Komodo HealthAccount Executive - AVP, Sales (Payer/Provider/Tech Partnerships) Komodo HealthAccount Executive - AVP, Sales (Payer/Provider/Tech Partnerships)San Francisco, CARemote$140,000–$180,000 / yearExpanding our Technology Partnerships business, effectively engaging audiences across Payer, Provider and Health Tech segments and proposing the appropriate suite of Komodo solutions to deliver value against an expansive set of high-priority Customer needs. Across the healthcare ecosystem, we’re helping our clients unlock critical insights to track detailed patient behaviors and treatment patterns, identify gaps in care, address unmet patient needs, and reduce the global burden of disease.
One MedicalNewRN Care Manager - CA Licensed One MedicalRN Care Manager - CA LicensedMILL VALLEY, CA$113,000–$120,000 / yearConduct independent nursing visits (in-person, video, remote) with patients focusing on prevention (including Annual Wellness Visits), medication reconciliation, geriatric assessment, care plan reinforcement, chronic disease follow-up, and advance care planning. Must demonstrate excellent interpersonal communication skills with a variety of audiences via in-person, telephone, video, and electronic means including exceptional listening skills, ability to use appropriate language and demonstrated writing skills.
Ivy LivingCare Provider Ivy LivingCare ProviderSan Ramon, CA$19–$21 / 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.
Mission Neighborhood CentersNewCare Provider (On-Call) Mission Neighborhood CentersCare Provider (On-Call)San Francisco, CA$24–$25 / hourIf you are seeking an organization that values, promotes, and develops leadership by delivering culturally sensitive, multi-generational, community-based services that empower families to build strong, healthy, and vibrant neighborhoods with the vision of a strong, healthier and more vibrant community that respects and celebrates its many rich, cultural traditions, please apply. He/she will also share resources and information with families and provide referrals to MNC’s Family Resource Centers or other applicable programs for individuals in need of more intensive case management and resources.
Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician Assistant Welbe Health LLCPrimary Care Provider, Nurse Practitioner / Physician AssistantSan Jose, CA$162,010.37–$205,424.04 / 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.
Maxim Healthcare Services IncCare Provider (Weekly Pay) Maxim Healthcare Services IncCare Provider (Weekly Pay)Santa Clara, CA$21–$24 / hourAbility to effectively elicit/provide information to and from appropriate individuals (including, but not limited to, supervisors, co-workers, clients) via strong communication skills; proficiency in the English language may be required. Maxim Healthcare is hiring for a Personal Care Assistant to provide support services to assist clients with personal, physical mobility and therapeutic care needs.
Contra Costa CountyCAAmbulatory Care Provider - Exempt (Detention Health) Contra Costa CountyCAAmbulatory Care Provider - Exempt (Detention Health)Martinez, CA$220,619.04–$250,188.12 / yearAnnually Location Contra Costa County, CA Job Type Non-Merit Advertise Only Job Number VPT5- 2025A Department Health Services - Only Opening Date 01/27/2025 Closing Date Continuous FLSA Exempt Bargaining Unit 1P Description Benefits The Position Ambulatory Care Provider-Exempt$220,619.04 Annually Contra Costa Health is a comprehensive, integrated healthcare system that includes a hospital, 11 ambulatory (primary and specialty care) clinics, Contra Costa Health Plan, Public Health, Behavioral Health, and Detention Health, among other divisions.
Contra Costa CountyCAPrimary Care Provider - Exempt Contra Costa CountyCAPrimary Care Provider - ExemptContra Costa County, CA$251,379.60–$286,685.28 / yearAnnually Location Contra Costa County, CA Job Type Non-Merit Advertise Only Job Number VPT5- 2025A Department Health Services - Only Opening Date 01/16/2025 Closing Date Continuous FLSA Exempt Bargaining Unit 1P Description Benefits The Position Primary Care Provider-Exempt$251,379.60 We are also just a short commute to Berkeley, Oakland or San Francisco, and are located close to other Northern California destinations including Napa Valley, Lake Tahoe, Muir Woods, Big Sur and Yosemite.
