- Elevance Health (Los Angeles, CA)
- ** Network Relations Consult Sr** . **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The ** Network Relations Consult Sr** is responsible for...refresher training. + Researches issues that may impact future provider negotiations or jeopardize network retention. **Minimum… 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 (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... 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
- Cardinal Health (Sacramento, CA)
- …organization. **_Responsibilities:_** + Maintain up to date credentials for entire network of participating health plans + Cultivate and maintain on-going payer ... updates when required + Report results and outcomes of network status to management at regular intervals + Respond...third party/managed care requests in a timely manner + Provide existing customers and third-party vendors with the best… 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
- 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
- Dignity Health (Oxnard, CA)
- **Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building ... administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care and… 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