Los Angeles, California, United States · Remote OK
$150k–$170k/yr
Description POSITION SUMMARY The Director of Provider Operations is the operational owner of the provider experience across Blue Zones Health’s medical groups, delegated MSO, and RBO and IPA networks. The role carries tw…
Skills: Provider Relations, Managed Care Operations, Claims Processing, Utilization Management, Referral Management
Los Angeles, California, United States · On-site
$176k–$220k/yr
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Los Angeles, California, United States · On-site
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Los Angeles, California, United States · On-site
$140k–$175k/yr
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Los Angeles, California, United States · On-site
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Skills: Leadership, Inventory Control, Cash Management, Customer Relations, Multitasking
Los Angeles, California, United States · Hybrid
$150k–$250k/yr
Parallel Systems is pioneering autonomous battery-electric rail vehicles designed to transform freight transportation by shifting portions of the $900 billion U.S. trucking industry onto rail. Our innovative technology o…
Skills: MLOps, ML Infrastructure, Python, AWS, GCP
Los Angeles, California, United States · On-site
$17/hr–$19/hr
Job Description You were born to be the boss. We know. You get up in the morning and you make sure everyone else in the house is doing what they need to do. Then you go to work and you make sure that everyone there is do…
Skills: Judgment, Mathematics, Multitasking, Cost Control, Inventory Control
Los Angeles, California, United States · Remote OK
Description Territory: North Los Angeles area (CA)Position Summary The Area Sales Manager is responsible for the sale in their respective territories of the Company’s products and reach internal sales goals. They are als…
Skills: B2B Sales, Lead Prospecting, Cold-calling, Contract Negotiation, Customer Relationship Management
Los Angeles, California, United States · On-site
Job Description Right now Domino's is looking for qualified drivers to staff stores in your area. We're growing so fast it's hard to keep up, and that means Domino's has lots of ways for you to grow (if that's what you w…
Skills: Customer Service, Navigation, Map Reading, Food Preparation, Cash Handling
Los Angeles, California, United States · On-site
$18/hr–$18/hr
AutoZone’s store teams are the frontline of WOW! customer service, ensuring that customers find the right parts and solutions for their automotive needs. Store employees maintain well-stocked inventory, assist customers …
Skills: Safe Driving, Customer Service, Automotive Parts Knowledge, Loading And Unloading, Communication
Los Angeles, California, United States · On-site
$18/hr–$18/hr
AutoZone’s store teams are the frontline of WOW! Customer Service, ensuring that customers find the right parts and solutions for their automotive needs. Store employees maintain well-stocked inventory, assist customers …
Skills: Customer Service, Sales, Automotive Knowledge, Communication, Spanish Language
Los Angeles, California, United States · On-site
$14/hr–$25/hr
Job Description Come join the team at Domino's Pizza! Our business is booming, we are expanding and adding restaurants each year and we want the BEST delivery drivers and inside team members to join our team. This is a f…
Skills: Customer Service, Driving, Time Management, Basic Mathematics, Navigation
Los Angeles, California, United States · Hybrid
$197k–$262k/yr
At BuildOps, we’re building a groundbreaking software solution, purpose-built to support today’s commercial contractors. From helping our customers to manage their service all the way to project management, we’re breakin…
Skills: React.js, Node.js, GraphQL, TypeScript, PostgreSQL
Los Angeles, California, United States · Hybrid
$168k–$224k/yr
At BuildOps, we’re building software purpose-built for commercial contractors. From service to projects, we help our customers run the workflows that keep buildings, businesses, and critical infrastructure operating. We’…
Skills: Frontend Development, Backend Development, API Design, System Architecture, Data Modeling
Los Angeles, California, United States · On-site
Position Summary: Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the department manager in reach…
Skills: Retail Experience, Stress Management, Effective Communication, Basic Math, Customer Service
Los Angeles, California, United States · On-site
$47/hr–$61/hr
The WelbeHealth PACE program helps seniors stay in their homes and communities by providing comprehensive medical care and community-based services. We’re driven to offer the best care for our participants and provide a …
Skills: Home Health Nursing, Patient Assessment, Care Plan Coordination, Medication Administration, Patient Education
