- CVS Health (Sacramento, CA)
- …it all with heart, each and every day. **Position Summary** The **Senior Network Relations Liaison** will design, develop, contract, maintain, and enhance ... with our most key health systems, in order to improve the provider experience for the network . This position will be focused on providers in the Minnesota &… more
- CVS Health (Sacramento, CA)
- …do** + Executes both routine and non-routine business support tasks for the Network Relations area under limited supervision, referring deviations from standard ... to provide effective and timely support. + Operates routine provider issues and internal inquiries regarding policies and procedures, credentialing or claims… more
- Molina Healthcare (San Diego, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina… more
- Molina Healthcare (San Diego, CA)
- …must live in Sand Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...primary point of contact between Molina Healthcare and contracted provider network . They are responsible for … more
- CVS Health (Sacramento, CA)
- …and provides guidance on items with critical business implications. + Partners with network management and provider relations , provider services, ... 20 employees. **Required Qualifications** + A minimum of 5 years working with provider data, network , relations , or credentialing. + A minimum of 3 years… more
- WelbeHealth (Elk Grove, CA)
- …be substituted + Minimum of five (5) years of progressive experience in provider relations , network management, or health plan operations/account management ... critical role in local strategy development, identifying opportunities to enhance our provider network 's performance and foster deeper mission alignment. This… more
- Providence (Anaheim, CA)
- **Description** Under the supervision of the Director, the Provider Relations Representative functions as a liaison among the contracted physician/specialist ... a managed care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience. **Preferred Qualifications:** +… more
- CVS Health (Sacramento, CA)
- …to support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment ... will also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required Qualifications** + A minimum of… more
- Scripps Health (San Diego, CA)
- …contracted provider network to serve SHPS members. * Oversee provider relations functions including training, problem solving and satisfaction for all ... in your overall. *About the Role:* * As Director, Provider Network Management, you will be responsible...At least seven years combined experience in management of provider relations and contracting at the plan,… more
- WelbeHealth (Fresno, CA)
- …and/or provider network management capacity, account management, or provider relations experience in a managed care organization + Bachelor's degree ... Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we… more