Provider Network Relations Supervisor-Physical Health-Remote-NC

Partners Health Management; Elkin (NC); Remote; USD 75,000 - 92,000; Full time

Job summary

A leading health management organization seeks a Provider Network Relations Supervisor to oversee a team serving Physical Health Providers. The role involves developing provider relationships, ensuring effective network operations, and requires a Bachelor’s degree along with significant experience in health-related fields. Strong communication and problem-solving skills are essential for success in this position.

Benefits

Annual incentive bonus plan

Medical, dental, and vision insurance

Generous vacation and sick time accrual

12 paid holidays

401(k) Plan with employer match

Company paid life and disability insurance

Wellness Programs

Qualifications

• 5 years experience in health-related community, business or governmental programs.
• 2 years of IDD experience.
• 3 years supervisory or consultative experience.

Responsibilities

• Oversee Provider Account Specialists to support Physical Health Providers.
• Build relationships with providers and internal departments.
• Provide technical assistance to enhance provider network.

Skills

Interpersonal communication

Problem solving

Negotiation

Conflict resolution

Education

Bachelor’s Degree in mental health, public health, social work, psychology, education, sociology, business, or public administration

Master’s Degree (preferred)

Tools

Microsoft Office

Job description

Provider Network Relations Supervisor-Physical Health-Remote-NC

Join to apply for the Provider Network Relations Supervisor-Physical Health-Remote-NC role at Partners Health Management

Provider Network Relations Supervisor-Physical Health-Remote-NC

3 days ago Be among the first 25 applicants

Join to apply for the Provider Network Relations Supervisor-Physical Health-Remote-NC role at Partners Health Management

Competitive Compensation & Benefits Package!

Position eligible for –

• Annual incentive bonus plan
• Medical, dental, and vision insurance with low deductible/low cost health plan
• Generous vacation and sick time accrual
• 12 paid holidays
• State Retirement (pension plan)
• 401(k) Plan with employer match
• Company paid life and disability insurance
• Wellness Programs
• Public Service Loan Forgiveness Qualifying Employer
  
  

See attachment for additional details.

Location: Available for any Partners' NC locations; Remote option

Projected Hiring Range: Depending on Experience

Closing Date: Open Until Filled

Primary Purpose Of Position

The Provider Relations Physical Health Supervisor provides oversight and supervision to a team of Provider Account Specialists responsible for supporting relationships for providers in the Partners Health Management Network that primarily provide services to Physical Health Providers. This position is expected to build and sustain strong working relationships with cross functional departments, physical health plan partners, both physical and behavioral health providers, and essential providers. The Physical Health Provider Network Relations Supervisor supports successful operations of primarily physical health providers but also providers who deliver both physical and behavioral health services, and essential health providers within our healthcare delivery model. This position assists and promotes problem solving, communication, excellent customer service, process improvement and education/development. The position requires inter and intra departmental collaboration on projects, business development, network requirements, network expansion and fortification including knowledge of care management, contracting, value-based programs along with state and departmental reporting. Managed Care experience in the State of North Carolina is desired.

Role And Responsibilities

Network Support and Development

• Supervise and provide oversight to provider account specialists to support the needs of primarily Physical Health Providers but can include Behavioral Health and Essential Health Providers in the Partners Health Management Network.
• Assist Physical Health Provider Network Relationship Manager in needed training and/or consultation related to provider issues.
• Provide assistance with value-based and fee-for-service provider contracting.
• Assist in development and enhancement of the provider network through engagement with Physical Health providers both in and out of the Partners Health Management network.
• Work collaboratively with internal departments to increase knowledge and development opportunities for the network.
• Provide technical assistance and guidance as necessary to Provider Account Specialists and Physical Health providers in the network.
• Create reports as requested or needed for support of the provider network.
• Provide support and assistance to the Physical Health Provider Network Relationship Manager.
• Provide strong and comprehensive support in the area of Physical Health to ensure the best potential outcomes for the Physical Health providers and members.
  
  

Provider Relations

• Ability to establish and maintain relationships with providers in and out of the network.
• Facilitate and provide assistance as requested by both providers and other internal departments to mitigate provider issues or concerns.
• Participate in provider meetings across the agency when appropriate or needed to foster and support the relationship between providers and Partners Health management.
• Serving as a resource to other departments within the organization on provider-related issues.
• Coordinate/attend meetings with providers and internal staff.
• Participating in Provider Forums as requested and providing technical support and assistance to Provider Council as needed
• Assist the Physical Health Provider Network Relationship Manager by participating in internal workgroups that involve Physical Health providers.
• Collaborate with all levels of the organization including Executive Leadership Team, Departmental Directors, and Managers to assist with problem resolution.
• Enhance relationships with providers by assisting in investigating, documenting, and resolving provider issues and concerns.
  
  

Knowledge, Skills And Abilities

• Considerable knowledge of the laws, regulations and policies that govern the program
• General knowledge of Physical Health business practices, rules, and regulations
• Exceptional interpersonal and communication skills
• Strong problem solving, negotiation, arbitration, and conflict resolution skills
• Excellent computer skills and proficiency in Microsoft Office products (such as Word, Excel, Outlook, and PowerPoint
• Demonstrated ability to verify documents for accuracy and completeness; to understand and apply laws, rules and regulations to various situations; to apply regulations and policies for maintenance of consumer medical records, personnel records, and facility licensure requirements
• Demonstrated ability to lead and manage workload distribution.
• Ability to make prompt independent decisions based upon relevant facts
• Ability to establish rapport and maintain effective working relationships
• Ability to act with tact and diplomacy in all situations
• Ability to maintain strict confidentiality in all areas of work
  
  

Education/Experience Required

Bachelor’s Degree in mental health, public health, social work, psychology, education, sociology, business, or public administration and five (5) years of experience in a community, business, or governmental program in health-related fields, social work or education including experience in network operations, provider relations, and management experience. Two (2) years of IDD experience. Three (3) three years of supervisory, consultative, or administrative experience. A combination of relevant experience may be considered in lieu of a bachelor’s degree.

NC Residency is required.

Education/Experience Preferred: Master’s Degree and two(2) years’ experience directly interacting in clinical environment. Qualified Developmental Disability Professional (QDDP) management experience is preferred.

Licensure/Certification Requirements: None

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Information Technology

• Industries

  Hospitals and Health Care

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