Managed Care Provider Relations Manager jobs in Santa Rosa, 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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Primary Care Provider
  • Pine Park Health
  • Santa Rosa, CA FULL_TIME
  • Welcome to Pine Park Health!

    About Us

    Pine Park Health is redesigning primary care at home for residents of seniors living communities with a value-based approach specifically designed to meet their unique needs. We offer services directly in residents' homes, including preventative care, chronic condition management, and laboratory tests. Our primary care team visits each community regularly, working closely with staff to address individual health concerns. Additionally, we provide rapid access to medical care by offering same-day or next-day appointments for urgent issues, helping reduce the need for unnecessary emergency room visits and hospital admissions. 

    Our innovative model has attracted over 150 community partnerships and accelerated patient growth across California, Arizona, and Nevada. Pine Park Health is rapidly expanding, backed by investors including First Round Capital, Google’s AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa Ventures. As our team grows quickly, we are seeking individuals who are passionate about helping seniors live meaningful and fulfilling lives, regardless of their health conditions, to join us in this mission.

    The Opportunity 

    Pine Park Health is looking for a founding Primary Care Provider, responsible for delivering care in our Sonoma County, California market. We are seeking someone who is excited about the opportunity to work with a smaller patient panel of complex care patients, contribute to a value-based care model, and work with a motivated multi-disciplinary team to provide high-quality patient care. This person-centered care model works to leverage the power of our care navigators to maximize the time and energy of our providers.

    What You’ll Do

    • Provide onsite primary care services to older adults living in Senior Living Communities
    • Develop and execute detailed person-centered care plans on all primary care patients
    • Work with Medical Director to identify and develop policies to address issues that arise which affect day to day practice, culture or clinical guidelines, including for emerging disease(s)
    • Work with Primary Care Coordinators (PCC's) to provide monthly Chronic Care Management (CCM) visits and care; review and sign off on CCM documentation by PCC's
    • Work with Traveling Clinical Assistants (TCA's) to support diagnostic needs for each patient in communities
    • Run regular huddles and provide leadership to the clinical team
    • Identify ways of working with senior living management and care teams to better carry out Pine Park care plans and improve patient outcomes

    What We’re Looking For

    • Board-Eligible or Board-Certified Physicians in Internal Medicine or Family Medicine OR Nurse Practitioner or Physician Assistant - preferably with geriatrics experience
    • Comfortable with a fast-paced and changing environment
    • Willingness to provide onsite clinical care across Riverside
    • Desire to work with complex care patients and support the building of a holistic care model
    • Strong orientation towards collaboration and working closely with a multidisciplinary team; values input of all members of the clinical team
    • Strong written and verbal communicator
    • Ability to work with tech-enabled care delivery tools (e.g.,project management, 'checklist' management, remote monitoring, etc.) used together to improve patient care and team function

    Why You'll Love Us

    • We’re a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry. 
    • We’re solving complex, vital problems that affect real people and need bright, focused, driven minds like yours to help us achieve our goals. 
    • We empower team members to act like owners and have designed a learning-focused environment where you get ongoing support and regular feedback to help you grow.  
    • We host social events to celebrate wins, mark team member milestones and let go by having fun.

    Benefits Designed for You and Yours

    • Medical, vision, and dental insurance
    • FSA and Dependent Care FSA
    • 401K retirement plan
    • 10 paid holidays
    • 15 days paid time off
    • Paid sick days
    • Paid parental leave
    • Mileage and cell phone reimbursement
    • Monthly wellness allowance
    • Professional/personal development annual allowance

    Significant travel and startup hours are required for this role. You must have the ability to drive between partner communities as needed.

    Pine Park Health provides the highest safety and quality of care for patients who can be at high-risk of COVID-19. To support this work, we require vaccination for all employees and proof of vaccination before hiring.

    For individuals assigned and/or hired to work in California, Pine Park Health is required by law to include a reasonable estimate of the compensation range for this role. This compensation range is specific to California and considers the factors that are considered in making compensation decisions, including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At Pine Park Health, it’s common for an individual not to be hired at or near the top of the range for their role, and compensation decisions depend on each case's facts and circumstances. A reasonable estimate of the current range is $140,000 to $160,000.

    Pine Park Health is an equal opportunity employer — we aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.

