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Manager of Overpayment Recovery Services at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Team Leadership, Healthcare Finance, Claims Processing, Overpayment Recovery, Financial Reconciliation, Managed Care, Medical Coding, Data Mining, Project Management, Ms Excel, Business Objects, Highbond, Acl, Internal Audit, Compliance, Budgeting
Specialization
Requires a bachelor's degree in finance or accounting and at least five years of experience in healthcare finance or claims processing. Must have 3-5 years of supervisory experience and proficiency in medical coding and data mining tools.
Experience Required
Minimum 5 year(s)
Program Coordinator II at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Business Analysis, Data Tracking, Stakeholder Communication, Project Coordination, Event Planning, Meeting Facilitation, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Microsoft Visio, Problem Solving, Critical Thinking, Customer Service, Time Management, Documentation, Program Management
Specialization
Candidates must have a high school diploma and at least two years of project coordination experience. Proficiency in Microsoft Office and a valid California driver's license are required.
Experience Required
Minimum 2 year(s)
Pharmacy Technician I/Data Coordinator at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Treatment Authorization Requests (Tar), Data Entry, Eligibility Investigation, Benefit Investigation, Parx, Pharmacy Benefit Management, Customer Service, Data Extraction, Administrative Support, Windows Applications, Database Applications, Typing (40 Wpm), Medi Cal Knowledge, Pharmacy Technician Licensing
Specialization
Requires a high school diploma plus 2-3 years of college or technical school and related pharmacy experience. A valid California Pharmacy Technician license is required or must be obtained within six months of hire.
Experience Required
Minimum 2 year(s)
Authorization Specialist/ UM Trainer at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Utilization Management, Treatment Authorization Requests, Staff Training, Medical Data Entry, Ncqa Standards, Medical Necessity Review, Member Eligibility Verification, Interdisciplinary Collaboration, Organizational Skills, Verbal Communication, Written Communication, Software Implementation Testing
Specialization
Requires a Certified Medical Assistant credential or at least one year of experience in a medical/clerical field. Must possess a valid California driver's license and strong computer and communication skills.
Covenant Medical Center - Full-Time CRNA at NorthStar Anesthesia
Lubbock, Texas, United States - Full Time
Skills Needed
General Anesthesia, Major Vascular Anesthesia, Neuro Anesthesia, Obstetric Anesthesia, Gynecologic Anesthesia, Endoscopic Anesthesia, Ent Anesthesia, Ophthalmology Anesthesia, Orthopedic Anesthesia, Plastic Surgery Anesthesia, Podiatry Anesthesia, Urology Anesthesia, Regional Anesthesia, Trauma Anesthesia
Specialization
Must be a qualified Certified Registered Nurse Anesthetist (CRNA). Ability to work 8- or 10-hour weekday shifts in a hospital setting.
Experience Required
Minimum 2 year(s)
Medical City Fort Worth - Full Time CRNA at NorthStar Anesthesia
Fort Worth, Texas, United States - Full Time
Skills Needed
Anesthesia Care, Care Team Model, Heart Surgery Anesthesia, Endoscopy Anesthesia, Ent Anesthesia, General Surgery Anesthesia, Gyn Anesthesia, Neuro Anesthesia, Ortho Anesthesia, Plastic Surgery Anesthesia, Urology Anesthesia
Specialization
Qualified CRNA candidates, including new graduates or experienced providers, are eligible. No OB or pediatric experience is required for this position.
Southeastern Ohio Regional Medical Center - Full-Time Chief CRNA at NorthStar Anesthesia
Cambridge, Ohio, United States - Full Time
Skills Needed
Anesthesia Management, Clinical Leadership, Independent Practice, General Anesthesia, Orthopedic Anesthesia, Obstetric Anesthesia, Ophthalmology Anesthesia, Gastrointestinal Anesthesia, Pediatric Ent Anesthesia, Neurosurgery Anesthesia
Specialization
Must be a qualified CRNA capable of independent practice and leadership. Ability to handle pager call and a diverse range of surgical cases is required.
Experience Required
Minimum 10 year(s)
Specialty Orthopedics Surgery Center - Full-Time - CRNA at NorthStar Anesthesia
Gainesville, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Regional Anesthesia, Nerve Blocks, Spinal Anesthesia, Patient Care, Clinical Autonomy
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to both experienced practitioners and new graduates willing to learn specific clinical skills.
Experience Required
Minimum 2 year(s)
Atlanta Eye Surgery Center - Full-Time - CRNA at NorthStar Anesthesia
Atlanta, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Mac/Sedation Cases, Patient Care, Clinical Autonomy
Specialization
Must be a skilled Certified Registered Nurse Anesthetist (CRNA) who is a team player. Willingness to learn and train on specific skills is desired.
Experience Required
Minimum 2 year(s)
Limestone Surgery Center - Full Time - CRNA at NorthStar Anesthesia
Wilmington, Delaware, United States - Full Time
Skills Needed
Anesthesia Care, Clinical Care, Patient Monitoring, Surgical Assistance, Gi Suite Practice
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Ability to handle a diverse range of surgical cases in a freestanding surgery center environment.
Experience Required
Minimum 2 year(s)
Detroit Medical Center - PRN CRNA at NorthStar Anesthesia
