Provider Network Manager

The Provider Network Manager is responsible for oversight of the Provider Network Team at Summit Pointe. The Provider Network Team is dedicated to coordinating all functions that support a high-quality network of external service providers. This position works collaboratively with Summit Pointe programs to ensure access to services through contract providers as well as ensure effective partnerships are maintained between programs. The Provider Network Manager will work with the Director of Systems Quality to support organizational values, strategic initiatives and full compliance with all regulatory standards.

Essential Duties and Functions:

• Manages contracting process for Summit Pointe's Provider Network.
• Creates strategic partnerships with external provider network and community stakeholders.
• Organizes and coordinates audits, provider remediation, training and stakeholder meetings.
• Manages all aspects of credentialing, ensuring that the process meets all contractual expectations.
• Supervises team of Provider Network Specialists.
• Participates in corporate quality improvement and problem-solving activities.
• Maintains confidentiality and privacy with MDHHS, state and federal guidelines.
• Utilizes knowledge of CARF, CMS, MDHHS and Managed Care Standards.
• Manages the execution of all assigned key performance indicators, annual strategy development and implementation for the Provider Network team.
• Performs other duties as required.
• The Provider Network Manager position is approved for a hybrid work setting, with remote work approved on an individual basis. Employee must be available to be on campus for meetings as needed.

• Bachelor's degree in business administration, health care administration or related field.
• Minimum of two years of project or team-based Leadership experience required.
• Minimum of five years of experience in project management or project-focused role required.
• Must demonstrate organizational, computer, communications and problem-solving skills.
• Minimum of five years of experience with computer technology in word processing, spreadsheet development for data tracking, graphic interfaces, web design/content management, database management and electronic medical record/scheduling software and electronic signature software.
• Knowledge of Medicaid billing.

Pulled from the full job description

• Continuing education credits
• Health insurance
• 401(k) matching
• Paid time off
• Vision insurance
• Dental insurance
• Employee assistance program, Applicants have rights under Federal and State Employment Laws . Please click on the links below to view:
• Family and Medical Leave Act (FMLA)
• Know Your Rights Poster
• Employee Polygraph Protection Act (EPPA)

A complete set of Employment Posters is posted outside of the Summit Pointe Human Resources Office located at 175 College St. Battle Creek, MI 49037-3432.

Join the Pointe! Join Summit Pointe and join an amazing organization that makes a difference every day in Southwest Michigan!

We are looking for additional team members to be part of our team!

In addition to joining a dedicated, passionate group of people, our employees enjoy the following perks:

• Competitive salary
• Premium health, dental and vision benefits within 30 days of hire
• Deductible and co-insurance reimbursement program
• Short term disability, long term disability and company paid Employee Assistance Program
• 401(k) match after one year of service
• Social Security alternative contributions
• Free YMCA membership
• Generous paid time off policy
• Ten paid holidays
• Employee appreciation events throughout the year
• Annual performance reviews and opportunities for advancement
• Continuing education reimbursement
• Licensure study materials AND licensure exam reimbursement

Summit Pointe participates in E-Verify - please click on the links below for more information related to the E-Verify Process.

• E-Verify Participation
• Right to Work Employment Poster

Summit Pointe provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.