Job Opening
Provider Network Manager, Medicaid Services
Job Title: Provider Network Manager, Medicaid Services
About Hello, It's Me®
Hello, It's Me® (https://hello-itsme.com) is an innovative healthcare technology platform transforming support services for individuals with intellectual and developmental disabilities (IDD). We partner with state Medicaid programs to deliver comprehensive, technology-enabled support services that enhance independence and community participation for individuals with IDD.
Position Overview
We're seeking an experienced Provider Network Manager to lead our Missouri market expansion, focusing on provider enablement, network development, and Medicaid program integration. This role will be instrumental in building and managing relationships with key stakeholders across Missouri's IDD provider ecosystem while ensuring the successful implementation of our innovative support service platform.
Core Responsibilities
- Develop and execute provider network strategy for Missouri market expansion
- Lead provider recruitment, contracting, and onboarding initiatives
- Navigate Missouri DMH requirements and Medicaid regulations
- Manage relationships with key stakeholders including:
* IDD service providers
* Support coordination agencies
* County boards
* State Medicaid officials
* Regional provider associations
- Ensure provider network compliance with state requirements
- Drive provider adoption and utilization of platform services
- Monitor network adequacy and performance metrics
- Develop and deliver provider education programs
- Collaborate with internal teams on provider enablement strategies
Required Qualifications
- Bachelor's degree in Healthcare Administration, Business, or related field
- 2+ years of experience in provider network management, preferably in Medicaid/LTSS
- Demonstrated knowledge of Missouri Medicaid and IDD service system
- Experience with provider contracting and relationship management
- Understanding of HCBS Waiver programs and requirements
- Proven track record in healthcare provider engagement
- Proficiency in network adequacy analysis and reporting
- Valid driver's license with ability to travel throughout Missouri
Preferred Qualifications
- Experience with digital health or healthcare technology implementation
- Background in IDD service delivery or support coordination
- Knowledge of Missouri DMH policies and procedures
- Familiarity with person-centered planning principles
- Experience with value-based contracting models
- Provider credentialing experience
Essential Skills
- Provider relationship management
- Contract negotiation and administration
- Network development strategy
- Regulatory compliance
- Provider education and training
- Data analysis and reporting
- Stakeholder engagement
- Project management
- Problem-solving
- Communication and presentation
Key Performance Areas
- Provider network development and growth
- Network adequacy maintenance
- Provider satisfaction and retention
- Compliance with state requirements
- Implementation timeline adherence
- Provider adoption rates
- Quality metrics achievement
Travel Requirements
- 70% to 80% travel within Missouri
- Occasional out-of-state travel for conferences and training
Work Environment
- Hybrid work arrangement with regular field visits
- Team collaboration across multiple departments
- Fast-paced, dynamic healthcare technology environment
Benefits
- Competitive salary and Performance linked Bonus Ranges from 20% - 30% of Base Salary
- Comprehensive health benefits
- Professional development opportunities
- Flexible work arrangements
- Travel reimbursement
Impact Opportunity
Join a mission-driven organization transforming IDD support services through innovative technology while leveraging your provider network expertise to create meaningful change in healthcare delivery.
Submit your resume with a cover letter to Vik Aurora and email to vik.a@focusedusolutions.com
You are also required to submit your responses to pre-interview screening questions for this position above here https://form.jotform.com/242486070503048