- Children's Hospital Los Angeles (Los Angeles, CA)
- …Matters.** **Overview** **Purpose Statement/Position Summary:** The Advanced Practice Provider (APP) delivers comprehensive, patient-centered care in collaboration ... & PALS - Pediatric Advanced Life Support * NRP - Neonatal Resuscitation Provider (NICCU only) * (NP) Required: * Pediatric Nurse-Practitioner Acute-Care OR DUAL *… more
- LA Care Health Plan (Los Angeles, CA)
- …to perform root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide optimal customer service ... Provider Data Quality Auditor II Job Category: ...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Sharp HealthCare (San Diego, CA)
- …communications to ensure compliance with regulations and contract requirements.Coordinates plan medical group and provider transitions and rollouts, including ... and complete for all providers, facilities, physicians, ancillaries and plan medical groups.Ensures that provider directory information is accurate, current… more
- Elevance Health (Cerritos, CA)
- …issues. + Coordinates communications process on such issues as administrative and medical policy, reimbursement, and provider utilization patterns. + Conducts ... ** Provider Relationship Account Manager - Behavioral Health** **Location:**...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- The Cigna Group (Glendale, CA)
- …and/or clients + Serves as advocate in external community, representing CIGNA to medical societies and external provider associations. + Manage joint operating ... candidate near the Glendale, CA area. **SUMMARY** This position is an external provider facing role with account management responsibilities for a medium to low… more
- 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 (BH) … more
- Centene Corporation (Sacramento, CA)
- …Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... a coordinated effort in improving financial and quality performance + Triages provider issues as needed and coordinates response with internal matrix partners +… more
- WelbeHealth (Fresno, CA)
- …option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out ... into new territories to best serve our participants, our Provider Partnership team leads the charge by building meaningful...environment where every person feels uniquely cared for. + Medical insurance coverage ( Medical , Dental, Vision) +… more
- Molina Healthcare (Riverside, CA)
- …live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... issue escalations and JOCs. Entail heavy negotiations. Maintains critical Complex provider information on claims and provider databases. Synchronizes data… more
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