- The Cigna Group (Salem, OR)
- **This position can be located anywhere in the USA** **Summary** This role delivers professional activities in the Provider Contracting job family. The ... position is responsible for dental provider recruitment and contracting as well as...provider inquiries, concerns, complaints, appeals and grievances + Provide ongoing product education to dentists and their staff… more
- CVS Health (Frankfort, KY)
- …of 3 years work experience in a provider contracting or provider relations role, Medicaid and/or behavioral health experience preferred. + Proven working ... and executes complex Medicaid contracts with health systems, physician groups, and behavioral health providers in accordance with company standards to maintain and… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... schedules and payment methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as… more
- WellSpan Health (York, PA)
- …new hospital additions as applicable, in accordance with System Care Contracting Team. Includes all traditional medical components (hospital, WMG, Apple Hill, ... home infusion, VNA, DME) and Value-Based Purchasing. + Collaborates with contracting leadership to identify and understand challenging operational issues with payor… more
- Elevance Health (Woburn, MA)
- **Legal Counsel, Carelon Contracting ** **Location** : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... groups, and other clients of the Carelon Services businesses, including behavioral health, medical benefits utilization management, specialty care solutions, and… more
- Elevance Health (Shasta, CA)
- ** Behavioral Health Community Partnership Manager** **( Behavioral Health Provider Quality Manager)** **Sign on Bonus: $2,500** **Candidates must posses a ... 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
- Commonwealth Care Alliance (Boston, MA)
- …position partners closely with provider engagement, delegation partnerships, provider services, contracting , quality, compliance, medical management, and ... with organizational priorities. * Foster a culture of continuous improvement, professional development, and high performance within the provider relations… more
- CenterWell (Phoenix, AZ)
- …Bachelor's Degree + 5 or more years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience. + Some ... community and help us put health first** The Senior Provider Engagement Professional develops and grows positive,...Please be aware that applicants may be asked to provide their Social Security Number, if it is not… more
- CenterWell (Olympia, WA)
- …equivalent experience + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management or Provider Relations experience + Proven ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
- CenterWell (Tallahassee, FL)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + ... part of our caring community and help us put health first** The Provider Engagement Professional develops and grows positive, long-term relationships with… more
- KBR (Houston, TX)
- Title: Remote Deputy Program Manager ( Behavioral Healthcare Operations) BELONG. CONNECT. GROW. with KBR. Around here, we define the future. We are a company of ... We are seeking a highly skilled Deputy Program Manager (DPM) to provide leadership, oversight, and operational management for multiple contracts. THIS POSITION IS… more
- Elevance Health (Granite Falls, 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 value-based… more
- Commonwealth Care Alliance (Boston, MA)
- …and strengthening relationships with the Commonwealth Care Alliance's (CCA) diverse provider community - including physician, hospital, behavioral health, ... Provider Network Management staff to ensure an adequate and appropriate provider network When necessary, participate in contracting strategy discussions… more
- CenterWell (Richmond, VA)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The MSO Channel Development Lead will be the ... negotiations, providing key insights that advance agreements with new provider partners + Provide national and local...years of experience in provider network development, provider engagement and/or provider contracting … more
- Highmark Health (Oklahoma City, OK)
- …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
- Blue KC (MO)
- …+ Partner with contracting , product, and network operations to align provider performance, incentives, and reporting structures with behavioral and health ... **Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience. Some… more
- State of Connecticut, Department of Administrative Services (Hartford, CT)
- …relate to provider right-sizing, hospital transformation, value-based payment, provider infrastructure support, and behavioral health. Position Highlights: + ... Transformation and with the anticipated support of additional RHTP grant-funded staff provide the following related to RHTP projects assigned to DSS, unless… more
- HCA Healthcare (Nashville, TN)
- …for you to join HealthTrust which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** HealthTrust offers a total rewards ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- BrightSpring Health Services (Nashville, TN)
- …lines, including pharmacy, home health care and primary care, and rehabilitation and behavioral health, we provide comprehensive and more integrated care and ... resolving billing-related issues. This position will work in collaboration with Contracting , Field Branch Operations, Credentialing, and central functions at Support… more
- HCA Healthcare (Manchester, NH)
- …to join Catholic Medical Center which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Catholic Medical Center, offers a ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more