SF Health Plan Jobs

San Francisco Health Plan (SFHP) is a public, not for profit, mission-driven organization working towards universal health coverage. Our Enrollment Services team helps thousands of clients navigate complex health insurance rules, processes, and programs so they can enroll into Medi-Cal, Covered California, Healthy San Francisco, Cal Fresh and SF City Option. As an Enrollment Coordinator, you will gain front-line experience helping members of the ...

Are you passionate about healthcare access, quality, and sustainability. Do you enjoy applying your energy and expertise to transforming data to enable data driven decision-making. The Senior Healthcare Analyst will serve a key role in analyzing company clinical and operational data to deliver optimal health care management and decision making. You will work as part of a highly collaborative team, as well as with Information Technology partners a...

At San Francisco Health Plan (SFHP), we have a leadership position that will impact the quality of healthcare for our most vulnerable population in San Francisco. Reporting to the Senior Medical Director, the Director of Pharmacy is responsible for coordinating and monitoring all aspects of the pharmacy program for Health Plan members, ensuring the Pharmacy department’s overall compliance, operational and financial performance, and customer exper...

Under the direction of the Chief Medical Officer, the Senior Medical Director is responsible for clinical oversight and management of all SFHP Utilization Management (UM) and Quality Improvement functions. The Senior Medical Director works in partnership with VP Health Services Programs to shape the strategic direction, implement new initiatives, ensure regulatory compliance and execute key clinical functions of these departments. This position s...

The Concurrent Review Coordinator is responsible for working with a multi-disciplinary team, serving primarily in an administrative support capacity. Primary focuses of this position include data collection, authorization management, correspondence compliance, discharge planning, and overall support of the CCR/CT team’s functions. You also serves as communication liaison with members, clinics, hospitals, and community partners to support care tra...