Health Plan Compliance Manager
Job Posting for Health Plan Compliance Manager at California Public Employees' Retirement System...
The California Public Employees’ Retirement System (CalPERS) is the nation’s largest public pension fund, providing retirement and health benefits to public employees, retirees, and their families. Headquartered in downtown Sacramento, we are a destination employer with an international reputation for leadership and innovation. At CalPERS, we’re committed to people – the people we serve, our team members, and the larger community around us. CalPERS is situated near the Napa Valley, San Francisco, Lake Tahoe, and other desirable destinations, and we offer competitive benefit packages, compensation, and opportunities for advancement.
Anticipated Interview Dates: In-person interviews are anticipated to begin the week of June 17, 2024.
Telework Information: This position is eligible for a hybrid work schedule, with up to two days remote work and three or more onsite, per week.
CalPERS seeks a Staff Services Manager I (SSMI) to lead the Health Plan Performance & Compliance team in the Health Plan Administration section, Health Policy Research & Administration Division.
The Health Plan Administration section oversees the contract management functions, including plan development, performance, and compliance for Health Maintenance Organization (HMO) plans, Preferred Provider Organization (PPO) plans, Medicare Advantage Plans, Medicare Supplement Plans and Pharmacy Benefits Manager (PBM), and provides oversight to three association plans.
Under the general direction of the Contracts Chief, the SSMI will serve as the Health Plan Performance and Compliance team supervisor and is responsible for the day-to-day operations of the compliance program. The incumbent will assist in the development of the the health plan review process, including determining an annual health plan review schedule and creating processes and reporting tools to work with our contracting plans.
Job Type: Full-time
Pay: $6,760.00 - $8,398.00 per month
Work Location: Hybrid remote in Sacramento, CA 95811
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Job openings at California Public Employees' Retirement System...
Sacramento, CA
Full Time
Sacramento, CA
Full Time
Sacramento, CA
Full Time
Sacramento, CA
Full Time
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