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 3 of 3

Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Santa Rosa | US-CA-Redding
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
2024-2851
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
To assist in the improvement of PHC’s Health Services business processes and systems through the identification, analysis, and recommend actions for improvement. Provides systems support of operating and business goals of the health plan as a whole. This position collaborates with the Finance, Information Technology (IT) and Data Warehouse (DW) teams to develop and support organization-wide reporting. The incumbent participates in gathering and documenting report requirements. Responsible for designing, building and administering reporting solutions for requesting departments. Assists departmental Business/Data Analysts in developing reports using the available Business Intelligence (BI) tools. Will develop ad-hoc reports for business users as applicable. Participates in the design and development of the reporting infrastructure using SQL Server technologies and BI reporting tools (Tableau, SAS, Business Objects).  
Job ID
2024-2850
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To provide organizational and technical support for the analysis, design, configuration, and documentation of PHC’s computer systems, and technical and problem resolution support to the systems user community. The Senior IT Business Analyst addresses complex systems issues and may work with technical leads and business users to resolve issues; works with business users to gather requirements and recommends a solution, including new systems and functionality; may provide training to business users and IT personnel; and provides coaching and guidance to IT Business Analysts. This position may function independently and applies depth of experience gained from previous successful assignments.
Job ID
2024-2847
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Redding | US-CA-Santa Rosa
To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Creates appropriate documentation that reflects the actions taken and status of the claim. Generates provider communication, such as letters. Routes and tracks claims requiring review by other staff and departments, and processes when possible.
Job ID
2024-2844
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
To provide clerical and general office support for department functions.
Job ID
2024-2842
FLSA Status
Non-Exempt
Job Locations US-CA-Auburn | US-CA-Chico
Under the direction of the Manager of Performance Improvement, the Improvement Advisor is uniquely positioned to drive improvement across PHC, our provider network, and the communities we serve. The Improvement Advisor will work internally and externally with provider practices and community partners to identify, plan, and facilitate quality improvement projects. Via individualized facilitation, this position will coach and train improvement teams to build team members’ quality improvement (QI) skills, develop their organizational capacity for QI work, and help them meet their specific QI goals. In addition to working directly with improvement teams, the Improvement Advisor will join PHC’s Performance Improvement training team, and will facilitate workshops and learning collaborative sessions on topics such as improvement methodology, QI measurement, process improvement, project management, and change management.
Job ID
2024-2841
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Creates appropriate documentation that reflects the actions taken and status of the claim. Generates provider communication, such as letters. Routes and tracks claims requiring review by other staff and departments, and processes when possible.
Job ID
2024-2834
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Santa Rosa | US-CA-Redding
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
2023-2828
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa | US-CA-Redding
To research and resolve provider telephone and written inquiries within established time frames, accurately screen claims, and participate in provider meetings and projects. To accurately research and process paper and electronic medical, outpatient, ancillary, long term care, CHDP, encounter data and paper crossover/other coverage claims within established time frames, applying appropriate program policies related to claims processing and analysis.
Job ID
2023-2811
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
To oversee active project management and 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.
Job ID
2023-2804
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To support the financial reporting and analytical processes by analyzing actual performance against budget for profit and loss information and other data in order to identify, evaluate, and communicate drivers of performance. Develops, coordinates, and is directly involved in projects and activities that help drive business decisions, affect provider reimbursement programs such as P4P, and provider capitation configuration. Works collaboratively with staff in Finance/Accounting in the ongoing analysis and reporting of all aspects of the income statement and other operating metrics.
Job ID
2023-2764
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To assist in the negotiation, development, implementation, and maintenance of new and existing professional, facility, and ancillary contracts for the PHC provider network. The Contract Specialist will also be responsible for supporting daily contracting activities as follows:
Job ID
2023-2763
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Redding | US-CA-Santa Rosa
Reporting to the Chief Strategy and Government Affairs Officer, have responsibility for supporting leadership and staff in the development and launch of Partnership’s Medicare Dual Special Needs Plan (D-SNP) as well as the ongoing compliance and high-quality operational performance of staff and the program. To work cross functionally with stakeholders across the enterprise, supporting leadership and staff in the development and launch of Partnership HealthPlan’s Medicare Dual Special Needs Plan (D-SNP) as well as the ongoing compliance and high-quality operational performance of staff and the program.   Using project management skill set, this position will effectively communicate and implement project management methodologies to support operational planning, serve as a Medicare subject matter expert and, in collaboration with operational leaders, provide recommendations on process improvements and lead the program(s) to meet critical compliance and operational needs. Support the Chief Strategy and Government Affairs Officer (CSGAO) in leading and maintaining effective organizational structure for a Medicare D-SNP.
Job ID
2023-2751
FLSA Status
Exempt
Job Locations US-CA-Fairfield
The EDI Analyst is accountable for developing best business practice knowledge and supporting the business in integrating into the EDI solutions (standards and non-standard EDI systems). The EDI Analyst will also be assisting EDI team in maintaining and running processes/jobs for electronic claims and other EDI transactions which include working with external trading partners, transferring data through secure channels, loading the data to the production environment, and testing files from new providers/trading partners.
Job ID
2023-2732
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Eureka | US-CA-Redding | US-CA-Santa Rosa
The Manager of Care Coordination (CC) will lead and support the department leadership in the development, implementation and evaluation of Partnership’s clinical case management services. Collaborates with Supervisor(s) to oversee the department activities and provides guidance to manage these functions to enhance cost effectiveness, ensure compliance with applicable state and federal regulations, and to fulfill all contractual requirements.
Job ID
2023-2723
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa | US-CA-Redding | US-CA-Redding | US-CA-Eureka
Primary duty of the CSR III is to routinely process CIFs. They will be responsible to learn all CIF claim types within 18 months of accepting position.
Job ID
2023-2680
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield
The Director of Web Applications Development is responsible for managing concurrent web and desktop development initiatives, including project level resource assignments, time estimates, and project planning details. Lead development team through the project lifecycle, from concept design to launch to maintenance, utilizing version control, bug tracking, and related change control processes. The Director will also work closely with the other IT management staff to coordinate all IT related projects that affect multiple functional teams within the IT department and will be the lead on the project management of these initiatives. The Director will also develop all policies and procedures related to application development within the Web Applications area.
Job ID
2023-2631
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To effectively maintain, implement, and communicate IT Security, Disaster Recovery and Business Continuity (DR/BC) programs and activities. Develops and maintains programs to support the organization and IT’s strategic direction. The Sr. IT Operations Security Analyst is responsible for the planning, communication, ongoing support, and execution of program improvements and coordination between multiple IT programs. Leads program management for cross-functional, internal, external, and complex programs and may directly supervise program roles.
Job ID
2022-2468
FLSA Status
Exempt
Job Locations US-CA-Fairfield
To oversee active project management and 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.
Job ID
2022-2452
FLSA Status
Exempt