- Humana (Raleigh, NC)
- …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 (Raleigh, NC)
- …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 (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
- Highmark Health (Raleigh, NC)
- …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
- Highmark Health (Raleigh, NC)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- Abound Health Group, LLC (Charlotte, NC)
- …+ Tele-consultation through use of two-way, real-time interactive audio and video to provide behavioral and psychological care when distance separates the care ... Abound Health is actively seeking Licensed Occupational Therapist to provide Specialized Consultative Services for our clients. This is a contract position where you… more