Behavioral Healthcare Network Development and Insurance Contract Specialist
2 months ago
Company Overview: We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks.
Job Responsibilities:
- Provider Relations: Serve as the primary point of contact for insurance companies' provider relations or network development teams. Work to secure in-network contracts with relevant payers, including major insurance companies and specialized behavioral health networks.
- Research Insurance Networks: Identify potential insurance payers that cover behavioral health services, including major providers like Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare, and regional/state-specific insurers. Explore opportunities to join specialized behavioral health networks (e.g., Beacon Health Options, Magellan Health).
- Submit Applications: Manage the application process for joining insurance networks as an in-network provider. Submit required documentation, such as facility accreditation, proof of liability insurance, and NPI/TIN information. Assist in reviewing and negotiating contracts with insurers.
- EAP Networks: Reach out to Employee Assistance Programs (EAPs) such as Cigna EAP, Optum EAP, Magellan EAP, and ComPsych. Guide the facility through the process of becoming an in-network EAP provider by submitting specialized applications and emphasizing our ability to provide high-quality employee-focused services.
- Explore Other Provider Networks: Identify opportunities for the facility to join workers' compensation networks, Medicaid/Medicare provider networks, and other government or third-party behavioral health networks (e.g., Evernorth Behavioral Health, Tricare, Health Net).
- Site Visits and Inspections: Coordinate with insurance companies, EAPs, and other behavioral health networks regarding any required site visits or facility inspections. Ensure compliance with safety, quality, and health standards.
- Quality Assurance and Reporting: Maintain the facility’s credentials and oversee quality assurance processes to ensure the facility meets the ongoing requirements of insurance networks and other provider panels.
Work Timings:
The ideal candidate will be expected to align their work hours with the US Business Development and Digital Marketing teams, requiring availability from 4:30 PM to 12:30 AM IST.
Qualifications:
- Experience in insurance contracting and credentialing, specifically in the behavioral health or healthcare industry.
- Strong knowledge of the insurance landscape, including major health insurers, EAPs, Medicaid, Medicare, and third-party behavioral health networks.
- Familiarity with the application, negotiation, and contracting processes for healthcare facilities.
- Excellent communication and negotiation skills.
- Strong organizational and project management skills.
-
India NuView Treatment Center Full timeCompany Overview : We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks. Job Responsibilities: Provider Relations: Serve as...
-
India NuView Treatment Center Full timeCompany Overview : We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks. Job Responsibilities: Provider Relations: Serve as...
-
india NuView Treatment Center Full timeCompany Overview: We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks.Job Responsibilities:Provider Relations: Serve as the...
-
India NuView Treatment Center Full timeCompany Overview : We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks. Job Responsibilities: Provider Relations: Serve as...
-
India NuView Treatment Center Full timeCompany Overview : We are currently credentialed as an Out-of-Network (OON) provider and seek a motivated Insurance Network Specialist to help transition our facility to in-network status with various insurance companies, Employee Assistance Programs (EAPs), and other trusted behavioral health networks. Job Responsibilities: Provider Relations:...
-
US Healthcare
3 weeks ago
india Macro Outsourcing Full timeJob Title: US Healthcare - Insurance Follow-up Location: Safdarjung Enclave , Delhi (On - Site) Job Summary: We are seeking a detail-oriented and experienced Healthcare Revenue Cycle Management (RCM) Specialist to join our team. The ideal candidate will have in-depth knowledge and hands-on experience in US healthcare billing, insurance follow-up, and...
-
India GMC Healthcare Full timeJob description Company Description Welcome to GMC Healthcare, a beacon of hope and healthcare in our community located in Mumbai. Our mission is to provide accessible and affordable healthcare services to ensure every member of our community receives the medical care they deserve. At GMC Healthcare, we break down barriers by offering a wide range of...
-
India GMC Healthcare Full timeJob description Company Description Welcome to GMC Healthcare, a beacon of hope and healthcare in our community located in Mumbai. Our mission is to provide accessible and affordable healthcare services to ensure every member of our community receives the medical care they deserve. At GMC Healthcare, we break down barriers by offering a wide range of...
-
Healthcare Specialist
5 days ago
india Hirextra -World's First Staffing Aggregator Full timeRole: US Health Care RecruiterLocation: IndiaExperiences: 3 + YearsJob Description:Job Summary:We are seeking experienced Healthcare Recruiters with a strong background in US staffing to join our dynamic team. The ideal candidate will have a proven track record of successfully recruiting healthcare professionals, understanding the nuances of the US...
