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Provider Network Access Specialist

3 months ago

Philadelphia, United States Community Behavioral Health. Full time
Job DescriptionJob Description

Position Overview:

The Provider Network Access Specialist is responsible for assisting in the daily operation of assessing Network Access. This process entails tracking and monitoring access survey results, monthly referral lists, and capacity trends through visibility data.

Essential Functions:

  • Assists in the tracking and trending of all network access issues and produces trend analysis.
  • Investigates access issues and completes all reports and related documentation.
  • Monitor provider data reporting and provide technical assistance.
  • Monitor and evaluate provider access reports and determine level of follow up warranted.
  • Participates in provider teaming meetings with Provider Operations staff.
  • Conducts on-site provider visits if necessary, monitors access plan submissions. Travel to provider sites to observe and discuss improvement plans as needed.
  • Support Network Access Supervisor and Manager of Provider Network Management in the implementation of corrective action plans.
  • Participate in cross-departmental work groups
  • Other duties as assigned

Position Requirements:

  • Education: Bachelor’s degree in behavioral health, public health, healthcare or social sciences
  • License/Certification: N/A
  • Relevant Work Experience: Minimum of 3 years of experience with at least 2 years of experience in a health care or quality management setting

Skills:

  1. Proficient in Microsoft Office applications
  2. Excellent written and verbal communication skills
  3. Customer service skills
  4. Strong interpersonal skills
  5. Detail-oriented and highly organized
  6. Ability to manage large data sets and summarize findings for leadership
  7. Ability to work effectively with all levels of staff (including, but not limited to: Officer, Director, Manager, and peer levels)
  8. Ability to manage ongoing projects and prioritize appropriately to meet deadlines
  9. Knowledge of DBH and DHS systems and services
  10. Other duties as assigned

Work Conditions (including travel, overtime required, physical requirements and occupational exposure):

  • Requires ability to work shift schedule including days, nights and overnights; schedule may vary.
  • Requires ability work off-site as needed.
  • Requires ability to travel, including out-of-state and overnight travel, as needed.
  • Regularly requires walking, standing, stooping, bending, sitting, reaching, pushing, pulling and/or repetitive wrist/hand movements for various lengths of time throughout the day.
  • Ability to utilize computers and office equipment to complete daily work responsibilities.
  • Regularly works inside in areas that are adequately lighted and ventilated. Some fluctuation in temperature. No protective equipment routinely needed.
  • Must be able to adapt to continuous changes/demands of the job.

Equal Employment Opportunity: CBH provides equal employment opportunities to all qualified individuals without regard to race, creed, color, religion, national origin, age, sex, marital status, gender identity, sexual orientation, individual genetic information or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function.

Americans with Disabilities Act: Applicants as well as employees who are or become disabled must be able to perform the essential job functions either unaided or with reasonable accommodation. CBH will determine reasonable accommodation on a case-by-case basis in accordance with applicable law.

Philadelphia Residency Requirement:

  • The successful candidate must be a current Philadelphia resident or become a resident within six months of hire.

Equal Employment Opportunity:

  • We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CBH is an equal opportunity employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on all qualified individuals. This is without regard to race, ethnicity, creed, color, religion, national origin, age, sex/gender, marital status, gender identity, sexual orientation, gender identity or expression, disability, protected veteran status, genetic information or any other characteristic protected individual genetic information, or non-disqualifying physical or mental handicap or disability in each aspect of the human resources function by applicable federal, state, or local law.

Requesting An Accommodation:

  • CBH is committed to providing equal employment opportunities for individuals with disabilities or religious observance, including reasonable accommodation when needed. If you are hired by CBH and require an accommodation to perform the essential functions of your role, you will be asked to participate in our accommodation process. Accommodations made to facilitate the recruiting process are not a guarantee of future or continued accommodation once hired.
  • If you would like to be considered for employment opportunities with CBH and have accommodation needs for a disability or religious observance, please send us an email at CBH.Recruitment@Phila.gov