Alignment Healthcare jobs

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 ******************.

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 The Customer Success Advisor (CSA) for Lightning Bolt manages a portfolio of Enterprise customers and is responsible for supporting the day-to-day relationship of the customer and for driving end user adoption and high levels of satisfaction among the users and support staff. The CSA will be responsible for collaborating with the customer and internal teams to ensure that the client is maximizing the value of their PerfectServe investment. They will proactively identify process improvement opportunities, take ownership of and resolve escalated issues, conduct Strategic Business Reviews, lead optimization efforts, and run point on any retention efforts. Responsibilities: Serve as the voice of the customer and an advocate for end users into the PerfectServe organization Build trusting relationships and provide strategic and tactical day-to-day support to clients, e.g., leadership, providers, other end users etc. Ensure that the client is maximizing the value of their PerfectServe investment Collaborate with clients to identify and drive process improvement initiatives, scheduling best practices, rule optimization, and workflow adjustments to meet and exceed their needs Identify, develop and share best practices that enable PerfectServe clients to achieve their business goals and objectives Develop and maintain product expertise; drive high levels of end-user satisfaction Provide proactive oversight of system utilization, adoption and service request data to identify, resolve and prevent issues in an effort to ensure client satisfaction and retention Own and resolve escalated service issues Understand workflows, schedules, and how PerfectServe can be applied to improve them Collaborate with Account Executives, Account Managers, Customer Success Advisors, Technical Leads, and Technical Consultants to establish and execute on customer account plans as necessary Lead client retention and save programs, where appropriate Ensure successful coordination of all client service activities Provide technical expertise to the organization and ensuring timely and accurate resolution of service requests and workflow adjustments Collaborate with other departments within PerfectServe to deliver best possible solutions to meet client needs When necessary, assist with the implementation of identified Unite accounts and Enterprise clients Communicate incident, product, release notes, and scheduled downtimes to their customers Be available to travel to client sites to support training, utilization/adoption and optimization initiatives (~20% travel) Success Factors Product expertise and the ability to apply PerfectServe solutions to solve customer problems Ability to juggle multiple tasks in high-pressure situations Ability to establish and maintain relationships Ability to drive process change Have excellent written and spoken communication skills Have excellent critical thinking skills Have exceptional customer service skills Have excellent time management Strong work ethic Technical understanding of the LB platform and ability to configure solutions Essential Qualifications Bachelor's degree required 4-6 years work experience on PerfectServe's professional services and/or support center teams or work experience in Customer Success, Account Management, or Professional Services AND 2+ years of experience in supporting SaaS products or healthcare software Clinical workflow experience is preferred Schedule experience preferred Excellent verbal and written communication skills Available to travel up to 20% 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.

Job Description The Behavioral Health Specialist (Licensed Clinical Social Work (LCSW), Licensed Professional Counselor (LPC), and/or Psychologist) will be an integral member of the NHCLV multidisciplinary team to provide mental health treatment for patients in the Integrated Behavioral Health program at NHCLV. The Behavioral Health Specialist educates patients about mental illness through the use of psychoeducation and provides mental health counseling within individual, family, couples, and group counseling settings. The Behavioral Health Specialist works closely with the primary care provider, behavioral health care managers, integrated behavioral health care navigators, and a consulting psychiatrist to revise the wellness/treatment plan when patients are not improving, and offer alternatives as needed to support treatment. The Behavioral Health Specialist will evaluate, assess, and support the patient in the office, their home, and community as needed. The Behavioral Health Specialist will utilize patient centered, family focused therapy using a variety of treatment modalities such as Cognitive Behavioral Therapy (CBT) and Solution Focused therapy. QUALIFICATIONS Master's degree in social work, psychology, human services, or related field. Licensed in the state of Pennsylvania. At least two years of experience as a Behavioral Health Specialist (LCSW, LPC, and/or Psychologist). Minimum two years of counseling related experience. Capacity to work with families in a confidential, respectful, caring, professional manner. Competency in Spanish Language ability (spoken/written) preferred. Strong communication skills both verbal and written. Adequate computer skills required (MS Office, web based software, and some knowledge of electronic health records system). Must have strong interpersonal skills. Excellent organizational skills needed. Must be able to work independently and as part of a team. Valid driver's license and car that is insured is required. WORKING CONDITIONS Hours of Operation: Between 7:30am - 8:00pm as scheduled based on patient needs. Evening and weekend hours possible. Full-time, salaried exempt position with occasional evening meetings and regular evening clinical hours expected but not greater than 3 days per week; rotating weekend hours required not to exceed 2 weekends per month. Clinician shall share call and coverage obligations on a substantially equal basis with the other Clinician-employees of the Corporation. Other: Off-site work at other program sites and patient homes. Out-of-town and overnight trips possible PA Criminal Clearance, PA Child Abuse Clearance and FBI dated from within the past year. A credit history is needed for any role who directly handles agency funds. MMR, Varicella, Tdap, Tuberculosis (2 PPDs or QuantiFERON TB Gold), Hepatitis B, Influenza and Covid Vaccinations. Other credentialing requirements may be required depending on the role.

