Top 97 Senior representative Jobs in Santa Rosa, Ca

Provider Relations Representative
Imperial Management Administrators Services Inc —Santa Rosa, CA
- $70,000 - $74,000 a year
- Remote
- Microsoft Excel
- Microsoft Outlook
- Marketing
Quick Apply
7d
Senior Administrative Assistant
City of Petaluma —Petaluma, CA
- $72,716.80 - $88,337.60 a year
- Full-time
- Word processing
- Basic math
- English
- Paid parental leave
- Disability insurance
4d
Speech Therapist (per diem)
AgeWell PACE —Rohnert Park, CA
- $55 - $70 an hour
- Per diem
- Background check
- Writing skills
- Adults
- Mileage reimbursement
- Employee assistance program
Quick Apply
AgeWell PACE Community Outreach Specialist - Bilingual
AgeWell PACE —Rohnert Park, CA
- $28 - $35 an hour
- Full-time
- Spanish
- Marketing
- Computer literacy
- Health insurance
- Dental insurance
Quick Apply
3d
Senior Surgical Technician - Surgery Gen Main PV
Providence Health and Services —Petaluma, CA
- $48.28 - $64.35 an hour
- Full-time
- Surgery
- BLS Certification
- Operating room
- Paid parental leave
- Paid holidays
13d
Customer Service Representative (Bilingual)
Community Choice Financial Family of Brands —Santa Rosa, CA
- $21 an hour
- Weekends as needed
- Background check
- 18 years or older
- Spanish
- Paid training
- Health savings account
7d
Sheriff's Office Senior Inventory Specialist
County of Sonoma —Santa Rosa, CA
- $39.44 an hour
- Full-time
- Microsoft Outlook
- English
- Mid-level
- Paid parental leave
- Paid holidays
15h
Director of Innovation Strategy & Execution
Traditional Medicinals —Rohnert Park, CA
- $160,800 - $211,000 a year
- Full-time
- Hybrid work
- Office
- Agile
- Senior level
Quick Apply
Member Service Representative
ALERO FINANCIAL CREDIT UNION —Santa Rosa, CA
- $19.38 - $24.22 an hour
- Part-time
- Office
- High school diploma or GED
- Business development
- Paid time off
- 401(k) matching
Quick Apply
Senior Event Services Manger
FAIRMONT —Sonoma, CA
- $85,000 - $92,000 a year
- Weekends as needed
- US work authorization
- Experience equivalent to degree accepted
- Senior level
- Health insurance
- 401(k) matching
Quick Apply
Routing & Scheduling Specialist
Center for Volunteer & Nonprofit Leadership (CVNL) —Santa Rosa, CA
- $53,684 - $56,950 a year
- 8 hour shift
- Microsoft Outlook
- OSHA
- Computer literacy
- Dental insurance
- Vision insurance
Quick Apply
Security Rep Stf - Level 4
Lockheed Martin Corporation —Santa Rosa, CA
- $85,400 - $150,650 a year
- Full-time
- Office
- In-person
- Training & development
- Paid jury duty
- Paid holidays
Manager of Volunteer Services
Center for Volunteer & Nonprofit Leadership (CVNL) —Santa Rosa, CA
- $78,000 - $88,000 a year
- Full-time
- Spanish
- Office
- 3 years
- AD&D insurance
- Health insurance
Quick Apply
Executive Director
MBK Senior Living —Petaluma, CA
- $140,000 - $150,000 a year
- Weekends as needed
- Microsoft Excel
- Microsoft Outlook
- Current TB test
- Health insurance
- Dental insurance
Quick Apply
Senior Retirement Investment Officer - Promotional
County of Sonoma —Santa Rosa, CA
- $163,859.79 - $199,173.86 a year
- Extended hours
- Microsoft Excel
- Writing skills
- Pass drug screening
4d
Senior Store Manager
FedEx Office —Santa Rosa, CA
- $61,578.15 - $80,051.60 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- 3 years
- Health insurance
- Dental insurance
Water Agency Plant Operator
County of Sonoma —Santa Rosa, CA
- $118,527.54 - $144,073.89 a year
- Weekends as needed
- Microsoft Excel
- Pass drug screening
- English
- Paid parental leave
- Paid holidays
Manager, HRBP & Labor Relations
2K —Petaluma, CA
- $100,200 - $148,320 a year
- Hybrid work
- 5 years
- Office
- Analysis skills
Quick Apply
11d
Senior Product Manager
IDEX Health & Science LLC —Rohnert Park, CA
- $109,800 - $164,600 a year
- Online Application
- Microsoft Excel
- ERP systems
- Office
- Health insurance
- Paid time off
Sr. Customer Assistance Representative - Santa Rosa Airport
Enterprise Mobility —Santa Rosa, CA
- From $22.25 an hour
- Urgently hiring
- 18 years or older
- Administrative experience
- High school diploma or GED
- Health insurance
- Dental insurance
6d

I want to receive the latest job alert for senior representative in santa rosa, ca

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

senior representative jobs near santa rosa, ca

Executive Director jobs in Petaluma, CA

Store Manager jobs in Santa Rosa, CA

Senior Event Manager jobs in Sonoma, CA

Scheduler jobs in Santa Rosa, CA

Customer Service Representative jobs in Santa Rosa, CA

Security Officer jobs in Santa Rosa, CA

Director Of Strategy jobs in Rohnert Park, CA

Network Administrator jobs in Santa Rosa, CA

Inventory Specialist jobs in Los Angeles, CA

Senior Inventory Specialist jobs in New Jersey

Senior Inventory Specialist jobs in Seattle, WA

Early Intervention Specialist jobs in California

Senior Inventory Specialist jobs in Beaverton, OR

Senior Administrative Assistant jobs in Washington, DC

Senior Administrative Assistant jobs in Atlanta, GA

Senior Administrative Assistant jobs in Kentucky

Maple Grove Senior Living jobs in Shelbyville, KY

Administrative Assistant jobs in Springfield, MO

Administrative jobs in Richmond, VA

Senior Administrative Assistant jobs in Saint Petersburg, FL

Provider Relations Representative

Imperial Management Administrators Services Inc -
Santa Rosa, CA

Quick Apply

Job Details

$70,000 - $74,000 a year
7 days ago

Qualifications

Customer communication
Microsoft Excel
Microsoft Outlook
English
Driver's License
Negotiating purchasing contracts

