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Partnership HealthPlan of California jobs

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TRAINING SPECIALIST

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...

CompanyPartnership Healthplan Of California
AddressFairfield, CA
CategoryEducation/Training
Salary$72,067.77 - $93,687.81 a year
Job typeFull-time
Date Posted 2 weeks ago See detail

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...

2 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...

3 weeks 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...

3 weeks 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...

4 weeks 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...

4 weeks 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...

4 weeks 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...

IT Quality Assurance Analyst

Partnership Healthplan Of California

Fairfield, CA

$91,163.24 - $118,514.23 a year

Review Business Requirements, Functional Specifications, and Test Cases to understand the functional and technical requirements in order to prepare a QA test plan with test cases. Hold and facilitate test plan/case reviews with cr...

2 months ago seen See more...

Transportation Specialist I

Partnership Healthplan Of California

Redding, CA

$24.02 - $27.62 an hour

Effectively communicate written and verbally with both members and providers. Works directly with members, transportation providers and facilities to coordinate appropriate level and timeliness of transports within the DHCS guidel...

2 months ago seen See more...

Operations and Systems Tech II

Partnership Healthplan Of California

Chico, CA

Serves as tier I/II support tech for all PC and phone issues, provides prompt support to end-users on PC, phone, A/V, connectivity, and other application issues. Fields incoming help requests from end-users via service desk, telep...

2 months ago seen See more...

Nurse Case Manager I

Partnership Healthplan Of California

Eureka, CA

Provides case management services independently for a caseload ranging in complexityfrom basic to complex; acuity levels 1-4; performs field-based case management (acuitylevel 5) with supervision. Initiates and coordinates individ...

2 months ago seen See more...

Claims Customer Service Representative III

Partnership Healthplan Of California

Fairfield, CA

$27.62 - $33.84 an hour

Research, resolve, and communicate outcome to providers on CIFs, claim tracers, andgeneral claim correspondence within established timeframes. Participate in provider meetings to resolve claim issues. Along with Provider Relations...

2 months ago seen See more...

Claims Customer Service Representative III

Partnership Healthplan Of California

Redding, CA

$27.62 - $33.84 an hour

Research, resolve, and communicate outcome to providers on CIFs, claim tracers, andgeneral claim correspondence within established timeframes. Participate in provider meetings to resolve claim issues. Along with Provider Relations...

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, Ascension - 3.6, Spherion, CVS Health, Dollar General, H&R Block,

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