Provider Network & Wraparound Funding Specialist

Advanced Behavioral Health•Middletown, CT

About The Position

This position is split between two departments: The Provider Network Specialist provides support for activities associated with the credentialing of providers under several contracts and the collection of quality of service information for the service provider network. The Wraparound Funding Specialist is responsible for processing and monitoring fund requests under the Department of Children and Families (DCF) Wraparound funding contracts, as well as the Judicial Branch’s Wrap funding contract.

Requirements

Associate’s degree in business administration, human services or related field or a combination of related education and work experience
Experience with public sector work and/or State agencies
Attend annual Conflict of Interest training
Demonstrated ability to articulate goals, identify problems, assess implications, provide resolution, meet deadlines and manage shifting demands in a professional manner
Ability to work independently as well as in a team environment, have superior organizational skills and demonstrated experience in communicating at all levels
Strong attention to detail
Ability to work on multiple tasks
Excellent PC skills with demonstrated experience using Microsoft Office Package (MS Word, Excel, Power Point, Access, Outlook); internet
This position will represent ABH and its services in a positive and professional manner and adhere to ABH’s best practices, guidelines, policies and procedures as established, promoting ABH as a leader in behavioral healthcare in all interactions and work.

Nice To Haves

Experience in provider relations and accounts payable function is preferred

Responsibilities

Application processing ensuring that the paperwork is complete, accurate and in compliance with standards
Maintain files, provide technical assistance to providers
Orientation and education of providers to credentialing policies and procedures, collection of quality of service information, and provider relations
Performs other related projects and duties as assigned in support of department goals and objectives including, but not limited to site visits
Process and monitor fund requests, ensuring that the Request for Funds documentation is complete, accurate and in compliance with DCF and CSSD standards and ABH process guidelines
Maintain an updated list of authorized signatories by fund including all relevant contact information
Provide technical assistance to requestors and service vendors incorporating relevant policies and procedures
Act as liaison between DCF and service vendors for issues related to fiduciary services requests
Identify necessary changes and initiates/assists in the development/revision to functioning systems within the appropriate internal and external departments
Maintains confidentiality of all client protected health information and adheres to all HIPAA related policies and procedures
Performs other tasks/responsibilities as required to support the business operations
Demonstrates ethical behavior and cultural sensitivity in all activities involving individuals of diverse backgrounds