Mission Neighborhood Health CenterPrimary Care Provider (Full-Time or Part-Time) - Bilingual Mission Neighborhood Health CenterPrimary Care Provider (Full-Time or Part-Time) - BilingualSan Francisco, CA$234,600–$259,590 / yearDocumentation of current immunizations, including Varicella, TDAP, COVID-19, MMR, and Hepatitis B, as well as TB test results valid within the last two (2) years must be submitted before the start date. The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco.
Mission Neighborhood Health CenterPrimary Care Provider (On-Call, As Needed) - Bilingual Mission Neighborhood Health CenterPrimary Care Provider (On-Call, As Needed) - BilingualSan Francisco, CaliforniaDocumentation of current immunizations, including Varicella, TDAP, COVID-19, MMR, and Hepatitis B, as well as TB test results valid within the last two (2) years must be submitted before the start date. The Mission Neighborhood Health Center (MNHC) is a non-profit, multi-site community health organization offering comprehensive health services in the Mission and Excelsior Districts of San Francisco.
Mission Neighborhood Health CenterLead Primary Care Provider - Healthcare for the Unhoused (Bilingual) Mission Neighborhood Health CenterLead Primary Care Provider - Healthcare for the Unhoused (Bilingual)San Francisco, California$234,600–$259,590 / yearUnder the supervision of the Chief Medical Officer, the primary care provider at the Homeless Resource Center delivers preventive and acute care, substance use and mental health counseling, integrated with case management and support services in the Drop-In Center. We are seeking an experienced, bilingual Lead Primary Care Provider—Physician (MD or DO), Nurse Practitioner, or Physician Assistant—to join our team at Mission Neighborhood Resource Center, which serves the unhoused community in the Mission District.
FremontChild Respite Care Provider FremontChild Respite Care ProviderFremont, CaliforniaBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work®.
Vivo HealthStaffUrgent Care Provider - Oakland, CA Vivo HealthStaffUrgent Care Provider - Oakland, CAOakland, CAContractorVivo HealthStaff is recruiting an Urgent Care Provider in Oakland. Requirements: California Physician Assistant or Nurse Practitioner license.
ComForCare Home Health Care - AlamedaSpecial Needs Child Care Provider (In-home) ComForCare Home Health Care - AlamedaSpecial Needs Child Care Provider (In-home)Castro Valley, CA$21–$24 / hourBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. You understand that each independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and termination, and ComForCare does not accept, review or store my application.
ComForCare Home Health Care - AlamedaHome Child Care Provider (Oakland) ComForCare Home Health Care - AlamedaHome Child Care Provider (Oakland)Oakland, CA$21–$24 / hourBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. You understand that each independent franchisee is solely responsible for all decisions relating to employment including (and without limitation to) hiring and termination, and ComForCare does not accept, review or store my application.
CEP America LLCAdvanced Provider - Critical Care - Vituity CEP America LLCAdvanced Provider - Critical Care - Vituityemeryville, CANationwide - Seeking Intensivist Advanced Providers Become a Valued Member of Your Critical Care Team As an Advanced Provider, you play a critical role in our mission to improve lives in the Intensivist Care setting and are a valued member of the full care team. Opportunities to attend Vituity community events including LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and more.
AlamedaNewSpecial Needs Child Care Provider Inhome AlamedaSpecial Needs Child Care Provider InhomeCastro Valley, CaliforniaBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work®.
ComForCare Home Health Care - AlamedaHome Child Care Provider - Tri-Valley ComForCare Home Health Care - AlamedaHome Child Care Provider - Tri-ValleyDublin, CA$21–$24 / hourBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Recognized as a certified Great Place To Work®, we’re proud to serve neighborhoods across Alameda County, including Castro Valley, Pleasanton, Dublin, and Livermore.
