Top 47 Provider relations representative Jobs in San Diego Ca

Provider Relations Representative
Optum —San Diego, CA
- $60,200 - $107,400 a year
- Full-time
- Word processing
- Computer literacy
- Pass drug screening
Quick Apply
Senior Provider Relations Representative
Optum —San Diego, CA
- $72,800 - $130,000 a year
- Full-time
- 5 years
- Computer literacy
- Pass drug screening
Quick Apply
Special Education Teacher (Education Specialist)
Element Education —San Diego, CA
- $59,000 - $102,812 a year
- Full-time
- Background check
- CPR Certification
- Current TB test
- Health savings account
- Health insurance
Quick Apply
Physician Account Representative
SimonMed Imaging —Encinitas, CA
- $95,000 - $165,000 a year
- No weekends
- Background check
- Marketing
- Mid-level
- Paid holidays
- Health insurance
Quick Apply
Field Support Specialist - Hybrid - San Diego, CA
TriWest Healthcare Alliance —San Diego, CA
- $81,000 - $85,000 a year
- Full-time
- Hybrid work
- Mid-level
- Administrative experience
- High school diploma or GED
- AD&D insurance
- Disability insurance
People & Culture Coordinator
RDQ, Inc —San Diego, CA
- $65,000 - $80,000 a year
- Full-time
- Mid-level
- Office
- Bachelor's degree
- Profit sharing
- Disability insurance
Program Manager, Workforce & Industry Initiatives
San Diego State University Research Foundation —San Diego, CA
- $6,250.00 - $6,666.67 a month
- Full-time
- Remote
- Background check
- 5 years
- Administrative experience
5d
Sales Operations Specialist II
MedImpact Healthcare Systems —San Diego, CA
- $34.43 - $57.67 an hour
- Overtime
- Microsoft Outlook
- 5 years
- Computer literacy
- Paid holidays
- Disability insurance
8h
Key Account Manager - Bone Health - Southern California (San Diego, Hawaii)
Amgen —San Diego, CA
- $159,488.05 - $215,777.95 a year
- Computer literacy
- Bachelor's degree
- Contracts
- Disability insurance
- Health insurance
FIREFIGHTER
City of National City, CA —National City, CA
- $6,832.71 - $8,720.47 a month
- Online Application
- BLS Certification
- Mid-level
- High school diploma or GED
Special Events & Projects Supervisor
City of Encinitas —Encinitas, CA
- $81,037.63 - $114,028.10 a year
- Full-time
- Background check
- Current TB test
- Mid-level
- AD&D insurance
- Disability insurance
Assistive Technology Professional
Numotion —San Diego, CA
- $45,000 - $70,000 a year
- Overtime
- Experience working with individuals with disabilities
- Pass drug screening
- Mid-level
- Disability insurance
- Health insurance
Hospice Consultant - Full Time - San Diego
Bridge Home Health and Hospice —San Diego, CA
- $75,000 - $95,000 a year
- Full-time
- Ability to walk for extended periods
- Mid-level
- 3 years
- Mileage reimbursement
- Paid holidays
Quick Apply
Medicaid Rebate Operations Analyst
MedImpact Healthcare Systems —San Diego, CA
- $71,614 - $119,953 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- 5 years
- Paid holidays
- Disability insurance
Community Mgr I
NATIONAL COMMUNITY RENAISSANCE —San Diego, CA
- $28 - $29 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
Quick Apply
Principal, Industry Relations & Clinical Strategy
MedImpact Healthcare Systems —San Diego, CA
- $153,482 - $283,941 a year
- Weekends as needed
- Microsoft Excel
- Computer literacy
- Bachelor of Science
- Paid holidays
- Disability insurance
Clinical Account Executive
MedImpact Healthcare Systems —San Diego, CA
- $108,515 - $196,412 a year
- Weekends as needed
- Computer literacy
- Basic math
- Office
- Paid holidays
- Disability insurance
Accounting Clerk
Maritime Institute —San Diego, CA
- $23 - $26 an hour
- Weekends as needed
- Writing skills
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Patient Service Representative
Coastal Pulmonary Associates —Encinitas, CA
- $21 - $24 an hour
- Full-time
- Background check
- Private practice
- High school
- Health insurance
- Dental insurance
Quick Apply
1d
Estate Coordinator
MedImpact Healthcare Systems —San Diego, CA
- $22.24 - $35.57 an hour
- Overtime
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Disability insurance
1d

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Provider Relations Representative

Optum -
San Diego, CA

Quick Apply

Job Details

Full-time
$60,200 - $107,400 a year

Qualifications

Meeting minutes
Computer operation
Customer training
Phone communication
Word processing
Presentations for conferences or internal meetings
Meeting transcription
Contract management experience in healthcare
Meeting scheduling
ICD-9
Driver's License
Health insurance knowledge
Contracts
Meeting facilitation
Productivity software
Video conferences (communication methods)
Remote training

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.

