• Provider Contracting

    Humana (Springfield, IL)
    …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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  • Provider Network Manager - LTSS…

    Elevance Health (Cincinnati, OH)
    …or jeopardize network retention. + Serves as a knowledge expert regarding LTSS provider contracting and has a broad understanding of LTSS credentialing ... based concepts and fee schedules is strongly preferred. + Experience with LTSS provider contracting and credentialing is a huge plus, and strongly preferred.… more
    Elevance Health (06/03/25)
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  • Dir MC Contracting

    Covenant Health Inc. (Knoxville, TN)
    …facility payer enrollment, group and individual physician payer enrollment, behavioral health provider payer enrollment, hospital-billed physician payer ... Individual must have a solid fundamental understanding of managed care contracting , enrollment and provider (hospital, physician, ancillary, etc.) reimbursement.… more
    Covenant Health Inc. (04/12/25)
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  • Behavioral Health Provider Quality…

    Elevance Health (Walnut Creek, CA)
    **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health… more
    Elevance Health (05/20/25)
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  • Senior Manager, Network Management, National…

    CVS Health (Boise, ID)
    …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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  • Sys VP Behavioral Health and Collaborative…

    CommonSpirit Health (Phoenix, AZ)
    …VP, Behavioral Health and Collaborative Service Line leader will provide physician leadership for their respective Service Line. As the CommonSpirit Health ... for growth, caregiver engagement, and patient experience. In addition to leading the Behavioral Health National Service Line, this role will also serve as the… more
    CommonSpirit Health (06/01/25)
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  • Behavioral Science Expert

    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
    ManTech (06/04/25)
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  • Provider Network Manager Senior

    Elevance Health (Roanoke, VA)
    ** Provider Network Manager Senior** Carelon Behavioral Health _Location: Hybrid 1: This role requires associates to be in-office 1 - 2 days per week, fostering ... member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical...degree and a minimum of 5 years' experience in contracting , provider relations, provider servicing;… more
    Elevance Health (05/30/25)
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  • Provider Network Manager

    Elevance Health (Indianapolis, IN)
    ** Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid 1:_** _This role requires associates to be in-office_ **_1_** _days per week, ... member of the Elevance Health family of companies, Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical...degree and a minimum of 3 years' experience in contracting , provider relations, provider servicing;… more
    Elevance Health (05/30/25)
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  • Provider Contract Specialist Manager

    Elevance Health (Mason, OH)
    ** Provider Contract Specialist Manager** Carelon Behavioral Health _Location: Hybid 1: This role requires associates to be in-office 1 - 2 days per week, ... and facility contracts across value based and fee for service agreements for provider solutions. + Works directly with contracting directors and managers to… more
    Elevance Health (05/30/25)
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