Mitchell MartinNewProvider Network Account Manager II Mitchell MartinProvider Network Account Manager IILos Angeles, CA$40–$48 / hourBy applying for this job, you agree to receive AI-generated calls, text messages, and/or emails from Mitchell Martin Inc and its affiliates and contracted partners at various frequency through traditional and automated methods. Manage provider contracting and relationship processes, including drafting, negotiating, and implementing contracts.
Veterans Health AdministrationNewPrimary Care Physician Needed in Southern CA VA- Rancho Cucamonga!! Veterans Health AdministrationPrimary Care Physician Needed in Southern CA VA- Rancho Cucamonga!!Rancho Cucamonga, CA$250,000–$265,000 / yearSuccessfully integrates patient care activities in Primary Care Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum; assists staff in the process of mutual goal setting.
Veterans Health AdministrationNewSeeking Primary Care Physician at VA Clinic- Corona, CA!! Enjoy Work Life Balance!! Veterans Health AdministrationSeeking Primary Care Physician at VA Clinic- Corona, CA!! Enjoy Work Life Balance!!Corona, CA$250,000–$265,000 / yearSuccessfully integrates patient care activities in Primary Care Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plans and in planning care on a continuum; assists staff in the process of mutual goal setting.
Veterans Health AdministrationNewWork, Life, Balance!! Primary Care Physician Opening at VA Clinic- Victorville, CA Veterans Health AdministrationWork, Life, Balance!! Primary Care Physician Opening at VA Clinic- Victorville, CAVictorville, CA$250,000–$265,000 / yearSuccessfully integrates patient care activities in Primary Care Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum; assists staff in the process of mutual goal setting.
Department of Veteran AffairsNewInternal Medicine, Seeking Primary Care Physician at VA Outpatient Clinic in Corona, CA!! Department of Veteran AffairsInternal Medicine, Seeking Primary Care Physician at VA Outpatient Clinic in Corona, CA!!Loma Linda, CA$250,000–$265,000 / yearSuccessfully integrates patient care activities in Primary Care Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plans and in planning care on a continuum; assists staff in the process of mutual goal setting.
Department of Veteran AffairsNewFamily Medicine, Primary Care Physician Needed Southern CA VA- Rancho Cucamonga!! Department of Veteran AffairsFamily Medicine, Primary Care Physician Needed Southern CA VA- Rancho Cucamonga!!Loma Linda, CA$250,000–$265,000 / yearSuccessfully integrates patient care activities in Primary Care Services and other patient care programs at the medical center and in the community such as Social Work, Prosthetics, Home Based Health Care (HBHC), and private nursing homes. Includes patient/family/significant other/health care provider in establishing realistic, measurable goals related to health education and treatment plan and in planning care on a continuum; assists staff in the process of mutual goal setting.
VituityNewAdvanced Provider - Emergency Medicine - St. Bernardine Medical Center VituityAdvanced Provider - Emergency Medicine - St. Bernardine Medical CenterSan Bernardino, CAAmong the largest hospitals in the Inland Empire offering a full continuum of services from family care to most advanced heart surgery, with almost all subspecialties on call except ENT. When we work together across sites and specialties as an integrated healthcare team, we exceed the expectations of our patients and the hospitals and clinics we work in.
VituityNewAdvanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical Center VituityAdvanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical CenterMoreno Valley, CAThe city's location along the Santa Ana River provides additional recreational opportunities, while nearby attractions like the California Citrus State Historic Park celebrate the area's heritage. Known as the birthplace of the California citrus industry, the city boasts the historic Mission Inn Hotel & Spa, an architectural gem that hosts festivals and events.
VituityNewAdvanced Provider - Neurohospital Medicine - Queen of the Valley Hospital VituityAdvanced Provider - Neurohospital Medicine - Queen of the Valley HospitalWest Covina, CA$80–$85 / hourIts central location allows residents to explore nearby Los Angeles attractions, the San Gabriel Mountains, and Orange County beaches with ease. Known for its community-centric vibe, West Covina boasts landmarks like the Plaza West Covina, a bustling shopping and dining hub.
