Common use of Provider Services Director Clause in Contracts

Provider Services Director. The Provider Services Director acts as the primary point of accountability to ODM to address escalated provider issues. The primary functions of the Provider Services Director are to: Meet provider services requirements under this Agreement; Supply provider education and develop and deliver provider training; Ensure that network providers impacted by population health initiatives, such as QI projects, are included on project teams to identify provider perceived barriers and provide input on design and intervention test that may impact providers; Ensure that network provider perspectives and feedback are included in evaluations of improvement initiative successes; Collaborate with other ODM-contracted managed care entities to simplify provider requirements and remove administrative barriers; and Develop and implement the MCO's provider claim dispute resolution process as described in this appendix.

Provider Services Director. 1. The Provider Services Director acts as the primary point of accountability to ODM to address escalated provider issues. 2. The primary functions of the Provider Services Director are to: Meet provider services requirements under this Agreement; Supply provider education and develop and deliver provider training; Ensure that network providers impacted by population health initiatives, such as QI projects, are included on project teams to identify provider perceived barriers and provide input on design and intervention test that may impact providers; Ensure that network provider perspectives and feedback are included in evaluations of improvement initiative successes; Collaborate with other ODM-contracted managed care entities to simplify provider requirements and remove administrative barriers; and Develop and implement the MCO's provider claim dispute resolution process as described in this appendix.