- Humana (Columbia, SC)
- …and agreements for Humana's Behavioral Health business. The Senior Provider Contracting Professional work assignments involve moderately complex ... an in-depth evaluation of variable factors. The Senior Provider Contracting Professional for Behavioral Health/Medicaid communicates contract terms,… more
- Humana (Columbus, OH)
- …and agreements for Humana's Behavioral Health organization. The Senior Provider Contracting Professional work assignments involve moderately complex ... of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital,… more
- CVS Health (Tallahassee, FL)
- …at collaboration and teamwork Preferred Qualifications + Versed with the Florida region Behavioral Health provider market highly preferred + 3-5 years related ... dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage contract… more
- Ventura County (Ventura, CA)
- Behavioral Health Accounting Manager I/II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4465451) Apply Behavioral Health Accounting ... Regular Job Number 0946HCA-24AB (MD) Department Health Care Agency Division Behavioral /Mental Health Opening Date 05/01/2024 Closing Date 5/14/2024 5:00 PM Pacific… more
- State of Colorado (Denver, CO)
- Program Manager - Behavioral Health Pathways Print (https://www.governmentjobs.com/careers/colorado/jobs/newprint/4476968) Program Manager - Behavioral Health ... The Colorado Community College System (CCCS) is hiring a Behavioral Health Pathways Program Manager to join our Workforce...position is for you! In this role, you will provide project leadership within the Academic Affairs and Workforce… more
- Conviva (Tallahassee, FL)
- …Bachelor's Degree + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... caring community and help us put health first** The Provider Engagement Professional develops and grows positive,...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- Hartford HealthCare (Willimantic, CT)
- …stay. 4. Orient clients to the rules and regulations for clients at Rushford. Provide basic counseling to help decrease the client anxiety and assure continuity of ... audits as needed. 8. Serves as a liaison between Rushford and outside contracting services, providing prompt service for all requests. 9. Perform other related… more
- Commonwealth Care Alliance (Farmington Hills, MI)
- …- Master's Degree preferred - 3-5 years of experience - Specific background in provider contracting in a health care or managed care setting required. - ... **Why This Role is Important to Us:** The Provider Contract Manager is responsible for developing, negotiating and managing contractual, legal and financial… more
- HonorHealth (Scottsdale, 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
- Humana (Miami, FL)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The Network Development MSO Sales Lead will be the ... negotiations, providing key insights that advance agreements with new provider partners + Provide national and local...fields + A minimum of seven years experience in provider engagement and/or provider contracting … more
- Cedars-Sinai (Los Angeles, CA)
- …patient situations. Responds to telephone calls from medical providers and behavioral health specialists. Participates as a provider for e-consultation. ... professionals (generally LCSWs) within our transformed primary care practices who provide evidence-based therapy to patients receiving mental health care under their… more
- HCA Healthcare (Fort Lauderdale, FL)
- …the oversight of the East Florida Division (EFD) and facilities' physician contracting process for professional and administrative service agreements. In ... 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
- Healthfirst (New York, NY)
- …resolution, provider education and contract negotiations. Works with multiple provider types, eg physician, ancillary, medical groups, behavioral health or ... Services, the Ancillary Services Contractor develops and maintains an Ancillary provider network that ensures Healthfirst members have superior access to the… more
- State of Minnesota (St. Paul, MN)
- …of contracting processes across multiple program lines, including pre-award, award, and contracting phases of the Behavioral Health, Housing, and Deaf & Hard ... + **Bargaining Unit/Union** : 214 - MN Assoc of Professional Empl/MAPE + **FLSA Status** : Nonexempt + Designated...Yes The Department of Human Services is unable to provide sponsorship for work visas. Applicants must be eligible… more
- Henry Ford Health System (Troy, 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
- Centers for Disease Control and Prevention (IN)
- …Department of Health and Human Services (DHHS), other governmental agencies, professional organizations (both profit and non-profit), and those called for by ... announcement. This position has a Federal Acquisition Certification (FAC-C ( Professional )) and continuing education requirement. In accordance with Executive Order… more
- HCA Healthcare (Nashville, TN)
- …staff on quality, payor, and government program requirements + Develops professional working relationship with HCA/PSG primary care providers, practice managers, and ... initiatives + Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the organization's… more
- HCA Healthcare (Brentwood, TN)
- …related to PCA Pricing Initiatives as well as advise on strategy. + Provide Behavioral health service line specific reporting and analytical support for ... HCA Healthcare which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HCA Healthcare,...PCA Behavioral health team. + Provide analytical, financial,… more
- HCA Healthcare (Overland Park, KS)
- …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 ... a(an) RN Care Manager- WFH for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for… more
- Lincoln County (Newport, OR)
- …to standards and requirements of the agency, Oregon Administrative Rules, and contracting agencies. + Provide clients with aftercare planning and follow-up ... (552-1 & 577-1) Department Health and Human Services Division BEHAVIORAL HEALTH Opening Date 11/02/2023 Closing Date Continuous +...job in the department is to . . . Provide case management level services to clients involved in… more