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Alignment Healthcare jobs

- 255 jobs
  • Telesales / Retention Representative

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Telesales Retention Representative External Description: Telesales / Retention Representative Looking for an enthusiastic Telesales/Retention Representative who will be responsible for generating leads to meet and exceed individual sales production of new enrollments and help retaining existing members within company health plan(s). The ideal candidate must be friendly, professional and genuinely interested in the needs of our prospects/members to proactively address various customer related needs. The Telesales Representative reports to the Telesales Manager. General Duties/Responsibilities: (May include but are not limited to) Responsible for meeting and exceeding monthly goal and retention of existing members. Handle inside/in-bound telephone inquiries from prospective members, providers, and other community partners seeking information regarding all lines of business Direct prospects to the field sales team when needed Conduct outbound calls relevant to enrollment/disenrollment campaigns, requests for information from community events, provider offices, after-hour messages, and website inquiries Submit daily activity production reports and/or monthly reports as required. Ensure that information and assistance provided is within the standards established by all applicable federal /state laws and regulations and Alignment Health Plan's Compliance Department Understanding of new updates related to company and/or CMS and marketing guidelines required. Participate with competitor analysis (SWOTs) Strength, Weakness, Opportunities and Threats within respective market(s) and/or territories as required by management. Support other projects within the Sales and Marketing Department as directed by the Management Team Must be a team player, share best practices, and attend staff meetings and sales trainings when required. Other duties may be assigned. Supervisory Responsibilities: This position has no direct employee supervisory responsibilities. Minimum Requirements: Minimum Experience: Strong knowledge and understanding of the CMS Marketing Guidelines. Medicare Health Plan knowledge and/or health insurance sales background preferred. Minimum of 1 year of inside business to consumer sales experience and/or clinical and/or community outreach; Telesales experience using call center scripts highly desirable Education/Licensure: Must have and maintain active Health/Accident/Life insurance license within respective selling states, currently CA (required), NC, and FL (preferred). Other: Bilingual Flexibility with schedule depending on needs A self-starter who is a team player and extremely organized. Ability to learn plans and describe/explain them to prospects Excellent communicator and presentation skills. Solid computer skills (Word, Excel and PowerPoint). Essential Physical Functions: While performing the duties of this job, the employee is regularly required to talk and listen. The employee regularly is required to sit for long period of time during Annual Enrollment Period. City: Orange State: California Location City: Orange Schedule: Full Time Location State: California Community / Marketing Title: Telesales / Retention Representative Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $59k-67k yearly est. Easy Apply 60d+ ago
  • DTS Service Desk Level 1

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. This position requires a tech-savvy individual with an unwavering commitment to customer satisfaction. This position is expected to positively impact on internal customers' experience in using Alignment technology. In this role, your primary focus will be on delivering outstanding customer service while providing initial technical support for our employees. We're looking for someone who can translate technical issues into understandable language, empathize with users, and go the extra mile to ensure their needs are met Job Duties/Responsibilities: Exceptional Customer Service: Be the friendly and helpful first point of contact for all IT-related inquiries via phone, email, and chat. Prioritize active listening, clear communication, and a patient, empathetic approach in every interaction. First-Call Resolution (FCR) Focus: Strive to resolve 90% of reported technical issues efficiently and effectively during the initial interaction, ensuring user satisfaction and minimizing disruption. Troubleshooting & Support: Provide Level One technical support for a wide range of IT issues, including but not limited to: Log, track, and update all support requests in our ticketing system (e.g., Freshservice and/or ServiceNow) with detailed notes and resolution steps. Password resets and account unlocks. Basic software and application support (e.g., Microsoft Office Suite, email clients). PC and printer troubleshooting, including basic hardware diagnostics and resolution of connectivity issues (network, Wi-Fi, VPN< etc.) Image, Configure and Support the deployment of new computer systems. Follow diagrams and written instructions to repair a fault or set up a system. Provide local and remote support with Okta, Windows 10, Office 365, Teams, Citrix, iOS, OSX, Standard Desktop Image, Remote Access, VPN, Printer Troubleshooting and basic cabling. Will be to provide after-hours and weekend support on a rotating on-call schedule. Knowledge Base Contribution: Contribute to and utilize our internal knowledge base to improve troubleshooting efficiency and empower users with self-service options. Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Experience: Customer Service Excellence: Proven experience (1+ years preferred) in a customer-facing role where problem-solving and customer satisfaction were primary responsibilities. Experience in a call center or help desk environment is a strong plus. Technical Aptitude: Basic understanding of computer hardware, software, operating systems (Windows and/or mac OS), and networking fundamentals. Exceptional Communication Skills: Excellent verbal and written communication skills with the ability to articulate technical information clearly and concisely to diverse audiences. Active Listening & Empathy: Ability to listen attentively to user concerns, ask clarifying questions, and demonstrate empathy for their technical challenges. Problem-Solving Skills: Strong analytical and problem-solving abilities with a logical approach to troubleshooting. Patience & Professionalism: Ability to remain calm and professional under pressure while dealing with frustrated or upset users. Team Player: Collaborative mindset with a willingness to share knowledge and support team members. Adaptability: Ability to learn new technologies quickly and adapt to changing environments. Prefer previous experience as a Service Desk Technician providing support via phone, email. Remote tools and desk side. Prefer previous experience utilizing Service Desk ticketing systems. Experience resolving multiple tier issues - trouble tickets related to technical difficulties with hardware, software, desktops, laptops, portable devices and minor networking issues. Education/Licensure: High School Diploma or equivalent certification. Preferred: Bachelor's degree. Preferred: Microsoft and/or CompTIA A+, and/or ITIL Foundation certifications. Specialized Skills Proficient with Microsoft Windows operating systems and Office suites. Experience with OSX and Mac hardware. Capable of successfully connecting and installing printers, scanners, and copiers. Ability to maintain composure, tact and effectiveness under stressful conditions. Especially when working with Senior Leadership. Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 50 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $53,210.00 - $79,815.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $53.2k-79.8k yearly Auto-Apply 57d ago
  • Surgical Associate

    Pacific Medical 3.7company rating

    San Francisco, CA job

    Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate opportunity to join our growing company. We are currently seeking a full-time entry-level Surgical Associate in the San Francisco area of California. This individual will be responsible for the following: GENERAL DESCRIPTION: • Works directly with Territory Manager/Surgical Consultant to help aid with the planning, directing, and coordination of the selling, marketing, and promotion of Stryker/biologic products and conduct sales to physicians. • Educates and informs doctors, nurses, and appropriate staff personnel as to the proper use and maintenance of Stryker and biologic products, product functionality and updates, changes to product portfolio, and educational programs. • Following extensive product training, the employee must be able to tailor a Stryker promotional message based upon knowledge of the customer, advise on appropriate product selection, answer customer questions about product functionality and distinguish Stryker products from those of Stryker's competitors. • Assists with product evaluations in OR and office settings. •May assist in the preparation and operation of trade shows, conventions, and/or clinical meetings. • Solves product problems for customers in an expeditious fashion. • Managing and maintaining a sample inventory of products. • Must understand and adhere to all OR and pertinent OSHA guidelines when conducting a product evaluation. • Must exhibit a base understanding of computers for best utilization of Pac Med's programs. • Must adhere rigidly to all GMP policies and procedures as stipulated by the FDA. QUALIFICATIONS: • 0-2 years in an outside sales position (medical-related fields preferred). • B.A. or B.S. degree required. • Field sales training--In-field training. • Successful completion of the in-house product training program. • Computer training. • Medium work: Exerting up to 50 pounds of force occasionally and/or up-to 20 pounds of force constantly to move objects. • Must be able to communicate with large groups of people. • Must be able to communicate telephonically. • Must be able to use common office equipment (e.g. fax, modem, calculator, PC, etc.). • Up to 20% overnight travel annually. • Must be able to drive an automobile. • Must be able to readily solve customer complaints and questions. • Must have command of all products, including functionality, features, and factors that differentiate Stryker products from its competitors' products and be able to disseminate this knowledge to the customer. • Must be able to analyze territory market potential prioritize call patterns accordingly. Salary Range: $55,000.00 - $65,000.00 This position is an excellent opportunity for a candidate that is self-driven/motivated with an entrepreneurial spirit that is looking to produce results in an expanding market. Candidates that apply must be hard-working, possess a strong work ethic, and a willingness to learn. Only those with the ability to manage varying as well as scheduled tasks should apply. All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Goal Path Financial Wellness planning.
    $55k-65k yearly Auto-Apply 47d ago
  • Specialty Medical Director - Pediatrics

