with established operational criteria, NCQA, and DHCS Standards, and Partnership policies and procedures. Responsibilities: Provides... knowledge base of Partnership benefits and Population Health programs. Serves as a resource for staff, other departments...
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...
outcome to providers and affected Partnership managers. Develops and maintains provider training materials for all lines... of business. Conducts provider trainings across Partnership departmental lines in group or individual provider settings...
-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...
knowledge of project/program management methodologies 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...
or unusual situations arise. This position understands the operating procedures and Partnership’s policies. Responsibilities... on all regularly scheduled maintenance and annual inspections on Partnership equipment, specifically the Fire Suppression System...
knowledge of project/program management methodologies 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...
, tablets, laptops, etc.). Performs mobility device management tasks via Maas 360 in accordance with Partnership security... teleworker deployments and systems. Maintains strong knowledge of the Partnership VoIP telecommunication infrastructure. Creates...
testing (PDSAs). Valid California driver’s license and proof of current automobile insurance compliant with Partnership... positioned to drive improvement across Partnership, our provider network, and the communities we serve. The Improvement Advisor...
needs of Partnership and employees, such as soft skills, policies, processes, and other companywide initiatives. Select.... Develop tools to evaluate and measure training effectiveness. Travel to other Partnership locations as necessary...