Provider Network Specialist
Department of Mental Health

Job Order #: 20585986

Tewksbury, MA 01876

Full Time

40 hours per week

POSTED 3/21/2024

EXPIRES 4/30/2024

Job Description

The Provider Network Specialist (PNS) supports the Department of Mental Health (DMH) Area and Site offices in its contract and performance management functions The PNS participates in work groups as assigned to develop, implement, monitor, and improve contract and performance management processes. In this role you will have the opportunity to improve outcomes by facilitating clear and continuous communication that ensures quality standards are met across the Northeast Area. If you are passionate about supporting the mental health community and possess strong analytical and collaborative skills, we invite you to join us in making a positive impact on the community's well-being.

Please note:  40 hours per week, Monday ? Friday 8:30am -5:00pm, Saturday/Sunday off

DETAILED STATEMENT OF DUTIES AND RESPONSIBILITIES
Review, summarize and analyze data from multiple sources (e.g., billing and utilization data, quality measures, licensing reports, meeting minutes, service contracts, etc.) to assess compliance with contract and service requirements and performance trends.
Provide recommendations on areas of improvement for state operated and contracted programs and track progress of performance improvement initiatives, corrective action plans and other follow-up actions.
Assist with administrative contract management tasks (e.g., invoice approval, record reviews, data quality audits).
Develop tools to monitor contract/program compliance, performance, and improvement.
Update, modify, and/or develop correspondence, meeting agendas, minutes, materials, and schedules.
Develop and deliver training and technical assistance on contract-related processes and priorities (e.g., data submission, billing, contract expectations, etc.).
Attend and/or assist in convening internal and external meetings related to provider performance.
Regularly 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 related to contract compliance, trends, outcomes, and performance.
Coordinate within the Area, across Areas, and with Central Office to ensure alignment of service standards and expectations.

MINIMUM ENTRANCE REQUIREMENTS: Applicants must have at least (A) four years of full-time, or equivalent part-time, professional, administrative or managerial experience in business administration, business management or public administration the major duties of which involved program management, program administration, program coordination, program planning and/or program analysis, and (B) of which at least one year must have been in a supervisory capacity, or (C) any equivalent combination of the required experience and the substitutions below.



Substitutions:
I. A Bachelor's degree with a major in business administration, business management or public administration may be substituted for a maximum of two years of the required (A) experience.*
II. A Graduate degree with a major in business administration, business management or public administration may be substituted for a maximum of three years of the required (A) experience.*
III. A Bachelor's or higher degree with a major other than in business administration, business management or public administration may be substituted for a maximum of one year of the required (A) experience.*

*Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

NOTE: No substitutions will be permitted for the required (B) experience.


How To Apply

If interested please email timothy.hovey@masshirelowellcc.com

Address

365 East Street
Tewksbury, MA 01876

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Shift

First

Not Specified

Per Diem Position

Not Specified

Union Position

Yes

Apprenticeship

No

Pay

$73,566.74 - $107,580.72 per year

Benefits

Not Specified

Benefit Details

Remote

No

Name

Timothy Hovey

Title

Business Services Rep

Email

Not Specified

Phone

Not Specified

Address

107 Merrimack St
Lowell, MA 01852

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