AlamedaNewHome Child Care Provider in Oakland AlamedaHome Child Care Provider in OaklandOakland, CaliforniaBy selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries. Thousands of ComForCare employees were surveyed and the response was overwhelmingly positive, with 90% agreeing that ComForCare is in fact a Great Place To Work®.
Vivo HealthStaffClinical Provider (MD/DO or NP/PA) - Urgent Care Vivo HealthStaffClinical Provider (MD/DO or NP/PA) - Urgent CareSan Leandro, CAProvide Urgent Care and Occupational MedicineServices to new and established patients. At least 2 years experience as a Urgent Care or ER provider or Hospitalist.
AlamedaNewHome Child Care Provider - Tri-Valley AlamedaHome Child Care Provider - Tri-ValleyDublin, CaliforniaRecognized as a certified Great Place To Work®, we’re proud to serve neighborhoods across Alameda County, including Castro Valley, Pleasanton, Dublin, and Livermore. By selecting the positions below, you acknowledge that you are applying for employment with an independently owned and operated ComForCare franchisee, a separate company and employer from ComForCare and any of its affiliates or subsidiaries.
Stanford Health CareLead Advance Practice Provider (NP/PA) - Digestive Care - Full Time, Days (8HRS) Stanford Health CareLead Advance Practice Provider (NP/PA) - Digestive Care - Full Time, Days (8HRS)Redwood City, CA$100.03–$132.51 / hourRN - Valid California license to practice as a Registered Nurse - AND - one of the following advanced practice nursing licenses is qualifying: (a) NP - Valid California license to practice as a Nurse Practitioner as well as having current national certification,(b) CNS - Valid California license to practice as a Clinical Nurse Specialist as well as having current national certification, or (c) CRNA - Valid California license to practice as a Certified Registered Nurse Anesthetist as well as having current national certification. Ability to promote a spirit of inquiry and practice based on evidence by using research based knowledge or research utilization methods to identify and implement innovations in patient care and/or participating in research, clinical investigatory or quality projects.
MarinHealth Medical CenterProvider Onboarding Specialist, Network Administration, (Novato), Full-Time, Days MarinHealth Medical CenterProvider Onboarding Specialist, Network Administration, (Novato), Full-Time, DaysNovato, CA$69,992–$83,990 / yearThe functions may include pre-boarding, new hire processing, accounts payable processing, coordinating employment agreements, coordinating travel arrangements, processing of candidates reimbursements by MarinHealth and regulatory guidelines, coordinating site visits, maintaining candidate activity and status updates in the system and with key stakeholders, applicable reference checks, coordinating the onboarding of the provider executing on the onboarding timeline while coordinating with various departments. MarinHealth is already realizing the benefits of impressive growth and has consistently earned high praise and accolades, including being Named One of the Top 250 Hospitals Nationwide by Healthgrades, receiving a 5-star Ranking for Overall Hospital Quality from the Centers for Medicare and Medicaid Services, and being named the Best Hospital in San Francisco/Marin by Bay Area Parent, among others.
Bay Area Community HealthBehavioral Health Provider - Spanish Speaking (48130) Bay Area Community HealthBehavioral Health Provider - Spanish Speaking (48130)Fremont, CAPerform comprehensive behavioral health services including: intake evaluations, assessments, crisis intervention, ad hoc counseling, individual/family/group intervention, treatment planning, collateral assessment/intervention, and outreach. This position is responsible for providing culturally competent primary care focused behavioral health services and clinical consultation to primary care patients with mental health needs.
North East Medical ServicePROVIDER AND CLIENT SERVICES REPRESENTATIVE North East Medical ServicePROVIDER AND CLIENT SERVICES REPRESENTATIVEBurlingame, CAThe MSO Network Provider and Client Services Representative is required to have excellent ability to communicate effectively with a variety of professionals, including physicians, administrators, other healthcare providers, and services agencies. Must have excellent communication skills (verbal and written), ability to communicate effectively with a variety of professionals, including physicians and other healthcare providers, business administrators and other healthcare services agencies.
