Health Plan of San Mateo Jobs & Careers

6 jobs

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Care Coordination Social Work Case Manager to carry out complex case management activities for HPSM members referred to the Care Coordination program in order to facilitate and promote quality, cost effective outcomes and minimize fragmentation of health care delivery. Case management will encompass ongoing assessme...

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Claims Specialist to review and resolve a weekly caseload of claims, with varying degrees of complexity, within established timeframes and adhering to appropriate program policies and procedures. The Claims Specialist reviews medical, facility (inpatient and outpatient), supplies and DME claims that require interven...

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Claims Specialist to research and resolve problems and issues related to their area of specialty. The CareAdvantage Claims Development Specialist will contact non-contracted providers via telephone and correspondence, and resolve and develop pended claims within a timely manner in accordance with CMS guideline and a...

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Utilization Review Nurse to perform utilization reviews ensuring that HPSM members receive necessary medical care in a timely and cost-effective manner. This position will report to the Health Services Utilization Review Manager. Primary duties: Ensures medically appropriate, high quality, cost effective care by a...

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Director of Human Resources to oversee a comprehensive human resources program, including but not limited to staffing, recruitment, training, benefits, payroll, personnel, performance appraisal monitoring, compensation, and compliance with employment laws. This position will report to the Chief Executive Officer (CE...

Health Plan of San Mateo
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Facility Administration Support Assistant I to serve as part of a core team that provides internal administrative support for the entire organization, perform timely processing of Medi-cal and Hospital Explanation of Payment (EOPs), and provide clerical support for mailroom coverage operation, including photocopy pr...