- Glenwood Inc (Birmingham, AL)
- …services for children and families with mental health needs and is the premier provider of Autism services for the state. We have an exciting opportunity to join ... our team as a Speech Language Pathologist (SLP) to provide services from 8 am to 5 pm in...am to 5 pm in our Birmingham office. The Behavioral Therapy Center is a supportive, close-knit, collaborative team… more
- Humana (Charleston, WV)
- …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
- Highmark Health (Albany, NY)
- …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
- CareOregon (Portland, OR)
- …the network. + Obtain and review provider application data; submit to provider contracting staff. Administration + Provide input and contribute to ... general department administration. Work may be focused on physical health, behavioral health, and/or community-based provider support. Essential Responsibilities… more
- CareOregon (Portland, OR)
- …the network. + Obtain and review provider application data; submit to provider contracting staff. + Collaborate with Contracting team in facilitation ... Columbia Pacific office. This role will work with the Behavioral Health Provider Relations Team and other...provider site visits to maintain ongoing effective and professional relationships. + Track, research, and resolve provider… more
- University of Pennsylvania (Philadelphia, PA)
- …News & World Report survey. Penn has 12 highly-regarded schools that provide opportunities for undergraduate, graduate and continuing education, all influenced by ... and their families, generous retirement benefits, a wide variety of professional development opportunities, supportive work and family benefits, a wealth of… more
- Providence (Portland, OR)
- … professional relationships with providers and other stakeholders. Supports contracting , provider -relations, marketing, and other organizational services as ... behavioral -health team of psychiatrists, nurses, social workers, licensed professional counselors, marriage and family therapists, chemical dependency counselors,… more
- CVS Health (Sacramento, CA)
- …CA., OR and WA Preferred Qualifications + Versed with the California/Washington region Behavioral Health provider market highly preferred + 3-5 years related ... dispute resolution and settlement negotiations of contracts with single and group Behavioral Health providers within a defined market. You will manage contract… more
- Henry Ford Health System (Detroit, MI)
- …and state-wide provider of choice for addiction care and ambulatory behavioral health services. The Admin Dir-BHS will work collaboratively with regional HFHS, ... for BHS Ambulatory and Addiction Medicine. The Administrative Director of Behavioral Health Services (Admin Dir-BHS) also provides administrative oversight and… more
- CenterWell (Las Vegas, NV)
- …+ A minimum of three experience in Healthcare or managed care with Provider Contracting , Network Management or Provider Relations experience + ... caring community and help us put health first** The Provider Engagement Professional develops and grows positive,...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50… more
- Conviva (Boca Raton, FL)
- …position. + 1 - 5 years of Health care or managed care with Provider Contracting , Network Management, Provider Relations or Practice Management experience ... caring community and help us put health first** The 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
- Hartford HealthCare (Willimantic, CT)
- …stay. 4. Orient clients to the rules and regulations for clients at Rushford. Provide basic counseling to help decrease the client anxiety and assure continuity of ... audits as needed. 8. Serves as a liaison between Rushford and outside contracting services, providing prompt service for all requests. 9. Perform other related… more
- Highmark Health (Harrisburg, PA)
- …National Association Medical Staff Services + Experience with ECHO and/or professional provider credentialing + Delegated credentialing experience + Experience ... with Cactus and/or other professional provider credentialing software + Experience with PECOS, CAQH and NPPES is preferred.Role requires the ability to… more
- Commonwealth Care Alliance (Boston, MA)
- …develop and implement improvement projects as needed. + Presents findings to contracting , provider engagement, clinicial leadership to identify actionable next ... Sr Director, **Quality Performance and Value Based Care,** the Provider and Facility Quality & Safety Manager is responsible...Facility Quality and Safety to improve the care we provide , thereby driving better care at lower cost, and… more
- Humana (Columbus, OH)
- …within the ACO + Develops a health equity strategy to update existing value-based contracting principles + Designs a social determinant of health (SDOH) flag in the ... EMR + Assesses behavioral health integration readiness of ACO physician practices +...and microwave connection can be used only if they provide an optimal connection for associates. The use of… more
- HonorHealth (Scottsdale, AZ)
- …Nurse Practitioner (NP) works collaboratively with members of the healthcare team to provide care appropriate to the age of the patients served on his/her assigned ... Nurse (APN), the NP will demonstrate leadership as a mentor, educator, researcher and provider . The NP adheres to and functions within the scope of practice defined… more
- CVS Health (Lees Summit, MO)
- …Matter Expert support for questions related to recruitment initiatives, contracting , provider issues/resolutions, related systems and information contained. ... groups, hospital based providers, ancillary providers, ambulatory surgical centers, behavioral health providers, etc. in accordance with company standards in… more
- CenterWell (Tallahassee, FL)
- …meeting and exceeding goals, and requires an understanding of value-based agreements and provider contracting . The Network Development MSO Sales Lead will be the ... negotiations, providing key insights that advance agreements with new provider partners + Provide national and local...fields + A minimum of seven years experience in provider engagement and/or provider contracting … more
- Henry Ford Health System (Troy, MI)
- …Knowledge of managed care organizations and integrated health systems. + Previous contracting , provider relations and/or provider reimbursement experience. + ... DUTIES AND RESPONSIBILITIES: 1. Under supervision of Director or Managed Care Contracting , works directly with Payors to negotiate contractual provisions and rates… more
- Centers for Disease Control and Prevention (IN)
- …Department of Health and Human Services (DHHS), other governmental agencies, professional organizations (both profit and non-profit), and those called for by ... announcement. This position has a Federal Acquisition Certification (FAC-C ( Professional )) and continuing education requirement. In accordance with Executive Order… more
