- Elevance Health (Walnut Creek, 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
- 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
- WelbeHealth (Elk Grove, CA)
- … provide direct coaching, observe processes, and support critical provider meetings _Cross Functional Collaboration_ + Build strong, collaborative relationships ... lead the way no matter what. The Senior Manager, Provider Partnership is accountable for overseeing daily operations while...with internal departments (eg, Clinical Operations, Utilization Management, Claims, Contracting, PACE Center Leadership)… 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 (San Diego, CA)
- …Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...Molina policies/procedures or CMS guidelines/regulations, or to assess the non- clinical quality of customer service provided to Molina members.… 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
- Providence (Anaheim, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist offices ... provides on-going communication, in-service, orientation, and direction to these contracted provider offices. Providence caregivers are not simply valued - they're… more