PRINCIPLE RESPONSIBILITIES. . The Recruiting Supervisor collaborates with the entire HR team to offer a comprehensive scope of services to both job applicants and Alameda Alliance for Health (AAH) leadership for recruiting. This position has primary duties in the areas of onboarding new hire and temporary staff, HRIS support and administration, and administrative support to the department (including document management and reports turn over, etc...
PRINCIPAL RESPONSIBILITIES. . Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day-to-day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position also manages the receipt and development of Let...
PRINCIPAL RESPONSIBILITIES. . Under the direction of the Chief Compliance & Privacy Officer (CCO/CPO), this position is responsible for strategically managing and developing the company’s privacy program while providing executive-level guidance on privacy initiatives, risk management, and regulatory compliance to internal and external stakeholders. This position manages Privacy Office operations, leads strategic planning efforts, and oversees all...
PRINCIPLE RESPONSIBILITIES. . The Member Liaison Specialist (Behavioral Health), MLS, is responsible for the intake and triage services for telephonic (call center) or online (member portal), chat, behavioral health (BH), and autism spectrum disorder (ABA) related referrals and inquiries to all care coordination programs within AAH and external provider network. MLS will ensure members seeking assistance will have a pathway to care that is both t...
PRINCIPAL RESPONSIBILITIES. The Medical Director is a member of the Medical Management Department of the Alameda Alliance for Health (“health plan”) and assists the Chief Medical Officer in developing and implementing clinical policy designed to meet the DHCS triple aim: improving the patient experience of care. improving the health of populations. and reducing the per capita cost of health care. The Medical Director serves as the clinical lead o...
Brief Description. PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members’ primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in ...
PRINCIPAL RESPONSIBILITIES. . The Provider Data Coordinator I, under general supervision from the Supervisor, Network Data Validation will verify, change and update provider data for accuracy. Provider data will be entered into multiple systems including but not limited to HealthSuite, Excel spreadsheets, and the Provider Repository. Principal responsibilities include. Update provider terminations, changes, additions, and contracts into various c...
Brief Description. PRINCIPAL RESPONSIBILITIES. IT Solution Designer is responsible to ensure the suite of applications being used within the Alliance’s IT department is scalable, reliable, available and manageable. This role requires a blend of technical expertise, creativity, and strong communication skills to translate healthcare business requirements into scalable and efficient IT solutions, with a particular focus on AWS, SSIS, and Oracle tec...
PRINCIPAL RESPONSIBILITIES. . Under general direction of the Grievance and Appeals Leadership, the Grievance and Appeals (G&A) Coordinator II will review, investigate and process non-complex grievances for all lines of business and the completion of written communication documents to convey determination. The Coordinator is responsible for processing and monitoring the grievance process and corresponding documentation continuously for quality an...
JOB SUMMARY. . Under the direction of the Director of Vendor Management, the. Manager, Vendor Account Management. will be responsible for oversight and development of the Vendor Strategic Account Management program. Responsibilities will include relationship management, purchasing, and best practices in vendor oversight. The. Manager, Vendor Account Management. will work to ensure Alameda Alliance maintains healthy and strategic vendor relationsh...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, ...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members’ primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email,...
