Project Specialist, Review Services

MICHIGAN PEER REVIEW ORGANIZATION
Remote

About The Position

iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization, a nonprofit with over 40 years of experience dedicated to improving healthcare across the continuum of care using evidence-based, data-driven strategies. They provide medical consulting and review services, data analysis to federal agencies, state Medicaid programs, public health organizations, healthcare facilities, private health plans, and other third-party payers. The team specializes in impartial utilization review, dispute resolution, and peer review, with a mission to help healthcare get better. The company prioritizes work/life balance and invests in employee growth through professional development and continuing education. The Project Specialist is responsible for daily administrative and project support for medical review services and other assigned activities, including data analysis, ongoing work, and contract-specific case management. This role requires frequent computer usage and knowledge of Microsoft Office, Windows software, and web-based portals, potentially involving moderately complex spreadsheets, multitasking on group projects, and portal development.

Requirements

  • Strong communication skills, both verbal and written, required.
  • Strong multi-tasking skills with attention to detail and deadlines required.

Nice To Haves

  • Associate's degree in a healthcare specialty preferred.
  • Two (2) years of project support experience preferred.

Responsibilities

  • Develops materials such as forms, correspondence, manuals, articles, lists, invoices, charts, matrices, reports, records, schedules, templates, and other documents of similar complexity.
  • Coordinates, documents, and tracks pertinent data to meet the information and reporting needs of the team via various applications, including specific review services portals.
  • Assumes all administrative responsibilities, providing support to the team, including providers, staff, and clients.
  • Facilitates and collaborates on projects throughout the department and the organization.
  • Organizes and supports team planning, arranging, and coordinating specific meetings, workshops, programs, presentations, conferences, or other group events.
  • Adheres to all relevant compliance regulations (HIPAA, FISMA, URAC, CMS).
  • Other duties as assigned

Benefits

  • work/life balance
  • professional development
  • continuing education opportunities
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