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 Community Outreach Representative is responsible for generating local community brand awareness of the health plan with accountabilities in driving leads and sales (direct or indirect) through grass roots efforts. Acts as the face of Alignment Health Plan in their assigned market or geography. Job Duties/Responsibilities: 1. Meets or exceeds weekly and monthly qualified lead goals. 2. Helps local market achieve monthly sales goals; works with direct sales teams in lead development and public facing presentations (advertised or non-advertised) 3. Cultivates new and maintains existing relationships with key senior and community influencers that cul-minate into lead generating events/activities and increase of name awareness for Alignment and its prod-ucts. 4. Sets-up and attends monthly events and activities through in-person visits, via telephone contact and through email, sources, plans. Events and activities include health fairs, presentations and or seminars at senior centers, food banks, churches, senior living facilities, various community organizations etc. 5. Distributes approved marketing and event materials. Works with Corporate Marketing and Compliance Departments in the approval, development, and production of advertising materials and or invitations for events. 6. Locates, plans, sets-up, attends and presents at Quarterly New Member Orientations and year-round Edu-cation events (as needed in a non-virtual event) in the local community. 7. Educates the community on Alignment and its benefits, services and contracted providers and medical groups IPAs available to prospects. 8. Promotes and increases name awareness and brand identity for Alignment and its products. 9. Provides monthly calendar of their planned activities and ensures that all scheduled events filed 10. Maintains weekly summary of activity and submits report on a weekly basis. 11. Performs special projects as assigned to help drive leads for the company. 12. Conducts and leads advertised sales meetings in their territory. 13. Calls on local Doctor offices to educate on the Alignment products and distribute flyers to generate refer-rals. 14. Other Duties as assigned. Job Requirements: Experience: • Required: Minimum two (2) years of experience in grass roots marketing efforts generating leads at local in-person community events. • Preferred: 5+ years' experience in Healthcare. Healthcare marketing experience. Related experience in the Medicare and Medi-Cal Managed Care industry. Education: • Required: High School Diploma or GED. Bachelor's degree or four (4) years additional experience in lieu of education. • Preferred: Bachelor's Degree Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Computer Skills: Proficient user in MS office suite (Word, Excel and PowerPoint). 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: Valid State driver's license, car insurance, and registration • Required: State Insurance license OR become licensed within 6 months of hire date Other: • Required: 80% or more travel by car routinely required (In assigned market). Travel by plane required as needed. Maintenance of reliable means of transportation and Extended works hours, as needed. Fully Vaccinated Remote work on approval. 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 accommodation 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: $49,486.00 - $74,228.00 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 ******************.

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 ******************.

About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit ********************* *********************** or follow us on LinkedIn, Facebook, and Twitter. The Job The Medical Policy Clinical Analyst reviews and evaluating existing clinical policies, proposes suggested improvements to existing clinical policies, and research new policies. Responds to requests for information/clarification on Medicare/Medicaid regulation. Supports the business as a subject matter expert in interpretation of regulations. You Will Provides analytic and research support for Medical Policy regulation identification and interpretation activities. Utilizes knowledge of compliance principles and practices combined with working knowledge of Medicare/Medicaid regulations to develop meaningful and compliant policies. Researches and interprets complex statutes and regulations and dissects complex organizational and process issues. Supports Medical Policy in following the Medical Policy Governance Process. Supports the communication functions of the Center. This position requires contributions to team effort by accomplishing and sharing related results with other staff. Contributes to team effort by accomplishing related results as needed. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned. Your Qualifications Bachelor's Degree or equivalent experience. CA Registered Nurse (RN) current & active required. May consider LVN with appropriate experience. Certification from AAPC (CPC) and/or AHIMA (CCS or CCS-P) is a plus. 3+ years of experience in medical coding (CPT, ICD-9, ICD-10). 2+ years of analyst experience required. Experience in the Medicare health plan environment, specifically involving coding and/or compliance work. Expertise in CMS Medicare/Medicaid regulations required. Experience coordinating and communicating between contacts in various departments as well as responding to delegated groups. Technical expertise - Advanced analytical skills Problem Solving - Basic problem-solving skills Communication - Good communication and interpersonal skills Proficiency in clinical policy through skills in literature searching and clinical research analysis based on the best available evidence or via direct work experience. Working knowledge of clinical policies. Understanding of the managed care industry and market conditions. High organizational and time-management skills; ability to work independently. Excellent and clear written and verbal communication skills. Strong analytical and problem-solving skills. Ability to work in a cross-functional, professional environment. Exceptional team player with a strong ability to contribute positively to a team environment with a desire to learn, grow, and empower. Ability to perform independent research on complex medical topics. Maintains professional and technical knowledge by conducting research and by attending educational and technological workshops. Ability to adapt and demonstrate flexibility. Demonstrated ability to prioritize multiple and competing tasks and work independently and in a team environment. Ability to work well in a fast-paced and dynamic environment. Working knowledge of Tableau and/or Alteryx; Intermediate to advanced proficiency in Microsoft Office. What's in it for you? * Base salary range: $80,300 to $116,197 per year * Remote Work Mode * An annual employee bonus program * Robust Wellness Program * Generous paid-time-off (PTO) * Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday * Excellent 401(k) Retirement Saving Plan with employer match and contribution * Robust employee recognition program * Tuition reimbursement * An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-CS2 #LI-Remote

