- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, ... project development life cycles for several key initiatives and will report to the Director , Quality. The role will also work closely with the Executive Team, who… more
- Stanford Health Care (Palo Alto, CA)
- …charge-generating departments, School of Medicine leadership, Clinical Operations leadership, Managed Care Contracting, Quality, Controller's Office, Technology ... (United States of America) **This is a Stanford Health Care job.** **A Brief Overview** The Vice President of...will do** + Develops and executes a vision and strategy for mid-revenue cycle operations, ensuring alignment with overall… more
- Stanford Health Care (Palo Alto, CA)
- …States of America) Located in the heart of Silicon Valley, Stanford Health Care 's (SHC) mission is to heal humanity through science and compassion, one patient ... for 2.1 million square feet of the Stanford Health Care Palo Alto campus, a Level 1 Trauma and...the customer for issue resolution and interact with the Director if further direction is needed. The MGR -… more
- Cardinal Health (Sacramento, CA)
- …aligns negotiation with strategy . **Essential Functions:** + In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, ... Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the...and administrative tracking of all various managed care payors. Advances company payor strategy and… more
- Tiburcio Vasquez Health Center (Hayward, CA)
- …Additional Responsibilities + Collaborates with the CEO, CFO, CIPO and COO on managed care strategy , risk-based initiatives, and budget alignment with ... Officer (CIO) to lead TVHC's quality and population health strategy , using data-driven approaches to monitor and improve performance...audits and external reporting to HRSA, UDS, HEDIS, and managed care plans. + Oversee the Credentialing… more
- Molina Healthcare (Riverside, CA)
- …SKILLS & ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care , Provider Contracting and/or Provider Services, including 2+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- Dignity Health (Bakersfield, CA)
- …care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups hospitals ... analytics including routine forecasting and monitoring activities that advance CommonSpirit Health's strategy to transform care delivery through value based … more
- HCA Healthcare (Riverside, CA)
- …+ You will provide medical consultation on contracting, pricing, and analysis of managed care issues. Offers clinical support for appeals and denials process, ... regarding delegated utilization management and disease management operations under managed care contracts. You will meet all regulatory/contractual/accreditation… more
- Molina Healthcare (San Francisco, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational… more
- Humana (Sacramento, CA)
- …a Health Plan or provider-based industry + Knowledge and experience in health care / managed care regulatory environment **Additional Information** To ensure ... work closely with established functions inside utilization management (Medical Director , clinician decision making teams, quality audits, prior authorization list… more