Managed Care Provider Relations Manager jobs in Santa Cruz, 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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Employee Relations and Leave of Absence Manager
  • University of California Santa Cruz
  • Scotts Valley, CA FULL_TIME
  • Employee Relations and Leave of Absence Manager


    Location:
    Scotts Valley
    Job ID: 47199

    JOB POSTING


    Hybrid-Remote Position. Number of days to be worked in-person to be discussed at the interview.

    NOTIFICATIONS

    UC Vaccination Policy: With limited exceptions, COVID-19 vaccinations are required for Covered Individuals under the Policy. Covered Individuals include all employees, students, or trainees who physically access a University facility or program in connection with their employment, appointment, or education/training.

    Covered Individuals do NOT include employees who work 100% remotely with NO expectation that they will physically access any University location or program at ANY time. If 100% remote work ends, the employee is subject to policy.

    INITIAL REVIEW DATE (IRD)

    UC Santa Cruz staff jobs are posted until filled. Application materials submitted by 11:59 pm on the IRD will be routed to the hiring unit for consideration. NOTE: Materials submitted after the IRD will be forwarded only at the request of the hiring unit. Submit your materials before the IRD to ensure consideration by the hiring unit.

    The IRD for this job is: 01-16-2023

    ABOUT UC SANTA CRUZ

    UC Santa Cruz is a public university like no other in California, combining the experience of a small, liberal arts college with the depth and rigor of a major research university. It's known as an unconventional place where innovation and experimentation is part of the campus's DNA. That playful, bold spirit still thrives today, all on a campus renowned as among the most beautiful in the world.

    DEPARTMENT OVERVIEW

    Staff Human Resources (SHR) is dedicated to building a strong and healthy university by propelling the university mission, engaging and developing people, empowering our campus partners, building trust and teamwork and providing excellent Human Resource services. SHR is responsible for providing leadership to the campus and Staff Human resources (SHR), in the areas of Benefits, Business Administration, Compensation/Classification, Employee & Labor Relations, HR Business systems, Learning & Development, Talent Acquisition and Operations. Employee & Labor Relations serves as a professional resource to managers, supervisors and employees for work related issues, serves as a liaison to campus labor unions, and represents the campus in employment matters.

    More information can be found here: https://shr.ucsc.edu/elr/

    JOB SUMMARY

    Under the general direction of the ELR Director or designee, the Employee Relations and Leave of Absence Assistant Manager oversees and provides leadership to the Employee Relations (ER) and Leave of Absence (LOA) teams, oversees administration of Leave of Absence Programs and policies, provides expert analysis, consultation, coaching and training to campus clients on organizational development, strategic planning, policy and regulatory compliance, interpretation and application of labor contracts, and resolution of workplace problems. Works collaboratively and establishes highly effective working relationships with clients, campus constituents, and union representatives. Successfully provides supervision to individual contributors and ER supervisor to grow and develop staff. Provide campus advocacy and representation on employee and/or labor relations matters. Provide supervision, leadership and guidance to Employee Relations Analysts and Leave of Absence team members, support staff, and student staff where appropriate.

    APPOINTMENT INFORMATION

    Salary Information: Salary Range: $114,250 - $120,000/annually. Salary commensurate with skills, qualifications and experience.

    No. of Positions: 1

    Benefits Level Eligibility: Full benefits

    Schedule Information:
    • Full-time, Fixed
    • Percentage of Time: 100%, 40 Hours per Week
    • Days of the Week: Mon-Fri
    • Shift Includes: Day

    Employee Classification: This is a Career appointment

    Job End Date: None

    Work Location: UC Santa Cruz Main Campus

    Union Representation: Non-Represented

    Job Code Classification: EMPLOYEE REL MGR 1 (005951)

    Travel: Up to 25% of the time

    JOB DUTIES

    50% - EMPLOYEE RELATIONS
    • Work in a highly collaborative manner with all members at the management level, others across the organization, and external contacts of significance, to advise on employee relations matters relating to highly complex individual and organization-wide issues and is independently responsible for appropriate courses of action in developing, interpreting and administering HR programs.
    • Work effectively with people from diverse cultures on such issues as performance management, organizational changes, and workplace climate, and other related issues.
    • Anticipate future needs, challenges and opportunities, and collaborate with the ELR Director on long range planning.
    • Leverage knowledge and expertise in HR best practices and legal environment to collaborate and proactively contribute to the development, continuous improvement and implementation of policies, procedures, workflow, programs, and other HR initiatives.
    • Provide input on performance, salary actions, disciplinary actions, coaching, counseling and other human resources related issues.
    • Recognize issues that have campus impact or future implications and advise the ELR Director appropriately.
    • Accept changes in priorities and communicates those changes effectively to assigned staff members.
    • Lead by example to identify opportunities and work to improve processes, apply innovation, and serve as a leader or subject matter expert on projects focused on process or program improvements.
    • Work with legal representatives, as appropriate, to effectively deal with possible conflicts.

