Healthcare Community Liaison Manager - Boise, ID at Boise

Description:

The Community Liaison Manager owns and is accountable for OptumHealth Idaho Medicaid Mental Health Services provider network. The Community Liaison Manager provides oversight for all procurement, grants, contracts and monitoring. The Community Liaison Manager will be responsible for provider contracting and contract compliance and for monitoring compliance with all network access standards.

The Community Liaison Manager is responsible for developing, maintaining, reporting and providing technical assistance to the network in a manner that will assure consumer satisfaction in areas of appointment availability, breadth of choices, convenience of locations, and quality of service. Responsible for developing and maintaining relationships with administrative and management contacts re: outpatient providers, state agencies, tribes and other facility programs.

Responsibilities include:

- Provides coordination and assistance to program staff in the development and processing of Requests for Proposals, Requests for Qualifications and other procurement processes.
- Coordinates the review and processing of grants, contracts, and other legal documents.
- Plans, organizes, oversees, and carries out contractor monitoring with staff from quality, finance, and data.
- Assists in the development of standards processes and policies and procedures OptumHealth Idaho .
- Identify methods and formats for providing education/training to providers, including communications, live presentation and information provided thought the web portals.
- Act as primary contact for escalated internal and external consumer/provider issues.
- Ensures that network size and scope reflects general Clinical Network Services Standards.
- Updates annually the Network Plan.
- Utilizes competitive information to ensure that the provider network is market competitive in geographies of accountability.
- Utilize internal information (e.g. GeoAccess reports, OON reports, accessibility rates, consumer satisfaction surveys, ) to identify specific network gaps; to ensure that the OptumHealth Idaho provider network meets the geographic and specialty needs of OptumHealth Idaho consumers.
- Contract/recontract as needed to achieve network development objectives.
- Develop retention strategies within assigned geographies; develop long term mutually successful MOUs with allied service agencies and Medical Health Plans. Develop 7.01 Plan with local tribe.
- Act as the primary liaison with administrative and provider management to respond to questions, concerns and procedure issues. Proactively anticipate problems and provide early solutions or triage issues to appropriate internal expert.
- Ensure information about the network providers is kept up to date and current on the OptumHealth Idaho web site.
- Ensure that providers operate within OptumHealth Idaho expectations of quality care and meet all contractual requirements
. Establishing partnerships with governmental clients representing multiple child-serving agencies, and engaging community leaders, stakeholders and providers in the delivery of a coordinated system of care.

Qualifications:

Requirements:
-Bachelors degree in business, healthcare administration or related field or equivalent experience.-Minimum of 5 years of experience in grants management, auditing and compliance in a public environment. Familiarity with operations, financial, quality assurance, procurement and regulations a must.- Familiar with OMB Circular A-133 and related pronouncements regarding Federal, state and local pass through funds.
-Familiar with federal funding rules and administrative law regarding grants managements, OMB Circulars and fraud and abuse.
- Ability to provide risk management and mitigation, and initiate corrective action as required.
-Demonstrated experience and ability in developing provider, agency, and facility networks in a public sector network.- Previous experience with providers, agency, and facilities as a practitioner, provider, case manager helpful.
- 3-5 years of experience in public sector Network relations preferred.
- PC literacy with proficiency in use of computer spreadsheets and data bases.
- Willingness to engage in business travel.- Ability to build strong relationships within and outside of OptumHealth Idaho - Demonstrates expert negotiation skills.- Excellent problem solving & analytic skills.-Experience in working in the Idaho mental health delivery system is preferred.
OptumHealth is part of the family of companies that make UnitedHealth Group one of the leaders across most major segments of the US health care system.OptumHealth helps nearly 60 million Americans live their lives to the fullest by educating them about their symptoms, conditions and treatments; helping them to navigate the system, finance their health care needs and stay on track with their health goals. No other business touches so many lives in such a positive way. And we do it all with every action focused on our shared values of Integrity, Compassion, Relationships, Innovation & Performance.At OptumHealth, you will perform within an innovative culture thats focused on transformational change in the health care system. You will leverage your skills across a diverse and multi-faceted business. And you will make contributions that will have an impact thats greater than youve ever imagined.Diversity creates a healthier atmosphere: equal opportunity employer M/F/D/V.UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. In addition, employees in certain positions are subject to random drug testing.
Country: USA, State: Idaho, City: Boise, Company: UnitedHealth Group.