76 provider relations manager jobs at 55 companies in Lake Forest, CA
1mo
Save
Mark Applied
Hide
1mo
Provider Relations Representative
San Bernardino or Riverside or Corona or Moreno Valley
$60k-$90k/yrFieldFull Time
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.
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)
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
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.
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
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
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.
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
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.
Community Relations Representative ($21.97 - $26.54)
Carlsbad, California, United States
$22-$27/hrOnsiteFull Time
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.
Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yrOnsiteFull Time
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
Provider Data Integrity Analyst - MSO Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Los Angeles, California, United States
$71k-$117k/yrOnsiteFull Time
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
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: 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.
Director of Donor Relations and Stewardship, University Advancement
San Marcos, California, United States
$8k-$9k/moHybridFull Time
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.
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.
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.
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