- 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
- Elevance Health (Latham, NY)
- … contracting for the business unit and leveraging in-depth knowledge of network contracting and provider issues to provide advice and recommendations to ... make an impact:** + Advises business partners on complex contracting best practices; drafts, edits, and revises provider...edits, and revises provider agreements; and leads provider dispute resolution efforts. + Uses professional … more
- Northern Light Health (Brewer, ME)
- Northern Light Health Department: Managed Care Contracting Position is located: Cianchette Professional Blding Work Type: Full Time Hours Per Week: 40.00 Work ... position supports the policy, and practices of the Managed Care Contracting Department, collaborates with operational departments of other Northern Light Health,… 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
- Henry Ford Health System (Detroit, MI)
- …and state-wide provider of choice for addiction care and ambulatory behavioral health services. The Admin Dir-BHS will work collaboratively with regional HFHS, ... for BHS Ambulatory and Addiction Medicine. The Administrative Director of Behavioral Health Services (Admin Dir-BHS) also provides administrative oversight and… 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
- Highmark Health (Harrisburg, PA)
- …+ Assume a leading role in the education and implementation of the provider network and contracting strategies for all assigned providers. + Lead ... needs, and issue resolution. + Lead and manage activities to implement the provider network and contracting strategies for the large/complex provider … 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
- State of Georgia (Fulton County, GA)
- …New (https://careers.georgia.gov/landingpages/legal-opportunities-at-team-georgia-4) Legal Behavioral Health and Developmental ... Job Share this Job Sign Up for Job Alerts The Georgia Department of Behavioral Health and Developmental Disabilities (DBHDD) is the state agency that focuses solely… 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