- 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)
- …as needed and coordinates response with internal matrix partners + Manages Network provider performance for assigned territory through a consultative/account ... Develop strategic partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery… more
- Highmark Health (Sacramento, CA)
- …marketplace by staying abreast of changes to the business climate. Monitor provider reimbursement methods and PPO/DHMO/EPO network models and communicate changes ... territory in a remote and mobile work environment. Manage network contracts including negotiations, contract development/renewal and financial reimbursement. Meet… more
- Dignity Health (Bakersfield, CA)
- …Health Plans) that provides contract interpretation, clarification, or modification as required. - Provide initial review of provider proposals and provide ... to work PST business hours.** **Position Summary:** The Manager, Network Strategy and Contracting reports to the Director of... Strategy and Contracting reports to the Director of Provider Contracting. Key areas of oversight include negotiation of… more
- Dignity Health (Bakersfield, CA)
- …of provider contracting across DHMSO's Independent Physician Association (IPA) network . This leader oversees a high-performing team managing the full contract ... **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic… more
- Humana (Sacramento, CA)
- … Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business Intelligence ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our… more
- Elevance Health (Los Angeles, CA)
- …provider refresher training. + Researches issues that may impact future provider negotiations or jeopardize network retention. **Minimum Requirements:** + ... ** Network Relations Consult Sr** . **Location:** This role...Consult Sr** is responsible for developing and maintaining positive provider relationships with provider community by regular… more
- Evolent (Sacramento, CA)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and… more
- BeOne Medicines (San Mateo, CA)
- General Description: The Senior Manager of Provider Contracting is responsible for the development, negotiation, and management of contracts for BeOne solid tumor ... products across provider organizations in the US. This role will support...to a wide range of stakeholders. + Ability to network across a broad internal and external matrix organization… more
- SpaceX (Hawthorne, CA)
- …you will help create the tooling to expand and monitor the Starshield service provider network . You and your teammates will own the design and implementation ... improving existing processes and tools. You will be helping provide visibility into a network that supports...to the responsibilities + Understanding of carrier and service provider networks + Experience with hands-on work in bringing… more