County & Provider Relations Coordinator
About the position
The County & Provider Relations Coordinator (CPRC) position at the Behavioral Health Alliance of Rural Pennsylvania (BHARP) is a vital role that focuses on ensuring a member-centered network for behavioral health services across 24 rural counties in Pennsylvania. This remote position requires the candidate to reside in Pennsylvania and involves regular travel to the office located in State College, as well as to various counties within the region, including Schuylkill, Columbia, Montour, Snyder, Union, Northumberland, Centre, Greene, Huntingdon, Mifflin, and Juniata. The CPRC will work under the direction of the Director of Network Oversight, playing a crucial role in monitoring and enhancing a recovery-focused and culturally competent network of care. The CPRC will engage with various stakeholders, including providers, county personnel, families, and other system stakeholders, to analyze service utilization, outcomes, and data. This position is essential for building collaborative relationships with providers and the Behavioral Health Managed Care Organization (BHMCO), which is critical for creating meaningful outcomes that promote the health and well-being of members. The CPRC will also be responsible for managing provider complaints, reimbursement issues, and ensuring timely resolutions in collaboration with BHMCO and other partners. In addition to these responsibilities, the CPRC will participate in network monitoring activities, manage initiatives in specialty areas, and prepare reports for senior leadership. The role requires a comprehensive understanding of the behavioral health system in the assigned region and the ability to identify service gaps and performance issues. The CPRC will also be involved in problem-solving requests from individuals seeking behavioral health services and will conduct data analysis to support best practices in service delivery.
Responsibilities
Ensure the network is member-focused and provides a high-quality, cost-effective continuum of care.
,
Assist the Director of Network Oversight in monitoring and enhancing a recovery-focused, culturally competent network.
,
Collaborate with BHARP committees to predict and respond to network needs.
,
Meet with providers, base service units, county personnel, families, and stakeholders to analyze service utilization and outcomes.
,
Build collaborative relationships with providers and the Behavioral Health Managed Care Organization (BHMCO).
,
Manage provider complaints and reimbursement issues, ensuring timely resolutions.
,
Maintain the provider directory in the assigned region to support outreach and special projects.
,
Participate in network monitoring activities, including new provider orientation and levels of care reviews.
,
Independently manage initiatives in specialty areas, including reinvestment projects and development of supplemental services.
,
Attend various meetings to monitor feedback from stakeholders and prepare reports as assigned.
Requirements
Bachelor's degree in behavioral health, social science, or healthcare preferred.
,
Three years of experience in a behavioral health or related setting.
,
Proficient knowledge of software applications including Microsoft Office Suite.
,
Satisfactory child abuse and FBI fingerprinting clearances.
,
Advanced knowledge of the public mental health, intellectual and developmental disabilities, and drug and alcohol systems in PA.
Nice-to-haves
Experience in a nonprofit organization.
,
Familiarity with Medicaid programs and managed care systems.
,
Strong analytical skills for data analysis and reporting.
Benefits
Generous Starting Benefit Time including 4 Floating Holidays, 11 paid holidays, 5 Personal Days, 12 Sick Days, and 15 Vacation Days (with the opportunity for more as you stay with us).
,
Dental, Vision, Life Insurance, and Short-Term Disability - Fully Employer Paid.
,
Opportunity to buy up on employee life insurance and short-term disability.
,
Excellent Health Insurance.
,
401K Plan with a match up to 5%.
Apply Now
The County & Provider Relations Coordinator (CPRC) position at the Behavioral Health Alliance of Rural Pennsylvania (BHARP) is a vital role that focuses on ensuring a member-centered network for behavioral health services across 24 rural counties in Pennsylvania. This remote position requires the candidate to reside in Pennsylvania and involves regular travel to the office located in State College, as well as to various counties within the region, including Schuylkill, Columbia, Montour, Snyder, Union, Northumberland, Centre, Greene, Huntingdon, Mifflin, and Juniata. The CPRC will work under the direction of the Director of Network Oversight, playing a crucial role in monitoring and enhancing a recovery-focused and culturally competent network of care. The CPRC will engage with various stakeholders, including providers, county personnel, families, and other system stakeholders, to analyze service utilization, outcomes, and data. This position is essential for building collaborative relationships with providers and the Behavioral Health Managed Care Organization (BHMCO), which is critical for creating meaningful outcomes that promote the health and well-being of members. The CPRC will also be responsible for managing provider complaints, reimbursement issues, and ensuring timely resolutions in collaboration with BHMCO and other partners. In addition to these responsibilities, the CPRC will participate in network monitoring activities, manage initiatives in specialty areas, and prepare reports for senior leadership. The role requires a comprehensive understanding of the behavioral health system in the assigned region and the ability to identify service gaps and performance issues. The CPRC will also be involved in problem-solving requests from individuals seeking behavioral health services and will conduct data analysis to support best practices in service delivery.
Responsibilities
Ensure the network is member-focused and provides a high-quality, cost-effective continuum of care.
,
Assist the Director of Network Oversight in monitoring and enhancing a recovery-focused, culturally competent network.
,
Collaborate with BHARP committees to predict and respond to network needs.
,
Meet with providers, base service units, county personnel, families, and stakeholders to analyze service utilization and outcomes.
,
Build collaborative relationships with providers and the Behavioral Health Managed Care Organization (BHMCO).
,
Manage provider complaints and reimbursement issues, ensuring timely resolutions.
,
Maintain the provider directory in the assigned region to support outreach and special projects.
,
Participate in network monitoring activities, including new provider orientation and levels of care reviews.
,
Independently manage initiatives in specialty areas, including reinvestment projects and development of supplemental services.
,
Attend various meetings to monitor feedback from stakeholders and prepare reports as assigned.
Requirements
Bachelor's degree in behavioral health, social science, or healthcare preferred.
,
Three years of experience in a behavioral health or related setting.
,
Proficient knowledge of software applications including Microsoft Office Suite.
,
Satisfactory child abuse and FBI fingerprinting clearances.
,
Advanced knowledge of the public mental health, intellectual and developmental disabilities, and drug and alcohol systems in PA.
Nice-to-haves
Experience in a nonprofit organization.
,
Familiarity with Medicaid programs and managed care systems.
,
Strong analytical skills for data analysis and reporting.
Benefits
Generous Starting Benefit Time including 4 Floating Holidays, 11 paid holidays, 5 Personal Days, 12 Sick Days, and 15 Vacation Days (with the opportunity for more as you stay with us).
,
Dental, Vision, Life Insurance, and Short-Term Disability - Fully Employer Paid.
,
Opportunity to buy up on employee life insurance and short-term disability.
,
Excellent Health Insurance.
,
401K Plan with a match up to 5%.
Apply Now