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 Supervisor Advance Practice Clinicians In collaboration with the Care Anywhere (CAW) Clinical Leadership Team, provides clinical and operational oversight for all Advanced Practice Clinicians and is responsible for superior clinical outcomes for the Care Anywhere Program. Trains Advanced Practice Clinicians and Physician Assistants in the state of CA. Provides clinical care services to high-risk patients in a clinic or home-based setting. 1. Responsible in retention of existing Advanced Practice Clinicians; maintains and supports team culture and ensures that Advanced Practice Clinicians team feels well supported from a clinical, training, and administrative perspective. 2. Provides clinical leadership and direction to Advanced Practice Clinicians in the state of California. 3. Manages staff based on policies and procedures that conform to current standards of practice, company philosophy, and operational policies while maintaining compliance with state and federal laws and regulations. 4. Acts as a resource and provides expert clinical opinions to all areas within the local market. 5. Works closely with Vivify Program Manager/Leadership to appropriately identify patients that meet eligibility for Vivify, AHC's remote wireless monitoring program. Oversees and ensures that CAW providers are actively working on identifying patients for program participation. 6. Reviews and audits charts on a weekly basis and identifies opportunities to improve clinical documentation quality, HCC accurate code capture, and closing HEDIS open gap measures. 7. Works closely with APCs to ensure that they know how to appropriately use the Patient 360 form to help guide clinical focus and improve clinical documentation. 8. Administrative and training time commitment for completing chart reviews and shadowing/ride along activities with APCs will be approximately 2 days per week or 40% 9. Patient/clinical time commitment for managing patient caseload and related documentation will be approximately 3 days per week or 60% 10. Collaborates with PCPs, IPAs, and external and AHC Case Managers to develop care plan for members. 11. Performs diagnostic and/or therapeutic procedures within his/her level of training and expertise, and as outlined on the practice agreement and written protocol with the supervising Physician. 12. Orders, interprets and evaluates diagnostic tests to identify and assess patients' clinical problems and health care needs. 13. Discusses case with CAW Physician leaders when appropriate. 14. Prescribes medication or other forms of treatment as indicated. Pay Range: $130,332.00 - $195,498.00 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 ******************.

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 Advanced Practice Clinician in the Jump Start Assessment (JSA) program is a physician-led and advanced practice clinician-driven program that is intended to care for and support Alignment Healthcare patients with complex and chronic care needs. Works within an interdisciplinary team environment that includes physicians, nurse practitioners, physician assistants, case managers, and other health care team members to ensure proper delivery of clinical and home-based patient care. Assess', develops, and coordinates options and services promoting quality care in order to achieve optimal health care outcomes while also ensuring cost-effective care complying with Alignment policy and all state and federal regulations. Our members are typically aged 65 and over and home and virtual visits will be between 45 and 60 minutes depending on whether it is an annual or initial visit. Here are some of the benefits that you will enjoy: Yearly Bonus up to 7.5% of annual base salary Restricted Stock Unit (RSU) Grant up to 15% of annual salary Continuing education reimbursement up to $1,500 per calendar year + 3 CME days 18 days of PTO, 8 paid holidays and 1 Floating Holiday Medical, Dental, Vision 401k matching contribution up to 4% Paid parental leave Tuition reimbursement Responsibilities: 1. Conduct in-home assessments in El Paso 3 days a week and 2 days a week work from home 2. In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings. 3. Comfort with End-of-life care discussions imperative. 4. Laboratory specimen collection in the home setting when appropriate. 5. Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management. 6. Communicate findings of the patient assessment to inform the PCP of potential gaps in care. 7. Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs. 8. Emphasis on knowledge of appropriate community resources for referral. 9. Comply with all HIPAA regulations and maintain security of protected health information (PHI). Job Requirements: Experience: * Preferred: One (1) year of prior clinical or home care experience. Previous EMR experience preferred. Experience in care of older adult (geriatric) patients preferred Education: * Required: Master's degree from an accredited NP Program or PA program Specialized Skills: * Required: * Ability to communicate positively, professionally and effectively with others. * Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Licensure: * Required: Active TX state Nurse Practitioner or Physician Assistant license * Active Nurse Practitioner Board Certification/Physician Assistant Certification * NPI Number, DEA within 6 months of hire, Valid BLS * Valid driver license and current automobile insurance 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 20 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus. Pay Range: $109,932.00 - $164,899.00 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 ******************.

