Overview: The Manager of IT Change Control at Partnership HealthPlan of California (Partnership) plays a critical... disruptions to Partnership’s business operations. The Manager of IT Change Control collaborates closely with multiple...
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...
Member Engagement Program strategies and objective to achieve Partnership’s mission and goals. Responsibilities... and community engagement strategies to reach Partnership’s demographic needs. ▪ Coordinates and facilitates community events...
, documentation and support of Partnership Health Plan of California’s (Partnership) EDI related functions, testing and assisting... in documentation of changes to the system software configuration using a variety of computer software packages to meet Partnership...
HealthPlan of California. Alongside designated organizational leadership ensures compliance with governing rules, regulations... for drafting, editing, reviewing, auditing, tracking, monitoring and maintaining policies and procedures for Partnership...
with other Partnership staff (ex: Medical Director, CC staff, etc.) to address best practices of care across the continuum, discharge... planning, out-of-area placements, and/or guidance for complex discharges for Partnership members. Monitors work assignments...
and providers who work directly with children, in Partnership HealthPlan of California (Partnership) assigned counties. The goal.... Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy...
, and database applications. Valid California driver’s license and proof of current automobile insurance compliant with Partnership... potential reimbursement methodologies and rates, will provide organizational education related to Partnership’s network...
Overview: The Manager of Medicare Marketing and Sales will oversee the development and execution of Partnership... a team that collaborates with Partnership leadership to understand the unique opportunities within each market and deliver...
, and department metrics are being met. Establishes and maintains professional working relationships with Partnership partners.... Current California Registered Nurse License. Valid California Driver's License and proof of current automobile insurance...
in use of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California... driver’s license and proof of current automobile insurance compliant with Partnership’s policy are required to operate...
. Supports monitoring of training completion of Partnership staff, network providers, subcontractors, downstream subcontractors...; Ability to assess the effectiveness of training programs, gather feedback, and use data for continuous improvement. Valid California...
in use of various computer system software including Windows, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California... driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate...
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...
and interpersonal skills. Any Business reporting or VOiP certifications or training is strongly preferred. Valid California driver.... All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork...
Nurse in the State of California, or minimum five (5) years’ experience as a Registered Nurse preferably in a managed care..., Licenses and Certifications Licensed as a Registered Nurse in the State of California, Certification in Case Management Area...
in either the Microsoft or Oracle platform is plus. Knowledge of health care coding systems. Valid California driver’s license.... All HealthPlan employees are expected to: Provide a high level of service to clients; Promote teamwork and cooperative effort...
skills including knowledge of statistics. Valid California driver’s license and proof of current automobile insurance..., and/or lift objects of varying sizes weighing up to 25 lbs. Must be able to operate a car for company business. All HealthPlan...
the HealthPlan’s Cost Avoidance and Recoveries Team. Monitors and audits any payment that may be outside the HealthPlan... of Benefits (COB) between the HealthPlan and members’ primary health care insurance, such as private health insurance, Medicare...
as a Registered Nurse in the State of California, or minimum five (5) years’ experience as a Registered Nurse preferably... Nurse in the State of California. Experience working with database systems. Previous utilization management experience...