: - $150,000 - $175,000 based on experience - $50,000 Signing Bonus through PartnershipHealthPlan of California - Relocation assistance as well...: Allscripts - Located in the beautiful Northern California Sierra foothills where you can enjoy an easy pace of life in the...
, Microsoft Word, Excel, Outlook, Visio, and PowerPoint. Valid California driver’s license and proof of current automobile... insurance compliant with Partnership’s policy are required to operate a vehicle and travel for company business. Performance...
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...
as assigned. Qualifications: Education and Experience Minimum three (3) years claims examining experience;or Partnership... claims examining experience and completion of Partnership claims training;or equivalent combination of education...
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...
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...
a review of all relevant medical records. * Obtain responses from provider(s) and appropriate Partnership departments. When... Conditions (PPCs) and ensures that appropriate notification is sent to appropriate Partnership departments and DHCS Audits...
-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...
. Valid California driver’s license and proof of current automobile insurance compliant with Partnership policy.../UM but also HS/CC and internal Partnership’s departments that require support and knowledge of UM’s program and TAR process...
, 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...