To establish and maintain excellent relationships with the transportation provider network.
Identifies service gaps and recruits new transportation providers to increase network adequacy.
Works closely to identify and resolve complex issues, provides education and staff training to
transportation providers and healthcare providers with members experiencing transportation
access issues. Assists providers with understanding Partnership HealthPlan of California's
transportation-related policies and procedures and assists with resolving issues that arise.

 Maintains regular schedule of transportation provider office visits to ensure open lines of
communication, answers questions, distributes information, and documents and followsup on questions or concerns
 Investigates and responds to transportation-related provider concerns, questions and
resolves issues.
 Assists with research and disposition of provider appeals and grievances.
 Conduct transportation provider education opportunities in person, on-site, and/or via
electronic media such as webinars, video conferencing, or other technology.
 Creates external educational materials and formal presentations.
 Conducts transportation provider orientations and ongoing educational training sessions.
 Educates providers on the use of Partnership provider information forms and reporting.
Follows up with providers on incomplete forms to obtain required information
 Resolve complex authorization or claims issues. Identify potential system issues,
collaborate with affected departments to ensure resolution
 Creates Corrective Action Plans (CAPS) for provider sites that did not meet standards.
Monitors compliance with CAP.
 Conducts research to identify trends and provides recommendations for ongoing, long
term resolutions to issues.
 Conducts routine environmental scans to assess network adequacy and identify gaps and
recruitment targets.
 Works in collaboration with Provider Contracting to contract and onboard new
transportation providers.
 Coordinates, attends, and participates in various meetings both on and off-site as
assigned.
 Prepares monthly transportation provider support card and ad hoc reports for leadership
as necessary.

 Required to work with minimal supervision and maintain availability to transportation
providers and transportation leadership after normal business hours when necessary to
resolve issues.
 Maintains knowledge of NEMT, NMT and ancillary services policies and procedures and
related state and federal guidelines.
 Other duties as assigned

Secondary Duties and Responsibilities
 May need to be available after normal business hours, as needed, to assist Transportation
providers and support leadership.

All HealthPlan employees are expected to:

• Provide the highest possible level of service to clients;
• Promote teamwork and cooperative effort among employees;
• Maintain safe practices; and
• Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$72,364.92 - $90,456.15

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform.  The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.