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The fully integrated network is comprised of PIH Health Downey Hospital, PIH Health Good Samaritan Hospital, PIH Health Whittier Hospital, 37 outpatient medical office buildings, a multispecialty medical (physician) group, home healthcare services and hospice care, as well as heart, cancer, digestive health, orthopedics, women’s health, urgent care and emergency services.
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The AVP, Network Management serves as an integral member of the Network Management & Affordability Team and reports to the VP, Network Management. This role is a key contributor to the development of the strategic direction and is accountable for the management of contracting and network management activities for multiple local geographies.
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The lead will have deep technical knowledge and experience in server configuration and storage, network, devices, MDI, help desk, data center, identity management, client computing, and testing with the experience of leading a technical workstreams for multiple Epic implementations.
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Certified Professional Medical Services Management (CPMSM) or Certified Provider Credentialing Specialist (CPCS) PIH Health is a nonprofit, regional healthcare network that serves approximately 3 million residents in the Los Angeles County, Orange County and San Gabriel Valley region.
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Prior experience building from the ground up or scaling a provider network or contract management function at a high-growth healthcare organization preferred. Our client is seeking a Vendor and Provider Network Manager to play a key role in establishing oversight and management of vendor and provider network partnerships for their integrated care delivery startup.
$95,000 - $125,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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2+ years Managed Care or Healthcare experience in Provider Network Management, a plus. Under the general direction of the Provider Network Operations (PNO) Delegation Specialist, the Compliance Coordinator supports the day-to-day audit and monitoring processes to ensure the department delivers high-quality reviews and results.
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This teammate will be responsible for building, scaling, and continuously improving our PACE Health Plan Operations function, which includes, but is not limited to, TPA management/oversight (claims), utilization management, provider network administration, and more.
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LaSalle Network is currently partnering with a nationwide Managed Service Provider that is looking for a. LaSalle Network is the leading provider of direct hire and temporary staffing services.
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The role will lead the continued development and improvement of the myPlace Health vendor procurement process, contract management life cycle and provider network administration, and will support Operations, Information Technology and other key departments in KPI development and tracking for vendors.
$95,000 - $125,000 a yearFull-timeExpandApply NowActive JobUpdated 11 days ago - UpvoteDownvoteShare Job
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This individual will be responsible for building, scaling, and continuously improving vendor management and provider network functions, as well as supporting various key departments in KPI development and tracking for vendors.
$95,000 - $125,000Full-timeExpandApply NowActive JobUpdated 5 days ago - UpvoteDownvoteShare Job
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AVP, Provider Network Management - Southern CA market - Cigna Healthcare - Hybrid page is loaded. Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life.
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The organization is nationally recognized for excellence in patient care and patient experience, and the College of Healthcare Information Management Executives (CHIME) has identified PIH Health as one of the nations top hospital systems for best practices, cutting-edge advancements, quality of care and healthcare technology.
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Drive collaboration, education and training and maintaining working relationships across the Stars Core team and with multiple departments throughout LAC including but not limited to QI, Pharmacy, Care Management, Utilization Management, Risk Adjustment, Products, Customer Solution Center (CSC), reporting and Analytics, Appeals and Grievances and the provider network.
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