- Elevance Health (Los Angeles, CA)
- ** Provider Contract / Cost of Care Consultant** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of ... be discussed as part of the hiring process. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background.. **Preferred Skills, Capabilities and Experiences:**… more
- MetroLink (Los Angeles, CA)
- Senior Contract & Compliance Administrator Print (https://www.governmentjobs.com/careers/scrra/jobs/newprint/4642379) Apply Senior Contract & Compliance ... SUMMARY PURPOSE OF POSITION Metrolink is seeking a highly skilled Senior Contract and Compliance Administrator to join our Contracts and Procurement team. This… more
- HCA Healthcare (Campbell, CA)
- …seeking a(an) Contract Specialist for our team to ensure that we continue to provide all patients with high quality, efficient care . Did you get into our ... diversity and inclusion thrive? Submit your application for our Contract Specialist opening with HCA Healthcare today and find...years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care ,… more
- Molina Healthcare (CA)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... desire goals and reduce minimize the company's financial exposure. * Advises Network Provider Contract Specialists on negotiation of individual provider and… more
- Sedgwick (Sacramento, CA)
- …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- The Cigna Group (San Diego, CA)
- …total medical cost and quality. + Drives change with external provider partners by assessing clinical informatics and offering consultative expertise to assist ... reviews, and projects financial impact of larger or complex provider contracts and alternate contract terms. +...partners. + Intimate understanding and experience with hospital, managed care , and provider business models. + Team… more
- Ventura County (Ventura, CA)
- …the quality of life in Ventura County by partnering with their customers to provide expertise and cost -effective service delivery, and foster the preservation of ... Contract Support Specialist II Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4716924) Apply ...- Pre-tax benefit towards eligible medical, dental and vision care and/or dependent care expenses. + Pension… more
- Centene Corporation (Sacramento, CA)
- …management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. Participate in ... in related field or equivalent experience. Three or more years of managed care or medical group experience, provider relations, quality improvement, claims,… more
- Molina Healthcare (Long Beach, CA)
- …in HEDIS and quality initiatives. * Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, ... * 5-7 years managed healthcare administration experience. * Specific experience in provider services, operations, and/or contract negotiations in a Medicare and… more
- San Diego Community College District (San Diego, CA)
- …01/03/2025 Open Until Filled No Classification Title Allied Health: Contract Instructor-Noncredit Working Title Continuing Education Instructor, Allied Health ... District is accepting applications for an Associate Professor, Allied Health Care / Certified Nursing Assistant, 100%, 10-month assignment. The current vacancy… more
- Cedars-Sinai (Los Angeles, CA)
- …Research Corporation's Consumer Choice Award 19 times for providing the highest-quality medical care in Los Angeles. We provide an outstanding benefit package ... as required by the department. + Review invoices for contract compliance and correctness for all transactions. + Maintain...up CSI code; these CSI codes will determine and provide the summary cost for management, Permit… more
- Airtable (San Francisco, CA)
- …of the recruiting process, ensuring our top-of-funnel efforts and interviews provide candidates of all backgrounds with equal, unbiased consideration and ... eager to get things done, but never at the cost of a thoughtful or strategic approach. + You're...story behind the data. + You're team oriented; you care about our goals as an organization, enable others… more
- The County of Los Angeles (Los Angeles, CA)
- … cost recovery. Analyzes utilization of billing rates and/or contract allocations for appropriate application,informs management of problems and recommends ... HEALTH CARE FINANCIAL ANALYST / EMERGENCY APPOINTMENTS HOMELESSNESS Print...result in maximum revenue collection. Prepares Medicare and Medi-Cal cost reports and State mandated disclosure reports. Analyzes costs… more
- MetroLink (Los Angeles, CA)
- …task orders, work orders and job order contracts, to ensure compliance with contract , federal/state requirements: provide project cost coding, including ... cost and schedule information and assist with contract bid evaluations. + Provide interface support...Health Maintenance Organization (HMO) plans and two (2) Preferred Provider Organization (PPO) plans. Some health plans are only… more
- LA Care Health Plan (Los Angeles, CA)
- …members get the right care at the right place at the right time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles ... items, and managing IT related contracts end-to-end through LA Care 's contracts process, including Contract Requests, Master...and accuracy for calculations and tracking of dollars, rates, contract terms, cost centers, other details of… more
- LA Care Health Plan (Los Angeles, CA)
- …members get the right care at the right place at the right time. Mission: LA Care 's mission is to provide access to quality health care for Los Angeles ... $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...public agency created by the state of California to provide health coverage to low-income Los Angeles County residents.… more
- Sharecare (Sacramento, CA)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- Stanford Health Care (Newark, CA)
- …This is your chance to join the team as a Facility Manager! Stanford Health Care Facility Managers provide higher standards of care every day. The ... practices, etc. + Directly responsible for financial management of cost centers in portfolio. Actively seeks ways to improve...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… more
- Cedars-Sinai (CA)
- …network's membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star ratings, access, physician network integrity, ... physician network performance, patient and provider experience, and utilization management the best standard processes (specialty cost ). + Develops and generates… more
- Stanford Health Care (Palo Alto, CA)
- …technical requirements into actionable project plans. + Manage vendor relationships, contract negotiations, and procurement processes to ensure cost -effective ... experience in capital budgeting processes. + Strong understanding of cost -benefit analysis and return on investment (ROI) in hospital...a promise of a particular wage. At Stanford Health Care , we seek to provide patients with… more