- UpvoteDownvoteShare Job
- Suggest Revision
The Junior Windows Systems Administrator and Network Support Engineer will join an award winning and one of the fastest growing Cloud/Managed Services Providers in Orange County (located in Santa Ana) where employees partake in quarterly bonuses, continual training, and paid-for certifications to fast track your career.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
- Suggest Revision
2+ years Managed Care or Healthcare experience in Provider Network Management, a plus. Thorough understanding of provider network management processes. Under the general direction of the Provider Network Operations (PNO) – Network Management Supervisor, the In-House IPA Representative serves as the liaison between the IPA clients, IPA client’s contracted providers and health plan(s.
Full-timeExpandApply NowActive JobUpdated 25 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The fully integrated network is comprised of PIH Health Hospital - Whittier, PIH Health Hospital - Downey and PIH Health Good Samaritan Hospital, 27 outpatient medical locations, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, women’s health, urgent care and emergency services.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
- Suggest Revision
This position is a leadership role and part of the Managed Care and Contracting Organization. Required Qualifications: Extensive payer experience in network development and payor/provider relations Previewing, identifying, and providing fast, effective solutions to unforeseen circumstances Agility to respond to new situations by modifying your performance & adopting new skills and abilities.
Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Minimum of 3 years of experience working in a managed care health care environment, health plan, medical group, or provider office required. This role requires a knowledge of managed care operations and provider reimbursement structures as well as customer service excellence and relationship building.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
5 years of relevant work experience in Network Management, Contracting or Provider Relations in a managed care setting, health plan or large medical group administration. Job Summary: The Manager of Network Operations is responsible for the general management of the Provider network as assigned by the Director of Network Operations.
ExpandApply NowActive JobUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards.
ExpandApply NowActive JobUpdated Yesterday - UpvoteDownvoteShare Job
- Suggest Revision
The position is responsible for conducting regular meetings with providers, reviewing Assessments & Care Plans, providing guidance on clinical best practices, and assisting with escalation of cases that require additional assistance from L.A. Care. The position works directly with Care Management and Provider Network Management staff to inform Provider capacity-building and training activities related to the ECM Program operations.
ExpandApply NowActive JobUpdated 13 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Rare Disease Sales Specialists will understand education referral networks to identify appropriate patients and ensure maintenance on Crysvita by supporting appropriate multidisciplinary support of the patients via their care network.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Los Angeles Cancer Network is seeking an experienced BC/BE Hematologist/Medical Oncologist to join our extensive, well-established, physician-led , and managed group practice in Mission Hills , CA.
Full-timeExpandApply NowActive JobUpdated 14 days ago - UpvoteDownvoteShare Job
- Suggest Revision
3+ years of experience in healthcare, managed care and/or provider practice. We're going beyond basic care to health programs integrated across the entire continuum of care.
ExpandApply NowActive JobUpdated 12 days ago - UpvoteDownvoteShare Job
- Suggest Revision
Supports and collaborates with managed care leadership and team members in contract negotiations through detailed financial modeling, comparative analyses, and benchmarking of changes in fee for service and value-based contract rates and terms.
ExpandUpdated 4 days ago - UpvoteDownvoteShare Job
- Suggest Revision
The Manager, MN Accounting is responsible for managing the process associated with general accounting, taxes and budgeting for Cedars-Sinai Medical Delivery Network including Cedars-Sinai Medical Care Foundation and affiliated medical groups.
$97,100 - $160,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
This position may also work with the Enrollment Manager system to ensure quality metrics are available for all Managed Care Members. Must be familiar with managed care and have had previous experience in the health care field.
ExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
- Suggest Revision
Telecom Services, Internet Service Provider, TV and Video Services Provider, Residential Service Provider, Small Business Service Provider, Carrier Network Partner, Fiber Networks, Network Operations, Consumer and Business Customer Care, Social Baker Award Winner, Cloud Services, Managed Networks, and Enterprise Connectivity.
ExpandApply NowActive JobUpdated Today
managed care network jobs in Los Angeles, CA
FEATURED BLOG POSTS
What to Say When Terminating an Employee
Terminating an employee is an inevitable part of doing business. Whether you’re re-structuring your department or you’ve identified a few employees who’re not living up to your expectations, letting people go is necessary for keeping your workforce healthy and thriving.
How to Utilize Keywords for Your Job Ads
Before we give you the scoop on how to utilize keywords in job ads, it would be helpful if we defined what keywords are and why they are important. In simple terms,
What Makes a Good Paid Time Off (PTO) Policy
The world of work has undergone some major transformation in recent years. From remote and flexible work to increased emphasis on employee benefits and wellbeing, companies nowadays have to be very intentional about their HR policies and how they approach talent acquisition.
Internal Recruiting: Benefits and 5 Internal Recruiting Methods to Consider
Internal and external recruiting are nearly the same thing. The biggest difference is where candidates are sourced. There are instances where external recruiting may be the best option. However, when you are presented with the opportunity to recruit internally, you should take full advantage of the different internal recruiting methods. Initially you will find that the hiring process gets a little bit easier. Then you'll notice all the other benefits that internal recruiting offers.
How to Answer the Interview Question: What is Your Communication Style?
As a job searcher, you probably have so many questions about job searching. However, once you've landed an interview, your excitement takes your questions to a whole new level. What will you wear? Will you know how to answer all the questions? Have you practiced giving nice firm handshakes?
What Makes a Company a Great Place to Work
After one too many after-hours emails, you’re on the hunt for a new gig. But what makes a company a great place to work? And how will you know when you find one? Finding a motivating, safe, and productive work environment is important for our mental and physical health. If you’re financially frustrated, creatively stuck, or just plain over it, it’s time to find a healthier workplace where you can flourish.
What Makes a Good Boss? The Top 12 Qualities & Attributes
Think back to the best boss you’ve ever had—does someone come to mind? We hope so! Okay, now think back to the worst boss you’ve ever had. I’m sure you can conjure up a few faces.