- Humana (Sacramento, CA)
- …first** We are looking for a dynamic Strategy & Operations Lead - Provider Practice Management to develop clinical solutions for our members and providers, with ... strategy to execution. The Strategy & Operations Lead - Provider Practice Management role is a critical member of...bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Centene Corporation (Sacramento, CA)
- …related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting ... Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Humana (Sacramento, CA)
- …of our caring community and help us put health first** The Provider Engagement Executive develops and grows positive, long-term relationships with physicians, ... performance within the contracted working relationship with the health plan. The Provider Engagement Executive works on problems of diverse scope and complexity… more
- Lompoc Valley Medical Center (Lompoc, CA)
- …Pay rates are determined based on experience and internal equity. Position Summary: + Provide the full scope of primary care services which fall under his/her field ... history and perform physical examinations in the clinic setting. + Provide accurate documentation of patient encounters including clinic visits, telephone… more
- Edwards Lifesciences (Irvine, CA)
- …embrace Edwards Lifesciences' values to build trusting, lasting relationships with medical professionals and industry partners. Your insight and dedication will help ... our inspiring journey. The primary objective of the Manager, Provider Education and Engagement Programs - THV is to...courses, resources, tools and engagement platforms. This role will provide expertise in execution of programs to drive adoption… more
- Datavant (Sacramento, CA)
- …**What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling chart retrieval and HCC (Hierarchical ... This role will be responsible for driving revenue growth, building strong provider relationships, and working cross-functionally with internal teams to design and… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... **Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective...Assists with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. * Advises… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business ... and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and… more
- Humana (Sacramento, CA)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer ... and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business… more
- Vatica Health (CA)
- The Provider Network Representative III is responsible for the full range of provider relations and engagement activities for Vatica Health. The Provider ... the company's market presence. This individual also interfaces with the provider relationship personnel at Vatica's Health Plan clients. Responsibilities: + Ability… more