- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager ** is responsible for leading Behavioral Health… more
- Elevance Health (Cerritos, CA)
- ** Provider Relationship Account Manager - Behavioral Health** **Location:** Must live within a commutable distance to one of the CA offices listed: Cerritos, ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Relationship Account Manager ** will be responsible for providing… more
- The Cigna Group (Los Angeles, CA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- Molina Healthcare (Long Beach, CA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the...including but not limited to: Value Based Payment, fee-for service , capitation and various forms of risk, ASO, etc.… more
- Molina Healthcare (Riverside, CA)
- …& ABILITIES** : * 5-7 years experience in Healthcare Administration, Managed Care, Provider Contracting and/or Provider Services , including 2+ years in ... live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… more
- Sharp HealthCare (San Diego, CA)
- …the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally and in writing.… more
- Dignity Health (Redding, CA)
- **Responsibilities** **Position Summary:** Under indirect supervision the incumbent will provide services as approved by the Medical Staff Committees. The ... provided to each patient. The position reports to the Manager Trauma Service Line with physician oversight....and da Vinci Robotic Surgery. It is the sole provider of obstetrical services along with the… more
- Humana (Sacramento, CA)
- …and resolving provider reimbursement inquiries + Experience with Optum Rate Manager + Experience with Optum WebStrat or PSI applications + Experience interacting ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our… more
- North Marin Community Services (Novato, CA)
- North Marin Community Services (NMCS) is the anchor human service non-profit serving Novato/North Marin for the past 51 years. Our mission is to empower youth, ... day-to-day administrative, operational, and programmatic functions of Case Management programs and services . Works in partnership with the Senior Manager of Case… more
- Healthcare Services Group, Inc. (Los Angeles, CA)
- …required by State & County law. + Must successfully achieve the eLuminate Food Service Manager (FSM) and Long-Term Care Food Service (LTC-FSM) certifications ... and embraced. Join Our Team Join Our Team (https://careers-hcsgcorp.icims.com/jobs/660998/dining- services manager -in-training/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336028984) Submission FAQs (https://icims.help/candidate-faq) Job… more