Jobs near Los Angeles: 18,195
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Relevance Score ranked on: OPTIMIZATION
Advisor Provider Operations and Process Optimization
Los Angeles
The Advisor Provider Operations and Process Optimization partners with senior leadership to translate enterprise strategy into operational reality, ensuring alignment with organizational goals and regulatory mandates. The Advisor assesses workflows, implements improvements for efficiency and provider...
Search Terms: Operations, Advisor, Continuous Improvement, Optimization, Operation
87.7
0mi
Updated: October 14
Epic Grand Central/Prelude Analyst
Los Angeles
Epic Grand Central/ Prelude Analyst Position Overview: Under the direction of an Application Manager, the Application Analyst performs troubleshooting, maintenance, and optimization of existing software applications. They design, build, test, and support new applications and modules within their port...
Search Terms: Analyst, Support, Application, Software, Staffing
62.1
9.9mi
Updated: October 06
Physician Reviewer II, Quality Management
Los Angeles
The Physician Reviewer II shall conduct medical reviews, clinical consultation and other medical consultation work as necessary under the general direction of the Senior Medical Director, Medical Management, as more specifically described below. Duties Conduct medical reviews and prepare determinatio...
Search Terms: Management, Physician, Quality, Medical Director, Communications
0
0mi
Updated: October 14
Medical Director, Quality & Provider Engagement
Los Angeles
The Senior Director, Medical Management provides clinical and operational leadership for L. A. Care Health Plan Medical Management functions under Health Services, including Utilization Management (UM), Care Management (CM), Behavioral Health (BH), Managed Long-Term Services and Supports (MLTSS). Rep...
Search Terms: Medical Director, Director, Behavioral Health, Medical, Engagement
0
0mi
Updated: October 14
Provider Network Strategy and Governance Specialist II
Los Angeles
The Provider Network Strategy and Governance Specialist II supports the development, coordination, and execution of provider network strategy and governance initiatives. This position assists in translating organizational and network priorities into actionable plans, measurable goals, and standardize...
Search Terms: Network, Strategy, Business Operations, Specialist, Continuous Improvement
0
0mi
Updated: October 14
Provider Dispute and Resolution Analyst II
Los Angeles
(2 positions available) The Provider Dispute and Resolution Analyst II is responsible for researching, analyzing, coordinating, and resolving routine to moderately complex provider claims, payment disputes, and reimbursement issues for contracted network providers. This role serves as part of a dedic...
Search Terms: Analyst, Continuous Improvement, Dispute, Payment, Claims
0
0mi
Updated: October 14
Senior Advisor Contract Management and Execution
Los Angeles
6 open positions: The Senior Advisor Contract Management and Execution manages provider contracting activities from initial opportunity through final execution, including reimbursement evaluation, negotiation strategy, contract language, approvals, and renewals. This position develops and maintains c...
Search Terms: Contract, Management, Advisor, Relationship Manager, Senior
0
0mi
Updated: October 14
Vendor Contract and Performance Specialist II
Los Angeles
2 Positions Available The Vendor Contract and Performance Specialist II supports the vendor contracting and performance functions by participating in contract negotiations, provider onboarding, and issue resolution activities. This role acts as a liaison between the organization and providers, facili...
Search Terms: Contract, Vendor, Performance, Specialist, Operations
0
0mi
Updated: October 14
Network Operations Specialist III
Los Angeles
(1 available position) The Network Operations Specialist III drives managed care program success by translating regulatory and program requirements into actionable strategies and measurable outcomes. This role leads the planning and execution of key initiatives. As a cross-functional connector, the S...
Search Terms: Network Operations, Operations Specialist, Operations, Network, Specialist
0
0mi
Updated: October 14
Senior Manager, Contract Management and Execution
Los Angeles
2 Positions Available The Senior Manager, Contract Management and Execution manages a team of Contract staff, driving performance to ensure that the team can lead high-level decisions which impact the success of the organization’s contracting strategy and ensuring operational excellence throughout th...
Search Terms: Contract, Manager, Management, Senior, Skills
0
0mi
Updated: October 14
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