  • 25 Days Ago

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In-Home Care Provider
  • Right at Home
  • Santa Rosa, CA FULL_TIME
  • Are you passionate about making a positive impact on the lives of elderly individuals? Do you possess a genuine desire to provide personal and companion care that goes beyond routine tasks? If so, we ...
  • 29 Days Ago

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Employee Relations Manager
  • City of Santa Rosa, CA
  • Santa Rosa, CA FULL_TIME
  • The Position Join City of Santa Rosa's Human Resources Department! Become part of a dynamic and collaborative team as the next Employee Relations Manager! The City of Santa Rosa is committed to buildi...
  • Just Posted

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Primary Care Advanced Practice Provider
  • Adventist Health System/West
  • Lucerne, CA FULL_TIME
  • Adventist Health Clear Lake is actively seeking an experienced Advanced Practice Provider (NP or PA) to serve in a family health clinic in Lucerne, CA. The incoming Advanced Providers will work with a...
  • 27 Days Ago

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Primary Care Advanced Practice Provider
  • Adventist Health
  • Lucerne, CA FULL_TIME
  • Adventist Health Clear Lake is actively seeking an experienced Advanced Practice Provider (NP or PA) to serve in a family health clinic in Lucerne, CA. The incoming Advanced Providers will work with a...
  • 28 Days Ago

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Field Investigator
  • Department of Industrial Relations
  • Santa Rosa, CA FULL_TIME
  • HOW TO APPLY Applying on Indeed.com is NOT considered an official submission to this vacancy. Please visit the link below and click "Apply Now" to begin the application process. https://calcareers.ca....
  • 1 Month Ago

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

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Customer Relation Manager
  • ESSENTIAL SOLAR SERVICES LLC
  • Santa Rosa, CA
  • Job Description Job Description Looking for A1 service provider, self motivated and works well with other. New company g...
  • 4/24/2024 12:00:00 AM

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Relationship Manager- Capital Markets (Part-Time Remote)
  • Farm Credit Foundations
  • Santa Rosa, CA
  • Why should you join our team? American AgCredit offers a unique opportunity to be a part of a national financial system ...
  • 4/24/2024 12:00:00 AM

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Relationship Manager
  • Bank Of Marin
  • Novato, CA
  • Job Description Job Description Bank of Marin, voted by our employees as one of the Best Places to Work in the North Bay...
  • 4/23/2024 12:00:00 AM

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Travel Nurse RN - Electrophysiology Lab - $3,088 per week
  • Hiring Now!
  • Santa Rosa, CA
  • Springboard Healthcare is seeking a travel nurse RN Electrophysiology Lab for a travel nursing job in Santa Rosa, Califo...
  • 4/20/2024 12:00:00 AM

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Travel Echo Technologist - $2,574 per week
  • Hiring Now!
  • Santa Rosa, CA
  • Springboard Healthcare is seeking a travel Echo Technologist for a travel job in Santa Rosa, California. Job Description...
  • 4/20/2024 12:00:00 AM

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Sales Executive
  • City Lifestyle
  • Santa Rosa, CA
  • Join the City Lifestyle Team as a Sales Executive City Lifestyle, formerly known as Lifestyle Publications, has been a p...
  • 4/20/2024 12:00:00 AM

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Management & Sales Training Program
  • Sherwin-Williams
  • Santa Rosa, CA
  • The Sherwin-Williams Management & Sales Training Program is an accelerated, entry-level position designed to prepare you...
  • 4/10/2024 12:00:00 AM

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Field Service Account Manager
  • Clean Harbors
  • Benicia, CA
  • Clean Harbors is seeking a Field Services Account Manager, to join the Environmental Sales team. The Field Services Acco...
  • 3/20/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 41.50 sq mi (107.5 km2), of which 41.29 sq mi (106.9 km2) is land and 0.205 sq mi (0.5 km2) (0.49%) is water. The city is part of the North Bay region, which includes such cities as Petaluma, Rohnert Park, Windsor, and smaller cities as Sonoma, Healdsburg, Sebastopol. It lies along the US Route 101 corridor, approximately 55 miles (89 km) north of San Francisco, via the Golden Gate Bridge. Santa Rosa lies on the Santa Rosa Plain. The city's eastern extremities stretch into the Valley of the Moon, and the Sonoma Creek wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Provider Relations Manager jobs
$111,492 to $160,829
Santa Rosa, California area prices
were up 2.5% from a year ago

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