- Humana (Sacramento, CA)
- …Lead to provide guidance, support, and relationship management to key provider partners on HOS measures and patient experience. This position is also responsible ... for collaborating with network and provider rewards teams to develop and execute strategies to...a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment… more
- Elevance Health (Shasta, CA)
- **Behavioral Health Provider Quality Manager** **Candidates must posses a licensure for the state of California.** **Location: The ideal candidate will reside in or ... depression, and insightful analytics to improve the delivery of care. The ** Provider Quality Manager** is responsible for leading Behavioral Health (BH) provider… more
- Elevance Health (Cypress, CA)
- ** Provider Relationship Account Manager** **Location:** _Hybrid1:_ This role requires associates be in the office 1-2 days per week, fostering collaboration and ... employment, unless an accommodation is granted as required by law. The ** Provider Relationship Account Manager** is responsible for providing quality, accessible and… more
- The Cigna Group (Walnut Creek, CA)
- …Berkeley, San Ramon, Concord, Pleasant Hill, CA areas are preferred** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... Provider Contracting Team and reports to the VP, Network...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …access strategy, contracting, and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant US Business Development ... and help create more tomorrows. **Job Description** The **Senior Director,** **US** ** Provider Access** **Strategy & Marketing** reports to the Head of US Market… more
- Centene Corporation (Sacramento, CA)
- …Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery ... a coordinated effort in improving financial and quality performance + Triages provider issues as needed and coordinates response with internal matrix partners +… more
- Humana (Sacramento, CA)
- …caring community and help us put health first** The Supervisor, Provider Engagement develops and grows positive, long-term relationships with physicians, providers ... the contracted working relationship with the health plan. The Supervisor, Provider Engagement works within thorough, prescribed guidelines and procedures; uses… more
- Molina Healthcare (San Diego, CA)
- …Diego County _** **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... provider training and education, in alignment with Molina Healthcare's...compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact… more
- Molina Healthcare (San Francisco, CA)
- **Job Description** **Job Summary** Responsible for leading provider network operations, contracting support, policies and procedures, and provider ... operational excellence, regulatory alignment, and effective communication with the provider community. **Job Duties** Serves in a Director-level, multi-faceted… more
- Evolent (Sacramento, CA)
- …WEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and practice ... transformation efforts in **California** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more