Detroit, Michigan, United States - Full Time
Skills Needed
Anesthesia Administration, General Anesthesia, Orthopedic Anesthesia, Ent Anesthesia, Neurological Anesthesia, Cardiac Anesthesia, Ob/Gyn Anesthesia, Pediatric Anesthesia, Endocrine Anesthesia, Robotic Surgery Technology, Electronic Medical Records
Specialization
Must be a qualified Certified Registered Nurse Anesthetist (CRNA). Candidates should be motivated providers dedicated to clinical quality and patient-driven care.
Experience Required
Minimum 2 year(s)
OrthoGeorgia - Full-time CRNA at NorthStar Anesthesia
Macon, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Ultrasound Blocks, Orthopedic Surgery Care, Patient Recovery, Clinical Autonomy
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to new graduates and experienced practitioners willing to perform blocks.
The Surgery Center Columbus - Full-Time CRNA at NorthStar Anesthesia
Columbus, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Regional Blocks, Outpatient Surgery, Patient Care, Clinical Anesthesia
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). The facility accepts both new graduates and experienced providers.
Experience Required
Minimum 2 year(s)
City of Hope Cancer Center Atlanta - Full Time - CRNA at NorthStar Anesthesia
Newnan, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Cancer Care, Patient Monitoring, Clinical Care
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to both new graduates and experienced practitioners.
Supervisor of Utilization Management at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Staff Supervision, Utilization Management, Case Management, Performance Management, Medical Record Auditing, Regulatory Compliance, Interdisciplinary Collaboration, Clinical Nursing, Resource Allocation, Strategic Planning, Customer Service, Timecard Management, Staff Scheduling, Policy Development, Conflict Resolution, Data Entry
Specialization
Requires a current California RN license and an Associate or Bachelor's degree in nursing with 3-5 years of experience including staff supervision. Candidates should have managed care experience and knowledge of utilization management protocols and regulatory standards.
Experience Required
Minimum 5 year(s)
Coordinator I at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Data Entry, Administrative Support, Microsoft Office Suite, Sharepoint, Customer Service, Report Generation, Meeting Coordination, Problem Solving, Written Communication, Oral Communication, Interpersonal Skills, Organizational Skills, Spanish, Tagalog, Russian, Medical Clerical Experience
Specialization
Requires a high school diploma or equivalent and one year of related experience in the medical or clerical field. Proficiency in Microsoft Office, SharePoint, and strong communication skills are essential.
AV Support Technician at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Cisco Webex, Audio Visual Support, Cisco Telepresence, Extron Controls, Microsoft Teams, Network Security, Troubleshooting, Customer Service, Incident Management, Video Conferencing, Cisco Control Hub, Microsoft Windows, Office Products, Network Configuration, Technical Documentation, Av Installation
Specialization
Requires two or more years of AV industry experience with deep technical knowledge of Cisco Webex and Telepresence systems. An Associate or Bachelor degree in Computer Science or Engineering is preferred.
Experience Required
Minimum 2 year(s)
Sr. Program Manager at Partnership HealthPlan of California
Redding, California, United States - Full Time
Skills Needed
Program Management, Budget Management, Stakeholder Engagement, Project Management Methodologies, Financial Analysis, Risk Mitigation, Leadership, Strategic Planning, Communication, Problem Solving, Critical Thinking, Microsoft Visio, Microsoft Excel, Microsoft Powerpoint, Event Coordination, Coaching
Specialization
Requires a bachelor's degree and at least five years of relevant project management experience, or eight years of experience in lieu of a degree. Candidates must have experience managing complex projects with teams of 10 or more and possess a valid California driver's license.
Experience Required
Minimum 5 year(s)
Contracts Specialist at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Contract Negotiation, Managed Care, Provider Relations, Healthcare Contracting, Ms Excel, Ms Word, Ms Powerpoint, Hipaa Compliance, Consensus Building, Organization Skills, Detail Oriented, Communication Skills
Specialization
Requires a Bachelor's degree in Healthcare or a related field and at least three years of healthcare experience in managed care. Must have knowledge of California Medi-Cal and Medicare contracting and various reimbursement models.
Experience Required
Minimum 2 year(s)
Provider Relations Representative I at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Provider Relations, Healthcare Administration, Public Relations, Microsoft Office, Presentation Skills, Conflict Resolution, Case Management, Data Entry, Report Writing, Training And Education, Organizational Skills, Multi Tasking, Diplomacy, Research, Compliance Monitoring, Corrective Action Planning
Specialization
A bachelor's degree in healthcare administration, business, or public relations is preferred, along with experience in managed care or physician offices. A valid California driver's license and proof of insurance are required for travel.
Experience Required
Minimum 2 year(s)
Manager of Overpayment Recovery Services at Partnership HealthPlan of California
Fairfield, California, United States -
Full Time

