The Configuration Quality Assurance Analyst I is responsible for auditing of Configuration Analyst I and Configuration Specialists on system related job functions. Performs retrospective, concurrent, and special configuration audits. Collaborates with Configuration Technical Development and Quality Assurance teams to identify audit trends and staff training.

To analyze and interpret financial data and procedures to prepare financial information and reports. Applies generally accepted accounting principles and procedures (GAAP) to record, classify, and examine financial transactions. Participates in Month End Close responsibilities such as journal entry creation to book expenses and accruals, uploads these items to accounting system and reconciling sub ledger accounts. Participates in annual financial audit by preparing requested audit schedules and responding to ad hoc audit requests. Responds to customer base (i.e. employees, outside vendors, members) in a timely and professional manner

To coordinate medically necessary behavioral health treatment services for adults and children with behavioral health needs. Screens, collaborates and coordinates care as part of the multidisciplinary team to evaluate and advocate for the medical, behavioral and psychosocial needs of the member while promoting quality outcomes.

To provide coordination and implementation support of defined tasks for the assigned program(s).

The Coordinator I will provide coordination and administrative support to department teams and management. Performs a variety of general clerical duties, including data entry, report generation, manage and respond to call inquiries, manage internal Helpdesk inquiries, manage and assign follow up inquiries from other departments, creates and revises desktop protocols, and

This position works with the Benefits team to administer the entire Employee Benefits Program, Workers’ Compensation Program, Benefits Open Enrollment Program, and Partnership sponsored Employee Life Insurance. The Benefits Coordinator is responsible for providing a full range of HR customer service support. This position also performs general HR benefits duties such as

To maintain accurate provider information by entering necessary data elements into several database systems. Works closely with team members and other departments to research and resolve routine and complex issues and inquiries related to provider data. In addition to the Provider Systems Data Specialist I duties, the Provider Systems Data Specialist II has a higher level of experience, more autonomy, and more complex assignments.

The AV Support Technician will help implement and maintain regional video collaboration tools to support Partnership HealthPlan’s communication needs. This role involves assisting with setup, basic troubleshooting, and providing support to staff and team members using AV equipment. The AV Support Technician will work closely with the AV Support Specialist and will be instrumental in ensuring consistent, high-quality AV experience throughout the organization.

The AV Support Technician will help implement and maintain regional video collaboration tools to support Partnership HealthPlan’s communication needs. This role involves assisting with setup, basic troubleshooting, and providing support to staff and team members using AV equipment. The AV Support Technician will work closely with the AV Support Specialist and will be instrumental in ensuring consistent, high-quality AV experience throughout the organization.

EDI Lead Programmer Analyst  Commission on Medical Care (DBA Partnership HealthPlan of California) is recruiting for our Fairfield, CA office: EDI Lead Programmer Analyst: Responsible for application maintenance and development which entails coding, testing, debugging and documenting new or modified software applications based on business requirements; utilizing languages such as C#, .NET, Python, JavaScript, or SQL; and maintaining...

To develop, implement, improve, and manage assigned programs. In addition to the Program Manager II duties, the Senior Program Manager is a leadership role, has a higher level of education/experience, more autonomy, exercises independent judgment, and provides coaching and guidance to less experienced program managers. 

To assist in the negotiation, development, implementation, and maintenance of new and existing professional, facility, and ancillary contracts for the Partnership provider network. The Contract Specialist will also be responsible for supporting daily contracting activities as follows:

To assist and support the Director with development, implementation, and maintenance of professional, facility, and ancillary contracts for the Partnership provider network. The Contracts Coordinator II is responsible for, Contracting Department tracking, and reporting provider network activities, including of scanning contract documents, mailing or emailing network notices related

To establish and maintain excellent relationships with the provider network in a specific geographic region, including healthcare practitioners, office staff, and administrators. Works closely to identify and resolve complex issues, provides education and staff training. Provides service and education via onsite visits and telephone. Assists providers with understanding Partnership HealthPlan of California's policies and procedures and assists with resolving issues that arise.

To provide coordination and implementation support of defined tasks for the assigned program(s). In addition to the Program Coordinator I duties, the Program Coordinator II has a higher level of experience, conducts business analysis to evaluate programs, tracks and reports data to a higher complexity level, coordinates daily activities, communicates program status to stakeholders, and confirms that outcomes are meeting program requirements.

In collaboration with the HR Recruiters coordinates the ongoing recruitment and selection of industry experienced and leadership positions for Partnership HealthPlan of California (PHC) by providing assistance and administrative support. Professionally represents Partnership in frequent interactions with applicants, all levels of staff, and the public. Holds employee and applicant

Supervise daily operations and provide leadership, support, and direction to assigned Provider Relations Representative staff. Ensure the highest level of customer service is a priority of PR staff. Monitor department goals and meet deadlines. Recruit and retain Provider network.

To provide administrative support to the executive leader, leadership teams, and staff as assigned. In addition to the Administrative Assistant II duties, the Executive Assistant has a higher level of education and experience and more autonomy, works with a higher level of internal/external customers, serves as liaison to external customers, and a exposed to higher confidentiality.

Under the direction of the Associate Director of Internal Audit or above, the Manager of Overpayment Recovery Services is responsible for overseeing the Provider Check Posting and Recovery Teams, while coordinating with administrative support to drive departmental initiatives. This role ensures accurate posting of provider payments, reconciles discrepancies, and manages the recovery of overpaid claims efficiently. The Manager will lead efforts to maintain financial integrity and compliance through effective oversight of claims processing and recovery operations.

To provide support to day-to-day IT production operations support, and systems and telecommunications support. In addition to the IT Helpdesk Operator I duties, the IT HelpDesk Operator II has a higher level of experience in HelpDesk management and resource coordination. The IT HelpDesk Operator II will also help identify HelpDesk inefficiencies and will work with IT leadership to improve upon HelpDesk work flows and service desk ticket processing. Supports help desk function with PC troubleshooting, schedules and coordinates conference room support tickets, performs software updates and maintains inventory of PCs, printers, peripherals, network, and other systems hardware. Serves as the...