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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Health Plan of San Mateo, 701 Gateway Blvd., South San Francisco, CA, USA ● Req #89Friday, August 16, 2024Provider Contract Specialist Perform a variety of technical tasks related to the planning, development, negotiation, coordination, and monitoring of HPSM provider contract activities; make program-related decisions; ensure contracts meet regulatory criteria; and establish basic program policies and coordinate functions with other HPSM departments. Position overview Essential Functions: Act as primary point of contact for provider contracts and MOUs/LOAs interpretation, and provider dispute as ...Read more about Provider Contract SpecialistMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #87Thursday, August 15, 2024Under the direction of the Director of Behavioral Health, the Behavioral Health Manager is responsible for leading member, team, and cohort level treatment needs of our members. This role will help create and implement initiatives targeting continuity of care between physical and behavioral health to promote wellness of HSPM members. With a focus on supporting the process and Care Management for members with Behavioral Health treatment needs with HPSM providers or the County Mental health plan o ...Read more about Behavioral Health ManagerMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #85Wednesday, July 31, 2024The Provider Contract Coordinator maintains and manages our provider contracts data to ensure smooth operations and effective relationships with both non-contracted and contracted network providers. This role collaborates closely with various internal departments and external providers to facilitate accurate provider contracts and credentialing data. Position overview Assist in the preparation, review, and execution of provider contracts, amendments, renewals, and Letter of Agreements. Work c ...Read more about Provider Services Contracts Coordinator - TemporaryMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Virtual ● Req #80Thursday, June 27, 2024Provider Services Supervisor The Provider Contract Supervisor is responsible for overseeing the negotiation, analysis, and implementation of hospital, provider, and ancillary provider agreements as well as single case agreements across all lines of business. This role entails supervising a team of contract specialists, providing guidance and performance evaluations, ensuring compliance with regulatory requirements, and enhancing contract management to ensure department goals are met. This role w ...Read more about Provider Services SupervisorMore
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #67Thursday, June 20, 2024Under close supervision will provide customer and support services to members of the Health Plan of San Mateo (HPSM) in Medi-Cal, Healthy Kids, HealthWorx and San Mateo County ACE Program. Position overview Provide customer service to HPSM members/participants primarily on the phone. Answer member/participant questions and/or refer the member/participant to the appropriate outside agency. Educate members/participants about their rights and responsibilities. Explain the benefits of the progr ...Read more about Member Services Representative I - Temp (6 Months)More
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801 Gateway Blvd, South San Francisco, CA 94080, USA ● Req #50Thursday, June 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