Strategic Behavioral Health Provider Relations Leader

CVS Health Corporation; Lafayette (LA); Sur place; USD 54 000 - 119 000; Plein temps

Résumé du poste

CVS Health Corporation in Louisiana seeks an experienced Provider Relations Specialist to serve as the primary resource for behavioral health providers and groups, resolving complex Medicaid policy and contract questions. This individual contributor role focuses on education, contract interpretation and ensuring service levels meet expectations.

Responsibilities include cross-functional collaboration, credentialing support, and provider communications.

Qualifications

• Minimum 5 years of work experience in healthcare.
• At least 3 years in Medicaid Managed Care servicing providers.
• At least 2 years in behavioral health provider contracts.
• Proficiency in Microsoft Office Suite.
• Willing to travel 50-80% within defined territory.
• Residency in Louisiana within specified parishes.

Responsabilités

• Optimizes interactions with providers and internal partners to build relationships.
• Monitors service capabilities and resolves issues related to claims, contracts, and provider data.
• Supports operational activities such as database management and contract coordination.
• Performs credentialing support activities as needed.
• Educates Medicaid providers on contract policies, plan design, and procedures.
• Meets with key providers to ensure service levels meet expectations.
• Manages meeting agendas and materials for external provider meetings.
• Collaborates cross-functionally on large provider system implementations and cost initiatives.
• May provide guidance and training to junior team members.
• Strong communication, problem solving and critical thinking skills.
• Collaborates on provider-facing communications, workflows and training.

Connaissances

Healthcare experience

Medicaid knowledge

Behavioral health experience

Communication skills

Office software

Formation

Bachelor's degree

Outils

Microsoft Excel

Microsoft Word

PowerPoint

Description du poste

CVS Health Corporation in Louisiana seeks an experienced Provider Relations Specialist to serve as the primary resource for behavioral health providers and groups, resolving complex Medicaid policy and contract questions. This individual contributor role focuses on education, contract interpretation and ensuring service levels meet expectations.

Responsibilities include cross-functional collaboration, credentialing support, and provider communications.