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Plan Design Coordinator jobs in Michigan

Plan Design Coordinator works closely with clients to design group health, dental and/or life insurance plans to create an overall benefit package. Works alongside underwriters, but is not an underwriter role. Being a Plan Design Coordinator ensures that plan meets appropriate internal, as well as legislative guidelines. Requires a bachelor's degree or its equivalent. Additionally, Plan Design Coordinator typically reports to a supervisor or manager. The Plan Design Coordinator works on projects/matters of limited complexity in a support role. Work is closely managed. To be a Plan Design Coordinator typically requires 0-2 years of related experience. (Copyright 2024 Salary.com)

Recently Added Plan Design Coordinator jobs

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Clinical Coordinator - PGIP
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME

  • POSTED:    April 17, 2024

    POSITION:  Clinical Coordinator—PGIP

    DEPARTMENT: Clinical Services

    POSITION SUMMARY: 

    Performs assigned duties and clinical functions in accordance with Upper Peninsula Health Plan (UPHP) plans, policies, and procedures, all state and federal accrediting and regulatory standards and Blue Cross Blue Shield of Michigan (BCBSM) Physician Group Incentive Program (PGIP) requirements.
     

    ESSENTIAL DUTIES AND RESPONSIBILITIES:

    1. Follows established UPHP policies and procedures, objectives, safety standards, and sensitivity to confidential information.
     
    2. Performs all assigned tasks in accordance with UPHP plans, policies and procedures, as well as National Committee for Quality Assurance (NCQA), BCBSM PGIP, and all regulatory standards.
     
    3. Assists in the development and maintenance of policies and procedures related to PGIP and other assigned programs in accordance with program, regulatory, and accrediting standards.
     
    4. Prepares reports and educational materials as required and presents reports and educational information via webinars and forums. 
     
    5. Engages with practices to onboard and participate with BCBSM PGIP initiatives. Assists in the development of practice incentive design, as requested.
     
    6. Conducts onsite assessments with participating practices’ at least annually to determine BCBSM PGIP initiative progress; this includes scheduling, travel arrangements, onsite assessment, and post assessment follow-up.
     
    7. Demonstrates knowledge of all BCBSM PGIP requirements; Centers for Medicare and Medicaid Services (CMS) standards; all applicable NCQA standards; and Healthcare Effectiveness Data and Information Set (HEDIS) measures as they relate to clinical functions and respective programs; assumes responsibility for specific NCQA and BCBSM standards as assigned.
     
    8. Participates in departmental and interdepartmental process improvements; recommends improvements in clinical processes as opportunities are identified.
     
    9. Participates in internal and external workgroups, collaboratives, and specialized trainings as required by BCBSM and/or UPHP. 
    10. Serves as backup to other team members in their respective areas in demonstrated times of excessive workload and/or benefit time.
     
    11. Attends and participates in BCBSM PGIP and UPHP organizational, departmental, and clinical program meetings as required.
     
    12. Assures required licensure continuing education requirements are fulfilled on an annual basis.
     
    13. Maintains confidentiality of client data.
     
    14. Performs other related duties as assigned or requested.
     

    POSITION QUALIFICATIONS:

    Education:

    Minimum:

    Licensed practical nurse or associate degree in nursing or health care-related area; three (3) years 
    of clinical or health related experience will be considered in lieu of certification or degree

     

    Preferred:

    Bachelor’s degree in nursing, health education, or health-related area
     

    Requirement:

    If nursing degree, licensed in state of Michigan
     

    Experience:

    Minimum:

    Two (2) years of clinical or health-related experience
     

    Preferred:

    Three (3) to five (5) years of clinical experience; understanding of clinical quality data and 
    performance improvement.

     

    Required Skills:

    Keyboarding proficiency and working knowledge of MS Office programs Word, Excel, and PowerPoint
    Excellent human relation and oral/written communication
    Excellent organizational and prioritization abilities

     

    Desired Skills:

    Ability to interpret and analyze data
    Working knowledge of MS Office Access, Canva, Monday.com, and Webinar platforms (i.e., Microsoft Teams)
     
    The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job-related selection or promotional criteria.

     

    Physical Requirements:

    [This job requires the ability to perform the essential functions contained in the description. These include, but are not limited to, the following requirements. Reasonable accommodations may be made for otherwise qualified applicants unable to fulfill one or more of these requirements]:
     
    Ability to access departmental files
    Ability to enter and access information from a computer
    Ability to access all areas of the UPHP offices
    Moderate physical effort (lift/carry up to 25 pounds)
    Occasionally lifts supplies/equipment
    Occasional reaching, stooping, bending, kneeling, crouching
    Prolonged periods of sitting
    Occasional prolonged standing
    Manual dexterity and mobility

     

    Working Conditions:

    Works in office conditions, but travel is required
    Subject to many interruptions
    Exposure to situations requiring exceptional interpersonal skills or high productivity
    Frequently subjected to irregular hours
  • 6 Days Ago
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U
Diabetes Clinical Coordinator - Quality Management
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • POSTED: April 19, 2024 POSITION : Diabetes Clinical Coordinator - Quality Management DEPARTMENT: Clinical Services POSITION SUMMARY: Performs assigned clinical functions in accordance with Upper Penin...
  • 4 Days Ago
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U
Clinical Coordinator - Care Manager - Medicaid
  • Upper Peninsula Health Plan
  • Marquette, MI FULL_TIME
  • POSTED: March 6, 2024 POSITION: Clinical Coordinator - Care Manager Medicaid DEPARTMENT: Clinical Services POSITION SUMMARY: Performs assigned clinical functions in accordance with Upper Peninsula Hea...
  • 1 Month Ago
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Dental Treatment Plan Coordinator
  • Executive Dental Partners
  • Southgate, MI FULL_TIME,PART_TIME
  • Job Summary:We are seeking a detail-oriented and organized Treatment Coordinator to join our medical office team. As a Treatment Coordinator, you will be responsible for providing administrative suppo...
  • 19 Days Ago
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Treatment Plan Coordinator
  • Third Coast Oral & Maxillofacial Surgery
  • Center, MI FULL_TIME
  • Treatment Coordinator -Third Coast Oral & Maxillofacial Surgery We are excited to offer an opportunity to work at a fast growing Oral and Maxillofacial Surgery practice. We are looking for an experien...
  • 2 Days Ago
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Treatment Plan Coordinator
  • My Community Dental Centers Inc.
  • Flint, MI FULL_TIME
  • Overview Full-Time Treatment Plan Coordinator Flint, MI $23.00/hour - $26.00/hour Lead with big impact! Put your skills to work and open the door to a career that inspires you! Why work for My Communi...
  • 8 Days Ago
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Plan Design Coordinator jobs at Popular Companies

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Design Supervisor
  • Floor & Decor Holdings, Inc.
  • Montgomery, AL
  • Purpose: The Design Supervisor is responsible for the training and development of the design team, and for driving sales...
  • 4/26/2024 12:00:00 AM
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I
Design Coordinator
  • Interior Talent
  • Burlington, MA
  • Design Coordinator | Luxury Kitchen & Bath Showroom | Burlington, MA This is an exciting role for a Showroom Design Coor...
  • 4/26/2024 12:00:00 AM
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W
Design Coordinator
  • Wisenbaker Builder Services
  • Coppell, TX
  • Design Coordinator About the Job The daily responsibilities will be scheduling the designer's appointments with customer...
  • 4/26/2024 12:00:00 AM
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Design Coordinator
  • Crate & Barrel
  • Manhasset, NY
  • We inspire purpose-filled living that brings joy to the modern home. With a team of more than 8,000 associates spanning ...
  • 4/26/2024 12:00:00 AM
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T
Design Coordinator
  • Trinity Search Group
  • Fort Lauderdale, FL
  • This company is one of South Florida's most reputable developer/builders with a long history of success. They have devel...
  • 4/26/2024 12:00:00 AM
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C
Design Coordinator
  • Crate & Barrel
  • Short Hills, NJ
  • We inspire purpose-filled living that brings joy to the modern home. With a team of more than 8,000 associates spanning ...
  • 4/26/2024 12:00:00 AM
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F
Design Supervisor
  • Floor & Decor Holdings, Inc.
  • West Palm Beach, FL
  • Purpose: The Design Supervisor is responsible for the training and development of the design team, and for driving sales...
  • 4/23/2024 12:00:00 AM
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Designated Coordinator
  • MORINGA CARE LLC
  • Minneapolis, MN
  • Job Description Job Description DESCRIPTION: The Designated Coordinator provides supervision and support to direct suppo...
  • 4/22/2024 12:00:00 AM
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About Michigan

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Plan Design Coordinator jobs
$65,921 to $88,529

Most Popular Cities in Michigan for Plan Design Coordinator Jobs

What does a Plan Design Coordinator do?

Plan Design Coordinator in Concord, NH
NU 11EOEDesirablesExperience with implementation of Urban Design & Historic Preservation regulations.
December 26, 2019
Plan Design Coordinator in Huntsville, AL
The Services and its entire contents, features, and functionality (including but not limited to all information, software, Service Specifications, text, displays, images, video, and audio, and the design, selection, and arrangement thereof)(the "NEOGOV Content") are owned by NEOGOV and are protected by United States and international copyright, trademark, patent, trade secret, and other intellectual property or proprietary rights laws.
February 05, 2020
Plan Design Coordinator in Colorado Springs, CO
The "look" and "feel" of the Services (including color combinations, button shapes, layout, design, and all other graphical elements not uploaded or implemented by Customers) are also our trademarks or copyrights.
December 11, 2019