SHARP HEALTHCARENewMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day ShiftRiverside, CA$35,000–$42,000 / yearSee Sharp HealthCare Terms & Conditions at https://www.sharp.com/patient-rights-privacy/terms-of-use.cfm and Privacy Policy at https://www.sharp.com/patient-rights-privacy/privacy-practices.cfm and SonicJobs Privacy Policy at https://www.sonicjobs.com/us/privacy-policy and Terms of Use at https://www.sonicjobs.com/us/terms-conditions. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
Ivy LivingNewCare Provider Ivy LivingCare ProviderLa Palma, CA$17–$18 / hourFor the health and safety of our team members and residents, Oakmont Management Group may require team members to vaccinate, participate in daily screening, surveillance testing, and to wear face coverings and other personal protective equipment (PPE) to prevent the spread of the COVID-19 or other communicable diseases, per regulatory guidelines. The Care Provider is responsible for providing personal assistance and daily care and services related to the residents in order to enhance the residents’ independence and quality of life, in accordance with the company’s mission and values.
Inland Respite Inc.NewRespite Care Provider - Victorville Inland Respite Inc.Respite Care Provider - VictorvilleVictorville, CaliforniaBy becoming a Respite Care Provider, you will give parents and families the chance to take a well-deserved break, whether it's to relax, run errands, or focus on their work, while ensuring their child remains engaged in safe, enjoyable, and functional activities within the comfort of their own home. At Inland Respite, Inc, our primary focus is on offering much-needed respite to families who are caring for children, teens, and adults on the Autism spectrum and other related developmental disabilities.
Inland Respite Inc.NewRespite Care Provider - Corona , Riverside Inland Respite Inc.Respite Care Provider - Corona , RiversideCorona, CaliforniaBy becoming a Respite Care Provider, you will give parents and families the chance to take a well-deserved break, whether it's to relax, run errands, or focus on their work, while ensuring their child remains engaged in safe, enjoyable, and functional activities within the comfort of their own home. At Inland Respite, Inc, our primary focus is on offering much-needed respite to families who are caring for children, teens, and adults on the Autism spectrum and other related developmental disabilities.
Ivy LivingMedication Technician/Care Provider-PM Shift Ivy LivingMedication Technician/Care Provider-PM ShiftNorth Tustin, CA$18–$20 / hourFor the health and safety of our team members and residents, Oakmont Management Group may require team members to vaccinate, participate in daily screening, surveillance testing, and to wear face coverings and other personal protective equipment (PPE) to prevent the spread of the COVID-19 or other communicable diseases, per regulatory guidelines. We deliver meaningful lifestyles and relationships with residents, families, and team members by developing a winning culture and living these values: Authenticity * Teamwork * Compassion * Commitment * Resilience.
Compass Palliative CareHospital Provider (NP/PA) - Palliative Care Compass Palliative CareHospital Provider (NP/PA) - Palliative CareCorona, CaliforniaCompass Palliative Care, a leading California-based palliative care provider seeks outstanding Nurse Practitioners/ PAs who have experience and/or interest in palliative care. Our palliative program is run by experienced and board-certified physicians who take pride in being able to provide training and in-service education to their staff.
Aveanna Healthcare Holdings IncAgency Respite Care Provider Aveanna Healthcare Holdings IncAgency Respite Care ProviderLos Angeles, CA$20–$22 / hourRequirements: • Physical and mental ability to perform essential functions of the position; including but not limited to the ability to safely stoop and bend, lift, turn and transfer weight up to 50 pounds • Ability to work independently with minimal supervision • Proper hygiene and appropriate dress at all times • Possess basic math, reading and writing skills • CPR/First Aid as required by program • Must have available, reliable transportation, Valid Driver's License, and Acceptable MVR • Must be able to read 12 point or larger type • Must be able to hear and speak in a manner understood by most people • Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions. Vaccination Requirement: As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.
