86 provider relations manager jobs at 61 companies in Stanton, CA
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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)
Antech Diagnostics: Provides veterinary diagnostic testing and imaging services.
5+ YOEProvide associate relations expertise including investigations, performance management, corrective action, workforce analytics, policy governance, and leader training; 5+ years specialized AR experience and HR degree or equivalent.
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
Elevance HealthNYSE: ELV: Provides health insurance plans and integrated healthcare services.
8+ YOEBA/BS and minimum 8 years contracting/provider relations experience (value-based, ACO), strong negotiation and financial analysis skills, leadership and project management, travel as needed.
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.
Learn4Life: Personalized high school education and career training for students.
2+ YOEMaintain student records, manage enrollment and ADA compliance, provide front-desk support, communicate with students/parents, and use MS Office and SIS; HS diploma and 2 years clerical experience required.
SIS, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Microsoft Outlook
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.
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
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.
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.
SchoolsFirst Federal Credit Union: Provides financial banking and lending services to members.
5+ YOEManage complex member escalations, conduct investigations, apply de-escalation and conflict resolution, support high-risk member decisions, and provide subject matter guidance; requires Bachelors and 5+ years' relevant experience.
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.
American Red Cross: Provides disaster relief, emergency assistance, and blood donation services.
3+ YOEBachelor's in marketing/sales/communications, minimum 3 years related experience, skills in sales/negotiation, partner management, data analysis, presentation, and ability to provide own transportation; some travel required.
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.
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.