Utilization Review Coordinator jobs in Melbourne, FL

Annual Salary: $45,000/year

Position Summary: The Utilization Data Management Specialist will report to the Utilization Management Program Manager. The position will ensure data analysis within the Mindshare Technologies Platform and will support data sharing across the System of Care. This position requires advanced data management skills with experience using multiple platforms and functions. Primary responsibility will be utilizing the Prevention Services and Activity Management (PSAM) System. This position will be an apprentice and backup for all functions of the Director of UM. As such, it will be expected that this person becomes familiar with providing access to (FSFN, PSAM, TACF, BECA, FPL, FMMIS) and all related forms necessary to grant access and deactivate users. The position will be responsible for learning the Children’s Mental Health funding process (100/806). This role may also provide support in the agencies’ efforts in performance related data; extracting and producing data sets from the FSFN reporting environment. The Utilization Data Management Specialist will serve as the Data Security Officer in the absence of the Utilization Management Program Manager.

Technical/Functional Expectations:

1. Application Implementation – Essential Function: Coordinate activities; analyze impact on current processing schedules and service levels in order to implement new applications (PSAM Modernization).
2. Data Analysis: Essential Function: Complete hypothesis, normal distribution, and process capability analysis tests in order to analyze data.
3. Reports Preparation – Essential Function: Collect, analyze, and summarize data within the Utilization Management System in order to prepare reports for users and other stakeholders.
4. Organizes, Aggregates and Compiles Data in Report Formats: This position organizes aggregates and compiles data for regularly scheduled forums such as the agency Provider Network Meeting and Board Meeting as required.
5. FSFN/SACWIS Support: The position may provide support to the agencies performance. As such, intermediate skills in FSFN reporting is required.  This may require generating data reports as this correlates to agency contract measures and scorecard performance.
6. Serves as Data Security Officer: This position will serve as the agency’s backup Data Security Officer; responsible for management of new users in multiple data bases in accordance with agency security agreements and protocols.
7. Extracts and Produces Data Sets from Multiple Sources: This position is responsible for extracting and producing data sets from multiple data bases; (such as Mindshare PSAM and TACF) performing data analysis as needed to identify trends and monitor, track and report outcomes.
8. Organizes, Aggregates and Compiles Data in Report Formats: This position organizes aggregates and compiles data for regularly scheduled forums such as the agency Operations Meeting and Board Meeting.
9. Other duties as required: Job performance requires fulfilling other incidental or related duties as assigned, assisting and training others, and performing duties of higher rated positions from time to time for developmental purposes.

Behavioral Competencies:

1. Decisiveness: Able to use available information to draw a timely conclusion and take quick action; make timely decisions in stressful situations; make quick, timely decisions when necessary.
2. Integrity: Able to demonstrate consistency of words and actions; do what is right even when no one is watching; demonstrates sound business ethics; protect both company and public interests.
3. Influence: Able to positively change opinions and actions of others in a desired direction; present information in a persuasive manner; clarify information in order to gain understanding and buy-in.
4. Develop Relationships: Able to relate to others, building credibility and rapport; relate to others in an honest and straightforward manner; build one-on-one relationships that incorporate cooperation, trust, and respect.
5. Decision Making: Able to make objective decisions when dealing with emotional or controversial topics; identify and choose between multiple options; understand consequences of potential decisions.
6. Planning and Organizing: Able to improve efficiency through planning and organizing; identify specific action steps and plans; anticipate problems and develop contingency plans.
7. Sensitivity: Work effectively with and show sensitivity to cultural differences and various socio-economic backgrounds of others.
8. Ethics: Adhere to and model principles and values of Agency and System of Care by being strength-based, solution-focused, maintains highest level of integrity and ethical standards and work collaboratively with employees, partners, stakeholders and clients in all interactions.

Business Experience:

1. 2-3 years’ experience in UM Systems preferred: This is required in order to ensure that services provided are meeting outcomes identified.
2. 2-3 years data management experience: This is required in order to compile data and create reports regarding patterns and trends.
3. Solution-focused, Collaborative Communication Skills: This is required in order to communicate with various internal and external stakeholders at various levels.
4. Excellent Analytical and Problem Solving Skills: This is required in order to provide accurate information and to identify and correct discrepancies.
5. Excellent Organization and Attention to Detail Skills: This is required in order to manage multiple priorities while maintaining data integrity of several sources.
6. Valid Driver's License - Essential: This is required in order to travel throughout the county and to multiple sites.

Educational and Experience Requirements:

1. BA/BS - Bachelor’s Degree or equivalent required.
2. 2-3 years Navigating and Reporting Using Supplementary data platforms.
3. Child Welfare Experience preferred.

Physical Requirements:

1. Reading
2. Writing
3. Listening
4. Speaking
5. Sitting
6. Standing
7. Typing