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Clifton Larson Allen
Sacramento, CA, United States
CLA is a top 10 national professional services firm where our purpose is to create opportunities every day, for our clients, our people, and our communities through industry-focused wealth advisory, digital, audit, tax, consulting, and outsourcing services. Even with more than 8,500 people, 130 U.S. locations, and a global reach, we promise to know
Job Source: Clifton Larson AllenCliftonLarsonAllen LLP
Sacramento, CA, United States
Accounting Consultant - Engagement Director page is loaded Accounting Consultant - Engagement Director Apply locations Sacramento, CA time type Full time posted on Posted 2 Days Ago job requisition id R12694 CLA is a top 10 national professional services firm where our purpose is to create opp
Job Source: CliftonLarsonAllen LLPKelly Services
Sacramento
**Now Hiring!** **Front Desk Office Associate in Sacramento!** **Monday-Friday 7:30AM-4PM** **$17-$18.HR/DOE** **About You:** Someone who is articulate, knows computers, outlook email and is competent with numbers and Excel spreadsheets. This person provides the first impression to all clients and vendors. You should have a pleasant and outgoing pe
Job Source: Kelly ServicesTeledyne
Rancho Cordova
**Be visionary** Teledyne Technologies Incorporated provides enabling technologies for industrial growth markets that require advanced technology and high reliability. These markets include aerospace and defense, factory automation, air and water quality environmental monitoring, electronics design and development, oceanographic research, deepwater
Job Source: TeledyneAmerican Express Global Business Travel
Sacramento
Amex GBT is a place where colleagues find inspiration in travel as a force for good and – through their work – can make an impact on our industry. We’re here to help our colleagues achieve success and offer an inclusive and collaborative culture where your voice is valued. Ready to explore a career path? Start your journey. The Site Administrator i
Job Source: American Express Global Business TravelGovCIO
Sacramento
**Overview** GovCIO is currently hiring for A Network Administrator for our HUD proposal. A Network Adminisitrator provides network operations services supporting cloud backbone and LAN efforts. This position is fully remote. **Responsibilities** + Provide network operations services supporting cloud backbone and LAN efforts. + Provide Integration
Job Source: GovCIOGovCIO
Sacramento
**Overview** GovCIO is currently hiring for A System Administrator for our HUD proposal. A System Adminisitrator establishes and maintains smooth operation of computer systems (to include operating systems, software and hardware) in networked or stand-alone configurations, maintains system integrity, and upgrades systems and/or servers as required.
Job Source: GovCIOGovCIO
Sacramento
**Overview** GovCIO is currently hiring a Database Administator for our HUD proposal. The Database Administrator performs data movement, troubleshoots issues, and writes scripts to perform common database tasks. This is a fully remote position. **Responsibilities** + Performs data movement, troubleshoots issues, and writes scripts to perform common
Job Source: GovCIOSacramento
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
**Candidates must be located in southern California. Must be willing to travel locally to different provider offices.**
**Position Purpose:** Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.
+ Serve as primary contact for providers and act as a liaison between the providers and the health plan
+ Triages provider issues as needed for resolution to internal partners
+ Receive and effectively respond to external provider related issues
+ Initiate data entry of provider-related demographic information changes
+ Educate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topics
+ Perform provider orientations and ongoing provider education, including writing and updating orientation materials
+ Manages Network performance for assigned territory through a consultative/account management approach
+ Evaluates provider performance and develops strategic plan to improve performance
+ Drives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.
+ Completes special projects as assigned
+ Ability to travel locally 4 days a week
+ Performs other duties as assigned
+ Complies with all policies and standards
**Education/Experience:** Bachelor’s degree in related field or equivalent experience. Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations. Project management experience at a medical group, IPA, or health plan setting. Proficient in HEDIS/Quality measures, cost and utilization.
Pay Range: $54,000.00 - $97,100.00 per year
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law. Total compensation may also include additional forms of incentives.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Email Alert for Provider Engagement Account Administrator_ jobs in Sacramento
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