Provider Network Specialist - Program Coordinator III

Commonwealth of Massachusetts•Brockton, MA

About The Position

The Department of Mental Health is seeking a Provider Network Specialist (PNS) to support the effectiveness and compliance of contracted and state-operated community programs in the Southeast Area. The role reviews and analyzes information from sources such as billing and utilization records, quality measures, licensing reports, meeting minutes, and service contracts to assess compliance with program standards and identify performance trends. The PNS collaborates with Site and Area office staff and Central Office teams responsible for licensing, the Medication Administration Program, utilization management, and contract administration. The position contributes to work groups that develop, implement, monitor, and improve contract and performance management processes. It also participates in internal and external meetings and shares analysis and recommendations with Area Leadership, DMH Site Offices, and provider representatives. The role supports administrative contract management, including invoice approvals, record reviews, and data quality audits; develops tools to monitor compliance and performance; and develops and delivers training and technical assistance on contract-related processes and priorities. The position is full-time, 40 hours per week, on the day shift, from 8:30 a.m. to 5:00 p.m., Monday through Friday.

Requirements

Knowledge of methods for qualitative and quantitative review, summary, and analysis.
Excellent communication and judgment skills.
Ability to maintain accurate and concise records.
Ability to prioritize and multitask based on assignments and task urgency.
Ability to use discretion when handling confidential information.
Ability to gather information by examining records and documents and communicating directly with individuals.
Proficiency with Microsoft Office, including Outlook, Teams, Word, Excel, and PowerPoint, and business intelligence tools such as Tableau or Power BI.
At least four years of full-time or equivalent part-time professional, administrative, or managerial experience in business administration, business management, or public administration, involving program management, administration, coordination, planning, or analysis; at least one year must be in a supervisory capacity, subject to the listed education substitutions for the non-supervisory experience.

Nice To Haves

Knowledge of State laws, rules, regulations, policies, procedures, specifications, standards, and guidelines governing the agency.
Knowledge of DMH regulations, contracts, policies, procedures, and community services.
Expert proficiency with Microsoft Office, including Outlook, Teams, Word, Excel, and PowerPoint, and business intelligence tools such as Tableau or Power BI.
Bilingual or multilingual fluency.

Responsibilities

Review, summarize, and analyze data from multiple sources to assess compliance with contract and service requirements and identify performance trends.
Recommend improvements for state-operated and contracted programs and track performance improvement initiatives, corrective action plans, and other follow-up actions.
Assist with administrative contract management tasks, including invoice approval, record reviews, and data quality audits.
Develop tools to monitor contract and program compliance, performance, and improvement.
Update, modify, or develop correspondence, meeting agendas, minutes, materials, and schedules.
Develop and deliver training and technical assistance on contract-related processes and priorities, including data submission, billing, and contract expectations.
Attend or help convene internal and external meetings related to provider performance.
Share information, analysis, and recommendations with Area Leadership, DMH Site Offices, and provider representatives.
Serve as a resource and content expert for Site and Area personnel on contract compliance, trends, outcomes, and performance.
Coordinate within and across Areas and with Central Office to align service standards and expectations.