- 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 (Norfolk, VA)
- …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
- 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
- Highmark Health (Richmond, VA)
- …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
- US Marine Corps (Quantico, VA)
- …(MCCS) activities. Requirements typically involve state of the art information technology and professional services in a variety of specialty areas such as retail, ... behavioral health, recreation, education, financial services and Marine and...Uses knowledge of various types of contracts, methods of contracting and selection factors to plan strategies to procure… more
- Highmark Health (Richmond, VA)
- … 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
- CenterWell (Norfolk, VA)
- …performance + Identify physician recruitment needs and collaborate in the hiring and contracting of providers. + Plan, organize, manage, and supervise the roles of ... and decisions as required for plan administration. + Monitor medical performance and provide guidance to ensure that the quality of care being provided meets… more
- Zeiders Enterprises, Inc (Woodbridge, VA)
- …market and competitive research; develop customer and competitor profiles; and provide data-driven recommendations for bid/no-bid decisions. + Identify, develop, and ... including subordinate managers, support consultants, and BD staff). + Provide leadership to cross-functional capture teams, exercising influence without direct… more