- Humana (Richmond, VA)
- …and help us put health first** The Provider Contracting Professional initiates, negotiates, and executes behavioral health provider contracts for ... Virginia Medicaid. The Provider Contracting Professional communicates contract terms, payment structures, and reimbursement rates to Behavioral Health… more
- Humana (Richmond, VA)
- …of our caring community and help us put health first** The Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital, ... Health contracts and agreements within the Virginia Medicaid space. The Senior Provider Contracting Professional work assignments involve moderately complex… more
- Novant Health (Charlotte, NC)
- …Business Administration or Health Administration, preferred. + Experience: + Five years Payor/ Provider Contracting , Provider / Payor Relations, Provider ... Responsibilities + Commercial Managed Care Payor Contract Negotiations + Specialty Contracting (transplant networks, commercial plan behavioral health) +… more
- Elevance Health (Shasta, CA)
- ** Behavioral Health Provider Quality Manager** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in ... 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
- Houston Methodist (Houston, TX)
- At Houston Methodist, the Director Managed Care Contracting position is responsible for the development, negotiation, maintenance and payer relations of the Houston ... contracts, Medicare Advantage, Medicaid Health Maintenance Organizations (HMOs), International, behavioral health, worker's compensation, student insurance, bundled payment contracts,… more
- Molina Healthcare (Las Vegas, NV)
- …BHT treatment plans to evaluate effectiveness and treatment efficacy. * Collaborates with provider contracting and providers services to support recruitment and ... procedures. * Works collaboratively with the utilization and care management departments to provide ABA and behavioral health therapy (BHT) services to Molina… more
- Banner Health (Phoenix, AZ)
- …team. As the Director of BUMG-P, Primary Care (FM & IM) and Behavioral Health you will have overall responsibility for the department's financial and operational ... training activities. In addition you will partner with the Chair/Chief Provider having oversight of faculty affairs including compensation, contracts and academic… 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
- The Cigna Group (Austin, TX)
- …Advisor. In this role, you will conducts hospital and professional provider contract underwriting/analysis, partnering with Contracting to deliver unit cost ... fashion and offer meaningful options during negotiations with a provider + Provide ad hoc analysis and...dives into data as appropriate to support negotiation and provide value to our contracting partners +… more
- Elevance Health (Asheboro, NC)
- …limited to working with providers and internal teams to ensure timely provider contracting , education on specialty topics, developing value-based payment ... shared priorities and strategic visions. Primary duties include: + Assist with provider contracting efforts. + Assist with implementing incentives and… more
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