- Cardinal Health (Sacramento, CA)
- …to the NPHS business segment partners, including guidance related to customer contracting (GPOs, IDNs, hospitals, physician offices, etc.), strategic sourcing, ... regulatory/compliance matters + Serve as primary legal contact for customer contracting matters, including Group Purchasing Organizations, IDNs physician offices… more
- HCA Healthcare (Campbell, CA)
- …the terms of all HMO and PPO contracts, and at the direction of the Contracting Team, interface with health plans to negotiate HMO and PPO rates and Division of ... the direction of the President of SCCIPA and the Contracting Team. This role is also responsible for co-leading...of Agreement as directed + Accountable for submitting monthly physician rosters to health plans based on Credentialing Committee… more
- Molina Healthcare (Long Beach, CA)
- …California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- CommonSpirit Health (Rancho Cordova, CA)
- …policy terms. + Adheres to all established contracting guidelines. Contracting accountability for negotiation support include hospital, physician , and ... the development, implementation and management of PSR system standards for contracting and payer relations. Accountabilities include: ensuring that managed care… more
- Philips (San Diego, CA)
- …position. + You have SH device industry experience with strong physician relationship management skills preferred (communication, contracting , project ... management, co-creation of content). **You must be able to travel at least 50% of the time.** **How we work together** We believe that we are better together than apart. For our office-based teams, this means working in-person at least 3 days per week. Onsite… more
- HCA Healthcare (Riverside, CA)
- … physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on contracting ... leadership in the facility + You will assemble regional physician advisory panels to provide ongoing feedback to HCA...opportunities + You will develop, implement, and monitor disruptive physician and impaired physician policies, and develops… more
- Sharp HealthCare (San Diego, CA)
- …requirements and who are recommended for acceptance by the Network/UM/ Contracting Committee. The orientation should include a complete education regarding ... providers on new protocols, policies, and procedures.Assesses training needs of physician office staff and PMG personnel. Develops, implements, and conducts… more
- Humana (Sacramento, CA)
- …projects in quality oversight, data reporting, performance improvement, physician engagement, informatics, network development, and contract/payer relations. This ... Develops a health equity strategy to update existing value-based contracting principles + Designs a social determinant of health...EMR + Assesses behavioral health integration readiness of ACO physician practices + Leads the design of a new… more
- Travelers Insurance Company (Sacramento, CA)
- …Will You Do?** + Provide overall program leadership as the organization's lead physician . Serve as the key enabler and facilitator for the Travelers medical ... input and support medical vendor strategies including vendor selection, negotiation and contracting . + Medical Direction and Oversight: + Participate in the design… more
- Dignity Health (Bakersfield, CA)
- …to review medical records, authorize requested services and prepare cases for physician review based on medical necessity. The position partners with both the ... providers are in place when authorizing. - Responsible to coordinate with contracting to obtain appropriate contracts as deemed appropriate. - Identify cases that… more