applications. Understanding of systems and related systems interfaces and how changes impact various systems. Valid California... to 25 lbs. All HealthPlan employees are expected to: Provide the highest possible level of service to clients;Promote...
Overview: System Administrator Commission on Medical Care (DBA PartnershipHealthPlan of California) is recruiting...
potential reimbursement methodologies and rates, will provide organizational education related to Partnership’s network... Leadership Team or Partnership Board. o Ensures alignment of provider reimbursement strategies with Partnership mission...
and maintenance. Responsibilities: - Manage the daily functions of the Systems and Data staff and monitor use of Partnership systems... and participate in selection of PR staff that are direct reports. - Participate in preparation and interview process for Partnership...
a review of all relevant medical records. * Obtain responses from provider(s) and appropriate Partnership departments. When... activities as determined by the Peer Review Committee or Partnership policy. * Generates a request for a Corrective Action Plan...
to claims processing, membership, provider, and benefits at Partnership. Strong written and oral communication skills... to users, providers, and other constituents of Partnership. Work Environment And Physical Demands More than 50% of work...
to claims processing, membership, provider, and benefits at Partnership. Strong written and oral communication skills... to users, providers, and other constituents of Partnership. Work Environment And Physical Demands More than 50% of work...
relationships with PartnershipHealthPlan of California partners and providers via open and timely communication. - Participates... training manuals, agendas, materials, and evaluation criteria based upon department and Partnership policies...
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...