Partnership HealthPlan of California

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.

 

To learn more about Partnership HealthPlan of California, please visit PartnershipHP.org. To go back to the Careers page, click here.

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Search Results Page 3 of 3

Job Locations US-CA-Fairfield | US-CA-Redding
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 develops forms and presentations.
Job ID
2025-3520
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Redding | US-CA-Santa Rosa | US-CA-Eureka | US-CA-Auburn | US-CA-Chico
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
2025-3506
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
Responsible for the delivery of business intelligence solutions across the enterprise. Manages deployment, maintenance, and support of data access tools and reports.
Job ID
2025-3501
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To serve as first level production support for conference rooms, desktops, phones, printing, software and other computer related operations.  Analyzes, investigates, and resolves reported issues. Determines underlying sources for problems and escalates issues to next level of support if necessary.
Job ID
2025-3493
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Chico
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.
Job ID
2025-3483
FLSA Status
Exempt
Job Locations US-CA-Fairfield
The EDI Application Administrator is responsible for the installation, configuration, maintenance, and support of EDI software applications within the organization. This role ensures the optimal performance, availability, and security of applications to meet business needs and user requirements.
Job ID
2025-3455
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa | US-CA-Redding | US-CA-Eureka | US-CA-Chico | US-CA-Auburn
Under guidance from the CC Manager of Regulatory Performance, the Clinical Advisor is responsible for drafting, editing, reviewing, auditing, tracking, monitoring and maintaining policies and procedures for Partnership HealthPlan of California. Alongside designated organizational leadership ensures compliance with governing rules, regulations, and/or accreditation standards. Reviews both draft and final All Plan Letters (APLs) and/or regulatory changes and supports leaders with the research, planning, implementation and/or operational readiness submissions across the organization. The Clinical Advisor may support new and ongoing training and staff support needs within the Care Coordination department through the translation...
Job ID
2025-3429
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
To design, develop, and test client server and web applications at PHC. To work with the Director of Web Applications Development in the design, development, testing, and deployment of web and desktop applications. Works closely with IT staff in developing applications for business needs supporting AMISYS Advance and networked systems. The Senior Web Applications Developer is responsible for designing, developing, testing, and supporting Web Applications.
Job ID
2025-3418
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Redding | US-CA-Eureka | US-CA-Chico | US-CA-Auburn
The Training and Education Coordinator will design the training program for the Utilization Management (UM) Department’s data platforms, medical necessity software, and department policies and procedures in consultation with UM Supervisors and Managers
Job ID
2025-3415
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa
In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.
Job ID
2024-3384
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | 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
2024-3367
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | 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
2024-3366
FLSA Status
Non-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
Job ID
2024-3207
FLSA Status
Exempt
Job Locations US-CA-Fairfield
Responsible for the development of all processes necessary to complete all phases of the Enterprise Data Warehouse (EDW). This includes source identification, data collection, data transformation, normalization, rule administration, error detection and correction, data consolidation, data storage, data distribution, schema mapping, data enrichment, and data governance.
Job ID
2024-3203
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa
In collaboration with Care Coordination team members, this position provides support and guidance to HealthPlan members referred to the Care Coordination Department for Case Management services and programs. The Health Care Guide I works closely with members, families, providers, community agencies, and the interdisciplinary care team to assist in coordination of benefits in a timely and cost-effective manner, while connecting members to available internal and external resources.
Job ID
2024-2949
FLSA Status
Non-Exempt