Crossover Health Management Services, Inc.Market Provider Lead- South Bay Nearsites Crossover Health Management Services, Inc.Market Provider Lead- South Bay NearsitesSanta Clara, CA$179,690–$233,598 / yearEnsures compliance with all policies (quality, privacy, etc.) , procedures, and protocols of the practice, including assisting other care providers and extended care teams to comply and collaborate on clinical outcome reviews and measurements. Market Provider Leader is a key member of the market leadership team responsible for providing direct primary care and leading teams of care providers.
HealthRIGHT 360MD/DO Provider (Medical Doctor) - Addiction-Intake HealthRIGHT 360MD/DO Provider (Medical Doctor) - Addiction-IntakeSan Francisco, CAUnder the clinical supervision of the Director of Addiction Medicine, the Addiction Provider is primarily responsible for the following: 1) management of intoxication and withdrawal states, 2) the initiation and monitoring of Medically Assisted Treatment, 3) the evaluation and management of addiction related medical and psychiatric problems. Provide oversight for Advanced Practice Providers including entering into a Collaborative Agreement with the Advanced Practice Provider, providing supervision, having input in the clinical review, performance appraisal, peer review and hiring and termination of providers and clinical support staff.
Maxim Healthcare Services IncDirect Support Provider - $27-$29/hr - Weekly Pay Maxim Healthcare Services IncDirect Support Provider - $27-$29/hr - Weekly PayHayward, CA$27–$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 Services in Hayward is hiring for a Direct Support Provider to work with children and/or adults with developmental delays and challenging behaviors.
Bay Area Community HealthNewBehavioral Health Provider(Arise Program) (49554) Bay Area Community HealthBehavioral Health Provider(Arise Program) (49554)Fremont, CAPerform comprehensive behavioral health services including: intake evaluations, assessments, crisis intervention, ad hoc counseling, individual/family/group intervention, treatment planning, collateral assessment/intervention, and outreach. Preferred Education, Experience, Training: One year of directly related experience, including background in primary care consultation, behavioral medicine, health psychology, or other relevant areas.
Bay Area Community HealthBehavioral Health Provider (48618) Bay Area Community HealthBehavioral Health Provider (48618)Fremont, CAPerform comprehensive behavioral health services including: intake evaluations, assessments, crisis intervention, ad hoc counseling, individual/family/group intervention, treatment planning, collateral assessment/intervention, and outreach. This position is responsible for providing culturally competent primary care focused behavioral health services and clinical consultation to primary care patients with mental health needs.
Bay Area Community HealthBehavioral Health Provider(Arise Program) (49403) Bay Area Community HealthBehavioral Health Provider(Arise Program) (49403)Fremont, CAPerform comprehensive behavioral health services including: intake evaluations, assessments, crisis intervention, ad hoc counseling, individual/family/group intervention, treatment planning, collateral assessment/intervention, and outreach. Preferred Education, Experience, Training: One year of directly related experience, including background in primary care consultation, behavioral medicine, health psychology, or other relevant areas.
Provado HealthDriver / Medical Transportation Provider Provado HealthDriver / Medical Transportation ProviderOakland, 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.
HealthRIGHT 360Addiction Provider-Intake Services (MD/DO) HealthRIGHT 360Addiction Provider-Intake Services (MD/DO)San Francisco, CAUnder the clinical supervision of the Director of Addiction Medicine, the Addiction Provider is primarily responsible for the following: 1) management of intoxication and withdrawal states, 2) the initiation and monitoring of Medically Assisted Treatment, 3) the evaluation and management of addiction related medical and psychiatric problems. Provide oversight for Advanced Practice Providers including entering into a Collaborative Agreement with the Advanced Practice Provider, providing supervision, having input in the clinical review, performance appraisal, peer review and hiring and termination of providers and clinical support staff.