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 Senior Analyst, Financial Planning & Analysis (FP&A) plays a critical analytical role in supporting the financial planning, performance tracking, and operational efficiency of Alignment Health's business units. This position works directly with business leaders to provide actionable insights on budgeting, forecasting, and financial performance. Through proactive financial analysis and collaboration, the Senior Analyst enables informed decision-making that drives departmental goals, resource optimization, and long-term financial success. Job Requirements: Budgeting: Support and guide the annual budgeting process for assigned departments by partnering with department leaders to define financial targets and ensure alignment with operational goals. Support the creation of accurate budgets and scenario-based forecasts through strong financial modeling. Forecasting: Collaborate with department leaders to develop key assumptions across a range of FP&A functions including headcount planning, resource allocation, expense forecasting, and revenue and medical expense forecasting. Analyze trends and provide updated forecasts that inform ongoing financial decisions. Financial Reporting: Assist in the monthly, quarterly and annual close process. Prepare and analyze monthly and quarterly financial reports, including budget-to-actual variance analysis. Coordinate with department owners to explain performance drivers and key variances. Financial Analysis: Conduct detailed financial analyses, which may include cost modeling, revenue and medical expense forecasting, productivity benchmarking, and scenario planning, to support business decisions and identify cost-saving opportunities. Executive Reporting & Dashboards: Deliver financial dashboards and executive summaries, highlighting trends, KPIs, and actionable insights that could include fixed and variable expenses, member and revenue and medical expenses. Performance Management: Support performance reviews by leveraging productivity metrics and financial models to guide both long-term planning and day-to-day operational decisions. Cross-Functional Collaboration: Work closely with accounting, operations, and finance teams to ensure accurate financial coding, data integrity, and alignment of financial processes. Business Insights & Recommendations: Provide clear, actionable recommendations on root causes and operational trends that may relate to staffing models, cost management and supporting long-term strategic financial planning. Experience: 5+ years of financial analysis experience in healthcare. Strong experience using financial reporting, ERP, and business intelligence tools (Workday, Prophix, Adaptive Insights, Power BI, Tableau, or similar). Skilled in financial modeling and scenario analysis with the ability to present information in clear and actionable ways to enable executive-level decisions. Excellent written and verbal communication skills; able to effectively present complex financial data to non-financial audiences. Highly organized with strong attention to detail and the ability to manage multiple priorities in a fast-paced environment. Preferred: Previous Health Plan Experience Education: Required: Bachelor's degree in Business, Finance or Accounting required. Preferred: MBA Specialized Skills: • Required: Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; 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. Licensure: • Required: None • Preferred: 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 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 ******************.

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 medical assistant provides clinical and administrative support and works closely with clinicians to administer medical services. Responsible for assisting clinicians in the examination and treatment of patients under the direction of the Physician, PA or Nurse Practitioner. Overview of the Role: Alignment Health is seeking a collaborative, compassionate, and organized float medical assistant to join the Access Primary Care team in Las Vegas, NV. As a medical assistant, you will work closely with physicians to administer medical services to patients. You will also assist physicians in the examination and treatment of patients under the direction of the physician. This position will be based in (1) main office and float to (1) other office in Las Vegas on an as-needed basis. You must be able and willing to reliably commute to both locations, but will not be required to commute to both same day. Schedule: Monday - Friday, 7:30 AM - 4:30 PM Location: S. Maryland Parkway (Main Location) Smoke Ranch Road (Float as needed, mileage reimbursement provided) Access Primary Care is a medical group consisting of independent physicians who collaborate to provide accessible, patient-centered healthcare. They offer services in California, Nevada, and Arizona, emphasizing a long-term relationship with their patients and comprehensive care. Responsibilities: Front Office: Greet patients in a friendly and service-oriented manner in compliance with Access Primary Care policies and workflows. Oversee patient check-in by ensuring medical records / charts have been pulled, patient data is current, appropriate paperwork is in order, and charts are reviewed / prepared. Oversee patient check-out by scheduling follow up appointments, collecting co-payment if applicable, ensuring paperwork is complete. Schedule and confirm patient appointments. Reconcile co-payments at the end of each day. Process referrals and authorizations Back Office: Room and interview patients, measure vital signs, and record reason for visit. Explain procedures, perform treatments, and administer prescribed medication. Education: Required: Completion of a Medical Assistant Certificate program from an accredited school. High school diploma or GED required; or any combination of education and experience, which would provide an equivalent background. Required Skills and Experience: Required: Minimum 2 years' medical assistant experience. Experience working primary care setting. Preferred: Experience working with Medicare population. Bilingual English / Spanish preferred. License and Certification: Required: Medical assistant certificate from an accredited school of training. Current, valid, and unrestricted Nevada driver's license. Other: Required: Reliable transportation. Pay Range: $38,569.00 - $57,853.00 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 ******************.

