- Unknown (Fort Worth, TX)
- …Clinics Specialties level i trauma center neonatal intensive care unit behavioral health services cardiology oncology women's and children's services orthopedics and ... seeking a Vice President for Revenue Cycle and Managed Care to provide strategic, financial, and operational leadership across its enterprise. The successful… more
- The Cigna Group (Salem, OR)
- **This position can be located anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The ... position is responsible for dental provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Elevance Health (Sacramento, CA)
- ** Behavioral Health Community Partnership Manager** **( Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... 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
- CVS Health (Harrisburg, PA)
- …behavioral health program development. + Familiarity with value-based care models and provider contracting . **Education & Licensure** + Master's degree in ... The Behavioral Health Coordinator is a licensed mental health professional responsible for supporting behavioral health program development for CHIP… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. * Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- BrightSpring Health Services (San Antonio, TX)
- …Disabilities (IDD) Division. Theideal candidatewill have B2B sales and Behavioral Health and Individuals with Developmental Disabilities (IDD) Care experience, ... communicating (verbally and in writing) with IDD agencies and behavioral health organizations to assess market needs + Works...needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
- PeaceHealth (Bellingham, WA)
- …to SBC encounter. + ITA- monitor for change of status and notify payer. + Provide admission support to Behavioral Health unit/ED/SECU as needed. Assist MSW with ... **Description** PeaceHealth is seeking a RN Admissions/Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary range for… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health, ... Provider Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions… more
- BayCare Health System (FL)
- …enrollment activities for BMG providers. + Responsible for tracking a BMG provider 's onboarding from recruitment, contracting , credentialing, provider ... issues by coordinating with the plans/payors, the CBO and the Managed Care contracting department. + This includes ensuring the provider 's information is added… more
- Elevance Health (FL)
- …+ Requires a **BA/BS degree** and **a minimum of 3 years of experience in contracting , provider relations, provider servicing** ; or any combination of ... member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and...and insightful analytics to improve the delivery of care. ** Provider Network Manager - New York** This is an… 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 ... Long-Term Services and Supports (LTSS) provider organizations that serve One Care and Senior Care...metrics. + Collaborate with Business Intelligence, Finance, Quality, and Contracting to develop and disseminate performance reports and dashboards.… more
- Highmark Health (Oklahoma City, OK)
- …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
- Blue KC (MO)
- …+ Partner with contracting , product, and network operations to align provider performance, incentives, and reporting structures with behavioral and health ... **Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some… more
- World Wide Technology (St. Louis, MO)
- **Sr. Sourcing Professional ** **Why WWT?** At World Wide Technology, we work together to make a new world happen. Our important work benefits our clients and ... Founded in 1990, WWT is a global technology solutions provider leading the AI and Digital Revolution. WWT combines...successful candidate for this role would exhibit the following behavioral skills:** + Achievement oriented with a strong drive… 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
- BrightSpring Health Services (Nashville, TN)
- …lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and ... resolving billing-related issues. This position will work in collaboration with Contracting , Field Branch Operations, Credentialing, and central functions at Support… 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
- BrightSpring Health Services (Louisville, KY)
- …revenue plan. This position will focus on business that supports Behavioral Health and Individuals with Development Disabilities (IDD). The ideal candidatewill ... sales. Experience selling healthcare services to IDD agencies and behavioral health facilities is preferred Must residewithin the territory: Western… more
- CareFirst (Baltimore, MD)
- …process. Coordinates non-par provider /facility case rate negotiations between Provider Contracting , providers and facilities. Follows member contracts to ... to the medical directors. Collaborates with medical directors, sales and marketing, contracting , provider and member services to determine appropriate benefit… more
