To facilitate access to medical care by coordinating Non-Emergency Medical (NEMT) Transportation, Non-Medical Transportation (NMT) transportation and travel-related benefits for members. Coordinates care in collaboration with internal and external partners to help members overcome barriers to care created by lack of transportation.

The Supervisor of Provider Systems will supervise the day-to-day operations of the Provider Relations (PR) Department functions involving provider data used for operations, reporting and claims processing. Provides supervision, support and guidance to the PR Systems staff. Monitors inventory and disseminates work based on timeliness standards and competing priorities.

In collaboration with departmental and organizational leadership, supports the organization’s Population Needs Assessment activities through active and meaningful engagement in identified community workgroup and initiatives. On behalf of the health plan identifies and supports, key strategic activities and interventions that support alignment of collective agency efforts that promote and support efforts to encourage member health outcomes.

To plan, organize, manage, and implement projects.

The Accountant II-Cash Management (Banking Operations) position will be a key member of the cash management team and is responsible for various treasury functions, including monitoring and recording of daily bank transactions, completing month end close and reconciliation activities related to bank and investment account activity and will assist in the completion and analysis of various cash and treasury related reports such as the cash flow statement, cash flow projections and investment reports. Banking activity includes managing the information flow from the banks and to the banks.   This position will be one of the main points of contact for external parties such as bankers...

To prepare, analyze, report, and manage compliance of PHC’s Wellness & Recovery program, through both internal and external efforts. Works collaboratively with departments companywide to identify data needs, develop and maintain tools, and complete accurate reporting of compliance.

The Epidemiologist will work with the Chief Medical Officer and collaboratively with Health Services leaders and stakeholders to plan, design, implement, and analyze data for key projects and initiatives. The Epidemiologist will monitor population health outcomes, provide recommendations for improvement, evaluate program practices, and contribute to evidence-based decision-making in support of Partnership’s mission.

To be responsible for executing and managing diversity, equity, and inclusion (DEI) training programs and initiatives to enhance the skills, knowledge and performance of the company, network provider, subcontractors, downstream subcontractors, etc. Participates in DEI training meetings. Supports DEI Training all plan letter requirements set forth by DHCS. Supports monitoring of training completion of Partnership staff, network providers, subcontractors, downstream subcontractors etc.

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.

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.

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.

The Senior IT Project Manager is responsible for the successful delivery of large-scale, complex projects often involving multiple internal and external stakeholders through all phases of the SDLC. The Senior IT Project Manager helps set and follow clear project management standards including project plans, change controls, risk management, and other project management documents on given strategic initiatives. The Senior IT Project Manager assists in developing standards, managing the enterprise IT project priority list with IT Directors, and assists in IT Steering Committee meetings if needed. This position reports to the Director of IT Strategic Initiatives 

Manages the administration of various Human Resources (HR) functions including employee relations, performance management, employee development, process improvement, and other development initiatives that support general HR administration. Works closely with HR upper management to establish policies and implement procedures to accomplish the goals and objectives of Partnership within budget and within applicable legal requirements.

To lead the data quality improvement efforts throughout the organization. The Senior Data Quality Analyst uses their in-depth knowledge of the data and its potential quality issues to recognize and resolve data quality issues prior to them becoming data problems. This position provides organizational and technical support for the analysis, improvement and documentation of all data quality improvement efforts. This position writes the process and procedures to recognize and resolve on-going data issues. This positions is responsible to develop and implement long-term quality strategies, identify quality gaps, implement reporting processes in order to track quality improvements, enhance current systems, define and prioritize...

To be the active project manager to deliver successful projects. Sets and follows clear project management standards including project plans, risk registers, and other project management documents. Responsible for the successful delivery of IT projects and assists in developing standards, managing the enterprise IT project priority list, and IT Steering Committee meetings. 

The Senior Data Scientist I plays a pivotal role in utilizing data to generate insights, applying advanced statistical or machine learning methodologies, solving complex business problems, and influencing decision-making across the organization. This position reports to the Data Science Manager of the Health Analytics unit.

  To support the overall financial success of PHC by providing senior level responsibilities in the preparation and analysis of Generally Accepted Accounting Principles (GAAP) financial statements, statutory financial reports, budget development and internal operational reports.  Position maintains a significant role in the maintenance of the general ledger and the month end close process.  The Senior Accountant is responsible for or assists with the maintenance and configuration of the accounting systems as well as being an advance user.  The Senior Accountant has excellent analytical skills and a thorough knowledge of accounting...

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 successful candidate will be responsible for overseeing grievance and appeal reviews, as well as conducting cultural and linguistic reviews for our subcontractors to ensure alignment with our commitment to diversity and inclusion. This role will provide support to department on promoting health equity within our organization and in the community, ensuring fair and just access to healthcare services for all members.

To be the active project manager to deliver successful projects. Sets and follows clear project management standards including project plans, risk registers, and other project management documents. Responsible for the successful delivery of IT projects and assists in developing standards, managing the enterprise IT project priority list, and IT Steering Committee meetings.