- Scripps Health (San Diego, CA)
- …experience in management of provider relations and contracting at the plan, medical group / IPA level of which four years must be in a leadership capacity. *Preferred ... Education/Experience/Specialized Skills/Certification:* . Masters degree in healthcare administration or similar. . Good with reporting (pivots) and Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** *Director, Provider… more
- UCLA Health (Los Angeles, CA)
- …leadership experience with a focus on Utilization Management for a medical group, IPA , or Health Plan, required + In-depth understanding of managed care, MSO ... functions, and population health services, required + Experience and successful achievement of healthcare MSO certification and recognition programs + Strong communication skills with all levels of staff and stakeholders + Ability to navigate and perform… more
- Cardinal Health (Sacramento, CA)
- …new Payor contracts with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA , etc). Reporting to the Director of Managed Care, the Manager of Contracting ... is responsible for managing legal review, policy compliance, contract retention and administrative tracking of all various managed care payors. Advances company payor strategy and aligns negotiation with strategy. **Essential Functions:** + In collaboration… more
- UCLA Health (Los Angeles, CA)
- …Understanding of the healthcare model, capitation, and other managed care IPA and provider reimbursement methodologies + Knowledge of physician/facility billing ... practices, CPT coding initiatives, ICD-10 coding standards, and revenue and HCPCS coding + Strong leadership, interpersonal, analytical, problem-solving, and prioritizing skills + Excellent oral and written communication skills + Ability to develop, implement,… more