- LA Care Health Plan (Los Angeles, CA)
- …demonstrable experience in overseeing and delivering IT Solutions, preferably in the Provider Network Management space. * Understand how each System (Commercial ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.... Data Management Domain experience required. 3 years of Provider Network experience preferred. 3 years of… more
- LA Care Health Plan (Los Angeles, CA)
- …assistance from LA Care. The position works directly with Care Management and Provider Network Management staff to inform Provider capacity-building and ... management and oversight activities associated with LA Care's ECM network . The position reports to the Supervisor of ECM... Provider activities to monitor performance related to Provider clinical and service requirements. Provide guidance… more
- Highmark Health (Sacramento, CA)
- …TQC or other quality management certification. + Experiencein health plan provider network performance management, population health management, continuous ... DE) and Enterprise Quality, Safety, and Values (Health Outcomes Measures). Provide actionable opportunities in provider transformation aimed at high-quality,… more
- Datavant (Sacramento, CA)
- …the right format. Our platform is powered by the largest, most diverse health data network in the US, enabling data to be secure, accessible and usable to inform ... innovative solutions that surface timely, high-accuracy clinical insights directly into provider workflows. These capabilities help health plans and risk bearing… more
- Palo Alto Networks (Santa Clara, CA)
- …for State-of-the-art firewalls deployed at Enterprise, Data Center, Cloud, and Service Provider environments + Developing network security features for 4G and ... of GTP/PFCP/SCTP or 4G/ 5G is a plus + Knowledge of mobility service provider core network architecture is a plus **The Team** Our engineering team is at the… more
- Highmark Health (Sacramento, CA)
- … network adequacy/ provider gap fill support, understanding tools used to provider network adequacy (Quest), answering network inquiries from both ... of healthcare and related companies **Preferred** + Experience in Health Care provider network operations and technology + Experience in operational improvement… more
- Humana (Sacramento, CA)
- …strategies to align clinical programs with payer-specific needs (MA, D-SNP). + Provide clinical input into network development, contract negotiations, and ... improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP… more
- HCA Healthcare (Campbell, CA)
- …of Financial Responsibility (DOFR). This role is responsible for drafting and maintaining Network Provider agreements, at the direction of the President of ... and getting approval from the President of SCCIPA, any Network Provider or ancillary provider ...conjunction with the CFO, finance team and Contracting team, provide analysis and recommendations for terms, sharing experience and… more
- Dignity Health (Bakersfield, CA)
- …analytics team members and collaborate with Dignity Health MSO leadership and provider network to achieve organizational goals. Responsibilities may include: - ... value-based contracts. The Director will lead a team to provide and strategize results for hands on data science...team and analyzes trends and costs of care by provider in the network . - Helps develop… more
- TP-Link North America, Inc. (Irvine, CA)
- …the field of network management / support practice. + Able to provide customer solutions based on requirements and TP-Link business products. + Familiar with ... Networking Support Engineer Tier 2. TP-Link is a leading provider of consumer Wi-Fi networking products. We continuously develop...collaboration. In addition to free snacks and drinks, we provide all employees with fully paid medical, dental and… more