What are the responsibilities and job description for the Culture and Linguistics Liaison position at Partnership HealthPlan of California?
Overview
The successful candidate will be responsible for overseeing grievance and appeal reviews, aswell as conducting cultural and linguistic reviews for our subcontractors to ensure alignmentwith our commitment to diversity and inclusion. This role will provide support to department onpromoting health equity within our organization and in the community, ensuring fair and justaccess to healthcare services for all members.
Responsibilities
▪ Conduct thorough reviews of grievances and appeals submitted by members to ensurecompliance with regulatory requirements and company policies.▪ Ensure timely trainings for practitioners pertaining to grievances that are determined tobe discriminatory▪ Evaluate the cultural and linguistic competency of subcontractors and providerecommendations for improvement to enhance service delivery to diverse populations.▪ Monitors accreditation, contractual, legal, and regulatory requirements for cultural andlinguistic services▪ Collaborate with internal teams to address and resolve member complaints in a timelyand efficient manner.▪ Develop and implement training programs to educate staff and subcontractors on culturalsensitivity and effective communication strategies.▪ Maintains department files for auditing purposes (hard and soft copies) per instruction.▪ Provides support to champion health equity initiatives within the managed care system toaddress disparities in healthcare access and outcomes.▪ Other duties as assigned
Qualifications
Education and Experience
Bachelor’s Degree in Public Health, Community Health or related fieldpreferred; two (2) to four (4) years of experience in Health Equity, orequivalent combination of education and experience.
Special Skills, Licenses and Certifications
Valid California driver’s license and proof of current automobileinsurance compliant with PHC policy are required to operate a vehicleand travel for company business.
Performance Based Competencies
Strong, effective oral and written communication skills. Ability towork with ethnically and culturally diverse populations. Requirespatience and ability to work with people of all levels of understandingand education.
Work Environment And Physical Demands
Ability to use a computer keyboard. More than 80% of work time isspent in front of a computer monitor. When required, the ability tomove, carry, or lift objects of varying size, weighing up to 25 lbs.
All HealthPlan employees are expected to:
- Provide the highest possible level of service to clients;
- Promote teamwork and cooperative effort among employees;
- Maintain safe practices; and
- Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.
HIRING RANGE:
$85,173.51 - $106,466.89
IMPORTANT DISCLAIMER NOTICE
The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.
Salary : $85,174 - $106,467
