- Humana (Richmond, VA)
- …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 (Richmond, VA)
- …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 (Indianapolis, IN)
- …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
- Novant Health (Charlotte, NC)
- …Business Administration or Health Administration, preferred. + Experience: + Five years Payor/ Provider Contracting , Provider / Payor Relations, Provider ... Responsibilities + Commercial Managed Care Payor Contract Negotiations + Specialty Contracting (transplant networks, commercial plan behavioral health) +… more
- Elevance Health (Sacramento, CA)
- ** Behavioral Health Provider Quality Manager** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in ... insightful analytics to improve the delivery of care. The ** Provider Quality Manager** is responsible for leading Behavioral...face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting /… more
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston ... contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral health, worker's compensation, student insurance, bundled payment contracts,… more
- Molina Healthcare (Las Vegas, NV)
- …BHT treatment plans to evaluate effectiveness and treatment efficacy. * Collaborates with provider contracting and providers services to support recruitment and ... procedures. * Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services to Molina… more
- Banner Health (Phoenix, AZ)
- …team. As the Director of BUMG-P, Primary Care (FM & IM) and Behavioral Health you will have overall responsibility for the department's financial and operational ... training activities. In addition you will partner with the Chair/Chief Provider having oversight of faculty affairs including compensation, contracts and academic… more
- ManTech (Chantilly, VA)
- **MANTECH** seeks a motivated customer-oriented ** Behavioral Science Expert** to provide unparalleled support to our customer and to begin an exciting and ... Chantilly, VA and will require occasional travel within the WMA region. The ** Behavioral Science Expert** assists in leading the analytical mission for the customer… more
- CVS Health (OH)
- …specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for ... trends and enlist assistance in problem resolution. + May be responsible for provider recruitment, contracting , or re- contracting activities, or may assist… more
- Elevance Health (Asheboro, NC)
- …limited to working with providers and internal teams to ensure timely provider contracting , education on specialty topics, developing value-based payment ... shared priorities and strategic visions. Primary duties include: + Assist with provider contracting efforts. + Assist with implementing incentives and… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, ... and facility contracts across value based and fee for service agreements for provider solutions. + Works directly with contracting directors and managers to… more
- HonorHealth (AZ)
- …Nurse Practitioner (NP) works collaboratively with members of the healthcare team to provide care appropriate to the age of the patients served on his/her assigned ... Nurse (APN), the NP will demonstrate leadership as a mentor, educator, researcher and provider . The NP adheres to and functions within the scope of practice defined… more
- CenterWell (San Antonio, TX)
- …+ A minimum of two years experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
- CenterWell (Dallas, TX)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The MSO Channel Development Lead will be the ... negotiations, providing key insights that advance agreements with new provider partners + Provide national and local...five years experience in provider network development, provider engagement and/or provider contracting … more
- Highmark Health (Baton Rouge, LA)
- …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
- US Marine Corps (Quantico, VA)
- …(MCCS) activities. Requirements typically involve state of the art information technology and professional services in a variety of specialty areas such as retail, ... behavioral health, recreation, education, financial services and Marine and...Uses knowledge of various types of contracts, methods of contracting and selection factors to plan strategies to procure… more
- Henry Ford Health System (Troy, MI)
- …responsible professional capacity, with at least one (1) year of payor contracting , provider relations or provider reimbursement experience. + Knowledge ... and rates on behalf of HFHS Hospitals, Medical Group, Behavioral Health Services and other business units. 1. Independently...revisions with Payors. 2. Assist in developing Value Based contracting guidelines and take lead role in negotiating Value… 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 (Manchester, NH)
- …to join Catholic Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Catholic Medical Center, offers a ... 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