The Director, Project Management Office (PMO) leads the strategic planning, prioritization, and execution of large scale projects that align with SFHP's goals. Reporting to the Executive Team, you will oversee a team of Project Managers, promote a culture of disciplined delivery, consistency, and continuous improvement across the enterprise. You will be responsible for En

Reporting to the Director, Regulatory Affairs, the NCQA Program Manager is an experienced healthcare professional. You will manage and lead activities associated with SFHP's NCQA Accreditation. These activities include ongoing monitoring and analysis of plan performance against the NCQA standards. Additionally, the manager coordinates all NCQA related activities across th

Reporting to Manager, Clinical Operations Administration, the Clinical Quality and Oversight Nurse is responsible for ensuring utilization management (UM) activities comply with regulatory and accreditation requirements (CMS, DHCS, DMHC, NCQA). You will provide oversight of both internal UM processes and delegated entities to ensure consistent application of clinical crit

Reporting to Director, Compliance & Oversight, the Health Plan Oversight Auditor supports San Francisco Health Plan's (SFHP) Compliance Program by performing assigned audit, monitoring, and investigative activities. You will execute defined audit procedures, analyzes documentation and data and prepares clear workpapers and reports under established methodologies and super

Reporting to the Manager, Business Systems Analysis, the Temp Business Systems Analyst (BSA) provides systems analysis support for technology enabled solutions serving internal business units. You will work with business leaders and users, subject matter experts, project managers and IT professionals. The BSA will elicit requirements and provide clear, concise documentati

Reporting to the Sr Manager, Medicare Sales, the Medicare Telesales Representative is responsible for enrolling members into San Francisco Health Plan's new Dual Special Needs Plan (D SNP). You will connect with the underserved, Medicare eligible individuals, with an understanding of their comprehensive Medicare and Medi Cal benefits, you will review their health coverage