- Humana (Richmond, VA)
- …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
- CVS Health (Richmond, VA)
- …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
- 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
- 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
- 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 (Richmond, VA)
- …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