- Humana (Nashville, TN)
- …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
- CVS Health (Nashville, TN)
- …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
- 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...System (CMS) to research, facilitate and execute the ITG contracting process; maintains the accuracy and integrity of the… 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
- 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 ... with client board members + Engage senior executive management in strategic contracting discussions + Support sales and account management activities + Drive group… more
- CVS Health (Nashville, TN)
- …Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT) or Licensed Professional Counselor with Mental Health Service Provider (LPC-MHSP) Join the ... to build and grow the MinuteClinic practice without the burden payor contracting , credentialing, and billing. - Opportunities to provide psychosocial support… more
- HCA Healthcare (Brentwood, 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 ... Education, the Division Vice President (DVP) of GME will provide the strategy, oversight, and hands-on management for the...and manage the execution of the faculty hiring and contracting process for all programs in the Division +… more
- Highmark Health (Nashville, TN)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- CenterWell (Nashville, TN)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- HCA Healthcare (Nashville, TN)
- …third-party consultants/brokers is key. + Strong working knowledge of PBM contracting , operations, and programmatic design elements + Professional designation ... 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 (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 ... seeking a Meeting Event Coordinator for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry… 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 ... technical skills as well as business related areas and provide guidance on complex automation efforts + Take ownership...one or more automation domains + Knowledge of how contracting is handled + Ability to work, make aligned… 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 ... under pressure in difficult situations while displaying a high level of professional courtesy. * Apply strong project management skills for planning and execution… more