AltaMed Health Services Jobs

- 825 Jobs

  • RN Utilization/Care Review Supervisor - (remote - must reside in Iowa)

    Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. KNOWLEDGE/SKILLS/ABILITIES Oversees an integrated Care Access and Monitoring team responsible for prior authorizations, inpatient/outpatient medical necessity/utilization review, and/or other utilization management activities aimed at providing Molina Healthcare members with the right care at the right place at the right time.
    $66.5k-129.6k yearly2d ago

  • Sr. Cloud Security Engineer (Cloud Native Security) - REMOTE

    Sr. Cloud Security Engineer (Cloud Native Security)
    $100k-155k yearly9d ago

  • Rep, Customer Experience - Remote

    This role is a remote position and salary will be based on experience you bring to Molina! Provides customer support and stellar service to meet the needs of our Molina members and providers. Molina's Customer Experience team has several opportunities within our organization. Molina supports members and providers for different lines of businesses across multiple states. This role provides customer support and requires stellar service to meet the needs of our Molina members and providers. Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. Molina is a fast-pace, energetic organization and is committed to caring for our customers.
    $18 hourly7d ago

  • Sr. Specialist, Government Contracts (Remote in NE and ideal candidate will have SharePoint experience)

    Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance.
    $45.4k-88.5k yearly20d ago

  • Coding Specialist I- Inpatient- REMOTE

    CCS (Certified Coding Specialist) required within 1 year from date of hire. Adheres to the MedStar Coding Query Policy and procedure.
    $55k-70k yearly est.5d ago

  • Adjudicator, Provider Claims (Remote in IOWA)

    Leads and resolves issues and addresses needs appropriately and effectively, while demonstrating Molina values in their actions. Provides customer support and stellar service to assist Molina providers with claims inquiries. The Provider Claims Adjudicator is responsible for responding to providers regarding issues with claims, coordinating, investigates and confirms the appropriate resolution of claims issues.
    $34.1k-66.5k yearly7d ago

  • CT Technologist- Outpatient- FT

    MedStar Radiology Network at Foxhall
    $61k-77k yearly est.6d ago

  • Staff Physician, Family Practice

    Active participation in the Quality Management Program, Utilization Review, Peer Review, AltaMed Medical Provider activities, and AltaMed's On-call schedule. Provides primary care medical services to the patients of AltaMed. Physician with an active unrestrictive CA license to practice medicine by the Medical Board of California. Able to assess and treat patients in an acute care setting, which includes but is not limited to, acute infectious diseases, minor orthopedic ailments within a Family Physician's scope and minor procedures such as laceration repairs and incision and drainage. Qualifications Experience and training as a physician.
    $152k-204k yearly est.7d ago

  • Staff Physician, OB/GYN

    Delivers care and services aligned with AltaMed's Team-Based Care Model focused on population health, evidence based medicine, appropriate resource use, and integrated delivery of care. Leverages AltaMed's Team Based Care Model to ensure all members of the clinic team are practicing at highest scope of practice. Provides Obstetrics and Gynecology medical care to the patients of AltaMed. Demonstrate behaviors in accordance with AltaMed's Standards of Behaviors including Accountability, Teamwork, Respect, and Professionalism at all times. Actively participate in the Quality Management Program, Utilization Review, Peer Review, AltaMed Medical Provider activities, and AltaMed's On-call schedule if applicable.
    $152k-204k yearly est.7d ago