EAST VALLEY COMMUNITY HEALTH CENTER INCAdvanced Practice Provider (Nurse Practitioner / Physician Assistant) Primary Care / Family Practice EAST VALLEY COMMUNITY HEALTH CENTER INCAdvanced Practice Provider (Nurse Practitioner / Physician Assistant) Primary Care / Family PracticeWest Covina, CA$155,000–$183,038 / yearWork requires periods of standing, sitting, lifting, turning, twisting, walking, pushing, pulling, reaching, speaking, hearing, seeing and ability to articulate clearly, use of hands to finger, reaching with hands and arms. Provide additional medical services, as determined by Chief Medical Officer, within your scope of practice, such as Medication Assisted Therapy (MAT) or Pre-Exposure Prophylaxis (PrEP).
Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician Assistant Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician AssistantRosemead, CA$145,399–$174,478 / yearAt the direction of the Medical Director, the Primary Care Provider works collaboratively with WelbeHealth Physicians and the IDT to complete assessments, plan primary care, and educate WelbeHealth participants and their families. This role is different because Primary Care Providers at WelbeHealth: Serve a smaller patient caseload, providing the opportunity to form long-term relationships with participants and practice true value-based care.
PM PediatricsPediatric Urgent Care Advanced Practice Provider PM PediatricsPediatric Urgent Care Advanced Practice ProviderLos Angeles, CaliforniaAssess and treat acute injury and illness for both in-person and telemedicine patients; including but not limited to the management of the febrile infant/child, ear/nose/throat infections, pediatric abdominal pain, anaphylaxis, procedural anxiolysis, respiratory distress, croup, and asthma. PM Pediatric Care is set up like an ED but in a private practice setting with x-ray and lab services on site, great support staff, specialty consultations when necessary (i.e., plastic surgery, orthopedics), and high acuity with a diverse case mix.
Welbe Health LLCTraveling Primary Care Provider NP/PA Welbe Health LLCTraveling Primary Care Provider NP/PALos Angeles, CA$193,606.40–$231,192 / yearAs part of our mission-driven interdisciplinary team, our Primary Care Providers are able to build deeper, long-term relationships with fewer patients than in a traditional healthcare model, allowing you to see the impact of your care every day. Our value-based PACE program allows our Primary Care Providers to provide truly comprehensive, holistic care, so you can focus on what really matters: your patients.
American Family Care AnaheimAdvanced Practice Provider PA or NP Urgent Care American Family Care AnaheimAdvanced Practice Provider PA or NP Urgent CareAnaheim, Californiamagazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine.
PM PediatricsPediatric Urgent Care Advanced Practice Provider - Weekends PM PediatricsPediatric Urgent Care Advanced Practice Provider - WeekendsLos Angeles, CaliforniaProvide expert assessment and treatment of acute injuries and illnesses for both in-person and telemedicine patients, including but not limited to the management of the febrile infant/child, ear/nose/throat infections, pediatric abdominal pain, anaphylaxis, procedural anxiolysis, respiratory distress, croup, and asthma. We offer a supportive work environment with comprehensive individualized learning programs for pediatric advanced practice providers, including procedural training, radiology interpretation, evidence-based approaches to illness/injury, and mentorship.
CalOptimaGrievance Resolution Specialist (Provider Resolution) CalOptimaGrievance Resolution Specialist (Provider Resolution)Orange, CA$53,813–$80,720 / yearWe are hoping you will join us as a Grievance Resolution Specialist (Provider Resolution) and help shape the future of healthcare where you'll be an integral part of our GA - Provider Disputes team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. High school diploma or equivalent PLUS 1 year of experience with Provider Dispute Resolution (PDR) in Medicare and Medi-Cal in professional, institutional, outpatient, ancillary, coordination of benefits and government cases required; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
LanceSoft IncTemporary Claims Specialist II - Provider Claims LanceSoft IncTemporary Claims Specialist II - Provider ClaimsRancho Cucamonga, CATemporaryTitle: Temporary Claims Specialist II - Provider Claims Assignment Length: Six Months WORK LOCATION: 10801 6th St STE 120, Rancho Cucamonga, CA 91730 Key Responsibilities: Review and process provider dispute resolutions according to state and federal designated timeframes. Identify and report claim related billing issues to various departments for provider education Any other duties as required to ensure Health Plan operations are successful.
