Top 62 Managed care contracting Jobs in Los Angeles, Ca

Director, Managed Care Negotiations
Adventist Health —Glendale, CA
- $168,960 - $253,440 a year
- Master's degree
- Bachelor's degree
- Recruiting
Managed Care Reporting & Contracts Specialist
Epic Healthcare —Culver City, CA
- Full-time
- Mid-level
- Mentoring
- Organizational skills
Quick Apply
Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
USC —Los Angeles, CA
- $95,680 - $158,230 a year
- 8 hour shift
- Research
- Mid-level
- Master's degree
Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)
Keck Medical Center of USC —Los Angeles, CA
- $95,680 - $158,230 a year
- 8 hour shift
- Background check
- Research
- Mid-level
Provider Network Specialist
Independent Living Systems —Glendale, CA
- $85,000 - $105,000 a year
- Full-time
- Mid-level
- SQL
- Bachelor's degree
Contracts Specialist
Talent Connect Now —Los Angeles, CA
- $70,000 - $105,000 a year
- Full-time
- Microsoft Excel
- Bachelor of Science
- Writing skills
- Paid holidays
- Health insurance
Quick Apply
Corporate Manager of Managed Care Contracting (on-site) (no relo)
AHMC Healthcare —Alhambra, CA
- From $130,482 a year
- Full-time
- 5 years
- Office
- Master's degree
Contracts Specialist
TALENT CONNECT EXECUTIVE SEARCH & HR SOLUTIONS —Los Angeles, CA
- Full-time
- Microsoft Excel
- Bachelor of Science
- Writing skills
- Paid holidays
- Health insurance
Regional Contracts Manager
SCAN Health Plan —Long Beach, CA
- $92,400 - $133,671 a year
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- Microsoft Outlook
- Wellness program
- Paid holidays
Quick Apply
8d
Provider Network Manager
Independent Living Systems —Glendale, CA
- $105,000 - $125,000 a year
- Full-time
- CPR Certification
- Microsoft Excel
- HIPAA
Quick Apply
Senior Consultant, Health Care
COPE Health Solutions —Los Angeles, CA
- $111,600 - $139,400 a year
- Weekends as needed
- Up to 50% travel
- Travel
- Budgeting
- Paid parental leave
- Parental leave
Medical Management Specialist, LVN
SCAN Health Plan —Long Beach, CA
- $30.77 - $44.52 an hour
- Full-time
- Remote
- Background check
- Nursing
- Microsoft Excel
- Wellness program
- Paid holidays
Quick Apply
8d
Manager, Claims Compliance
L.A. Care Health Plan —Los Angeles, CA
- $117,509 - $188,015 a year
- Full-time
- Microsoft Excel
- Office
- Master's degree
- Wellness program
- Health insurance
Program Director
Zor Revival Center —Woodland Hills, CA
- $55,744.69 - $100,000.00 a year
- Full-time
- Hybrid work
- 5 years
- Writing skills
- Fair chance
Quick Apply
10d
DEPUTY, MANAGEMENT PROGRAMS, HS
Los Angeles County Department of Human Resources —Los Angeles County, CA
- $176,297.52 - $274,178.64 a year
- Full-time
- US work authorization
- Contracts
- Fair chance
Sr. Director - Provider Contracting
Astrana Health, Inc. —Monterey Park, CA
- $175,000 - $185,000 a year
- Email
- Hybrid work
- 7 years
- Microsoft Excel
- Bachelor of Science
Quick Apply
10d
Director of Credentialing
Los Angeles Cancer Network —Glendale, CA
- $120,000 - $130,000 a year
- Full-time
- Customer service
- Master's degree
- Analysis skills
Quick Apply
Federal Account Manager - West
GSMS —Los Angeles, CA
- $115,000 - $135,000 a year
- 5 years
- Military
- Bachelor of Science
- Health insurance
Quick Apply
Assistant Director of Patient Business Services
UCLA Health —Los Angeles, CA
- $116,300 - $264,600 a year
- PMP
- HIPAA
- Master's degree
Administrator, Provider Network
AltaMed Health Services Corporation —Montebello, CA
- $68,640 - $85,800 a year
- Full-time
- Background check
- Mid-level
- Bachelor's degree
- 403(b) matching
- Paid holidays
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managed care contracting jobs near los angeles, ca

Director, Managed Care Negotiations

Adventist Health -
Glendale, CA

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Job Details

$168,960 - $253,440 a year

Qualifications

Financial operations
Hospital payer negotiations
Staff supervision
Contract review
Healthcare staff management
Managing healthcare operations budgets
Team leadership
Coaching
Operations coordination planning
Contract management experience in healthcare
Master's degree
Bachelor's degree
Health insurance knowledge
Staff training
Recruiting
Cost reduction analysis
Insurance provider collaboration
Senior level
Task assignment
Leadership
Healthcare compliance
General management
Operations planning
Organizational budget management
Capital budget management

Full Job Description

Located in the metropolitan area of Sacramento, the Adventist Health corporate headquarters have been based in Roseville, California, for more than 40 years. In 2019, we unveiled our WELL-certified campus - a rejuvenating place for associates systemwide to collaborate, innovate and connect.

Whether virtual or on campus, Adventist Health Roseville and shared service teams have access to enjoy a welcoming space designed to promote well-being and inspire your best work.

Job Summary:

Assumes responsibility for Health Plan (managed care) contracting, payer in-servicing, contract implementation and contract reporting across the system. Works in association with the both the corporate and hospital leadership on contract matters. Serves as liaison between the organizations facilities and physicians with affiliated health plans, independent practice associations (IPAs) and other payers. Supervises and directs the activities of various levels of assigned personnel using both professional and supervisory discretion and independent judgment.

Job Requirements:

Education and Work Experience:

Bachelor’s Degree or equivalent combination of education/related experience: Required
Master's degree: Preferred
Seven years' related experience: Preferred
Five years' leadership experience: Preferred

Essential Functions:

Maintains focus negotiations responsibility for payer relationships including market parity for contract negotiations for Adventist Health hospitals, surgery centers, home health, hospice, long term care facilities, Adventist Health Physician Network, rural health clinics and other Adventist Health affiliated physician organizations.
Manages, directs, and leads the departmental staff to ensure maximum productivity and efficiency. Plans/monitors/maintains, FTE, capital, and operational budgets. Reviews department systems, concerns, budgets, and goals with leadership, including cost reduction and revenue enhancement.
Uses comprehensive knowledge of health plan industry with the ability to review and articulate industry financial and claims data points to both external and internal key stakeholders.
Exercises independent judgment in recruiting, training, coaching, supervising and responsibly directing assigned staff. Directs, organizes, and plans the operation of assigned department at the center and market level.
Ensures compliance with health plan and payer contracts, and local, state, and federal regulations.
Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.

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Refine Your Search

managed care contracting jobs in los angeles, ca

Director, Managed Care Negotiations

Managed Care Reporting & Contracts Specialist

Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)

Payor Strategy and Network Development Analyst, Senior - Managed Care Contracting - Full Time 8 Hour Days (Exempt) (Non-Union)

Provider Network Specialist

Contracts Specialist

Corporate Manager of Managed Care Contracting (on-site) (no relo)

Contracts Specialist

Regional Contracts Manager

Provider Network Manager

Senior Consultant, Health Care

Medical Management Specialist, LVN

Manager, Claims Compliance

Program Director

DEPUTY, MANAGEMENT PROGRAMS, HS

Sr. Director - Provider Contracting

Director of Credentialing

Federal Account Manager - West

Assistant Director of Patient Business Services

Administrator, Provider Network

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