NewMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day Shift SHARP HEALTHCAREMedical Assistant - SRS Primary Care - Rancho Bernardo - Full-Time - Day ShiftLos Angeles, CA$48,000–$57,600 / 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.
NewCare 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.
Physician Assistant (PA-C) / Nurse Practitioner - Primary Care Provider You Health Medical GroupPhysician Assistant (PA-C) / Nurse Practitioner - Primary Care ProviderDowney, California$133,000–$182,000div>About Us: Advanced Health Care Clinic: We are a Medical practice focused on preventative medicine, chronic disease management, and long-term patient relationships. Advanced Health Care Clinic - Huntington Park, CAPrimary Care Provider - Medical Clinic.NewRespite Care Provider Jovie of CA, WA, and MNRespite Care ProviderBurbank, CAul>Able to provide 3 references: 2 non-family childcare-related (paid or unpaid) and 1 character reference. Be in Charge – Manage safety, provide structure, and create fulfilling days that make a lasting impact.Primary Care Provider, Nurse Practitioner / Physician Assistant Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician AssistantRosemead, CA$145,399–$174,478 / yearp>At 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.Respite 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.Respite 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.NewHospital 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.Agency Respite Care Provider Aveanna Healthcare Holdings IncAgency Respite Care ProviderRiverside, CA$20–$21 / hourp>Notice for Job Applicants Residing in California: 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. Notice for Job Applicants Residing in Florida: 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.Advanced 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 / yearp>Work 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).Transitions of Care Advanced Practice Provider (APP) Devoted Health IncTransitions of Care Advanced Practice Provider (APP)CARemoteAdditional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient's medical conditions. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.Family Medicine Physician - Medical Provider / Primary Care TRITAL CareFamily Medicine Physician - Medical Provider / Primary CareBell, CAThe physician will evaluate, diagnose, treat, and manage patients across a broad range of primary care needs while supporting the organization’s mission to deliver compassionate, accessible, and culturally competent healthcare. A major Federally Qualified Health Center FQHC with multi-specialty outpatient community clinics across Los Angeles County is seeking dedicated, mission-oriented Family Medicine Physicians for permanent full-time opportunities.Respite Care Provider JovieRespite Care ProviderBurbank, CaliforniaThis is a wonderful opportunity to gain hands-on childcare experience while enjoying a flexible schedule that works for you. Able to provide 3 references: 2 non-family childcare-related (paid or unpaid) and 1 character reference.Advanced Practice Provider PA or NP Urgent Care American Family Care AnaheimAdvanced Practice Provider PA or NP Urgent CareAnaheim, Californiadiv> Responsibilities Perform complete, detailed, and accurate health histories, review patient records, develop comprehensive medical assessments, and order laboratory, radiological and diagnostic studies appropriate for complaint, race, sex, and physical condition of the patient. magazine 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..NewProvider Enrollment Specialist AkidoProvider Enrollment SpecialistPomona, CA$24–$33 / hourp>Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal.Grievance 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.Provider Relations | On-Site Newport Beach PrimeMSOSurgicalCentersProvider Relations | On-Site Newport BeachNewport Beach, CA$70,500 / yearWe have at least two company-wide events each year including Derby Days where all Prime staff are invited to attend a fully paid for trip to racing tracks on a race day and a Holiday party usually at an upscale restaurant in downtown LA. Our focus on building strategic relationships with our partners enables us to acquire, develop and optimize facilities in an aligned economic model that enables better access to high-quality care at a lower cost.Intensive Behavioral Support Provider Maxim Healthcare Services IncIntensive Behavioral Support ProviderMonrovia, 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.Credentialing and Provider Enrollment Specialist Chaparral Medical GroupCredentialing and Provider Enrollment SpecialistPomona, CA$47,800–$66,650 / yearIn 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives.Provider Enrollment Specialist II - Full Time Experity IncProvider Enrollment Specialist II - Full TimeCA$19.10–$22.50 / hourli>Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.Provider Relations Manager Salma HealthProvider Relations ManagerLaguna Hills, Californiaul style="min-height:1.5em">Lead the development and optimization of high-impact referral partnerships with health systems, primary care providers (PCPs), psychiatrists, therapists, emergency departments, inpatient psychiatric units, PHPs, and outpatient behavioral health clinics. We are the brain health company of the future, integrating care delivery, technology innovation, and research breakthroughs to better understand brain biology and diagnose, treat, and ultimately cure brain disorders across all stages of life.Hospital & 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.Business Analytics Associate - Provider Contracting & Network Analytics - Remote The Cigna GroupBusiness Analytics Associate - Provider Contracting & Network Analytics - RemoteWork at Home, CARemote$79,000–$131,600 / yearIn this role, you will support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of key initiatives designed to address unit cost and competitive discount. