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Member Services Representative I / Job Req 704962821
Jobs · Alameda Alliance For Health · Alameda, CAPRINCIPAL 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 t...16 hours ago on EquestTools -
Enhanced Care Management, Nurse ( Bilingual Preferred) / Job Req 704962819
Healthcare · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: This position works under the direct supervision of the Clinical Manager, Enhanced Care Management (ECM) and is responsible for the operational delivery of the plan's ECM case management and care coordination programs a...16 hours ago on EquestTools -
Member Liaison Specialist, Behavioral Health – Bilingual / Job Req 704962822
Jobs · Alameda Alliance For Health · Alameda, CAPRINCIPLE 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 disorde...16 hours ago on EquestTools -
Member Services Supervisor Behavioral Health/Job Req 704962823
Management & Exec · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Under general direction from the Sr. Manager, Member Services, the Member Services Supervisor, Behavioral Health (BH), is responsible for the day-to-day supervision of Member Liaison Specialists (MLS), collaborating wit...16 hours ago on EquestTools -
Enhanced Care Management, Nurse ( Bilingual Preferred) / Job Req 704962820
Healthcare · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: This position works under the direct supervision of the Clinical Manager, Enhanced Care Management (ECM) and is responsible for the operational delivery of the plan's ECM case management and care coordination programs a...16 hours ago on EquestTools -
Quality Engagement Coordinator / Job Req 704959301
Jobs · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Under the general direction of Quality Improvement (QI) Manager the Quality Improvement Engagement Coordinator provides assistance in quality improvement initiatives. The position is a non-clinical, entry level role tha...1 week ago on EquestTools -
Compliance Auditor - Delegation Oversight / Job Req
Accounting/Finance · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Under the general direction of the Supervisor, Health Plan Audits,this position is responsible for supporting the Alameda Alliance for Health's (AAH) Compliance Program, with an emphasis on external/delegate auditing ac...1 week ago on EquestTools -
Inpatient Utilization Management Reviewer / Job Req 704953318
Management & Exec · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: The Inpatient Utilization Management (UM) Reviewer is responsible for conducting on-site and telephonic utilization review of hospitalized members and initiating the transition of care process. The Inpatient UM Reviewer...1 week ago on EquestTools -
Claims Processor I / Job Req 704959303
Insurance · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Under the direct supervision of a Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is primarily responsible for the accurate review, entry and processing of claims ...1 week ago on EquestTools -
Quality Engagement Coordinator / Job Req 704959302
Jobs · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Under the general direction of Quality Improvement (QI) Manager the Quality Improvement Engagement Coordinator provides assistance in quality improvement initiatives. The position is a non-clinical, entry level role tha...1 week ago on EquestTools -
Executive Assistant / Job Req 704953315
Admin/Clerical · Alameda Alliance For Health · Alameda, CAPRINCIPAL RESPONSIBILITIES: Direct all administrative support functions in the Human Resources department. Under general supervision of the Chief Human Resource Officer, performs a variety of complex, responsible and confidential secretarial and a...1 week ago on EquestTools