Contract & Facilities Manager

Northern Lakes Community Mental Health Authority•Traverse City, MI

8d•Onsite

About The Position

Northern Lakes Community Mental Health Authority is seeking a Contract & Facilities Manager to join the team. This is a management position which involves development, implementation, coordination, and operation of a major service component for NLCMHA. This position requires substantial knowledge of public specialty behavioral health services delivered through Community Mental Health Services Programs and specialty networks, funded by Medicaid and other state and local funding sources. This position leads the effort to develop and maintain a sufficient provider network to meet the requirements of a Community Mental Services program under state law and under contract with Pre-Paid Inpatient Health Plans (PIHPs), Medicaid Health Plans, Michigan Department of Health and Human Services (MDHHS) and other third-party payers. This position operates with considerable independence under the general supervision of the Chief Executive Officer (CEO). This position is also responsible for supervision of Contracting staff and Maintenance Workers. This position is responsible for prioritizing both immediate and preventative maintenance for all owned and leased facilities, advising the CEO and CFO of immediate, short and long-term maintenance issues.

Requirements

Master of Business Administration or Master's degree in Healthcare Administration with a minimum of five (5) years' experience managing, writing and auditing contracts.
Bachelor of Business acceptable with more than seven (7) years' experience in managing, writing and auditing contracts.

Nice To Haves

Five (5) or more years of applicable professional experience ideally in an integrated healthcare organization with diverse managed care functions experience, e.g. network management, contract management, utilization management, claims payment, etc.
Lived experience preferred if equally qualified.

Responsibilities

Responsible for the development, operation, and coordination of a major unit within NLCMHA's operations.
Carry out supervisory responsibilities in accordance with NLCMHA's policies and applicable laws including daily coaching and supervision, timely performance reviews, professional development and discipline to improve performance where needed.
Will troubleshoot system problems when they occur, working closely with other supervisory and clinical staff to ensure sufficient provider network which allows as much choice as possible for consumers to live in least restrictive settings, maximizing opportunities within the counties served by NLCMHA.
Leads the contract management lifecycle workflow, ensuring compliance with PIHP, MDHHS and other state and federal laws and rules related to provider contract procurement, development, and monitoring.
Responsible for developing and maintaining the contracts library, where contracts are protected against editing by non-network-management staff, yet readily accessible to other department leaders.
Ongoing monitoring of NLCMHA Provider Contracts, ensuring appropriate templates are utilized to meet PIHP and MDHHS requirements.
Draft, participate, and review Requests for Proposals, as needed.
In collaboration with the CFO, and within accounting and procurement rules, manages all facilities purchasing and procurement processes, in order to address urgent, short and long-term facility needs.
Promote a healthy team approach to the service delivery system, manage conflicts, interpret administrative guidelines, and implement directives in a timely professional manner.
Establish procedures for routinely monitoring workflow and promoting staff development.
Monitor documentation of service system to ensure appropriate standards are met. (MDHHS, PIHP, Mental Health Code, CARF, Federal Register/CFR)
Serve as a resource for staff and the community at large seeking specialized services from NLCMHA.
Monitor Provider Network performance and satisfaction.
Provide organizational and community education and training as appropriate.
Responsible for the budget and expenditures of the entire Provider Network, including regular analyses to determine cost effectiveness and efficiencies as compared to other CMHs and specialty networks.
Responsible for developing and implementing rate models for specialized residential and supported independent placements and negotiating with providers to promote successful placements in close collaboration with the clinical and finance teams.
Coordinate and/or complete special projects as needed related to facility maintenance, Provider Network Management and related strategic initiatives.
Represent NLCMHA on external work groups including but not limited to: MDHHS, NMRE and county governments