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 full-time (M-F 8:00 am-5:00 pm) Medical Insurance Collections Specialists for our Tracy office. Job Responsibilities: • Contact insurance companies regarding past due bills. • Entering EOBs in the system and researching returned claims. • Conducting phone and written follow-up on unpaid claims. • Maximizing the amount of cash collected and minimizing the time in which it is collected. • Research and resolve open accounts quickly and professionally. Job Requirements: • Medical Collections Experience (1-2 Years Minimum) • Must type 31-45 words per minute. • Ability to read and interpret medical records REQUIRED • Knowledge of Endeavor and/or Medicare IVR • Knowledge of how to read and interpret Explanation of Benefits (EOB's) • Knowledge of HMO's and PPO's • Knowledge of patients' medical records for determining correct Medicare criteria. Hourly Rate Pay Range: $17.00 to $25.00 · Annual Range ($35,360 to $52,000) O/T Rate Pay Range: $25.50 to $37.50 · Example of Annual O/T Range (5 to 10 hours per week @ 50 weeks range $6,375 - $18,750+) · Note: Abundance of O/T Available Bonus Opportunity Production Bonus: $0 to $1000 per month (increases hourly rate up to $5.77 or up to $12k per year) Profit Bonus: $0 to $1000 per month (increases hourly rate up to $5.77 per hour or up $12k per year) Total Compensation Opportunity Examples: Annual Base Pay: $41,735.00 (Estimate incl. 5 hrs O/T per week, Low-range Production and Profit Bonus after 3 months) Annual Mid-Range Pay: $60,555.00 (Estimate incl. 5 hrs O/T per week, Mid-range Production and Profit Bonus) Annual Top Pay: $82,375.00 (Estimate incl. 5 hrs O/T per week, Max Production 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.

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 Director of Delegate Performance is a senior leader within Alignment Healthcare that is responsible for driving the transformation of the organization's delegated oversight function into a proactive, enterprise enabler of performance excellence and provides the tools and resources to support successful outcomes. This role serves as the strategic lead for optimizing the performance of IPAs, MSOs, and other delegated entities across clinical, operational, and compliance domains, with a sharp focus on risk-bearing models and value-based outcomes. Reporting into senior leadership, the Director oversees the enterprise-wide strategy for First Tier, Downstream, and Related (FDR) entities, translating oversight insights into actionable strategies that improve quality, utilization, risk adjustment, and care delivery. This individual leads risk governance, escalation pathways, and performance partnerships, ensuring that delegated functions consistently meet or exceed regulatory and enterprise performance standards. Acting as a primary liaison with IPA and MSO executives, the Director is responsible for fostering high-impact performance collaborations, managing governance forums, and elevating system-wide reporting and analytics capabilities. The role demands a seasoned leader with strong strategic vision, operational rigor, and the ability to influence at the executive level. Through cross-functional collaboration with teams across Quality, Clinical, Compliance, and Network, the Director will drive sustained improvement in delegated performance-advancing Alignment Healthcare's mission to deliver high-quality, coordinated care. Job Duties/Responsibilities: Enterprise Strategy & Accountability for Delegated Performance Design and lead the enterprise-wide strategy for delegated partner performance management, aligning with corporate priorities and value-based care objectives. Ensure integration of clinical, operational, financial, and compliance metrics to drive a holistic view of IPA effectiveness. Establish and maintain governance frameworks that proactively identify and mitigate performance risks across the delegated network. Direct risk stratification models and early warning systems to flag deviations in utilization, access, provider behavior, and quality outcomes. Serve as the enterprise escalation authority for IPA performance risks, directing cross-functional interventions and engaging executive leadership to drive swift and sustainable resolution of systemic issues beyond regulatory thresholds. Executive Partnership & Organizational Influence Act as the senior performance advisor to IPA executives and clinical leaders, facilitating strategic performance reviews and aligning IPA goals with organizational priorities in quality, service, and affordability. Lead enterprise-wide performance interventions, ensuring measurable progress, executive sponsorship, and long-term sustainability. Represent Delegation Oversight at the highest levels of enterprise governance, regulatory readiness planning, and corporate strategic initiatives, influencing decisions through expert performance insight and risk analysis. Systems Innovation, Enterprise Reporting & Talent Development Direct the strategy and execution of scalable performance reporting infrastructure, analytics, and executive dashboards that drive actionable insight, alignment, and accountability across delegated entities. Deliver performance briefings and strategic recommendations synthesizing complex data into clear narratives that inform policy, planning, and resource allocation. Build and lead a high-performing team. Foster a culture of performance excellence, data-driven decision making, and continuous improvement. Partner with Technology, Clinical, and Compliance leaders to evolve oversight capabilities and enable digital transformation in IPA performance management. Supervisory Responsibilities: This role may include indirect oversight or matrix leadership of analysts, auditors, clinical staff, or project teams engaged in performance evaluation activities. Job Requirements: Experience: 10+ years of progressive experience in healthcare performance management, delegated oversight, provider network operations, or value-based care-preferably within a health plan, MSO, or integrated delivery system. 5+ years of leadership experience managing cross-functional teams and/or performance programs, including direct accountability for driving outcomes across clinical, operational, and compliance domains. Proven track record of developing and executing enterprise-wide performance strategies, including designing governance models, risk monitoring systems, and executive reporting frameworks. Demonstrated ability to engage and influence senior executives, including C-suite and clinical leaders, through data-driven insights and strategic planning. Strong command of healthcare analytics, including performance dashboards, early warning systems, and data storytelling to drive decision-making and action. Experience leading large-scale change initiatives in complex, matrixed environments, with a focus on operational excellence, compliance, and provider accountability. Excellent communication and executive presence, with a proven ability to translate complex performance trends into actionable strategies for diverse stakeholders. Education: Bachelor's degree required in Healthcare Administration, Public Health, Business Administration, Nursing, or a related field. Master's degree strongly preferred (e.g., MHA, MPH, MBA, MSN) with a focus in healthcare management, policy, or operations. Advanced training or certification in value-based care, population health, healthcare compliance (e.g., CHC, CPCO), or project management (e.g., PMP) is a plus. Training: Preferred: Lean/Six Sigma Specialized Skills: Required: Strong analytical acumen with the ability to identify actionable trends in large datasets. In-depth understanding of delegated operations and regulatory frameworks (e.g., CMS, DMHC, DHCS, NCQA). Ability to build rapport and credibility with provider organizations and cross-functional leaders. Advanced Excel and data visualization skills (Tableau, Power BI, etc. a plus). High-level written and verbal communication skills, including experience creating executive summaries and dashboards. Adept at managing ambiguity, prioritizing competing demands, and influencing without authority. Collaborative, mission-driven mindset with the ability to coach others in performance thinking. 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: $130,332.00 - $195,498.00 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 ******************.