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.Claims 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.Claims 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.BH Associate Provider - Associate Clinical Social Worker Unicare Community Health Center IncBH Associate Provider - Associate Clinical Social WorkerOntario, CAp>Job 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.Direct Support Provider Maxim Healthcare Services IncDirect Support ProviderWest Covina, CA$22–$30 / hourOur commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.NewAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness Event VitalCheck WellnessAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness EventRiverside, CA$130–$130ul class="editor-list-ul">Set up and prepare the mobile clinic space within corporate environments to support employee wellness initiatives. A workplace wellness screening program is seeking a Spanish SpeakingProvider to provide onsite preventive wellness services within a professional workplace environment in Riverside, CA.Program Manager, Provider Data Operations CalOptimaProgram Manager, Provider Data OperationsOrange, CA$77,863–$124,581 / yearp>We 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.Advanced Practice Provider - California Part-time Pacific Psychotherapy Technologies IncAdvanced Practice Provider - California Part-timeCARemote$62–$96 / hourSee tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we'll raise the bar for the entire industry.Driver / Medical Transportation Provider Provado HealthDriver / Medical Transportation ProviderSanta Ana, CAWe are seeking professional, punctual, polite, and responsible individuals to use their own vehicles to serve as independent Mobile Care Providers, driving members of select health plans to and from their dialysis appointments. In our Mobile Careforce, you have the freedom to work outside the office, and deliver a caring experience to people who need it outside the four walls of a medical facility or home.Provider - Family Medicine Physician Unicare Community Health Center IncProvider - Family Medicine PhysicianFontana, CAp>Medical 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.Provider Network Management Associate Welbe Health LLCProvider Network Management AssociateRosemead, 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.VP, Provider and Member Appeals & Grievances Alignment Healthcare IncVP, Provider and Member Appeals & GrievancesCA$227,952–$341,928 / yearp>Operating at the intersection of regulatory compliance, operational excellence, and member experi-ence, this leader is responsible for building and sustaining a high-performing, multi-layered leadership organization that drives Caring Connections, proactively manages compliance risk, and delivers meas-urable improvement across quality, timeliness, and member and provider outcomes. Job Requirements: Experience: Required: 10+ years of progressive leadership experience in appeals, grievances, utilization management, or health plan regulatory operations, including at least 5 years in a senior leadership role overseeing a multi-functional team in a Medicare Advantage or Health Insurance environment.Consulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide) Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide)CA$190,000–$220,000 / yearp>• Lead 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.Provider 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.NewBusiness Analyst Sr, Provider Data Operations - Covered California CalOptimaBusiness Analyst Sr, Provider Data Operations - Covered CaliforniaOrange, CA$77,863–$124,581 / yearp>We are hoping you will join us as a Business Analyst Sr, Provider Data Operations - 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. Bachelor's degree in business administration, management, data science or related field PLUS 3 years of experience in health care operations, provider data management, system implementation or gathering of business requirements 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.Provider Liaison Manager Infusion for HealthProvider Liaison ManagerBrea, CAp>We 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.Provider Relations Manager I ModivCare Inc.Provider Relations Manager IOrange, CA$52,900–$71,400 / yearp>This position is responsible for developing and maintaining positive and effective working relationships with transportation providers within specific geographic areas, various company departments, and outside resources as requested. Drives performance in key metrics (safety, on-time delivery/pickup, reroutes, and