Provider Network Management Jobs in Washington

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.

King County's Department of Community and Human Services (OCHS) provides equitable opportunities for people to be healthy, happy, and connected to community. This position is a member of the team responsible for participating in the development, negotiation and monitoring of contracts with public-funded substance use disorder and mental health treatment provider agencies. This position evaluates contractors' performance related to treatment process and outcomes and monitors for adherence with the Behavioral Health and Recovery Division (BHRD) contracts, and adherence to associated RCWs, WACs and other State and Federal laws, rules, and regulations. This position is also responsible for creating and maintaining long-term relationships with behavioral health providers and supports the development of formal cross system relationships to coordinate care for individuals who are in service in more than one service system.

Job Duties

To be considered minimally qualified applicant must demonstrate a background that provides the knowledge, skills and ability to:

• Participate in contract development and negotiation for outpatient, residential or specialized substance use disorder services and programs such as ER services, Detox services, Co-Occurring Disorder Treatment services and/or publicly funded Mental Health Treatment Services
• Participate in planning, policy analysis and development
• Monitor and provide technical assistance in relation to clinical, fiscal, and administrative compliance of provider agencies with BHRD contracts
• Participate in provider selection through the competitive bid processes
• Develop Contracts, Amendments, Exhibits, and reports
• Lead or participate in compliance review teams conducting compliance and credential review processes of BHRD contractors
• Provide ongoing technical assistance and/or training to contractors
• Perform needs assessments, utilization and outcome data analysis and quality improvement activities for community-based mental health programs/services and chemical dependency treatment providers
• Participate in cross system coordination processes and the development and ongoing evaluation of formal working agreements with allied systems
• Perform other related duties as assigned

Experience, Qualifications, Knowledge, Skills

WE ARE LOOKING FOR CANDIDATES WHO HAVE: The candidate should have highly developed organizational skills, and an understanding of federal, state and local government mandates related to substance use disorder and/or mental health treatment. The applicant should have a minimum of three years of experience in the areas listed below OR equivalent education and/or experience that provides the knowledge to meet the job requirements.

• Bachelor's degree and/or an equivalent combination of education and relevant job experience.
• Experience with and knowledge of the publicly funded substance use disorder and/or mental health treatment system of King County and the state of Washington.
• Experience with, and an understanding of federal, state, and local government funding, as well as program mandates related to substance use disorder and/or mental health treatment.
• Demonstrated recent experience providing treatment services to the diverse populations served by the publicly funded treatment systems in the state of Washington.
• Demonstrated knowledge and recent experience in contract development, negotiation, budget development and management, and policy and/or program development.
• Demonstrated ability to negotiate terms of contracts or similar formal agreements.
• Demonstrated experience in gathering and analyzing data for needs assessments, outcomes reports, and quality improvement recommendations and the ability to develop formal reports for professional and community audiences.
• Demonstrated knowledge of contractor compliance monitoring methods, and quality assurance strategies.
• Demonstrated knowledge and experience with best treatment practices utilized in the current substance use disorder, mental health or co-occurring disorder services to youth or adults.
• Demonstrated knowledge of service delivery system payment structures, utilization management strategies and quality management practices including those associated with behavioral health managed care.
• Ability to coordinate and collaborate with both the youth provider and the adult provider system, as well as a variety of persons from the community and professional agencies, such as medical, ethnic and sexual minority groups, mental health, substance use disorder, and correction or judicial agencies.
• Demonstrated experience with provider selection processes including development and evaluation of Requests for Proposals, and evaluation of responses.
• Demonstrated ability to work independently and as a member of a team.
• Demonstrated verbal communication skills and professional level writing skills.
• Working knowledge of Word for Windows, Excel, and MS Outlook.

ADDITIONAL POSITION INFORMATION: 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 visit HR Policy County Operations During Emergency Situations and the King County Guidelines for Workforce Management in an Emergency.

The Behavioral Health and Recovery Division (BHRD) team works in a hybrid model, with days in the office as well as telecommuting. The ratio of remote to onsite work will be dependent on business needs and is subject to change. The primary onsite location is Chinook, 401 5th Ave, Seattle, WA 98104. Employees must reside in Washington state and within a reasonable distance to their King County worksite to respond to workplace reporting requirements.

King County has a robust collection of tools and resources to support working remotely. The individual selected for this opportunity will join an innovative and progressive team that is redefining how we work as we transition to the department's hybrid environment. Employees will be provided with a County-issued laptop and must maintain a home workspace with an internet connection where they can reliably perform work and remain available and responsive during scheduled work hours. This position is scheduled to work 40 hours per week, Monday - Friday, 8am - 5pm. This position meets the provisions of the Fair Labor Standards Act and is overtime eligible with supervisory pre-approval.

This position is not represented by a union.

This position is represented by OPEIU L8-DPH.

WHO MAY APPLY:

This position is open to all qualified candidates that meet the minimum qualifications. Interviews for this selection process will take place on or around the week of July 13th. Candidates who wish to be considered for this position must submit an online King County application and respond to the supplemental questions. Your application may be rejected as incomplete if you do not include the requested and relevant information in the online application and supplemental questionnaire. Applications and/or supplemental questionnaires that state, "see my resume" are considered incomplete and will not be considered to be competitive. If you have any questions, please contact Alicia Larsen, alarsen@kingcounty.gov.

This selection process will fill our current vacancy but also create a pool of qualified candidates should additional Project/Program Manager II positions open up within the next 6 months.

Supplemental Information

Forbes named King County as one of Washington State's best employers.

Together, with leadership and our employees, we're 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 nation's 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.