- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Sales and Marketing and Service. + Contributes to the development of alternative network initiatives. Supports and...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Highmark Health (Sacramento, CA)
- …assigned territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development /renewal and financial ... recruitment efforts that include existing and prospective client needs and provider resignations/terminations. Customize participating dental agreement forms for… more
- LA Care Health Plan (Los Angeles, CA)
- …Auditor II is responsible for the timely and accurate uploading of LA Care's provider network data, including identification and remediation of provider data ... ensure data quality measures, timelines and organizational policies are met related to provider network data. The position is responsible to conduct ongoing data… more
- WelbeHealth (Fresno, CA)
- …and relationship optimization **Job Requirements:** + Minimum of one (1) year of experience in provider network development and/or provider network ... leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical...feels uniquely cared for. + Medical insurance coverage (Medical, Dental , Vision) + Work/life balance - we mean it!… more
- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **This position will be required to travel ... work-life integration, and ensures essential face-to-face onboarding and skill development . _Alternate locations may be considered if candidates reside within… more
- ThermoFisher Scientific (San Francisco, CA)
- …at existing and new clinical sponsors. Positions PPD as a primary or preferred provider for all clinical development work to be outsourced. Qualifies deals and ... Description** **Summarized Purpose** : **The role will support our Site Network ** **Services Early-Stage Services** Secures and retains business for PPD through… more
- Dignity Health (Bakersfield, CA)
- …Health Plans) that provides contract interpretation, clarification, or modification as required. - Provide initial review of provider proposals and provide ... to work PST business hours.** **Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of... Strategy and Contracting reports to the Director of Provider Contracting. Key areas of oversight include negotiation of… more
- Dignity Health (Bakersfield, CA)
- …The Director must demonstrate a strong command of contracting strategies, network development , and healthcare financial models, while building trusted ... - At least five (5) years in a leadership role managing contracting or network development teams - Bachelors degree in Healthcare Administration, Business, or a… more
- Humana (Sacramento, CA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer… more
- IQVIA (Sacramento, CA)
- …care-we call it #TheHealthMonitorDifference. We have the largest proprietary physician office network in the industry, with over 250,000 offices and more than ... YouTube and Instagram. Position Overview The Vice President of Network Sales - is a critically important leadership role...standards of White-Glove service to our HCP (Health Care Provider ) and Hospital system clients + Manage team utilization… more