Health Plan of San Mateo
Health Plan of San Mateo Jobs & Careers
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a Member Services Representative to provide customer and support services to members of the Health Plan of San Mateo (HPSM) in the Medi-Cal, Healthy Kids, ACE, and HealthWorx programs. Primary duties: Provide customer service to HPSM members/participants primarily on the phone. Answer member/participant questions and/or refer t...
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Marketing Product Specialist to work cross-departmentally, analyze regulatory agency marketing requirements; effectively communicate findings to all HPSM staff; develop and update materials to meet regulatory needs; and properly submit marketing materials, track statuses, and update staff of findings, all in a timel...
The Health Plan of San Mateo (HPSM) seeks a full-time Program Specialist to provide customer service and support to participants in the ACE and MCE Programs; maintain a strong working knowledge of the ACE and MCE Programs and processes with an emphasis on ensuring timely and accurate participant eligibility processing and customer support; and work with staff at a number of agencies including the...
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Project Specialist to provide support in the planning, implementation, and management of projects relating to technology and operational initiatives across all product lines. Assignments will be conducted by the incumbent with a large degree of independence. This position will report to the Special Projects Manager,...
Practitioner to provide medical care coordination services to the GRACE (Geriatric Resources for Assessment and Care of Elders) Program. The goal of the GRACE model is to optimize health and functional status, decrease excess healthcare use, and prevent long-term nursing home placement. The GRACE model is built to improve the care of older adults and includes integration of the geriatrics team wit...
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a Care Coordination/Developmentally Disabled RN Case Manager (Care Coordination Nurse Case Manager) to perform comprehensive assessments, develop individualized care planning, initiate and coordinate case conferences with providers of service, make medical determinations regarding appropriateness of service and determine medica...
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Project Specialist to provide support in the planning, implementation, and management of projects relating to Health Services across all product lines. Provide ongoing operational and analytical support for cross-departmental projects related to Health Services initiatives. Assignments will be conducted by the incum...
The Health Plan of San Mateo (HPSM), a managed care health plan, seeks a full time Provider Dispute Resolution Assistant to input data into the PDR electronic database to establish PDR case files, answer phone calls from providers, prepare and send acknowledgement letters and CMS waiver of liability forms to non-contracted providers disputing a payment for CareAdvantage, prepare case files for the...
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