56 provider relations manager jobs at 41 companies in Oak Park, CA
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Provider Relations Lead - So Cal
Long Beach, California, United States
$72k-$123k/yrRemoteFull Time
SCAN Group: Nonprofit healthcare organization providing Medicare Advantage coverage and care services for older adults.
5+ YOERequires 5 years of healthcare or Medicare Advantage experience, provider relationship management, performance analysis, Medicare Advantage and Star quality knowledge, CMS compliance awareness, and advanced Microsoft Office and Visio skills.
Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook, Microsoft Teams, Microsoft Access, Visio
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: 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
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.
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.
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.
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.
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.
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
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.
Director of Member and Provider Services - Department Promotional
Oxnard or Ventura County or Ventura or California
$136k-$189k/yrOnsiteFull Time
Ventura County: Provides essential public services and regional governance to residents.
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: Administers dental benefit plans for government and commercial markets.
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: Ending homelessness through housing and supportive services.
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