Provider Network Development Specialist

Community Behavioral Health.•Philadelphia, PA

2d•Hybrid

About The Position

CBH is a dynamic organization dedicated to providing access to high-quality, accountable care to improve the health and mental wellness of our members. As part of our growth, we are seeking a detail-oriented Provider Network Development Specialist to join our team. CBH offers a robust compensation and benefits package, including: Family Planning, Fertility, Adoption Benefits 403B Retirement Plan PTO Days/Sick Days Wellness Program Employee Assistance Program Health, Dental, Vision Insurance Medical, Prescription Drug Insurance Tuition Reimbursement Commuter Benefits Flexible Spending Position Overview: The Provider Network Development Specialist will assist in the necessary functions to ensure CBH’s provider network has adequate service delivery capacity to support timely and effective access to behavioral health services and meet network adequacy standards.

Requirements

Master’s degree in Behavioral Health, Public Health, or MBA with a healthcare focus or equivalent work experience
Minimum of three years of direct experience working in a managed care environment with at least one year of experience working with Medicaid programs with a minimum of two years of supervision experience.
Strong knowledge of the Pennsylvania Medicaid program
Project Management experience
Skill in balancing competing priorities and to facilitate collaboration between cross-functional team members at varying levels of the organization
Advanced critical thinking and analytical skills to interpret sometimes ambiguous requirements
Encourage and promote active team process engagement and individual ownership
Exceptional communication (verbal and written) skills
Strong attention to detail to ensure quality and accuracy in deliverables
Comfortable with ambiguity and able to set your own direction
Must work well under pressure and be able to meet aggressive deadlines
Ability to manage and coordinate multiple projects and deadlines while meeting quality standards
Intermediate proficiency in Microsoft Outlook, Word, Excel and PowerPoint
Must have the ability to quickly learn and use new software tools
The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.
All candidates must be legally authorized to work in the United States without requiring sponsorship now or in the future.

Nice To Haves

Responsibilities

Perform key responsibilities as detailed in this job description in a dependable, responsible, and positive manner
Serve as a role model by exemplifying professional behavior, language, skills, and attire in order to promptly and accurately service the needs of stakeholders and their families
Assure adherence to CBH policies and procedures so that all work is of the highest quality and delivered in the most culturally competent and cost effective manner
Promote and manage diversity and acceptance within CBH and with all stakeholders by honoring and respecting their individuality, dignity and rights
Offer suggestions and develop solutions to help promote effective and efficient work processes and innovative programs
Actively participate in required meetings and complete all mandatory trainings
Maintain high levels of advocacy and confidentiality to ensure the success of CBH and our mission
Maintain thorough and complete knowledge of the CBH provider network, including as new initiatives are implemented.
Understand and correctly apply all administrative processes associated with City of Philadelphia procurement practices.
Support the start-to-end procurement process to ensure all expectations, actions, and timelines are understood and delivered.
Liaise with other departments and subject-matter experts to obtain technical content required to prepare procurement in accordance with the proposal timeline.
Assist in the development of new concepts and strategies to meet providers and members emerging needs.
Proactively manage assigned projects by creating project timelines, identifying key indicators and additional resources needed to successfully complete the work.
Assist in identifying gaps and recommend enhancements related to new and/or existing services.
Develops recommendations based on data review, needs assessments and/or root cause analyses.
Track progress and communicate project status on a regular basis to all necessary parties.
Perform other related duties and projects as assigned.
Ability to travel and work nontraditional work hours when necessary.