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. Inpatient Utilization Management Medical Director works with Senior Medical Officers, Regional Medical Officers, Extensivists, the Healthcare Services Team (Case managers, Social Workers, Utilization Managers) to develop and implement methods to optimize use of Institutional and Outpatient services for all patients while also ensuring the quality of care provided. Through remote access to our web-based Portal, physician advisors will complete clinical reviews for medical necessity, treatment appropriateness and compliance. GENERAL DUTIES/RESPONSIBILITIES: Perform medical necessity utilization reviews primarily for inpatient and post-acute cases with some outpatient / pre-service reviews as needed in accordance with UM guidelines Lead concurrent review activities, including rounds, peer-to-peers, and utilization management strategies to improve clinical and efficiency outcomes Serve as a clinical leader and educator for the nursing / care management team Process claims reviews, appeals, and second-level reviews as needed in compliance with Medicare (NCD, LCD), internal, and third-party guidelines (e.g., MCG) for Inpatient, Outpatient, Skilled Facilities Level of Care and Pharmacy. Acts as a liaison between the medical staff, utilization review team, and 3rd parties to effectively promote clinically necessary and efficient utilization of care Serves as a Physician member of the utilization review team. Work with Interdisciplinary Teams to help manage complex or high risk cases Contributes to development of clinical strategies to improve member outcomes, efficiency metrics, and quality outcomes Duties may include serving on committees as needed, such as quality, utilization management, credentialing, etc Other duties as may be assigned to the medical director. Supervisory Responsibilities: Oversees assigned staff, if any. Responsibilities may include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees. Experience: • Required: Minimum of 3 years of experience in hospital-wide or skilled nursing facility position involving clinical care, quality management, utilization / case management, or medical staff governance required • Preferred: Experience as a Physician Advisor or Medical Director a plus Education: Required: Completion of medical school and specialty residency (preferably in internal medicine). Preferred: Board-certification Specialized Skills: • Required: Ability to build rapport with medical staff and management leadership to obtain necessary approvals of new strategies for utilization management. Knowledge of current medical literature, research methodology, healthcare delivery systems, healthcare financial/reimbursement issues, and medical staff organizations. Dedication to the delivery of high-quality, cost-effective, efficient patient care services 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. Licensure: • Required: Applicants must have current, non-restricted licensure as required for clinical practice in the state of California. Work Environment: This is a remote position. 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. 2 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. 3 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: 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 ******************.

