Behavioral Health Contracts Manager (Medicaid)

Preferra Insurance; Baton Rouge (LA); Hybrid; USD 54,000 - 119,000; Full time

Job summary

CVS Health in Louisiana is seeking a Manager, Behavioral Health Contract Negotiations to lead contracting for Medicaid behavioral health services. You will analyze provider types, qualifications, and reimbursement structures to build and maintain an adequate network.

You will evaluate service scope against Medicaid requirements, negotiate reimbursement terms, and support network leadership in identifying gaps and recruiting providers.

Qualifications

• 3–5+ years behavioral health provider contracting experience.
• Working knowledge of Louisiana Medicaid behavioral health services and provider requirements.
• Knowledge of behavioral health levels of care and service settings.

Skills

Contract negotiations

Medicaid contracting

Healthcare policy

Communication

MS Office

Travel up to 15%

Education

Bachelor's degree or equivalent combination of education and experience

Tools

MS Office Suite

Job description

CVS Health in Louisiana is seeking a Manager, Behavioral Health Contract Negotiations to lead contracting for Medicaid behavioral health services. You will analyze provider types, qualifications, and reimbursement structures to build and maintain an adequate network.

You will evaluate service scope against Medicaid requirements, negotiate reimbursement terms, and support network leadership in identifying gaps and recruiting providers.