Provider Relations Jobs in California
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Search Results - Provider Relations Jobs in California
Rancho Cucamongaicims.com
Overview:
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The IEHP Provider Relations Manager...
Astiva Health, IncOrange
the organization’s reputation and performance through effective provider relations and collaboration.
What You Bring
Education & Experience
• Bachelor’s degree in Business, Healthcare Administration, Finance, or equivalent experience
• 1 year previous experience...
North East Medical ServicesBurlingame (CA)
with health plans, providers, auditors, and third-party administrators to resolve claims issues and disputes.
• Manage escalations, appeals, and grievances related to claims processing.
• Coordinate with provider relations to address claims denials and payment...
Astiva Health, IncOrange
network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization.
• In-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient...
Fairfieldicims.com
Overview:
Supervise daily operations and provide leadership, support, and direction to assigned Provider Relations Representative staff. Ensure the highest level of customer service is a priority of PR
staff. Monitor department goals and meet...
North East Medical ServicesBurlingame (CA)
providers, auditors, and third-party administrators to resolve claims issues and disputes.
• Manage escalations, appeals, and grievances related to claims processing.
• Coordinate with provider relations to address claims denials and payment disputes...
Master•Care IncSan Diegorippling-ats.com
and promotion to achieve Company goals
• Develop referral relationships and placement providers to reach Company objectives
• Assists in the development and provider relations of local resources.
• Conducts Comprehensive Assessments of assigned...
JobotLathrop (CA)
territory documentation and uphold all compliance standards.
What You Bring
5+ years of experience in healthcare sales, provider relations, pharma, specialty pharma, infusion services, or similar patient-referral-driven environments.
Strong understanding...
Master•Care IncSan Joserippling-ats.com
and promotion to achieve Company goals
• Develop referral relationships and placement providers to reach Company objectives
• Assists in the development and provider relations of local resources.
• Conducts Comprehensive Assessments of assigned...
JobotSan Jose
territory documentation and uphold all compliance standards.
What You Bring
5+ years of experience in healthcare sales, provider relations, pharma, specialty pharma, infusion services, or similar patient-referral-driven environments.
Strong understanding...
Fairfieldicims.com
with the Finance, Member Services, Provider Relations, Health Services, Configuration and Claims departments.
• Lead the Cost Avoidance and Recoveries Teams to assess, develop, implement, and monitor activities related to cost savings and recoveries of medical...
Master•Care IncLos Angelesrippling-ats.com
and promotion to achieve Company goals
• Develop referral relationships and placement providers to reach Company objectives
• Assists in the development and provider relations of local resources.
• Conducts Comprehensive Assessments of assigned...
Fairfieldicims.com
processes are followed and accurate.
• Conduct routine conference call meetings with northern region staff to foster collaboration and excellent working relationships.
• Work with Provider Relations staff and other internal Partnership departments to monitor...
Master•Care IncSan Joaquinrippling-ats.com
and promotion to achieve Company goals
• Develop referral relationships and placement providers to reach Company objectives
• Assists in the development and provider relations of local resources.
• Conducts Comprehensive Assessments of assigned...
Redding (CA)icims.com
performance feedback and counseling to staff
▪ Provide staff development and education.
▪ Conduct annual performance reviews.
▪ Act as back up to other Provider Relations department Managers, Associate Director and
Director when needed.
Qualifications...
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