DescriptionThe Network Management Division Director plays a pivotal role in shaping and strengthening a high-performing provider network that supports exceptional service delivery, organizational growth, and long-term sustainability. This influential leadership position is responsible for the strategic oversight of network operations including governmental contracts management and procurement, quality management, regulatory compliance, and the local authority functions of the organization.
Responsibilities:Provides executive oversight and strategic leadership to the Contracts & Procurement Director who is responsible for:- Contract lifecycle management.
- Draft, review, negotiate, and execute contracts across all transaction types.
- Track contract renewals, amendments, and terminations.
- Manage contract templates.
- Monitor performance, resolve issues, and escalate risks.
- Overseeing procurement activities in accordance with organizational policies, contractual requirements, and applicable state/federal regulations.
- Ensuring contracts contain appropriate compliance provisions and financial safeguards.
- Maintaining accurate contract records and documentation.
- Provider Relations.
- Resource Development.
- Grant Management.
Provides executive oversight and strategic leadership to the Quality Management Director and Compliance Officer who is responsible for: Quality Management- Developing and overseeing quality management processes designed to improve provider performance and service outcomes.
- Establishing and monitoring key performance indicators for internal and contracted providers.
- Conducting quality reviews, audits, and performance assessments.
- Analyzing data and trends to identify opportunities for improvement and implement corrective action plans.
- Collaborating with program departments to promote continuous quality improvement initiatives.
- Identifying potential quality issues and implementing preventive measures.
Compliance- Develop, implement, and maintain internal policies and procedures to ensure the organization complies with legal and regulatory requirements.
- Conduct regular audits and risk assessments to identify potential compliance issues and weaknesses.
- Track compliance metrics and report findings to executive leadership.
- Design and deliver training programs to educate employees and leadership on compliance requirements, ethical standards, and regulatory updates.
- Lead investigations into potential violations, document findings, and coordinate corrective measures.
- Stay current with evolving laws, regulations, and best practices.
- Serve as a resource regarding contractual, procurement, and regulatory matters.
Provides executive oversight and strategic leadership to the Senior Director of Local Authority Services who is responsible for:- Planning, developing policy, coordinating, and allocating resources for mental health, intellectual and developmental disabilities and substance use disorder services.
- Provider Network Development.
- Ensuring compliance with state and federal standards.
- Maintaining quality oversight of services.
- Ensure intake, eligibility, and enrollment services are accessible to the public.
- Coordination with criminal justice and community stakeholders (schools, community organizations, etc.).
- Ensure safety net functions and coordinate crisis prevention and management when appropriate.
- Oversight of Veteran Services.
- Oversight of Mental Health First Aid.
- Oversight of the Education Service Center Liaison.
Leadership and Administrative Responsibilities:- Set strategic goals for the Network Management Division.
- Provide leadership, supervision, and professional development for assigned staff.
- Assist department directors with developing departmental goals, objectives, and performance measures.
- Prepare and manage departmental budgets and financial forecasts.
- Present reports and recommendations to executive leadership, Board of Trustees and the Provider Network Advisory Committee (PNAC).
- Foster collaborative relationships both internally and externally and at both the local and state level.
- Represent StarCare on local and statewide committees and initiatives.
- Maintain regular and consistent attendance for the assigned work hours.
- Ensure all required training and credentials are current and compliant with Center, federal, state, and local regulations, and in addition to StarCare policies and procedures.
- Complete special projects and additional duties requiring similar skill and responsibility, as assigned.
- Support and promote the mission, values, and goals of StarCare Specialty Health Systems through all supervisory and position activities.
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Schedule: This is a full-time, on-site position scheduled Monday - Friday, 8am - 5pm, with flexibility to meet the needs of the department.
Benefit Package: StarCare offers Benefit eligible employees an expansive benefit package including but not limited to: Company-paid medical coverage, fully funded employer contribution to HSA, company-paid life insurance, company paid hospital indemnity plan, retirement plan with up to 12% employer match, front loaded paid time off (PTO), thirteen (13) paid holidays, sabbatical leave, longevity augmentations, and employee referral augmentations.
Qualifications:Required Qualifications- Master's Degree in Healthcare Administration, Business Administration, Public Administration, Public Health, Legal Studies or a related field.
- Minimum of eight (8) years of progressively responsible leadership experience in network management, contract administration, procurement, healthcare operations, behavioral health, managed care, regulatory law, or a related field.
- Experience negotiating and managing contracts and vendor relationships.
- Knowledge of quality management principles, performance improvement methodologies, and compliance requirements.
- Experience developing and implementing policies, procedures, and strategic initiatives.
- Strong analytical, organizational, and problem-solving skills.
- Excellent written and verbal communication skills.
- Proficiency with Microsoft Office applications and contract management systems.
Preferred Qualifications- Experience working with behavioral health and intellectual and developmental disability service providers, government contracts, healthcare networks, managed care organizations, or public sector healthcare programs.
- Professional certification in contract management, procurement, compliance, quality management, healthcare administration or compliance, governance and regulatory law.
- Experience with governmental contracts and regulatory oversight.
Knowledge, Skills, and Abilities- Thorough knowledge of contract lifecycle management and procurement practices.
- Understanding of quality management and continuous performance improvement methodologies.
- Knowledge of healthcare, behavioral health, governmental contracting, and human services regulatory requirements.
- Ability to interpret contracts, regulations, and policy documents.
- Ability to build productive relationships with providers, vendors, community partners, and regulatory agencies.
- Ability to manage multiple priorities and complex projects simultaneously.
- Strong leadership, negotiation, and conflict-resolution skills.
- Ability to analyze data, identify trends, and make informed recommendations.
- Ability to lead and inspire people, teams and processes.
Skills & Abilities:- Problem Solving: Ability to analyze situations, identify challenges, and develop effective solutions.
- Communication: Strong verbal, written, and electronic communication skills to convey information clearly and professionally.
- Collaboration: Ability to work effectively with others across teams and departments to achieve shared goals.
- Exhibiting Corporate Values: Demonstrates behaviors and decision-making aligned with the organization's core values and mission.
- Documentation: Proficient in accurately recording, organizing, and maintaining information in various formats.
- Project and Outcome Management: Ability to plan, execute, and monitor tasks and projects to achieve desired outcomes within established timelines.
- People Management: Ability to lead, support, and develop team members through effective supervision, coaching, and performance management.
