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Partnership HealthPlan of California jobs

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IMPROVEMENT ADVISOR

Coach provider practices. Specific work will be based on the practice's needs and mayinclude: Facilitate team formation and advise on meeting hygiene and projectmanagement;. Help team develop project charter, including development...

CompanyPartnership Healthplan Of California
AddressChico, CA
CategoryRetail
Job typeFull-Time
Date Posted 3 days ago See detail

Improvement Advisor

Partnership Healthplan Of California

Chico, CA

Coach provider practices. Specific work will be based on the practice's needs and mayinclude: Facilitate team formation and advise on meeting hygiene and projectmanagement;. Help team develop project charter, including development...

3 days ago seen See more...

EDI Analyst

Partnership Healthplan Of California

Fairfield, CA

Work with providers, clearing houses, 3rd party vendors, and software companies to facilitate exchange of HIPAA-compliant ANSI X12 EDI transactions between PHC and its trading partners. Coordinate testing the electronic transactio...

2 weeks ago seen See more...

Training Specialist

Partnership Healthplan Of California

Fairfield, CA

$72,067.77 - $93,687.81 a year

Design, develop, present, and/or facilitate innovative and engaging organization-wide Trainings with duties including, but not limited to:. Research, analyze, design and deliver training courses and programs to meet training needs...

4 weeks ago seen See more...

Claims Auditor I

Partnership Healthplan Of California

Fairfield, CA

$25.81 - $31.62 an hour

Perform concurrent and retro claims audits on new Claims examining staff and on claims processed by existing Claims staff as outlined in Claims Operating Instruction Memorandums for all lines of business. Document audits and repor...

a month ago seen See more...

Manager of Care Coordination

Partnership Healthplan Of California

Fairfield, CA

Provides day-to-day direction to CC Supervisors, and licensed and non-licensed CC staff to meet department goals and objectives and to ensure compliance with company policies.Tracks, monitors, manages and distributes work and assi...

a month ago seen See more...

Grievance and Appeals Nurse Specialist

Partnership Healthplan Of California

Eureka, CA

Assesses all cases to determine if members have any emergent or immediatemedical needs. Identifies potential quality of care, fraud, waste, and abuse issues.Takes appropriate actions. Executes independent clinical judgement in ass...

a month ago seen See more...

Enrollment Specialist I

Partnership Healthplan Of California

Fairfield, CA

$24.12 - $29.55 an hour

Processes PCP assignments. Reviews and responds to eligibility questions and issues Processes a variety of membership reports to ensure members records as well as PCP assignments are appropriate. Monitors the E-Unit inbox and proc...

a month ago seen See more...

Wellness Guide

Partnership Healthplan Of California

Fairfield, CA

$24.12 - $29.55 an hour

Performs wellness campaign outreach activities for assigned membership/campaigns. Provides members with information about benefits supporting member wellness and helps members schedule appointments for wellness services. Engages m...

a month ago seen See more...

Claims Examiner II

Partnership Healthplan Of California

Fairfield, CA

$24.73 - $30.29 an hour

Reviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, long term care, CHDP, encounter data, other coverage, and batch claims within established production and quality standards. Completes claims f...

2 months ago seen See more...

Top Jobs

Claim Specialist, Nurse / Outpatient, Claim Examiner, Project Coordinator, Support Specialist, Credential Specialist, Utilization Management, Associate Director, Provider Network, Social Worker, Nurse Case Manager, Coordinator, Internal Auditor, Project Manager, Member Service Representative,

What companies are hiring for similar jobs Partnership HealthPlan of California?

The top companies hiring now for Partnership HealthPlan of California similar jobs are Compass Group, Lowe's, Raytheon, Tradesmen International, Care.com, Varsity Tutors, Sedgwick, Tristar Insurance, Partnership HealthPlan of California, Quality Resource Management, BioSpace, KPMG, Genesis Healthcare, Greenheart Exchange, PINNACLE FIT CLUBS LLC,

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