- Dignity Health (Bakersfield, CA)
- …that collaborate with the contracting department (ie, Claims, Utilization Management /Authorizations, Benefits, and Finance) to provide contract interpretation, ... Health Plans) that provides contract interpretation, clarification, or modification as required. - Provide initial review of provider proposals and provide … more
- Meta (Burlingame, CA)
- …of vision insurance across multiple providers 11. Experience with insurance formulary management and provider network strategies 12. Experience building ... 3. Manage Meta's product status under different formulary scenarios and in- vs. out-of- network provider conditions 4. Influence product development and support a… 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
- 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 ... advisory panels + Own market level engagement strategy and collaborate with provider engagement market managers to ensure change management initiatives are… more
- CVS Health (Sacramento, CA)
- …support audit readiness and collaborates with Compliance, Legal, Medicaid Health Plans, Network Contracting, and Provider Relations to ensure alignment with ... also serve as a key liaison between Compliance, Legal, Network Contracting, and Provider Relations teams. **Required...+ A minimum of 2 years of experience in provider data management and contracting support. +… more
- Imagine One Technology & Management (San Diego, CA)
- …Specific technologies and tasking for this project are expected to include network design, monitoring, management and operations, common computing environment, ... Imagine One Technology & Management , Ltd. is seeking several personnel to serve...in San Diego, California. The **Senior Systems Engineers** will provide engineering and deployment/implementation services for the Navy Marine… 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
- Northrop Grumman (Palmdale, CA)
- …interpersonal skills, and the ability to interface with all levels of employees and management + Network + certification and/or a Cisco CCNA or other similar ... the development of detailed test plans, test schedules, and test procedures and provide support for integration testing + Contribute to test card development and… more
- Identiv (Santa Ana, CA)
- …365/AWS . Antivirus / Anti-malware management . Server / Workstation patch management . Printer management . Network switch port management ... support to end-users, ensuring timely resolution of hardware, software, and network -related issues. This role manages the helpdesk ticketing system, troubleshoots… more
- Dignity Health (Oxnard, CA)
- …administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care and ... **Responsibilities** The Provider Relations Representative is responsible for establishing and...business acumen, customer service skills, follow-up, organizational and project management skills to ensure objectives and deadlines are consistently… more