compliance) and provider performance against Perfect Trip expectations (Trip acceptance, On Time to pick/depart, On Time to Destination, Digital Compliance, Reroutes and Complaints).Provider Network Specialist (San Fernando Valley) Astrana Health, Inc.Provider Network Specialist (San Fernando Valley)El 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.Provider Quality Review Nurse, RN Inland Empire Health PlanProvider Quality Review Nurse, RNRancho Cucamonga, California$91,249.60–$120,910.40 / yearli style="margin-bottom:0in">Maintain 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.Provider Network Manager (Gateway Region) Astrana Health, Inc.Provider Network Manager (Gateway Region)El Monte, CA$80,000–$90,000 / yearThis role serves as a key operational and relationship manager for physicians, IPAs, hospitals, and ancillary providers and acts as a primary point of contact for network-related issues within the assigned market. The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with organizational quality, financial, and growth objectives.Provider Data Management Services Coordinator Sr, Covered California CalOptimaProvider Data Management Services Coordinator Sr, Covered CaliforniaOrange, CA$55,966–$83,949 / yearp>We 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.Provider Development Director Infusion for HealthProvider Development DirectorFountain Valley, CA$90,000–$120,000 / yearp>Qualifications: Proven experience in sales, with a strong track record in developing physician relationships and driving referrals in oncology, hematology, gastroenterology, and/or rheumatology, specifically in infusions. As an Outside Sales Rep, you will be responsible for managing provider relationships and generating referrals from physicians, particularly in oncology, hematology, gastroenterology, and rheumatology.Provider Contracting Coordinator Astrana Health, Inc.Provider Contracting CoordinatorMonterey Park, California$24–$27 / hourCommunicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed. Update’s boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies.Claims 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.Advanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical Center CEP America LLCAdvanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical CenterRiverside, CAli>The 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.Advanced Provider - Emergency Medicine - St. Mary Medical Center - Long Beach CEP America LLCAdvanced Provider - Emergency Medicine - St. Mary Medical Center - Long BeachLong Beach, CA$55–$85 / hourli>Long Beach boasts a mild Mediterranean climate, with warm, sunny summers and cool, foggy winters, making it perfect for outdoor activities like beach days, sailing, and biking along scenic paths. Located along the Pacific Ocean, it's home to iconic landmarks like the Queen Mary, the Aquarium of the Pacific, and Shoreline Village, offering endless opportunities for exploration.Provider Contracting Coordinator Astrana Health IncProvider Contracting CoordinatorMonterey Park, CAThis role will report to the Provider Contracting Manager and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Contracting Coordinator.Account Director - CE&I Energy Providers Guidehouse IncAccount Director - CE&I Energy Providerslos angeles, CA$197,000–$328,000 / yearBachelor's degree in engineering, business or related discipline AND Ten (10+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications); Or Master's degree in engineering, business or related discipline AND Eight (8+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications). Successful experience leading business development initiatives (writing proposals, identifying opportunities to expand the scope, and/or providing additional services) and managing account teams (developing and implementing an account plan and leading account team activities).12345Similar Job SearchesActivities Assistant JobsActivities Director JobsActivity Director JobsCare Advocate JobsCare Coordinator JobsCare Manager JobsCaregiver JobsCase Manager JobsCommunity Health Worker JobsDirect Support Professional Jobs
NewRespite Care Provider Jovie of CA, WA, and MNRespite Care ProviderBurbank, CAul>Able to provide 3 references: 2 non-family childcare-related (paid or unpaid) and 1 character reference. Be in Charge – Manage safety, provide structure, and create fulfilling days that make a lasting impact.
Primary Care Provider, Nurse Practitioner / Physician Assistant Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician AssistantRosemead, CA$145,399–$174,478 / yearp>At 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.
Respite 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.
Respite 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.
NewHospital 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.
Agency Respite Care Provider Aveanna Healthcare Holdings IncAgency Respite Care ProviderRiverside, CA$20–$21 / hourp>Notice for Job Applicants Residing in California: 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. Notice for Job Applicants Residing in Florida: 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.
Advanced 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 / yearp>Work 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).