Los Angeles, California, United States · On-site
$18/hr–$25/hr
We are looking for a Prep Cook to join our team! We offer our Co-workers 401K, medical, dental, vision and life insurance, generous dining discount and daily co-worker meal and tuition reimbursement! We are looking for c…
Skills: Food preparation, Knife handling, Food safety, Sanitation, Portion control
Los Angeles, California, United States · On-site
Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the department manager in reaching sales and prof…
Skills: Customer Service, Communication Skills, Basic Math, Retail Operations, Stress Management
Los Angeles, California, United States · On-site
$50/hr–$55/hr
Gibson Dunn is a leading global law firm, advising clients on significant transactions and disputes. Our exceptional teams craft and deploy creative legal strategies that are meticulously tailored to every matter, howeve…
Skills: Electronic Court Filing, Court Docketing, Calendaring, Legal Research, Service Of Process
Los Angeles, California, United States · On-site
$18/hr–$28/hr
Create an outstanding customer experience through exceptional service. Establish and maintain a safe and clean environment that encourages our customers to return. Assist the department manager in reaching sales and prof…
Skills: Customer Service, Communication Skills, Basic Math, Retail Experience
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The Director of Provider Operations manages the end-to-end provider experience by resolving operational friction in claims, authorizations, and referrals. They serve as the primary operational voice for the network, managing provider communications, data integrity, and health plan relationships.
Requires a Bachelor's degree and 7+ years of experience in healthcare operations, managed care, or MSO/IPA administration. Candidates must have deep knowledge of claims processing, prior authorizations, and regulatory requirements like HIPAA and CMS.
Description
POSITION SUMMARY
The Director of Provider Operations is the operational owner of the provider experience across Blue Zones Health’s medical groups, delegated MSO, and RBO and IPA networks. The role carries two core accountabilities: 1) running the network smoothly by reactively and proactively eliminating the operational friction that burdens providers and disrupts patient care; and 2) representing the network as a standing operational voice internally at BZH and externally to health plans to shape policies and practices.
WHY THIS ROLE EXISTS
In a delegated managed care environment, the provider experience succeeds or fails at the operational level, i.e., whether claims adjudicate correctly, authorizations process on time, referrals handoffs complete, provider data is accurate, and contracts translate into what providers receive. When these break down, providers absorb the cost in administrative burden, delayed reimbursement and disrupted patient care.
This Director was created to own it: resolution of issues end-to-end, educating and communicating with providers, maintaining the integrity of provider data and contracts, and representing the BZH network with a prepared, consistent voice so that policies and practices reflect the network’s operational reality.
CORE RESPONSIBILITIES
Provider Issue Resolution & Escalation Management
Provider Education and Communication
Provider Data and Contract Management
Health Plan Relationship Management & Network Representation
Process Design & Continuous Improvement
Compliance
Requirements
Required
Preferred
It's Time to Live Better, Longer™
Blue Zones Health is a primary care delivery model that focuses on treating the underlying causes of chronic disease and helping reduce dependence on medications and surgery. We offer care virtually nationwide and in-person at a growing number of clinic locations. Our approach to healthcare combines insights from 25+ years of Blue Zones’ identification and research into the longest-lived peoples and application of that research to improve well-being at the population level, with the American College of Lifestyle Medicine’s evidence-based physician training and certifications. In a peer-reviewed study, we demonstrated our model’s ability to meet the IHI Triple Aim of better patient outcomes, for lower cost, with greater patient satisfaction. Because our innovative model reduces the need for high-cost invasive care, we redeploy dollars into proactive prevention and disease reversal programs which allows us to offer our services at no or low additional cost for patients with participating insurances and Medicare. Our employed and affiliated physicians provide patients with personalized care pathways based on the Blue Zones Power 9® principles, including support groups, classes, and access to experts such as dietitians and coaches.
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