    Lifelong Medical Care 4.0company rating

    Berkeley, CA job

    Looking to lead and make a difference in the vibrant communities of Alameda and Contra Costa Counties? LifeLong Medical Care is seeking a Regional Director of Specialty Services - Pediatrics who will provide clinical oversight and leadership for one or more of our health centers. The Medical Director (Specialty Services) provides leadership and clinical oversight for a designated specialty service area provided by providers at LifeLong Medical Care. Clinical oversight includes service planning, objective setting, system development, staffing, quality assurance activity, budget, and personnel issues in direct collaboration with the Vice President(s) of Clinical Operations and Center Director(s). LifeLong uses team-based care to provide the most efficient and effective care to our patients. This position functions as a critical member of the care team, ensuring team communication, quality care, and patient satisfaction. Responsible for providing high quality primary care, building collaborative teams, and working with underserved populations. Primary Care Physician, Nurse Practitioner or Physician Assistant with management experience and a passion for developing and participating in a team model of care for a complex population. We seek a Primary Care Physician, Nurse Practitioner, or Physician Assistant with administrative experience, a passion for developing and participating in a team model of care for underserved populations, and a commitment to providing high-quality primary care. With a focus on building collaborative teams, this role requires a strong commitment to patient-centered care and improving the health and well-being of our patients. As the Regional Medical Director for our multiple Pediatrics/SBHC Health Centers you will be joining a community that is diverse, dynamic, and rich in culture and history. This is an opportunity to lead and make a significant impact on the health and well-being of our patients while immersing yourself in the unique culture of Alameda & Contra Costa Counties. If you are a highly motivated individual who desires to serve the community and lead a team in providing exceptional care, we encourage you to apply for this position. About us: As a Federally Qualified Health Center in Northern California with over 45 years of dedicated service to the community, LifeLong serves over 66,000 patients in the East Bay Area's socio-economically underserved regions. We provide medical, dental, behavioral health, and school-based services at more than 15 primary care sites across Oakland, Berkeley, and West Contra Costa County. From opening a residential respite program for homeless persons discharged from hospitals to offering free COVID testing to the community, we are innovative and responsive to our times' social and medical needs. We provide an inclusive workplace that promotes and values diversity and with which our patients can identify. To this end, we seek candidates who reflect the diversity of the East Bay communities we serve. Benefits: Compensation: $127,500 -$151,000 for NP/PA, depending on years since licensed, $203,000-$225,000 for MD/DO depending on when finished with residency, annual $10,000 stipend, a sign-on bonus, and excellent benefits: medical, dental, vision, Flexible Spending Accounts, dependent and domestic partner coverage, 403(b) retirement savings plan, loan repayment programs, and commuter benefits. LifeLong qualifies for federal and state loan repayment programs (HPSA score is 20). Acceptance rates may vary year to year based on funding levels and the number of applicants. Responsibilities The position's duties will include a mix of clinical and supervisory leadership related responsibilities, including: Hold a leadership role with a focus on clinical mentorship and oversight, with or without formal direct reports. Supervise, recruit, hire, train, and evaluate all physicians and advanced practice providers (NPs, PAs, CNMs) on site/service line. Actively participate in provider recruitment, retention, onboarding, and mentorship. Provide direct patient care in a diverse, fast-paced health center, which may include working with students, residents and/or fellows. Collaborate with medical leadership and participate in team building and clinical training activities. Serve as clinical advisor. Provide consultation and clinical oversight for unusual or complex medical cases. Deliver medical practice and clinical guideline updates to provider staff. Conduct regular chart reviews, peer observations, and performance evaluations to ensure clinicians meet clinical, cultural, and organizational standards. Provide input on coaching, performance improvement plans (PIPs), and corrective actions. Review and advise on clinically related grievances and complaints. Review and monitor Epic dashboard metrics, including quality measures, open charts, and panel management. Ensure compliance with clinical, quality, and safety protocols through continuous monitoring of workflows and evidence-based standards of care. Engage in quality and safety initiatives, including risk reviews, near-miss prevention, sentinel event reviews, and incident report response. Participate in cross-functional training and meetings with providers, registered nurses, and medical assistants. Support achievement of safety, quality, and productivity benchmarks. Qualifications Ability to effectively coordinate care with staff, encourage and nurture their development and growth, and to build a strong and productive team. Commitment to the provision of primary care services for the underserved with demonstrated ability and sensitivity in working with a variety of people from low-income populations, with diverse educational, lifestyle, ethnic and cultural origins. Ability to provide leadership in a team-oriented environment with a number of professionals with different work styles and support needs. Excellent interpersonal, verbal, and written communication skills. Ability to effectively supervise staff and encourage professional development to build a strong and productive team. Strong organizational, administrative, and problem-solving skills, and ability to be flexible and adaptive to change. Ability to seek direction/approval on essential matters, yet work independently with little onsite supervision, using professional judgment and diplomacy. Conduct oneself in internal and external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident, and sensitive staff. Make appropriate use of knowledge/ expertise/ connections of other staff. Be creative and mature with a “can do”, proactive attitude and an ability to continuously “scan” the environment, identifying and taking advantage of opportunities for improvement. Job Requirements Individual must be a board eligible or board-certified physician, nurse practitioner or physician assistant possessing a current CA Medical Licensure and BLS certification. Demonstrated ability and sensitivity to providing health services to vulnerable persons in outpatient primary care. Familiarity with electronic health records, Epic preferred. Proficient in Microsoft Office Suites Prior management experience preferred.
    $203k-225k yearly Auto-Apply 34d ago
  • Data Analyst

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Garden Grove, CA or remote

    Data Analyst External Description: Analyst - Corporate Finance, Corporate Strategy or Network Strategy We are actively recruiting Strategy and Financial Analysts to join our Corporate Finance, Corporate Strategy and Network Strategy teams. The teams are responsible for delivering analytic and strategic business insight to executives on core elements of the company's long-term strategy, as well as the shorter operational needs from core business functions. We are looking for innovative and creative individuals that have a desire to challenge paradigms while working as thought partners with executives throughout the company. The analyst will work with a team of highly motivated individuals with consulting, banking and public policy experience and is expected to effectively manage individual work streams and communicate analyses effectively within the team and with senior executives. Responsibilities Spearhead special projects, structure the work, manage the process, drive the right set of analyses, and present the answer to senior executives through a compelling storyline Aptitude for critical thinking in complex situations, ability to synthesize ambiguous data into concrete results Ability to drive multiple projects forward simultaneously; willing to stretch “up” and “down” in responsibilities Utilize working knowledge of financial statements in thoughtful financial analyses Requirements / Qualifications Bachelor's Degree with analytical and financially related coursework Complete proficiency in Microsoft Excel and PowerPoint VBA, SQL, and/or other programming skills highly desirable Demonstrated ability to be part of a fun, yet hard working team Experience with financial analysis, processes and terminology Ability to work efficiently and effectively with teammates 11+ hours / day Willingness to travel 10% - 30% of the time Language Skills Fluent in the written and verbal skills necessary to successfully perform the essential functions, duties, and responsibilities of the position Vision Requirements Vision adequate to perform essential duties and responsibilities of position Physical Demands Physical requirements can vary. These must be reviewed with management. However, in general, the position requires the following physical activities: Ability to lift minimum of 2 pounds to a maximum of 15 pounds unassisted; able to sit for extended periods of time with some standing, stooping, walking, stretching, reaching, lifting; moderate range of body motions Ability to use computer and all peripherals for extended periods of time City: Remote - CA State: California Location City: Remote - CA Schedule: Full Time Location State: California Community / Marketing Title: Data Analyst Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $62k-83k yearly est. Easy Apply 60d+ ago
  • Care Coordinator - School Based

