Top 5 Mgr provider relations Jobs in Orange, Ca

Healthcare Provider Network Contract Manager
UnitedHealthcare —Cypress, CA
- $72,800 - $130,000 a year
- Full-time
- Pass drug screening
- Mid-level
- 3 years
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 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
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

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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
Provider Relations Manager
Salma Health —Laguna Hills, CA
Represent Salma Health in the field through in-person meetings, events, and educational sessions to deepen relationships and increase brand awareness.
$80,000 - $100,000 a year

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Healthcare Provider Network Contract Manager

UnitedHealthcare -
Cypress, CA

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Job Details

Full-time
$72,800 - $130,000 a year

Qualifications

Financial model construction
Medicare
Financial model development
Contract management experience in healthcare
Medicare regulations
Direct contracting
Pricing analysis experience within healthcare industry
Negotiating purchasing contracts
Healthcare financial management
Health economics data analysis

Full Job Description

At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together

It's a big step forward when you realize that you've earned the trust to lead a team. Now, let's determine just how big that step can be. Take on this managerial role with UnitedHealth Group and you'll be part of a team that's reshaping how provider networks evolve and how health care works better for millions. 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 through financial and network pricing modeling, analysis, and reporting. As you do, you'll discover the impact you want and the resources, backing and opportunities that you'd expect from a Fortune 5 leader.

Primary Responsibilities:

Manage unit cost budgets, target setting, performance reporting and associated financial models
Guide development of geographically competitive, broad access, stable networks that achieve objectives for unit cost performance and trend management
Evaluate and negotiate contracts in compliance with company templates, reimbursement structure standards and other key process controls
Ensure that network composition includes an appropriate distribution of provider specialties
Provide explanations and information to others on difficult issues
Coach, provide feedback and guide others

Get ready for some significant challenge. This is an intense, fast-paced environment that can be demanding. In addition there are some data challenges and unique problems that need to be solved related to gaps in the process.

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:

4+ years of experience in a network management-related role, such as contracting or provider services
3+ years of experience in fee schedule development using actuarial models
3+ years of experience using financial models and analysis to negotiate rates with providers
3+ years of experience in performing network adequacy analysis
In-depth knowledge of Medicare Resource Based Relative Value System (RBRVS)
Intermediate level of knowledge of claims processing systems and guidelines

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 salary for this role will range from $72,800 to $130,000 annually 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.

UnitedHealth Group 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.

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

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mgr provider relations jobs in orange, ca

Healthcare Provider Network Contract Manager

Provider Relations Manager

Program Manager, Provider Network - Covered California

Provider Relations Manager I

Provider Network Manager (Gateway Region)

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