• HITT Contracting (Falls Church, VA)
    …experiences, you belong at HITT. Senior Manager, HR Business PartnerJob Description: HITT Contracting is seeking a senior leader of our HR Business Partner team ... responsible for providing professional guidance and supporting our team members and business...to the Senior Manager of Team Member Experience. HITT Contracting is headquartered in the Washington, DC area (Falls… more
    JobGet (04/14/24)
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  • Contract Negotiation Manager- Behavioral

    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
    CVS Health (04/17/24)
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  • Program Manager - Behavioral Health…

    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
    State of Colorado (04/23/24)
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  • Provider Network Manager

    Elevance Health (Alameda, CA)
    …+ Requires a BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... you for payment as part of consideration for employment. ** Provider Network Manager** + Job Family: PND > Network... Network Manager** + Job Family: PND > Network Contracting + Type: Full time + Date Posted:Feb 07,… more
    Elevance Health (02/09/24)
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  • RVP & Account Partnerships Leader - Carelon…

    Elevance Health (Columbus, OH)
    …as part of consideration for employment. **RVP & Account Partnerships Leader - Carelon Behavioral Health, West Region** + Job Family: SLS > Sales - General + Type: ... **Description** Step up to an electrifying opportunity at Carelon Behavioral Health! We are currently seeking a dynamic Account...our growth but will also redefine the care we provide to our clients. There's never been a better… more
    Elevance Health (04/05/24)
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  • Provider Engagement Professional

    Conviva (Tampa, 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
    Conviva (04/19/24)
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  • Provider Engagement Professional

    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
    Conviva (04/02/24)
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  • Provider Network Manager Sr

    Elevance Health (Nashville, TN)
    …+ Requires a BA/BS degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing; experience should include prior ... in fee schedule development using actuarial models strongly preferred. + Previous Behavioral Health Contracting experience Please be advised that Elevance Health… more
    Elevance Health (04/11/24)
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  • Provider Contract Manager

    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
    Commonwealth Care Alliance (02/17/24)
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  • Medical Navigator (CNA, EMT) - Behavioral

    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
    Hartford HealthCare (04/16/24)
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  • Advanced Practice Provider - ENT

    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
    HonorHealth (04/17/24)
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  • Network Development MSO Sales Lead

    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
    Humana (04/24/24)
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  • Population Health Administration Medical Director…

    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
    Cedars-Sinai (04/11/24)
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  • Division Physician Contract Admin

    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
    HCA Healthcare (04/20/24)
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  • Insurance Contract Administrator - Full Time-…

    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
    Henry Ford Health System (02/27/24)
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  • Supervisory Contract Specialist (Direct Hire)

    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
    Centers for Disease Control and Prevention (04/16/24)
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  • Care Manager WFH

    HCA Healthcare (Portsmouth, NH)
    …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 (04/19/24)
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  • Care Manager WFH

    HCA Healthcare (Richmond, VA)
    …staff on quality, payor, and government program requirements** + **Develops professional working relationship with HCA/PSG primary care providers, practice managers, ... initiatives** + **Collaborates with interdisciplinary teams and leaders (PSG, Payer Contracting & Alignment, Quality and Payor Initiatives) to achieve the… more
    HCA Healthcare (04/06/24)
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  • Payer and Financial Analytics Manager

    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 (04/24/24)
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  • RN Care Manager- WFH

    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
    HCA Healthcare (04/06/24)
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