    Lifelongmedicalcare 4.0company rating

    Oakland, CA job

    Supporting Community Healthcare is a rewarding role. LifeLong Medical Care is looking to hire a Care Coordinator at our School Based Health Centers in Emeryville and Oakland. The Care Coordinator is responsible for linking pediatric clients to medical, behavioral, and social services in a preventative and comprehensive manner. This role serves as the liaison between the patient and the community, and will help bridge the medical and behavioral health (BH) departments within LifeLong sites. This role will support young clients and their families with the basic medical, behavioral health, and social needs to lead healthy lives. This is a grant funded, full time, benefit eligible position. This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. LifeLong Medical Care is a multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. Benefits Compensation: $22 - $23/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan. Responsibilities * Coordinate Behavioral Health (BH) and developmental needs for pediatric patients, with a focus on preventative and comprehensive care. * Coordinate and support newborn care with a focus on premature and at-risk newborns from establishing care at our medical home to navigation of subspecialty follow-up services (as applicable to site). * Support the navigation of wrap-around preventative services for patients and families including enrollment in Medi-Cal, Cal-Fresh, housing assistance, eviction prevention, and legal aid. * Assist with implementing universal BH and trauma screenings for pediatric populations, with the goal of early intervention for at-risk patients, and to minimize their risks for entering the criminal justice system. * Promote pediatric medical, behavioral health, and community resources. * Link clients who have experienced adverse childhood experiences (ACEs) to appropriate follow-up resources both within the health centers and throughout the county Encourage partnership between external entities including, but not limited to schools, county behavioral health services, California Children's Services (CCS), First 5/Help Me Grow (HMG), and the Regional Center of the East Bay. * Assist with internal pediatric behavioral health caseloads, and referrals to internal and external behavioral health referrals (as applicable to site). * Assist with pediatric wellness and behavioral health groups. * Assist with coordinating transportation for patients to appointments. * Complete required grant-related reports, and others related to role. Coordinate early childhood literacy program through management of Reach Out and Read (ROR) program * Actively participate in ongoing trainings and workshops that promote continuing professional growth and increase knowledge base around pediatric healthcare service. * Communicate well with patients, document clearly in the electronic medical record and interface with medical and behavioral health teams to advocate for the patient and their family. * Collaborate with medical, perinatal, and behavioral health teams, and liaison for parent-child dyadic care services. * Support a positive work environment and foster teamwork. * Employee may perform other duties as assigned. Qualifications * Flexibility and creativity - these positions are grant funded as pilot programs and will be an iterative and evolving process to seek improvements * Excellent communication, organizational and time management skills with the ability to work individually and with a team * Proficiency in administrative skills, computer operations, navigational skills and comfortable with Internet-based applications * Sound decision-making skills including problem solving, critical thinking, and good clinical judgment for clinical and non-clinical issues * Ability to work effectively and collaboratively with a variety of customers including patients, family members, health center/office staff, providers, and community-based organizations * Cultural humility and respectful curiosity, ability to meet patients and families where they are * Spanish language skills preferred Certifications and/licenses * High school diploma/AA or BA preferred * At least three (3) years of progressively responsible work experience in a community-based setting
    $22-23 hourly Auto-Apply 20d ago
  • Registered Dietitian

    Lifelongmedicalcare 4.0company rating

    Berkeley, CA job

    LifeLong Medical Care is looking for a Registered Dietician (RD) committed to providing high quality care.The Registered Dietitian will provide nutritional services to clinic clients including prenatal, diabetics, weight management and others. They will be responsible for reviewing, approving, and updating nutrition protocols as well as assisting in providing nutrition support to our cardiovascular and diabetes group classes. About us: As a Federally Qualified Health Center in Northern California with over 45 years of dedicated service to the community, LifeLong serves over 66,000 patients in the East Bay Area's socio-economically underserved regions. We provide medical, dental, behavioral health, and school-based services at more than 15 primary care sites across Oakland, Berkeley, and West Contra Costa County. From opening a residential respite program for homeless persons discharged from hospitals to offering free COVID testing to the community, we are innovative and responsive to our times' social and medical needs. We provide an inclusive workplace that promotes and values diversity and with which our patients can identify. To this end, we seek candidates who reflect the diversity of the East Bay communities we serve. Benefits: We offer a competitive hourly pay rate of $42.00 - $49.00 depending on years since licensed, and excellent benefits: medical, dental, vision, Flexible Spending Accounts, dependent and domestic partner coverage, 403(b) retirement savings plan, and loan repayment programs. Responsibilities * Obtain and evaluate client data; determine nutritional risks and deficiencies. * Provide individual and group counseling and education to clients at multiple clinic sites. * Coordinate patient care plans with providers and support. * Counsel clients in response to their nutritional needs, attempting to motivate positive changes in behavior which will affect their nutritional status and possibly prevent future medical problems. * Provide information and referral regarding local emergency food programs, WIC Program, and othercommunity services. * Charts pertinent information of patients after assessment and counseling. * Attend and participate in staff meetings and related training. Qualifications * Registered Dietitian, registered, or eligible to be registered, by Commission on DieteticRegistration, Master's Degree preferred. * Minimum of 2 years experience in nutrition * Experienced and sensitive in the delivery of nutrition services to clients from various ethnic,socioeconomic, educational, and experiential backgrounds. * Good verbal and written communication skills. * Willingness to work under pressure during busy clinics. * Bilingual in Spanish and English required * Previous experience working for a non-profit community clinic and/or other non-profit social serviceorganization. Physical Demands and Work EnvironmentThe physical demands described here are representative of those that must be met by an employee tosuccessfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is frequently required to stand, walk, and sit; use hands to finger, handle, or feel and reach with hands and arms; talk and hear. The employee must occasionally lift and/or move up to 25 pounds. The employee frequently works with a video display terminal for prolonged periods; vision abilities include close vision and ability to adjust focus. While performing the duties of this job, the employee regularly works inside environmental conditions. Theemployee may be required to attend evening meetings, travel and work evenings or weekends. The noise level is usually quiet. Individual is subject to frequent interruptions.
    $42-49 hourly Auto-Apply 56d ago
  • Marketing Development Representative - US Remote

    Perfectserve 4.2company rating

    Remote job

    What is PerfectServe? PerfectServe offers best in KLAS assets in three categories: clinical communications, scheduling, and patient engagement solutions. PerfectServe is featured on this year's Inc 5000 list, which profiles the fastest-growing private companies in America. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow! PerfectServe's mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows. By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re-admissions, and bring joy back to caregivers. We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day. Position Overview Our mission is to improve the patient experience and drive positive outcomes in care delivery settings using innovative technology solutions. The primary goal of this Marketing Development Representative (MDR) position reporting to Marketing is to engage with Inbound leads to build our Marketing funnel. You will work closely with Marketing and Sales to manage a high volume of inbound leads through various means of communication (email, live chat, phone) and develop a deep product knowledge to aid in converting these leads to qualified opportunities for Account Executives. You must have excellent time management, organization, and communication skills. Qualify and nurture inbound leads generated through marketing campaigns, converting them into sales-ready opportunities for the sales team. Provide feedback to the Marketing team on lead quality, campaign performance, and messaging effectiveness. Respond promptly to inbound inquiries via phone, chat, email, and web forms, ensuring a positive first impression of PerfectServe. Conduct discovery conversations to understand prospect needs, patient flow issues, provider frustrations, and overall objectives. Educate prospects on PerfectServe solutions and match their needs to appropriate products and services. Schedule qualified meetings between prospects and sales representatives based on established criteria. Maintain accurate and up-to-date records of all prospect interactions and lead status in Salesforce CRM. Collaborate with Marketing to support campaign launches and provide insights for content development. Maintain a strong knowledge of all PerfectServe products, services, and value propositions. Meet and exceed monthly targets for lead qualification, conversion rates, and meeting bookings. Qualifications: Motivated, competitive, and hardworking with a desire to grow with a company. Ability to create a great first impression and provide a PerfectServe experience. Salesforce experience preferred, not required. Possess excellent communication skills and demonstrate professional etiquette in all forms of communication. Not afraid of the phone or hearing ‘no thanks.' Pleasantly persistent and able to get to ‘yes' in a sales conversation. Ambitious and open to coaching and new ideas. Energized by a fast-paced environment. Embody PerfectServe core values: collaboration, purpose, innovation, service, integrity, inclusion. Why Join PerfectServe? At PerfectServe, we are transforming healthcare communication and collaboration to help clinicians deliver better care. You'll work with a dedicated and mission-driven team in an environment that values growth, transparency, and innovation. **Please do not use AI tools to generate your application materials. We value authentic, personal communication and want to understand your unique voice and perspective.** We offer a salary range of $50,000 + commissions per year, with compensation tailored to your background, strengths, and potential to grow within the team. The salary range listed for this role reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. compensation will be determined by a combination of factors, including the candidate's experience, skills, and the specific team or product area they support. We regularly review compensation across the company to ensure fairness and consistency. If you are a current employee and have Next questions about how your compensation aligns with our ranges, we encourage you to speak with your manager or People Operations. Benefits: Remote first work environment Health, Dental, Vision, Life and Disability Insurance options available day one. 401K - with match and immediately vested. 17 company holidays, 2 floating holidays plus competitive paid time off policy Internal Advancement Opportunities PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. PerfectServe's cloud-based solutions enhance patient safety and reduce provider burnout by automating workflows, speeding time to treatment, optimizing shift schedules, empowering nurse mobility, and engaging patients in their own care.
    $50k yearly Auto-Apply 9d ago
  • Eligibility Specialist

