42 provider relations manager jobs at 33 companies in Fillmore, CA
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Representative, Health Plan Provider Relations - Remote (Must reside in LA County)
Los Angeles County, California, United States
$23-$44/hrRemoteFull Time
Molina HealthcareNYSE: MOH: Provider of managed healthcare services for government-sponsored programs.
2+ YOERequires 2+ years of customer service, provider services, or claims experience in managed care or a medical office, healthcare system knowledge, strong communication, organization, and Microsoft Office proficiency.
Microsoft Office, Electronic Medical Record (EMR), electronic data interchange (EDI), provider portal, provider website
Independent Living Systems: Provider of comprehensive managed care and social support services.
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
Elevance HealthNYSE: ELV: A health dedicated to improving lives and communities.
8+ YOEBA/BS and 8+ years in provider contracting, provider relations, or servicing, including contracting experience. Requires complex negotiation, financial analysis, and value-based contracting expertise.
General Manager of Military & TRICARE Provider Partnerships
La Jolla or San Diego or Los Angeles or Orange County or California or United States
$80k-$100k/yrFieldFull Time
Salma Health: Private brain health providing integrated mental, neurological, and neuropsychiatric care, diagnostics, research, and technology to patients.
5+ YOE5+ years in TRICARE/military healthcare, provider relations, or behavioral health BD; existing military/TRICARE relationships; proven success growing provider referrals; strong communication, negotiation, and CRM-based performance tracking skills.
MedPOINT Management: Privately owned California managed-care services providing IPA management, consulting, claims, and medical operations for providers 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.
Marvin Behavioral Health: Private behavioral-health platform providing specialized teletherapy and related support to healthcare workers through employers.
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: Independent national specialty pharmacy and infusion provider serving patients with complex, rare, and ultra-rare conditions.
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.
Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yrOnsiteFull Time
USC Care Medical Group: Nonprofit academic physician practice plan delivering professional medical services to patients of Keck Medicine-affiliated hospitals and clinics.
Bachelor's degree in information management, healthcare information, business, mathematics, statistics, or related field; healthcare credentialing and provider enrollment experience; data analysis and database management skills.
Microsoft Excel, Microsoft Word, Microsoft operating systems
Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yrOnsiteFull Time
USC Care Medical Group: Nonprofit academic physician practice plan delivering professional medical services to patients of Keck Medicine-affiliated hospitals and clinics.
Bachelor’s degree in a related field, healthcare credentialing and provider enrollment experience, data extraction or database management experience, analytical skills, and proficiency with Microsoft operating systems and reporting.
Microsoft Excel, Microsoft Word, Microsoft operating systems
Account Manager, Physician Relations (West - San Francisco, San Jose)
San Francisco or San Jose or Vancouver or Dallas or Boca Raton or Minneapolis or Los Angeles or New York City or Bethesda or Chicago or Atlanta
$150k-$200k/yrFieldFull Time
Prenuvo: Private health screening providing patients whole-body MRI, biomarker testing, and personalized health reviews.
5+ YOE5+ years provider sales or account management in healthcare, knowledge of healthcare regulations, strong communication, business acumen, CRM (Salesforce) experience; must be legally authorized to work in the US.
UCLA Health: Academic medical system providing comprehensive patient care and research.
5+ YOE3+ MgmtBachelor’s degree or equivalent experience, 5+ years of credentialing experience, 3+ years managing personnel, and 2+ years supervising Provider Relations or Member Services staff. Healthcare regulatory knowledge required.
Microsoft Windows, Microsoft Excel, Microsoft Word, Microsoft Teams, Microsoft Outlook, MD Staff, EPIC Tapestry
Volunteers of America Los Angeles: Helping our most vulnerable change their life stories.
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.
Director of Member and Provider Services - Department Promotional
Oxnard or Ventura County or Ventura or California
$136k-$189k/yrOnsiteFull Time
Ventura County Health Care Plan: Ventura County is a public county government serving residents through safety, health, human services, infrastructure, and other programs.
5+ YOE2+ MgmtBachelor's degree in business, health administration, or related field; 5 years of progressively responsible health care administration or management; 2 years of direct supervision; knowledge of Knox-Keene Act, DMHC regulations, and NCQA.
Liberty Dental Plan: Privately held dental benefits administrator serving Medicaid, Medicare Advantage, commercial, and exchange members nationwide.
4+ YOEBachelor's degree or equivalent,4+ years network or provider relations experience with leadership,knowledge of provider payment methodologies,analytical and negotiation skills.
Microsoft Word, Microsoft Excel, Microsoft Outlook
LA Family Housing: Nonprofit Los Angeles housing and homeless-services provider helping individuals and families transition from homelessness to stable housing.
1+ YOEProvide intensive case management for formerly homeless households; requires 1+ year related experience, CPR/First Aid, valid California driver’s license, TB clearance, strong documentation and advocacy skills.
Microsoft Word, Microsoft Excel, Microsoft Access, Microsoft PowerPoint, Zoom
M Booth: U.S.-based creative communications and public-relations agency helping brands build reputation and relevance.
6+ YOE6–8 yrs earned media experience for Director (8+ yrs for VP); senior media lead experience, strong press relationships/rolodex, ability to build media strategies, provide client counsel, manage junior team, monthly travel for events; NYC preferred.
Dreem Health: Dreem Health is a privately held virtual sleep clinic providing at-home testing and specialist treatment for sleep disorders.
2+ YOE2+ years healthcare experience in partnerships/provider relations/sales, Bachelor's in business or healthcare administration, valid driver\u0002s license, knowledge of referral processes, HubSpot CRM experience, strong relationship and communication skills.
Homeless Outreach Program Integrated Care Services (HOPICS): Nonprofit homeless-services division providing housing, behavioral-health, healthcare, and reentry support to vulnerable South Los Angeles households.
2+ YOEProvide field-based outreach and case management for people experiencing homelessness; must have CPR and First Aid, TB test, valid driver's license and auto insurance, background clearance, HMIS documentation skills, and 2+ years working with homeless or related populations.
Dreem Health: Privately held virtual sleep clinic providing at-home testing and specialist treatment for sleep disorders.
2+ YOE2+ years in healthcare partnerships/provider relations or sales, bachelor\u0002s degree in business or healthcare administration, valid driver\u0002s license, experience with referral processes and HubSpot, strong communication and relationship skills.