Top Provider Network Executive plans and directs all aspects of an organization's provider network function. Responsible for developing the network and negotiating and administering contracts. Being a Top Provider Network Executive oversees provider relations and monitors and directs all provider services. Requires a bachelor's degree. Additionally, Top Provider Network Executive typically reports to a top management. The Top Provider Network Executive manages a departmental function within a broader corporate function. Develops major goals to support broad functional objectives. Approves policies developed within various sub-functions and departments. To be a Top Provider Network Executive typically requires 8+ years of managerial experience. Comprehensive knowledge of the overall departmental function. (Copyright 2024 Salary.com)
General Summary
Montcalm Care Network has an opportunity for a Provider Network Specialist. Under the supervision of the Fiscal Manager, this position will be responsible for credentialing and privileging processes for external and contracted providers, which consists of performing background checks, verification of professional licensures, etc. Responsible for performing desk and onsite audits of contracted providers to ensure contract compliance.
Assures external providers maintain licenses, continuing education, and training required for scope of practice and position. Responsible for administration of learning software, including adding, removing and assigning the correct courses based on employees’ position within the agency.
Employment Qualifications
Education: High School Diploma
Experience: Three years of office experience, preferably within a Community Mental Health agency with advanced skill in using Microsoft Office products.
Other Requirements: Possession of a valid State of Michigan driver's license.
Salary Range: $19.41 - $26.69 hourly
Schedule: Monday – Friday.
Benefits:
Montcalm Care Network is committed to the wellbeing of our staff, and we have exceptional benefits:
· Medical/dental/vision coverage
· Short-term and long-term disability
· Generous vacation and sick leave
· Employer provided life insurance
· 457(b) retirement savings with an employer contribution
· Opportunities for employer funded professional development to meet continuing education requirements
· Free membership to our locally owned gym- Wellness Works!
· Tuition reimbursement or loan forgiveness programs
Student Loan Repayment: MCN is an approved National Health Service site (NHSC, a loan repayment program); in addition to Public Service Loan Forgiveness (PSLF), and MDHHS Behavioral Health Loan Repayment Program (BHLRP) for qualified positions. MCN offers additional tuition reimbursement as well as loan reimbursement options of up to $5,250 per year.
Job Type: Full-time
Pay: $19.41 - $26.69 per hour
Expected hours: 40 per week
Schedule:
Work Location: In person