    Lifelongmedicalcare 4.0company rating

    Berkeley, CA job

    Supporting Community Healthcare is a rewarding role. LifeLong Medical Care is looking for an Eligibility Specialist at our Admin site in Berkeley. As part of the health center front office team, prepares and submits required eligibility screening and information for all patient visits at the health center. Also responsible for providing enrollment, assistance, information and support to new and established patients in determining eligibility for health services under various private and public health care assistance programs. Also serve as patient registrar and navigator for new patients to their health center. Provide screening and enrollment at community outreach events. This is a full time, 40 hours/week, benefit eligible position. This position is represented by SEIU-UHW. Salaries and benefits are set by a collective bargaining agreement (CBA), and an employee in this position must remain a member in good standing of SEIU-UHW, as defined in the CBA. LifeLong Medical Care is a large, multi-site, Federally Qualified Health Center (FQHC) with a rich history of providing innovative healthcare and social services to a wonderfully diverse patient community. Our patient-centered health home is a dynamic place to work, practice, and grow. We have over 15 primary care health centers and deliver integrated services including psychosocial, referrals, chronic disease management, dental, health education, home visits, and much, much more. Benefits Compensation: $20 - $21/hour. We offer excellent benefits including: medical, dental, vision (including dependent and domestic partner coverage), generous leave benefits including ten paid holidays, Flexible Spending Accounts, 403(b) retirement savings plan. Responsibilities * Responsible for preparing all eligibility information for each scheduled clinic patient at least two days ahead of the appointed time. Works collaboratively with front desk staff to ensure that all scheduled and non-scheduled patients are checked for eligibility and that all information is entered accurately and thoroughly. * Enters pertinent patient messages and eligibility alerts in patient's chart where needed to communicate with front office and billing department regarding patient eligibility * Interviews and screens new and established patients to determine eligibility for health insurances and other programs including Medi-Cal, Covered California, CalFresh, HealthPAC and Contra Costa CARES. * Assists patients and community members with completing and submitting applications for county and state benefit programs including Covered California. * Registers new patients, schedules appointments and provides information on LifeLong Medical Care's locations, services and available programs. * As part of health center front office team, assists with front office operations at the health center as needed. * Responsible for tracking and reporting all required data for enrollment and outreach efforts. * Keeps appropriate statistical records. * Attends all meetings that apply to the eligibility process and shares the information with appropriate clinic personnel. These meetings are typically off-site and may require the use of personal vehicle or other transit. * Follows up on incomplete applications in OEA and CalHEERS within 30 days. * Schedules Medi-Cal appointments for patients to meet with On-site Eligibility Workers. * Takes all classes and test to become a Certified Enrollment Counselor * Performs other duties and projects as assigned. Qualifications * Strong organizational skills and ability to work effectively under pressure in a positive, friendly manner. * Excellent verbal and written communication skills. Must be able to communicate at all levels. * Patient and compassionate when interacting with patients and staff. * Ability to work independently and as a team player with staff and volunteers. * Work in a team-oriented environment with a number of professionals with different work styles and support needs. * Excellent interpersonal, verbal, and written skills and ability to effectively work with people from diverse backgrounds and be culturally sensitive. * Conduct oneself in external settings in a way that reflects positively on LifeLong Medical Care as an organization of professional, confident and sensitive staff. * Ability to see how one's work intersects with that of other departments of LifeLong Medical Care and that of other partner organizations. * Make appropriate use of knowledge/ expertise/ connections of other staff. * Be creative and mature with a "can do", proactive attitude and an ability to continuously "scan" the environment, identifying and taking advantage of opportunities for improvement. Job Requirements * High school diploma or GED. * Two years' experience in a community health care environment or primary care setting. * Experience with One e-App and Cal-Win * Knowledge of Medicare, Medi-Cal, HMO and PPO health insurance policies and procedures. * Proficient in Microsoft office suite, able to type 35 wpm and produce spreadsheets, tables, and flyers. Job Preferences * Some college preferred. * Bilingual English/Spanish preferred.
    $20-21 hourly Auto-Apply 60d+ ago
  • Manager, Utilization Management (Coordination)

    Alignment Healthcare 4.7company rating

    Remote Alignment Healthcare job

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Manager, Utilization Management (UM) Coordination, oversees non-clinical inpatient and pre-service operations under the direction of the Director of Utilization Management. This role provides leadership to UM Supervisors and their coordinator teams to ensure timely, accurate, and compliant processing of authorizations and referrals in accordance with CMS and organizational standards. The Manager drives operational efficiency, staff development, and process improvement while collaborating with internal departments to support continuity of care and overall service quality. Job Responsibilities: Provide operational leadership and direction to two Utilization Management Supervisors overseeing non-clinical coordinator teams supporting both Inpatient and Pre-Service workflows. Lead the teams meet established turnaround times (TATs), quality, and productivity standards for authorization processing, referral routing, and related UM functions. Oversee staffing allocation, scheduling, and workload balancing between inpatient and pre-service units to maintain consistent service levels. Conduct regular one-on-one meetings with supervisors to review performance metrics, workflow barriers, and staff development needs. Own the daily operations to ensure timely and accurate completion of authorizations, correspondence, and documentation in compliance with CMS, NCQA, and organizational standards. Identify process inefficiencies and implement corrective actions to improve turnaround, accuracy, and staff productivity. Lead root-cause analyses for escalated operational issues and coordinate corrective action plans. Responsible for all the accuracy of all UM workflows, systems, and reporting dashboards to support data-driven decision making. Oversee the development and delivery of training materials, competency assessments, and reference guides to promote consistent and compliant practices. Mentor Supervisors to build leadership capacity, coaching them on staff management, delegation, and performance improvement techniques. Drive onboarding, cross-training, and refresher sessions are regularly conducted to support staff versatility across inpatient and pre-service functions. Manage all team activities adhere to CMS and organizational policies related to Utilization Management, confidentiality, and member communication standards. Oversee internal audit reviews and collaborate with the Quality and Compliance teams to address findings and implement improvement plans. Direct that all letters and communications use approved templates and standardized language for UM determinations and continuity-of-care requirements. Participate in internal and external audits, Medical Services Committee meetings, and other regulatory reviews as required. Review and analyze key performance indicators (KPIs), including volume, turnaround time, accuracy, and productivity reports; present trends and improvement strategies to leadership. Support the preparation and submission of monthly UM reports, dashboard summaries, and Medical Services Committee deliverables. Leverage data to identify training needs, process gaps, and operational trends impacting service delivery or compliance. Serve as a liaison between UM, Case Management, Provider Relations, and Claims departments to streamline interdepartmental communication and issue resolution. Collaborate with network providers and internal teams to clarify authorization processes and ensure alignment with benefit and policy criteria. Participate in internal workgroups or initiatives to improve system functionality, workflow automation, and reporting enhancements. Assist with the development, implementation, and monitoring of UM-related initiatives and special projects (e.g., claims review process, continuity-of-care tracking, or performance optimization programs). Evaluate and revise UM policies and procedures to align with evolving regulatory standards and organizational goals. Support readiness activities for CMS audits and other accreditation requirements. Perform other related functions and special assignments as directed by senior leadership. Core Competencies: Leadership & Talent Development - Demonstrates the ability to lead through others by developing and empowering supervisors and staff. Fosters a culture of accountability, engagement, and continuous improvement within the UM department. Operational Management - Applies strong organizational and analytical skills to oversee workflow execution, resource allocation, and performance metrics across inpatient and pre-service teams. Regulatory & Compliance Expertise - Maintains in-depth knowledge of CMS regulatory standards, confidentiality requirements, and UM protocols to ensure full compliance and audit readiness. Analytical Thinking & Decision-Making - Uses data to identify trends, evaluate outcomes, and implement process improvements that enhance accuracy, turnaround times, and service quality. Communication & Collaboration - Communicates clearly across all organizational levels; partners effectively with Clinical Operations, Provider Relations, Case Management, and Claims to resolve issues and align priorities. Process Improvement & Innovation - Continuously evaluates operational workflows and implements efficiency strategies that support organizational goals and member satisfaction. Member & Service Orientation - Demonstrates commitment to delivering high-quality service, ensuring that UM processes support positive member experiences and continuity of care. Change Management - Adapts to evolving regulatory, system, and organizational needs while leading teams through process transitions and new initiatives effectively. Supervisory Responsibilities: Oversees assigned staff. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and performance management. Job Requirements: Experience Required: Minimum (4) years of related experience in a managed care setting and a minimum (3) years of recent and related supervisory experience Education Required: Highschool Diploma or GED Required Preferred: Bachelor's Degree or higher Other: Strong knowledge of Medicare Managed Care Plans Proficient in Microsoft Word, Excel, and Outlook; advanced Excel skills preferred (pivot tables, formulas, data visualization, and reporting functions for performance tracking and analysis). Experience leading and sustaining process improvement initiatives within healthcare operations to enhance efficiency, compliance, and service quality. Communication and Interpersonal Skills - Excellent written and verbal communication skills; able to build and maintain collaborative relationships with diverse teams, including leadership, staff, and external partners. Analytical and Reasoning Skills - Strong analytical thinking with the ability to define problems, collect and interpret data, establish facts, draw valid conclusions, and develop actionable solutions. Problem-Solving and Organizational Skills - Demonstrated ability to prioritize multiple tasks, manage time effectively, and maintain accuracy in a fast-paced, dynamic environment. Data and Report Analysis - Ability to interpret, analyze, and present statistical and operational reports to support decision-making and performance monitoring. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $70,823.00 - $106,234.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $70.8k-106.2k yearly Auto-Apply 4d ago
  • Data Scientist

