76 provider relations manager jobs at 55 companies in Lake Forest, CA

1mo
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Provider Relations Representative
San Bernardino or Riverside or Corona or Moreno Valley
$60k-$90k/yr FieldFull Time
UnitedHealth Group
UnitedHealth GroupNYSE: UNH: Provides health insurance and technology-enabled health care services.
2+ YOE2+ years healthcare/managed care and provider relations experience, claims processing proficiency, Microsoft Office, willingness to travel 50% within assigned territory.
Microsoft Office
4w
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Representative, Health Plan Provider Relations
United States or Long Beach
$23-$44/hr FieldFull Time
Molina Healthcare
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)
2mo
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Provider Networks Account Manager
Glendale or Florida
$75k-$95k/yr FieldFull Time
Independent Living Systems
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
3w
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Administrator, Provider Network
Montebello, California, United States
$69k-$86k/yr HybridFull Time
AltaMed
AltaMed: Provides comprehensive healthcare services to underserved Southern California communities.
2+ YOEBachelor's degree with 2 years' related experience or 3 years' related experience in lieu; experience with provider contracting, managed care, Medicaid/Medicare/Commercial networks, contract lifecycle systems, reimbursement methodologies, and regulatory requirements preferred.
1d
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Senior Provider Network Assistant
Tustin or United States
$25-$31/hr RemoteFull Time
Liberty Dental Plan
Liberty Dental Plan: Dental benefits administrator for government and commercial health plans.
2+ YOEBachelor's degree or equivalent experience, 2+ years in dental office management, managed healthcare, sales, customer service, or related work, plus 1+ year of provider network or PPO/DHMO experience.
Microsoft Outlook, Microsoft Office Suite, Microsoft Excel
1d
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Senior Provider Network Assistant
Tustin or United States
$25-$31/hr RemoteFull Time
Liberty Dental Plan
Liberty Dental Plan: Administers dental benefit plans for government and commercial markets.
2+ YOEBachelor's degree or equivalent experience, 2+ years in dental office management, managed healthcare, sales, customer service, or related work, plus 1+ year of provider network or Dental PPO/DHMO experience.
Microsoft Outlook, Microsoft Office Suite, Microsoft Excel
1d
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Provider Network Management Director
Woodland Hills or Costa Mesa or Walnut Creek
$119k-$186k/yr HybridFull Time
Elevance Health
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
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.
2mo
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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/yr FieldFull Time
Salma Health
Salma Health: Delivers integrated brain health clinical care and diagnostic technology.
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.
CRM
3w
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Provider Data Management Services Coordinator Sr
Orange, California, United States
$56k-$84k/yr RemoteFull Time
CalOptima Health
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
1mo
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Director of Payer Relations
Los Angeles or New York City or Denver
$110k-$150k/yr HybridFull Time
Marvin Behavioral Health
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.
AdvancedMD, EHR, CPT, HCPCS, ICD-10
1mo
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Strategic Account Manager, Provider Networks
Inglewood, California, United States
$85k-$120k/yr RemoteFull Time
Soleo Health
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.
CRM
1w
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26A.3 Director, Public Relations
Irwindale, California, United States
$71-$118/hr HybridFull Time
City of Hope
City of Hope: Provides cancer and diabetes treatment and clinical research.
The posting provides no specific qualifications or experience requirements.
3mo
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Community Relations Representative ($21.97 - $26.54)
Carlsbad, California, United States
$22-$27/hr OnsiteFull Time
Irvine Company
Irvine Company: Developing and managing master-planned communities and commercial properties.
1+ YOEProvide on-site resident customer service, manage move-ins/outs, maintain common areas, document resident services, and travel between communities; valid California driver’s license and 1-3 years relevant experience preferred.
Google Suite
3w
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Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yr OnsiteFull Time
University of Southern California
University of Southern California: Private research university providing higher education and healthcare services.
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
3w
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Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yr OnsiteFull Time
Keck Medicine of USC
Keck Medicine of USC: Provides specialized medical care and research via university health system.
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
1mo
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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/yr FieldFull Time
Prenuvo
Prenuvo: Provider of proactive, non-invasive whole-body MRI diagnostic scans.
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.
Salesforce
1mo
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Director of Donor Relations and Stewardship, University Advancement
San Marcos, California, United States
$8k-$9k/mo HybridFull Time
California State University
California State University: Public university system providing higher education and academic research.
Provide strategic leadership for donor engagement and stewardship, develop individualized stewardship plans, supervise a stewardship team, collaborate across advancement and campus units, and strengthen stewardship infrastructure.
2d
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General Manager
Trabuco Canyon, California, United States
OnsiteFull Time
Domino's
Domino'sNASDAQ: DPZ: Global pizza chain providing delivery and carryout services.
Restaurant management role responsible for staffing, cost, inventory, cash, food, customer relations, cleanliness, marketing, profitability, and policy compliance; training is provided.
Microsoft Excel
3w
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Human Resources Manager 3
Torrance or Torrance
$78k-$100k/yr OnsiteFull Time
Sodexo
SodexoEuronext Paris: SW: Global provider of integrated food and facilities management services.
2+ YOE2+ MgmtProvide HR leadership in a unionized healthcare environment, manage employee relations and investigations, ensure compliance, coach managers; associate or bachelor degree or equivalent and 2+ years related and management experience.
6d
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Credentialing Manager
Los Angeles, California, United States
$81k-$169k/yr HybridFull Time
UCLA Health
UCLA Health: Provides comprehensive hospital services and academic medical 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

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