marital, civil union, or domestic partnership status, past or present military service, citizenship status, family medical history or genetic information, family or parental status, or any other status protected under federal, state, or local law. PCG will not tolerate discrimination or harassment based on any of these characteristics. PCG believes in health, equality, and prosperity for everyone so we can succeed in changing the ways the public sector, including health, education, technology and human services industries, work.

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