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Supv-Provider Relations (Full-time Remote, North Carolina Based)

Role overview

Qualifications

  • Bachelor’s degree in Human Services or related field and five years of experience, or
  • Master’s degree in Human Services or related field and three years of experience, or
  • Graduation from an associate degree in nursing and five years of experience
  • Preferred: Minimum of 2 years supervisory experience

Responsibilities

  • Manage and develop staff, ensuring compliance with policies and procedures
  • Coordinate network provider recruitment and relationships
  • Organize workflows and facilitate cross-team collaboration
  • Monitor recruiting goals and analyze service array for gaps

Key facts

Hard skills

Other skills

  • Communication
  • Microsoft Office
  • Team Building
  • Public Speaking
  • Advocacy
  • Problem Solving
  • Diplomacy

About the company

Alliance Health logo

Alliance Health

Health Insurance (Payers)

Alliance Health manages the public mental health, intellectual/ developmental disability, and substance abuse services for over 230,000 Medicaid-eligible citizens within a total population of 1.8 million in Cumberland, Durham, Harnett, Johnston, Mecklenburg, Orange, and Wake counties. Alliance's vision is to be a leader in North Carolina in transforming the delivery of whole-person care in the public sector. This vision guides us on our mission to improve the health and well-being of the people we serve by ensuring highly effective, community-based support and care. Further shaping our work are our core organizational values of accountability and integrity, collaboration, compassion, dignity and respect, and innovation. Alliance manages a diverse network of over 2300 private service providers and strives to ensure a dynamic, collegial workplace that provides opportunities for growth, success, and job satisfaction for its 800+ professional staff. Alliance has received full Health Network, Health Utilization Management, and Health Call Center accreditation from URAC.

Company details

Company typeSME
IndustryHealth Insurance (Payers)
Company size1001 - 5000

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Job description

The Provider Network Relations Supervisor is responsible for developing and maintaining relationships with network providers, supporting providers by offering technical assistance, and recruiting providers to fulfill network needs.  This position will assist in the coordination of cross-departmental initiatives, identified internally or by the State of NC and assist in activities related to special initiatives.

This position is full-time remote. Selected candidate must reside in North Carolina and be willing to travel to the home office (Morrisville, NC) for onsite team meetings as needed.

Responsibilities & Duties

Manage and Develop Staff

  • Work with Human Resources and senior management to maintain and retain a highly qualified and well-trained workforce
  • Ensure staff are well trained in and comply with all organization and department policies, procedures, and business processes
  • Organize workflows and ensure staff understand their roles and responsibilities
  • Ensure the department has the needed tools and resources to achieve organizational goals and to support employees and ensure compliance with licensure, regulatory, and accreditation requirements
  • Actively establish and promote a positive, diverse, and inclusive working environment that builds trust
  • Ensure all staff are treated with respect and dignity
  • Ensure standards are transparent and applied consistently, impartially, and ethically over time and across all staff members
  • Work to resolve conflicts and disputes, ensuring that all participants are given a voice
  • Set goals for performance and deadlines in line with organization goals and vision
  • Effectively communicate feedback and provide ongoing coaching and mentoring to staff and support a learning environment to advance team skills and professional development
  • Cultivate and encourage efforts to expand cross-team collaboration and partnership

Coordinate Network Provider Recruitment and Relationships

  • Assign providers to be recruited to a Provider Relations Specialist
  • Maintain and revise recruiting workflow
  • Ensure team received ongoing training on recruiting tasks and the use of platforms such as Salesforce
  • Monitor recruiting goals and team progress to ensure recruiting goals are met.
  • Assure a full array of providers are available to meet the needs of the service recipients
  • Assist in analysis of the service array and identification of gaps
  • Work with the Director of Provider Network Operations and appropriate staff to plan, develop and implement organization goals, policies, and procedure

Minimum Requirements

Education & Experience

Bachelor’s degree in Human Services from an accredited college or university and Five (5) years of experience in counseling, nursing, psychology, social work, or related human services field

OR

Master’s degree in Human Services from an accredited college or university and Three (3) years of experience in counseling, nursing, psychology, social work, or related human services field.

OR

Graduation from an associate degree in nursing or diploma program of nursing and 5 years of experience in the treatment of mental illness Preferred- Minimum of 2 years supervisory experience.

Preferred:

Experience in any of the following areas would be valuable for this employee: MH/SUD/TBI/I/DD Population Supports, public speaking, mediation, presentation development, group facilitation, advocacy, regulations compliance and project management

Knowledge, Skills, & Abilities

  • Knowledge of all disability areas including Traumatic Brain Injury, Mental Health, Substance Use and Developmental/Intellectual Disabilities
  • Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation, and support of individuals with needs in any of the disability areas
  • Knowledge and understanding of the different systems that impact Providers
  • Knowledge and understanding of legal, waiver and program practices/requirements and apply this knowledge in problem-solving and responding to questions/inquiries
  • Knowledge of basic Project Management Skills as they related to New Service Development
  • Proficient with Microsoft Office Suite (Outlook, Word, Excel)
  • Leadership skills
  • Excellent Team building skills
  • Diplomacy and discretion skills
  • Highly effective communication skills
  • Problem solving and conflict resolution skills
  • Ability to work successfully with interparental teams including Provider Network Project Management Team, UM, CC, Claims and other departments.
  • Ability to independently organize multiple tasks and priorities, and effectively manage under pressure of deadlines

Salary Range 

$91,192-$116,270/Annually 

Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity. 

An excellent fringe benefit package accompanies the salary, which includes: 

  • Medical, Dental, Vision, Life, Long Term Disability
  • Generous retirement savings plan
  • Flexible work schedules including hybrid/remote options
  • Paid time off including vacation, sick leave, holiday, management leave
  • Dress flexibility

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MR

Marcus Rivera

Chief Revenue Officer

m.rivera@company.com
linkedin.com/in/marcusrivera
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