Transitions of Care Advanced Practice Provider (APP) Devoted Health IncTransitions of Care Advanced Practice Provider (APP)CARemoteAdditional requirements include completing a post-discharge medication reconciliation, placing appropriate orders (prescriptions, labs, imaging, referrals, home health, DME), providing appropriate disease education, communicating contingency plans for worsening symptoms, and comprehensively assessing a patient's medical conditions. That's why we're gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company - one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love.
Family Medicine Physician - Medical Provider / Primary Care TRITAL CareFamily Medicine Physician - Medical Provider / Primary CareBell, CAThe physician will evaluate, diagnose, treat, and manage patients across a broad range of primary care needs while supporting the organization’s mission to deliver compassionate, accessible, and culturally competent healthcare. A major Federally Qualified Health Center FQHC with multi-specialty outpatient community clinics across Los Angeles County is seeking dedicated, mission-oriented Family Medicine Physicians for permanent full-time opportunities.
Respite Care Provider JovieRespite Care ProviderBurbank, CaliforniaThis is a wonderful opportunity to gain hands-on childcare experience while enjoying a flexible schedule that works for you. Able to provide 3 references: 2 non-family childcare-related (paid or unpaid) and 1 character reference.
Advanced Practice Provider PA or NP Urgent Care American Family Care AnaheimAdvanced Practice Provider PA or NP Urgent CareAnaheim, Californiadiv> Responsibilities Perform complete, detailed, and accurate health histories, review patient records, develop comprehensive medical assessments, and order laboratory, radiological and diagnostic studies appropriate for complaint, race, sex, and physical condition of the patient. magazine 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..
NewProvider Enrollment Specialist AkidoProvider Enrollment SpecialistPomona, CA$24–$33 / hourp>Serving 500K+ patients across California, Rhode Island, and New York, Akido offers primary and specialty care in 26 specialties—from serving unhoused communities in Los Angeles to ride-share drivers in New York. Akido builds AI-powered doctors. Akido is the first AI-native care provider, combining cutting-edge technology with a nationwide medical network to address America's physician shortage and make exceptional healthcare universal.Grievance 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.Provider Relations | On-Site Newport Beach PrimeMSOSurgicalCentersProvider Relations | On-Site Newport BeachNewport Beach, CA$70,500 / yearWe have at least two company-wide events each year including Derby Days where all Prime staff are invited to attend a fully paid for trip to racing tracks on a race day and a Holiday party usually at an upscale restaurant in downtown LA. Our focus on building strategic relationships with our partners enables us to acquire, develop and optimize facilities in an aligned economic model that enables better access to high-quality care at a lower cost.Intensive Behavioral Support Provider Maxim Healthcare Services IncIntensive Behavioral Support ProviderMonrovia, 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.Credentialing and Provider Enrollment Specialist Chaparral Medical GroupCredentialing and Provider Enrollment SpecialistPomona, CA$47,800–$66,650 / yearIn 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives.Provider Enrollment Specialist II - Full Time Experity IncProvider Enrollment Specialist II - Full TimeCA$19.10–$22.50 / hourli>Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.Provider Relations Manager Salma HealthProvider Relations ManagerLaguna Hills, Californiaul style="min-height:1.5em">Lead the development and optimization of high-impact referral partnerships with health systems, primary care providers (PCPs), psychiatrists, therapists, emergency departments, inpatient psychiatric units, PHPs, and outpatient behavioral health clinics. We are the brain health company of the future, integrating care delivery, technology innovation, and research breakthroughs to better understand brain biology and diagnose, treat, and ultimately cure brain disorders across all stages of life.Hospital & 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.Business Analytics Associate - Provider Contracting & Network Analytics - Remote The Cigna GroupBusiness Analytics Associate - Provider Contracting & Network Analytics - RemoteWork at Home, CARemote$79,000–$131,600 / yearIn this role, you will support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of key initiatives designed to address unit cost and competitive discount. