$1500 Sign-On Bonus available

Region 10 is committed to being a premier employer by enhancing the lives of our team and supporting their growth as people and professionals.  $1500 sign-on bonus available. We provide competitive wage scales that reward experience and performance, ongoing career development and training opportunities, excellent health coverage, generous paid time off with additional performance-based incentives, 13 paid holidays, flexible scheduling, and a comprehensive benefit program. 

Essential Functions

The Manager-PNM is an administrative position with responsibility in providing direction for provider network management activities for the provider organizations that deliver public behavioral health services in the counties of Genesee, Lapeer, Sanilac, and St. Clair and their contract agencies.

• Provide training, guidance, and support to the Network Management Team and Network Providers.
• Chair the PIHP Provider Network Committee and Privileging & Credentialing Committee.
• Member of the Quality Improvement Committee.
• Review Privileging and Credentialing initial and renewal applications and manage process for tracking, notifications, and updates.
• Provide support for external audits including reviewing document submissions, providing presentations, and developing recommendations on Corrective Action Plans.
• Manage provider contracts.
• Oversee Policy and Procedure development and ongoing review.
• Manage Medicaid bulletin and proposed policy reviews.
• Oversee process for monitoring provider service contracts.
• Manage procurement activities including requests for proposals.
• Supervision of Provider Network Management staff.