180 provider relations manager jobs at 136 companies in California
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Representative, Health Plan Provider Relations
United States or Long Beach
$23-$44/hrFieldFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOE2 years provider services or claims experience in managed care or medical office; knowledge of healthcare delivery and managed care; Microsoft Office and EMR proficiency; training and presentation experience; strong communication and organizational skills.
Microsoft Office, EMR, electronic data interchange (EDI)
Provider Relations Representative - Other Admin- Part-Time
Eureka, California, United States
$28-$43/hrOnsitePart Time
Providence: Provides comprehensive healthcare services through hospitals, clinics, and health plans.
1+ YOERequires 1 year of experience working with physicians in managed care, medical groups, health plans, or MSOs, with provider relations or customer service experience. A healthcare management bachelor's degree and 2 years of provider relations experience are preferred.
Provider Relations Representative - Other Admin- Part-Time
Eureka, California, United States
$28-$43/hrOnsitePart Time
Providence: Non-profit health system providing comprehensive medical and social services.
1+ YOERequires 1 year working with physicians in managed care, IPA, medical group, health plan, or MSO environments with provider relations or customer service experience. Bachelor's degree and 2 years' provider relations experience preferred.
Scripps Health: Integrated nonprofit healthcare system providing comprehensive medical services.
5+ YOEBachelor's in business/healthcare or equivalent, minimum 5 years managed care experience, claims payment and contract interpretation knowledge, strong customer service and follow-up, provider relations and contract financial modeling preferred, Epic Tapestry experience preferred.
Austin or San Antonio or El Paso County or Hudspeth County or Culberson County or Jeff Davis County or Presidio County or Brewster County or Loving County or Reeves County or Pecos County or Terrell County or Cleveland or California or Colorado or District of Columbia or Illinois or Maine or Maryland or Massachusetts or Minnesota or New York or New Jersey or Virginia or Washington
RemoteFull Time
AccentureNYSE: ACN: Global provider of management consulting and technology services.
2+ YOE2+ years healthcare administration experience, 2+ years Medicaid/managed care experience, knowledge of Medicaid programs, strong customer service and communication, able to attend in-person visits; ~10% regional travel.
Microsoft Word, Microsoft Excel, Microsoft Outlook, Microsoft PowerPoint
Senior Developer Relations Manager – Cloud Provider AI Factory
California, United States
$224k-$357k/yrRemoteFull Time
NVIDIANASDAQ: NVDA: Designs GPU-accelerated computing and artificial intelligence hardware.
12+ YOE12+ years technology experience including 5+ years in cloud hosting/AI Factory infrastructure; degree in CS/Engineering or equivalent; deep cloud hosting and AI infrastructure expertise; strong communication and technical leadership skills.
Kubernetes, CUDA, DOCA, Linux kernel, vGPU, AI Factory
Western Dental: Provides comprehensive dental and orthodontic care services.
5+ YOE5+ years provider network, provider relations, dental office management or related healthcare experience; strong communication, presentation, negotiation, organization, and time-management skills; ability to work independently and travel Northern California.
Sonrava Health: A dental support organization providing comprehensive oral healthcare services.
5+ YOE5+ years provider network management or related experience, strong communication, negotiation and organizational skills, ability to work independently across a large territory and travel throughout Northern California.
Davis Polk: Global law firm providing sophisticated legal and business advisory.
6+ YOE6+ years PR experience (law/professional services preferred), exceptional writing and organizational skills, strong media contacts, ability to manage multiple time-sensitive projects and provide counsel to lawyers.
Independent Living Systems: Provides healthcare management and nutritional support for vulnerable populations.
3+ YOEBachelor's in healthcare administration or business, 3+ years provider relations/managed care experience, CA residency and valid CA driver, personal vehicle and insurance, CPR required, proficiency with Microsoft Office (Excel, PowerPoint) and provider reporting systems.
Microsoft Office, Microsoft Excel, Microsoft PowerPoint
Cupertino Electric: Designing and building electrical systems for data centers and infrastructure.
8+ YOEProvide employee relations support including investigations, ADA and policy interpretation, compliance guidance, training, and case management; typically requires extensive ER experience and HR or legal background.
Learn4Life: Personalized high school education and career training for students.
2+ YOEMaintain student records, input and reconcile data, manage enrollment and ADA compliance, provide front-desk support, and communicate with students and parents.
SIS, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
Kearney Healthcare & Life Sciences Practice Manager (Provider)
Chicago or San Francisco or Dallas or Washington D.C. or New York or Boston or Atlanta
$212k-$235k/yrHybridFull Time, Contract
Kearney: Global management consulting firm providing strategic and operational advice.
8+ YOEMBA preferred; 8+ years of professional experience in healthcare or related consulting roles; experience in provider organizations and health system operations.
Provider Contracting Specialist, Consultant (Behavioral Health Network Management)
Rancho Cordova or California or Long Beach or El Dorado Hills or Lodi or Oakland or San Diego or Woodland Hills
$112k-$167k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOECollege degree or equivalent experience and 7 years in behavioral health managed care and provider contracting, including complex negotiations; knowledge of provider relations, contracting, appeals, and grievances.
MedPOINT Management: Provides administrative and management services for healthcare networks and hospitals.
Experience in healthcare data management or provider relations, knowledge of CMS/DMHC requirements, proficiency with Excel and SQL, strong attention to detail and communication skills.
CalOptima Health: Provides public health insurance for Orange County residents.
3+ YOEHigh school diploma plus 3 years data management experience in claims/provider maintenance; 2 years provider relations or health plan operations; strong analytical, communication, and project skills.
TriZetto Facets, Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint
Field Remote Provider Engagement Specialist Merced/Stanislaus County
Merced County or Stanislaus County or Raleigh
$59k-$88k/yrFieldFull Time
Alignment HealthNASDAQ: ALHC: Provides Medicare Advantage plans and coordinated clinical services for seniors.
2+ YOEBachelor's degree preferred and 2+ years of related experience in provider relations, contracting, network development, healthcare operations, or managed care. Requires driver's license, insurance, reliable transportation, and Microsoft Office proficiency.
Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Marvin Behavioral Health: Teletherapy and mental health support designed specifically for healthcare professionals.
7+ YOE3+ Mgmt7+ years RCM experience with 3+ years leadership, payer contracting, fee schedule management, provider credentialing, AdvancedMD/EHR proficiency, CPT/HCPCS/ICD-10 knowledge, and strong negotiation and communication skills.
Soleo Health: Provides specialty pharmacy and home infusion therapy services.
5+ YOEBachelor's or equivalent experience, 5+ years healthcare provider relations or network development, knowledge of risk-based payment models, provider contracting experience, strong communication and strategic planning skills.