The Provider Network Service Development Specialist supports the development and management of the Provider Network, including assisting with the development of services, and recruiting providers to fulfill network needs. This position will also assist in the coordination of cross-departmental initiatives, identified internally or by the State of NC and assist in the oversight of Provider Network activities related to special initiatives, with a focus on new service implementation.
This position is full-time remote; however, may require some occasional travel within the communities Alliance serves. The selected candidate must reside in the State of North Carolina.
Responsibilities & Duties
Identify New Services
Identify and recommend new services and supports to address gaps in the service array
Research new services identified
Assist in recruiting and retaining qualified and capable providers to provide new services
Analyze funding incentives and disincentives for best practices
Oversee activities related to New Service Implementation
Review and approve the addition of new services to existing providers.
Develop Scopes of Work (SOW) and lead the process to finalize the SOW and gain approval.
Ensure all programs, services, and systems are developed in accordance with Local, State and Federal Performance Standards, and congruent with Alliance organizational and procedure manuals
Assist in the identification and coordination of internal and external training needs as it relates to new service development
Develop and lead new Provider Collaboratives related to new service or pilot project implementatio
Provide technical assistance and customer service to network providers
Ensure that Evidence Based and Best Practice services for consumers are in place as identified and are available for consumers
Assist, guide and support providers in the development and maintenance of comprehensive, outcome focused consumer service
Be knowledgeable of assigned provider contracts with agencies and organizations in conjunction with Alliance’s Finance and Contract departments
Provide technical assistance and feedback for the use of local and state funds, new service delivery and adherence to best practice standards and contractual requirements
Internal and External collaboration
Arrange and facilitate interdepartmental, provider and State personnel workgroups
Represent Alliance on State Committees, as applicable
Assist in the coordination of cross-departmental Initiatives as identified
Establish and maintain relationships and collaborations with relevant public, private, and provider agencies, in order to assure open communications, avoid misunderstanding and support solution focused atmosphere within the community
Participate in the creation of and attend and or lead newly created Provider Learning Collaboratives
Out Of Network (OON) Review
Evaluate Out of Network requests based on Network capacity and approve or deny requests
Collaborate with internal departments to develop solutions to identified needs
Partner with Claims, Business Operations, Medical Management, and other areas to address ongoing needs and develop solutions
Minimum Requirements
Education & Experience
Bachelor’s degree in a Human Services field from an accredited college or university and five (5) years progressive post-degree experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities, Traumatic Brain Injury or Physical Health; Or Master’s degree in Human Services from an accredited college or university with three (3) years post graduate experience in the field of Mental Health, Substance Use, Intellectual/Developmental Disabilities or Physical Health. Preferred Qualifications: Previous Provider Network experience. Licensure and/or certification in area served preferred
Knowledge, Skills, & Abilities
Knowledge of Alliance’s goals, targets, and outcomes in relation to the responsibilities of the Provider Network Operations department.
Knowledge of all disability areas including Mental Health, Substance Use and Developmental/Intellectual Disabilities
Knowledge and understanding of principles, concepts, and Best Practices used in the treatment, habilitation and support of individuals with needs in any of the disability areas
Knowledge and understanding of the different systems that impact Providers
Microsoft Office suite, including Excel
Proficient with database maintenance
Exceptional interpersonal skills
Highly effective Communication skills
Problem solving skills
Organizing skill
Conflict resolution skills
Effective public speaking and training skills
Strong mediation skills in order to facilitate collaboration and positive relationships
High Level of diplomacy and discretion to effectively negotiate and resolve issues independently
Ability to build relationships
Ability to make prompt decisions based upon relevant facts
Ability to review and analyze data in an effort to evaluate program effectiveness, progress, problems, and system performance
Ability to work effectively with others internally and externally
Ability to effectively identify problems, and initiate solutions
Ability to take initiative and utilize critical thinking
Salary Range
$31.85 - $40.60/Hourly
Exact compensation will be determined based on the candidate's education, experience, external market data and consideration of internal equity.
An excellent fringe benefit package accompanies the salary, which includes:
Medical, Dental, Vision, Life, Long Term Disability
Generous retirement savings plan
Flexible work schedules including hybrid/remote options
Paid time off including vacation, sick leave, holiday, management leave