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.

The system cannot access your location for 1 of 2 reasons:
  1. Permission to access your location has been denied. Please reload the page and allow the browser to access your location information.
  2. Your location information has yet to be received. Please wait a moment then hit [Search] again.
Click column header to sort

Search Results Page 1 of 1

Job Locations US-CA-Fairfield | US-CA-Redding
To begin Treatment Authorization Requests (TAR) reviews and perform data entry upon TAR determination by pharmacy staff. Performs eligibility and benefit investigations. Supports pharmacy department with extracting and collecting data for reporting needs. Supports department's administrative needs, and participates in special projects as assigned by pharmacy technician lead, supervisor, and departmental staff.
Job ID
2025-3648
FLSA Status
Non-Exempt
Job Locations US-CA-Redding
This position will provide support to the Finance/Facilities department at Reception desks, in the Mailroom and with various Facilities and/or Finance related projects. This position may interact with all internal Partnership staff, visitors and guests, as well as vendors, in the course of project related tasks.
Job ID
2025-3647
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Redding
To establish and maintain excellent relationships with the transportation provider network. Identifies service gaps and recruits new transportation providers to increase network adequacy. Works closely to identify and resolve complex issues, provides education and staff training to transportation providers and healthcare providers with members experiencing transportation access issues. Assists providers with understanding Partnership HealthPlan of California's transportation-related policies and procedures and assists with resolving issues that arise.
Job ID
2025-3641
FLSA Status
Exempt
Job Locations US-CA-Redding
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.
Job ID
2025-3635
FLSA Status
Exempt
Job Locations US-CA-Redding | US-CA-Fairfield
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
2025-3628
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Redding
The Enrollment Specialist I will assist in maintaining Medi-Cal membership and process basic functions of the Enrollment Unit. This position will review, research, and resolve Medi-Cal eligibility issues and systems related errors as well as primary care physician (PCP) assignment failures within established production and quality standards. Completes and processes reports and appropriately documents member records of actions taken to correct or update member records, PCP assignments etc. Processes reports to ensure primary care assignment is appropriate, processes certain authorized representative forms and document members records appropriately. Reports eligibility discrepancies and deceased members to appropriate counties and adds newborn records upon request...
Job ID
2025-3625
FLSA Status
Non-Exempt
Job Locations US-CA-Redding | US-CA-Chico | US-CA-Auburn
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
2025-3622
FLSA Status
Non-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
2025-3621
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Redding | US-CA-Redding | US-CA-Eureka | US-CA-Auburn | US-CA-Chico
The Quality Data Validation Analyst is responsible for improving the quality and completeness of data used for Partnership’s Healthcare Effectiveness Data Information Set (HEDIS) reporting initiative. This position will focus on sets of measures required by federal and state regulatory bodies and collaborates with internal and external stakeholders to improve the exchange of clinical data that meets the requirements for use in the reporting and ensures that services completed within Partnership’s provider network are accurately leveraged in the HEDIS Project. This position is a key stakeholder on Partnership’s implementation of a Data Aggregator vendor solution and will partner with the vendor and internal...
Job ID
2025-3619
FLSA Status
Exempt
Job Locations US-CA-Chico | US-CA-Auburn | US-CA-Redding
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
2025-3608
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Redding
The Configuration Analyst provides both operational support to, and analysis of, lower complexity Configuration-related activities. The Configuration Analyst creates, updates, tests and maintains system configuration to support all benefit designs and ensure successful configuration, integration, and accurate and timely payment of claims and all PHC systems. Coordinates testing, quality assurance, configuration, installation, and support to ensure smooth, stable and timely implementation of technology solutions, considering all the areas that a change may impact in the current benefit setup and determine the most appropriate way to implement the change (e.g., research and...
Job ID
2025-3606
FLSA Status
Exempt
Job Locations US-CA-Fairfield | US-CA-Redding | US-CA-Eureka | US-CA-Chico | US-CA-Auburn
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
2025-3596
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Redding
To Act as a Long Term Services and Supports (LTSS) Provider Liaison-Long Term Care Facilities and Skilled Nursing Facilities (SNF) including the responsibility of collaborating with internal departments to identify process improvement and maintaining consistent knowledge of benefit changes from the Department of Health Care Services.
Job ID
2025-3595
FLSA Status
Exempt
Job Locations US-CA-Redding
To provide administrative support to the department head, leadership team, and staff as assigned.
Job ID
2025-3581
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Santa Rosa | US-CA-Redding | US-CA-Eureka | US-CA-Chico | US-CA-Auburn
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
2025-3573
FLSA Status
Non-Exempt
Job Locations US-CA-Redding
The Floater will provide support to the Finance/Facilities department at Reception desks, in the Mailroom and with various Facilities and/or Finance related projects. This position may interact with all internal PHC staff, visitors and guests, as well as vendors, in the course of project related tasks.
Job ID
2025-3562
FLSA Status
Non-Exempt
Job Locations US-CA-Redding
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
2025-3554
FLSA Status
Non-Exempt
Job Locations US-CA-Fairfield | US-CA-Redding | US-CA-Redding
The Customer Service Representative I will answer and resolve provider telephone and written inquiries within established time frames. This position will accurately screen correspondence, perform research, refer to appropriate team as necessary, track follow-up to ensure completion, document all interactions with providers, research and complete various tasks, as appropriate for individual roles, such as claims review, provider dispute resolutions, provider surveys, provider change forms and paper and electronic correspondence within established time frames, applying appropriate program policies.
Job ID
2025-3547
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 | 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