- 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
- Elevance Health (Indianapolis, IN)
- …leadership in shaping and optimizing the provider experience, engagement and contracting for Behavioral Health business for east region. Responsible to align ... functions within the specified region. + Develops provider networks that provide a competitive advantage. + Align contracting strategy with internal/external… 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 (Sacramento, 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 (Reno, 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
- 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
- CVS Health (OH)
- …specialization in addressing critical needs. The OhioRISE Program is designed to provide comprehensive and highly coordinated behavioral health services for ... trends and enlist assistance in problem resolution. + May be responsible for provider recruitment, contracting , or re- contracting activities, or may assist… 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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