management and staff, external clients, and vendors. Valid California driver’s license and proof of current automobile insurance... compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based...
are preferred, however not required. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies...
Overview: System Administrator Commission on Medical Care (DBA Partnership HealthPlan of California) is recruiting...
effective and high quality projects to meet the needs of associated Partnership departments. Identifies and manages project... requirements and project budget. Valid California driver’s license and proof of current automobile insurance compliant...
accurate and timely documentation, records, and case files in the Partnership HealthPlan of Californica (Partnership) Case..., vendors, community partners, and Partnership employees. ▪ Supports successful transition of care for members discharged...
effective and high quality projects to meet the needs of associated Partnership departments. Identifies and manages project... requirements and project budget. Valid California driver’s license and proof of current automobile insurance compliant...
Overview: This position provides support and guidance to Partnership HealthPlan of California (Partnership) members... Partnership resources and programs (Healthy Living programs, Case Management support) in accordance with department guidelines...
are preferred, however not required. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. Performance Based Competencies...
relationships with Partnership HealthPlan of California partners and providers via open and timely communication. - Participates... training manuals, agendas, materials, and evaluation criteria based upon department and Partnership policies...
Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines...: Education and Experience Minimum two (2) years of claims examining experience and completion of Partnership Claims training...
, facility, and ancillary contracts for the Partnership provider network. The Contract Specialist will also be responsible..., and ancillary contracts for the Partnership provider network. Initiate and negotiate unique Letters of Agreements (LOA). Manage...
California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate.... Must be able to lift, move, or carry objects of varying size, weighing up to 10 lbs. All HealthPlan employees are expected...
, Visio, and PowerPoint. Valid California driver’s license and proof of current automobile insurance compliant... with Partnership policy are required to operate a vehicle and travel for company business. . Performance Based Competencies...
preferred. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy... Coordinators (CRCs) to develop provider educational/training materials for all Partnership lines of Prepares a quarterly...
. Works closely with Partnership Compliance Department. Reviews quality control audits to ensure compliance... in Partnership delegated entity audits. Collects, monitors, tracks, and reports claims delegation reporting for capitated entities...
Partnership departments and internal staff for additional review. Follows up and completes claims once response to request... has been received. Follows established Partnership policies and procedures, Partnership Claims Operating Instruction...
-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees..., workgroups and/or multidisciplinary teams to support Partnership’s strategic plan, organizational goals, and/or business needs...
and maintaining policies and procedures for Partnership HealthPlan of California. Alongside designated organizational leadership... California Driver's License and proof of current automobile insurance compliant with Partnership’s policies...
and maintaining policies and procedures for Partnership HealthPlan of California. Alongside designated organizational leadership... California Driver's License and proof of current automobile insurance compliant with Partnership’s policies...
management and staff, external clients, and vendors. Valid California driver’s license and proof of current automobile insurance... compliant with Partnership policy are required to operate a vehicle and travel for company business. Performance Based...