DATE: August 31, 2026
POSITION: Clinical Administrative Coordinator
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:
1. Follows established Upper Peninsula Health Plan (UPHP) policies and procedures, objectives, safety standards, and sensitivity to confidential information.
2. 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.
3. 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).
4. Coordinates logistics for internal and external clinical committees and workgroups, including agenda preparation, document compilation, and recording/distribution of meeting minutes.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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.
10. Identifies opportunities for process improvement within clinical administrative workflows. Recommends enhancements and supports implementation to improve efficiency, accuracy, and compliance.
11. Demonstrates general knowledge of quality management department priorities and team member assignments to best support advancement of their quality interventions and projects.
12. Maintains confidentiality of client data.
13. 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 experience.
Preferred:
Associate or bachelor’s degree in business, office systems, healthcare administration, or another related
field.
Experience:
Minimum:
Two (2) years of experience in medical or general office setting or combination of education and
experience
Preferred:
Five (5) years of experience in a medical office, health insurance, or healthcare administrative setting,
including exposure to clinical operations or quality management.
Required Skills:
Excellent written and verbal communication
Excellent organizational and prioritization skills and attention to detail
Keyboarding proficiency
Advanced knowledge of PC business applications (MS Word, Excel, Access, PowerPoint)
Composition, transcription, and proofreading abilities
Digital dexterity
Knowledge of office machines, i.e., fax, copier/scanner
Desirable Skills:
Oriented to managed care or health care systems
Knowledge of medical terminology
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
Occasionally lifts supplies/equipment
Prolonged periods of sitting
Manual dexterity and mobility
Working Conditions:
Works in office conditions, but occasional travel may be required
Subject to many interruptions
Occasionally subjected to irregular hours
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