Job description
Boise office or hybrid
BPA Health is in a newly created partnership poised to be the next Managed Care Organization for the Idaho Department of Health and Welfare! The Idaho Behavioral Health Collaborative recognizes that health care is local. The Collaborative works to combine national expertise with local knowledge and experience.
The Director of Provider Network ensures that provider network operational needs are met and ensures compliance with state/federal health plan requirements, Medicare/Medicaid guidelines and accreditations, and health plan requirements.
BPA Health offers an outstanding workplace culture in a business casual atmosphere and a comprehensive health and wellness benefit package, effective the first day of the month following the date of hire. Employee benefits include:
- Generous time off benefits
- 8 paid vacation days
- 401(k) matching
- Profit-sharing
- HSA medical insurance plans
- Dental
- Vision
- Life insurance
- Short-term and long-term disability insurance
- Tuition reimbursement
- Office gym and meditation room
- Infants at work program
Responsibilities:
- Drive and assist in the design of strategic plans and management of enterprise-wide, large-scale provider network initiatives
- Lead pilots and projects promoting quality care
- Direct and oversee innovation initiatives, data analysis activities, and evaluation strategies to support payment innovation and value-based payment operations
- Maintain knowledge of innovative evidence-based practices
- Apply creative solutions to provider challenges
- Build alliances across the leadership team to ensure a collaborative, efficient, and viable operating model
- Support cost management projects through analysis of expenses to determine savings for both proposed and implemented initiatives
- Work to create evidence-based solutions to address provider quality issues
- Develop the provider team
- Hire, train, coach, counsel, and evaluate the performances
Qualifications:
- Education in health and human services field (i.e. public health, social work, counseling)
- Minimum of 10 years of experience in clinical and/or behavioral health setting
- Experience on either provider or payer side (or any combination of education and experience, which would provide an equivalent background)
- Master’s degree a plus
- Licensure is preferred, but not required in unrestricted Independent Clinical or Behavioral Health
Preferred Skills, Capabilities, and Experiences:
- Provider network management experience preferred.
- Behavioral health field experience preferred.
- Knowledge of Idaho behavioral health market, trends, and related issues preferred.
- Appreciation of cultural diversity and a strong sensitivity towards target member population
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Parental leave
- Retirement plan
- Tuition reimbursement
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Boise, ID 83704: Reliably commute or planning to relocate before starting work (Required)
Work Location: Hybrid remote in Boise, ID 83704
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