Pennant ServicesNurse Practitioner (NP) - Provider Services Pennant ServicesNurse Practitioner (NP) - Provider ServicesHayward, CaliforniaAt Sequoia Home Health, we foster an environment where clinicians and staff members have an unprecedented level of freedom to create and implement the programs that will best serve their patients and communities. Ability to communicate effectively, in verbal and written form, with retail and medical partners at various levels, patients, family members, physicians and representatives of the community.
SUNSHINE ENTERPRISE USA LLCCardiology Advanced Practice Provider (NP/PA) SUNSHINE ENTERPRISE USA LLCCardiology Advanced Practice Provider (NP/PA)San Francisco, CAManage and monitor patients with cardiovascular conditions such as hypertension, coronary artery disease, atrial fibrillation, heart failure, and hyperlipidemia. • 1–2 years cardiology or internal medicine experience preferred; strong new graduates with relevant rotations or RN cardiology background considered.
Astrana Health IncProvider Relations Specialist Astrana Health IncProvider Relations SpecialistDaly City, CAWe are currently seeking a highly motivated Provider Relations Specialist who will be responsible for field and office activities in providing education and supporting the IPA's provider network. This is an in-person role that requires some travel in San Francisco and San Mateo County.
UCSF Medical CenterAdvanced Practice Provider Manager UCSF Medical CenterAdvanced Practice Provider ManagerSan Francisco, CAThe summary purpose of the APP Manager is to provide leadership for the health system and advanced health providers in the development and implementation of ongoing quality improvement through an array of regulatory compliance, policies and programs, funding/funds flow/productivity, training and technical assistance, data and information sharing, and partnerships and collaborations. Strong written and verbal communication skills with the ability to train and mentor subordinates, convey complex clinical and technical information in a clear and concise manner, and to prepare and present a variety of reports, documentation, analyses, and project proposals.
HealthRIGHT 360MD/DO Provider, Addiction-890 Residential HealthRIGHT 360MD/DO Provider, Addiction-890 ResidentialSan Francisco, CAUnder the clinical supervision of the Director of Addiction Medicine, the Addiction Provider is primarily responsible for the following: 1) management of intoxication and withdrawal states, 2) the initiation and monitoring of Medically Assisted Treatment, 3) the evaluation and management of addiction related medical and psychiatric problems. Provide oversight for Advanced Practice Providers including entering into a Collaborative Agreement with the Advanced Practice Provider, providing supervision, having input in the clinical review, performance appraisal, peer review and hiring and termination of providers and clinical support staff.
Therapymatch, Inc.Senior Product Designer, Provider Growth Therapymatch, Inc.Senior Product Designer, Provider GrowthSan Francisco, CA$183,600–$216,000 / yearAs a Senior Product Designer for Provider Acquisition, you'll own the design of our top-of-funnel experiences\u2014the landing pages, lead forms, and acquisition flows that turn interested providers into qualified leads. This is high-leverage growth work: small improvements in conversion can translate to thousands of additional providers joining our network and tens of thousands more patients getting access to care.
Welbe Health LLCProvider Network Management Associate Welbe Health LLCProvider Network Management AssociateSan Jose, 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)San Francisco, 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.
McKinsey & Co IncProvider Performance Improvement Specialist McKinsey & Co IncProvider Performance Improvement SpecialistSan Francisco, CAUniversity degree with excellent academic record required; advanced degree preferred • 5+ years of professional experience in a hospital/clinical setting or direct provider consulting environment • Interest in procurement topics (medical/surgical supplies, pharmacy, purchased services), clinical operations (reducing length of stay, increasing throughput) and workforce management (optimizing composition of clinical and non-clinical labor); open to backgrounds working for GPOs, pharmacy companies, medical device companies and/or healthcare consultancies • Deep interest and skillset in analytics and a passion for improving the way hospitals source and utilize external spend areas from supplies to pharmaceuticals to purchased services • Experience and appetite in analytics and quantitative/data analysis ideally in the health care sector • High level of entrepreneurship, professionalism and presence to succeed in a team-based setting on the ground with clients • Interest in hand's-on change management and operational implementation involving multiple stakeholders across a hospital organization • Sound problem-solving skills; ability to quickly process complex information and present it clearly and simply during change transformation efforts with clients • Comfortable traveling to client sites, up to 60-70% of time traveling. You will be actively engaged with front-line client teams involved in helping hospitals implement operational improvements and organizational enhancements that boost cost effectiveness and improve quality of care for patients.
