California Medi-Cal managed care administrator serving low-income health plan members
Partnership HealthPlan administers Medi-Cal benefits for California through a network of local providers. The tech stack is deeply rooted in legacy Microsoft and Oracle infrastructure (SQL Server, Business Objects, Analysis Services, SharePoint) paired with SAS and Tableau for reporting—typical of healthcare plans managing complex compliance and claims workflows. Active hiring spans healthcare operations (51 roles), IT systems, and engineering, with a notable focus on ETL and data warehouse modernization, alongside concurrent efforts to reduce claims processing friction and regulatory friction.
Notable leadership hires: IT Business Systems Director
Partnership HealthPlan is a nonprofit health plan contracted by California to deliver Medi-Cal managed care to low-income residents. Founded in 1994 and based in Fairfield, California, the organization operates across 1,001–5,000 employees with a mission centered on ensuring access to high-quality, cost-effective care for its members. The operational backbone includes claims processing, provider reimbursement, quality improvement programs, and regulatory compliance. Current internal initiatives target claims efficiency, data integrity, fraud and waste detection, and coordination of benefits—areas where legacy reporting and manual processes create bottlenecks.
SQL Server, Oracle, Business Objects, SAS, Tableau, and Microsoft Office/SharePoint. The stack reflects healthcare claims and compliance workflows, with ongoing ETL and data warehouse modernization projects.
ETL development for data warehouse upgrades, quality improvement programs, claims processing efficiency, provider reimbursement methodology, and regulatory compliance—focused on reducing manual overhead and reporting duplication.
Other companies in the same industry, closest in size