    25% - MANAGEMENT, LEADERSHIP and STRATEGIC PLANNING
    • Lead, manage and supervise individual contributors and an employee relations lead who provide strategic, consultative and transactional human resources services to the campus community in the areas of Employee Relations and Leave Management, in compliance with state and federal regulations, and applicable policies, collective bargaining agreements procedures and benefit programs.
    • Effectively manages and guides assigned staff, including developing individuals and providing cross training.
    • Assist in the selection, development and evaluation of personnel to ensure the efficient operation of the function.

    25% - MANAGEMENT and LEADERSHIP OVER LEAVE MANAGEMENT/COMPLIANCE
    • Strategically direct the planning and management of leave programs to ensure compliance of federal, state, policy and collective bargaining agreement leave entitlements.
    • Create, streamline and implement processes and tools to support the leave programs.
    • Develop and coordinate the implementation, communication, and administration of leave programs internally and externally.
    • Ensure efficient and effective support of the operational day-to-day HR transactions related to leaves of absence; formulate strategies for education, analysis and implementation.
    • Develop and implement new processes and programs as they relate to leave management.
    • Recommend changes, edits and provide suggestions to system wide policy in the area of leave management.
    • Advise campus leadership and stakeholders on best leave management practices and strategies for achieving compliance.
    • Stay abreast of legal developments in leave management on the federal and state levels; work with legal representatives, as appropriate.
    • Provide administrative training to staff and back-up services for all leave consultation and payroll services.


    REQUIRED QUALIFICATIONS
    • Bachelor's degree in related area and / or equivalent experience and / or training.
    • Maintains effective professional relationships with campus department managers as well as other managers in Human Resources
    • Provides written analyses, recommendations and oral presentations to management
    • Maintains a thorough understanding of the goals of the campus and ways in which this position can support those goals
    • Advanced analytical skills to conduct analysis and develop recommendations, demonstrating organizational and problem-solving skills
    • Thorough knowledge of employee relations fields and other areas of HR
    • Thorough knowledge of applicable federal and state labor laws and regulations
    • Advanced knowledge of Campus policies and procedures
    • Demonstrated knowledge of administering labor/union contracts, dispute resolution, grievance procedures, and facilitation and mediation processes
    • Strong problem solving and critical thinking skills
    • Strong organizational skills
    • Advanced computer skills
    • Must have effective management and organizational leadership skills
    • Excellent written communication skills
    • Excellent oral communication skills with the ability to listen effectively
    • Demonstrated ability to handle extremely difficult or volatile situations/individuals effectively
    • Thorough knowledge of organization processes, protocols and procedures
    • Excellent project management skills
    • Knowledge of state and federal leave laws to include the Family Medical Leave Act, California Family Rights Act, Pregnancy Disability Leave, Donor Leave and Disability Discrimination laws governed under Americans with Disability Act (ADA) and Fair Employment Housing Act (FEHA)


    SPECIAL CONDITIONS OF EMPLOYMENT
    • Selected candidate will be required to pass a pre-employment criminal history background check.
    • Ability to work long periods of time at a computer with or without accommodation.
    • Will be required to work a hybrid work schedule, days of the week and number of days to be determined, and be able to fulfill requirements of the UCSC telecommuting agreement.
    • Selected candidate will be required to complete training within established time frames as directed including UC compliance training.
    • The University of California has implemented a COVID-19 Vaccination Policy covering all employees. To be compliant with the policy, covered employees must submit proof of vaccination or have an approved exception or deferral, eight (8) weeks from date of hire.
    • Per the Child Abuse and Neglect Reporting Act (CANRA), this position has been identified as a Mandated Reporter. The selected candidate will be required to report known or suspected child abuse or neglect as defined by CANRA and will be required to sign a Statement Acknowledging Requirement to Report Child Abuse prior to commencing employment. CANRA Penal Codes, and related definitions, requirements, and responsibilities may be obtained here.


    SAFETY STATEMENT

    All UCSC employees must understand and follow job safety procedures, attend required health and safety training, proactively promote safety at work, and promptly report actual and potential accidents and injuries.

    HOW TO APPLY

    Attach your resume and cover letter when applying for this job opening. Do not attach any documents to 'My Activities'. Visit our How to Apply tutorial for detailed instructions on our applicant process.

    EEO/AA

    The University of California is an Equal Employment Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status. UC Santa Cruz is committed to excellence through diversity and strives to establish a climate that welcomes, celebrates, and promotes respect for the contributions of all students and employees.


