- 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 Contracting Team and reports to the AVP, ...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Guardian Life (Sacramento, CA)
- As a Dental Network Provider Relations team member, you will work directly with contracted providers to help resolve issues, assess and negotiate provider ... with providers + Research and resolve a variety of provider issues + Grow knowledge base of Network...forth all reasonable efforts to retain providers in the network + Provide outstanding customer service to… more
- Scripps Health (San Diego, CA)
- …specific field as well as in your overall. *About the Role:* * As Director, Provider Network Management, you will be responsible for creating and maintaining a ... comprehensive contracted provider network to serve SHPS members. * Oversee provider relations functions including training, problem solving and satisfaction… more
- Molina Healthcare (Sacramento, CA)
- …although they may have technical team members. **Knowledge/Skills/Abilities** * California Provider Network * Utilize Conga contract management software and ... 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)
- …virtually, and conducts physician, hospital and/or ancillary meetings, as necessary.Ensures provider network meets all regulatory and accreditation requirements ... to ensure the Plan maintains a compliant and adequate provider network . + Network DevelopmentEvaluates...resources, periodically outside of the San Diego area. Must provide own transportation with adequate insurance. + Proficiency in… more
- Molina Healthcare (Riverside, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual provider… more
- Molina Healthcare (San Francisco, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... impact the Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of individual provider and routine… 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 ... are the primary point of contact between Molina Healthcare and contracted provider network . They are responsible for network management including provider… more
- Molina Healthcare (Long Beach, CA)
- …and must live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... recruiting and negotiating with providers. * Participates in the evaluation of provider network and implementation of strategic plans to meet Molina's network… more
- WelbeHealth (Fresno, CA)
- … Partnership team leads the charge by building meaningful relationships with our provider network partners, while ensuring excellent clinical care to those we ... **Job Requirements:** + Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account… more