- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role enables ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager ** is responsible for leading Behavioral Health… more
- WelbeHealth (Elk Grove, CA)
- …values and our participant-focus lead the way no matter what. The Senior Manager , Provider Partnership is accountable for overseeing daily operations while ... team, fostering their professional growth, and ensuring their success in driving provider engagement and operational excellence. The Senior Manager , Provider… 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 Provider Contracting Team and reports to the AVP, ...matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION… more
- Sharecare (Sacramento, CA)
- …the time. Provider Solutions is looking for a strong, dynamic and experienced Provider Sales Manager to expand business throughout the United States. The ... Provider Sales Manager is responsible for protecting existing named account revenue as well as growing and expanding Provider Solutions inside the existing… more
- Molina Healthcare (San Francisco, CA)
- …oversight. Tighter knit proximity ongoing after contract. * In conjunction with Director/ Manager , Provider Contracts, negotiates Complex Provider contracts ... live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and… 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
- Huron Consulting Group (Los Angeles, CA)
- …examines the intricate patient care challenges encountered by payor and provider healthcare entities to stabilize business today and create tomorrow's growth ... plans and partnerships for the world's leading healthcare organizations. We are seeking a Manager to join our consulting team. As a Manager , you will lead… 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
- Molina Healthcare (Sacramento, CA)
- …although they may have technical team members. **Knowledge/Skills/Abilities** * California Provider Network * Utilize Conga contract management software and Quest ... as needed. * Works with operational leaders within the business to provide recommendations for process improvements, medical cost savings or revenue enhancements. *… 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