- RTX Corporation (Beale AFB, CA)
- …can be focused, or a combination of systems administration, software management , network management , or data analytics. Desired military experience and ... AFB, CA, operating on a rotating shift schedule. Collins Aerospace is a provider of SkillBridge Fellowship opportunities for transitioning service members to gain an… more
- Molina Healthcare (San Diego, CA)
- …data from the provider network for entry into the plan's provider management system. + Reviews/analyzes data by applying job knowledge and ... and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts.… more
- Dignity Health (Bakersfield, CA)
- … Provider Data Analyst is responsible for the maintenance of the DHMSO Provider Data Network within EZCAP. The maintenance includes creating new ... with the Contracting and Credentialing teams as needed when questions arise. The Provider Data Analyst partners with Configuration Claims and Enrollment to… more
- LA Care Health Plan (Los Angeles, CA)
- …operations (including but not limited to, claims processing; provider contracting, network and data management ; complex pricing mechanisms; etc.) and ... public agency created by the state of California to provide health coverage to low-income Los Angeles County residents....work product. This position collaborates closely with peers and management within the department as well as throughout and… more
- Humana (Sacramento, CA)
- …Bachelor's degree or equivalent work experience + 4+ years of progressive network management /operations experience including contracting and/or network ... contract assignments requiring thorough analysis and evaluation of various factors and data . By aligning provider agreements with Humana's strategic goals, the… more
- CVS Health (Sacramento, CA)
- …Interchange (EDI), practice management software, etc. + Prior experience with Provider Network functions / processes and market dynamics. + Working knowledge ... + Prior experience across common claims management tools / resources including Availity provider portal, clearinghouse vendor partners, Electronic Data … 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
- Elevance Health (Cerritos, CA)
- …claims costs, improving the quality of care, and increasing member and provider network satisfaction. + Provides expert advice, analytic and consultative ... ** Provider Contract Cost of Care Consult Senior / VBC**...support to Medical Directors and management on cost of care issues. Leads large scale initiatives… more
- The Cigna Group (Glendale, CA)
- …from within the Southern California area.** **SUMMARY** This position is an external provider facing role with account management responsibilities for a medium ... Index score improvement through proactive and effective service and support of network + Review provider reports/dashboard with individual providers +… more
- CVS Health (Sacramento, CA)
- …each and every day. Implements Vale Based Care (VBC) National Specialty network strategies, monitors provider performance metrics, leads dispute resolution ... processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. **What you will do** + Develops and… more