- Humana (Nashville, TN)
- …and help us put health first** The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for ... Virginia Medicaid. The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Elevance Health (Nashville, TN)
- …leadership in shaping and optimizing the provider experience, engagement and contracting for Behavioral Health business for east region. Responsible to align ... functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy with internal/external… more
- Highmark Health (Nashville, TN)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more
- HCA Healthcare (Nashville, TN)
- …for you to join HealthTrust which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust offers a total rewards ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Nashville, TN)
- …Shared Services provides efficient and effective support for credentialing, scheduling, contracting , and provider compensation strategy, aligning with the ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...of Shared Services for Hospital Based Services (HBS) will provide oversight and leadership of all shared services operations… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... with client board members + Engage senior executive management in strategic contracting discussions + Support sales and account management activities + Drive group… more
- HCA Healthcare (Brentwood, TN)
- …advising Practice Operations, CSG, and company leadership on patient safety and provider performance. Additionally, the position will provide specialized focus ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... Leaders, Pharmacy Leaders (eg clinical, operational), Physicians, Value Analysis Leaders, HealthTrust Contracting Team. What you will do in this role: Leadership +… more
- Highmark Health (Nashville, TN)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- HCA Healthcare (Brentwood, TN)
- …you to join Tristar Health which is part of the nation's leading provider of healthcare services, HCA Healthcare. *This position requires travel within the TriStar ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Nashville, TN)
- …HealthTrust Workforce Solutions which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust Workforce Solutions ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...compensation packages, presenting their profiles to the facilities and contracting them to work at the HCA and Non… more
- HCA Healthcare (Brentwood, TN)
- …you to join Tristar Health which is part of the nation's leading provider of healthcare services, HCA Healthcare. *This position supports the TriStar Division. ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... to be a part of our team. **Job Summary and Qualifications** Supports the custom contracting team in its pre and post engagement data review and analysis of member… more
- HCA Healthcare (Nashville, TN)
- …at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical ... of Facility Management. + When key performance indicator goals are not met, provide plans for improvement and/or allocation of capital as needed and track… more
- HCA Healthcare (Nashville, TN)
- …third-party consultants/brokers is key. + Strong working knowledge of PBM contracting , operations, and programmatic design elements + Professional designation ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more