Administrative Assistant - Healthcare (remote) - Michigan Peer Review Organization

About iMPROve Health

Come join the iMPROve Health team! iMPROve Health is Michigan’s Medicare-designated Quality Improvement Organization. We are both a Cool Place to Work (Crain’s Detroit Business) for the last 4 years and one of the Best Places to Work in Healthcare as judged by Modern Healthcare. As a nonprofit organization, we have more than 35 years’ experience improving healthcare across the continuum of care using evidence-based and data-driven logic. iMPROve Health provides medical consulting and review, as well as data analysis to federal agencies, state Medicaid and public health organizations, healthcare facilities, private health plans and other third-party payers. We also have extensive experience completing thoughtful and impartial utilization review, dispute resolution and peer reviews. Our goal is simple – to help healthcare get better!

This position is 100% remote and provides the opportunity to work virtually with team members from anywhere within the United States. We pride ourselves on providing a great work/life balance for employees, while also providing the ability to promote their career development and gain new skills through employee education opportunities. iMPROve Health offers a wonderful benefit package that includes medical, dental, vision, life insurance, short term and long-term disability, and a generous 401k match.

iMPROve Health is committed to improving the quality, safety, and efficiency of healthcare. Although we do not see patients, we are healthcare professionals (including physicians and nurses) and consultants who work with healthcare providers to promote the adoption and use of evidence-based best practices and processes to achieve our healthcare quality goals. Our services offer our clients and partners access to a proven, impartial, connected resource that understands the intricacies of healthcare. It is our #1 priority to provide thoughtful evidence-based strategies and solutions that help them achieve their healthcare quality improvement goals and outcomes.

iMPROve Health is an equal employment opportunity employer.

*Must be able to work M-F normal business hours in EST.

SUMMARY:

Responsible for the daily administrative support for the Federal Independent Dispute Resolution Entity (IDRE) review process operations as well as project support and other activities as required.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assume all administrative responsibilities for IDRE operations including data entry and downloading and uploading case documentation to and from the IDR/IIDR and the Federal IDR portals.
• Work closely with the Federal IDRE team to ensure proper IDRE case tracking.
• Respond to external and internal customer email and phone inquiries including answering case status questions and triaging messages to appropriate team member(s).
• Generate and send email correspondence using templates.
• Collaborate with the finance department to coordinate and send appropriate notification correspondence.
• Develop various tracking spreadsheets and other program templates.
• Handle incoming and outgoing communications for aforementioned program.
• Assist team with organizing case documentation including creating folders and establishing other methods to organize incoming and outgoing case materials.
• Update appropriate spreadsheets with information obtained from received documents.
• Assist team members with scheduling internal and external meetings.
• Other duties as assigned
• Ensure compliance with all Company policies.
• Adhere to all relevant compliance regulations (Health Insurance Portability and Accountability Act, Federal Information Security Management Act, URAC, Centers for Medicare & Medicaid Services, Federal Acquisition Regulation (FAR))

EDUCATION AND EXPERIENCE:

• Associates Degree or equivalent combination of education and experience required
• Minimum two years’ experience in an administrative support position required.
• Ability to stay on task and complete duties by assigned deadlines required.
• Knowledge of medical terminology a plus