Provider Network Manager

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Manages the contracts between (DWIHN) and the assigned network providers.
• Serves as the primary liaison between the Network and the providers.
• Leads a “virtual team” of interdepartmental experts to assist, monitor and manage the network providers.
• Collaborates with Finance, Information Technology, Recipient Rights, Quality Management, and Clinical Services to ensure that all contractual issues/concerns are addressed.
• Serves as the providers primary point of contact with the Network.
• Facilitates the successful implementation of new contracts with providers by providing technical assistance.
• Maintains documentation of all interactions with the provider network.
• Submits monthly and quarterly written reports regarding provider network performance and progress.
• Facilitates monthly/quarterly meetings with the provider network.
• Performs related duties as assigned.

KNOWLEDGES, SKILLS AND ABILITIES (KSA’S)

• Knowledge of DWIHN policies, procedures and practices.
• Knowledge of the DWIHN provider network and community resources.
• Knowledge of the Michigan Mental Health Code.
• Knowledge of MDHHS policies, rules, regulations and procedures.
• Knowledge of Federal policies, rules, regulations and procedures as it relates to DWIHN.
• Knowledge of compliance standards.
• Knowledge of regulatory and industry best practice standards.
• Knowledge of Community Mental Health Services Programs (CMHSP) and Prepaid Inpatient Health Plans (PIHP).
• Management skills.
• Training skills.
• People management skills.
• Project management skills.
• Action planning skills.
• Conflict Resolution skills
• Corrective Action skills.
• Assessment skills.
• Organizational skills.
• Planning skills.
• Accuracy skills.
• Analytical skills.
• Time Management skills.
• Report writing skills.
• Negotiation skills.
• Interpersonal skills.
• Communication skills.
• Collaboration skills.
• Implementation skills.
• Teamwork Skills.
• Relationship-building skills.
• Computer skills (Word, Excel, Access, Power Point, Outlook, Teams)
• Ability to communicate orally.
• Ability to communicate in writing.
• Ability to work effectively with others.
• Ability to work with an ethnically, linguistically, culturally, economically and socially diverse population.
• Judgement/Reasoning ability.

REQUIRED EDUCATION

• A Bachelor’s Degree from a recognized college or university in the Human Services, the Social Services, Nursing, Public Health, Public Administration, Healthcare Administration, Health Management, Business Administration, or a related field.

REQUIRED EXPERIENCE

• Five (5) years of post-degree professional experience in behavioral healthcare or community mental health.
• Experience must include management, administrative or supervisory duties and responsibilities.

REQUIRED LICENSE(S)

• A valid State of Michigan Driver’s License with a safe and acceptable driving record.

WORKING CONDITIONS

• Work is usually performed in an office setting but requires the employee to drive to different sites throughout Wayne County and the State of Michigan.

Salary Information

• Salary information is available upon request.

Note

• The Detroit Wayne Integrated Health Network is an Equal Opportunity Employer.