Start Date

Immediate

Expiry Date

29 Aug, 26

Salary

154074.63

Posted On

31 May, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

No

Skills

Team Leadership, Healthcare Finance, Claims Processing, Overpayment Recovery, Financial Reconciliation, Managed Care, Medical Coding, Data Mining, Project Management, MS Excel, Business Objects, HighBond, ACL, Internal Audit, Compliance, Budgeting

Industry

Insurance

Description
Overview Under the direction of the Associate Director of Internal Audit or above, the Manager of Overpayment Recovery Services is responsible for overseeing the Provider Check Posting and Recovery Teams, while coordinating with administrative support to drive departmental initiatives. This role ensures accurate posting of provider payments, reconciles discrepancies, and manages the recovery of overpaid claims efficiently. The Manager will lead efforts to maintain financial integrity and compliance through effective oversight of claims processing and recovery operations. Responsibilities Team Leadership• Manages the Provider Check Posting Team and Recovery Unit, including recruitment, training, and performance oversight.• Coordinates workflow and delegates tasks to ensure timely and accurate completion of responsibilities.• Directly oversees the quality of work performed by the Cost Avoidance andRecoveries Team. Prioritizes and delegates tasks and projects.▪ Provider Check Posting Team Responsibilities• Posts provider checks and process check reissues.• Reconciles overpayments identified through internal audits and provider refunds. Recovery Unit Responsibilities• Prepares and reconciles check postings.• Initiates recovery of overpaid claims and issues refund request letters.• Collaborates with Claims to adjust claims and processes offsets.• Reconciles letters to receivables and creates receivables as needed.• Manages credit balance letters and monitors negative balances.• Collaborates with the FWA team to oversee Fraud, Waste, and Abuse recoupment monitoring activities and reports all recoupments to FWA.• Works with Overpayment Research Unit to identify trends and recommend corrective actions.• Monitors advanced payment and payment plans. Cross-Functional Collaboration• Partners with Finance, Claims, and other departments to ensure accuracy and compliance in payment processes.• Provides reporting on recovery amounts, overpayment reasons, and reconciliation status Process Improvement• Identifies and implements process enhancements to improve efficiency and accuracy in cost avoidance and recovery operations. Secondary Duties and Responsibilities▪ Works with IT to ensure accuracy of downloaded databases related to OHC.▪ Participates in special projects and assignments as needed.▪ Other duties as assigned Qualifications Education and Experience Bachelor’s degree in finance, Accounting, or related field preferred.Minimum five (5) years of progressive experience in healthcare finance or claims processing required; minimum two (2) years of managed care experience, preferably working with Medicaid and/or other government-sponsored programs; or an equivalent combination of education and experience. Minimum of 3-5 years of experience in a supervisory role required. Special Skills, Licenses and Certifications Knowledge of managed care finance principles and medical coding, including ICD-9, ICD-10, CPT, and HCPCS. Technical expertise in Business Objects, HighBond by Diligent, and/or ACL for use in data mining, preferred; highly proficient in MS Office with emphasis on advanced use of Excel. Ability to adapt to new technologies and applications. Performance Based Competencies Excellent oral and written communication skills. Strong project management skills. Ability to work independently to resolve issues. Ability to work on multiple projects simultaneously, often under strict time constraints and conflicting priorities. Ability to efficiently coordinate workflow among staff. Ability to effectively explain complex