…diagnosis, treatment, therapy and management of patients according to current standards of care Utilizes managed care processes for cost-effective and

…and coordinate contract negotiations with facilities, insurance companies, and managed care organizations QualificationsStrong communication, interpersonal and

…fast-paced environment.Available to work evenings and weekends as needed Preferred Qualifications: Managed Care experienceBilingual in Spanish At Optum, we share

…of multiple groups and resources for patientsPrevious experience in a managed care environmentExperience with the Medicaid/Medicare populationBilingual skills

…Provider contracting and negotiation experience 5 years of experience in a Managed Care environment Benefits for the Provider Contracts Manager: Competitive

…mental health and substance abuse benefits, community treatment resources, mental health managed care programs, and company policies and procedures, and

…to work in fast-paced environmentPreferred Qualifications: 2+ years of Outpatient Clinic experience Managed Care / IPA / Health Plan experience Diversity creates

…Contracting team in the negotiation of payer contracts along with other managed care -related duties. Responsibilities include: Build relationships with key payer

…Experience: 0-2 years of experience in a Utilization Review Department in a Managed Care Environment. Previous Hospital or Healthcare clerical, audit or billing

…in a health care setting Understand of insurance programs and basic managed care principals such as referrals and prior authorization General understanding