The Grievance Analyst is responsible for critical quality and performance improvement activities of San Francisco Health Plan (SFHP), in collaboration with the Health Outcomes Improvement team and with care providers in our award-winning provider network. The Grievance Analyst oversees and participates in Quality Management projects per California Department of Managed Health Care (DMHC) and Department of Health Care Service (DHCS) regulations, National Committee on Quality Assurance (NCQA) requirements, audit findings, benefits, contracts, and our Network Operations Manual. The role requires a deep commitment to better health care, particularly primary care. The Grievance Analyst is responsible for managing and analyzing SFHP grievances and other key initiatives meant to ensure SFHP members get the best possible health care services and experience. The Health Outcomes Improvement team is part of the Health Services Department of SFHP.
WHAT YOU'LL DO
Established in 1997, San Francisco Health Plan (SFHP) is a an award winning, managed care health plan whose mission is to provide affordable health care coverage to the underserved low and moderate-income residents in San Francisco county. SFHP is chosen by eight out of every ten San Francisco Medi-Cal managed care enrollees and its 145,000+ members have access to a full spectrum of medical services including preventive care, specialty care, hospitalization, prescription drugs, and family planning services. SFHP was designed by and for the residents it serves, and takes great pride in its ability to accommodate a diverse population that includes young adults, seniors, and people with disabilities.
San Francisco Health Plan is an Equal Opportunity Employer (EOE) M/F/D/V
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.