Provider Network Management Jobs in Michigan (NOW HIRING)

The role of OnPoint’s Provider Network Manager is to provide oversight and management of OnPoint’s contracted provider network, oversight of the organizational implementation of self-determined arrangements including the management of contractual relationships with financial management service providers, and the oversight of county of financial responsibility arrangements. The Provider Network Manager will coordinate the development of provider contracts with the Lakeshore Regional Entity. The Provider Network Manager will assist OnPoint executive leadership with the management of OnPoint’s network adequacy via development and maintenance of relationships with providers.

Pay Range:  

Salary: $70,428.80 - $97,198.40 annually

Benefits:

• 457 retirement
• Paid holidays

• Medical insurance
• Dental insurance
• Vision Coverage
• Employer funding of Health Savings Account (up to elected deductible amount)

• Disability insurance
• Life insurance (up to $50,000)
• Paid Time Off

Flexible Work Conditions:     

• Work at home, and in the office.   

Qualifications:   

• Master’s degree required with Public Administration or Human Services field.

• Independent worker with experience in dealing with people, businesses, and human services agencies.

• 5 years experience with person-centered planning, self-determination, budget management, and a working knowledge of general business standards and practices.

• Demonstrated ability to understand and apply Medicaid requirements and assist in providing training to service providers.

   Essential Functions:

*Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• Leads the development and/or revision of OnPoint’s contract management system in conjunction with other key organizational stakeholders with contract management responsibilities.

• Oversees the development of assigned contracts in accordance with the organizational contract management system. The Provider Network Manager is responsible for the supervision of OnPoint’s Contract Specialist who assures that the OnPoint contracted providers are in compliance with their contract and the requirements set forth by regional, state, and federal guidelines.

• Responsible for the development and maintenance of the OnPoint Provider Manual.

• Responsible for the oversight of quality service provision within OnPoint’s contracted provider network including supervision of OnPoint’s Provider Network Quality Specialist.

• Conducts research, analyzes data, and disseminates results on assigned administrative and programmatic topics.

• Participates on committees and teams as requested or assigned within OnPoint and within the region.

• Works with key internal and internal stakeholders including individuals served to expand the provider network and offer more choice and greater control to individuals served by OnPoint.

• Oversees organizational implementation of self-determination including supervision of OnPoint’s Self Determination Coordinator. Responsible for assuring that OnPoint’s self-determined arrangements are compliant with requirements from the PIHP and MDHHS.

• Oversees organizational County of Financial Responsibility (“COFR”) agreements and works closely with the OnPoint finance team and other Community Mental Health Service providers to assure timely and fiscally responsible execution of COFR agreements.

• Oversees organizational credentialing of external providers to assure compliance with regional, state, and federal requirements.

• Other duties as assigned

Equipment/Technology:    

• Basic iPhone Knowledge  
• Office 365 Skills  
• Electronic Medical Record system

EEO Statement:

OnPoint is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetic information, protected veteran status, sexual orientation, gender identity or expression, pregnancy, height, weight, or marital status, or any other characteristic protected by federal, state or local laws.