, and PowerPoint. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy... of varying size, weighing up to 10 lbs. All HealthPlan employees are expected to: Provide the highest possible level...
experienced and leadership positions for Partnership HealthPlan of California (PHC) by providing assistance and administrative... skills and the ability to interact with all levels of staff and vendors. Valid California driver’s license and proof...
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...
experiencing transportation access issues. Assists providers with understanding Partnership HealthPlan of California... transportation provider orientations and ongoing educational training sessions. Educates providers on the use of Partnership...
QI Department’s Performance Improvement training arm – the Partnership Improvement Academy: Participate to improve... time), and making decisions based on this data. Experience doing rapid-cycle testing (PDSAs). Valid California driver...
, is responsible for plan management and informing operations of Partnership’s Medicare dual special needs plan (D-SNP). This position...’s Medicare program. ▪ Works with Regulatory Affairs and Compliance team (RAC) to ensure Partnership’s Medicare compliance...
Overview: Oversees the day-to-day operations of Partnership HealthPlan of California’s (PHC) Program Integrity Unit.... Medi-Cal programs. Research and program planning methodology. Project Management. Valid California driver’s license...
for LTSS providers at the health plan to address questions for payment, claims and/or Partnership contract language... needs for Partnership members. ▪ Maintains benefit standardization and surface issues or questions to the appropriate staff...
with emphasis in utilization and/or case management preferred. Special Skills, Licenses and Certifications Current California.... Strong organizational skills required. Effective telephone and computer data entry skills required. Valid California driver’s license...
of managed care with emphasis in UM preferred. Special Skills, Licenses and Certifications Current California RN/LVN license... and computer data entry skills required. Valid California driver’s license and proof of current automobile insurance compliant...
and Visio. Valid California driver’s license required. Performance Based Competencies Excellent written and verbal... occasional travel for training facilitation. All HealthPlan employees are expected to: Provide the highest possible level...
to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide... of managed care. Ability to learn the following: case management role within a health plan setting, and the HealthPlan...
in UM or CM preferred. Special Skills, Licenses and Certifications Current California Registered Nurse license. Critical... California driver’s license and proof of current automobile insurance compliant with PHC policy are required to operate...
Current and unrestricted California Registered Nurse License. Valid California driver’s license and proof of current... lbs. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote...
requirements and project budget. Valid California driver’s license and proof of current automobile insurance compliant with PHC.... All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork...
and related applications and familiarity with data base applications. Knowledge of California Medi-Cal program and benefits, TAR... operations. Valid California Pharmacy Technician license required or must be obtained within six (6) months of hire...
of managed care with emphasis in UM preferred. Special Skills, Licenses and Certifications Current California RN/LVN license... and computer data entry skills required. Valid California driver’s license and proof of current automobile insurance compliant...
of managed care with emphasis in UM preferred. Special Skills, Licenses and Certifications Current California RN/LVN license... and computer data entry skills required. Valid California driver’s license and proof of current automobile insurance compliant...
Overview: Provides advisory and technical services to all of the HealthPlan’s contact center organizations (Member... skills. Any business reporting or VoIP certifications or training are a plus. Valid California driver’s license and proof...
providers in a multitude of complex environments; Basic SQL commands for electronic table maintenance. Valid California driver... in front of a computer monitor; frequent phone usage. All HealthPlan employees are expected to: Provide the highest...