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 RN Case Manager, Special Needs Program (SNP) to join the case management, team (California RN License Required). The Case Manager SNP is responsible for health care management and coordination, within the scope of licensure, for members with complex and chronic care needs. Delivers care to members utilizing the nursing process and effectively interacts with members, care givers, and other interdisciplinary team participants. Assist with closing gaps in care and resolving barriers that prevent members from attaining improved health. Reaches out and connects with members via the telephone. Schedule: Monday - Friday, 8:00 AM - 5:00 PM Pacific Time (Required) GENERAL DUTIES / RESPONSIBILITIES 1. Coordinates care by serving as a resource for the member, their family, and their physician. 2. Ensures access to appropriate care for members with urgent or immediate needs facilitating referrals/authorizations within the benefit structure as appropriate. 3. Completes comprehensive assessments within their scope of practice that includes assessing the member's current health status, resource utilization, past and present treatment plan, and services. 4. Collaborates with the member, the PCP, and other members of the care team to implement a plan of care. 5. Interfaces with Primary Care Physicians, Hospitalists, Nurse Practitioners, and specialists on the development of care management treatment plans. 6. Provides education and self-management support based on the member's unique learning style. 7. Assists in problem solving with providers, claims or service issues. 8. Works closely with delegated or contracted providers, groups, or entities to assure effective and efficient care coordination. 9. Maintains confidentiality of all PHI in compliance with state and federal law and Alignment Healthcare Policy. Supervisory responsibilities: N/A Job Requirements: Experience: • Required: Minimum 2 years' clinical experience Minimum 1 year case management experience. • Preferred: Health Plan experience preferred Education: • Required: Successfully passing Post High School courses to obtain an RN licensure or AS in Nursing. • Preferred: BSN or Bachelor's Specialized Skills: • Required: Possess a high level of understanding of community resources, treatment options, home health, funding options and special programs Extensive knowledge of the management of chronic conditions Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Ability to operate PC-based software programs including proficiency in Word, Excel and PowerPoint 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: Must have and maintain an active, valid, and unrestricted RN license in California (Non-Compact) Immediately upon hire, must be willing to obtain LVN and / or RN licensure in Nevada, (Non-compact), Arizona (Compact), North Carolina (Compact), and Texas (Compact) which will be reimbursed by company. 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: $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 ******************.

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 Resolutions Specialist provides member issue resolution managing and resolving healthcare insurance claims in a timely and accurate manner. This role requires solid analytical skills, knowledge of healthcare insurance policies, and a commitment to providing exceptional service to policyholders, healthcare providers, and internal stakeholders. Overview of the Role: Alignment Health is seeking a bilingual Spanish resolution specialist to join the member engagement team to provide member issue resolution. As a resolution specialist, you will intake complex member cases and provide prompt and satisfactory resolution. You will be dedicated to decreasing turnaround time, improving the quality of resolution, and managing barriers to resolution as part of process improvement and Voice of the Customer (VoC). Schedule: Monday through Friday Between 8:00am - 5:00pm Pacific Time Between 9:00am - 6:00pm Mountain Time Between 10:00am - 7:00pm Central Time Between 11:00am - 8:00pm Eastern Time No Time Off Approved During: No time off is permitted during the first (5) week training period. Annually during entire month of January due to it being the busiest time of the year (no exceptions) Responsibilities: Serve as a “subject matter expert” in escalated member calls (authorizations, claims, provider network issues) and be able to resolve these escalations based on level of understanding / experience of healthcare processes and protocols. Identify process improvement opportunities within the member engagement department given the collaboration with different departments. Knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries. Conduct outbound phone calls and / or receive inbound phone calls within the department's goal timeframe; successfully contact and manage to the member's communication preferences as possible, which may include time of day, channel, and language; multi-lingual skills and / or utilize interpreter service as needed. Collaborate with our partners, including 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. Document real-time and conduct timely wrap-up to support outcomes reporting in all systems / applications by entering member demographics and information with accuracy and pay attention to detail, focusing on data integrity in support of quality organizational data. Meet and exceed individual and team goals by submitting activity reports in the format and frequency required. Provide excellent customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction. Participate in all required team meetings and trainings and demonstrate satisfactory understanding of new information and process. Adhere to all applicable attendance and productivity policies. Assist with development and training of new hires including shadowing and nesting. Required Skills and Experience: Minimum (1) year healthcare experience and / or training required; 3-4 years of healthcare experience / training required. Minimum (1) year 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. 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. High school diploma or general education degree (GED); or equivalent combination of education and experience. Intermediate proficiency in Microsoft Office Suite (Outlook, Word, Excel) required Bilingual English and Spanish, Chinese (Mandarin or Cantonese), or Vietnamese. Independent, 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. Learn, describe, explain, and educate our members about health plan coverage and services. Passionate about customer service and member retention Excellent customer service and comfortable being on the phone. Able to troubleshoot and problem solve. Able to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Able to write routine reports and correspondence. Able to speak effectively before groups of customers or employees of the organization. Able to add and subtract two-digit numbers and to multiply and divide with 10's and 100's. Able to perform these operations using units of American money and weight measurement, volume, and distance. Able to apply common sense understanding to carry out detailed, but un-involved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. Work Environment Must be available annually to work full-time and over-time through the Annual Enrollment Period (October through December) and Open Enrollment Period (January through March) Pay Range: $41,600.00 - $57,600.00 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 ******************.

