Managed Care Provider Relations Manager jobs in Huntington Beach, CA

Managed Care Provider Relations Manager develops, manages, and sustains relationship with members of physician network of managed care service providers. Recruits new physicians and manages the credentialing and orientation process. Being a Managed Care Provider Relations Manager serves as a resource for physicians, answering questions and providing information about network procedures or contracts. Monitors provider performance and resolves any issues. Additionally, Managed Care Provider Relations Manager reviews billings and claims payments according to managed care contracts. Requires a bachelor's degree. Typically reports to the head of a unit/department. The Managed Care Provider Relations Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Managed Care Provider Relations Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)

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IT Consulting Service Delivery Manager - Managed Service Provider (MSP)
  • Alvaka
  • Irvine, CA FULL_TIME
  • IT Consulting Services Delivery Manager - Managed Services Provider (MSP)

    One of southern California’s premier Managed Service Providers (MSP) is seeking an IT Consulting Services Delivery Manager to oversee the IT Infrastructure Consulting Engineering Team from our Irvine, CA office.

    As an ideal candidate you will have 7 years as an IT Consulting Services Delivery Manager in the MSP domain. As the Consulting Services Delivery Manager, you will lead a team of IT Infrastructure Engineers assigned to mid-size enterprise organizations in which the client relationships are cultivated through a collaborative team approach between the assigned engineer and yourself.

    You will manage and maintain a framework that enables the team to create deep partnerships with our clients through the creation of IT strategic roadmaps and the bringing of those roadmaps to fruition by utilizing the project management methodologies as defined by the Project Management Office (PMO) team.

    On most occasions you will be managing the client assigned engineer doing the execution. On a few occasions you will do the execution.

    Your strong leadership and organizational skills as well as the like for dynamic environments with high delivery and quality demands will enable you to succeed in this role.

    Responsibilities

    Team Management:

    • Manage and maintain the team’s processes and workflows.
    • Manage team task assignments and priorities.
    • Conduct weekly team and one-on-one staff meetings.
    • Provide staff members with Key-Performance-Indicators (KPI’s) that track their meeting of key goals, SLA’s and other expectations.

    Client Relationship Management:

    • Co-lead client relationships with assigned team members.
    • Drives client satisfaction through ensuring their needs and expectations are understood and met.

    Business Development:

    • Directly/Indirectly interface with client executives, IT management, and end-users to define business, financial, and operational requirements.
    • Assist the sales team in creation of contracts, SOW’s, and any other activities in pursuit of new business.

    Project Management:

    • Understand and utilize the project management methodology as defined by PMO team.
    • Manage a portfolio of assigned technology projects aligned with each client’s goals.
    • Ensure projects are delivered on time, within scope, and within budget.
    • Facilitate project planning, risk management, resource allocation, and project closure.
    • Effectively manage, document, and communicate project risks.

    Collaboration and Communication:

    • Liaise between the broader organization within Alvaka.
    • Coordinate transition to production.
    • Report and escalate project status to IT management and relevant committees.
    • Provide management Key-Performance-Indicators (KPI’s) of the teams overall meeting of key goals, SLA’s and other expectations.

    Qualifications

    Education & Experience:

    • Bachelor’s degree or equivalent combination of education and work experience.
    • 7 years of progressive business systems and project management experience.
    • Technology certification(s) such as MCSA, MCSE, CCNA, CCNP are strongly preferred.
    • PMP or similar project management certification strongly preferred.
    • ITIL certification or similar IT Framework certification strongly preferred.

    Skills and Competencies:

    • Strong leadership and organizational skills.
    • Excellent communication, research, analytic, and documentation skills.
    • Ability to handle multiple concurrent projects.

    Job Type: Full-time

    Pay: $110,000.00 - $160,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off

    Compensation package:

    • Bonus opportunities

    Experience level:

    • 7 years

    Schedule:

    • 8 hour shift
    • On call
    • Overtime
    • Weekends as needed

    Education:

    • Bachelor's (Preferred)

    Experience:

    • Windows Server: 5 years (Preferred)
    • VMWare: 5 years (Preferred)
    • IT management: 7 years (Required)
    • MSP/Field service/IT Consulting: 7 years (Required)

    License/Certification:

    • CCNA (Preferred)
    • MCSE (Preferred)
    • ITIL Certification (Preferred)
    • PMP (Preferred)

    Ability to Relocate:

    • Irvine, CA 92614: Relocate before starting work (Required)

    Work Location: In person

  • 4 Days Ago

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PBM / Managed Care Pharmacist
  • Pharmacy Careers
  • Irvine, CA FULL_TIME
  • We are currently seeking a skilled and motivated Pharmacist with expertise in Pharmacy Benefit Management (PBM) and Managed Care. In this pivotal role, you will be responsible for overseeing medicatio...
  • 1 Month Ago

