Network Management Division Director

Star Care Specialty Health System (Star Care) is seeking a full-time Network Management Division Director to join its outstanding Contracts team. The 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.

• Draft, review, negotiate, and execute contracts across all transaction types.
• Track contract renewals, amendments, and terminations.
• Manage contract templates.
• Monitor performance, resolve issues, and escalates 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.

• 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.

• 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.

• 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.

• Set strategic goals for the Network Management Division.
• Provide leadership, supervision, and professional development for assigned staff.
• Assist department directors with…