• Provider Contracting…

    Humana (Raleigh, NC)
    …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
    Humana (06/04/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Raleigh, NC)
    …to achieve contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned providers and internal ... strategic, traditional contracts and value-based relationships. Role is for national behavioral health contracting and strategic partnerships** Key deliverables… more
    CVS Health (05/16/25)
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  • Licensed Clinical Therapist

    CVS Health (Monroe, NC)
    …Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT) or Licensed Professional Counselor with Mental Health Service Provider (LPC-MHSP) Join the ... to build and grow the MinuteClinic practice without the burden payor contracting , credentialing, and billing. - Opportunities to provide psychosocial support… more
    CVS Health (05/30/25)
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  • Investigator

    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
    Highmark Health (05/08/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Raleigh, NC)
    …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
    CenterWell (05/28/25)
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