This position designs, develops, presents, and/or facilitates innovative and engaging organization-wide Instructor-Led Trainings (ILT), video trainings, and other trainings as requested. Works with department Subject Matter Experts (SMEs) on designing and/or standardizing targeted trainings (i.e. – department specific or audience specific trainings) as requested.

To support and/or lead in planning, organization, management, and implementation of projects. In addition to the Project Coordinator I duties, a Project Coordinator II has a higher level of experience, works well with ambiguity and is expected to work with more autonomy on assignments. 

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting

To provide daily supervision of utilization management staff. Provide departmental leadership, support, resources and direction to staff. Assists in developing and maintaining a cohesive team with a high level of productivity, accuracy and quality to achieve departmental goals and objectives.

To initiate and coordinate a multidisciplinary team approach to case management. Engages the member/member’s representative in a care plan that assists the member in meeting his/her health and wellness goals. Collaborates, assesses, plans, facilitates, evaluates, and advocates to meet the comprehensive medical, behavioral, and psychosocial needs of the member, while promoting

To plan, organize, manage, and implement projects.

The Manager of Vendor Oversight: D-SNP supports sourcing, contract execution, and performance management for vendor partners that directly support Partnership Advantage Dual Eligible Special Needs Plan (D-SNP). This position is responsible for relationship management with assigned vendors, as well as oversight of the contractual performance, maintenance of the vendor to ensure performance and compliance, building governance structures (JOC/AOC), implementing performance monitoring frameworks and ensuring all vendors meet regulatory and operational requirements during D-SNP implementation and after go-live. This position will be responsible for building relationships with business owners across the organization including:...

To coordinate application request review meetings with IT Leadership, maintain detailed schedule of IT projects, provide project status reports, oversee the application request process and ensure that System Development Life Cycle (SDLC) process is followed.

  Manages day-to-day operations of transportation services and benefits offered by Partnership HealthPlan of California (Partnership). Provides leadership, support, and education to assigned staff, and maintains relationships with providers, Partnership contracted vendor(s), community partners, and county agencies, to promote collaboration and ensure smooth and consistent application of Partnership transportation benefits. Participates in various internal venues to enhance cooperation and understanding of how the transportation program interacts with other...

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

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.

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.

Under the direction of the Cost Avoidance Supervisor, the Cost Avoidance Specialist I monitors activities related to cost savings and recoveries of medical claim payments; identifies and verifies members other health coverage (OHI), updates system and recovers overpayment, and researches and validates provider refund checks. The Cost Avoidance Specialist interfaces with all departments in an information sharing capacity to promote proper payment procedures and timely cost effectiveness in claims payments.

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...

Perform routine and ad-hoc reporting and data management for internal and external users; assist in maintaining reporting systems within the department. To prepare, analyze, report, and manage data used for both plan-wide and regional decision making for evaluating performance in key quality measures and the effective use of health plan resources on a routine and ad hoc basis.

The Manager of Medicare Marketing and Sales will oversee the development and execution of Partnership’s Medicare D-SNP marketing and sales strategy focused on driving smart and measurable growth. The Marketing manager will lead a team that collaborates with Partnership leadership to understand the unique opportunities within each market and deliver on sales and retention goals.