AltaMed Health Services CorpHospital & Ancillary Provider Contracts Specialist AltaMed Health Services CorpHospital & Ancillary Provider Contracts SpecialistMontebello, CAThis role also involves mentoring junior staff, enhancing provider relationships, and driving efforts to secure new partnerships while maintaining strong collaboration with existing providers and clients. Bachelors degree in a related field with 4 years of relevant experience (i.e., provider contracting, contract interpretation, negotiation, client relations) or 5+ years of relevant experience in lieu of a degree.
Children's Hospital Los AngelesNocturnist Advanced Practice Provider Children's Hospital Los AngelesNocturnist Advanced Practice ProviderLos Angeles, CA$143,998–$246,854 / yearOur specialized programs include Fetal & Neonatal Surgery, Extracorporeal Membrane Oxygenation (ECMO), Whole-Body Therapeutic Hypothermia, Congenital Diaphragmatic Hernia, complex surgical specialties, highly specialized ventilatory support & home ventilation program, Newborn Follow-Up, and more. Position Summary: The Nocturnist Advanced Practice Provider (APP) provides care to complex acute, critical and chronically ill patients and manages the plan of care.
L.A. Care Health PlanProvider Service Representative III L.A. Care Health PlanProvider Service Representative IIILos Angeles, CAThe Provider Service Representative (PSR) III is the first point of contact for providers and stakeholders, delivering complete and accurate support on eligibility, benefits, claims, authorizations, Primary Care Physician (PCP) changes, and other service needs ensuring seamless support across the provider service journey. Required: At least 3 years of Managed Care experience in provider relations or customer service, including 1 year of experience handling provider inquiries related to claims, benefits, authorizations, and payments in a contact center environment.
VitalCheck WellnessAdvanced Practice Provider Bilingual Spanish Speaking VitalCheck WellnessAdvanced Practice Provider Bilingual Spanish SpeakingRiverside, CA$130–$130Our team builds up service models and technologies to enable companies to easily set up wellness clinics and other preventive medical services in the office at their selected times. Providers typically see up to 20 patients per clinic day and must be comfortable practicing autonomously while making independent clinical decisions within their scope of practice.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00106 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00106Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 25-00515 Alura Workforce SolutionsClaims Specialist II - Provider Claims 25-00515Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00063 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00063Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00029 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00029Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Unicare Community Health Center IncBH Associate Provider - Associate Clinical Social Worker Unicare Community Health Center IncBH Associate Provider - Associate Clinical Social WorkerSan Bernardino, CAJob Summary This associate clinical social worker will provide mental health and related services in a manner that upholds Unicare Community Health Center\u2019s mission to improve the health status and well-being of underserved segments of the population in the communities we serve through the direct provision or coordination of health care, health education, and services. Is engaged and facilitates outreach initiatives Proactively utilize clinical supervision and/or peer consultation Provide direct behavioral health and medical social work services to Latino individuals, families, groups and communities, under the supervision of the Director of Behavioral Health.
Welbe Health LLCTravel Nurse Provider, Nurse Practitioner / Physician Assistant Welbe Health LLCTravel Nurse Provider, Nurse Practitioner / Physician AssistantLos Angeles, CAAs part of our mission-driven interdisciplinary team, our Primary Care Providers are able to build deeper, long-term relationships with fewer patients than in a traditional healthcare model, allowing you to see the impact of your care every day. Apply now or contact our recruiter directly to receive detailed information about the position and begin the application process: Evita Danzer, Program Manager, Provider Recruitment 917-336-1684 evita.danzer@welbehealth.com.
Maxim Healthcare Services IncIntensive Behavioral Support Provider Maxim Healthcare Services IncIntensive Behavioral Support ProviderAzusa, CA$26–$29 / hourWe offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities. Maxim Healthcare in (insert location) is hiring for an Intensive Behavioral Support Provider to work with children and/or adults with developmental delays and challenging behaviors.
Access Healthcare AssociatesNewPsychiatric Mental Health Provider - Geriatrics Access Healthcare AssociatesPsychiatric Mental Health Provider - GeriatricsSan Gabriel, CaliforniaAt Access Healthcare Associates as part of Brigade Health, we are redefining geriatric behavioral healthcare by bringing high-quality psychiatric services directly to seniors where they live—in private homes and senior living communities. We partner with 380+ assisted living, independent living, memory care, and skilled nursing communities nationwide, delivering relationship-based, resident-centered care that prioritizes dignity, access, and outcomes for aging populations.
