- Sharp HealthCare (San Diego, CA)
- …research to identify potential providers for the Sharp Health Plan provider network.Works closely with utilization management and contracting teams to ensure ... and provider communications, as needed.Recommends and/or drafts provider communications relative to health plan policies...from provider research and findings.Facilitates the new provider contracting process to ensure that new… more
- CVS Health (Sacramento, CA)
- …initiatives to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ... consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions… more
- Dignity Health (Bakersfield, CA)
- …provider types and geographies and will lead the effort in developing Dignity Health 's Medicaid population health care management pathways. Dignity ... includes creating new provider records updating existing provider records and working with the Contracting ...Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals,… more
- Scripps Health (San Diego, CA)
- …Scripps Health on its 2024 list of 150 top places to work in health care . * We have transitional and professional development programs to create a learning ... Skills:* . At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …Serve as a thought leader and internal consultant on provider trends, health system transformation, and care delivery innovation + Represent Kite in industry ... for the launch of anito-cel; direct and oversee all provider -facing access strategy, contracting , and relevant discussions...and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant… more
- LA Care Health Plan (Los Angeles, CA)
- …at the right place at the right time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles County's vulnerable and ... $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public...matter expert on all vendor contract terms and the contracting process to lead and to provide … more
- CVS Health (Sacramento, CA)
- …proven and proficient managed care network negotiating skills. * 3+ years contracting for large facilities or provider groups. * Proven working knowledge of ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading ...contracting targets and manage medical costs through effective provider contracting . * Optimize interaction with assigned… more
- Highmark Health (Sacramento, CA)
- …related area + 3 years Value-based reimbursement, through managed care contracting , provider reimbursement, consulting, population health delivery or ... strategic provider relationships to understand the current health care delivery state, readiness for change,...organizational programs and projects + 5 years Familiarity with health plan and provider contracting … more
- HCA Healthcare (Campbell, CA)
- …the terms of all HMO and PPO contracts, and at the direction of the Contracting Team, interface with health plans to negotiate HMO and PPO rates and ... to inform and notify key PPMSI stakeholders about new/modified health plan contracts, including DOFRs, and new/modified provider...+ In conjunction with the CFO, finance team and Contracting team, provide analysis and recommendations for… more
- Dignity Health (Redding, CA)
- …Area. This position serves as the leader and representative of Physician and Provider Contracting . The incumbent works closely with the Chief Physician ... managing complex processes with multiple stakeholders. + Broad knowledge of physician/ provider contracting as well as requirements surrounding physician… more