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Healthcare is a data and technology driven healthcare company focused partnering with health systems, health plans and provider groups to provide care delivery that is preventive, convenient, coordinated, and that results in improved clinical outcomes for seniors. We are seeking a mission-driven Data Scientist to join our growing team and support risk adjustment strategy within our Medicare Advantage line of business. This role focuses on enhancing risk score accuracy, CMS audit preparedness (RADV), and building AI-powered tools that improve clinical documentation review and integrity. You'll play a key role in advancing AVA, our proprietary clinical intelligence platform, by developing next-generation models that support autonomous chart review and NLP/GenAI-driven documentation analytics. This is a unique opportunity to work at the intersection of healthcare, compliance, and machine learning-transforming how we ensure both quality and regulatory alignment. Job Duties/Responsibilities: Collaborate with key business leaders to understand their business problems and come up with analytical solutions. Applying coding skills and knowledge data structures to develop projects in partnership with other scientists and engineers in the team Build customer segmentation models to better understand our customers and tailor the clinical outcome and healthcare care experience for them. Build and fine-tune models for both LLMs and OCR-based document understanding, enabling accurate extraction from scanned or low-quality medical charts. Develop scalable model pipelines that integrate NLP, computer vision, and unstructured data, leveraging cloud-based infrastructure (Azure) and containerized environments. Collaborate with engineering teams to version, test, and deploy models using Git, CI/CD pipelines, and virtual machine (VM) environments. Design algorithms to predict audit risk and detect documentation anomalies across cohorts and markets. Partner with Coding, Compliance, CDI, Clinical, and Legal teams to ensure data outputs are aligned with CMS guidance. Help standardize definitions, documentation logic, and reporting workflows to scale enterprise-wide AI-readiness. Help analytical support for CMS Star Ratings strategy, including: Audit sampling methodology validation Chart review error pattern identification Root cause analysis on deletion rates and extrapolation exposure Supervisory Responsibilities: N/A MINIMUM REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Experience: 2+ years of relevant experience in predictive modeling and analysis Education/Licensure: Required: PhD in Computer Science, Engineering, Mathematics, Statistics, or related field, or equivalent experience Other: Excellent communication, analytical and collaborative problem-solving skills Experience in building end to end data science solutions and applying machine learning methods to real world problems with measurable outcomes. Deep understanding and experience with various machine learning algorithms, including deep neural networks, natural language processing and LLMs. Solid data structures & algorithms background. Strong programming skills in one of the following: Python, Java, R, Scala or C++ Demonstrated proficiency in SQL and relational databases. Experience with data visualization and presentation, turning complex analysis into insight. Experience in setting experimental analytics frameworks or strategies for complex scenarios. Understanding of relevant statistical measures such as confidence intervals, significance of error measurements, development, and evaluation data sets, etc. Experience with manipulating and analyzing complex, high-volume, high-dimensionality and unstructured data from varying sources Preferred Qualifications: Healthcare experience Experience in Big Data processing technologies: Databricks Experience in Azure, AWS or other cloud ecosystems. Experience in NoSQL databases. Published work in academic conferences or industry circles. Demonstrable track record dealing well with ambiguity, prioritizing needs, and delivering results in an agile, dynamic startup environment Knowledge of CMS Risk Adjustment Data Validation (RADV) audits Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ESSENTIAL PHYSICAL FUNCTIONS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************. Pay Range: $149,882.00 - $224,823.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $149.9k-224.8k yearly Auto-Apply 60d+ ago
  • Sales Development Representative - US Remote

    Perfectserve 4.2company rating

    Remote job

    What is PerfectServe? PerfectServe offers best in KLAS assets in three categories: clinical communications, scheduling, and patient engagement solutions. PerfectServe is featured on this year's Inc 5000 list, which profiles the fastest-growing private companies in America. We have seen an 88% growth rate over the past three years and need strong team members to help us continue to grow! PerfectServe's mission is to accelerate speed to care by optimizing provider schedules and dynamically routing messages to the right person at the right time in any care setting; advancing patient care and clinical workflows. By joining PerfectServe, you will have the unique opportunity to come alongside us as we further our vision of putting all of these solutions together to provide optimal patient outcomes and faster patient care interventions. By improving speed to care and cross-continuum communication, we save lives, reduce length of stay, minimize re-admissions, and bring joy back to caregivers. We have an incredible portfolio of customers, with new ones recognizing the value of our solutions and joining the PerfectServe family every day. Position Overview If you are looking for an entry-level sales opportunity in healthcare technology with one of the fastest-growing private SaaS companies in North America, PerfectServe is the place for you. This opportunity will provide you with a solid foundation and jump-start your career in sales. When you join our team, you will receive comprehensive sales and healthcare training covering the latest sales technology, career planning, and mentoring by seasoned sales professionals. Serving the healthcare industry for over 20 years, PerfectServe is a leader in secure clinical communications, optimized physician scheduling, and patient and family engagement. Our array of SAAS (software-as-a-service) products are utilized by hospitals and medical practices across the country. Our mission is to improve the patient experience and drive positive outcomes in care delivery settings using innovative technology solutions. The Business Development Representative (BDR) team's primary goal is to build our sales funnel with sales qualified leads. You will work closely with sales to identify strategic prospecting targets and execute outreach campaigns. This role offers a competitive base salary plus uncapped commission. Main responsibilities Increase sales by identifying, creating, and passing new qualified leads to designated sales representative. Implement best practices for marketing campaigns through creativity and problem solving. Execute outreach campaigns using phone, email, and social mediums. Acquire and set up new meetings with target clients through prospecting. Collaborate with key decision makers to initiate the start of internal sales cycle. Seek to understand patient flow issues, provider frustrations, and overall health system objectives. Adapt PerfectServe strategy as needed to meet client needs. Keep an accurate and up-to-date log of all prospect interactions in the SalesForce CRM. Research and implement strategies to increase market share. Maintain a strong knowledge of all PerfectServe products. Meet and exceed monthly sales targets. Qualifications Motivated, competitive, and hardworking with a desire to grow in sales. Ability to create a great first impression and provide a PerfectServe experience. Salesforce experience preferred, not required. Possess excellent communication skills and demonstrate professional etiquette in all forms of communication. Not afraid of the phone or hearing ‘no thanks.' Pleasantly persistent and able to get to ‘yes' in a sales conversation. Ambitious and open to coaching and new ideas. Energized by a fast-paced environment. Embody PerfectServe's core values: collaboration, purpose, innovation, service, integrity, inclusion. **This is a fully remote position but candidates must currently reside in the United States within Eastern or Central Timezones. We offer base salary of $50,000 per year, plus commission incentives. The salary range listed for this role reflects our commitment to pay transparency and is based on market data, internal equity, and the scope of responsibilities. compensation will be determined by a combination of factors, including the candidate's experience, skills, and the specific team or product area they support. We regularly review compensation across the company to ensure fairness and consistency. If you are a current employee and have questions about how your compensation aligns with our ranges, we encourage you to speak with your manager or People Operations. Benefits: Remote first work environment Health, Dental, Vision, Life and Disability Insurance options available day one. 401K - with match and immediately vested. 17 company holidays, 2 floating holidays plus competitive paid time off policy Internal Advancement Opportunities PerfectServe offers unified healthcare communication solutions to help physicians, nurses, and care team members provide exceptional patient care. PerfectServe's cloud-based solutions enhance patient safety and reduce provider burnout by automating workflows, speeding time to treatment, optimizing shift schedules, empowering nurse mobility, and engaging patients in their own care.
    $50k yearly Auto-Apply 59d ago
  • Certified Prosthetist Orthotist/Certified Orthotist (CRO Specialist)

