Job Search
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #66Wednesday, May 1, 2024Under the direction of the Health Promotion Manager, the Health Promotion Program Specialist leads ongoing Health Education Program initiatives, other Health Promotion Unit priorities and functions. Position overview Assess member and provider health education and cultural and linguistic needs to establish priorities intervention approaches for specific health issues and target populations. Develops and maintains community partnerships to support HPSM’s Health Education Program initiatives. ...Read more about Health Promotion Program SpecialistMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #65Tuesday, April 30, 2024The Speech and Language Pathologist will conduct assessments, provide recommendations, organize, and implement medically necessary services for youth in San Mateo County with HPSM insurance. This position is primarily in person and co-located at the Tower Street School in San Mateo. Position overview Process HPSM network referrals and complete the SLP assessment process to identify communicative and speech disorders through screening and testing. Make recommendations and implement an individ ...Read more about Speech and Language Pathologist (TEMP)More
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #64Thursday, April 25, 2024Internship & Fellowship Program 2024 Application Due by May 8, 2024 Health Plan of San Mateo’s Internship/Fellowship Program supports the recruitment, skill development, career growth, and retention of emerging managed care leaders by fostering a positive work environment with thoughtful and dedicated mentorship. The Internship/Fellowship Program is a paid opportunity to contribute meaningfully to HPSM’s organizational focus areas. Internship/Fellowship Scope This opportunity will provide the ...Read more about Internship/Fellowship ProgramMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #60Monday, April 8, 2024General Description Under the general direction of the Compliance Manager, the Compliance Specialist II gathers data for regulatory reports, performs technical analysis, conducts regulatory research and develops reports in support of the Compliance Department. Conducts analysis for complex projects, develops solutions, and coordinates projects. Acts as the subject matter expert and super user of Compliance software to ensure organizational compliance. Essential Functions: Conduct regular and ...Read more about Compliance Specialist IIMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #61Monday, April 8, 2024Under the general direction of the Government and Regulatory Affairs Manager, conduct internal and external audits that are routine and complex. Act as a subject matter expert resource to HPSM staff by providing a comprehensive explanation and interpretation of regulations and applicability to audits and audit findings. Essential Functions: Independently create and maintain auditing tools in accordance with standards and regulations established by the Department of Health Care Services (DHC ...Read more about Compliance Auditor IIMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #54Wednesday, April 3, 2024The Data Integration Manager leads a distinct unit within the organization that is responsible for data integration efforts to meet organizational needs. This position includes managing a team that includes Health Data Analysts, Web Developers, and IT Automation Engineers, designing effective integration strategies informed by diverse business needs, and working with Microsoft and other technologies. The role also includes integration with vendor solutions and managing vendor relations. Posit ...Read more about Data Integration ManagerMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Virtual ● Req #59Wednesday, April 3, 2024CareAdvantage Program Manager I Responsible for program development, integration, and execution in support of departmental processes, operations, and administrative efficiency for the CareAdvantage department. Responsible for engaging with internal and external stakeholders to develop, manage, and improve programs related to HPSM’s CareAdvantage members. The Program Manager provides operational support and relationship management for ongoing contracted provider and vendor delivered programs, wit ...Read more about CareAdvantage Program ManagerMore
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Health Plan of San Mateo, 701 Gateway Blvd., South San Francisco, CA, USA ● Virtual ● Req #58Monday, March 18, 2024General Description Develops and supports transitions of care services for members across HPSM’s post-acute, sub-acute and inpatient facilities. Supports optimal member outcomes and facilitates care coordination by building relationships and being a champion for change with providers and community partners. Position overview Essential Functions: Provide transitions of care services for complex cases across multiple levels of care including the following responsibilities: Facilitate ...Read more about Complex Care Clinical LiaisonMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #56Monday, March 11, 2024General Description Under close supervision, the Claims Examiner will perform the accurate review, entry and processing of all claims received for payment by HPSM. Essential Functions: Research rejected claims as necessary and re-adjudicate when resolved. Correspond as required to resolve rejected claims. Review reports, verifying accurate data and making corrections as appropriate. Review less complex edits to determine the appropriate handling for each including paying, denying, or pending ...Read more about Claims Examiner I (TEMP)More
