- Sutter Health (Modesto, CA)
- …of specific standards, contract negotiations and document management. Provides contract administration oversight for managed care provider network . The ... (ERISA) laws and regulations. + Working knowledge of health care contract terminology, provisions, and various reimbursement methodologies including managed care… more
- CVS Health (Sacramento, CA)
- …with the design, development, management, and or implementation of strategic network configurations and integration activities. * Manage contract performance ... Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager. In this role, you will...behavioral health groups and facility providers. You will manage contract performance and support the development and implementation of… more
- Humana (Sacramento, CA)
- …strategy and support model for the Veterans Administration (VA) Community Care Network (CCN) contract and responsible for designing, planning, and overseeing ... translates business needs into technical systems solutions. Integrates hardware, software and network interfaces to form a system. Works with senior executives to… more
- Burns & McDonnell (Brea, CA)
- …+ Lead development of clients and opportunities through the Burns & McDonnell network including contract review and negotiation, lead go/no gos, cost and ... project opportunities and manage team efforts for submittals, proposals, presentations, contract negotiation, and related activities. + Identify key recruiting needs… more
- GE Vernova (CA)
- …and Component Repairs performed in GRS addressing repairs issues in the GE network . + Own contract leadership and fulfillment including all project deliverables ... and understanding the T&Cs and contract requirements such as LD & Bonus structure. What...plan or program. This document does not create a contract of employment with any individual. GE Vernova offers… more
- Meta (Menlo Park, CA)
- … contract negotiation and execution process for Compute, Storage, and Network Infrastructure. Perform contract reviews and prepare technical accounting ... Manager to support US GAAP accounting for our Compute, Storage and Network Infrastructure, with a special focus to support various strategic sourcing initiatives.… more
- Molina Healthcare (Long Beach, CA)
- …**Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project management ... **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for ... Network Provider Relations jobs are responsible for network development, network adequacy and provider training… more
- Humana (Sacramento, CA)
- …planning and future support model for the Veterans Administration (VA) Community Care Network (CCN) contract and responsible for driving the strategic technology ... National Background Investigation Service) + Our Department of Defense contract requires US citizenship for this position **Additional Information** **Location/Work… more
- Humana (Sacramento, CA)
- …quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract /payer relations. This design ... Fellows report directly to Joel Port, SVP, Business and Network Development. **Sample projects:** + Analyzes quality metrics linked...+ Leads strategic planning efforts to develop a specialist network within the ACO + Develops a health equity… more
- Humana (Sacramento, CA)
- …programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development, contract negotiations, and delegation oversight. + Serve as ... clinical subject matter for potential plan design and clinical programs to support continued health plan growth. + Represent the organization in regional health coalitions and community health initiatives. + Collaborate with various operational functions in… more