- Humana (Sacramento, CA)
- …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our ... and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior...our customers and our company. Through our Humana insurance services and CenterWell healthcare services , we make… more
- Providence (Anaheim, CA)
- …and St. Joseph Heritage Healthcare. This position provides on-going communication, in- service , orientation, and direction to these contracted provider offices. ... a managed care/IPA, Medical group, health plan or MSO environment with Provider Relations or Customer Service experience. **Preferred Qualifications:** +… more
- Molina Healthcare (Long Beach, CA)
- …live in California _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and ... adequacy, issue escalations and JOCs on exception. Executes standardized fee for service and other core payment method contracts with predefined, common programs.… more
- Gilead Sciences, Inc. (Santa Monica, CA)
- …_Cross-Functional Collaboration_ + Collaborate with Medical Affairs, HEOR, Patient Services , and Trade/Contracting to ensure provider -facing strategies are ... help create more tomorrows. **Job Description** The **Director, LBCL Provider Access Marketing** reports to the Head of US...awareness and use of Kite Konnect and other Kite-provided services . This position is based in our Santa Monica,… more
- Dignity Health (Bakersfield, CA)
- …and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health's ... **Responsibilities** This position is remote.** **Position Summary:** The Director of Provider Contracting is a key executive leader responsible for the strategic… more
- Humana (Sacramento, CA)
- …sex, sexual orientation, gender identity or religion. We also provide free language interpreter services . See our ... Contract Requires US Citizenship for this Position. Overview: Join Humana Military's Provider Data Solutions team to support the TRICARE T5 contract and deliver… more
- Evolent (Sacramento, CA)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director, Provider Engagement to lead our oncology-focused provider engagement and ... practice transformation efforts in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director, you will be responsible for building and managing… more
- Scripps Health (San Diego, CA)
- …medical groups, IPAs, institutional and ancillary providers. * Be responsible for Customer Service for both member and provider inquiries. * Maintain provider ... **Title:** *Director, Provider Network Management* **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS HEALTH PLAN SERVICES * **Requisition ID:**… more
- Sharecare (Sacramento, CA)
- …for everyone. To learn more, visit www.sharecare.com. **Job Summary:** Sharecare Provider Solutions is the leader in providing secure electronic exchange, delivery ... Health Information to thousands of Healthcare Providers across the United States. Provider Solutions provides unmatched compliance in the industry with 100% of… more
- Molina Healthcare (Long Beach, CA)
- …of education and experience; **REQUIRED EXPERIENCE:** 2-3 years customer service , claims, provider and investigation/research experience. Outcome focused ... combination of education and experience **PREFERRED EXPERIENCE:** 4 years customer service , claims, provider and investigation/research experience. LTSS claims… more