22nd Century Technologies, Inc.Advanced Practitioner Providers 22nd Century Technologies, Inc.Advanced Practitioner ProvidersLos Angeles, CASpecial knowledge, skills, and abilities: " Analytical ability necessary to evaluate and determine the health status of the patient and implement proper care; " Interpersonal skills necessary to interview, teach, and counsel patients and interact with clients/employers, " A comprehensive understanding of outpatient adult medicine, patient care procedures, medical protocols, and testing procedures is necessary. " Work collaboratively with patients and their PCP/Specialist to facilitate early diagnosis and management of acute and chronic health problems.
CalOptimaNewProgram Manager, Provider Data Operations CalOptimaProgram Manager, Provider Data OperationsOrange, CA$77,863–$124,581 / yearWe are hoping you will join us as a Program Manager, Provider Data Operations and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. Bachelor's degree PLUS 3 years of experience in operations, data, project management and/or program management required, preferably in the health care industry or managed care environment; an equivalent combination of education and experience sufficient to successfully perform the essential duties of the position such as those listed above may also be qualifying.
Alura Workforce SolutionsProvider Services Representative 25-00494 Alura Workforce SolutionsProvider Services Representative 25-00494Rancho Cucamonga, CADESCRIPTION The Provider Services Representative – Hospital & Ancillary Relations is responsible for developing and maintaining strong and consistent relationships with the Health Plans hospital and ancillary Providers. As applicable, review and verify compliance of the appropriate networks, identifying gaps and requesting Provider response and submission of appropriate credentialing and related information to close network gaps and meet regulatory requirements.
Unicare Community Health Center IncProvider - Family Medicine Physician Unicare Community Health Center IncProvider - Family Medicine PhysicianFontana, CAMedical Degree (MD, DO) A minimum of 3 years of Family Practice Residency training A minimum of two (2) years\u2019 experience in public health; Thorough knowledge of principles and practices of modem medicine related to public health services and general knowledge of state and federal laws pertaining to public health; Excellent verbal and written communication skills, including strong organizational, detail and interpersonal skills; Basic computer skills and knowledge, including Microsoft Office and familiar with Electronic Health Records (EHR); Training, Education and Licensure: CA Medical License, DEA Certificate BSL certified Board-Certified or Board-Eligible in Family Medicine. Services include: Preventative care, immunizations, primary care and treatment, health education, prescribing of medications, ordering and interpreting lab testing, physical examinations, STD screenings, Vision/hearing, women\u2019s health, family planning, prenatal services, nutrition.
Welbe Health LLCProvider Network Management Associate Welbe Health LLCProvider Network Management AssociateSan Bernardino, CA$82,074.03–$108,337.72 / yearThis role is different because Provider Network Management Associates at WelbeHealth: Have an opportunity to build and shape a highly integrated provider network strategy within a mission-driven PACE model, where clinical outcomes, member experience, and community-based care are deeply interconnected. Work in a role that offers direct influence on holistic care delivery for a vulnerable senior population through cross-functional partnership and innovative care models, unlike traditional network strategy roles focused primarily on contracting and cost management.
Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide) Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide)Los Angeles, CA$190,000–$220,000 / yearLead problem structuring, analysis and synthesis • Lead the development of hypotheses that will help clients solve their innovation related business challenges • Develop and execute a detailed work plan for the entire project • Ability to seamlessly shift gears and constantly reset the team's direction with frequently-changing client needs • Oversee the qualitative and quantitative research efforts of the team • Develop end-to-end documents with logical storyline and flow • Interact closely with client teams • Prepare and own development of all client deliverables • Lead client meetings including the presentation of key insights • Contribute directly to business and firm development • Work closely with principals and partners to support business development efforts • Actively manage the individual professional development of junior employees. Proven leadership in engagements involving enterprise-level strategic planning, growth strategy, service line strategy, M&A and strategic partnerships/alliances, margin expansion, cost optimization, and related initiatives for healthcare provider clients.