Full Job Description

Must reside in the North Bay, California area (Marin, Napa, Solano or Sonoma County)

JOB DESCRIPTION

JOB TITLE: Provider Network Administrator FLSA STATUS: Exempt

DEPARTMENT: Provider Network Management

REPORTS TO: Sr. Provider Network Administrator

JOB SUMMARY: Maintains a successful working relationship between Imperial Health Plans, network providers, and partner health plans through a full range of provider relations and service interactions to ensure network adequacy, and provider relations. Identify and communicate operational issues raised by providers, respond to customer complaints, customer satisfaction surveys and provider questions, and research and resolve accounts payable issues. Routinely negotiate cost effective fees for single services, confirm service capability and educate providers on contract expectations, processes, and paperwork. Comprehend detailed knowledge of Imperial’s requirements in order to adapt agreements, contractual requirements and fee agreements to the specific situation. Must be able to routinely evaluate and analyze the most beneficial solution for Imperial and our network providers in a variety of circumstances.

ESSENTIAL JOB FUNCTIONS:

1. Complete required Provider Office Face-to Face Visitation (daily, weekly, monthly) as assigned or predetermined by department management.

2. Assess and resolve specific provider concerns, developing and implementing solutions that are beneficial to providers, Imperial Members and Imperial.

3. Maintain network adequacy. Lead efforts to obtain letter of agreements as necessary.

4. Onboard new providers within 10 business days. Train providers on an annual basis.

5. Assess and respond to leads generated by brokers, providers, and customers.

6. Negotiate fees that align provider needs and Imperial business objectives. Educate providers on fee structures to ensure collaborative agreement and understanding of Imperial Services and the fees associated with them.

7. Staff Provider Relations Telephone Queue, adequately respond to and resolve incoming calls in the appropriate manner.

8. Respond to Customer Satisfaction Surveys and Customer Complaints within the required time frame through investigation and problem solving that results in positive outcomes.

9. Provide explanations and information to others on topics within area of expertise.

10. Proactively review and maintain provider compliance documents to ensure active status within provider network.

11. Collaborate with other departments to assign qualified providers to orders within the contractually allowed mileage radius of the patient's home zip code.

12. Maintains regular and consistent attendance.

13. Adheres to Compliance Plan and HIPAA regulations.

MARGINAL JOB FUNCTIONS:

1. Takes on special projects as needed.

2. Performs other duties as assigned.

BEHAVIORAL EXPECTATIONS:

1. Continuous Learning:

a. Attends staff meetings as required.

b. Attends appropriate training, seminars and workshops as required

2. Customer Focus:

a. Maintains client/customer confidentiality and privacy in accordance with HIPPA regulations and IMAS’s Standards of Conduct.

b. Fosters appropriate communication and relations with Supervisor, co-workers and other staff.

3. Quality/Process Improvement/Safety

a. Reports issues of security, health and/or safety to appropriate supervisor as soon as practicable.

b. Supports and demonstrates safety throughout all duties performed.

c. Follows established policies and procedures and understands and complies with all regulators standards set forth by governing entities.

POSITION REQUIREMENTS:

EDUCATION/EXPERIENCE:

 High school graduate or equivalent.

 Bachelor’s Degree (or higher) in Business, Marketing, Communications or healthcare related field

 3+ years of related experience in provider relations, network management, customer service, contract negotiations, account services and/or account management, etc. (or High School Diploma /

GED and 3+ years of related experience)

SKILLS/KNOWLEDGE/ABILITY:

 Must reside in the County where work is assigned

 Microsoft Office Suite (Word, Outlook, Excel

 Knowledge of negotiating rates and managing subcontractor relationships

 Knowledge of Medicare and Medical terminology (preferred)

 Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to residents and staff.

 Willingness and ability to follow written and verbal direction in English.

 Willingness and ability to maintain appropriate level of confidentiality and privacy.

 Willingness and ability to interact professionally with all customers, members, and co-workers, individually and as part of a team.

 Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.

 Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.

 Ability to effectively prioritize items/tasks as required.

 Willingness and ability to take initiative and be a self-starter.

 Willingness and ability to understand and comply with Federal, State, and local regulations.

LICENSURE/CERTIFICATE/TRAINING:

 Driver’s License – must have reliable transportation with automobile insurance

Quick Apply

Refine Your Search

senior representative jobs in santa rosa, ca

Provider Relations Representative

Senior Administrative Assistant

Speech Therapist (per diem)

AgeWell PACE Community Outreach Specialist - Bilingual

Senior Surgical Technician - Surgery Gen Main PV

Customer Service Representative (Bilingual)

Sheriff's Office Senior Inventory Specialist

Director of Innovation Strategy & Execution

Member Service Representative

Senior Event Services Manger

Routing & Scheduling Specialist

Security Rep Stf - Level 4

Manager of Volunteer Services

Executive Director

Senior Retirement Investment Officer - Promotional

Senior Store Manager

Water Agency Plant Operator

Manager, HRBP & Labor Relations

Senior Product Manager

Sr. Customer Assistance Representative - Santa Rosa Airport

I want to receive the latest job alert for senior representative in santa rosa, ca

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected