Strategic Behavioral Health Provider Relations Lead

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

Job summary

CVS Health is seeking an experienced role to manage relationships with behavioral health providers and Medicaid plan partners. The incumbent will respond to complex policy and contract issues, coordinate credentialing, and educate providers to ensure compliance.

Heavy travel within Louisiana is required, and a bachelor’s degree is preferred for this position. The role is full-time with a comprehensive benefits package and chances to influence provider networks and cost initiatives across the

Qualifications

• Minimum of 5 years' work experience in healthcare.
• Minimum of 3 years' experience in Medicaid Managed Care.
• Minimum of 2 years' experience working with providers and contracts in the behavioral health sector.
• Working knowledge of business segment codes, products, and terminology.
• Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint).
• Willingness to travel within defined territory up to 50-80% of the time.
• Candidates must reside in Louisiana and in one of the specified parishes.

Responsibilities

• Builds and maintains productive relationships with assigned Medicaid providers and internal partners.
• Monitors service capabilities and collaborates cross-functionally to resolve issues like claims, contracts, or provider data.
• Supports operational activities such as database management and contract coordination.
• Performs credentialing support as needed.
• Educates Medicaid providers to ensure contract compliance and proper processes.
• Meets with key providers regularly to ensure service levels meet expectations.
• Manages meeting agendas, materials, and external provider meetings.
• Collaborates with cross-functional teams during large provider system implementations to control costs and identify trends.
• May mentor less experienced team members; communicates effectively.

Skills

Communication

Interpersonal skills

Problem solving

Critical thinking

Microsoft Office

Education

Bachelor's degree preferred

Tools

Microsoft Office Suite

Job description

CVS Health is seeking an experienced role to manage relationships with behavioral health providers and Medicaid plan partners. The incumbent will respond to complex policy and contract issues, coordinate credentialing, and educate providers to ensure compliance.

Heavy travel within Louisiana is required, and a bachelor’s degree is preferred for this position. The role is full-time with a comprehensive benefits package and chances to influence provider networks and cost initiatives across the