-
Healthcare Specialist
4 days ago
India Hirextra -World's First Staffing Aggregator Full timeRole: US Health Care RecruiterLocation: IndiaExperiences: 3 + YearsJob Description:Job Summary:We are seeking experienced Healthcare Recruiters with a strong background in US staffing to join our dynamic team. The ideal candidate will have a proven track record of successfully recruiting healthcare professionals, understanding the nuances of the US...
-
Prior Authorization Specialist-US Healthcare
5 hours ago
India Macro Outsourcing Full timeCompany Description Macro Outsourcing Private Limited is a leading Business Process Outsourcing (BPO) firm specializing in supporting US-based doctors and healthcare practices. We provide services such as medical records management, appointment scheduling, Medical Scribing and administrative support, with a focus on ensuring efficient patient care for our...
-
Prior Authorization Specialist-US Healthcare
20 hours ago
india Macro Outsourcing Full timeCompany DescriptionMacro Outsourcing Private Limited is a leading Business Process Outsourcing (BPO) firm specializing in supporting US-based doctors and healthcare practices. We provide services such as medical records management, appointment scheduling, Medical Scribing and administrative support, with a focus on ensuring efficient patient care for our...
-
Healthcare Automation Specialist
2 weeks ago
India BlockTXM Inc Full timeJob Overview: We are seeking a highly skilled Healthcare Automation Specialist to conduct technical screenings for Python developers applying for healthcare automation roles, focusing on RCM automation. The ideal candidate should possess strong knowledge of Python and relevant healthcare APIs such as HL7, FHIR, and EDI 837/835.Key Responsibilities:Conduct...
-
Healthcare Recruiter
1 month ago
india Net2Source Inc. Full timeHealthcare Recruiter Shift: Monday to Friday, 6:30 PM to 3:30 AM IST Location: Vadodara (Work from office) Responsibilities: Develop recruiting strategies for identifying healthcare professionals. An aggressive go-getter with positive attitude, good communication and excellent rapport building skills. Participate in the full cycle of recruitment...
-
Healthcare Recruiter
1 month ago
india Net2Source Inc. Full timeHealthcare Recruiter Shift: Monday to Friday, 6:30 PM to 3:30 AM IST Location: Vadodara (Work from office) Responsibilities: Develop recruiting strategies for identifying healthcare professionals. An aggressive go-getter with positive attitude, good communication and excellent rapport building skills. Participate in the full cycle of recruitment starting...
-
Project Manager Contract
3 weeks ago
india Max Healthcare Full timeContracts Manager plays a critical role in managing the contractual relationships for construction projects from inception through completion. This position ensures that all contracts are executed in compliance with applicable laws and regulations, optimizes contractual performance, and mitigates risks to safeguard the organization's interests. The Contracts...
-
Project Manager Contract
3 weeks ago
india Max Healthcare Full timeContracts Manager plays a critical role in managing the contractual relationships for construction projects from inception through completion. This position ensures that all contracts are executed in compliance with applicable laws and regulations, optimizes contractual performance, and mitigates risks to safeguard the organization's interests. The Contracts...
-
Wide area network support specialist
3 weeks ago
India World Wide Technology Full timeJob Title : Senior WAN Engineer (Multicast Specialist) Location : Remote India. Duration : 9 months. Work Timings: 20:30 PM - 04:30 AM IST Job Description: We are seeking a highly skilled and experienced Senior Network Support Engineer with specialized expertise in multicast and WAN technologies to join our dynamic and fast-paced network...
-
Wide Area Network Support Specialist
3 weeks ago
India World Wide Technology Full timeJob Title : Senior WAN Engineer (Multicast Specialist) Location : Remote India. Duration : 9 months. Work Timings: 20:30 PM - 04:30 AM IST Job Description: We are seeking a highly skilled and experienced Senior Network Support Engineer with specialized expertise in multicast and WAN technologies to join our dynamic and fast-paced network operations...
-
Wide Area Network Support Specialist
3 weeks ago
india World Wide Technology Full timeJob Title: Senior WAN Engineer (Multicast Specialist)Location: Remote India. Duration: 9 months.Work Timings: 20:30 PM - 04:30 AM ISTJob Description: We are seeking a highly skilled and experienced Senior Network Support Engineer with specialized expertise in multicast and WAN technologies to join our dynamic and fast-paced network operations team. The ideal...