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.Claims 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.Claims 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.BH Associate Provider - Associate Clinical Social Worker Unicare Community Health Center IncBH Associate Provider - Associate Clinical Social WorkerOntario, CAp>Job 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.Direct Support Provider Maxim Healthcare Services IncDirect Support ProviderWest Covina, CA$22–$30 / hourOur commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.NewAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness Event VitalCheck WellnessAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness EventRiverside, CA$130–$130ul class="editor-list-ul">Set up and prepare the mobile clinic space within corporate environments to support employee wellness initiatives. A workplace wellness screening program is seeking a Spanish SpeakingProvider to provide onsite preventive wellness services within a professional workplace environment in Riverside, CA.Program Manager, Provider Data Operations CalOptimaProgram Manager, Provider Data OperationsOrange, CA$77,863–$124,581 / yearp>We 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.Advanced Practice Provider - California Part-time Pacific Psychotherapy Technologies IncAdvanced Practice Provider - California Part-timeCARemote$62–$96 / hourSee tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we'll raise the bar for the entire industry.Driver / Medical Transportation Provider Provado HealthDriver / Medical Transportation ProviderSanta Ana, CAWe are seeking professional, punctual, polite, and responsible individuals to use their own vehicles to serve as independent Mobile Care Providers, driving members of select health plans to and from their dialysis appointments. In our Mobile Careforce, you have the freedom to work outside the office, and deliver a caring experience to people who need it outside the four walls of a medical facility or home.Provider - Family Medicine Physician Unicare Community Health Center IncProvider - Family Medicine PhysicianFontana, CAp>Medical 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.Provider Network Management Associate Welbe Health LLCProvider Network Management AssociateRosemead, 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.VP, Provider and Member Appeals & Grievances Alignment Healthcare IncVP, Provider and Member Appeals & GrievancesCA$227,952–$341,928 / yearp>Operating at the intersection of regulatory compliance, operational excellence, and member experi-ence, this leader is responsible for building and sustaining a high-performing, multi-layered leadership organization that drives Caring Connections, proactively manages compliance risk, and delivers meas-urable improvement across quality, timeliness, and member and provider outcomes. Job Requirements: Experience: Required: 10+ years of progressive leadership experience in appeals, grievances, utilization management, or health plan regulatory operations, including at least 5 years in a senior leadership role overseeing a multi-functional team in a Medicare Advantage or Health Insurance environment.Consulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide) Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide)CA$190,000–$220,000 / yearp>• Lead 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.Provider 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.NewBusiness Analyst Sr, Provider Data Operations - Covered California CalOptimaBusiness Analyst Sr, Provider Data Operations - Covered CaliforniaOrange, CA$77,863–$124,581 / yearp>We are hoping you will join us as a Business Analyst Sr, Provider Data Operations - 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. Bachelor's degree in business administration, management, data science or related field PLUS 3 years of experience in health care operations, provider data management, system implementation or gathering of business requirements 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.Provider Liaison Manager Infusion for HealthProvider Liaison ManagerBrea, CAp>We 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.Provider Relations Manager I ModivCare Inc.Provider Relations Manager IOrange, CA$52,900–$71,400 / yearp>This position is responsible for developing and maintaining positive and effective working relationships with transportation providers within specific geographic areas, various company departments, and outside resources as requested. Drives performance in key metrics (safety, on-time delivery/pickup, reroutes, and compliance) and provider performance against Perfect Trip expectations (Trip acceptance, On Time to pick/depart, On Time to Destination, Digital Compliance, Reroutes and Complaints).Provider Network Specialist (San Fernando Valley) Astrana Health, Inc.Provider Network Specialist (San Fernando Valley)El 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.Provider Quality Review Nurse, RN Inland Empire Health PlanProvider Quality Review Nurse, RNRancho Cucamonga, California$91,249.60–$120,910.40 / yearli style="margin-bottom:0in">Maintain 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.Provider Network Manager (Gateway Region) Astrana Health, Inc.Provider Network Manager (Gateway Region)El Monte, CA$80,000–$90,000 / yearThis role serves as a key operational and relationship manager for physicians, IPAs, hospitals, and ancillary providers and acts as a primary point of contact for network-related issues within the assigned market. The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with organizational quality, financial, and growth objectives.Provider Data Management Services Coordinator Sr, Covered California