Jobs

Employee Jobs at Alignment Healthcare Usa in Riverside, CA

 (1 - 14 of 14)

  1. Member Engagement Lead

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a passionate, customer service oriented, and motivated member experience lead to join the member services team. As a member experience lead, you will be a subject matter expert in the health care e...
    Tools
    15 hours ago on Equest

  2. Enrollment Representative

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: The Enrollment Representative is responsible for all new plan enrollments. Researching validating and reconciling enrollments from the error reports and CMS (Center for Medicare and Medicaid Services) daily files. Ensures all...
    Tools
    15 hours ago on Equest

  3. Provider Dispute Resolution Specialist

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a provider dispute resolution specialist ("Specialist") to join the claims and configuration team. As a specialist, you will process provider appeals and disputes accurately and timely, assess and ...
    Tools
    15 hours ago on Equest

  4. Enrollment Representative (Temp)

    Jobs · Alignment Healthcare USA · Orange, CA
    Summary The Enrollment Representative is responsible for all new plan enrollments. Researching validating and reconciling enrollments from the error reports and CMS (Center for Medicare and Medicaid Services) daily files. Ensures all data entry is...
    Tools
    2 days ago on Equest

  5. Bilingual Spanish RN Case Manager, SNP (Must Have California RN License)

    Healthcare · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a remote bilingual Spanish RN case manager (must have California RN License) to join the case management, special needs program (SNP) team. As the RN case manager (SNP), you will be responsible for...
    Tools
    2 days ago on Equest

  6. Bilingual Spanish Care Coordinator, Special Needs Program

    Healthcare · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a bilingual Spanish remote care coordinator to join the special needs plan (SNP) case management team. The SNP team is responsible for the health care management and coordination of care for member...
    Tools
    2 days ago on Equest

  7. RN Case Manager, SNP (Must Have California RN License)

    Healthcare · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a remote RN case manager (must have California RN License) to join the case management, special needs program (SNP) team. As the RN case manager, SNP, you will be responsible for health care manage...
    Tools
    2 days ago on Equest

  8. HCC Coding Analyst

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the role: To effectively interface with provider partners, to successfully, monitor and implement HCC coding strategies. Audit all RAPS submissions to ensure accuracy in the data provided to CMS. Provide coding expertise as well as adm...
    Tools
    2 days ago on Equest

  9. Bilingual Korean Member Experience Associate

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a passionate, highly-motivated, and detail-oriented bilingual Korean member experience associate to join the member experience team. The member experience associate will assist plan members with th...
    Tools
    4 days ago on Equest

  10. Clinical Pharmacist

    Healthcare · Alignment Healthcare USA · Orange, CA
    Position Description: * Review Part D coverage determination and appeal requests, making clinical decisions based on formulary benefits, guidelines, and CMS requirements. * Perform computer-based tasks and make phone calls to providers when clinic...
    Tools
    5 days ago on Equest

  11. AVP, Total Rewards

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: The VP, Total Rewards will be responsible for the continued strategic planning, design, and implementation of a comprehensive Total Rewards strategy and programs companywide. This role will manage and develop various total re...
    Tools
    6 days ago on Equest

  12. Healthcare Call Center Supervisor

    Customer Service · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking an inspiring, organized, and customer service-oriented supervisor, of member experience to join the member experience team. As a supervisor, you get to support the member experience associates and ...
    Tools
    1 week ago on Equest

  13. Bilingual Vietnamese Resolution Specialist

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a resolution specialist to join the member engagement team to provide member issue resolution. As a resolution specialist, you will intake complex member cases and provide prompt and satisfactory r...
    Tools
    1 week ago on Equest

  14. Bilingual Chinese Resolution Specialist

    Jobs · Alignment Healthcare USA · Orange, CA
    Overview of the Role: Alignment Health is seeking a resolution specialist to join the member engagement team to provide member issue resolution. As a resolution specialist, you will intake complex member cases and provide prompt and satisfactory r...
    Tools
    1 week ago on Equest