Strategic Behavioral Health Provider Relations Lead

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

Benefits offered by this job

Medical coverage

Dental coverage

Vision coverage

Paid time off

Retirement savings

Job summary

CVS Health in Louisiana is seeking an experienced healthcare professional for a field-based, individual contributor role. You will act as primary resource for Behavioral Health providers, addressing Medicaid policies, contract language, and education needs.

Responsibilities include building provider relationships, resolving claims and contract issues, performing credentialing support, training staff, and collaborating cross-functionally on large provider systems to manage cost drivers.

Qualifications

• At least 5 years in healthcare.
• 3+ years in Medicaid Managed Care serving providers.
• 2+ years with behavioral health providers.
• Proficiency with Microsoft Office Suite.
• Willingness to travel 50–80%.

Responsibilities

• Build and maintain relationships with Medicaid providers.
• Resolve issues related to claims, contracts, and provider data.
• Support contract coordination and data management.
• Educate providers on contract policies and processes.
• Lead provider meetings and prepare agendas.
• Collaborate cross-functionally on provider system implementations.
• Mentor junior team members.
• Communicate clearly with internal teams.

Skills

Communication

Healthcare knowledge

Relationship management

Problem solving

Education

Bachelor's degree preferred

Tools

Microsoft Office

Excel

PowerPoint

Word

Job description

CVS Health in Louisiana is seeking an experienced healthcare professional for a field-based, individual contributor role. You will act as primary resource for Behavioral Health providers, addressing Medicaid policies, contract language, and education needs.

Responsibilities include building provider relationships, resolving claims and contract issues, performing credentialing support, training staff, and collaborating cross-functionally on large provider systems to manage cost drivers.