Partners Behavioral Health Management

Compensation

Full Description

Competitive Compensation & Benefits Package!   Position eligible for –  * Annual incentive bonus plan * Medical, dental, and vision insurance with low deductible/low cost health plan * Generous vacation and sick time accrual * 12 paid holidays * State Retirement (pension plan) * 401(k) Plan with employer match * Company paid life and disability insurance * Wellness Programs * Public Service Loan Forgiveness Qualifying Employer See attachment for additional details.    Office Location:  Flexible for any of Partners' NC office locations; Remote option in NC, or within 40 miles of NC border Projected Hiring Range:  Depending on experience Closing Date:  Open Until Filled Primary Purpose of Position: This position will provide data support to the Provider Network Department.  Work involves data entry and analysis, data mining, data management, reporting, record keeping, and providing and coordinating the provision of a full range of support activities necessary for the effective management of the data for the department.   Role and Responsibilities:   Extrapolate data for monthly reports, provide preliminary data analysis, and enter and maintain data in all applicable systems and/or databases as per established practices, processes and protocols. It is also essential that all record keeping and data sharing be timely and well documented.  Types of data management include, but not limited to the following: 1. Importing, exporting and extrapolating data from Alpha, Cactus and NC Tracks; 2. Prepare and manage Credentialing Committee reports; 3. Extrapolate data and prepare report for Quality Improvement Committee;  4. Extrapolate data and prepare report for recredentialing notifications; 5. Extrapolate data for state monthly reporting; 6. Extrapolate data/run reports for performance requirements; 7. Extrapolate data/run reports and complete data validation between Alpha, Cactus and NC Tracks; 8. Extrapolate data/run reports for on-going validation of provider directory data; 9. Management of Credentialing Cross-Walk; 10. Verification of primary source data including but not limited to license boards, NPPES and NPDB.   Design reports for internal and external recipients, which may require independent research.   Work with Provider Network Supervisor to compile and analyze credentialing/enrollment/contract documentation for audit review & quality improvement.   Produce and examine reports, gather and coordinate submission of State reports as mandated (such as termination reports).  Respond to requests from other Partners staff, particularly concerning provider status.      Receive, review, analyze, track and maintain timely records of time sensitive and confidential information.   Responsible for accurate and timely maintenance of provider information essential to Partners ability to accurately track network provider contracts; process authorizations and claims; and produce an accurate provider directory.  It is critical that the staff person in this position be accurate and thorough in the completion of their duties.  Failure to input accurate and complete information has the potential to negatively impact the service delivery system and consumer ability to access services in a timely manner.   Participates in on-going quality improvement activities with other departments including UM, Claims, Care Coordination and IT.     Knowledge, Skills and Abilities: * Strong, working knowledge of data extraction methodologies * Ability to exercise appropriate judgement and discretion in presenting data * Ability to present complex data and information to varying audiences, both internal and external, in a professional and clear manner. * Knowledge of program practices, techniques, and technology sufficient to support the program * Knowledge of the goals and objectives of the work unit and an understanding of the structure and functions of the organization (must have knowledge of staff assignments/commitments, and the functions of other internal and external organizational segments whose work impacts on the unit or with which work must be interfaced) * Excellent computer skills; proficient in Microsoft Office Products (Word, Excel, Outlook, Publisher); experience in use of databases * Ability to practice effective communication techniques, oral and written * Ability to establish and maintain effective interpersonal and working relationships with internal and external customers * Ability to analyze and interpret policy and procedural guidelines and to resolve problems and questions, independently * Ability to complete non-routine activities and tasks that require deviation from established procedures which includes the ability to choose the appropriate course of action and recognize the existence of and differences among situations * Ability to use initiative and judgment in resolving problems not covered by established priorities or prior experience * Ability to recognize sensitive or unusual situations that should be referred to another more appropriate staff member or to the supervisor * Ability to manage and uphold integrity and confidentiality of sensitive data   Education and Experience Required: High School graduate or equivalent and four (4) years of administrative support experience; or an equivalent combination of training and experience.   Education and Experience Preferred: Associate Degree in Business or Office Administration field and two (2) years of administrative support experience in a data-oriented role.