Provider Network Manager

Job description

PROVIDER NETWORK MANAGER

Under the supervision of the Director of Managed Care Operations, the Provider Network Manager is responsible for the overall coordination of the contracts between the Detroit Wayne Integrated Health Network (DWIHN) and the assigned network providers.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Manages the contracts between (DWIHN) and the assigned network providers.
• Serves as the primary liaison between the Network and the providers.
• Leads a “virtual team” of interdepartmental experts to assist, monitor and manage the network providers
• Collaborates with Finance, Information Technology, Recipient Rights, Quality Management, and Clinical Services to ensure that all contractual issues/concerns are addressed.
• Serves as the providers primary point of contact with the Network.
• Performs related duties as assigned.

REQUIRED EDUCATION:

A Bachelor’s Degree from a recognized college or university in the Human Services, the Social Services, Nursing, Public Health, Public Administration, Healthcare Administration, Health Management, Business Administration, or a related field.

REQUIRED EXPERIENCE:

Five (5) years of post-degree professional experience in behavioral healthcare or community mental health.

Experience must include management, administrative or supervisory duties and responsibilities.

NOTE: A Master’s Degree in the educational fields required by this posting may be substituted for two (2) years of the required experience.

REQUIRED LICENSE(S).

A valid State of Michigan Driver’s License with a safe and acceptable driving record.

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