- ZOLL Medical Corporation (San Diego, CA)
- …(Cardiologists, Electrophysiologists, Hospitalists, CT Surgeons etc.), Nurse Practitioners, Physician Assistants, nurses, case managers and administrators. Other ... to ensure appropriate and timely filing of billing claims + Maintain credentialing /access to all assigned accounts at all times Required/Preferred Education and… more
- Dignity Health (Bakersfield, CA)
- …to accomodate PST business hours.** **Position Summary:** The Senior Program Manager of Operational Automation will lead the design, implementation, and optimization ... high-impact manual processes across departments such as Claims, UM, Credentialing , and Provider Data. Facilitate automation readiness assessments and future-state… more
- The Cigna Group (Los Angeles, CA)
- …Glendale, CA market. Must live in the Glendale/Los Angeles, CA area.** The ** Manager , Provider Contracting Network Management** serves as an integral member of the ... hospitals and other providers (eg, Hospital systems, Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks… more
- Molina Healthcare (Riverside, CA)
- …of customers as it pertains to contracting, network management and credentialing . **Job Duties** Manages the Plan's Provider Contracting functions and team ... healthcare setting ideally in negotiating different provider contract types, ie physician , group and hospital contracting, etc. * Working experience with various… more
- Sharp HealthCare (San Diego, CA)
- …physicians (Medical Directors (both medical and behavioral health) and the Physician Reviewers) to coordinate the necessary co-management of our members related ... health and pharmacy needs. This position also provides the physician cohesive collaboration necessary for the continuum of care...needs of the membership. Serves as a lead medical manager and policy advisor to SHP clinical and its'… more
- Sharp HealthCare (San Diego, CA)
- …implements an Orientation Program for all new providers who meet the credentialing requirements and who are recommended for acceptance by the Network/UM/Contracting ... providers on new protocols, policies, and procedures.Assesses training needs of physician office staff and PMG personnel. Develops, implements, and conducts… more
- Sharp HealthCare (San Diego, CA)
- …and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for ... experience in the clinical practice of medicine. + Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.… more
- HCA Healthcare (Campbell, CA)
- …and CFO Letters of Agreement as directed + Accountable for submitting monthly physician rosters to health plans based on Credentialing Committee approvals + ... the CEO, CFO, President of SCCIPA, AVP Claims and Manager of Network Operations. We want you to apply!...health plan or IPA/MSO model + Experience negotiating DOFRs, physician and ancillary agreements and Letters of Agreement +… more
- Stanford Health Care (Palo Alto, CA)
- …and outside of their role. A Brief Overview Under the direct supervision of the supervisor/ manager and a physician in the department, who is responsible for the ... performed and billing. **A Brief Overview** Under the direct supervision of the supervisor/ manager and a physician in the department, who is responsible for… more
- AbbVie (Torrance, CA)
- …this market intelligence information with in-field team, brand team and sales manager to achieve alignment, to anticipate environmental changes and challenges and to ... areas. + Preferred: Commercial pharmaceutical industry experiences such as physician /account based selling, training, managed health care or marketing preferred.… more