- LA Care Health Plan (Los Angeles, CA)
- …to perform root-cause analyses and recommend effective alternative solutions to handle Provider and Member inquiries, and to provide optimal customer service ... Provider Data Quality Auditor II Job Category: ...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the Provider ... Ancillaries, and large physician groups). + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to support… more
- Elevance Health (Los Angeles, CA)
- Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires associates to be ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health (BH) … 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
- Sharp HealthCare (San Diego, CA)
- …the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally and in writing.… 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 provider ... plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare… more
- WelbeHealth (Fresno, CA)
- …option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out ... markets and expand into new territories to best serve our participants, our Provider Partnership team leads the charge by building meaningful relationships with our … more
- Molina Healthcare (Riverside, CA)
- …live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... issue escalations and JOCs. Entail heavy negotiations. Maintains critical Complex provider information on claims and provider databases. Synchronizes data… more
- Evolent (Sacramento, CA)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Molina Healthcare (Long Beach, CA)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to ... Health arrangements. **Job Duties** This role negotiates contracts with the Complex Provider Community that result in high quality, cost effective and marketable… more