Behavioral Health Provider Relations Strategist

Istss; Youngsville, Northern (LA, KY); Hybrid; USD 54,000 - 119,000; Full time

Job summary

CVS Health seeks an experienced provider relations professional in Louisiana to manage high-profile Medicaid provider relationships, address complex policy and contract issues, and coordinate education and services. The role is full-time with significant travel and cross-functional collaboration across claims, contracts, and provider data.

The ideal candidate has 5+ years in healthcare, Medicaid Managed Care exposure, and strong communication skills, with a preference for a Louisiana resident in

Qualifications

• Minimum of 5 years' work experience in healthcare.
• Minimum of 3 years' experience in Medicaid Managed Care servicing providers with exposure to benefits and/or contract interpretation.
• Minimum of 2 years' experience working with providers and contracts in the behavioral health sector.
• Working knowledge of segment-specific codes, products, and terminology.
• Proficiency in Microsoft Office Suite, including Excel, Word, and PowerPoint.
• Travel within the defined territory up to 50-80% of the time.
• Candidates must reside in Louisiana and within one of the listed parishes.

Responsibilities

• Optimizes interactions with assigned providers and internal partners to maintain relationships.
• Monitors service capabilities and collaborates cross-functionally to resolve claims, contracts, and provider data issues.
• Supports operational activities such as database management and contract coordination.
• Performs credentialing support activities as needed.
• Educates Medicaid providers to ensure compliance with contract policies and plan design.
• Meets with key providers to ensure service levels meet expectations.
• Manages agenda development, materials, and external provider meetings.
• Collaborates on provider enablement & strategy for communications, workflows, and training.
• May provide guidance and training to less experienced team members.

Skills

Healthcare experience

Medicaid knowledge

Contract interpretation

Microsoft Office

Communication skills

Travel readiness

Louisiana residency

Education

Bachelor's degree preferred

Job description

CVS Health seeks an experienced provider relations professional in Louisiana to manage high-profile Medicaid provider relationships, address complex policy and contract issues, and coordinate education and services. The role is full-time with significant travel and cross-functional collaboration across claims, contracts, and provider data.

The ideal candidate has 5+ years in healthcare, Medicaid Managed Care exposure, and strong communication skills, with a preference for a Louisiana resident in