72 provider relations manager jobs at 61 companies in Compton, CA
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Provider Relations Manager
Laguna Hills, California, United States
$80k-$100k/yrHybridFull Time
Salma Health: Delivers integrated brain health clinical care and diagnostic technology.
3+ YOE3–5 years in healthcare business development, provider relations, partnerships, or strategic sales; strong healthcare landscape knowledge; experience with behavioral/primary/specialty care; proven referral growth; strong communication and negotiation skills.
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
1+ YOE1+ years HEDIS/Stars/CAHPS quality experience; experience with clinicians and provider practices; intermediate Microsoft Office and PowerPoint; valid California driver’s license, current insurance, and reliable transportation.
Microsoft Office, Microsoft PowerPoint, Cozeva, EHR, IVR, Texting Applications
ModivcareOTC Markets: MODVQ: Provides non-emergency medical transportation and in-home personal care.
3+ YOEBachelor's degree, 3+ years experience (or equivalent), strong communication, interpersonal and problem-solving skills, customer-service mindset, proficiency with Microsoft Word/Excel/Access/Outlook and LSI proprietary software, familiarity with non-emergency transportation brokerage.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft Outlook, LSI proprietary software
Health Plan Provider Relations Manager (Remote in Iowa)
Des Moines or Iowa or Long Beach
$57k-$118k/yrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
6+ YOE6+ years provider services experience with Medicaid/Medicare, strong provider relations, presentation and organizational skills, Microsoft Office proficiency, and ability to travel ~20%.
Electronic Medical Records (EMR), Electronic data interchange (EDI), Microsoft Office
United Medical Imaging: Provides comprehensive diagnostic imaging and radiology services across Southern California.
1+ YOEPreferred 1 year healthcare experience; strong written/verbal and customer-service skills; ability to prepare spreadsheets/reports; managed care contracting and selling skills desirable; California driver\u0002s license and good driving record required.
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
Sr Manager, Provider Contract Development – Business Integration Lead (Remote)
Thousand Oaks or United States
$144k-$195k/yrRemoteFull Time
AmgenNASDAQ: AMGN: Develops and manufactures biotechnology medicines for serious diseases.
6+ YOEDegree plus related experience (varies by degree); preferred 6+ years in pharma/biotech/healthcare or related functions; strong project/program management, governance, reporting/dashboard development, process improvement, and cross-functional leadership skills.
Cambrian Homecare: Provides professional home care services for seniors and individuals.
0.5+ YOEProvide in-home care for developmentally disabled individuals; manage behaviors; CPI/Pro Act training; 6 months of behavior-related experience; background check and health certifications; 18+; TB test and CPR/First Aid; $24/hr.
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.
SchoolsFirst Federal Credit Union: Provides financial banking and lending services to members.
5+ YOEManage complex member escalations, conduct investigations, apply de-escalation and conflict resolution, support high-risk member decisions, and provide subject matter guidance; requires Bachelors and 5+ years' relevant experience.
Senior Manager, Marketing - Plastic Surgery, – DTC and Provider Channels (Social Media Revenue Focus)
Irvine, California, United States
$125k-$237k/yrHybridFull Time
AbbVieNYSE: ABBV: Develops and sells innovative pharmaceutical and biopharmaceutical medicines.
7+ YOEBachelor's in marketing or related field, 7+ years marketing experience, 5+ years in healthcare/pharma preferred, experience with digital/paid social, influencer marketing, analytics, strong project management and communication.
American Red Cross: Provides disaster relief, emergency assistance, and blood donation services.
3+ YOEBachelor's in marketing/sales/communications, minimum 3 years related experience, skills in sales/negotiation, partner management, data analysis, presentation, and ability to provide own transportation; some travel required.
Z TEMP - Grievance Resolution Specialist (Provider Resolution) - 494065
Orange, California, United States
$54k-$81k/yrOnsiteTemporary, Full Time
CalOptima Health: Provides public health insurance for Orange County residents.
1+ YOE1+ year provider dispute/appeals experience with Medicare/Medi-Cal, grievance/claims/complaints or related areas; high school diploma or equivalent; strong written/oral communication, analytical and case management skills; Microsoft Office and job-specific systems proficiency.
Microsoft Word, Microsoft Outlook, Microsoft Excel, Microsoft PowerPoint, Electronic job specific applications/systems
AHMC Healthcare: Operates a network of acute care hospitals and medical centers.
2+ YOEMSW and active LCSW required, Healthcare Provider BLS required, 2 years acute or related medical care experience required; management experience preferred.
Abrazar: Non-profit organization providing social, health, and transportation services in Orange County.
1+ YOEProvide care management for Medi-Cal members: assessments, individualized care plans, care coordination, documentation, and community referrals. Requires 1+ year case management or related experience, CPR/First Aid, valid driver’s license, and authorization to work in the U.S.
EHR, Efforts to Outcomes, Microsoft Word, Microsoft Excel, Microsoft PowerPoint
Southern California Alcohol and Drug Programs: Provides substance abuse treatment and supportive housing services.
1+ YOEProvide on-site case management for low-acuity clients including assessments, individualized case plans, service linkages, advocacy; HS/GED or equivalent; fingerprint clearance; 1 year experience or bachelor's in related field.
Front Porch: Front Porch provides senior living and affordable housing communities.
1+ YOEProvide administrative support, plan meetings, handle resident issues, prepare reports, and supervise administrative staff; bachelor's degree or 1-2 years related experience or equivalent; strong communication and problem-solving skills.
Precision Castparts Corp.NYSE: BRK.B: Manufacturer of complex metal components for aerospace and industrial markets.
5+ YOEProvide full HR support including employee relations, talent acquisition, performance management, compensation, benefits administration, workers' compensation, and compliance; bachelor\u0002s degree and 5+ years HR experience in manufacturing required.
Hulcher Services: Emergency derailment and infrastructure services for the railroad industry.
5+ YOE5+ years leadership in railroad operations or related fields, experience managing multiple locations and derailment/emergency response, bachelor's degree or equivalent, valid driver's license, ability to travel ~50% and provide 24/7 emergency support.