finance and utilize data in verbal, written, and graphical form. Work Environment And Physical Demands Ability to use a computer keyboard and 10-key calculator. Ability to spend more than 70% of work time in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 10 lbs. All HealthPlan employees are expected to: Provide the highest possible level of service to clients; Promote teamwork and cooperative effort among employees; Maintain safe practices; and Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated. HIRING RANGE: $118,518.94 - $154,074.63 IMPORTANT DISCLAIMER NOTICE The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Responsibilities
Oversees the Provider Check Posting and Recovery Teams to ensure accurate payment posting and efficient recovery of overpaid claims. Leads efforts to maintain financial integrity and compliance through cross-functional collaboration and process improvement.
Manager of Overpayment Recovery Services at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Team Leadership, Healthcare Finance, Claims Processing, Overpayment Recovery, Financial Reconciliation, Managed Care, Medical Coding, Data Mining, Project Management, Ms Excel, Business Objects, Highbond, Acl, Internal Audit, Compliance, Budgeting
Specialization
Requires a bachelor's degree in finance or accounting and at least five years of experience in healthcare finance or claims processing. Must have 3-5 years of supervisory experience and proficiency in medical coding and data mining tools.
Experience Required
Minimum 5 year(s)
Program Coordinator II at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Business Analysis, Data Tracking, Stakeholder Communication, Project Coordination, Event Planning, Meeting Facilitation, Microsoft Word, Microsoft Excel, Microsoft Powerpoint, Microsoft Visio, Problem Solving, Critical Thinking, Customer Service, Time Management, Documentation, Program Management
Specialization
Candidates must have a high school diploma and at least two years of project coordination experience. Proficiency in Microsoft Office and a valid California driver's license are required.
Experience Required
Minimum 2 year(s)
Pharmacy Technician I/Data Coordinator at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Treatment Authorization Requests (Tar), Data Entry, Eligibility Investigation, Benefit Investigation, Parx, Pharmacy Benefit Management, Customer Service, Data Extraction, Administrative Support, Windows Applications, Database Applications, Typing (40 Wpm), Medi Cal Knowledge, Pharmacy Technician Licensing
Specialization
Requires a high school diploma plus 2-3 years of college or technical school and related pharmacy experience. A valid California Pharmacy Technician license is required or must be obtained within six months of hire.
Experience Required
Minimum 2 year(s)
Authorization Specialist/ UM Trainer at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Utilization Management, Treatment Authorization Requests, Staff Training, Medical Data Entry, Ncqa Standards, Medical Necessity Review, Member Eligibility Verification, Interdisciplinary Collaboration, Organizational Skills, Verbal Communication, Written Communication, Software Implementation Testing
Specialization
Requires a Certified Medical Assistant credential or at least one year of experience in a medical/clerical field. Must possess a valid California driver's license and strong computer and communication skills.
Covenant Medical Center - Full-Time CRNA at NorthStar Anesthesia
Lubbock, Texas, United States - Full Time
Skills Needed
General Anesthesia, Major Vascular Anesthesia, Neuro Anesthesia, Obstetric Anesthesia, Gynecologic Anesthesia, Endoscopic Anesthesia, Ent Anesthesia, Ophthalmology Anesthesia, Orthopedic Anesthesia, Plastic Surgery Anesthesia, Podiatry Anesthesia, Urology Anesthesia, Regional Anesthesia, Trauma Anesthesia
Specialization
Must be a qualified Certified Registered Nurse Anesthetist (CRNA). Ability to work 8- or 10-hour weekday shifts in a hospital setting.
