Business Data Analyst, Consultant
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while...

Clinical Services Coordinator, Advanced
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Financial Analyst, Experienced
Oakland, CA; Long Beach, CA
Your Role The Managed Care Finance team administers the financial terms and conditions of our capitated contracts with IPA/Medical Groups, Hospitals, and Vendors. The Financial Analyst,...

Clinical Services Coordinator, Intermediate (Bilingual)
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The clinical services coordinator (CSC) will report directly to the supervisor of care management support operations and will serves as initial point of contact for providers a...

Clinical Services Coordinator, Specialist
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Service Coordinator, Specialist responsible for the daily operations within the Promise Health Plan Case Management Department for non clinical functions. The Lead...

Actuarial Analyst, Experienced
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Actuarial Reserving team develops Incurred but Not Reported (IBNR) reserve models and reporting while considering the impacts of emerging operational and trend dynamics on...

Business Data Analyst, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Back Office Analytics team supports back office operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider expe...

Case Management - Nurse, Senior (CA Children's Health)
Rancho Cordova, CA; Oakland, CA; Long Beach, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Children's Health Program (CHP) team provides identification, referrals, and care management for all Medi Cal members under 21 years old and collaborates within Promise Cli...

Actuarial Analyst, Associate
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Network Trend Analytics team is responsible for performing financial modeling and analytics for provider contract negotiations for hospitals and ambulatory surgery centers....

Clinical Services Coordinator, Intermediate
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Clinical Services Coordinator, Advanced (Bilingual)
Long Beach, CA; Oakland, CA; Lodi, CA; Los Angeles, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Services Coordinator (CSC) will report directly to the Supervisor of Promise Medi Cal Care Management. This individual will interact telephonically and electronica...

Clinical Quality Coordinator, Entry
Long Beach, CA; Oakland, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality team oversees and is responsible of HEDIS medical record review, pursuit, and overall HEDIS submission. The Clinical Quality Coordinator will report to the...

Corporate Citizenship, Principal- Sustainability
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Corporate Citizenship Sustainability team sets environmental strategy, standards and targets, collects and analyzes environmental data, conducts environmental reporting (in...

Clinical Quality Analytics, Senior
Oakland, CA; Long Beach, CA; El Dorado Hills, CA; Rancho Cordova, CA; San Diego, CA; Woodland Hills, CA
Your Role The Clinical Quality Analytics and Informatics team delivers best in class clinical quality analytics and informatics to enable high quality and affordable member centered care...

Supervisor, Operations
Woodland Hills, CA; Long Beach, CA; El Dorado Hills, CA
Your Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Sr. Manager for Medicare...