Behavioral Health Provider Relations Lead

MePA; Abbeville (LA); Hybrid; USD 54,000 - 119,000; Full time

Job summary

CVS Health is seeking a dedicated provider relations professional specializing in Medicaid to support behavioral health networks in Louisiana. This individual contributor role focuses on building and maintaining relationships with high-profile Medicaid providers, addressing complex policy, contract, and payment issues, and educating providers on program requirements.

Travel up to 50-80% across the territory is required.

Qualifications

• Bachelor's degree preferred or equivalent professional experience.
• Strong written and verbal communication skills.
• Experience in Medicaid Managed Care or payer-provider environments.
• Familiarity with Medicaid terminology and contract language.

Responsibilities

• Establish and maintain productive relationships with Medicaid providers and internal partners.
• Resolve complex issues related to claims, contracts, and policy interpretations.
• Provide credentialing support and provider education as needed.
• Collaborate cross-functionally to implement cost initiatives and provider systems.
• Lead or support provider meetings and communications to ensure service levels.

Skills

MS Office Suite

Communication skills

Contract interpretation

Provider education

Cross-functional collaboration

Education

Bachelor's degree

Job description

CVS Health is seeking a dedicated provider relations professional specializing in Medicaid to support behavioral health networks in Louisiana. This individual contributor role focuses on building and maintaining relationships with high-profile Medicaid providers, addressing complex policy, contract, and payment issues, and educating providers on program requirements.

Travel up to 50-80% across the territory is required.