What are the responsibilities and job description for the Providor Network Manager position at WOODLANDS BEHAVIORAL HEALTHCARE NETWORK?
PROVIDER NETWORK MANAGER - POSITION OVERVIEW:
The Provider Network Manager serves as an agency liaison to network providers who service Woodlands Behavioral Healthcare clients. This is accomplished by monitoring the compliance of service providers, facilitating meetings with service providers including but not limited to providing trainings, developing, implementing, and maintaining policies and procedures, and preparing audits as requested. The Provider Network Provider is also responsible for locating potential new service providers.
POSITION RESPONSIBILITIES
- Identify, manage, and maintain a quality provider network with the composition, structure, capacity, and characteristics necessary to ensure sufficient availability of providers and afford individuals the opportunity for choice and consideration.
- Conduct New Provider Orientations and Quality Provider Network meetings.
- Completes credentialing for all external providers.
- Monitor the compliance of service providers to state and local requirements to assure the highest quality of services to individuals served by WBHN.
- Serve as a liaison between service providers and the Contract Manager as relevant compliance issues arise or are otherwise identified.
- Consult and assist providers when a CAP is required due to non-compliance or as requirements change.
- Conduct provider site visits and reviews.
- Develop, implement, and maintain policies and procedures (and associated documents) related to role.
- Attend all local, regional, and state work groups related to provider network.
- Participate in the PCE user group meetings to represent provider network.
- Other duties as assigned.
Qualifications
Minimum Qualifications
- Associates degree Minimum of 2 years’ experience professional work in behavioral health
- Knowledge of the principles of continuous quality improvement, contracting, compliance, and risk management
- Advanced computer skills including word processing, spreadsheets
- Valid driver's license
PREFERRED Qualifications
- Sound understanding of management processes relative to organizing, planning, implementing, and evaluating along with strong oral and written communication skills.
- Access to reliable transportation
Any combination of education, training and experience providing the required knowledge, skills, and abilities to perform the essential functions of the job will be considered.
Required Skills & Abilities
- Experience in a CMHSP setting.
- Excellent verbal and written communications skills
- Working knowledge of Microsoft Windows including Word, Excel, Outlook, PowerPoint, and Teams applications
- Ability to effectively organize and prioritize work assignments.
- Ability to effectively interact with various teams within WBHN as well as external provider organizations.
Salary : $55,281 - $82,113