- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management ** serves as an integral member ... management of the day to day contracting and network management activities for a local given...provider contracts and alternate contract terms. + Creates healthcare provider agreements that meet internal operational… more
- Molina Healthcare (Sacramento, CA)
- …may have technical team members. **Knowledge/Skills/Abilities** * California Provider Network * Utilize Conga contract management software and Quest ... system analysis and program staff. These positions' primary focus is project/program management , rather than the application of expertise in a specialized functional… more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director, Provider Network Management , you will be responsible for creating and maintaining ... Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** *Director, Provider Network Management * **Location:** *Central San Diego… more
- Sharp HealthCare (San Diego, CA)
- …external research to identify potential providers for the Sharp Health Plan provider network .Works closely with utilization management and contracting ... opportunities to improve internal and external processes for provider management .Monitors and analyzes provider network performance trends and… more
- Molina Healthcare (San Diego, CA)
- … Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network . Plans, organizes, staffs, and ... commensurate/equivalent experience in provider services or contract network development and management in a managed... services or contract network development and management in a managed healthcare setting. **REQUIRED… more
- Molina Healthcare (Riverside, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... to business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** Manages the Plan's … 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 ... network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring...network development and management , or project management experience in a managed healthcare setting.… more
- Molina Healthcare (San Francisco, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… 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 ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- HCA Healthcare (Campbell, CA)
- …of Financial Responsibility (DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of the President of ... and getting approval from the President of SCCIPA, any Network Provider or ancillary provider ...practices and 170+ urgent care centers. We are HCA Healthcare 's graduate medical education leader. We provide … more