- WelbeHealth (Elk Grove, CA)
- …may be substituted + Minimum of five (5) years of progressive experience in provider relations , network management , or health plan operations/account ... critical role in local strategy development, identifying opportunities to enhance our provider network 's performance and foster deeper mission alignment. This… more
- WelbeHealth (CA)
- …master's degree highly desired + Minimum of eight (8) years of experience in provider relations , network management , healthcare delivery, or account ... scheduling, authorizations, troubleshooting, and workflow design, across our key network partners and WelbeHealth teams. The Enterprise and Onsite Partnerships… more
- Molina Healthcare (San Diego, CA)
- **Job Description** **Job Summary** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...commensurate/equivalent experience in provider services or contract network development and management in a managed… 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 ... compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point...provider network . They are responsible for network management including provider education,… more
- Elevance Health (Los Angeles, CA)
- ** Network Relations Consult Sr** . **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... an accommodation is granted as required by law. The ** Network Relations Consult Sr** is responsible for...through direct contact with providers, claims, pricing and medical management department. + Identifies and reports on provider… more
- Dignity Health (Oxnard, CA)
- **Responsibilities** The Provider Relations Representative is responsible for establishing and maintaining positive relationships with various clients building ... administrator operations such as eligibility, prior authorization, claims administration and provider network administration. Familiarity with managed care and… 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 ... Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** *Director, Provider Network Management * **Location:** *Central San Diego… more
- Cardinal Health (Sacramento, CA)
- …data needs and execute updates when required + Report results and outcomes of network status to management at regular intervals + Respond to third party/managed ... **_Responsibilities:_** + Maintain up to date credentials for entire network of participating health plans + Cultivate and maintain...care requests in a timely manner + Provide existing customers and third-party vendors with the best… more
- The County of Los Angeles (Los Angeles, CA)
- MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4203260) Apply ... MANAGER, BOARD RELATIONS , HEALTH SERVICES (DIRECTOR, GOVERNMENTAL RELATIONS ) Salary $141,907.20 - $220,694.40 Annually Location Los Angeles County, CA Job Type… more
- NBC Universal (Universal City, CA)
- …compliance training. Basic Requirements: + Bachelor's degree in Human Resources, Industrial Relations , Business Management , or related field required. + 7+ years ... labor unions preferred. Desired Characteristics: + Advanced degree in HR management , Organizational Development or Industrial Relations . + Extensive knowledge… more