San Diego, California, United States · Hybrid
This is a full-time, benefit eligible position that is partial remote located at our 4S Ranch office. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a qu…
Skills: Provider Relations, Contract Interpretation, Managed Care, Claims Payment, Contracting Terms
Encinitas, California, United States · On-site
New Hire Incentive available up to $4,000 for those who qualify. This is a full-time position (80 hours per pay period) working varied 8-hour shifts, primarily day shift; however, flexibility to cover PM and overnight sh…
Skills: MRI Scanning, Venipuncture, BLS Certification, Pacemaker Programming, Implanted Device Clearing
Encinitas, California, United States · On-site
This is a casual (per diem) position working varied 8-hour shifts, primarily day shift; however, flexibility to cover PM and overnight shifts may be required. The role requires scheduling flexibility throughout the week,…
Skills: MRI Scanning, Venipuncture, Pacemaker Programming, MRI Safety, Cardiac MRI
Oceanside, California, United States · On-site
This is a benefited, full-time position that generally works Monday through Friday from 8:30 a.m. to 5:00 p.m., with a 30-minute lunch. The schedule also includes 1 Saturday every 4 to 6 months to cover the Pediatric Cli…
Skills: Patient Vitals, Patient Rooming, Patient Education, Electronic Medical Records, Medication Administration
San Diego, California, United States · On-site
This is a Full time, benefited, 12 hour early day shift OR RN position 03:30-16:00 with varied call shifts at La Jolla Green in Torrey Pines. The orientation schedule will be 8 hours and a with a day shift start time a f…
Skills: Operating Room Nursing, Circulating, Patient Care, Sterile Technique, Surgical Preparedness
San Diego, California, United States · On-site
This is a Full time, benefited, 12 hour early day shift OR RN position 03:30-16:00 with varied call shifts at La Jolla Green in Torrey Pines. The orientation schedule will be 8 hours and a with a day shift start time a f…
Skills: Operating Room Nursing, Circulating, Patient Care, Sterile Technique, Surgical Preparedness
Encinitas, California, United States · On-site
This is a benefited, full-time position (80 hours per pay period) with an 8-hour DAY shift schedule located at our Scripps Coastal Medical Center in Encinitas. You will enjoy comprehensive benefits that cover health & we…
Skills: Patient Assessment, Medication Administration, Emergency Procedures, Patient Education, Infection Control
San Diego, California, United States · On-site
This is a full-time, benefit eligible position located at Scripps Memorial Hospital La Jolla. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of…
Skills: Patrolling, Emergency Response, Security Management, Microsoft Office, Criminal Activity Deterrence
San Diego, California, United States · On-site
This is a full-time, benefit eligible position located at Scripps Memorial Hospital La Jolla. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: Nearly a quarter of…
Skills: Patrolling, Emergency Response, Criminal Deterrence, Policy Compliance, Microsoft Office
Encinitas, California, United States · On-site
New Hire Incentive available up to $4,000 for those who qualify. This is a full-time position (80 hours per pay period) working varied 8-hour shifts, primarily day shift; however, flexibility to cover PM and overnight sh…
Skills: MRI Scanning, Venipuncture, BLS Certification, Pacemaker Programming, MRI Safety
Encinitas, California, United States · On-site
This is a casual (per diem) position working varied 8-hour shifts, primarily day shift; however, flexibility to cover PM and overnight shifts may be required. The role requires scheduling flexibility throughout the week,…
Skills: MRI Scanning, Venipuncture, Pacemaker Programming, Implanted Device Clearing, Cardiac MRI
San Diego, California, United States · On-site
This is a full time position with 8 hour shifts, M-F 8am-4pm. Join the Scripps Health team to work with dedicated caregivers and deliver patient-centered care, while building a rewarding career with one of the nation's m…
Skills: Anesthesia Care, Staff Scheduling, Inventory Management, Patient Monitoring, Conflict Resolution
San Diego, California, United States · On-site
This is a full time position with 8 hour shifts, M-F 8am-4pm. Join the Scripps Health team to work with dedicated caregivers and deliver patient-centered care, while building a rewarding career with one of the nation's m…
Skills: Anesthesia Care, Monitoring Lines Implementation, Staff Scheduling, Conflict Resolution, Inventory Management
Oceanside, California, United States · On-site
This is a benefited, full-time position that generally works Monday through Friday from 8:30 a.m. to 5:00 p.m., with a 30-minute lunch. The schedule also includes 1 Saturday every 4 to 6 months to cover the Pediatric Cli…
