Top 17 Provider relations Jobs in Cypress, Ca

Provider Relations Coordinator
Optum —Irvine, CA
- $20 - $36 an hour
- Full-time
- Pass drug screening
- Research
- Mid-level
Quick Apply
1d
Healthcare Provider Network Contract Manager
UnitedHealthcare —Cypress, CA
- $72,800 - $130,000 a year
- Full-time
- Pass drug screening
- Mid-level
- 3 years
Physician Outreach Liaison
Coast Plaza Hospital —Norwalk, CA
- $95,825.60 - $140,878.40 a year
- Remote
- HIPAA
- Mid-level
- Driver's License
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Physician Relations Liaison
City of Hope —Torrance, CA
- $40.81 - $63.26 an hour
- Full-time
- 7 years
- Marketing
- Hospital
Provider Relations Manager
Salma Health —Laguna Hills, CA
- $80,000 - $100,000 a year
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Neurology
- Health insurance
- Dental insurance
Program Manager, Provider Network - Covered California
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Microsoft Outlook
- Customer service
- Tuition reimbursement
- Paid time off
Provider Relations
Torrance —Torrance, CA
- From $70,000 a year
- Overtime
- Background check
- Surgery
- Sales
- Paid holidays
- Disability insurance
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Provider Network Strategy Principal
WelbeHealth —Los Angeles, CA
- $109,240.54 - $144,197.50 a year
- Remote
- Master's degree
- SQL
- Analysis skills
- Health insurance
- Dental insurance
Quick Apply
Provider Relations Manager I
ModivCare Solutions, LLC —Orange, CA
- $52,900 - $71,400 a year
- Multiple hires
- Microsoft Excel
- Microsoft Outlook
- Customer service
- Paid parental leave
- AD&D insurance
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Provider Network Specialist (San Fernando Valley)
Astrana Health, Inc. —El Monte, CA
- $70,304 - $80,000 a year
- Email
- Hybrid work
- Mid-level
- Office
- 3 years
Quick Apply
Business Development Specialist ,- Provider - Relations Sales
Professional Nurse Partners —Yorba Linda, CA
- $65,000 - $75,000 a year
- Full-time
- Mid-level
- Driver's License
- US work authorization
- Wellness program
- Paid time off
Quick Apply
Provider Network Manager (Gateway Region)
Astrana Health, Inc. —El Monte, CA
- $80,000 - $90,000 a year
- Email
- Hybrid work
- 5 years
- Office
- Bachelor's degree
Quick Apply
OD/Referring Provider Liaison
Acuity Eye Group —Santa Ana, CA
- $27 - $34 an hour
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
Quick Apply
PROVIDER NETWORK COORDINATOR - PACE
Chinatown Service Center —Alhambra, CA
- $28 - $38 an hour
- Mid-level
- Office
- 3 years
Quick Apply
Advanced Practice Provider - Los Angeles Cancer Network
OneOncology —Torrance, CA
- $135,000 - $160,000 a year
- Email
- Private practice
- Spanish
- Mid-level
- Disability insurance
- Health insurance
Quick Apply

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9d
Healthcare Provider Network Contract Manager
UnitedHealthcare —Cypress, CA
As a manager within our network contracting team, you'll guide the development and support of Provider Networks as well as unit cost management activities…
$72,800 - $130,000 a year

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Provider Relations Coordinator

Optum -
Irvine, CA

Quick Apply

Job Details

Full-time
$20 - $36 an hour
1 day ago

Qualifications

Microsoft Office
Documentation tools

Full Job Description

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together.

The Provider Relations Coordinator serves as a liaison between Optum and its provider network, delivering responsive support, issue resolution, and administrative coordination to promote exceptional provider satisfaction and operational efficiency. This role supports the Provider Relations Team by facilitating provider communications, collaborating on provider data and onboarding processes, maintaining network records, and assisting with provider education and engagement activities. The Coordinator plays an integral role in quality improvement initiatives by preparing performance reports, scorecards, meeting materials, and action plan documentation; conducting provider and member outreach; and supporting efforts related to HEDIS, CMS, CAHPS, and other performance measures. Additionally, the position collaborates across departments to address provider concerns, support escalation management, monitor network trends, and contribute to provider growth, retention, and overall network performance.

Primary Responsibilities:

Service Excellence:
Serves as a point-of-contact to the physician network and is responsive to physician needs
Responds timely (within one business day) to provider issues, works with other groups/central departments to resolve issues and updates providers and office staff regularly through to resolution
Assists the Provider Relations team by researching and resolving issues communicated to Optum by network providers
Conducts outreach to provider network as needed via e-mail or telephonically to help remediate inquiries and concerns from members submitted through Optum's Patient Service Center
Supports Provider Relations Escalation process, through appropriate triage of issues to PR Team members, monitoring turnaround times to ensure timely resposne, and participating in provider outreach and issue resolution
Assists with the review, ongoing tracking and data collection for Optum's providers through the Network Services' onboarding and update processes
Distributes targeted network communications through email, fax and mail as directed
Provides administrative support to PRMs and PR Department and participates in special projects as assigned
Provider Training and Data Management:
Assists the Provider Relations team in setting up and maintaining provider e-files
Assists the Provider Relations team in maintaining accurate and timely provider information in Optum databases including, but not limited to, maintaining PRM database
Ensures that provider offices have a Curo, Optum Pro, and DataCORE "account" assigned (as applicable) and assists in the resolution of provider questions/issues related to usage of these systems and other practice tools
Quality Performance:
Supports quality performance measures (e.g., HEDIS, CMS, CAHPS) by engaging targeted provider practices and members, collaborating on improvement workplans
Develops and prepares monthly performance scorecards, reports, meeting materials, and action plan documentation to support PRMs' practice performance review discussions, JOMs, performance improvement initiatives and as needed/requested
Collaborates and aligns strategies with other regional support teams (e.g., Network Services, Population Health, Government Programs)
Conducts member or provider outreach in support of performance improvement initiatives including data collection, quality gap closures, appointment scheduling, quality education
Growth and Retention:
Monitors and identifies trends on membership decline and escalates to leadership as appropriate

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

Health plan, managed care organization, medical group physician office, IPA, or related work experience
Intermediate level of experience with Microsoft Suite
Experience working within a team-oriented environment
Proven excellent communication skills

Preferred Qualifications:

2+ years of experience in a health plan, managed care organization, medical group physician office or IPA setting
Roles in Provider Relations or experience working with physicians/physician offices
Experience working collaboratively with diverse, cross-functional teams to achieve shared objectives

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.00 - $36.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable.

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.

OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

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Refine Your Search

provider relations jobs in cypress, ca

Provider Relations Coordinator

Healthcare Provider Network Contract Manager

Physician Outreach Liaison

Physician Relations Liaison

Provider Relations Manager

Program Manager, Provider Network - Covered California

Provider Relations

Provider Network Strategy Principal

Provider Relations Manager I

Provider Network Specialist (San Fernando Valley)

Business Development Specialist ,- Provider - Relations Sales

Provider Network Manager (Gateway Region)

OD/Referring Provider Liaison

PROVIDER NETWORK COORDINATOR - PACE

Advanced Practice Provider - Los Angeles Cancer Network

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