careers-partnershiphp

Overview EDI Lead Programmer Analyst Commission on Medical Care (DBA Partnership HealthPlan of California) is recruiting for our Fairfield, CA office: EDI Lead Programmer Analyst: Responsible for application maintenance and development which entails coding, testing, debugging and documenting new or

Overview To develop, implement, improve, and manage assigned programs. In addition to the Program Manager II duties, the Senior Program Manager is a leadership role, has a higher level of education/experience, more autonomy, exercises independent judgment, and provides coaching and guidance to less

Overview To assist in the negotiation, development, implementation, and maintenance of new and existing professional, facility, and ancillary contracts for the Partnership provider network. The Contract Specialist will also be responsible for supporting daily contracting activities as follows: Respo

Overview To assist and support the Director with development, implementation, and maintenance ofprofessional, facility, and ancillary contracts for the Partnership provider network. The ContractsCoordinator II is responsible for, Contracting Department tracking, and reporting provider networkactivit

Overview To establish and maintain excellent relationships with the 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 an

Overview Supervise daily operations and provide leadership, support, and direction to assigned ProviderRelations Representative staff. Ensure the highest level of customer service is a priority of PRstaff. Monitor department goals and meet deadlines. Recruit and retain Provider network. Responsibili

Overview To provide administrative support to the executive leader, leadership teams, and staff as assigned. In addition to the Administrative Assistant II duties, the Executive Assistant has a higher level of education and experience and more autonomy, works with a higher level of internal/external

Overview To plan, organize, manage, and implement projects. Responsibilities Develops and maintains detailed project plans and budget summaries. Coordinates and facilitates both internal and external meetings. Supports projects with a range of low to medium complexity, scope, and schedule. Supports

Overview Under the direction of the Cost Avoidance Supervisor, the Cost Avoidance Specialist I monitors activities related to cost savings and recoveries of medical claim payments; identifies and verifies members other health coverage (OHI), updates system and recovers overpayment, and researches an

Overview Perform routine and ad-hoc reporting and data management for internal and external users; assistin maintaining reporting systems within the department. To prepare, analyze, report, and managedata used for both plan-wide and regional decision making for evaluating performance in keyquality m

Overview To plan, organize, manage, and implement projects. Responsibilities Develops and maintains detailed project plans and budget summaries. Coordinates and facilitates both internal and external meetings. Supports projects with a range of low to medium complexity, scope, and schedule. Supports

Overview The Manager of Medicare Marketing and Sales will oversee the development and execution ofPartnership’s Medicare D-SNP marketing and sales strategy focused on driving smart andmeasurable growth. The Marketing manager will lead a team that collaborates with Partnershipleadership to understand

Overview The Senior Healthcare Data Analyst I contributes to the overall success of the organization bydeveloping analytic solutions that support activities related to health services utilizationmanagement, care coordination, quality improvement and population health. Through analyzingpatient claims

Overview To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Completes and processes claims and claims worksheets. Creates appropriate documentation that reflects the actions taken and status of the cl

Overview To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objective