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Network manager • pasadena ca

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Healthcare Network Manager

Priority Family Care CenterLos Angeles, California, United States
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To establish and maintain excellent relationships with the healthcare provider network in a specific geographic region, including healthcare practitioners, office staff, and administrators.Works cl...[internal_linking.show_more]

Senior Infrastructure Administrator, Network

Academy Of Motion Picture Arts and SciencesLos Angeles, CA, US
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Information Technology Reports to: Senior Director, Network and Security Job Type: Full-time – Regular Job Classification: Salaried (Exempt) Workplace Location: Los Angeles – Academy Museum , 8949 ...[internal_linking.show_more]

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Kinn StudioLos Angeles, CA, US
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We’re always looking for smart, driven, and creative people to join our team—even if we don’t have an open role that fits right now.If you’re excited about what we do and want to be considered for ...[internal_linking.show_more]

Cloud Network Specialist

Los Angeles Network for Enhanced ServicesLos Angeles, California, United States
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Salary: $118,657 - 130,000 per year.A Bachelor's degree in Computer Science or a related field is preferred.A minimum of 3 years of experience in cloud network engineering is required.At least 2 ye...[internal_linking.show_more]

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Network Engineer II

Panda Restaurant GroupRosemead, CA, US
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Network Planning Engineer (Telecom Circuit Design)

ADEX CorporationLos Angeles, CA
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Network Engineer, II

ProsumLos Angeles, CA, US
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Pay Range: $55/hour to $58/hour .The Network Engineer II is responsible for planning, implementing, and supporting secure, high-availability network infrastructure in a healthcare environment.This ...[internal_linking.show_more]

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De SoiLos Angeles, CA, US
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We’re always looking for smart, driven, and creative people to join our team—even if we don’t have an open role that fits right now.If you’re excited about what we do and want to be considered for ...[internal_linking.show_more]

Network Administrator

TradeJobsWorkForce90090 Los Angeles, CA, US
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Network Administrator Job Duties: Assist in network design and implementation.Provide network support with a variety of operating systems.Install and configure computer network equipment.Maintain n...[internal_linking.show_more]

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Network Support Technician

KDDI AmericaLos Angeles, CA, US
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Technician for O&M support at 24/7/365 Network Operation Center for any network, datacenter, international transmission, submarine cable, backbone equipment, infrastructure and IT solution services...[internal_linking.show_more]

Apptad - Network Engineer L3

Apptad IncLos Angeles, CA, United States
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Role- Network Engineer L3 Location- 10201 W.Los Angeles, CA-90035 - Onsite Network Data JD: Certified i...[internal_linking.show_more]

Network Engineer

JobotLos Angeles, California, US
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Cross Country EducationLos Angeles, CA, United States
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Join Our School Talent Network Today! Why spend your valuable time digging through multiple websites on the hunt for jobs that may not fit your needs? Instead, join our School Talent Network and le...[internal_linking.show_more]

Network Systems Administrator - Los Angeles CA

Blue MantisLos Angeles, California, US
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Blue Mantis is looking to hire a Network Systems Administrator to support multiple customers based in the Los Angeles California area.The ideal candidate will be proficient in supporting various sy...[internal_linking.show_more]

Provider Network Manager (San Fernando)

Astrana Health, Inc.El Monte, California, US
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Job Title: Provider Network Manager .Department: Network Management.About the Role: The Provider Network Manager is responsible for managing and optimizing assigned segments of the provider network...[internal_linking.show_more]

Senior Network Engineer

F5LA
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At F5, we strive to bring a better digital world to life.Our teams empower organizations across the globe to create, secure, and run applications that enhance how we experience our evolving digital...[internal_linking.show_more]

Telecom/Network Field Installer

TANICOM LLClos angeles, CA, US
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Looking for a few dedicated team member who are intermediate/expert installer in.California(northern and southern) and a few in East Coast.Familiarity with installing systems like Nortel, Genband, ...[internal_linking.show_more]

Senior Network Architect (R50032239)

Fox CorporationLos Angeles, California
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Fox CorporationUnder the FOX banner, we produce and distribute content through some of the world’s leading and most valued brands, including: FOX News Media, FOX Sports, FOX Entertainment, FOX Tele...[internal_linking.show_more]

Healthcare Network Manager

Healthcare Network Manager

Priority Family Care CenterLos Angeles, California, United States
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Overview:
To establish and maintain excellent relationships with the healthcare provider network in a specific geographic region, including healthcare practitioners, office staff, and administrators. Works closely to identify and resolve complex issues, provides education and staff training. Provides service and education via onsite visits and telephone. Assists providers with understanding managed care of California's policies and procedures and assists with resolving issues that arise.

Responsibilities:
  • Investigates and responds to provider concerns. Serves as a liaison between providers and SPN,IPA departments in responding to questions and resolving issues. Assists with research and disposition of provider appeals and grievances.
  • Identifies network gaps and performs recruitment to address community network needs.
  • Build and maintains relationships with all network providers.
  • Trains provider /ancillary offices via onsite visits and by telephone regarding SPN IPA policies, procedures, and available resources, referral, claim processing, portal access.
  • Creates educational materials and formal presentations.
  • Conducts and maintains office site visits to service providers with training and education, resolves issues, educates and interprets staff/providers on policies and procedures, collects credentialing information and reviews Healthcare Effectiveness Data and Information Set (HEDIS) information.
  • Educates providers on the use of IPA provider information forms. Follows up with providers on incomplete forms to obtain required information.
  • Resolves complex authorization or claims issues. Identify potential system issues, collaborate with affected departments to ensure resolution.
  • Conducts, quarterly utilization management meeting, annual and ad hoc, and provider/ member surveys. Coordinates, attends, and participates in various meetings both on and off-site as assigned.
  • Creates Corrective Action Plans (CAPS) for provider sites that did not meet standards. Monitors compliance with CAP.
  • Uses databases and tracking systems to document and retrieve information and run reports.
  • May be required to report on major points, resolved and pending action items.
  • Required to work with minimal supervision.
  • Other duties as assigned.

Qualifications:
Education and Experience:
  • Bachelor’s degree in health care administration, business, or public relations preferred, or equivalent combination of education and experience; prior experience with physician offices or managed care, IPA or health insurance environment preferred.

Requirement:
  • Excellent oral and written communication and presentation skills.
  • Excellent organizational, prioritizing, and multi-tasking skills required.
  • Ability to use good judgment in making decisions within scope of authority and handle sensitive issues with tact and diplomacy.
  • Proficient in Microsoft Office (Word, PowerPoint, Excel).
  • Ability to use a variety of databases for research and entry of information.
  • Valid California driver’s license and proof of current automobile.
  • Must be able to work in a fast-paced environment and maintain courtesy and composure.
  • Ability to function effectively with frequent interruptions.

Work Environment And Physical Demands:
Hours: Mon – Friday 40 hrs. a week

Paid: Holidays, Vacation and Sick Days

At least 50% of work time is spent driving and more than 30% of work time is spent in office. Ability to lift, carry or move objects of varying size, weighing up to 15 lbs.

Compensation between $25 and $30/hr x 40 hours a week.
Medical, Dental and Vision insurance available after 90 days. 401K after 6 months.