DEPARTMENT: Clinical Services -- Quality Management

RATE: $22.00 per hour, with the potential for additional compensation based on qualifications.

POSITION SUMMARY:

The Clinical Administrative Coordinator provides advanced administrative and operational support to Upper Peninsula Health Plan's Clinical Services Department, ensuring efficient execution of clinical, quality management (QM), care management (CM), and utilization management (UM) functions. This role serves as a central coordination point for departmental activities, supporting clinical programs, regulatory requirements, and internal processes that contribute to quality of care, member outcomes, and compliance with National Committee for Quality Assurance (NCQA), federal and state standards.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.

Responsible for organizing and facilitating key administrative workflows, including preparation and coordination of clinical documents, management of correspondence and reporting, and maintenance of tracking systems to support program oversight.

Working collaboratively with clinical leadership and cross-functional teams, supports performance improvement initiatives, committee activities, and regulatory submissions, including those required by NCQA, Centers for Medicare & Medicaid Services (CMS), and Michigan Department of Health and Human Services (MDHHS).

Coordinates logistics for internal and external clinical committees and workgroups, including agenda preparation, document compilation, and recording/distribution of meeting minutes.

Assists team members in preparation, quality review, and distribution of member and provider correspondence, educational materials, and program interventions. Maintains tracking systems to ensure compliant, timely, and accurate communication outputs.

Attends meetings as required; records and prepares minutes and assures accurate completion in a timely manner; follows up on action items and ensures completion of outstanding tasks.

Assists clinical services leadership with value-based payment program administration; assists with administrative processes related to program payments and contracts, including documentation, tracking, and coordination with internal departments as applicable.

Responsible for supporting the clinical services leadership team and team members with basic accounting and expense tracking to support budget adherence. Manages receipts, codes appropriately, and enters expenses into the accounts payable system.

Acts as a key point of coordination between clinical staff, leadership, and cross-functional departments (e.g., compliance, finance, provider relations), ensuring alignment and timely execution of deliverables.

Identifies opportunities for process improvement within clinical administrative workflows. Recommends enhancements and supports implementation to improve efficiency, accuracy, and compliance.

Demonstrates general knowledge of quality management department priorities and team member assignments to best support advancement of their quality interventions and projects.

Maintains confidentiality of client data.

Performs other related duties as assigned or requested.

POSITION QUALIFICATIONS:

Education:

Minimum:

Associate degree in business, office systems, healthcare administration, or another related field, or an

equivalent combination of education and relevant e

Upper Peninsula Health Plan

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Clinical Administrative Coordinator