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PHLpreK Provider Services Specialist

Public Health Management Corporation
Philadelphia, PA Full Time
POSTED ON 12/7/2024
AVAILABLE BEFORE 2/5/2025

PHMC is proud to be a leader in public health. PHMC requires all employees to be fully vaccinated for COVID-19 before the first day of employment. We will offer the vaccination at no cost via our Health Centers.

SERVICE AREA: Child Development & Family Services (CDFS)

PROGRAM: PHLpreK

JOB OVERVIEW:

The Provider Services Specialist is the primary point of contact for an assigned caseload of PHLpreK Providers. The Provider Services Specialist establishes strong working relationships with PHLpreK site locations assigned to their caseload. The Provider Services Specialist leverages these relationships to clearly communicate PHLpreK contract expectations, to monitor provider progress towards meeting contract expectations, and to identify when provider performance warrants escalation or referral to Quality Supports. The Provider Services Specialist implements with high fidelity established contracting, contract monitoring, file review, invoicing, and reporting policies and procedures. This position is under the direct supervision of the PHLpreK Provider Services Coordinator and works closely with PHLpreK providers, other members of the PHLpreK administration team, and key stakeholders delivering supports to the PHLpreK location.

RESPONSIBILITIES:

  • Establishes strong working relationships with PHLpreK site locations assigned to their caseload and leverages these relationships to clearly communicate PHLpreK contract expectations
  • Implements with high fidelity established contracting processes and ensures provider compliance with applicable laws and regulations, funder requirements, and PHMC standards regarding contract management
  • Collects and enters all necessary performance data and file review notes in designated information management systems and data tools in accordance with outlined policies and procedures
  • Maintains organized electronic records for providers on caseload
  • Analyzes provider performance data and determines if referral to quality supports is needed to remediate areas of noncompliance and makes timely referrals using identified referral processes
  • Analyzes provider performance data and makes recommendations for escalated action in response to areas of egregious or persistent noncompliance with PHLpreK deliverables
  • Works with the Provider Service Coordinator to develop corrective action plans that effectively resolve areas of contractual noncompliance as needed
  • Collects data and reports on trends in identified areas of noncompliance within provider caseload
  • Completes file review, compliance monitoring, and auditing activities to meet contractual requirements in accordance with outlined policies and procedures
  • Reviews and approves provider enrollment, attendance, and invoicing records with a high degree of accuracy within the contractually established timeframe
  • Tracks and reports on provider compliance with fiscal benchmarks, including obligation benchmarks, auditing benchmarks, and fiscal close-out benchmarks
  • Assists the Contracts Coordinator in completing any requests for budget, finance, or audit reports
  • As needed, supports annual PHLpreK provider requests for seats application and contract renewal activities
  • Disseminates tools, trainings, and other resources to ensure PHL PreK providers understand and can successfully comply with the established contracting, reporting, invoicing, auditing, and annual reconciliation requirements
  • Exercises good judgment in the application of rules, protocols, and guidelines to ensure consistent application across all Providers on caseload
  • Actively seeks opportunities and cultivates partnerships to expand the value of program services in alignment with funder priorities and guidance
  • Engages in ongoing professional development to support continuous quality improvement and relevant translation of research to practice within program operations
  • Performs other duties as assigned

ORGANIZATIONAL RELATIONSHIPS:

The Provider Services Specialist reports to and is supervised by the Provider Services Coordinator.

SKILLS:

  • Knowledge of general office policies, procedures, and work methods
  • Knowledge of administrative and auditing practices
  • Knowledge of personal computers and networked systems and their use, applications for database management, tracking, and reporting in a human services or similar environment
  • Ability to facilitate the coordination of multiple tasks
  • Ability to communicate effectively with employees, other professionals, and government agencies in a positive, pleasant, professional, and productive manner in writing, by telephone, and in personal contacts

EDUCATION AND EXPERIENCE REQUIREMENTS:

  • Bachelor's degree in business administration, social work, education, or a related field
  • Two years of related experience in human services, early childhood, education, government, or a related field

OTHER REQUIREMENTS:

  • This job includes the normal physical demands associated with office work including bending, lifting, and carrying.
  • Ability to pass a health examination and criminal background check
  • Ability to work effectively with minimal daily guidance
  • Knowledge of community resources
  • Successful experience working in a team setting
  • Ability to present a positive image of the organization to members of the community
  • This position may include the need to attend weekend or evening meetings or trainings and might involve travel.

SALARY GRADE: 19

PHMC is an Equal Opportunity and E-Verify Employer.

Education

Required
  • Bachelors or better in Business or related field

Skills

Preferred
  • Attention to Detail
  • Effective Communication
  • Customer Service

Behaviors

Preferred
  • Loyal: Shows firm and constant support to a cause
  • Dedicated: Devoted to a task or purpose with loyalty or integrity
  • Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)

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