MGR PROVIDER RELATIONS in Atlanta, GA at Beacon Health Options

Date Posted: 8/7/2018

Job Snapshot

Job Description

ABOUT THE POSITION

We are currently seeking a dynamic Manager Provider Relations to join our team at our office in Atlanta, GA.  The Manager, Provider Relations will work with both the Provider Network and the Department of Behavioral Health and Developmental Disabilities (DBHDD) to ensure there is sufficient, high-quality provider access and availability across the network to meet the needs of the individuals seeking care and treatment.  This position serves as the Georgia liaison for Network and Provider Relations functions and is responsible for all activities related to credentialing, network operations and provider relations.

Position Responsibilities:

  • Responsible for the oversight of Provider Relations, Network Management and CredentialingDepartments at the Georgia Engagement Center.

  • Manages Beacon Health Options local network development, maintenance, and contracting functions according to Beacon Health Options and state and federal regulatory requirements, procedures, applicable accreditation standards and contract requirements.

  • Serves as the primary liaison between local, regional and centralized support functions – which can include provider file maintenance, credentialing and other regional provider relations teams. Identifies credentialing requirements and any non-compliance issues that require enhancements or changes for performance improvement purposes.

  • Manages and oversees relationships with providers and advocates for information and resolution of issues including complaints, grievances, appeals, errors in performance and corrective action plans.

  • Organizes designated committees and work groups and oversees the development of the agenda and presenting quality-related reports in order to improve performance, communication, and operations across the Engagement Center and across the provider network.

  • Provides training and technical assistance to credentialing, pre- and post- implementation.

  • Recruits, trains, coaches, evaluates and allocates resources to effectively implement assigned functions for Provider Relations, Network Management, Quality Analysts and Complaints & Grievances positions.

  • Supports the interdisciplinary team in the identification of quality improvement activities (QIA’s) as well as Quality Improvement Projects (QIP). This includes formal written proposals, establishing baseline and ongoing measurement activities that reflect improvement in services provided.

  • Interfaces with external and internal customers when appropriate to ensure ongoing quality improvement activities are in place and monitored for positive outcomes. Works with other departments to ensure collaboration and coordination for specialty and case management programs.

  • Performs other duties as assigned

    Position Requirements:

    Relevant Work Experience:  

    Excellent analytical skills and computer skills

  • Strong written and verbal communication skills

  • Detail oriented

  • Strong Supervisory experience

TO APPLY

Click below on “Apply for this Position” to create a profile and apply for the position

Beacon Health Strategies, LLC., a Beacon Health Options company, is proud to be an Equal Opportunity Employer as well as a Drug Free Work Environment. EOE/M/F/Veterans/Disabled

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