to work well with all levels of internal management and staff, external clients and vendors. Valid California driver’s license... and proof of current automobile insurance compliant with Partnership policy are required to operate a vehicle and travel...
for at least three (3) to four (4) years in a similar capacity or experience within a PartnershipHealthPlan Call Center environment.... Valid California driver’s license and proof of current automobile insurance compliant with PHC policy...
to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide... into the Care Coordination Department requesting assistance and information about available Partnership programs...
Partnership departments and internal staff for additional review. Follows up and completes claims once response to request... has been received. Follows established Partnership policies and procedures, Partnership Claims Operating Instruction...
-active Medicare or Third Party coverage and the recoupment of same. Research and process all Partnership product lines... to Partnership, reason for the refund;Identifies configuration or training issues related to the payment received;Recommends...
: Develops and maintains working knowledge (technical and user interfaces) of Partnership data management and analytics... of all data elements. * Serves as a primary contact for internal and external stakeholders related to Partnership performance...
California driver’s license and proof of current automobile insurance compliant with Partnership policy are required to operate... they meet DHCS requirements and Partnership professional standards. Also provides support to the Regulatory Affairs Specialist...
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...
-specific records in the Partnership computer system, in databases and files as applicable. Participates in committees..., workgroups and/or multidisciplinary teams to support Partnership’s strategic plan, organizational goals, and/or business needs...
in Title 22, Medi-Cal Provider Manual, DMHC and/or CMS regulatory requirements and Partnership policies and procedures.... Works with other Partnership departments to resolve issues relating to authorization of medical services. Audits medical...