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Inpatient Case Manager (RN or LVN)
  • HERITAGE PROVIDER NETWORK, INC.
  • Orange, CA FULL_TIME
  • Position Summary: The Inpatient Case Manager is responsible for the assessment, treatment planning, intervention, monitoring, evaluation and documentation on identified patients during an acute care e...
  • 20 Days Ago

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Network Manager/ Vietnamese Speaking (Provider Relations Orange County)
  • REGAL MEDICAL GROUP, INC
  • Orange, CA FULL_TIME
  • Position Summary: The Network Manager is responsible for general management of the provider network as assigned by the Director of Network Management as well as for supporting the Network Management D...
  • 1 Month Ago

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Provider Relations Specialist I
  • CorVel Brand
  • Irvine, CA FULL_TIME
  • CorVel is hiring a Provider Relations Specialist for the Irvine, CA office. The Provider Relations Specialist assists providers via phone and email with basic to complex bill review questions and requ...
  • 5 Days Ago

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Care Provider
  • Oakmont Senior Living
  • Huntington, CA FULL_TIME
  • Position: Care Provider Full-Time and Part-Time AM (6:00am-2:00pm) and PM (2:00pm-10:00pm) Shifts Available! Pay Range: $16.00-$18.00 Oakmont of Huntington Beach is a premier senior living community s...
  • 4 Days Ago

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0 Managed Care Provider Relations Manager jobs found in Huntington Beach, CA area

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Referral Relationship Manager
  • Dental Implants Gps - Reseda
  • Los Angeles, CA
  • Job Description Job Description About Us:Dental Implants GPS is seeking a skilled and dynamic Dental Referral Manager to...
  • 4/29/2024 12:00:00 AM

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Sr. Relationship Manager
  • Bank of Hope
  • Los Angeles, CA
  • Develop new business from prospects in that market, esp. in deposit gathering, and work with internal colleagues, to max...
  • 4/29/2024 12:00:00 AM

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Commercial Relationship Manager - Healthcare
  • Fifth Third Bank
  • Newport Beach, CA
  • Make banking a Fifth Third better® We connect great people to great opportunities. Are you ready to take the next step? ...
  • 4/29/2024 12:00:00 AM

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Relationship Manager
  • EBizCharge
  • Irvine, CA
  • Headquartered in Irvine, California, EBizCharge specializes in developing payment processing applications that facilitat...
  • 4/28/2024 12:00:00 AM

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GCT Default Relationship Manager
  • Us Bank
  • Los Angeles, CA
  • At U.S. Bank, were on a journey to do our best. Helping the customers and businesses we serve to make better and smarter...
  • 4/28/2024 12:00:00 AM

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Relationship Manager
  • iTrustCapital
  • Irvine, CA
  • We are seeking a Relationship Manager who contributes to key business outcomes such as client retention, client satisfac...
  • 4/26/2024 12:00:00 AM

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Client Relationship Manager
  • Beverly Hills Private Wealth
  • Beverly Hills, CA
  • Client Relationship Manager Position Beverly Hills Private Wealth is an SEC registered investment advisory firm located ...
  • 4/26/2024 12:00:00 AM

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Corporate Relationship Manager
  • Genesis Capital
  • Los Angeles, CA
  • Job Description Job Description The Corporate Relationship Manager is responsible for driving loan originations by manag...
  • 4/26/2024 12:00:00 AM

Huntington Beach is a seaside city in Orange County in Southern California. The city is named after American businessman Henry E. Huntington. The population was 189,992 during the 2010 census, making it the most populous beach city in Orange County and the seventh most populous city in the Los Angeles-Long Beach-Anaheim, CA Metropolitan Statistical Area.[citation needed] Its estimated 2014 population was 200,809. It is bordered by Bolsa Chica Basin State Marine Conservation Area on the west, the Pacific Ocean on the southwest, by Seal Beach on the northwest, by Westminster on the north, by Fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$111,847 to $161,344
Huntington Beach, California area prices
were up 3.0% from a year ago

Managed Care Provider Relations Manager in Atlantic City, NJ
No industry wants to be called inflexible, incompetent, arrogant, greedy, unresponsive, pushy, unethical, or careless, but that's how hospitals and physician groups described managed care companies in a recent survey.
February 11, 2020
Managed Care Provider Relations Manager in Fort Wayne, IN
Brandon Edwards, the head of Davies' healthcare division, says providers would prefer better relationships with payers.
January 08, 2020
Managed Care Provider Relations Manager in Birmingham, AL
Providers "want legitimate, honest P4P programs, data exchange, streamlined business processes, and clarity.
November 28, 2019