Career Areas

We need strong analytics to help make good decisions, and members of our analytics team provide the knowledge and insight to help us do that. Our analytics experts work in our Finance, IT, External Affairs and Medical Management areas.

We run a busy call center to service our members, providers and other partners. Employees in our call center are committed to delivering meticulous, culturally sensitive service in a fast-paced environment. Jobs in our call center include service representative and lead.

External Affairs consists of marketing, communication and outreach. This department has a passion for innovation, especially when it comes to improving the health of our community. We emphasize a strategic, integrated approach that leverages all resources to accomplish our goals. We employ outreach, communication and enrollment professionals in our marketing area.

Our information technology department helps our complex system run smoothly, and deliver innovative solutions to keep our members, providers and other partners connected. Jobs in our IT department include business system analysts, application developers, data warehouse and business intelligence analysts, ETL developers, system administrators and help desk support.

HPSJ’s financial professionals play an integral role in anticipating and supporting our current and future goals, and keeping us on track towards those goals. Jobs in our finance and accounting area include management roles, accountants and accounting clerks.

Employees in our medical management area work together to help our members get the quality care they need, when they need it, in partnership with our dedicated physicians, facilities and other healthcare providers. Our medical management area consists of team members in utilization and case management, quality, pharmacy and social work.
Our clinical team consists of case managers, concurrent review nurses, quality nurses, authorization nurses, social workers, pharmacists and pharmacy technicians. We also have a non-clinical team of health navigators and other key administrative support staff.

If leadership if your passion, consider joining as a member of our management team, or work your way through our organization into a management job. Our management team is responsible for shaping strategy and driving its implementation – successful HPSJ leaders must have the ability to do both – consistent with our vision, mission and values.

Health Plan of San Joaquin has an Outreach & Enrollment team who are fully committed to helping people get the coverage they need. They speak different languages, such as Spanish and Khmer and provide free application and enrollment assistance to help people find out if they qualify for Medi-Cal or other programs. When members have questions or problems with their eligibility, our knowledgeable staff also assists, providing support every step of the way until the problem is resolved. Each year, when it is time for people to renew their coverage, the Enrollment Team works with members to keep their Medi-Cal.

To make sure people who live in San Joaquin and Stanislaus know about the services offered by Health Plan of San Joaquin, our Community Outreach Team attends health fairs, presents information at schools and churches, and talks to people in our community who may qualify for coverage. Our team also works with non-profits and community based organizations to make sure they have all of the latest information to share with people who could benefit from other programs and services.

HPSJ’s commitment to the Provider Community begins in Contracting. It is in Contracting where we set the foundation for long term partnerships with our providers. Our Contract experts work with our Finance, Provider Relations and many other internal departments to ensure that efficiency and accuracy are a focus. We emphasize constant communication and education both internally and externally.

The Project Management Office ensures every project managed is delivered with the highest quality while balancing scope, resource, and schedule. The PMO provides Project Management services for HPSJ through the application of proven Project Management techniques including PMBOK standards, Agile global standard methodology, and tools which aid in ensuring Health Plan of San Joaquin’s objectives are achieved. We achieve this by collaboration, standardization, leadership, and coordination of large, cross-functional projects. We develop and continually enhance our project management skills, guidelines, and tools. We weave the following values in all we do; teamwork, innovation, integrity, accountability, diversity, dedication, and stewardship.

Acting as a Liaison between the Health Plan and the Provider Community our Provider Services Department is often times the front line of communication. This department is well versed in all aspects of the Operations of the Health Plan and is continuously connecting with our Provider Network. Many of these interactions include: Orientations, In-Service Trainings, Education Seminars, Updates, and informal meetings. This team is very customer focused and takes pride in our Provider Network in creating a bridge between the Health Plan and the Provider Community.