- Humana (Sacramento, CA)
- …and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes behavioral health provider contracts. ... The Provider Contracting Professional 2 communicates contract terms, payment structures, and reimbursement rates to providers. Analyzes financial impact of… more
- Elevance Health (Walnut Creek, CA)
- **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the state of California.** **Location:** This role requires ... and business leaders passionate about transforming American healthcare delivery. The ** Provider Quality Manager** is responsible for leading Behavioral Health… more
- Elevance Health (Los Angeles, CA)
- …+ Requires a BA/BS degree and a minimum of 2 years healthcare experience in Provider Relations, Contracting , or other area of Health Care Management; or any ... autonomy of virtual work, promoting a dynamic and adaptable workplace. Carelon Behavioral Health, Inc. is enthusiastically supporting the CYBHI Fee Schedule program… more
- HCA Healthcare (Riverside, CA)
- …to facility-level physician credentialing, business development, and provider relations in contracting issues + You will provide medical consultation on ... at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical… more
- Highmark Health (Sacramento, CA)
- … professional billing, facility Patient Financial Services, HIM, Internal Audit, Professional /Facility Reimbursement or Provider Contracting **LICENSES or ... **ESSENTIAL RESPONSIBILITIES** + Performs investigations into potential and existing provider and member fraud, waste and abuse activities.Identifies parties… more
- CenterWell (Sacramento, CA)
- …our associates in becoming happier, healthier, and more productive in their professional and personal lives. We promote lifelong well-being by giving our associate ... network management, and payment frameworks (eg capitation, partial risk, direct contracting ) + Population health minded physician with an understanding of, and… more
- The County of Los Angeles (Los Angeles, CA)
- …budget, number and size of contracts, and size and composition of clinical, professional , and support staff. Positions allocated to the Department of Public Health ... development and administration activities as part of a centralized departmental contracting function. Health Program Analyst III is distinguished from Health Program… more
- Warner Bros. Discovery (Burbank, CA)
- …should have prior experience in procurement. Example projects this role would provide sourcing support for may include software for production finance / accounting ... as well as legal perspective, and acts as a liaison between the contracting parties, WBD Legal, and management. + Recognizes differences in requirements and… more