68 provider relations manager jobs at 49 companies in Riverside, CA
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Representative, Health Plan Provider Relations
United States or Long Beach
$23-$44/hrFieldFull Time
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)
Provider Contracting Specialist, Consultant (Behavioral Health Network Management)
Rancho Cordova or California or Long Beach or El Dorado Hills or Lodi or Oakland or San Diego or Woodland Hills
$112k-$167k/yrHybridFull Time
Ascendiun: Nonprofit parent overseeing health insurance and clinical service organizations.
7+ YOECollege degree or equivalent experience and 7 years in behavioral health managed care and provider contracting, including complex negotiations; knowledge of provider relations, contracting, appeals, and grievances.
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.
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.
Southern California Alcohol and Drug Programs: Provides substance abuse treatment and supportive housing services.
1+ YOEProvide case management for low-acuity clients including assessments, individualized planning, service linkages, advocacy, and coordination; HS/GED required; 1+ year case management experience or BA in related field; fingerprint/background clearance.
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.
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
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.
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
Masada Homes: Provides comprehensive mental health and social services to communities.
Bachelor's in psychology/social work or related, valid California driver's license and good driving record, crisis intervention and documentation skills, ability to travel to client locations and provide translation as needed.
Dreem Health: Provides at-home sleep diagnostics and virtual clinical care.
2+ YOE2+ years in healthcare partnerships/provider relations or sales, Bachelor's in Business/Healthcare Administration, valid driver's license, experience with Hubspot/CRM, strong relationship and communication skills.
M Booth: Global communications agency providing public relations and digital marketing.
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.
Sunrise Group: Provides at-home sleep apnea diagnosis and virtual medical care.
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.
Special Service for Groups: Non-profit provider of community-based health and human services.
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.
Associated Students, Inc. Cal Poly Pomona: Operates recreational facilities and student services for Cal Poly Pomona.
2+ YOE3+ MgmtBachelor's degree in related field, 3+ years supervisory facility/maintenance experience, 2+ years administering CMMS, OSHA-30/CPO/CPR certifications within 30 days (training provided), ability to lift 45 lbs, background check required.