    Pacific Medical 3.7company rating

    Walnut Creek, CA job

    Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate opportunity to join our growing Ortho Life Orthopedic platform. We are currently seeking a full-time Certified Prosthetist Orthotist specializing in Cranial Remolding Orthosis for our Walnut Creek, CA Patient Care Facility. This individual will be responsible for the evaluation, fabrication, and custom fitting of artificial limbs and orthopedic braces, specialize in designing and making artificial limbs, designing and fitting orthopedic braces such as surgical supports and corrective shoes, and a willingness to supervise and work with a dynamic team. Job Responsibilities: • Examine, interview, and measure patients in order to determine their appliance needs, and to identify factors that could affect appliance fit. • Fit, test, and evaluate devices on patients, and make adjustments for proper fit, function, and comfort. • Instruct patients in the use and care of orthoses and prostheses. • Design orthopedic and prosthetic devices, based on physicians' prescriptions, and examination and measurement of patients. • Maintain patients' records in accordance with ABC and CMS standards • Make and modify plaster casts of areas that will be fitted with prostheses or orthoses, for use in the device construction process. • Select materials and components to be used, based on device design. • Confer with physicians in order to formulate specifications and prescriptions for orthopedic and/or prosthetic devices. • Repair, rebuild and modify prosthetic and orthopedic appliances. • Construct and fabricate appliances or supervise others who are constructing the appliances. • Train and supervise orthopedic and prosthetic assistants and technicians, including COF. • Update skills and knowledge by attending conferences and seminars. • Show and explain orthopedic and prosthetic appliances to healthcare workers. • Maintenance of inventory of material in main and any satellite locations. Requirements: • Must be currently licensed and/or certified and in good standing by governing agency in your field of study either ABC or BOC. • Must have Cranial Remolding experience. • Must maintain CME's annually in accordance with ABC and BOC guidelines. • Must practice within your scope of work unless privileged by a supervisor or practitioner of another specialty. • Must adhere to the guidelines as set forth in the employee handbook of Pacific Medical Inc. upon hire. • Must attend and show competency in HIPAA compliance, sexual harassment training, and universal precautions training. • If required by state law must have additional licensing to perform duties in said state/ region. • Maintain compliance with ABC facility accreditation and be a leader in its implementation. • Lead and/or participate as necessary with facility support staff in the annual performance reviews. • Mandatory attendance and participation in Pacific Medical hosted training and meetings. Salary Range: $70,000 - $100,000 All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.
    $70k-100k yearly Auto-Apply 48d ago
  • Virtual Concierge Navigator, Medical Assistant

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Virtual Concierge Navigator, Medical Asst. External Description: Virtual Concierge Navigator, Medical Assistant The ACCESS On-Demand Concierge is Alignment Healthcare's model to ensure best-in-class service and care coordination 24/7. As a member of this team, you will be at the center of our member experience and the face of Alignment Healthcare. You will provide members with “White Glove” service and act as a guide to help our members navigate their virtual experience and health care overall. The Virtual Concierge Navigator ensures member satisfaction and customer service are provided at the level of excellence that our members deserve. To do so, you will become an expert on our health plan and supplemental benefits, care deliver model, and provider network; you will also serve as the liaison among members, providers, and internal departments. By ensuring an “aligned” experience is available to our members at any time of day or night, over the phone, through video-chat, and messaging. Essential Duties and Responsibilities: Essential duties and responsibilities of the Virtual Concierge Navigator include, but are not limited to: • Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries; serve as a “subject matter expert” in the health care experience that our members navigate daily. • Resolve incoming calls concerning members' eligibility, benefits, provider information, clinical, and pharmacy needs; coordinate membership changes such as member's primary care physician and proactively engage member with their wellness plan options. • Collaborate with our partners - including but not limited to other departments, supplemental benefit vendors, and provider network - to facilitate the member experience. • Responsible for receiving inbound phone calls within the department's goal timeframe; may be required to communicate with members in other channels including e-mail, web chat, SMS/text, as required. • Manage to the member's communication preferences as possible, which may include time of day, channel, and language; utilize interpreter service as needed. • Responsible for real-time documentation (i.e., caller name, contact info, call reason, action taken, resolution, etc.) and timely wrap-up to support outcomes reporting, in all systems/applications as required. • Provide administrative support to virtual providers with referrals and initiating authorization requests as deemed appropriate, following up to ensure completion. • Coordinates member's care for PCP care plan, diagnostic tests, radiology, laboratory, and specialty appointments. Ensures appointments are scheduled and confirmed with the member via Alignment's EMR system; confirms demographics entered are complete. Schedules transportation as appropriate. • Manage appropriate clinical escalations and triage; link the member to appropriate clinical resources. • Verify the member is included in or targeted for any outreach or care gap programs and connect members to programs (such as chronic disease programs) or services when appropriate. Analyze available programs, determine program eligibility, and assists with enrollment of such program as appropriate. • Monitor communication channels as assigned and manage replies to ensure all metrics for timeliness and member experience success are met. • Develop, write, and edit digital replies, which may involve coordination of health plan benefits knowledge, reference documents, member resources, insights from key stakeholders, and more to be determined. • Follow communication “scripts” and/or templates as appropriate, ensuring the consumers' needs are clearly understood and resolved. • Excel in customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction. • Adhere to all applicable attendance policies to ensure consistent and reliable queue coverage, which is essential to the member experience. Supervisory Responsibilities This job has no supervisory responsibilities. Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Education and/or Experience: High school diploma or general education degree (GED). 2. Certificates, Licenses, Registrations: Medical Assistant Certification. Required. 3. Other Qualifications: • Medical front/back office experience. • Knowledge of ICD-10 and CPT codes. • High-volume inbound customer service experience, particularly for health plan or Medicare “Member Services” roles in health plan and supplemental benefits. Preferred. • Telemarketing and/or member outreach experience. Preferred. • Specialized experience in escalation or resolution units. Preferred. Skills and Abilities 1. Communication Skills: Strong communication skills via email and phone. Fluency in written and verbal Spanish, Korean, or Vietnamese, a plus. 2. Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. 3. Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. 4. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. 5. Computer Skills: Strong computer skills. 6. Other Skills and Abilities: a. Computer literate, typing 40+ words per minute. b. Excellent communication skills, oral and written. c. Must pass a writing test. Impeccable grammar and spelling. Please note: No time off granted during Onboarding/Training and for Jan 1 - Jan 30, 2021 due to high call volume for calendar year enrollment. Must be willing to work overnight, weekends, and holidays as scheduled. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear. 2. The employee is frequently required to walk; stand; reach with hands and arms. 3. The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. 4. The employee must occasionally lift and/or move up to 20 pounds. 5. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Working Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. The noise level in the work environment is usually moderate. 2. Remote, work from home positions available. City: Orange State: California Location City: Orange Schedule: Full Time Location State: California Community / Marketing Title: Virtual Concierge Navigator, Medical Assistant Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $37k-44k yearly est. Easy Apply 60d+ ago
  • Social Worker (Home visits in Fresno / Madera / Merced)