    APPLICANTS ARE REQUIRED TO USE THE UCSC ON-LINE PROCESS
    View full job description and access on-line application:
    https://careerspub.universityofcalifornia.edu/psp/ucsc/EMPLOYEE/HRMS/c/HRS_HRAM.HRS_APP_SCHJOB.GBL?Page=HRS_APP_JBPST&Action=U&FOCUS=Applicant&SiteId=11&JobOpeningId=47199&PostingSeq=1

    To ensure review of application materials by the hiring unit, they must be submitted on or before the initial review date (IRD) via the Staff Employment Opportunities web site; https://jobs.ucsc.edu. A computer is available at the UC Santa Cruz Staff Human Resources Office located at Scotts Valley Center. The Scotts Valley Center is located at 100 Enterprise Way, Suite E100, Scotts Valley, CA 95066. To learn more or to request disability accommodations, call 831-459-2009. Hearing impaired are encouraged to use the California Relay Service at 800-735-2922. UC Santa Cruz is an Equal Opportunity Employer.

    The University of California is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, or protected veteran status. UC Santa Cruz is committed to excellence through diversity and strives to establish a climate that welcomes, celebrates, and promotes respect for the contributions of all students and employees.

    jeid-8017cc45231d3c48b9fb2aa0a58a3364
  • 1 Day Ago

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Provider Payment Strategy Manager (Remote)
  • Central California Alliance for Health
  • Scotts, CA FULL_TIME
  • We have an opportunity to join the Alliance as the Provider Payment Strategy Manager in the Payment Strategy Department. WHAT YOU'LL BE RESPONSIBLE FOR Managing the advancement of provider reimburseme...
  • 1 Month Ago

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Care Manager- CA
  • Independent Living Systems
  • Santa Cruz, CA FULL_TIME
  • ABOUT US Join us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiar...
  • 22 Days Ago

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Patient Care Manager (RN)
  • Hospice of Santa Cruz County
  • Santa Cruz, CA FULL_TIME
  • Job Summary The Patient Care Manager (PCM) is responsible for ensuring the delivery of high quality, cost effective end of life care to hospice pt/families residing at home, SNFs or RCFEs through coor...
  • 11 Days Ago

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Enhanced Care Manager
  • Encompass Community Services
  • Santa Cruz, CA FULL_TIME
  • Summary: The Enhanced Care Manager offers high-quality case management interventions to patients enrolled in the Encompass Links2Health program such as assessment, goal-setting, care coordination, and...
  • 1 Month Ago

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Manager, Care Team
  • Independent Living Systems
  • Santa Cruz, CA FULL_TIME
  • ABOUT USJoin us in making a career in Independent Living Systems, an industry leader in managing home and community-based programs for over 20 years. Independent Living Systems, LLC and its subsidiari...
  • 1 Month Ago

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0 Managed Care Provider Relations Manager jobs found in Santa Cruz, CA area

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Banking as a Service (BaaS) Relationship Manager - (Hybrid/Remote)
  • Emprise Bank
  • San Jose, CA
  • At Emprise Bank, everything we do is focused on empowering the neighborhoods, businesses, and people in our communities ...
  • 4/26/2024 12:00:00 AM

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Marketing Relationship Manager
  • Franklinwh Energy Storage Inc.
  • San Jose, CA
  • FranklinWH is a startup company determined to become the leader in the global energy storage system (ESS) industry. Fran...
  • 4/25/2024 12:00:00 AM

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Banking as a Service (BaaS) Relationship Manager - (Hybrid/Remote)
  • Emprise Bank
  • San Jose, CA
  • At Emprise Bank, everything we do is focused on empowering the neighborhoods, businesses, and people in our communities ...
  • 4/25/2024 12:00:00 AM

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AVP, Business Banking Relationship Manager - San Jose
  • Citigroup
  • San Jose, CA
  • The Business Banker (BB) is responsible for proactively sourcing, acquiring, expanding and retaining customer relationsh...
  • 4/25/2024 12:00:00 AM

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AVP, Business Banking Relationship Manager - SAFE Act - San Jose
  • Citigroup, Inc.
  • San Jose, CA
  • The Business Banker (BB) is responsible for proactively sourcing, acquiring, expanding and retaining customer relationsh...
  • 4/25/2024 12:00:00 AM

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Customer Business Manager / Customer Relationship Manager
  • Superior Foods International
  • Watsonville, CA
  • * Watsonville, CA, USA * Full Time *Superior Foods' benefits include 15 vacation days and 5 sick days annually; medical,...
  • 4/24/2024 12:00:00 AM

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Relationship Manager
  • First Tee — Monterey County
  • Salinas, CA
  • POSITION TITLE: Relationships Manager DEPARTMENT: Development SUPERVISOR: CEO FLSA STATUS: Exempt Mission Deliver a targ...
  • 4/23/2024 12:00:00 AM

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AVP/Relationship Manager
  • Heritage Bank of Commerce
  • San Jose, CA
  • AVP/Relationship Manager Posting Date: 01/04/2024 Location: San Jose, CA (on-site) Requisition #: HBC 24-05 Department: ...
  • 4/22/2024 12:00:00 AM

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$112,703 to $162,576
Santa Cruz, California area prices
were up 2.5% from a year ago

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