Provider Network Specialist

The Department of Mental Health (DMH) is seeking a dedicated and energetic professional to join our dynamic team as the Northeast Area Provider Network Specialist (PNS). The ideal candidate will enjoy collaborating with high performing teams while providing effective leadership and ensuring accountability across multiple domains. Additionally, the selected candidate will collaborate with the Northeast Quality Management Team, Site Directors, Area Leadership, and Providers to ensure clients receive high quality services with a commitment to equity and accessibility.

The Provider Network Specialist (PNS) supports the Department of Mental Health (DMH) Area and Site offices in its contract and performance management functions The PNS participates in work groups as assigned to develop, implement, monitor, and improve contract and performance management processes. In this role you will have the opportunity to improve outcomes by facilitating clear and continuous communication that ensures quality standards are met across the Northeast Area. If you are passionate about supporting the mental health community and possess strong analytical and collaborative skills, we invite you to join us in making a positive impact on the community's well-being.

Please note: 40 hours per week, Monday – Friday 8:30am -5:00pm, Saturday/Sunday off

DETAILED STATEMENT OF DUTIES AND RESPONSIBILITIES

• Review, summarize and analyze data from multiple sources (e.g., billing and utilization data, quality measures, licensing reports, meeting minutes, service contracts, etc.) to assess compliance with contract and service requirements and performance trends.
• Provide recommendations on areas of improvement for state operated and contracted programs and track progress of performance improvement initiatives, corrective action plans and other follow-up actions.
• Assist with administrative contract management tasks (e.g., invoice approval, record reviews, data quality audits).
• Develop tools to monitor contract/program compliance, performance, and improvement.
• Update, modify, and/or develop correspondence, meeting agendas, minutes, materials, and schedules.
• Develop and deliver training and technical assistance on contract-related processes and priorities (e.g., data submission, billing, contract expectations, etc.).
• Attend and/or assist in convening internal and external meetings related to provider performance.
• Regularly share information, analysis, and recommendations with Area Leadership, DMH Site Offices, and provider representatives.
• Serve as a resource and content expert for Site and Area personnel related to contract compliance, trends, outcomes, and performance.
• Coordinate within the Area, across Areas, and with Central Office to ensure alignment of service standards and expectations.

QUALIFICATIONS REQUIRED AT HIRE

• Demonstrated knowledge of contract management, quality management and/or compliance processes.

• Familiarity with the types of health and human services community programs.

• Knowledge of methods for qualitative and quantitative review, summary, and analysis.

• Ability to effectively organize and assist in the facilitation of meetings, including preparing meeting agendas, documenting, and tracking follow-up tasks, presenting materials, etc.

• Ability to apply performance and contract management strategies to address inequity and structural racism.

• Ability to work cooperatively and effectively with DMH and provider staff.

• Ability to work both independently and as part of a team.

• Ability to prepare and provide written and oral and reports in a clear and precise manner.

• Ability to maintain accurate records.

• Willingness to travel for job-related purposes.

• Proficient in Microsoft Applications, including Excel, Word, and PowerPoint.

Preferred Qualifications

• Highly organized and ability to prioritize multiple tasks.

• Strong communication and facilitation skills.

• Commitment to supporting the delivery of person-centered, trauma-informed practices that are evidence-based and effective in promoting recovery.

• Training and experience with quality improvement processes.

• Experience with state mental health systems and services preferred.

• Lived experience of having received mental health services and/or a mental health diagnosis preferred.

• Experience with project management.

• Includes travel to Site offices and provider locations.

DMH Mission Statement:

The Department of Mental Health assures and provides access to services and supports to meet the mental health needs of individuals of all ages, enabling them to live, work and participate in their communities. The Department establishes standards to ensure effective and culturally competent care to promote recovery. The Department sets policy, promotes self-determination, protects human rights, and supports mental health training and research.

Pre-Hire Process:

A criminal background check will be completed on the recommended candidate as required by the regulations set forth by the Executive Office of Health and Human Services prior to the candidate being hired. For more information, please visit http://www.mass.gov/hhs/cori and click on "Information for Job Applicants."

Education, licensure and certifications will be verified in accordance with the Human Resources Division’s Hiring Guidelines.

Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Records Law and may be published on the Commonwealth’s website.

If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form

For questions about this requisition, please contact Employment and Staffing Customer Service at 1-800-510-4122, option 4

• Education toward such a degree will be prorated on the basis of the proportion of the requirements actually completed.

Comprehensive Benefits

When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.

Want the specifics? Explore our Employee Benefits and Rewards!

COVID Vaccine: As a condition of employment, depending on job assignment and location, employees may be required to have received COVID-19 vaccination and/or other vaccinations, or to have been approved for a vaccination exemption prior to their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants selected for employment.