- Elevance Health (Walnut Creek, CA)
- **JR167522 Provider Network Manager ** The Provider Network Manager develops the provider network through contract negotiations (language ... ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may… more
- HCA Healthcare (Campbell, CA)
- …and a Network Management Coordinator whose primary function is to provide provider support/education and interaction with contracted Health Plans (HMO and ... Jump-start your career as a Manager of Network Management Services today with HCA Healthcare ....PPO) + Responsible for managing network provider education of applicable policies and… more
- The Cigna Group (Oakland, CA)
- …Oakland, Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The ** Manager , Provider Contracting Network Management** serves as an integral ... or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational standards and external … more
- Datavant (Sacramento, CA)
- …to realize our bold vision for healthcare . **Role Summary:** The Zone Manager , Provider Privacy will provide operational oversight and leadership as ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...is powered by the largest, most diverse health data network in the US, enabling data to be secure,… more
- Sharp HealthCare (San Diego, CA)
- …the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network , United Nurses Associations of ... needed. + Organizational relationshipsThe RN CM II will work closely with the healthcare team in reaching unit, facility, and system/ network organization goals… more
- Sharp HealthCare (San Diego, CA)
- …the range as defined by the collective bargaining agreement between Sharp HealthCare and Sharp Professional Nurses Network , United Nurses Associations of ... 1 **Shift Start Time** **Shift End Time** Certified Case Manager (CCM) - Commission for Case Manager ...relationshipsThe RN CM I will work closely with the healthcare team in reaching unit, facility, and system/ network… more
- Deloitte (Costa Mesa, CA)
- …+ 6+ years of professional experience in revenue cycle operations within a healthcare provider , consulting, or technology vendor environment. + 5+ years of ... Recruiting for this role ends on January 31, 2026. Work you'll do As a Manager , Industry Solutions, Healthcare - Revenue Cycle on the Healthcare Solutions… more
- CenterWell (Sacramento, CA)
- …part of our caring community and help us put health first** The Manager of Pre-Bill Audit provides strategic leadership and operational oversight for the ... improvements in unbilled rates, revenue cycle performance, and compliance. The Manager leads a team of Pre-Bill Specialists, partners with senior leadership,… more
- Humana (Sacramento, CA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...EAPG + 2+ years of experience with Optum Rate Manager + 2+ years of experience with Optum WebStrat… more
- CenterWell (Sacramento, CA)
- …our caring community and help us put health first** As the **Authorizations Manager ** , you will: + Manage medical insurance authorizations and develop strategies to ... Experience/Skills:** + Bachelor's Degree preferred + A minimum of five years healthcare related authorization experience + At least three years in a management… more