Job Listings


Here are our current job openings. Please click on the job title for more information, and apply from that page if you are interested.  The hiring range is based on many factors such as geography, experience, education, and the market.  The range is subject to change.  

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Search Results Page 1 of 3

Job Locations US-CA-Fairfield | US-CA-Redding
The incumbent utilizes clinical judgement in providing utilization management services.  The focus is to provide high quality, cost-effective care which will enable patients to achieve maximum medical improvement while receiving care deemed medically necessary.  Assists in determining appropriateness, quality and medical necessity of treatment plans using pre-established guidelines.  This position may be assigned cases in long-term care and ancillary, DME or medical services.
Job ID
2024-2923
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Redding | US-CA-Santa Rosa
To research and resolve complex claims issues which cross interdepartmental lines and communicate the outcome to providers and affected PHC managers. Develops and maintains provider training materials for all lines of business. Conducts provider trainings across PHC departmental lines in group or individual provider settings.
Job ID
2024-2922
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Redding
To develop, implement, improve, and manage assigned programs. The Program Manager I is responsible for the overall success for the assigned program(s) and their role extends beyond completion of individual tasks.  Programs are ongoing, which may include aligned projects and requires strategic planning and continuous improvement efforts after program startup.  Participates in the design, implementation, and/or expansion of strategic programs and departmental initiatives. Supports the development and execution of program goals, outcome measures, and program reporting.
Job ID
2024-2921
FLSA Status
Exempt
Job Locations US-CA-Eureka
To provide administrative support to the department head, leadership team, and staff as assigned.
Job ID
2024-2918
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
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.
Job ID
2024-2917
FLSA Status
Exempt
Job Locations US-CA-Fairfield
Under the direction of the Cost Avoidance Manager, the Cost Avoidance Specialist II 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 II interfaces with all departments in an information sharing capacity to promote proper payment procedures and timely cost effectiveness in claims payments.
Job ID
2024-2916
FLSA Status
Exempt
Job Locations US-CA-Fairfield
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.
Job ID
2024-2915
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka
To provide Basic Population Health Management services for members which includes engaging with members individually or as part of a group to support lifestyle modifications to manage chronic diseases, to identify care gaps and needed services, and to aid Partnership members in maintaining wellness. Healthy Living Coaches shall also serve as a resource about Partnership member benefits as well as Population Health programs and services.
Job ID
2024-2912
FLSA Status
Exempt
Job Locations US-CA-Fairfield
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.
Job ID
2024-2911
FLSA Status
Exempt
Job Locations US-CA-Fairfield
The Senior Healthcare Data Analyst I contributes to the overall success of the organization by developing analytic solutions that support activities related to health services utilization management, care coordination, quality improvement and population health. Through analyzing patient claims, member enrollment, and other data, the Senior Healthcare Data Analyst participates in identifying progress, performance and opportunities for improvement on programs, quality of care, patient experience, and other metrics. This position requires a thorough understanding of healthcare data and workflows, combined with an extensive experience working with large data sets, conducting data analysis, including standard statistical software (SAS), and creating reports using Tableau.
Job ID
2024-2908
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To provide clerical and general office support for department functions.
Job ID
2024-2907
FLSA Status
Non-Exempt
Job Locations US-CA-Chico
To effectively communicate and implement project management methodologies required to drive the planning, implementation, and tracking of projects through all aspects of the project lifecycle. Project Managers are responsible for the planning, procurement and execution of a project. Projects are time bound with a distinct start and end point. Ensure accuracy, consistency, and thoroughness of projects.
Job ID
2024-2905
FLSA Status
Exempt
Job Locations US-CA-Eureka | US-CA-Fairfield | US-CA-Redding | US-CA-Santa Rosa
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 quality and cost-effective outcomes.
Job ID
2024-2904
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
This position is responsible for being the primary lead for research and resolution of complex provider data issues. Extracts, manipulates, analyzes, and evaluates accuracy of provider data for regulatory reporting and new program implementations and ensures compliance with state and federal regulatory requirements. Trains or facilitates training for learning how to use PR’s provider data system, reconciling discrepancies, preparing regulatory and internal reports and understanding the provider network. Serves as the provider data steward assisting the Information Technology department and others in defining report specifications and building programs. Oversees and/or completes projects with high complexity and assists other staff with day-to-day operational activities. Coordinates and/or completes projects with medium to high complexity. Participates in complex interdepartmental initiatives.
Job ID
2024-2903
FLSA Status
Exempt
Job Locations US-CA-Redding
To coordinate member Non-Emergency Medical (NEMT) Transportation, Non-medical Transportation (NMT) transportation and related travel benefits for members.
Job ID
2024-2902
FLSA Status
Non-Exempt
Job Locations US-CA-Redding | US-CA-Fairfield
To plan, organize, manage, and implement projects.
Job ID
2024-2899
FLSA Status
Non-Exempt
Job Locations US-CA-Chico
To provide administrative support to the department head, leadership team, and staff as assigned.
Job ID
2024-2898
FLSA Status
Non-Exempt
Job Locations US-CA-Auburn
To provide administrative support to the department head, leadership team, and staff as assigned.
Job ID
2024-2897
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
The AV Support Specialist will develop and implement solutions that optimize Partnership HealthPlan’s video collaboration capabilities, while also providing guidance and support to other team and staff members. This position will be required to troubleshoot and problem-solve quickly and efficiently. The AV Support Specialist will be an integral part of our IT Operations team.
Job ID
2024-2896
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To provide coordination and administrative support to department managers. Performs a variety of general clerical duties, including data entry, report generation, and develops forms and presentations.
Job ID
2024-2894
FLSA Status
Non-Exempt