Full Time Exempt

Boise office or hybrid/remote option

Join BPA Health in the newly created partnership 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 combines national expertise with local knowledge and experience. Our national partner Beacon Health Options brings the strength, expertise, and best practices of a leading national behavioral health leader. Our local partners Blue Cross Idaho (BCI) and the Idaho Crisis & Suicide Hotline (ICSH) complete that expertise with trusted relationships, local decision-making, and flexibility. The four organizations have a combined 154 years of expertise, with almost 120 in the state of Idaho, serving individuals with behavioral health conditions ranging from mild-to-moderate to chronic and complex.

• Beacon Health Options brings the strength, expertise, and best practices of one of the nation’s leading behavioral health service organizations
• Blue Cross of Idaho has strong relationships with behavioral health providers coupled with its strong community presence and local grassroots partnerships throughout Idaho
• BPA Health is Idaho’s leading behavioral health administrator, providing long-term trusted relationships from Idaho roots, knowledge and local decision-making
• Idaho Crisis & Suicide Prevention Hotline provides 24/7, free and confidential support for people in distress, as well as prevention and crisis resources for residents of Idaho

The Director of Provider Network will serve as a key leader of the Idaho Behavioral Health Collaborative and on the Senior Leadership Team of BPA Health. The position is based in Boise, Idaho. In anticipation of the contract award, we are recruiting top talent in an effort to have contingency hires offered soon.

Summary:

The Director of Provider Network has overall responsibility for the vision, implementation, and care of BPA Health provider networks.

The successful candidate possesses expertise, direct experience with and understanding of the provider network management core processes: Network Adequacy, Recruiting, Application, Credentialing, Contracting, Provider Payment Methodologies, Onboarding, Technical Assistance and Education and ongoing Quality Assurance.

This position is responsible for designing and administering policies and services that comply with regulatory and contractual requirements, building and maintaining key relationships with key internal and external stakeholders and decision makers including Idaho Department of Health and Welfare, providers, and other leadership to develop and maintain a high quality, high performing provider network program.

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.

How you will make an impact in this role:

• Drive and assist in the design of strategic plans and management of enterprise-wide, large-scale provider network initiatives, 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 and 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
• Hire, train, coach, counsel, evaluate the performance of and develop the provider team

Minimum Requirements:

• Requires education in health and human services field (i.e. public health, social work, nursing, counseling) and a minimum of 10 years of experience in clinical and/or behavioral health setting, either provider or payer; or any combination of education and experience, which would provide an equivalent background. Master’s degree a plus.
• Current unrestricted Independent Clinical or Behavioral Health licensure is preferred, but not required.

Preferred Skills, Capabilities, and Experiences:

• Behavioral health field experience preferred.
• Provider network management experience preferred.
• Knowledge of Idaho behavioral health market, trends and related issues preferred.
• Appreciation of cultural diversity and strong sensitivity towards target member population

Employee Benefits:

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 holidays
• 401(k) matching
• Profit-sharing
• HSA medical insurance plans
• Dental
• Vision
• Life insurance
• Short-term and long-term disability insurance
• Tuition reimbursement
• Infants at work program
• Office gym and meditation room

About BPA Health:

For over 40 years, BPA Health has pioneered behavioral health in Idaho and the Northwest. We are committed to providing real and human solutions that make lives better, organizations more effective and communities stronger.

BPA Health was founded on the principles of compassion, trust and stewardship of the health and wellbeing of the individuals and organizations we serve. Today, our footprint as well as our range of services and solutions has grown, but our promise remains true. We view the world with empathy and expertise inspired by creative business thinking. As a result, we develop and deliver products and services to support specific, often overlooked aspects and outcomes of behavioral health. Whether working for a broader, more inclusive definition of healthcare or more efficient and effective business solutions, a strong spirit of service defines our company and our work.
Our core values:

• Do the Right Thing
• Growth Mindset
• Actively Engage
• Do What You Say

www.bpahealth.com