  • Physician Reviewer, Med Mngmnt

    Physician Reviewers will process Denials of authorizations using standard denial language noted from above hierarchy of guidelines and post recommendations in the authorization platform to inform Medical Director workflow. The Physician Reviewer may work as part of an interdisciplinary care team participating in the coordination of care with social work and mental health counseling, psycho-social support services, in-home support, legal services, skilled nursing, home health, etc. Physician Reviewers may approve authorizations per delegation responsibilities in AltaMed Authorization Matrix and where applicable per restrictions of their training and licensing. Physician Reviewer may be involved in ad hoc projects and analysis of high cost utilization areas, unmanaged care, inappropriate utilization, inappropriate billing practices, and budgeting/finances reporting. Physician Reviewers may review and make recommendations on retro claims reviews for outpatient authorization, inpatient authorizations, and Emergency Room claims. The Physician Reviewer of Utilization Management will provide routine review of authorization requests from all lines of business using respective national/state, health plan, nationally recognized guidelines where appropriate to provide guidance for processing of referrals to Medical Director staff and to UM staff. With the approval of the Medical Director of Medical Management, Physician Reviewers may provide oversight, guidance, and training sessions to UM nurse reviewers and other UM staff where applicable. May be responsible for identifying high risk population via provider/clinic referral, utilization management referral, disease registry reporting mechanisms and patient self-referral and will refer high risk patients to appropriate case management program per AltaMed Case Management Policy.
    $146k-194k yearly est.22d ago

  • AVP, Information Management & Analytics

    $120k-150k yearly est.25d ago

  • Workforce Analyst, Patient Service Center (Remote)

    $75k-99k yearly est.20d ago

  • Workforce Analyst, Patient Service Center (Remote)

    This position has primary responsibility for the operation of our workforce management tool, configuring the setup, scheduling, analysis and forecasting functions to ensure service level commitments are met.
    $75k-99k yearly est.60d+ ago

  • Workforce Analyst, Patient Service Center (Remote)

    This position has primary responsibility for the operation of our workforce management tool, configuring the setup, scheduling, analysis and forecasting functions to ensure service level commitments are met.
    $75k-99k yearly est.60d+ ago

  • Supervisor, Dispatch

    Oversees daily transportation services for AltaMed clients and patients to and from scheduled destinations. The Supervisor Dispatch is responsible for providing front line supervision and leadership to all transportation office and clerical staff.
    $36k-43k yearly est.1d ago

  • Video Production Specialist II

    Primary responsibilities will include: studio and field-based photo and video production work, including the planning, filming, editing, sound mixing, retouching, final file preparation, compression output, streaming and distribution of a wide range of products. Under the direction of the Video Production Supervisor, with input from the Sr. Director, Brand, this position is responsible for creating photographic and video content that represents and promotes AltaMed.
    $45k-52k yearly est.3d ago

  • Nurse Practitioner-Urgent Care

    Participates in AltaMed on-call schedule, which would encompass all hours of work, including days, nights, weekends and holidays. Certification as an Adult/Family/Pediatric/Women's Health Nurse Practitioner. Active participation in the Quality Management Program, Utilization Review, Peer Review, AltaMed Medical Provider activities, and AltaMed's On-call schedule.
    $128k-156k yearly est.3d ago

  • Pharmacist - Retail

    Qualifications Graduate of an ACPE accredited college of pharmacy with a Doctor of Pharmacy degree and a California pharmacist license required or be certified by the Foreign Pharmacy Graduate Equivalency Committee (FPGEC) issued by the National Association of Boards of Pharmacy High Volume Retail Pharmacy experience preferred. The Pharmacist will perform professional and clinical duties in the dispensing of medications to patients and clinic. The Pharmacist is responsible for collaborating with Pharmacist-in-Charge to support the day to day operations of a clinic pharmacy, including directing pharmacy technicians and ensuring safe, efficient, and quality service to patients and customers.
    $136k-169k yearly est.3d ago

  • Supervisor, Video Production

    The Video Production Supervisor position is responsible for the development and execution of photo and video marketing and promotional tools and assets, including but not limited to: studio and field-based interviews, presentations, events, custom shoots and live streaming.
    $62k-79k yearly est.3d ago

  • Case Manager II

    Under the general supervision of the Program Supervisor, the primary function of the Case Manager (CM) II is to provide comprehensive case management and outreach services to a diverse youth population.
    $48k-61k yearly est.3d ago

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Updated June 4, 2023

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AltaMed Health Services may also be known as or be related to ALTAMED HEALTH SERVICES CORPORATION, AltaMed Health, AltaMed Health Services and AltaMed Health Services Corp.