• Assists in the enrollment, maintenance, development and management of the Provider Network for members who have been identified as having mental health, substance use or intellectual development disability needs. • Responsible for reviewing, monitoring and ensuring compliance with facility licensure, national accreditation requirements, clinical coverage policies and other requirements related to the provision of behavioral health services. • Responsible for receiving, reviewing, analyzing and entering time sensitive and confidential provider information. • Responsible for ensuring that providers are properly enrolled in NC Tracks prior to enrolling them into the system. • Responsible for managing, tracking and filing information submitted to and information received from providers related to ongoing maintenance of provider enrollment and contracting. • Responsible for managing, processing, tracking and filing requests from providers to join the network and requests from providers to make changes to their contracts. • Responsible for regular follow-up of status of submitted requests to join the network and provider maintenance requests. • Responsible for resolving issues and supporting providers regarding their requests to contract with or make changes to their contract with Partners. • Responsible for monitoring and follow-up associated with the provider enrollment file and the provider network file. • Participates in performance improvement activities. • Composes letters, memos and emails to internal and external contacts. • Researches questions related to joining the Partners provider network and/or change requests and responds to internal and external contacts regarding concerns related to delays and inconsistencies in information. • Demonstrates the ability to communicate professionally and clearly in both verbal and written form both internally and externally. • Monitors and updates provider information as required. • Accurately and clearly documents process steps, dates and work status. • Verifies providers meet the requirements to provide services in the Network according to parameters determined for qualifications and needs of the Network. • Interprets audit results, identifies trends/patterns that impact service/system quality, and then implements interventions aimed at addressing these trends/patterns with the outcome of services delivery to consumers at the highest degree of quality.