Provider Contracting Rep - Behavioral Health

Provider Contracting Rep - Behavioral Health
Wheeling, WV Charleston, WV Morgantown, WV Massillon, OH
Full-Time
Provider Delivery Services
Director of Contracting

Duties include negotiation/renegotiation of Behavioral Health agreements in accordance with The Health Plan, State, and Federal guidelines in order to maintain and enhance the provider network and to meet/exceed The Health Plan's accessibility, quality and financial goals.

Develop and manage relationships and provide support service to assigned Hospitals and key provider groups/facilities whose specialty is Behavioral Health.

Serve as a non-clinical, Behavioral Health subject matter expert with training and support of team members. 

  1. B.S. Degree or equivalent work experience in a managed care or Behavioral Healthcare organization to include a good understanding of Behavioral Health billing, processes, programs and reimbursement structures;
  2. Ability to negotiate effectively;
  3. Attention to detail and commitment to excellence;
  4. Ability to troubleshoot, problem solve and work as part of a team or independently;
  5. Ability to use programs including Word, Excel and Outlook;
  6. Strong written and oral communication skills.

  1. Existing WV and Ohio relationships with Behavioral Healthcare providers;
  2. Interpersonal skills - Ability to get along well with a variety of personalities and individuals.

Employment Documents

EEO

Or, if you are interested in a fast-paced career with us, please send resume with salary requirements to:

HR Department 
1110 Main Street
Wheeling, WV 26003-2704
hr@healthplan.org