Vendor Services Specialist

The Information Center, Inc.•Taylor, MI

3d•$22 - $25

About The Position

The Vendor Services Specialist supports timely access to services by coordinating Purchase of Service (POS) requests and connecting participants with contracted vendors. The position serves as a key point of contact between vendors and internal care management staff to facilitate service assignments, monitor assignment issues, and maintain accurate service and vendor information. The Specialist also supports vendor relations, utilization tracking, system administration, compliance activities, and process improvement in accordance with program, regulatory, contractual, and organizational requirements. The role reviews and processes POS requests, facilitates service assignments, follows up on unresolved requests, maintains records and reports, administers vendor access in Compass, and supports vendor compliance and special investigations reviews. The Specialist participates in departmental meetings and projects, maintains confidentiality, and performs responsibilities consistent with applicable Medicaid, MDHHS, CMS, HIPAA, contractual, and organizational requirements.

Requirements

Proficiency with Microsoft Office applications, including Excel, Word, Outlook, Teams, and SharePoint.
Experience with Compass or similar case management systems, and ability to learn other software and technology tools as required.
Ability to interpret and apply contractual and organizational policies and requirements.
Strong attention to detail and ability to accurately enter, review, reconcile, and track information.
Strong verbal and written communication skills, with the ability to establish and maintain effective working relationships with vendors and internal staff.
Strong organizational and time-management skills, with the ability to manage multiple priorities, follow-ups, and deadlines.
Ability to identify issues, exercise sound judgment, address routine problems, and appropriately escalate concerns.
Ability to work independently and collaboratively while maintaining confidentiality and professional standards.
Two years of experience in healthcare administration, Medicaid services, service authorization, vendor or provider coordination, compliance, care management, HCBS, long-term care, human services, or a related field.
An associate degree in Business, Healthcare Administration, Human Services, Public Administration, Health Information Management, Health Services Administration, or a related field is preferred; an equivalent combination of education, training, and relevant experience may be considered.

Nice To Haves

Knowledge of Medicaid, Home and Community-Based Services (HCBS), long-term care, service authorization, healthcare operations, or vendor/provider relations.
Experience with Medicaid waiver programs, contracted vendors/providers, provider relations, authorization or case management systems, or healthcare operations.

Responsibilities

Review and process Purchase of Service (POS) requests for MI Choice Waiver, Self-Determination, Community Transition Services (CTS), and other applicable services.
Facilitate service requests with appropriate vendors and monitor requests through vendor response, assignment, and completion.
Serve as a primary contact for vendors regarding service requests, availability, assignments, status updates, documentation, and service-related concerns.
Follow up on outstanding, delayed, or unresolved service requests and communicate status and required follow-up to the Supervisor.
Assign and track two-week follow-ups for new or changed services and communicate service-related issues to Supports Coordinators and the CMD Manager for resolution.
Monitor, respond to when applicable, and appropriately route Vendor View messages and other vendor communications to internal staff.
Cross-reference POS requests, vendor notices, and monthly invoices to ensure Community Transportation service authorizations are accurately entered and maintained.
Maintain accurate service request, vendor, and utilization records; identify discrepancies, trends, or recurring service issues and escalate concerns to management with supporting information.
Prepare service request, utilization, vendor activity, and other reports as assigned, and assist with identifying trends or information that may support operational improvements.
Administer vendor system access and user accounts in Compass, including onboarding, updating, and deactivating authorized users in accordance with organizational access requirements.
Track submission of the required Direct Care Worker (DCW) Premium Distribution Reporting Form during designated reporting periods.
Support vendor compliance activities, including monitoring required documentation and reporting submissions.
Conduct quarterly Special Investigations reviews of applicable licensing reports for contracted residential providers, document findings, and submit findings to management for review and appropriate follow-up.
Participate in department meetings, process improvement activities, and special projects that support effective vendor coordination and service delivery.
Maintain confidentiality and perform responsibilities in accordance with Medicaid, MDHHS, CMS, HIPAA, contractual, and organizational requirements.
Perform other reasonable and related duties as assigned.