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14 Jobs in Woodland Hills, CA

  • Staff Vice President (VP) Governance (Health Benefits Operations)

    WOODLAND HILLS, California
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Nurse Reviewer I

    Woodland Hills, California
    ... network. Notifies ordering physician or rendering service provider office of the preauthorization ... preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by ...
  • Provider Contract Cost of Care Analyst

    WOODLAND HILLS, California
    ... lowering claims costs, improving the quality of care, and increasing member and provider network ... Provider Contract Cost of Care Analyst Location: This position will work a hybrid ...
  • Provider Relationship Account Consultant - CA

    Woodland Hills, California
    ... experienced in healthcare administration, network management, provider credentialing and data analysis ... provider contract negotiations or jeopardize network retention. **Minimum Requirements ...
  • Provider Relationship Account Consultant - CA

    WOODLAND HILLS, California
    ... professionals experienced in healthcare administration, network management, provider credentialing and data ... future provider contract negotiations or jeopardize network retention. **Minimum Requirements ...
  • Health Benefits Executive Director

    Woodland Hills, California
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Associate General Counsel Sr.- Carelon Network Contracting

    WOODLAND HILLS, California
    ... Associate General Counsel, Sr. - Carelon Network Contracting Location: This ... ._ The Associate General Counsel, Sr. - Carelon Network Contracting will be responsible for ...
  • Cost of Care Mgr (US)

    Woodland Hills, California
    ... preferred. Prior experience with provider network contracting, provider networks, claims, finance, and ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Nurse Reviewer I

    WOODLAND HILLS, California
    ... the client health plan network. Notifies ordering physician or rendering service provider office ... responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for ...
  • Nurse Reviewer I

    WOODLAND HILLS, California
    ... client health plan network. Notifies ordering physician or rendering service provider office of the ... conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging ...
  • Wellness & Recovery Specialist

    WOODLAND HILLS, California
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Nurse Medical Management I

    WOODLAND HILLS, California
    ... services, focused surgical and diagnostic procedures, out of network services, and appropriateness of ...
  • Nurse Medical Management II

    WOODLAND HILLS, California
    ... diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the ...
  • Investigator Senior

    Woodland Hills, California
    ... understanding of health insurance policies, health insurance claims handling and provider network contracting ...