CalOptimaProvider Data Management Services Coordinator Sr, Covered CaliforniaOrange, CA$55,966–$83,949 / yearp>We 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.Provider Development Director Infusion for HealthProvider Development DirectorFountain Valley, CA$90,000–$120,000 / yearp>Qualifications: Proven experience in sales, with a strong track record in developing physician relationships and driving referrals in oncology, hematology, gastroenterology, and/or rheumatology, specifically in infusions. As an Outside Sales Rep, you will be responsible for managing provider relationships and generating referrals from physicians, particularly in oncology, hematology, gastroenterology, and rheumatology.Provider Contracting Coordinator Astrana Health, Inc.Provider Contracting CoordinatorMonterey Park, California$24–$27 / hourCommunicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed. Update’s boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies.Claims 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.Advanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical Center CEP America LLCAdvanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical CenterRiverside, CAli>The 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.Advanced Provider - Emergency Medicine - St. Mary Medical Center - Long Beach CEP America LLCAdvanced Provider - Emergency Medicine - St. Mary Medical Center - Long BeachLong Beach, CA$55–$85 / hourli>Long Beach boasts a mild Mediterranean climate, with warm, sunny summers and cool, foggy winters, making it perfect for outdoor activities like beach days, sailing, and biking along scenic paths. Located along the Pacific Ocean, it's home to iconic landmarks like the Queen Mary, the Aquarium of the Pacific, and Shoreline Village, offering endless opportunities for exploration.Provider Contracting Coordinator Astrana Health IncProvider Contracting CoordinatorMonterey Park, CAThis role will report to the Provider Contracting Manager and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Contracting Coordinator.Account Director - CE&I Energy Providers Guidehouse IncAccount Director - CE&I Energy Providerslos angeles, CA$197,000–$328,000 / yearBachelor's degree in engineering, business or related discipline AND Ten (10+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications); Or Master's degree in engineering, business or related discipline AND Eight (8+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications). Successful experience leading business development initiatives (writing proposals, identifying opportunities to expand the scope, and/or providing additional services) and managing account teams (developing and implementing an account plan and leading account team activities).12345Similar Job SearchesActivities Assistant JobsActivities Director JobsActivity Director JobsCare Advocate JobsCare Coordinator JobsCare Manager JobsCaregiver JobsCase Manager JobsCommunity Health Worker JobsDirect Support Professional Jobs
Grievance 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.
Provider Relations | On-Site Newport Beach PrimeMSOSurgicalCentersProvider Relations | On-Site Newport BeachNewport Beach, CA$70,500 / yearWe have at least two company-wide events each year including Derby Days where all Prime staff are invited to attend a fully paid for trip to racing tracks on a race day and a Holiday party usually at an upscale restaurant in downtown LA. Our focus on building strategic relationships with our partners enables us to acquire, develop and optimize facilities in an aligned economic model that enables better access to high-quality care at a lower cost.
Intensive Behavioral Support Provider Maxim Healthcare Services IncIntensive Behavioral Support ProviderMonrovia, 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.
Credentialing and Provider Enrollment Specialist Chaparral Medical GroupCredentialing and Provider Enrollment SpecialistPomona, CA$47,800–$66,650 / yearIn 2022, CMG joined forces with Akido Labs, a tech-enabled healthcare company, to transform the healthcare experience from the ground up. As part of the Akido medical network, we are currently responsible for more than 250,000 patients in Southern California, with plans to expand into new markets across the U.S. We care deeply about the communities we serve and are committed to providing accessible, high quality healthcare that helps our patients and communities live their fullest lives.
Provider Enrollment Specialist II - Full Time Experity IncProvider Enrollment Specialist II - Full TimeCA$19.10–$22.50 / hourli>Flexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Provider Relations Manager Salma HealthProvider Relations ManagerLaguna Hills, Californiaul style="min-height:1.5em">Lead the development and optimization of high-impact referral partnerships with health systems, primary care providers (PCPs), psychiatrists, therapists, emergency departments, inpatient psychiatric units, PHPs, and outpatient behavioral health clinics. We are the brain health company of the future, integrating care delivery, technology innovation, and research breakthroughs to better understand brain biology and diagnose, treat, and ultimately cure brain disorders across all stages of life.
