This position is responsible for the oversight of operations and executive management of the
Claims, Configuration, Network Services and Credentialing departments within Partnership
HealthPlan of California (Partnership). This position provides leadership in organizing the
HealthPlan’s operations and interdepartmental communication, and participates in goal setting
and strategic organizational planning.

▪ Daily oversight of the assigned operational departments.
▪ Works with department directors to establish department goals, improve operational
effectiveness, and implement work plans, making corrective actions as needed.
▪ Monitors and evaluates performance of direct reports and ensures standardized reporting
among operational departments, including the timely completion of Executive and Board
level dashboards.
▪ Identifies opportunities to improve operational efficiencies and helps facilitate
communication between HealthPlan departments to meet business challenges.
▪ Provides leadership in interdepartmental projects involving department operations to
ensure quality outcomes.
▪ Participates in new business planning and program development.
▪ Monitors expenses and justifies variances from approved budgets.
▪ Develops and maintains analytic reports and performance metrics related to strategic
goals and projects.
▪ Communicates Partnership operational performances and capabilities, with duties
included but not limited to, development of reports and information for regulators, staff,
and Board.
▪ Supports Operational Excellence principles and initiatives to ensure performance
improvement.
▪ Supports department leaders in successfully meeting the requirements and standards of
NCQA, DHCS, or other regulatory bodies.
▪ Supports direct reports in providing excellent and responsive service to our members and
other stakeholders.
▪ Oversees payment systems projects and implementation.

Secondary Duties and Responsibilities
▪ Leads, assigns, and participates in special projects as needed.

HIRING RANGE:

$259,563.60 - $363,389.03

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.

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.