- Cardinal Health (Sacramento, CA)
- …for all lines of business including Medicare, Medicaid, and various commercial markets. The Managed Care Market Manager is responsible for maintaining the ... teams. The role is devoted to educating both customers and sales on managed care and enrolling prospective pharmacies into retail pharmacy solutions.… more
- Molina Healthcare (Long Beach, CA)
- …in the health care field including, but not limited to, provider's office, managed care organization, or other health care environment. * 3+ years ... in negotiating different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare… more
- Elevance Health (Costa Mesa, CA)
- …and operations + SQL experience strongly preferred + Experience in broad-based analytical, managed care payor or provider environment as well as experience in ... law. **Position Overview:** Leads and manages multiple cost of care initiatives enterprise wide (eg local, within each state,...Strategy. Unless specified as primarily virtual by the hiring manager , associates are required to work at an Elevance… more
- Sedgwick (Sacramento, CA)
- …: To negotiate and/or renegotiate medical contracts for multiple lines of business in managed care markets. Grow the network by recruiting new medical groups and ... Negotiates hospital and medical group contracts for multiple lines of business in the managed care markets. + Analyzes market data and financial models. +… more
- Elevance Health (Walnut Creek, CA)
- …providers in areas with increased competition or where greater provider education around managed care concepts is required. + Contracts may involve non-standard ... **JR167522 Provider Network Manager ** The Provider Network Manager develops...an impact:** + Primary focus of this role is contracting and negotiating contract terms. + Typically works with… more
- Elevance Health (Sacramento, CA)
- …+ Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. For candidates working in person or virtually ... for autism and depression, and insightful analytics to improve the delivery of care . The **Provider Quality Manager ** is responsible for leading Behavioral… more
- Aveanna Healthcare (San Diego, CA)
- …develop a strategic plan for growing relationships with assigned Medicaid Managed Care Organizations. The Payor Relations Manager reports directly to the AVP ... Payor Relations Manager ApplyRefer a FriendBack Job Details Requisition #:...ABI can produce (staffing ratios, referral conversion, speed to care , etc.) Collaborate with AVP of Payor Strategies, AVP… more
- UCLA Health (Los Angeles, CA)
- …and experience + A Master's degree, preferred + Eight or more years in managed care , Medicare Advantage, or health plan operations, including vendor and ... Description We are seeking a Senior Program Manager , Vendor Management & Supplemental Benefits to lead...levels + Advanced knowledge of vendor management best practices, contracting structures, and performance monitoring methods + Able to… more
- Centene Corporation (Sacramento, CA)
- …Bachelor's degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, ... relations to ensure delivery of the highest level of care to our members. Engage with providers to align...claims, contracting utilization management, or clinical operations. Project management experience… more
- Dignity Health (Bakersfield, CA)
- …Summary and Responsibilities** The Contract Specialist II, reporting to the Network Operations/ Contracting Manager , plays a critical role in managing contracts ... management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health… more