Hospital & 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.
Business Analytics Associate - Provider Contracting & Network Analytics - Remote The Cigna GroupBusiness Analytics Associate - Provider Contracting & Network Analytics - RemoteWork at Home, CARemote$79,000–$131,600 / yearIn this role, you will support the medical cost position of assigned markets through analysis of healthcare provider contracts, data drill downs of contract trend drivers, and execution of key initiatives designed to address unit cost and competitive discount. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.
Claims 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.
Claims 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.
BH Associate Provider - Associate Clinical Social Worker Unicare Community Health Center IncBH Associate Provider - Associate Clinical Social WorkerOntario, CAp>Job 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.
Direct Support Provider Maxim Healthcare Services IncDirect Support ProviderWest Covina, CA$22–$30 / hourOur commitment to quality customer service, compassionate patient care, and filling critical healthcare needs makes us a trusted partner wherever care is needed. We offer private duty nursing, skilled nursing, physical rehabilitation, companion care, respite care and behavioral care for individuals with chronic and acute illnesses and disabilities.
NewAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness Event VitalCheck WellnessAdvanced Practice Provider (Bilingual Spanish Speaking) | Employee Wellness EventRiverside, CA$130–$130ul class="editor-list-ul">Set up and prepare the mobile clinic space within corporate environments to support employee wellness initiatives. A workplace wellness screening program is seeking a Spanish SpeakingProvider to provide onsite preventive wellness services within a professional workplace environment in Riverside, CA.
Program Manager, Provider Data Operations CalOptimaProgram Manager, Provider Data OperationsOrange, CA$77,863–$124,581 / yearp>We 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.
Advanced Practice Provider - California Part-time Pacific Psychotherapy Technologies IncAdvanced Practice Provider - California Part-timeCARemote$62–$96 / hourSee tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we'll raise the bar for the entire industry.
Driver / Medical Transportation Provider Provado HealthDriver / Medical Transportation ProviderSanta Ana, CAWe are seeking professional, punctual, polite, and responsible individuals to use their own vehicles to serve as independent Mobile Care Providers, driving members of select health plans to and from their dialysis appointments. In our Mobile Careforce, you have the freedom to work outside the office, and deliver a caring experience to people who need it outside the four walls of a medical facility or home.
Provider - Family Medicine Physician Unicare Community Health Center IncProvider - Family Medicine PhysicianFontana, CAp>Medical 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.
Provider Network Management Associate Welbe Health LLCProvider Network Management AssociateRosemead, 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.
VP, Provider and Member Appeals & Grievances Alignment Healthcare IncVP, Provider and Member Appeals & GrievancesCA$227,952–$341,928 / yearp>Operating at the intersection of regulatory compliance, operational excellence, and member experi-ence, this leader is responsible for building and sustaining a high-performing, multi-layered leadership organization that drives Caring Connections, proactively manages compliance risk, and delivers meas-urable improvement across quality, timeliness, and member and provider outcomes. Job Requirements: Experience: Required: 10+ years of progressive leadership experience in appeals, grievances, utilization management, or health plan regulatory operations, including at least 5 years in a senior leadership role overseeing a multi-functional team in a Medicare Advantage or Health Insurance environment.
Consulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide) Huron Consulting Group IncConsulting Manager - Innosight Healthcare Provider Strategy & Innovation (Nationwide)CA$190,000–$220,000 / yearp>• Lead 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.
Provider 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.
NewBusiness Analyst Sr, Provider Data Operations - Covered California CalOptimaBusiness Analyst Sr, Provider Data Operations - Covered CaliforniaOrange, CA$77,863–$124,581 / yearp>We are hoping you will join us as a Business Analyst Sr, Provider Data Operations - 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. Bachelor's degree in business administration, management, data science or related field PLUS 3 years of experience in health care operations, provider data management, system implementation or gathering of business requirements 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.
