Behavioral Health Provider Relations Leader

CVS Health; Austin (TX); On-site; USD 54,000 - 119,000; Full time

Job summary

CVS Health is seeking a provider relations professional to serve Medicaid providers, managing relationships, contract interpretation, and education needs. This individual contributor role focuses on complex issue resolution across plans, service and compensation processes.

Responsibilities include credentialing support, cross‑functional collaboration, and provider communication. Strong verbal/written skills and problem resolution are essential, with extensive travel to meet providers and align

Qualifications

• 5+ years in healthcare.
• 3+ years in Medicaid Managed Care servicing providers.
• 2+ years in behavioral health provider and contracts.
• Proficient with business codes, products, and terminology.
• Travel 50-80% within territory.

Responsibilities

• Optimize provider interactions and maintain relationships.
• Resolve issues related to claims, contracts, and provider data.
• Provide credentialing support as needed.
• Educate Medicaid providers on policies, design, and compensation.
• Collaborate cross-functionally on provider systems and cost initiatives.

Skills

Verbal communication

Written communication

Interpersonal skills

Problem solving

Critical thinking

Education

Bachelor's degree

Tools

Microsoft Office Suite

Excel

PowerPoint

Word

Job description

CVS Health is seeking a provider relations professional to serve Medicaid providers, managing relationships, contract interpretation, and education needs. This individual contributor role focuses on complex issue resolution across plans, service and compensation processes.

Responsibilities include credentialing support, cross‑functional collaboration, and provider communication. Strong verbal/written skills and problem resolution are essential, with extensive travel to meet providers and align