- 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
- State of Indiana (Evansville, IN)
- Contracting Specialist Date Posted: Jul 22, 2025 Requisition ID: 463169 Location: Evansville, IN, US, 47701 Work for Indiana Begin a fulfilling career with the State ... this position is $63,787 - $65,000 annually. A Day in the Life: + Provide one-on-one counseling to guide business owners through the process of completing required… more
- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health… more
- PSEG Long Island (Hicksville, NY)
- …offered several health-related benefits including medical, vision, dental, well-being and behavioral health programs. We also offer a retirement program, 401(k) with ... PSEG offers a unique experience to our more than 12,000 employees - we provide the resources and opportunities for career development that come with being a Fortune… more
- CVS Health (Richmond, VA)
- …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
- CVS Health (Washington, DC)
- …**Required Qualifications** + 5 to 7 years of experience in vendor management/ contracting , provider partnership development, and procurement + 2 to 4 ... all with heart, each and every day. **Position Summary** The Sr Manager, Behavioral Health Partner Innovation Strategy will report to strategy & product within… 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
- Elevance Health (Concord, 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
- Highmark Health (Harrisburg, PA)
- …National Association Medical Staff Services + Experience with ECHO and/or professional provider credentialing + Delegated credentialing experience + Experience ... with Cactus and/or other professional provider credentialing software **_Disclaimer:_** _The job description has been designed to indicate the general nature and… more
- Elevance Health (Columbus, OH)
- ** Provider Contract Specialist Manager** Carelon Behavioral Health Location: Hybid 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
- Elevance Health (Houston, TX)
- …+ Requires a BA/BS degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing; or any combination of education ... A proud member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and… more
- Humana (Raleigh, NC)
- …+ Work closely with enterprise teams on claims processing, reporting, contracting /credentialing, network adequacy, provider dispute resolution issues, and ... THE IDEAL CANDIDATE MUST RESIDE IN NORTH CAROLINA. The North Carolina Medicaid Provider Services Director leads a team that is accountable for growing positive,… 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 (Lincoln, NE)
- …risk adjustment methodologies and population health analytics. + Experience supporting provider contracting and negotiations. **Additional Information** + 100% ... care trends, and ROI. + Partner with market leadership to support contracting strategies, including provider network design and value-based payment arrangements.… 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
- AdventHealth (Maitland, FL)
- …payer contracts. Duties as assigned include leading strategic managed care contracting initiatives as directed by AdventHealth leadership; managed care contract ... in strong working relationships with department staff, various hospital and provider staff, and leadership at all AdventHealth Florida markets, providers, and… 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
- 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
- Henry Ford Health System (Detroit, MI)
- …Knowledge of managed care organizations and integrated health systems. + Previous contracting , provider relations and/or provider reimbursement experience. + ... DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting , works directly with Payors to negotiate contractual provisions and rates… more