Experience Required
Minimum 2 year(s)
Medical City Fort Worth - Full Time CRNA at NorthStar Anesthesia
Fort Worth, Texas, United States - Full Time
Skills Needed
Anesthesia Care, Care Team Model, Heart Surgery Anesthesia, Endoscopy Anesthesia, Ent Anesthesia, General Surgery Anesthesia, Gyn Anesthesia, Neuro Anesthesia, Ortho Anesthesia, Plastic Surgery Anesthesia, Urology Anesthesia
Specialization
Qualified CRNA candidates, including new graduates or experienced providers, are eligible. No OB or pediatric experience is required for this position.
Southeastern Ohio Regional Medical Center - Full-Time Chief CRNA at NorthStar Anesthesia
Cambridge, Ohio, United States - Full Time
Skills Needed
Anesthesia Management, Clinical Leadership, Independent Practice, General Anesthesia, Orthopedic Anesthesia, Obstetric Anesthesia, Ophthalmology Anesthesia, Gastrointestinal Anesthesia, Pediatric Ent Anesthesia, Neurosurgery Anesthesia
Specialization
Must be a qualified CRNA capable of independent practice and leadership. Ability to handle pager call and a diverse range of surgical cases is required.
Experience Required
Minimum 10 year(s)
Specialty Orthopedics Surgery Center - Full-Time - CRNA at NorthStar Anesthesia
Gainesville, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Regional Anesthesia, Nerve Blocks, Spinal Anesthesia, Patient Care, Clinical Autonomy
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to both experienced practitioners and new graduates willing to learn specific clinical skills.
Experience Required
Minimum 2 year(s)
Atlanta Eye Surgery Center - Full-Time - CRNA at NorthStar Anesthesia
Atlanta, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Mac/Sedation Cases, Patient Care, Clinical Autonomy
Specialization
Must be a skilled Certified Registered Nurse Anesthetist (CRNA) who is a team player. Willingness to learn and train on specific skills is desired.
Experience Required
Minimum 2 year(s)
Limestone Surgery Center - Full Time - CRNA at NorthStar Anesthesia
Wilmington, Delaware, United States - Full Time
Skills Needed
Anesthesia Care, Clinical Care, Patient Monitoring, Surgical Assistance, Gi Suite Practice
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Ability to handle a diverse range of surgical cases in a freestanding surgery center environment.
Experience Required
Minimum 2 year(s)
Detroit Medical Center - PRN CRNA at NorthStar Anesthesia
Detroit, Michigan, United States - Full Time
Skills Needed
Anesthesia Administration, General Anesthesia, Orthopedic Anesthesia, Ent Anesthesia, Neurological Anesthesia, Cardiac Anesthesia, Ob/Gyn Anesthesia, Pediatric Anesthesia, Endocrine Anesthesia, Robotic Surgery Technology, Electronic Medical Records
Specialization
Must be a qualified Certified Registered Nurse Anesthetist (CRNA). Candidates should be motivated providers dedicated to clinical quality and patient-driven care.
Experience Required
Minimum 2 year(s)
OrthoGeorgia - Full-time CRNA at NorthStar Anesthesia
Macon, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Ultrasound Blocks, Orthopedic Surgery Care, Patient Recovery, Clinical Autonomy
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to new graduates and experienced practitioners willing to perform blocks.
The Surgery Center Columbus - Full-Time CRNA at NorthStar Anesthesia
Columbus, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Regional Blocks, Outpatient Surgery, Patient Care, Clinical Anesthesia
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). The facility accepts both new graduates and experienced providers.
Experience Required
Minimum 2 year(s)
City of Hope Cancer Center Atlanta - Full Time - CRNA at NorthStar Anesthesia
Newnan, Georgia, United States - Full Time
Skills Needed
Anesthesia Administration, Cancer Care, Patient Monitoring, Clinical Care
Specialization
Must be a Certified Registered Nurse Anesthetist (CRNA). Open to both new graduates and experienced practitioners.
