Partnership Healthplan Of California Jobs

In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for... Read More

In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for... Read More

Overview: To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other... Read More

Overview: To provide daily oversight, leadership, support, training and direction of both clinical and non-clinical staff. Supports and assists the Team Manager in... Read More

Overview: To provide daily oversight, leadership, support, training and direction of both clinical and non-clinical staff. Supports and assists the Team Manager in... Read More

Overview: In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination... Read More

Overview The Configuration Analyst provides both operational support to, and analysis of, lower complexity Configuration-related activities. The Configuration Analyst... Read More

Overview: In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination... Read More

Overview: To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member s representative in a care plan that assists the... Read More

Overview The Manager of Utilization Management (UM) will provide leadership and clinical oversight foroperational aspects of UM, including the responsibility for providing... Read More

Overview To support the objectives of the regulatory and compliance program and to ensure related activities are in alignment with regulatory requirements, contractual... Read More

Overview: To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings... Read More

Under supervision of the Regulatory Affairs and Compliance (RAC) leadership, this supports the plan-wide HIPAA program and Fraud, Waste, and Abuse (FWA) program and acts... Read More

Overview: The incumbent utilizes clinical judgement in providing utilization management services. The focus is to provide high quality, cost-effective care which will... Read More

Overview To analyze and interpret financial data and procedures to prepare financial information and reports. Applies generally accepted accounting principles and... Read More

In collaboration with departmental and organizational leadership, supports the organization s Population Needs Assessment activities through active and meaningful... Read More

In collaboration with departmental and organizational leadership, supports the organization s Population Needs Assessment activities through active and meaningful... Read More