- Elevance Health (Los Angeles, CA)
- …Carelon. + Acts as a liaison between strategic providers and Carelon clinical , quality, provider strategy, operations, and claims, to ensure interdepartmental ... priorities. + Supports regional and corporate initiatives regarding Carelon Select Provider (CSP) program, clinical innovation, and thought leadership… more
- Evolent (Sacramento, CA)
- …care in value-based care frameworks, and thrives at the intersection of clinical quality, operations, and strategic provider collaboration. This leadership role ... the development and execution of innovative engagement opportunities such as regional clinical symposiums and local provider experience advisory panels + Own… more
- Stanford Health Care (Palo Alto, CA)
- …minimum of one (1) year of experience as a licensed advanced practice provider : (Physician Assistant, Nurse Practitioner, Clinical Nurse Specialist or Certified ... pioneering cross-disciplinary research that translates the latest medical advancements into clinical practice. As part of Stanford University School of Medicine, one… more
- Elevance Health (Cerritos, CA)
- ** Provider Relationship Account Manager - Behavioral Health** **Location:** Must live within a commutable distance to one of the CA offices listed: Cerritos, ... Health** is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed… more
- The Cigna Group (Los Angeles, CA)
- …improve total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise ... CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider… more
- Centene Corporation (Sacramento, CA)
- …Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... a coordinated effort in improving financial and quality performance + Triages provider issues as needed and coordinates response with internal matrix partners +… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider ... plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare… more
- WelbeHealth (Fresno, CA)
- … Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we ... vulnerable senior population. We step in as the care provider and care planner that work to keep our...network of aligned providers through ownership of implementation and provider relations functions + Establish and maintain relationships with… more
- LA Care Health Plan (Los Angeles, CA)
- …both group and individual Provider activities to monitor performance related to Provider clinical and service requirements. Provide guidance on best ... Enhanced Care Management Clinical Specialist II Job Category: Clinical ...in the Care Plan services or regulatory compliance and provide coaching and feedback to the Provider … more
- Dignity Health (Bakersfield, CA)
- **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic ... direction and operational execution of provider contracting across DHMSO's Independent Physician Association (IPA) network. This leader oversees a high-performing… more
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