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Fresno, CA

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a social worker to join the Care Anywhere team to conduct home visits in the Sacramento, Placer, and Yolo county areas (4 home visits per day with mileage reimbursement.) The Social Worker assess' and evaluates members' needs and requirements to achieve and/or maintain their health. Guides members and their families toward and facilitate interaction with resources appropriate for their care and well-being. Works in collaboration with a multi-disciplinary teams, employing a variety of strategies, approaches and techniques to enable a member to manage their physical, environmental and psycho-social health issues. Schedule: Monday - Friday, 8:00 AM - 5:00 PM GENERAL DUTIES/RESPONSIBILITIES 1. Conducts telephonic outreach to assigned members to assess health, environment, nutrition, and psycho-social areas of concerns using a variety of assessments. a. In response to assessments, coaches and problem solves with member to identify and address specific goal(s) to support health and behavior change. b. Provides appropriate interventions to optimize health and well-being. Interventions may include education, the coordination of community-based support services, and other resources. c. Charts member's treatments and progress in accordance with state regulations and department procedures. d. Makes referrals to case manager, as appropriate, and/or refers member's family to community support services and resources. 2. Provides home assessment to high-risk members and develop an individual care plan 3. Collaborates with physicians in screening and evaluating members for psychotropic medications. 4. To better serve members and implement the model of care, understands the clinical program design, program monitoring and reporting. 5. Practices as an interdependent member of the health team and provides important components of primary health care through direct social work services, consultation, collaboration, referral, teaching, and advocacy. 6. Assess' and treats outpatients in individual and family modalities exercising mature professional judgment and using a wide range of social work skills to include individual and family counseling to assist patients and their families in dealing with chronic and acute diseases/injuries. 7. Conducts psychosocial assessments to determine patient needs and resources (both family support and community support). Provides counseling to patient and family in matters directly related to patients' limitation, adjustment to medical condition, and ongoing treatment. Develops and implements discharge plans, follow-up care, and transfers to other health care facilities (e.g., nursing homes, rehabilitation hospitals, etc.) 8. Provides consultation services to medical, nursing, and ancillary hospital staff regarding psychosocial issues, discharge plans, and follow-up care for patients and families. 9. Provides crisis intervention services. 10. Responds independently, and with various media, to appropriate community requests. Take the initiative in seeking out opportunities to present programs to meet the needs of patients/members and their families. 11. Consults with Hospital administration, and Plan supplying information and feedback regarding procedures and services provided by the Psychology Division. 12. Develops and maintains working relationships with community resources. Coordinate with physicians, and representatives of their service disciplines for the benefit of the member and their families. Take initiative in identifying and assessing the needs of the community and organize responses to address those needs. 13. Interfaces with the RN Case Manager(s) and the Interdisciplinary Team (IDT) in the development and implementation of the Case Management Program (CMP). 14. Integrates social work case management and nurse case management as a team. Job Requirements: Experience: • Required: Minimum 5 years of experience in care management, assessment, long term member/patient care management or community based resource delivery. 2 year experience with vulnerable adults or older adult population. 1 year experience with motivational interviewing-Ability to apply Motivational Interviewing and Appreciative Inquiry. Education: • Required: Master's Degree in Social Work (MSW) Training: • Preferred: Crisis intervention training Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Intermediate to advanced computer skills and experience with Microsoft Word and Excel. Skill to understand current and potential needs of members to take appropriate action in order to support member in health and well-being changes. Skill in building trust in partnership with member/client/patient. Basic knowledge of complex care management and care management principles. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. Licensure: Required: Current, valid, unrestricted California Driver's License and reliable transportation. Preferred: Valid unrestricted Social Worker license (LCSW) Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1 While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2 The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $77,905.00 - $116,858.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $77.9k-116.9k yearly Auto-Apply 60d+ ago
  • Concierge Navigator

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Garden Grove, CA or remote

    Concierge Navigator-Advocate External Description: Concierge Navigator- Advocate The Concierge Navigator Advocate provides outreach and support to ensure all our members have access to the care they deserve. You will navigate our members through their health care and benefits, and connect the dots between our provider network, health plan operations, and supplemental vendors. You will be alongside our members every step of the way to ensure they are never alone in their healthcare journey. This is a role for a passionate and experienced customer service representative who understands the meaningful contribution they make to our members' healthcare outcomes. Essential Duties and Responsibilities: Essential duties and responsibilities of the Concierge Navigator- Advocate include, but are not limited to: Be knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries; serve as a “subject matter expert” in the health care experience that our members navigate daily Responsible for conducting member outreach phone calls and/or receiving inbound phone calls within the department's goal timeframe; manage to the member's communication preferences as possible, which may include time of day, channel, and language; utilize interpreter service as needed Collaborate with our partners - including but not limited to other departments, supplemental benefit vendors, and provider network - to facilitate the member experience Identify members targeted for care gaps and other campaigns, and connect members to programs or services when appropriate; analyze available programs, determine program eligibility, and connect member to appropriate provider or vendor Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications as required; must enter member demographics and information with accuracy and attention to detail, i.e. feel responsibility for the quality of our organizational data Responsible for meeting or exceeding individual and team goals, and for submitting activity reports in the format and frequency required Excel in customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction Must participate in all required team meetings and trainings, and exhibit satisfactory understanding of new information and process Adhere to all applicable attendance and productivity policies Support other projects and duties as assigned by Management Supervisory Responsibilities This job has no supervisory responsibilities. Minimum Requirements Experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits Outbound call center experience which may include welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related programs; and/or inbound call center experience that indicates a higher level of problem-solving such as escalation or resolution Must be available to work full-time and over-time through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar) Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Education and/or Experience: High school diploma or general education degree (GED); two to three years related experience and/or training; or equivalent combination of education and experience. Certificates, Licenses, Registrations: None required Other Qualifications - preferred, but not required: Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean Independently motivated self-starter who can prioritize work assignments and make every day a productive day Team player willing to help and support colleagues, and do their part to support us all reaching our organizational goals Natural “teacher” with the ability to learn plans and describe/explain/educate healthcare coverage and services to our members Genuine passion for customer service Skills and Abilities: Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization. Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Ability to apply common sense understanding to carry out detailed, but un-involved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Computer Skills: Strong computer skills. Other Skills and Abilities: * Computer literate, typing 40+ words per minute. * Excellent communication skills, oral, and written. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. City: Remote - CA State: California Location City: Remote - CA Schedule: Full Time Location State: California Community / Marketing Title: Concierge Navigator Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $39k-49k yearly est. Easy Apply 60d+ ago
  • Care Coordinator, Case Management (Temporary)

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a remote care coordinator to join the case management team for a long-term temporary engagement (with medical benefits.) The Care Coordinator works in collaboration with the RN Case Manager as part of the interdisciplinary team. The Care Coordinator supports members with closing care gaps and addressing care coordination needs as directed by the RN Case Manager. As part of the Case Management team is responsible for the health care management and coordination of care for members with complex and chronic care needs. The Care Coordinator is responsible for CM Coordinator functions for the members enrolled in Case Management. Please note: Alignment Health is continuing to expand so there is a possibility the position could extend and / or convert based on budget, business need, and individual performance. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time GENERAL DUTIES / RESPONSIBILITIES: 1. Reaches out to members telephonically to assist with referrals, authorizations, HHC, DME needs, medication refills, make provider appointments and follow ups, etc 2. Creates cases, tasks, and completes documentation in the Case Management module for all Hospital and SNF discharges 3. Complies with tasks assigned by nurse and, as appropriate and documents accordingly 4. Works as a team with the Case Manager to engage and manage a panel of members 5. Manages new alerts and updates Case Manager of changes in condition, admission, discharge, or new diagnosis 6. Establishes relationships with members, earns their trust and acts as patient advocate 7. Escalates concerns to nurse if members appear to be non-compliant or there appears to be a change in condition 8. Assists with outreach activities to members in all levels of Case Management Programs 9. Assists with maintaining and updating member's records 10. Assists with mailing or faxing correspondence to members, PCP's, and/or Specialists 11. Requests and uploads medical records from PCP's, Specialists, Hospitals, etc., as needed 12. Meets specific deadlines (responds to various workloads by assigning task priorities according to department policies, standards and needs) 13. Maintains confidentiality of information between and among health care professionals 14. Other duties as assigned by CM Supervisor, Manager or Director of Care Management Job Requirements: Experience: • Required: Minimum 1 year experience working in Health Care such as Health Plan, Medical office, IPA, MSO. Minimum 1 year experience assisting members/patients with authorizations, scheduling appointments, identification of resources, etc. • Preferred: Education: • Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education. • Preferred: MBA Training: • Required: • Preferred: Medical Assistant training, Medical Terminology training. Specialized Skills: • Required: Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to write routine reports and correspondence. Communicates effectively using good customer relations skills. Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Knowledge of Managed Care Plans Knowledge of Medi-Cal Basic Computer Skills, 25 WPM (Microsoft Outlook, excel, word) Mathematical Skills: Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement, volume, and distance. Reasoning Skills: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. • Preferred: Bilingual (English/Spanish), Licensure: • Required: None • Preferred: Medical Assistant Certificate, Medical Terminology Certificate Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $41.5k-62.2k yearly Auto-Apply 60d+ ago
  • Manager, Member Engagement