Provider Liaison Manager Infusion for HealthProvider Liaison ManagerBrea, CAp>We 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.
Provider Relations Manager I ModivCare Inc.Provider Relations Manager IOrange, CA$52,900–$71,400 / yearp>This position is responsible for developing and maintaining positive and effective working relationships with transportation providers within specific geographic areas, various company departments, and outside resources as requested. Drives performance in key metrics (safety, on-time delivery/pickup, reroutes, and compliance) and provider performance against Perfect Trip expectations (Trip acceptance, On Time to pick/depart, On Time to Destination, Digital Compliance, Reroutes and Complaints).
Provider Network Specialist (San Fernando Valley) Astrana Health, Inc.Provider Network Specialist (San Fernando Valley)El 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.
Provider Quality Review Nurse, RN Inland Empire Health PlanProvider Quality Review Nurse, RNRancho Cucamonga, California$91,249.60–$120,910.40 / yearli style="margin-bottom:0in">Maintain 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.
Provider Network Manager (Gateway Region) Astrana Health, Inc.Provider Network Manager (Gateway Region)El Monte, CA$80,000–$90,000 / yearThis role serves as a key operational and relationship manager for physicians, IPAs, hospitals, and ancillary providers and acts as a primary point of contact for network-related issues within the assigned market. The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network to ensure adequate access, strong provider performance, and alignment with organizational quality, financial, and growth objectives.
Provider Data Management Services Coordinator Sr, Covered California CalOptimaProvider Data Management Services Coordinator Sr, Covered CaliforniaOrange, CA$55,966–$83,949 / yearp>We 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.
Provider Development Director Infusion for HealthProvider Development DirectorFountain Valley, CA$90,000–$120,000 / yearp>Qualifications: Proven experience in sales, with a strong track record in developing physician relationships and driving referrals in oncology, hematology, gastroenterology, and/or rheumatology, specifically in infusions. As an Outside Sales Rep, you will be responsible for managing provider relationships and generating referrals from physicians, particularly in oncology, hematology, gastroenterology, and rheumatology.
Provider Contracting Coordinator Astrana Health, Inc.Provider Contracting CoordinatorMonterey Park, California$24–$27 / hourCommunicate and follow up with providers & vendors to obtain missing information such as NPI, tax ID, other necessary information and to ensure agreements are return with proper signatures and fully executed. Update’s boilerplates to reflect any changes deemed necessary or as required by NCQA, Center for Medicaid/Medicare Services (CMS) and/or any other governing bodies.
Claims 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.
Advanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical Center CEP America LLCAdvanced Provider Fellow - Emergency Medicine - Riverside University Health System - Medical CenterRiverside, CAli>The 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.
Advanced Provider - Emergency Medicine - St. Mary Medical Center - Long Beach CEP America LLCAdvanced Provider - Emergency Medicine - St. Mary Medical Center - Long BeachLong Beach, CA$55–$85 / hourli>Long Beach boasts a mild Mediterranean climate, with warm, sunny summers and cool, foggy winters, making it perfect for outdoor activities like beach days, sailing, and biking along scenic paths. Located along the Pacific Ocean, it's home to iconic landmarks like the Queen Mary, the Aquarium of the Pacific, and Shoreline Village, offering endless opportunities for exploration.
Provider Contracting Coordinator Astrana Health IncProvider Contracting CoordinatorMonterey Park, CAThis role will report to the Provider Contracting Manager and enable us to continue to scale in the healthcare industry. About the Role: We are currently seeking a highly motivated Contracting Coordinator.
Account Director - CE&I Energy Providers Guidehouse IncAccount Director - CE&I Energy Providerslos angeles, CA$197,000–$328,000 / yearBachelor's degree in engineering, business or related discipline AND Ten (10+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications); Or Master's degree in engineering, business or related discipline AND Eight (8+) plus years' management consulting experience within power utilities (excluding Oil & Gas or Telecommunications). Successful experience leading business development initiatives (writing proposals, identifying opportunities to expand the scope, and/or providing additional services) and managing account teams (developing and implementing an account plan and leading account team activities).