- The Cigna Group (Salem, OR)
- **This position can be located anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The ... position is responsible for dental provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Elevance Health (Sacramento, CA)
- ** Behavioral Health Community Partnership Manager** **( Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... insightful analytics to improve the delivery of care. The ** Provider Quality Manager** is responsible for leading Behavioral...face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting /… more
- CVS Health (Harrisburg, PA)
- …behavioral health program development. + Familiarity with value-based care models and provider contracting . **Education & Licensure** + Master's degree in ... The Behavioral Health Coordinator is a licensed mental health professional responsible for supporting behavioral health program development for CHIP… more
- BrightSpring Health Services (San Antonio, TX)
- …Disabilities (IDD) Division. Theideal candidatewill have B2B sales and Behavioral Health and Individuals with Developmental Disabilities (IDD) Care experience, ... communicating (verbally and in writing) with IDD agencies and behavioral health organizations to assess market needs + Works...needs + Works with RVP of Sales in finalizing contracting , coordinating startup of new account and transitioning account… more
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. * Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- PeaceHealth (Bellingham, WA)
- …to SBC encounter. + ITA- monitor for change of status and notify payer. + Provide admission support to Behavioral Health unit/ED/SECU as needed. Assist MSW with ... **Description** PeaceHealth is seeking a RN Admissions/Utilization Behavioral Health - Care Management for a Full Time, 1.00 FTE, Day position. The salary range for… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health, ... Provider Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions… more
- Elevance Health (FL)
- …+ Requires a **BA/BS degree** and **a minimum of 3 years of experience in contracting , provider relations, provider servicing** ; or any combination of ... member of the Elevance Health family of companies, **Carelon Behavioral Health** , offers superior clinical mental health and...and insightful analytics to improve the delivery of care. ** Provider Network Manager - New York** This is an… more
- Highmark Health (Oklahoma City, OK)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... to drive adoption and ROI realization. Critical partners include Advanced Analytics, Contracting , Market and Provider support teams, Actuary, Finance, Highmark… more