- Sharp HealthCare (San Diego, CA)
- …the Plan, by establishing and maintaining positive working relationships through provider engagement and management. Develops and presents provider ... orientation/training and other resources to educate providers and key provider staff on Plan products, processes, and contract terms, both orally and in writing.… more
- World Wide Technology (Los Angeles, CA)
- …our Global Service Providers team. **Why should you join WWT's Global Service Provider Sales Organization?** As a Consulting Systems Engineer (CSE), you will ... role will guide our technical sales efforts to mid-market service provider IT/Datacenter organizations. Day to day...multiple OEM's, and take part in technical training to provide continued value to the customers. Technical expertise expansion… more
- Dignity Health (Redding, CA)
- **Responsibilities** **Position Summary:** Under indirect supervision the incumbent will provide services as approved by the Medical Staff Committees. The ... and delivery of direct and indirect patient care to provide planning supervision implementation and evaluation of the care...and da Vinci Robotic Surgery. It is the sole provider of obstetrical services along with the… more
- Molina Healthcare (Long Beach, CA)
- …setting. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 2 - 3 years customer service , provider service , or claims experience in a managed care ... services Molina members, including but not limited to Fee-For- Service and Pay for Performance Providers. It is an...* 3+ years experience in managed healthcare administration and/or Provider Services . To all current Molina employees:… more
- Molina Healthcare (San Diego, CA)
- …and contracted provider network. Plans, organizes, staffs, and coordinates the Provider Services activities for the state health plan. Works with direct ... functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on...lines of business, including but not limited to: fee-for service , capitation and delegation models, and various forms of… more
- Elevance Health (Walnut Creek, CA)
- …Conducts quarterly physician record reviews or as needed with network providers across all service levels. + Assists with provider orientations and provider ... **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure...all levels of care, as well as other community-based services and resources to improve transitions of care and… more
- The Cigna Group (Los Angeles, CA)
- …through matrix partners. + Assists in resolving elevated and complex provider service complaints. Researches problems and negotiates with internal/external ... matrix partners for network implementation and maintenance. + May provide guidance or expertise to less experienced specialists. **POSITION...obtained through a cable broadband or fiber optic internet service provider with speeds of at least… more
- WelbeHealth (Elk Grove, CA)
- …to thrive. Collaboration with internal departments is critical to enable our aligned provider networks to deliver timely medical services to frail seniors across ... provide direct coaching, observe processes, and support critical provider meetings _Cross Functional Collaboration_ + Build strong, collaborative relationships… more
- WelbeHealth (Fresno, CA)
- …option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out ... like family, all while receiving the healthcare and social services needed to thrive. As we continue to serve...into new territories to best serve our participants, our Provider Partnership team leads the charge by building meaningful… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …This role leads the development of scalable, future-focused initiatives that enhance provider readiness, optimize CAR-T service line economics, and support ... contracting, and relevant discussions with assigned accounts and customers + Provide a provider POV for all relevant US Business Development discussions as… more
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