- Elevance Health (Cerritos, CA)
- …forecasting and reporting capabilities supporting Value Based Programs. + Partner with Provider Contracting teams to evaluate existing contract performance and ... identify opportunities for optimization. + Interpret contract terms and align with provider performance...not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will… 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
- 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
- Baylor Scott & White Health (Sacramento, CA)
- …type and/or level **Key Success Factors** + Knowledge of managed care and/or health insurance industry. + Proven relationship management skills. + Able to ... experience in a health plan, physician organization or other type of provider organization. This individual must have the ability to work alone with minimal… 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
- 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
- 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
- J&J Family of Companies (Irvine, CA)
- …(GPOs), leading health plans, pharmacy benefit managers, and government health care institutions. The company also provides contract management, logistics, ... At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented,… more
- Insight Global (Long Beach, CA)
- …Skills and Requirements - 2-3 years of experience in health care, provider facing, revenue cycle, insurance , or billing - Entry level experience with ... Description An Insight Global client is looking for a contract specialist to work remotely in the Central Time...be responsible for accurate and timely maintenance of critical provider information on all claims and provider … more