Alameda Alliance for Health - Alameda, CA
Under general supervision, provides technical and administrative support to operational areas to ensure that operational data is precise and ready to support the operational and business needs of Alameda Alliance for Health (the “Alliance”) and its various business partners. Resp...
Alameda Alliance for Health - Alameda, CA
Under the direction of the Supervisor, Claims Resolution and the Supervisor, Claims, the Claims Analyst will review, research, and resolve adjustment requests, and complex claims processing issues; resolve provider appeals and inquiries on the status of claims issues; participate...
Director, Care and Disease Management
Alameda Alliance for Health - Alameda, CA
Under general direction of the Chief Health Plan Services Officer, the Director, Care and Disease Management will be responsible to develop and implement the plan and software system to bring Care Management and Disease Management processes of the Alameda Alliance for Health in h...
Manager, Utilization and Care Coordination
Alameda Alliance for Health - Alameda, CA
The Manager, Utilization and Care Coordination works under the direct supervision of the Chief Medical Officer. This position oversees utilization management and care coordination to assure integration of all Health Plan Services Department operations. The Manager is responsible ...
Grievance and Appeals Coordinator
Alameda Alliance for Health - Alameda, CA
Under general direction of the Manager, Quality Oversight and, working in cooperation with other departments, the Grievance and Appeals Coordinator will coordinate processes for grievances and appeals for all lines of business and potential quality of care issue (PQI) processes. ...
Alameda Alliance for Health - Alameda, CA
Under general direction from the Director, Claims, the Supervisor, Claims Resolution assists in the day-to-day supervision of the Claims staff and claims paper work flow. The Supervisor is responsible for ensuring that all claims and their related documents are adjudicated and/or...
Alameda Alliance for Health - Alameda, CA
Under general direction of the Director, Claims and the Claims Supervisor, this position is responsible for processing all types of incoming managed care (health plan) claims and ensuring that all claims are processed and adjucated in date order and claim type as directed by the ...
IT Service Desk Technician - Network
Alameda Alliance for Health - Alameda, CA
Under general supervision, but according to established procedures, the IT Service Desk Technician – Network will assist in the implementation and support of the company’s Information Systems Communications Networks (Local Area Network [LAN]). This position provides technical sup...
Alameda Alliance for Health - Alameda, CA
Under general guidance from the Chief Operations Officer, the Director, Member Services is responsible for planning, organizing, and managing all operational activities of the Member Services department. Responsibilities: PRINCIPAL RESPONSIBILITIES INCLUDE: * Recruit, train, and ...
Alameda Alliance for Health - Alameda, CA
The Claims Auditor would be un?der the general supervision of the Supervisor, Claims Resolution and the Supervisor, Claims?. Responsibilities: PRINCIPAL RESPONSBILITIES INCLUDE: * Audit all Claims staff production on a daily basis, including the compilation of errors from claims ...
Alameda Alliance for Health - Alameda, CA
This position works under the direct supervision of the Director, Case and Disease Management and is responsible for the operational delivery of the plan’s case management and care coordination programs and processes. The Case Manager will provide case management services for hea...
Health Navigator (Bilingual Preferred)
Alameda Alliance for Health - Alameda, CA
Under general supervision and guidance from Case Manager(s), the Health Navigator will support clinical staff through the completion of components of case management, disease management, and wellness/health maintenance programs. Responsibilities: PRINCIPAL RESPONSIBILITIES INCLUD...
Alameda Alliance for Health - California
Case Manager Job ID: 2011-1159 # Positions: 5 Location: US-CA-Alameda Experience (Years): 3 Posted Date: 1/5/2012 Category: Medical Services More information about this job: Overview: ANNUAL SALARY RANGE: $75,798 - 113,697 This position works under the direct supervision of the D...
Director, Case and Disease Management
Alameda Alliance for Health - Keene, CA
Director, Case and Disease Management Job ID: 2011-1144 # Positions: 1 Location: US-CA-Alameda Experience (Years): 5 Posted Date: 10/3/2011 Category: Health Plan Services More information about this job: Overview: ANNUAL SALARY RANGE: $106,045 - 159,067 Under general direction of...
Manager, Utilization and Care Coordination
Alameda Alliance for Health - California
Manager, Utilization and Care Coordination Job ID: 2012-1211 # Positions: 1 Location: US-CA-Alameda Experience (Years): 4 Posted Date: 5/16/2012 Category: Health Plan Services More information about this job: Overview: ANNUAL SALARY RANGE: $83,071 - 124,607 The Manager, Utilizati...
Government Relations Specialist
Alameda Alliance for Health - Alameda, CA
Under the general direction of the Manager, Government Relations, this position is responsible for coordinating the submission of required reports and other routine filings between Alameda Alliance for Health (the Alliance) and its regulators, including but not limited to the Dep...
Alameda Alliance for Health - Alameda, CA
Under supervision of the Director, Human Resources, the Human Resources (H.R.) Assistant performs a variety of routine and confidential administrative duties requiring a thorough knowledge of Human Resources related laws, policies and practices. The H.R. Assistant carries out res...