Skills: Patient Vitals, Patient Rooming, Patient Education, Electronic Medical Records, Scheduling
Encinitas, California, United States · On-site
This is a benefited, full-time position (80 hours per pay period) with an 8-hour DAY shift schedule located at our Scripps Coastal Medical Center in Encinitas. You will enjoy comprehensive benefits that cover health & we…
Skills: Patient Assessment, Medication Administration, Emergency Procedures, Patient Education, Infection Control
Encinitas, California, United States · On-site
New Hire Incentive available up to $8,000 for those who qualify. This is a full-time position (80 hours per pay period) working 8-hour varied shifts. The role requires flexibility to work a variety of start times, weeken…
Skills: Inpatient X-Ray, Emergency Department Imaging, Operating Room Support, Fluoroscopy, Outpatient X-Ray
San Diego, California, United States · On-site
This is a Part-Time position (48 hours per pay period), with a 12-hour NIGHT shift schedule that includes weekends and holidays. At Scripps Health, you will experience the pride, support, and respect that has been repeat…
Skills: Patient Care, Activities Of Daily Living, Data Collection, Clinical Support, Interpersonal Skills
San Diego, California, United States · On-site
This is a Part-Time position (48 hours per pay period), with a 12-hour NIGHT shift schedule that includes weekends and holidays. At Scripps Health, you will experience the pride, support, and respect that has been repeat…
Skills: Patient Care, Activities Of Daily Living, Data Collection, Clinical Support, Interpersonal Skills
San Diego, California, United States · On-site
Bonus incentive of $8,000 and relocation assistance is available to eligible new hires. This is a Full time, benefited position as a Lead OR RN at Scripps Mercy San Diego. The shift is 4 days per week with a 10 hour day …
Skills: OR Circulating, ENT Surgery, Head and Neck Surgery, Maxillofacial Surgery, Plastic Surgery
San Diego, California, United States · On-site
Bonus incentive of $8,000 and relocation assistance is available to eligible new hires. This is a Full time, benefited position as a Lead OR RN at Scripps Mercy San Diego. The shift is 4 days per week with a 10 hour day …
Skills: OR Circulating, ENT Surgery, Head and Neck Surgery, Maxillofacial Surgery, Plastic Surgery
San Diego, California, United States • Hybrid
Sign up with Clera and we'll reach out the moment a role actually fits you — no more spraying applications into the void.
Acts as the primary liaison between medical groups, network providers, and health plan services to manage contractual arrangements. Responsibilities include auditing, reporting, and ensuring the standardization of contract rates and implementation.
Requires a bachelor's degree in business or healthcare and at least 5 years of managed care experience. Proficiency in contract interpretation, claims payment, and customer service is essential.
This is a full-time, benefit eligible position that is partial remote located at our 4S Ranch office.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
The Senior Provider Relations/Contract Specialist is the liaison between the medical groups, network providers and Scripps Clinic Health Plan Services. Decision making authority regarding processes related to the contractual arrangements. Responsibilities may include, but are not limited to: reporting, auditing, documentation, communication, training and effective resolution of issues. Ensures exceptional customer service and builds effective relationships between the organizations. Attends meetings at medical groups to provide input and support in relation to managed care. Thoroughly researches issues and interacts with management in Managed Care Operations to facilitate effective processes. Assists in network contracting ensuring ease of implementation of contracts and standardization of rates whenever possible.
#LI-JS1
Required Education/Experience/Specialized Skills:
Preferred Education/Experience/Specialized Skills/Certification:
Our physicians and APCs specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology.
With offices throughout San Diego County, our doctors and APCs specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology.
Offices: 501 Washington Street, San Diego, CA 92103, US
View all jobs at Scripps Coastal Medical GroupOur physicians and APCs specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology.
With offices throughout San Diego County, our doctors and APCs specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology.
Offices: 501 Washington Street, San Diego, CA 92103, US
View all jobs at Scripps Coastal Medical Group