PROVIDER NETWORK

Network Development provides Access to Care by organizing and improving the delivery of cost-effective, quality, accessible and wellness based healthcare services for our Members and Providers within San Bernardino and Riverside Counties.

Provider Services oversees a network of Independent Practice Associations (IPAs) and Management Services Organizations (MSOs), including Medi-Cal IPAs, Medicare IPAs, and DualChoice.

Provider Contracts establishes partnerships with primary care and specialty physicians, ancillary medical services, skilled nursing, and hospital providers giving care to our members. Contracts offers the tools and training through in-services and assistance in claims resolution. Contracts performs and manages the negotiations, execution and renewals of contracts with our partners.

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Title Position Type Job Classification Date Sort descending
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Health Services Evaluator - Quality Systems
Health Services Evaluator - Quality Systems Regular Full-Time Oct 22, 2020 0.00 mi
Regular Full-Time Health Care Oct 22, 2020
Developer III - EDI
Developer III - EDI Regular Full-Time Oct 21, 2020 0.00 mi
Regular Full-Time Information Technology Oct 21, 2020
Outreach & Enrollment Advisor
Outreach & Enrollment Advisor Regular Full-Time Oct 21, 2020 0.00 mi
Regular Full-Time Community Outreach Oct 21, 2020
Long Term Care Review Nurse, RN
Long Term Care Review Nurse, RN Regular Full-Time Oct 21, 2020 0.00 mi
Regular Full-Time Utilization Management Oct 21, 2020
Developer I - Data Science
Developer I - Data Science Regular Full-Time Oct 18, 2020 0.00 mi
Regular Full-Time Information Technology Oct 18, 2020
Grievance Nurse, LVN
Grievance Nurse, LVN Regular Full-Time Oct 18, 2020 0.00 mi
Regular Full-Time Health Care Oct 18, 2020
Engineer III - QA
Engineer III - QA Regular Full-Time Oct 18, 2020 0.00 mi
Regular Full-Time Information Technology Oct 18, 2020
Care Manager, RN
Care Manager, RN Regular Full-Time Oct 18, 2020 0.00 mi
Regular Full-Time Care Management Oct 18, 2020
Configuration Analyst I - Core Business Systems
Configuration Analyst I - Core Business Systems Regular Full-Time Oct 16, 2020 0.00 mi
Regular Full-Time Operations Oct 16, 2020
UM Nurse, LVN
UM Nurse, LVN Regular Full-Time Oct 16, 2020 0.00 mi
Regular Full-Time Utilization Management Oct 16, 2020