- CVS Health (Frankfort, KY)
- …Network Access, Credentialing, Claim Lifecycle, Provider Appeals & Disputes, and Network Performance Standards. + Professional experience in behavioral health ... care + Experience in Medical Terminology, CPT, ICD-10 codes, etc. **Education** + Bachelor's degree or equivalent work experience **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role is: $54,300.00 -… more
- CVS Health (Helena, MT)
- …high level review and analysis, dispute resolution and/or settlement negotiations of behavioral health facility and hospital contracts with larger and more complex, ... schedules, with individual or complex provider systems or groups - Focus on behavioral health providers and facility types - Proven working knowledge of provider… more
- Commonwealth Care Alliance (Boston, MA)
- …provider network operations, education, and performance improvement. The Provider Relations Director reports to the Sr Director of Delegation Partnerships and ... relations team. Cross-Functional Collaboration * Work closely with network contracting, credentialing, claims, IT, customer service, compliance, and quality… more
- WellSpan Health (Lancaster, PA)
- …in Lancaster County supporting individuals experiencing a first episode of psychosis. As a Behavioral Health Case Manager , you'll play a vital role in linking ... and employer services solutions to advanced care for complex medical and behavioral conditions. Our clinically integrated network of 3,000 aligned physicians… more
- Tufts Medicine (Boston, MA)
- …Campus, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, ... Tufts Medicine Integrated Network , and a network of 2,300 physicians...to life. **Job Overview** The Senior Employee & Labor Relations Specialist serves as a trusted subject matter expert… more
- Commonwealth Care Alliance (Boston, MA)
- …to the Senior , Director of Delegation Partnerships., the Senior Provider Relations Account Manager will: + Lead provider servicing activities, including ... By fostering strong partnerships and supporting process enhancements, the Senior Provider Relations Account Manager plays a vital role in helping CCA… more
- Humana (Oklahoma City, OK)
- …and independent determination of the appropriate courses of action. The Provider Relations Representative- Behavioral Health (BH) is responsible for day-to-day ... front line relationship management for network providers in Humana's Healthy Horizons in Oklahoma's Medicaid...skills. Key Role Objectives + Serve as primary relationship manager with behavioral health providers to ensure… more
- Humana (Indianapolis, IN)
- …community and help us put health first** The Chief Psychiatrist oversees our behavioral health (BH) clinical program for our Illinois FIDE members. The individual in ... to integrate the day-to-day administration and strategic management of behavioral and physical health services, including Utilization Management (UM), Quality… more
- Sea Mar Community Health Centers (Seattle, WA)
- …or sexual orientation, and regardless of ability to pay for services. Sea Mar's network of services includes more than 90 medical, dental, and behavioral health ... following position: Sea Mar is a mandatory COVID-19 and flu vaccine organization Behavioral Health Clinical Supervisor (SUD) - Posting #27418 Hourly Rate: $33.65 -… more
- UTMB Health (Galveston, TX)
- Manager , Social Work - Community Health Network **Galveston, Texas, United States** Social Service UTMB Health Requisition # 2505479 **Minimum Qualifications:** ... Social Worker, including two (2) years in a medical or behavioral health setting **Licenses, Registrations, or Certifications:** Licensed Clinical Social Worker… more
- CVS Health (Columbus, OH)
- …minimum of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working ... and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain and… more
- Commonwealth Care Alliance (Boston, MA)
- 011230 CA-Provider Engagement & Performance Position Summary: The Behavioral Health (BH) Provider Engagement Program Manager is responsible for cultivating ... outcomes, and strengthen community-based partnerships. This position works closely with CCA's Behavioral Health, Health Home, Network , and Clinical teams to… more
- Elevance Health (Rocky Hill, CT)
- …The ** Network Management Consultant** is responsible for providing provider relations / network management support to complex, high-profile medical and ... ** Network Management Consultant** A proud member of the...member of the Elevance Health family of companies, **Carelon Behavioral Health** , formerly Beacon Health Options, offers superior… more
- Highmark Health (Carson City, NV)
- …SUMMARY MUST BE A US CITIZEN Looking for someone with Dental Provider Relations to service United Concordia Dental's (UCD's) clients by recruiting, training and ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet… more
- Tufts Medicine (Burlington, MA)
- …Campus, MelroseWakefield Hospital, Lawrence Memorial Hospital of Medford, Tufts Medicine Behavioral Health Hospital (opening Fall 2025), Tufts Medicine Care at Home, ... Tufts Medicine Integrated Network , and a network of 2,300 physicians...Medicine locations within Massachusetts** **Job Overview** The Workplace Investigations Manager has system-wide responsibility for conducting impartial, thorough, and… more
- HCA Healthcare (Nashville, TN)
- …**Introduction** Do you have the career opportunities as a Billing Code Senior Manager you want with your current employer? We have an exciting opportunity for ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...you want to work as a Billing Code Senior Manager where your passion for creating positive patient interactions… more
- Sevita (Fontana, CA)
- …and experience a career well lived. Annual Salary: $58,240 SUMMARY The Day Program Manager is responsible to manage the services delivered to a designated program or ... supports, person-centered planning and implementation, health care, advocacy, stakeholder relations , regulatory compliance, staffing, training, financial management and maintenance… more
- Morehouse School Of Medicine (Atlanta, GA)
- …TA need(s) of assigned state(s) + Determine, develop, and cultivate constituent relations + Support data collection efforts, including network -wide studies + ... Training and Technical Assistant Program Manager Bookmark this Posting Print Preview | Apply...REQUIRED : . Knowledge of substance use disorders and behavioral health . Understanding of education, training, and professional… more
- Commonwealth Care Alliance (Boston, MA)
- 011150 CCA- Network Contracting **Position Summary:** The LTSS Program Manager is responsible for overseeing relationships and performance with community-based ... One Care) populations preferred. + Experience in healthcare program management, provider relations , or network management + Knowledge of Massachusetts LTSS… more
- HCA Healthcare (Dallas, TX)
- …reservations or limits? Our Medical City Dallas team is looking for a Nurse Manager of Rehabilitation Services. HCA Healthcare is an advanced healthcare network ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...lives across the country? Apply today to our Nurse Manager of Rehabilitation Services and be a part of… more