    Alignment Healthcare 4.7company rating

    Alignment Healthcare job in Orange, CA

    Manager, Member Engagement External Description: Manager, Member Engagement This management position will oversee our outreach teams that are dedicated to proactive member engagement. The Manager, Member Engagement is at the helm of our outbound contact center strategy and operations. As you drive process improvement and team performance, we will build an exceptional service-oriented culture that anticipates our members' needs. Essential Duties and Responsibilities: Essential duties and responsibilities of the Manager, Member Engagement include, but are not limited to: Partner with executive leadership to determine and understand contact center operational strategy by conducting needs assessments, performance reviews, capacity planning, workforce management, and cost/benefit analysis Conduct candidate interviews, make hiring decisions, and oversee successful new employee onboarding Monitor the activities and productivity of all staff in office and remote (work from home) locations; ensure quality assurance; deliver related reporting to executive leadership as required Evaluate the performance of direct reports, and provide coaching, counsel, performance improvement plans, etc. in regular performance review meetings Champion team engagement and create a culture of service excellence, positivity, and teamwork Create, implement, and test new workflows and processes Coordinate work activities with other leadership and departments to streamline the member experience and identify efficiencies for the business Serve as a team representative in meetings and audits as required Lead by example: demonstrate reliability and accountability in attendance and the quality of your work product; ensure a culture of professionalism and discipline Other assignment and projects as assigned Minimum Requirements To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Experience: five (5) years of Call Center experience including at least three (3) years in a management capacity in a compliance-driven industry; previous health plan and/or Medicare Advantage experience preferred Education and/or Experience: Bachelor's degree, or equivalent experience Certificates, Licenses, Registrations: None required Other Qualifications - preferred, but not required: Proven track record to monitor and motivate employees; experience that includes oversight of remote workforce and/or vendor a plus Demonstrated success with implementation and/or management of applications including workforce management, CRM, campaign manager, EMR PM, etc. Excellent communication skills, both written and verbal; bilingual English/Spanish preferred Strong interpersonal skills and a collaborative management style Attention to detail, with sound critical thinking and follow up skills Ability to manage multiple priorities simultaneously with timelines and short turn-around times Advanced computer skills (Outlook, Excel, PowerPoint, Word) required Genuine passion and goals for career-level customer service City: Orange State: California Location City: Orange Schedule: Full Time Location State: California Community / Marketing Title: Manager, Member Engagement Company Profile: Alignment Healthcare was founded with a mission to revolutionize health care with a serving heart culture. Through its unique integrated care delivery models, deep physician partnerships and use of proprietary technologies, Alignment is committed to transforming health care one person at a time. By becoming a part of the Alignment Healthcare team, you will provide members with the quality of care they truly need and deserve. We believe that great work comes from people who are inspired to be their best. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment community. EEO Employer Verbiage: On August 17, 2021, Alignment implemented a policy requiring all new hires to receive the COVID-19 vaccine. Proof of vaccination will be required as a condition of employment subject to applicable laws concerning exemptions/accommodations. This policy is part of Alignment's ongoing efforts to ensure the safety and well-being of our staff and community, and to support public health efforts. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact ******************.
    $101k-126k yearly est. Easy Apply 60d+ ago
  • Patient Collections Specialist

    Pacific Medical 3.7company rating

    Remote or Tracy, CA job

    Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate non-remote opportunity to join our growing company. We are currently seeking a full-time (M-F 8:00 am-5:00 pm) Patient Collections Specialist for our Tracy, CA office. These individuals will be responsible for the following: Job Responsibilities: · Contact patients/guarantors to secure payment for services provided based on an aging report with balances. · Contact patients when credit card payments are declined. · Follow up with refund requests. · Document all calls and actions are taken in the appropriate systems. Sets next work date if follow-up is needed. · Confirms/updates with patient/guarantor insurance and patient demographics information. Makes appropriate changes and submits/re-submits claims as indicated. · Establishes a payment arrangement with the patient/guarantor and follow-up on all payment arrangement plans implemented. · Document all patient complaints/disputes and forward them to the appropriate person for follow-up. · Perform other duties as needed. Qualifications/Skills: · Must excel in interpersonal communication, customer service and be able to work both independently and as part of a team. · Must excel in organizational skills. · Must possess strong attention to detail and follow-through skills. · Education, Training, and Experience Required: - High School graduate or equivalent. - Must type 25-45 words per minute. Hourly Rate Pay Range: $17.00 to $19.00 · Annual Range ($35,360 to $39,520) O/T Rate Pay Range: $25.50 to $28.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375.00 - $14,250.00) · Note: Abundance of O/T Available Bonus Opportunity Team Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up to $6k per year) Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88 per hour or up $6k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Team and Profit Bonus after 3 months) Annual Mid-Range Pay: $54,315.00 (Estimate incl. 5 hrs O/T per week, Mid-range Team and Profit Bonus) Annual Top Pay: $57,895.00 (Estimate incl. 5 hrs O/T per week, Max Team and Profit bonus) All Full-Time positions offer the following: Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning. Additional Benefits for Full-Time Employees (3 to 4 weeks of Paid Time Off) Holidays: 10 paid holidays per year Vacation Benefit: At completion of 3-month introductory period, vacation accrual up to a max of 40 hours in the first 23 months, at 24 months, accrual up to a max of 80 hours with a rollover balance. Sick Benefit: Sick accrual begins upon date of hire up to a max accrual of 80 hours annually with a max usage of 48 hours annually with a rollover balance.
    $35.4k-39.5k yearly Auto-Apply 48d ago
  • Bilingual Spanish Care Coordinator, SNP

    Alignment Healthcare 4.7company rating

    Remote Alignment Healthcare job

    Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. Alignment Health is seeking a remote bilingual Spanish care coordinator to join the special needs program (SNP) case management team. The Care Coordinator works in collaboration with the RN Case Manager as part of the interdisciplinary team. The Care Coordinator supports members with closing care gaps and addressing care coordination needs as directed by the RN Case Manager. The Special Needs Plan (SNP) team is responsible for the health care management and coordination of care for members with complex and chronic care needs. Schedule: Monday - Friday, 8AM - 5PM Pacific Time.What You'll Do Reach out to members regarding referrals, prior authorizations, medication refills, and appointment scheduling. Support transitions of care by completing tasks and assessments after hospital or SNF discharges. Collaborate with RN Case Managers to manage care for a panel of SNP members. Monitor alerts (e.g., new diagnoses, admissions, discharges) and communicate important changes to the care team. Serve as a trusted point of contact for members-building relationships and advocating for their care. Maintain accurate and timely documentation in the Case Management system. Assist with provider communications, including record requests and document distribution. Participate in team meetings and case reviews to help optimize member care. Maintain compliance with HIPAA, organizational policies, and departmental deadlines. What You'll BringRequired Qualifications: Bilingual in Spanish or Vietnamese (required) 1+ year of experience in a healthcare IPA setting 1+ year of experience with referrals and prior authorizations High school diploma or GED (Bachelor's degree preferred; or 4 years of equivalent experience in lieu of degree) Basic proficiency in Microsoft Outlook, Word, and Excel; typing speed of 25+ WPM Strong communication and interpersonal skills Ability to prioritize and multitask in a fast-paced, high-volume environment Familiarity with Medi-Cal and managed care plans Preferred Qualifications: Medical Assistant certification or formal Medical Terminology training Previous experience in clinical support roles Work Environment & Physical Requirements Fully remote position with standard office setup Regular use of hands, voice, and computer tools Occasionally required to lift up to 10 pounds Requires close vision and ability to adjust focus Reasonable accommodations available as needed Why Alignment Health? Be part of a mission-driven organization making healthcare more accessible for seniors Work in a collaborative, inclusive, and remote-friendly environment Build a career where your compassion and attention to detail make a daily impact Ready to Join Us?If you're a proactive problem-solver with a heart for patient care and the bilingual skills to connect with diverse communities, we invite you to apply today.Apply now to help us deliver compassionate, coordinated care where it's needed most. Essential Physical Functions: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. 2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Pay Range: $41,472.00 - $62,208.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc. Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation. *DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at ******************************* If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email ******************.
    $41.5k-62.2k yearly Auto-Apply 4d ago

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Alignment Healthcare may also be known as or be related to Alignment Healthcare, Alignment Healthcare, LLC and Alignment Healthcare, USA LLC.