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #55Friday, March 8, 2024Responsible for engaging with internal and external stakeholders to develop, manage, and improve Enhanced Care Management and Community Supports programs related to HPSM’s members under CalAIM. The Program Manager will have a focus on the Justice Involved and Birth Equity Populations of Focus providing operational support and relationship management for ongoing contracted, provider and vendor delivered programs with a focus on quality, accessibility, sustainability, and integration within HPSM. ...Read more about Program Manager, Enhanced Care Management - Justice InvolvedMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #52Monday, February 26, 2024General Description Under the general direction of the Director of Provider Services, the Provider Services Regulatory Program Manager develops, manages, and improves Provider Services (PS) regulatory and accreditation efforts (e.g. DHCS, DMHC, CMS, and NCQA). The PS Regulatory Program Manager serves as a subject matter expert, coordinates the submission of deliverables, authors regulatory reports and acts as a liaison across internal departments to enhance Provider Services regulatory complian ...Read more about Regulatory Program ManagerMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #51Tuesday, February 20, 2024The role of Member Services Program Supervisor demands a meticulous and results-driven professional with a penchant for maintaining order and excellence. This position requires overseeing the daily operations of a team of Program Specialists while expertly managing a personal caseload. Position overview Accomplish staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching, counseling, and implementing corrective action steps when necessary; co ...Read more about Member Services Program SupervisorMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #50Tuesday, February 20, 2024HPSM seeks a dedicated, experienced Systems Administrator to join our innovative IT team. If you’re passionate about maintaining network infrastructure, ensuring seamless systems operations, optimizing performance, troubleshooting complicated problems and implementing cutting-edge solutions, then we want to hear from you! A hybrid work option is available for California residents (that is, you must be able to work onsite at least part of the week). This position is not eligible for sponsorship. ...Read more about Systems Administrator IMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #48Tuesday, February 20, 2024Do you speak English and Tagalog fluently? You can help HSPM members with limited English proficiency get the most out of their health care benefits by joining our Member Services team! You’ll provide helpful customer service to people over the phone. Plus, you can work part of the time from home because a hybrid work option is available for California residents. (But you must be able to work onsite at least part of the week.) This position is not eligible for sponsorship. Position overview As ...Read more about Member Services Representative I - Bilingual TagalogMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #47Tuesday, February 20, 2024Do you speak English and Spanish fluently? You can help HSPM members with limited English proficiency get the most out of their health care benefits by joining our Member Services team! You’ll provide helpful customer service to people over the phone. Plus, you can work part of the time from home because a hybrid work option is available for California residents. (But you must be able to work onsite at least part of the week.) This position is not eligible for sponsorship. Position overview As ...Read more about Member Services Representative I - Bilingual SpanishMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #43Tuesday, February 20, 2024The Clinical Care Manager helps improve HPSM members’ health outcomes by performing comprehensive assessments, developing individualized care plans and coordinating interdisciplinary case conferences with network providers. They also ensure seamless care transitions and efficient utilization of resources by collaborating with various departments, providers, programs and community partners. A remote work option is available for California residents. This position is not eligible for sponsorship. ...Read more about Clinical Care ManagerMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #42Tuesday, February 20, 2024As a liaison between business and IT teams, this role ensures cost-effective solutions. Responsibilities include process analysis, project management, test script development, documentation, vendor management, and data analysis. Position is not eligible for sponsorship. Position overview Improving organizational and staff performance by analyzing/developing workflows, processes, and functional gaps and developing optimal solutions. Serving as project lead during application selection and impl ...Read more about Business System AnalystMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #49Tuesday, February 20, 2024The Health Plan of San Mateo (HPSM) is seeking a passionate and experienced Integrated Care Management Supervisor to join our team. In this pivotal role, you will work under the supervision of the Manager of Integrated Care Management and Director of Integrated Care, overseeing a multidisciplinary care team. As a Supervisor, you will ensure seamless transitions between levels of care for our members, promoting high-quality healthcare outcomes and a positive member experience. Position overview ...Read more about Integrated Care Management SupervisorMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #36Tuesday, February 20, 2024The Health Information Management Data Analyst plays a crucial role in supporting the Health Information Management Department's mission. This position offers a unique opportunity to contribute to the acquisition, analysis, and utilization of health information and data. That drives improved outcomes for our members, greater engagement with providers and enhanced data analytics strategies. A remote work option is available for California residents. This position is not eligible for sponsorship. ...Read more about Health Information Management Data Analyst IMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #35Tuesday, February 20, 2024As a bilingual Behavioral Health Care Management Specialist, you will serve as a member liaison, providing vital assistance with care management for HPSM members with behavioral health treatment needs. Your primary focus will be on responding to requests for behavioral health provider matching and guiding members receiving behavioral health care, ensuring they are linked to appropriate providers. You will collaborate closely with provider services to ensure seamless coordination and problem-solv ...Read more about Behavioral Health Care Management Specialist III - Bilingual SpanishMore