Provider Network Coordinator Jobs in Michigan (NOW HIRING)

# Provider Network ManagerProvider Network Management in 175 College St, Battle Creek, MI 49037-3432, United StatesFull Time**Job Summary/Objective:**The Provider Network Manager is responsible for oversight of the Provider Network Team at Summit Pointe. The Provider Network Team is dedicated to coordinating all functions that support a high-quality network of external service providers. This position works collaboratively with Summit Pointe programs to ensure access to services through contract providers as well as ensure effective partnerships are maintained between programs. The Provider Network Manager will work with the Director of Systems Quality to support organizational values, strategic initiatives and full compliance with all regulatory standards.**Essential Duties and Functions:*** Manages contracting process for Summit Pointe's Provider Network.* Creates strategic partnerships with external provider network and community stakeholders.* Organizes and coordinates audits, provider remediation, training and stakeholder meetings.* Manages all aspects of credentialing, ensuring that the process meets all contractual expectations.* Supervises team of Provider Network Specialists.* Participates in corporate quality improvement and problem-solving activities.* Maintains confidentiality and privacy with MDHHS, state and federal guidelines.* Utilizes knowledge of CARF, CMS, MDHHS and Managed Care Standards.* Manages the execution of all assigned key performance indicators, annual strategy development and implementation for the Provider Network team.* Performs other duties as required.* The Provider Network Manager position is approved for a hybrid work setting, with remote work approved on an individual basis. Employee must be available to be on campus for meetings as needed.**Qualifications:*** Bachelor's degree in business administration, health care administration or related field.* Minimum of two years of project or team-based Leadership experience required.* Minimum of five years of experience in project management or project-focused role required.* Must demonstrate organizational, computer, communications and problem-solving skills.* Minimum of five years of experience with computer technology in word processing, spreadsheet development for data tracking, graphic interfaces, web design/content management, database management and electronic medical record/scheduling software and electronic signature software.* Knowledge of Medicaid billing.**Trauma Informed System of Care:**A trauma-informed approach to service delivery emphasizes physical and emotional safety, choice, empowerment, and trustworthiness for customers. The impact of trauma is broad and touches many life domains. Participation is mandatory for activities required for Summit Pointe to become a "Trauma Informed System of Care."PCN NEWBased on the job description, briefly explain how your education and experience qualifies you for this position. is required.### EducationRich Text Editor, xApplicant-In\_addition\_to\_current\_or\_most\_recent\_employer\_\_please\_list\_all\_previous\_employers\_in\_the\_past\_10\_years\_\_Please\_list\_newest\_Editor toolbarsFontSizeFormatPress ALT 0 for help|In addition to current or most recent employer, please list all previous employers in the past 10 years. Please list newest to oldest employers. Please include: From / To Date, Company Name / Job Title, Brief Description of Duties, Supervisor's Name, Supervisor's Contact Number and Email Address, Reason for Leaving is required.Rich Text Editor, xApplicant-If\_convicted\_of\_a\_crime\_\_please\_list\_date\_\_location\_\_city\_and\_state\_\_\_name\_at\_time\_of\_conviction\_and\_describe\_final\_dispositEditor toolbarsFontSizeFormatPress ALT 0 for help|Summit Pointe provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.**APPLICANT ACKNOWLEDGEMENT AND ATTESTATION (Please read before signing)**I certify that answers given herein are true and complete to the best of my knowledge.I authorize investigation of all statements contained in this application for employment as may be necessary in arriving at an employment decision. I authorize all present or former employers and all persons listed by me as a reference to supply all requested information & documentation to Summit Pointe. I release my present & former employers from all liability for any damage on account of furnishing such information.When contacting references (both professional references and present & former employers) Summit Pointe may ask questions including, but not limited to, attendance, cooperation, initiative, quality of work, job knowledge, strengths and weaknesses. I hereby give Summit Pointe permission to contact any references listed on this application, and my former/present employers that are not listed on this application.This application for employment shall be considered active for a period of time not to exceed 3 months. Completing this application will in no way assure I will be employed.In the event of employment, I understand that false, misleading or incomplete information given in my application or interview(s) will result in discharge. As a condition of employment I will be required to authorize background checks and submit a drug/alcohol screen. I understand, also, that I will be required to abide by all policies and procedures of the employer. Also, an offer of employment should in no way be construed as a contract of continued employment.Summit Pointe provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.Applicants have rights under Federal and State Employment Laws. Please click on the links below to view:A complete set of Employment Posters is posted outside of the Summit Pointe Human Resources Office located at 175 College St. Battle Creek, MI 49037-3432.**Join the Pointe! Join Summit Pointe and join an amazing organization that makes a difference every day in Southwest Michigan!****We are looking for additional team members to be part of our team!**In addition to joining a dedicated, passionate group of people, our employees enjoy the following perks:* Competitive salary* Premium health, dental and vision benefits within 30 days of hire* Deductible and co-insurance reimbursement program* Short term disability, long term disability and company paid Employee Assistance Program* 401(k) match after one year of service* Social Security alternative contributions* Free YMCA membership* Generous paid time off policy* Ten paid holidays* Employee appreciation events throughout the year* Annual performance reviews and opportunities for advancement* Continuing education reimbursement* Licensure study materials AND licensure exam reimbursementSummit Pointe participates in E-Verify - please click on the links below for more information related to the E-Verify Process.Click on the job titles above to review the job descriptions and to apply online.We appreciate your interest in employment with Summit Pointe and we look forward to reviewing your completed employment application and resume.## Explore Company Location #J-18808-Ljbffr