Overview: To plan, manage and evaluate clinical department and/or Partnership delegate(s) performance and compliance... and monitoring activities for applicable providers and entities, and on-going stewardship of NCQA activities to support Partnership...
, Visio, and PowerPoint. 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...
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...
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 company business. Performance Based...
effective and high quality projects to meet the needs of associated Partnership departments. Identifies and manages project... requirements and project budget. Valid California driver’s license and proof of current automobile insurance compliant...
, spreadsheets, etc. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy.... Assists Partnership staff and providers with the interpretation of Partnership policies, procedures, and regulatory...
with understanding PartnershipHealthPlan of California's policies and procedures and assists with resolving issues that arise... Visit Sheet. Investigates and responds to provider concerns. Serves as neutral liaison between providers and Partnership...
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...
Overview: Train examiner and customer service level I staff on all related claim types for all Partnership lines...: Education and Experience Minimum two (2) years of claims examining experience and completion of Partnership Claims training...
-key calculator. Valid California driver’s license and proof of current automobile insurance compliant with Partnership... outcome to providers and affected Partnership managers. Develops and maintains provider training materials for all lines...