careers-partnershiphp

Overview To respond to member and provider issues and inquiries. Ensures that callers’ questions and/or problems are resolved or are directed to the appropriate person for resolution and provides the highest level of customer service. Responsibilities Responds to member and provider issues and quest

Overview To provide coordination and implementation support of defined tasks for the assignedprogram(s). Responsibilities  Supports the execution of existing program activities, including data entry, tracking, andreporting. Tracks and compiles program data for program team analysis/review. Monito

Overview To provide coordination and implementation support of defined tasks for the assignedprogram(s). Responsibilities  Supports the execution of existing program activities, including data entry, tracking, andreporting. Tracks and compiles program data for program team analysis/review. Monito

Overview To research and resolve provider telephone and written inquiries within established timeframes,accurately screen claims, and participate in provider meetings and projects. Support for eitherescalated calls or to accept calls of a more complex nature requiring additional skills. To providesu

Overview The Policy Analyst will be responsible for drafting, editing, reviewing, auditing, tracking,monitoring and maintaining policies and procedures for Partnership HealthPlan of California.Alongside designated organizational leadership, ensures compliance with governing rules,regulations, and/or

Overview To be the active project manager to deliver successful projects. Sets and follows clear project management standards including project plans, risk registers, and other project management documents. Responsible for the successful delivery of IT projects and assists in developing standards, m

Overview To gather and validate healthcare practitioner credentialing information in accordance with regulatory and accreditation standards. Interacts with practitioners by phone to ensure timely receipt of information. Responds to inquiries via telephone and email. Responsibilities Performs credent

Overview To respond to member and provider issues and inquiries. Ensures that callers’ questions and/or problems are resolved or are directed to the appropriate person for resolution and provides the highest level of customer service. Responsibilities Responds to member and provider issues and quest

Overview At Partnership HealthPlan of California, the Microsoft 365 Solutions Engineer plays a key role in supporting and optimizing the organization’s Microsoft 365 environment to enable secure, efficient, and collaborative digital operations. This position is responsible for the architecture, admi

Overview Under the direction of the Director of Quality and Performance Improvement (QI/PI), the Manager of Performance Improvement is responsible for key initiatives within the QI/PI Department: The Partnership Improvement Academy and its associated programs; Strategic, organization-wide improvemen

Overview To develop, implement, improve, and manage assigned programs. The Program Manager I isresponsible for the overall success for the assigned program(s) and their role extends beyondcompletion of individual tasks. Programs are ongoing, which may include aligned projects andrequires strategic p

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

Overview The Medicare Operations Analyst is responsible for ensuring operational excellence acrossdelegated entities during implementation and post Go-Live implementation for Medicare DSNPprogram. In collaboration with the respective department, this role oversees implementation andpost-implementati

Overview To design, develop, and test data transformations processes and related process automation at PHC. To work with the Manager of Web Application Development in the design, development, testing, maintaining and migrating the databases and its related processes. Works closely with web Developme

Overview To support in the planning, organization, management, and implementation of projects. Responsibilities  Supports the successful implementation of projects with a range of low to mediumcomplexity, scope, and schedule. Supports in the development and maintenance of project plans and budget

Overview To effectively lead assigned projects, utilizing appropriate project management methodologies todrive the planning, implementation, and tracking of projects through all aspects of the projectlifecycle. Project Managers are responsible for the planning, procurement, and execution of aproject

Overview To respond to member and provider issues and inquiries. Ensures that callers’ questions and/or problems are resolved or are directed to the appropriate person for resolution and provides the highest level of customer service. Responsibilities Responds to member and provider issues and quest

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 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 facilitate access to medical care by coordinating Non-Emergency Medical (NEMT) Transportation, Non-Medical Transportation (NMT) transportation and travel-related benefits for members. Coordinates care in collaboration with internal and external partners to help members overcome barriers