Supervisor of Utilization Management at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Staff Supervision, Utilization Management, Case Management, Performance Management, Medical Record Auditing, Regulatory Compliance, Interdisciplinary Collaboration, Clinical Nursing, Resource Allocation, Strategic Planning, Customer Service, Timecard Management, Staff Scheduling, Policy Development, Conflict Resolution, Data Entry
Specialization
Requires a current California RN license and an Associate or Bachelor's degree in nursing with 3-5 years of experience including staff supervision. Candidates should have managed care experience and knowledge of utilization management protocols and regulatory standards.
Experience Required
Minimum 5 year(s)
Coordinator I at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Data Entry, Administrative Support, Microsoft Office Suite, Sharepoint, Customer Service, Report Generation, Meeting Coordination, Problem Solving, Written Communication, Oral Communication, Interpersonal Skills, Organizational Skills, Spanish, Tagalog, Russian, Medical Clerical Experience
Specialization
Requires a high school diploma or equivalent and one year of related experience in the medical or clerical field. Proficiency in Microsoft Office, SharePoint, and strong communication skills are essential.
AV Support Technician at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Cisco Webex, Audio Visual Support, Cisco Telepresence, Extron Controls, Microsoft Teams, Network Security, Troubleshooting, Customer Service, Incident Management, Video Conferencing, Cisco Control Hub, Microsoft Windows, Office Products, Network Configuration, Technical Documentation, Av Installation
Specialization
Requires two or more years of AV industry experience with deep technical knowledge of Cisco Webex and Telepresence systems. An Associate or Bachelor degree in Computer Science or Engineering is preferred.
Experience Required
Minimum 2 year(s)
Sr. Program Manager at Partnership HealthPlan of California
Redding, California, United States - Full Time
Skills Needed
Program Management, Budget Management, Stakeholder Engagement, Project Management Methodologies, Financial Analysis, Risk Mitigation, Leadership, Strategic Planning, Communication, Problem Solving, Critical Thinking, Microsoft Visio, Microsoft Excel, Microsoft Powerpoint, Event Coordination, Coaching
Specialization
Requires a bachelor's degree and at least five years of relevant project management experience, or eight years of experience in lieu of a degree. Candidates must have experience managing complex projects with teams of 10 or more and possess a valid California driver's license.
Experience Required
Minimum 5 year(s)
Contracts Specialist at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Contract Negotiation, Managed Care, Provider Relations, Healthcare Contracting, Ms Excel, Ms Word, Ms Powerpoint, Hipaa Compliance, Consensus Building, Organization Skills, Detail Oriented, Communication Skills
Specialization
Requires a Bachelor's degree in Healthcare or a related field and at least three years of healthcare experience in managed care. Must have knowledge of California Medi-Cal and Medicare contracting and various reimbursement models.
Experience Required
Minimum 2 year(s)
Provider Relations Representative I at Partnership HealthPlan of California
Fairfield, California, United States - Full Time
Skills Needed
Provider Relations, Healthcare Administration, Public Relations, Microsoft Office, Presentation Skills, Conflict Resolution, Case Management, Data Entry, Report Writing, Training And Education, Organizational Skills, Multi Tasking, Diplomacy, Research, Compliance Monitoring, Corrective Action Planning
Specialization
A bachelor's degree in healthcare administration, business, or public relations is preferred, along with experience in managed care or physician offices. A valid California driver's license and proof of insurance are required for travel.
Experience Required
Minimum 2 year(s)