- Abbott (Alameda, CA)
- …track and analyze glucose levels. As a Manager, Strategic Pricing and Contracting , you will be responsible for working cross-functionally with Legal, Account ... and resolve any contract-related disputes. + Support sales and revenue modeling and provide decision support for Hospital and POC Channels + Leading projects &… more
- Providence (Irvine, CA)
- …New Mexico, Oregon, Texas, and Washington. As a mission-based, not-for-profit healthcare provider , our commitment to providing compassionate care to all lives on ... must empower them.** **Providence is calling a Senior Manager Contracting who will:** + Be responsible for leading, or...career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace… more
- Molina Healthcare (Riverside, CA)
- …contracting , network management and credentialing. **Job Duties** Manages the Plan's Provider Contracting functions and team members. Responsible for the ... departments and functional business unit stakeholders to lead or support various Provider Contracting functions. This role negotiates contracts with the Complex… more
- Molina Healthcare (Long Beach, CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... with all relevant federal, state and local regulations. Responsible for contracting /re- contracting of standard deals, maintaining network adequacy, issue… more
- Molina Healthcare (San Francisco, CA)
- …must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... different provider contract types, ie physician, group and hospital contracting , etc. * Working familiarity with various managed healthcare provider … more
- Sharp HealthCare (San Diego, CA)
- …accurate summary reports from provider research and findings.Facilitates the new provider contracting process to ensure that new providers meet all the ... external research to identify potential providers for the Sharp Health Plan provider network.Works closely with utilization management and contracting teams to… more
- CVS Health (Sacramento, CA)
- …audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting , and Provider Relations to ensure alignment with regulatory ... Director will also serve as a key liaison between Compliance, Legal, Network Contracting , and Provider Relations teams. **Required Qualifications** + A minimum… more
- Humana (Sacramento, CA)
- …community and help us put health first** Humana Healthy Horizons is seeking a Medicaid Provider Materials Lead who is responsible for leading a team to execute core ... provider educational materials for Humana's Medicaid segment to drive...project management experience. + 3+ years of Medicaid or contracting experience. + Understanding of learning design principles and… more
- Elevance Health (Los Angeles, CA)
- …with strategic providers face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting / credentialing and linkages ... Behavioral Health Provider Quality Manager **Candidates must posses a licensure...or any combination of education and experience, which would provide an equivalent background. + Current, valid, independent, and… more
- WelbeHealth (Elk Grove, CA)
- … provide direct coaching, observe processes, and support critical provider meetings _Cross Functional Collaboration_ + Build strong, collaborative relationships ... our participant-focus lead the way no matter what. The Senior Manager, Provider Partnership is accountable for overseeing daily operations while mentoring and… more