Partners Behavioral Health Management-posted 2 months ago
Full-time • Mid Level
Gastonia, NC
101-250 employees

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.

  • 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.
  • 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.
  • Serve as a resource to other departments within the organization on provider-related issues.
  • Coordinate/attend meetings with providers and internal staff.
  • Participate in Provider Forums as requested and provide 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.
  • Bachelor’s Degree in mental health, public health, social work, psychology, education, sociology, business, or public administration.
  • 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.
  • Three (3) 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.
  • Master’s Degree.
  • Two (2) years’ experience directly interacting in clinical environment.
  • 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
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