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Health Plan Of San Joaquin Jobs & Careers

14 Jobs Found

Health Plan of San Joaquin
Summary Under limited supervision, provides leadership in the Director of Financial Planning & Analysis provides leadership to the financial planning, analysis and budgeting functions, and provide financial decision support information, consistent ......
Health Plan of San Joaquin
Summary Under general supervision the Manager of Clinical Analytics is responsible for developing and implementing department business plans, and overseeing department operations in a manner that ensures that analysis is conducted to support busine......
Health Plan of San Joaquin
Summary Under general supervision, performs pre-certification of services requiring prior authorization. Essential Functions - Reviews and verifies data for accuracy and completeness. - Researches and obtains information on incomplete requests. ......
Health Plan of San Joaquin
Summary Under general supervision, the Intermediate Project Manager is responsible for overseeing the planning and implementation of medium to large scale projects consistent with PMO standards and HPSJ strategies and objectives. Work is varied and......
Health Plan of San Joaquin
Summary Under general supervision, performs pre-certification of services requiring prior authorization. Essential Functions - Reviews and verifies data for accuracy and completeness. - Researches and obtains information on incomplete requests. ......
Health Plan of San Joaquin
Summary Under general supervision, records medical-related cash, revenue and expenses in a manner that maintains the integrity of financial reports. This includes the GL data base and all work papers that support this data base. Essential Functi......
Health Plan of San Joaquin
Summary Under general supervision, the Business Intelligence (BI) manager is responsible for developing and implementing department business plans, and overseeing resources and department operations in a manner that ensures developing business user......
Health Plan of San Joaquin
Summary Under general supervision, records medical-related cash, revenue and expenses in a manner that maintains the integrity of financial reports. This includes the GL data base and all work papers that support this data base. Essential Func......
Health Plan of San Joaquin
Summary Under general supervision, provides specialized administrative support to an executive, senior manager or department. Essential Functions - Prepares a variety of complex correspondence, documents and reports. - Coordinates and staffs com......
Health Plan of San Joaquin
Summary Under direct supervision, responsible for performing routine and/or limited scope audits of provider information in HPSJ’s core claims and related systems. Essential Functions - Conducts audits of existing provider setup in HPSJ’s core c......
Health Plan of San Joaquin
Summary Under general supervision, responds to and resolves a variety of inquiries, requests and issues from external customers. Essential Functions - Provides information on benefits, eligibility, claims and authorizations over the phone and in......
Health Plan of San Joaquin
Summary Under general supervision, evaluates, assesses and reports medical expense data to identify opportunities for improvements in reimbursement policy, medical policy, quality, operations, and/or utilization. Essential Functions - Analyzes ......
Health Plan of San Joaquin
Summary Under limited supervision, the Controller is responsible for overseeing operations of the Finance Department in a manner that conforms to applicable organization, technical and statutory standards, and supports organization, division and de......
Health Plan of San Joaquin
Summary Under general supervision, researches and resolves claims pended by HPSJ system(s) to facilitate and complete processing. Essential Functions - Reviews data for accuracy and completeness. - Researches and analyzes pended claims to identi......