Provider Relations Lead (PPM III)
Provider Relations Lead (PPM III)
Employer Active
Job Alert
You will be updated with latest job alerts via email
Share
Job Alert
You will be updated with latest job alerts via email
Job Description
Summary
The Department of Community and Human Services values diverse perspectives and life experiences. The Department encourages people of all backgrounds to apply including Black Indigenous and People of Color immigrants refugees women LGBTQ people with disabilities veterans and those with lived experiences.
WHO MAY APPLY:This position is open to all qualified candidates who meet the minimum for this selection process will take place on or around 8/4/2025.
APPLICATION PROCESS
If you are interested in pursuing this position please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
The following items are required to be considered for this vacancy:- NeoGov Job Application(The responses on your job application should be thorough and complete and will be used in the screening process)
- Supplemental Questions(The responses to the supplemental questions should be thorough and complete and will be used in the screening process)
Your application may be rejected as incomplete if you do not include the relevant information in the application. Cover letters and/or resumes are not accepted in lieu of a completed application. Applications and/or Supplemental Questionnaires that state see my resume or see my personnel file are considered incomplete and will not be accepted.
WORK SCHEDULE/CONDITIONS: This position is exempt from the provisions of the Fair Labor Standards Act and is not eligible for overtime. Typical hours are Monday through Friday 8am5pm.
MISSION CRITICAL POSITION STATUS:This position has been designated Non-Mission Critical. Unless otherwise directed by the County Executive department director or agency head all employees regardless of designation are expected to report to work or request leave during an emergency or inclement weather. For more detailed information please visitHR Policy County Operations During Emergency Situations and theKing County Guidelines for Workforce Management in an Emergency.
TELEWORKING REQUIREMENT:The work associated with this position will be performed or conducted through a combination of teleworking and onsite work and meetings. Employees will have access to shared workspaces at various King County facilities. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.
RECRUITER:Greg MalloryJob Duties
- Participate in planning program development and implementation for the public behavioral health systems in King County.
- In coordination with the Provider Relations leadership team provide supervision of the Provider Relations team including employee development and performance management.
- Develop and negotiate service contracts with network providers and/or Memorandums of Agreement with inter-governmental entities for services outside of the typical service contracts of the Division.
- Participate with Division leadership and the Provider Relations Section manager in negotiations with Managed Care Organizations for administrative service contracts.
- Provide technical guidance and supervision to provider relations staff responsible for supporting provider understanding and performance related to Medicaid and County requirements.
- Provide leadership to provider relations efforts that support the provider network in achieving performance metrics and alignment with Manage Care Plans models of care.
- Review and analyze contract terms and make recommendations to Division management on implementation issues and/or identifying the need for amendments to contracts.
- Ensure that BHRD contracts and provider manual comply with King County standards for contracts including compliance with County ordinance and legal and risk management requirements. Additionally assure compliance with state and federal funding and contracting regulations including those from the Washington State Office of Insurance Commissioner.
- Coordinate the development implementation and maintenance of system-level policies and procedures including the Provider Manual development and maintenance for the behavioral health service delivery system consistent with state contract and federal requirements including those for behavioral health managed care plans.
- Provide support and effective customer service both internally to Division section/staff and externally to providers and funders.
- Gather information and data for the purposes of developing program/policy recommendations and issue/briefing papers on key system issues.
- Effectively implement change management skills with both the Provider Relations team and the division overall.
- Other duties as assigned.
Experience Qualifications Knowledge Skills
- A minimum of three years of progressively responsible experience working in the behavioral health or healthcare system and/or working with publicly funded treatment/human service system(s).
- Knowledge of and experience with services provided under both the King County Integrated Care Network and King County ASO (Administrative Services Organization) and/ or the behavioral health treatment systems in the State of Washington.
- Demonstrated knowledge of governmental contracting and regulations related to the purchase of services for publicly funded treatment services including knowledge of Medicaid managed care.
- Demonstrated experience providing technical assistance and training to providers in the behavioral health system.
- Demonstrated experience providing supervision of staff and skills in supporting staff to be successful in a frequently changing environment.
- Demonstrated experience generating and using data for social and/or health care services program evaluation.
- Demonstrated ability to engage in a change process from a positive framework and an ability to effectively adjust to changing work and processes both for themselves and the team overall.
- Demonstrated experience working at a policy and planning level with service systems at the local regional state or federal level.
- Proven ability to work effectively with groups that consist of stakeholders who may have markedly different perspectives about a given topic and to lead stakeholder meetings and/or stakeholder planning processes.
- Demonstrated knowledge of legal risk management and liability issues associated with contracting.
- Demonstrated knowledge of contractor compliance monitoring and program integrity strategies.
- Strong oral and written communication skills.
- Demonstrated experience and ability to manage conflict and communicate effectively as both a manager and a member of a team.
- Demonstrated experience building an effective team and driving engagement and instilling trust with team members.
- Demonstrated ability to make sound decisions even with limited information.
- Demonstrated working knowledge of Microsoft Word for Windows Microsoft Teams Excel and Outlook
- Demonstrated customer service skills.
- Valid Washington State Drivers License or the ability to travel throughout the county in a timely manner
Desired Experience Qualifications Knowledge Skills
- Bachelors degree (or higher) with coursework in social work substance use disorders and/or health care services or administration.
- Demonstrated experience developing and managing budgets including the development of spreadsheet-based tracking systems for program allocations.
Supplemental Information
Forbes named King County as one of Washington States best employers.
Together with leadership and our employees were changing the way government delivers service and winning national recognition as a model of excellence. Are you ready to make a difference Come join the team dedicated to serving one of the nations best places to live work and play.Guided by our True North we are making King County a welcoming community where every person can thrive. We value diversity inclusion and belonging in our workplace and workforce. To reach this goal we are committed to workforce equity. Equitable recruiting support and retention is how we will obtain the highest quality workforce in our region; a workforce that shares and will help advance our guiding principles - we are one team; we solve problems; we focus on the customer; we drive for results; we are racially just; we respect all people; we lead the way; and we are responsible stewards. We encourage people of all backgrounds and identities to apply including Native American and people of color immigrants refugees women LGBTQ people living with disabilities and veterans.King County is an Equal Employment Opportunity (EEO) Employer
No person is unlawfully excluded from employment opportunities based on race color religion national origin sex (including gender identity sexual orientation and pregnancy) age genetic information disability veteran status or other protected class. Our EEO policy applies to all employment actions including but not limited to recruitment hiring selection for training promotion transfer demotion layoff termination rates of pay or other forms of compensation.
To Apply
If you are interested in pursuing this position please follow the application instructions carefully. If you need this announcement in an alternate language or format would like to request accommodation or assistance in the application or assessment process or if you have questions please contact the recruiter listed on this job announcement.
Employment Type
Full-Time
