- Williams Adley (Washington, DC)
- …support our mission of attracting top-tier talent in a dynamic government contracting environment. Reporting to the Human Resources Senior Manager, the Recruiting ... services. The Recruiting Specialist will leverage various sourcing channels, including professional networks, job boards, social media, and career fairs, to build… more
- Humana (Concord, NH)
- …and help us put health first** The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts. The ... Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to providers in Medicaid Behavioral Health new… more
- 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 (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
- 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
- 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
- WellSpan Health (York, PA)
- …payor data, understanding the intent of the contract and payor contracting operational aspects of the contractual and voluntary value-based/pay for performance ... programs for WellSpan, including but is not limited to, medical programs, behavioral health programs and ancillary programs. + Provides and improves upon financial… 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
- 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
- The Cigna Group (Austin, TX)
- …Advisor. In this role, you will conducts hospital and professional provider contract underwriting/analysis, partnering with Contracting to deliver unit cost ... fashion and offer meaningful options during negotiations with a provider + Provide ad hoc analysis and...dives into data as appropriate to support negotiation and provide value to our contracting partners +… 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
- The Cigna Group (Bloomfield, CT)
- This position serves as an integral member of the Nonpar Provider Contracting Team and reports to the AVP, National Contracting & Nonpar Network Management. ... negotiation assignment. Co-manages claims review and adjustments as directed by Provider Relations Sr. Auditor & Analysis Manager. Proven communication skills.… 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
- 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 ... like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our...This position requires broad subject matter expertise of IT contracting and negotiation in a healthcare environment with an… 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
- Defense Threat Reduction Agency (Fort Belvoir, VA)
- …provides acquisition policy guidance; and exercises all authorities as the lead contracting authority. . Responsibilities As a CONTRACT SPECIALIST at the GS-1102-14 ... some of your typical work assignments may include: Serves as Contracting Officer with unlimited signatory authority for a significant system or program. The programs… 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
