- WelbeHealth (Elk Grove, CA)
- …may be substituted + Minimum of five (5) years of progressive experience in provider relations, network management , or health plan operations/account ... in local strategy development, identifying opportunities to enhance our provider network 's performance and foster deeper mission...management in a complex healthcare environment - Healthcare experience is a… more
- WelbeHealth (Fresno, CA)
- …of one (1) year of experience in provider network development and/or provider network management capacity, account management , or provider ... WelbeHealth is a value-based healthcare organization that's transforming the future of senior...leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical… more
- WelbeHealth (CA)
- …desired + Minimum of eight (8) years of experience in provider relations, network management , healthcare delivery, or account management , preferably ... what. The Enterprise and Onsite Partnerships is passionate about optimizing healthcare delivery and building impactful relationships. This multi-faceted role is… more
- Evolent (Sacramento, CA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more
- Dignity Health (Bakersfield, CA)
- …that collaborate with the contracting department (ie, Claims, Utilization Management /Authorizations, Benefits, and Finance) to provide contract interpretation, ... Health Plans) that provides contract interpretation, clarification, or modification as required. - Provide initial review of provider proposals and provide … 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
- IQVIA (Sacramento, CA)
- … Sales - is a critically important leadership role within Health Monitor Network (HMN) responsible for providing leadership, management , mentoring and motivation ... specialty areas for growth aligned with company goals. + Provide sales management to team in support...provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare… more
- Elevance Health (Los Angeles, CA)
- …of 5 years of customer service experience including 2 years experience as a Network Management Rep; or any combination of education and experience, which would ... claims resolution through direct contact with providers, claims, pricing and medical management department. + Identifies and reports on provider utilization… more
- CVS Health (Sacramento, CA)
- …support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with ... also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required...+ A minimum of 2 years of experience in provider data management and contracting support. +… more
- Elevance Health (Los Angeles, CA)
- …innovation. + Proven network contracting experience on both the payer and provider sides. + Track record in forming unique partnerships that address the needs of ... offers superior clinical mental health and substance use disorder management , a comprehensive employee assistance program, work/life support, specialty programs… more