- Molina Healthcare (Sacramento, CA)
- …knowledge although they may have technical team members. **Knowledge/Skills/Abilities** * California Provider Network * Utilize Conga contract management ... as needed. * Works with operational leaders within the business to provide recommendations for process improvements, medical cost savings or revenue enhancements. *… more
- The Cigna Group (Los Angeles, CA)
- …projects financial impact of larger or complex provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet ... live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Sharp HealthCare (San Diego, CA)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract...to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates… more
- Molina Healthcare (Long Beach, CA)
- …that positively impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...environment. * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- Molina Healthcare (Riverside, CA)
- …to achieve desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual ... the maintenance of all Provider and payer Contract Templates. Works with legal and Corporate Network...position * 3+ years experience in provider contract negotiations in a managed healthcare setting… more
- HCA Healthcare (Campbell, CA)
- …drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today...(DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of… more
- Molina Healthcare (Long Beach, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans...EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : 2 - 4 years provider contract support or negotiation experience in… more
- Molina Healthcare (Long Beach, CA)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for ... service area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or… more
- Dignity Health (Bakersfield, CA)
- …that provides contract interpretation, clarification, or modification as required. - Provide initial review of provider proposals and provide ... department (ie, Claims, Utilization Management/Authorizations, Benefits, and Finance) to provide contract interpretation, clarification, or modification as… more
- Dignity Health (Bakersfield, CA)
- …of provider contracting across DHMSO's Independent Physician Association (IPA) network . This leader oversees a high-performing team managing the full contract ... The Director must demonstrate a strong command of contracting strategies, network development, and healthcare financial models, while building trusted… more