- Sharp HealthCare (San Diego, CA)
- … provider orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally ... and provider communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and… more
- Dignity Health (Bakersfield, CA)
- …- Develop agenda and presentation for Contacting Meetings. - Collaborates with Provider Relations, Compliance, and Health Plan Strategy to ensure aligned ... contract terms, expectations, and performance. Represents DHMSO in external contract negotiations with health plans and other key partners. Coordinates… more
- HCA Healthcare (Campbell, CA)
- …for drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... which serves to inform and notify key PPMSI stakeholders about new/modified health plan contracts, including DOFRs, and new/modified provider agreements, and… more
- MetroLink (Los Angeles, CA)
- …ten (10) Health Maintenance Organization (HMO) plans and two (2) Preferred Provider Organization (PPO) plans. Some health plans are only available in certain ... your eligible dependents. You may waive coverage if you are covered under another group health plan; you must provide proof. Once you waive coverage, you will… more
- The Cigna Group (Los Angeles, CA)
- …+ Prepares, analyzes, reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare ... 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)
- …per year Centene offers a comprehensive benefits package including: competitive pay, health insurance , 401K and stock purchase plans, tuition reimbursement, paid ... Joaquin, or Stanislaus CA **Position Purpose:** Develop strategic partnerships between the health plan and the contracted provider networks serving our… more
- Humana (Sacramento, CA)
- **Become a part of our caring community and help us put health first** Our Government Contract Requires US Citizenship for this Position. Overview: Join Humana ... Military's Provider Data Solutions team to support the TRICARE T5 contract and deliver impactful technology for our nation's heroes. This role is focused on… more
- The County of Los Angeles (Los Angeles, CA)
- …of Public Health is seeking qualified candidates to fill emergency Contract Program Auditor vacancies related to the homelessness crisis. Under the emergency ... health and substance abuse rehabilitation consultation services to contract providers, advising the providers on the utilization of treatment modalities.… more
- Northrop Grumman (San Diego, CA)
- …Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance , savings ... and nonstandard contracts. + Conducts proposal preparation, contract negotiation, contract administration, and customer contact activities to provide for… more
- Northrop Grumman (San Diego, CA)
- …Term Incentives. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance , savings ... are the Goals, Objectives, and Outcomes for the program. **Goals** - Provide separating service-members with job skills training in a professional setting during… more