Inland Empire Health PlanProvider Relations Manager Inland Empire Health PlanProvider Relations ManagerRancho Cucamonga, CAIt's not just clocking in and clocking out, but being thoughtful and being proud and being an advocate for the work that we do … When people ask me how my day was or how my work is, it's something that I'm profoundly proud of because I know that I'm making a difference. Working at IEHP is always about helping our members and helping our team members and for me to address anything that they need from me.
Infusion for HealthProvider Liaison Manager Infusion for HealthProvider Liaison ManagerBrea, CAWe are seeking a Provider Liaison Manager to lead and scale a high-performing team of Provider Liaisons responsible for driving referral growth, patient retention, patient conversion, and strengthening provider relationships. This role sits at the intersection of business development, inside sales, and patient operations, ensuring that referral pipelines are robust, provider partners are engaged, and operational barriers are resolved quickly.
Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00130 Alura Workforce SolutionsClaims Specialist II - Provider Claims 26-00130Rancho Cucamonga, CAAdditional responsibilities include handling escalated claim-related telephone inquiries, assisting with cross-training as needed, performing complex claim adjustment projects, and processing Provider Disputes in accordance with regulatory requirements. DESCRIPTION The Claims Specialist II – Provider Claims is responsible for fulfilling the technical support needs of appeals and support staff, while ensuring that appeals and call center tasks are conducted consistently and accurately.
Astrana Health, Inc.NewProvider Network Specialist Astrana Health, Inc.Provider Network SpecialistEl Monte, CA$70,304–$80,000 / yearThe Provider Network Specialist plays a critical role in ensuring provider data accuracy, network access, compliance, and provider satisfaction while supporting membership growth and quality outcomes. This role is responsible for coordinating provider lifecycle activities, supporting network performance initiatives, and serving as a key operational liaison between providers and internal departments.
Inland Empire Health PlanProvider Quality Review Nurse, RN Inland Empire Health PlanProvider Quality Review Nurse, RNRancho Cucamonga, California$91,249.60–$120,910.40 / yearMaintain direct communication with IEHP departments, external facilities including hospitals, Skilled Nursing Facilities, and/or Providers to ensure all PQI issues are thoroughly investigated, and care is coordinated in a timely manner, as needed. Issue Corrective Action Plans (CAP), review CAP responses, draft Opportunity for Improvement letters, and coordinate other interventions as needed to ensure all issues were addressed and future occurrences of the same issue are mitigated.
Senior DocNewAdvanced Practice Provider (Float) - Geriatrics Senior DocAdvanced Practice Provider (Float) - GeriatricsSanta Ana, CaliforniaFloat Nurse Practitioner, Float Physician Assistant, Mobile Primary Care, Geriatric NP, Home-Based Care Provider, Senior Living APP, Advanced Practice Provider, SNF Nurse Practitioner, Assisted Living NP, Community-Based Care. We are hiring a Float Advanced Practice Provider (NP/PA) to support a large regional footprint — providing coverage for PTO, turnover, and new building launches while maintaining continuity of high-quality, relationship-based care.
Sailor HealthProvider Partnerships Manager (Los Angeles) Sailor HealthProvider Partnerships Manager (Los Angeles)Los Angeles, CaliforniaOwn Territory Growth: Grow referral volume across your market by developing new partnerships, managing relationships with high-priority accounts, and driving consistent outreach across the local healthcare ecosystem. Build Referral Partnerships: Develop relationships with physicians, care coordinators, social workers, assisted living facilities, and senior-focused organizations.
CalOptimaNewProvider Data Management Services Coordinator Sr, Covered California CalOptimaProvider Data Management Services Coordinator Sr, Covered CaliforniaOrange, CA$55,966–$83,949 / yearWe are hoping you will join us as a Provider Data Management Services Coordinator Sr, Covered California and help shape the future of healthcare where you'll be an integral part of our Provider Data Operations team, helping to strive for excellence while we serve our member health with dignity, respecting the value and needs of each of our members through collaboration with our providers, community partners and local stakeholders. The Provider Data Management Services Coordinator Sr will be responsible for building, updating and maintaining provider records and data in the CalOptima Health provider system and function as a liaison between the health networks and providers to ensure the accuracy and completeness of provider data as reflected in CalOptima Health's databases, systems and provider directory.