- Elevance Health (Cincinnati, OH)
- …or jeopardize network retention. + Serves as a knowledge expert regarding LTSS provider contracting and has a broad understanding of LTSS credentialing ... based concepts and fee schedules is strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge plus, and strongly preferred.… more
- Covenant Health Inc. (Knoxville, TN)
- …facility payer enrollment, group and individual physician payer enrollment, behavioral health provider payer enrollment, hospital-billed physician payer ... Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement.… more
- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health… more
- CVS Health (Boise, ID)
- …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
- CommonSpirit Health (Phoenix, AZ)
- …VP, Behavioral Health and Collaborative Service Line leader will provide physician leadership for their respective Service Line. As the CommonSpirit Health ... for growth, caregiver engagement, and patient experience. In addition to leading the Behavioral Health National Service Line, this role will also serve as the… 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 (Indianapolis, IN)
- ** Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid 1:_** _This role requires associates to be in-office_ **_1_** _days per week, ... member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;… 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 (Miami, FL)
- …+ 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...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
- Elevance Health (Mason, OH)
- …gaps and ad-hoc training needs. + Works collaboratively with Network Support, Contracting , and external stakeholders to ensure LTSS provider qualification ... education and internal health plan support to mitigate issues related to provider operations, contracting and provider claims submissions. + Mentors,… 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
- Elevance Health (Los Angeles, CA)
- …+ Requires a BA/BS degree and a minimum of 2 years healthcare experience in Provider Relations, Contracting , or other area of Health Care Management; or any ... autonomy of virtual work, promoting a dynamic and adaptable workplace. Carelon Behavioral Health, Inc. is enthusiastically supporting the CYBHI Fee Schedule program… more
- Beth Israel Lahey Health (Charlestown, MA)
- …3. Ability to manage multiple priorities 4. In depth knowledge of Hospital and Professional provider payment methodologies 5. In depth knowledge of risk and ... and Accounting Departments, as well as externally with the Contracting & Provider Relations staff of the...contract negotiations including but not limited to Hospital rates, Professional rates, risk terms and language. 2) Monitors financial… 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
- Takeda Pharmaceuticals (Cambridge, MA)
- …employment application process with Takeda will commence and that the information I provide in my application will be processed in line with Takeda's Privacy Notice ... Business Units and R&D Legal Contracts in management of contracting in support of the Specialty Business Units and...train, manage, and supervise attorneys and legal professionals to provide legal support of contracts for the specialty business… more
- University of Oregon (Eugene, OR)
- …Classified Staff Location: Eugene, OR Categories: Administrative/ Professional , Administrative/Office Support, Business Administration/Management, Human Resources ... online application: 1. A current resume/CV 2. Names of at least three professional references, including their e-mail addresses, and phone numbers. The CBSO is… more