Primary liaison between the client and MSO for the delivery of Managed Care Administrative Services. Responsible for concise and complete explanations of all phases of services from each MSO Department to the assigned IPA groups and resolving issues between them.

Primary Responsibilities:

5% - Coordinates and co-chairs all client board and regional meetings within assigned territory. Maintains official copies of minutes, agendas, and credential signatures at the MSO's office. Sends announcements regarding scheduled meetings, makes phone calls to verify attendance (quorum), orders refreshments and sets up/breaks down the meetings. Prepares, or directs the preparation of, agendas, handouts, and meeting minutes. Represents management at all meetings with clients in an appropriate and professional manner
30% - Serves as a resource for internal referrals on provider issues. Supports the Client Services Department in resolving provider issues and responds to training needs identified by other MSO departments such as Claims and Medical Management. Interfaces with Health Plan staff as required. Effectively problem solves issues as identified; documents all contact with providers/office staff in the provider's file. Monitors' clients need to evaluate satisfaction levels and identifies trends and areas requiring improvement
30% - Manages the interface between providers, the MSO, and the health plans. Remains accessible to providers and their office staff. Leaves specific instructions about how to be reached within and outside the office. Utilizes email and the cell phone to maintain productivity within and outside the office. Schedules regular visits to physician offices to provide education, training, and customer service. Establishes and maintains solid, productive relationships with office staff by providing superior customer service and effectively solving issues. Stays current with activities in the market by developing an open rapport with the offices. Represents management at all meetings with clients in an appropriate and professional manner
5% - Recruits providers in designated geographic areas, negotiates provider contracts within specified guidelines and assists the Director of Network Management in all phases of network negotiations and contracting. Investigates interested providers for consideration by the regional committee. Notifies health plans and appropriate internal departments of provider contract and status changes. Functions as a messenger between plans and IPA clients, as applicable, during contracting functions
10% - Develops provider manuals, provider directories, provider communications, and other related materials; and facilitates the distribution of such information
15% - Internet portal user set-up, training, documentation, communication and troubleshooting with vendors, as necessary
5% - Completes other duties as requested and assigned

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:

2+ years of experience in managed care operations and/or a clinical/office setting
Experience training individuals on managed care policies and procedures in small or large groups. Presentation skills
Experience organizing meetings and taking minutes
Knowledge of CPT, ICD-9 Codes
Exposure to contract language, rates, and coverage definitions
Computer literacy, including competence with various word processing and managed care programs. Microsoft Office familiarity
Demonstrated ability to communicate in a professional manner, have critical thinking skills, and work independently
Demonstrated ability to work effectively with a wide variety of people at all levels
Demonstrated ability to conduct on-line meetings and conference calls
Proven excellent organizational and people skills
Reliable transportation, valid California Driver's License, and proof of insurance

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 $60,200 to $107,400 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.

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.

Quick Apply

Refine Your Search

provider relations representative jobs in san diego ca

Provider Relations Representative

Senior Provider Relations Representative

Special Education Teacher (Education Specialist)

Physician Account Representative

Field Support Specialist - Hybrid - San Diego, CA

People & Culture Coordinator

Program Manager, Workforce & Industry Initiatives

Sales Operations Specialist II

Key Account Manager - Bone Health - Southern California (San Diego, Hawaii)

FIREFIGHTER

Special Events & Projects Supervisor

Assistive Technology Professional

Hospice Consultant - Full Time - San Diego

Medicaid Rebate Operations Analyst

Community Mgr I

Principal, Industry Relations & Clinical Strategy

Clinical Account Executive

Accounting Clerk

Patient Service Representative

Estate Coordinator

I want to receive the latest job alert for provider relations representative in san diego ca

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