RadNet IncProvider Service Rep RadNet IncProvider Service RepSanta Clara, CA$75,000–$85,000 / yearYou Will: Be responsible for identifying, prospecting and marketing contract imaging services to local IPAs, HMOs, medical groups, and referring physicians through cold calling, appointments, leads, and regular visits to referring offices and potential referral sources in a concentrated effort to grow our territory and increase numbers. When you join RadNet as a Provider Service Representative, you will be joining a dedicated team of professionals who deliver quality, value, and access in the 21st century and align all stakeholders- patients, providers, payors, and regulators to achieve the best clinical outcomes.
Elevance Health IncProvider Data Analyst Sr. Elevance Health IncProvider Data Analyst Sr.Walnut Creek, CA$78,540–$134,640 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 5 years data file/reporting experience; experience using analytics and/or relational databases; experience using software such as GeoNetworks; or any combination of education and experience, which would provide an equivalent background. Performs provider data support, data/file analysis, network analysis, surveys, reporting (including creating and publishing), and other ad hoc data requests to support the assigned department.
North East Medical ServicePROVIDER DISPUTE RESOLUTION SPECIALIST North East Medical ServicePROVIDER DISPUTE RESOLUTION SPECIALISTBurlingame, CAThe MSO department seeks a PDR Specialist with strong verbal and written communication skills to handle provider disputes and appeals related to claims payments. Key Responsibilities: Review and resolve provider payment disputes and appeals for Medi-Cal Managed Care, Medicare Advantage, and PACE programs.
Huron Consulting Group IncConsulting Director - Innosight Healthcare Provider Strategy & Innovation (Nationwide) Huron Consulting Group IncConsulting Director - Innosight Healthcare Provider Strategy & Innovation (Nationwide)San Francisco, CA$215,000–$250,000 / yearExpert-level knowledge of the healthcare provider industry, including experience working with diverse provider organizations such as Hospital Systems, Academic Medical Centers, Ambulatory Surgery Centers, Integrated Delivery Networks, Physician Practices/Groups, etc. • We are the leading practitioners of disruptive innovation, building on the work of our co-founder, Harvard Business School professor Clay Christensen.• Because we focus on growth strategy and innovation, we bring unique expertise and authority to the challenges our clients face: Where is our next big opportunity, and what is our strategy to get there?
Infusion for HealthProvider Development Director Infusion for HealthProvider Development DirectorOakland, CA$85,000–$120,000 / yearQualifications: 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. Position Overview: We are seeking a highly motivated and dynamic Infusion Sales Representative to drive growth for our infusion centers in the Walnut Creek, Oakland, Brentwood regions.
Blue Cross and Blue Shield AssociationData Analyst, Consultant (Provider Operations) Blue Cross and Blue Shield AssociationData Analyst, Consultant (Provider Operations)Oakland, CAYour Knowledge and Experience Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience Requires at least 7 years of experience in Health Care (managed care, academic, or gov''t payer) Experience with MS Office, especially Excel and Access, Unix, SQL/PL-SQL, SAS Familiarity with visualization tools such as Tableau Excellent analytical and problem solving skills. Prior experience in government programs Medi-Cal and Medicare is a plus Hybrid This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility.
Astrana Health IncProvider Relations Representative Astrana Health IncProvider Relations RepresentativeDaly City, CAWe are currently seeking a driven Provider Relations Representative who will be responsible of both field and office activities in providing supports to the IPAs provider network. This is an in-person role that requires some travel in San Francisco and San Mateo County.
Guidehouse IncAccount Director - CE&I Energy Providers Guidehouse IncAccount Director - CE&I Energy Providerssan francisco, 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).