- Elevance Health (Costa Mesa, CA)
- ** Provider Contract Cost of Care Consult Senior / VBC** **Location:** This role requires associates to be in-office 1-2 days per week, fostering ... granted as required by law. The ** Provider Contract Cost of Care Consult...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- HCA Healthcare (Campbell, CA)
- …for drafting, reviewing and getting approval from the President of SCCIPA, any Network Provider or ancillary provider contract and its terms. Any deviation ... each individual is recognized. Submit your application for our Contract Specialist opening with HCA Healthcare today and find...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- The Cigna Group (Los Angeles, CA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Sharp HealthCare (San Diego, CA)
- …writing and development of presentations, and other resources to educate providers and provider staff on Plan products, processes, and contract terms. Performs a ... study. + 5 Years Experience in healthcare or managed care to include provider services, healthcare administration,...writes, and disseminates provider communications to ensure provider awareness of Plan programs, contract requirements,… more
- Centene Corporation (Sacramento, CA)
- …management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- Medtronic (Anaheim, CA)
- …(Quality, Delivery & Cost ) + Conduct capacity planning with Contract Manufacturers + Provide manufacturing/operations direction for implementation of ... contract manufacturing operations to meet quality, delivery, and cost goals through expertise, collaboration, and process improvements, requiring a bachelor's… more
- Molina Healthcare (Escondido, CA)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- WestCare Foundation (North Highlands, CA)
- …Essential Job Functions: + Manage a large ongoing WestCare STOP Community Based Provider Contract Caseload, including all relevant correspondence; + Ensure the ... maintenance of Provider Contract requirements; including proof of general,...proof of general, automobile and professional liability insurance coverage; cost report submission; and compliance with County zoning laws… more
- Molina Healthcare (San Diego, CA)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …relevant stakeholders in negotiation decisions involving legal or regulatory requirements, contract standards and cost targets. Develop and execute negotiation ... **NATIONAL LEADERS IN PEDIATRIC CARE ** Ranked among the top 10 pediatric hospitals...prior to their start date.** **Purpose Statement/Position Summary:** The Contract Specialist, IT manages all contracts and proposals. Will… more