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TEKsystems c/o Allegis Group

Los Angeles, CA

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JOB DETAILS
SALARY
SKILLS
Artificial Intelligence (AI), Business Services, Business Transformation, Calendar Management, Candidate Screening, Communication Skills, Content Management Systems (CMS), Contract Creation, Contract Negotiation, Customer Service Management, Customer Support/Service, Database Administration, Demographics, Documentation, Driver's License, Fortune 500 Customers, Genetics, Health Maintenance Organization (HMO), Health Plan, Healthcare Providers, Help Desk, Homeland Security, Hospital, Insurance, Maintain Compliance, Managed Care, Microsoft Access Database, Microsoft Excel, Microsoft Office, Microsoft Outlook, Microsoft PowerPoint, Microsoft Word, Network Administration/Management, Operations, Patient Confidentiality, Presentation/Verbal Skills, Process Improvement, Provider Contracting, Provider Credentialing, Provider Relations, Regulations, Time Management, Willing to Travel, Writing Skills
LOCATION
Los Angeles, CA
POSTED
Today
Description

1. Assist in Network growth and development to include preparation of contract packets for recruitment projects. 2. Responsible to work with Network Managers and providers to obtain proper signatures and documentation to effectively process newly recruited or existing providers. 3. Maintaining and updating the appropriate databases and department tools with statuses. 4. Coordinate receipt and processing of all provider contracts, credentialing, and correspondence. 5. Responsible for timely and accurate completion of PACF's related to incoming documentation received from providers regarding changes to their demographic information in the credentialing and provider network databases. 6. Responsible for initial review of all credentialing applications prior to submittal to RMG Contracts for completion and accuracy. 7. Working collaboratively with Network Managers during the contracting process to ensure department goals and requirements are being met. 8. Responsible for the initial submittal of provider profiles to the Health Plans and follow-up (as requested) to ensure PCP's are active in databases. 9. Limited contract negotiations under the direction of the Director, Network Management and/or Vice President of Regional Operations. 10. Daily interaction with regional providers. 11. Ensure contract compliance and adherence to DMHC, DHS, CMS and other regulatory agencies as required by contracting HMOs. 12. Internal network liaison for Database, Claims, Customer Service, Medical Management, and Provider Relation Departments. 13. Perform on-site visits (as required) to physicians, physician groups, hospitals and ancillary providers. 14. Facilitate the scheduling of meetings with providers. 15. Oversight of database maintenance and accuracy through use of audits. 16. Ensure accurate and timely data reporting requirements are being met. 17. Know and follow the Employee Handbook policies and procedures. 18. Maintain patient confidentiality so that HIPPAA compliance is observed at all times. 19. Other duties may be assigned as needed.

Skills

Help desk support, Customer service, Phone support

Top Skills Details

Help desk support,Customer service,Phone support

Additional Skills & Qualifications

1. Minimum of 2 years relevant work experience in Network Management in a managed care setting, health plan or large medical group administration. 2. Knowledge of contracting principles/tools. 3. Excellent verbal and written communication skills. 4. Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point) 5. Must be able to travel within service area and have valid driver's license and insurance.

Experience Level

Entry Level

Job Type & Location
This is a Contract position based out of Canoga Park, CA 91304.
Pay and Benefits
The pay range for this position is $25.00 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:
Medical, dental & vision
Critical Illness, Accident, and Hospital
401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
Life Insurance (Voluntary Life & AD&D for the employee and dependents)
Short and long-term disability
Health Spending Account (HSA)
Transportation benefits
Employee Assistance Program
Time Off/Leave (PTO, Vacation or Sick Leave)
Workplace Type
This is a fully onsite position in Canoga Park,CA 91304.
Application Deadline
This position is anticipated to close on May 15, 2026.

About TEKsystems

We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

About TEKsystems and TEKsystems Global Services

We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

San Francisco Fair Chance Ordinance: Pursuant to the San Francisco Fair Chance Ordinance, for all positions located in the city and county of San Francisco, we will consider for employment qualified applicants with arrest and conviction records.

Massachusetts Lie Detector: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Use of Artificial Intelligence (AI): We may use Artificial Intelligence (AI) to support parts of our hiring process, including sourcing, screening, and evaluating candidates. AI helps assess applications and qualifications, but final decisions are made by our hiring team. By applying, you acknowledge and agree that your application may be reviewed using AI tools.

About the Company

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TEKsystems c/o Allegis Group

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