This is a remote/field based role. Travel will be throughout LA County. About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 270,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit ********************* *********************** or follow us on LinkedIn, Facebook, and Twitter. The Job Enhance Older Adults', who are at risk for homelessness, experiencing homelessness, newly housed or in transitional housing. Ability to manage their health and housing by conducting care management assessments to determine needs, plan of care, and provide short term care coordination/ case management services /housing navigation. You Will Generate referrals and/or receive referrals via intake staff. Conduct in-person assessments and meeting clients where they are (i.e. shelters, temporary housing, permanent supportive housing, service provider facilities, varying street locations, hospitals, clinics, recuperative care, etc.) to determine needs, plans of care and provide short-term care coordination/case management services with the intent to enhance client's ability to manage health and housing while navigating additional challenges of housing instability. Develop individualized care plan utilizing evidence-based guidelines and clinical knowledge for client by evaluating and conducting field visits, gathering assessment information and identifying problems, goals and interventions. (Service plans may be developed in coordination with a client's existing case manager and/or housing navigator/provider to support and not supplant an existing care plan.) Provide short term care coordination/care management for clients and their caregivers which includes coaching, education, healthcare and housing navigation and referrals to community-based resources. Complete timely and accurate documentation in multiple computer systems to record assessments and corresponding documentation including care plans, progress notes and applications for homeless resources. Develop cross-functional relationships with homeless service providers, healthcare providers and housing authorities by attending appropriate meetings, trainings, shared case conferencing and structuring effective communication and collaborative practices. Maintain and enhance professional and technical knowledge by attending education workshops, trainings, shared case conferencing per department guidelines. Exhibit strong interpersonal, critical thinking and analytical skills through positive communication with clients, caregivers, healthcare, homeless and community agencies. Demonstrate resiliency and excellent organizational, decision-making and multi-tasking skills as demonstrated by problem solving and successful outcomes. Maintain the client's right to privacy and protect SCAN operations by keeping information confidential. Actively supports the achievement of SCAN's Vision and Goals. Represents IAH and SCAN through networking, outreach, and participation in external collaborative meetings. Follow all policies and procedures and completes work consistently including maintaining appropriate confidentiality. Maintains professional and technical knowledge by keeping up with homeless and housing resources and best practices, Medicare and Medi-Cal policies and federal and state legislation as it affects older adults experiencing homelessness and/or caregivers; attending educational workshops; reviewing professional publications; establishing personal networks; participating in professional societies. We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN's Vision and Goals. Other duties as assigned. Your Qualifications Bachelor's Degree in Social Work, Psychology, Gerontology or related field A comparable combination of education/experience and/or training will be considered equivalent to the education listed above. Bilingual - Must be bilingual in English/Spanish. (Test will be administered to assess proficiency.) 3+ years working with housing insecure populations. Demonstrated knowledge of assessment, health and functional problems of older adults. Demonstrated knowledge of homeless resources and housing navigation in Inland Empire & Los Angeles County. Work is primarily in the field (based out of home office). Must be willing to travel throughout Los Angeles County. Requires proof of Valid Driver's License, must maintain State Liability Insurance & have access to a vehicle. Knowledge of homeless resources and systems. Knowledge of issues affecting older adults and caregivers. Excellent written and oral communication skills, as well as strong interpersonal, critical thinking and analytical skills. Excellent organizational, decision-making and multi-tasking skills. Demonstrated customer focus and proactively finds ways to exceed customer needs. Keen attention to detail and produces high quality work products. Ability to prioritize multiple and competing tasks, work independently and in a team environment. Ability to work well in a fast-paced and dynamic environment. Tuberculosis Screening Policy To ensure the health and safety of our members, if you are selected for this position, your job offer with SCAN will be contingent on providing proof of Tuberculosis screening upon hire or providing proof of a negative screening within the last year. If you have a disability/medical reason or sincerely held religious belief that prevents you to provide information required in this policy, SCAN will initiate and engage in the interactive process to evaluate what, if any, reasonable accommodations may be available. What's in it for you? * Base salary range: $25.38 to $36.76 / hour * Remote Work Mode (field based work) * An annual employee bonus program * Robust Wellness Program * Generous paid-time-off (PTO) * Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday * Excellent 401(k) Retirement Saving Plan with employer match * Robust employee recognition program * Tuition reimbursement * An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-CS2 #LI-Hybrid

Sr. Territory Manager External Description: 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. Position Summary: The Sr. Territory Manager position with Alignment Healthcare is responsible for generating leads to meet or exceed individual sales production of new enrollments and retaining existing members within company health plan(s). Must also build and maintain relationships with contracted providers and community affiliates within respective market(s) and/or assigned territories; including local area marketing. The Sr. Territory Manager reports to the Director of Sales and requires individual production activities on a daily/weekly basis that contribute to meeting or exceeding monthly sales, retention and lead goals in a defined territory or market(s). General Duties/Responsibilities: (May include but are not limited to) • Responsible to meet or exceed monthly gross sales goal and retention of existing members. • Service, build and maintain relationships with contracted providers and community affiliates within respective market(s) and/or assigned territories. • Pursue grassroots efforts thru local area marketing to self-generated leads. • Attend telemarketing blitzes as required by management. • Submit daily activity production reports and/or monthly reports as required. • Distribute CMS approved marketing materials to prospects, providers and community affiliates. • Conduct group or one-on-one presentations to prospects, providers and/or local community affiliates. • Understand new updates related to company and/or CMS and marketing guidelines required and be compliant with all CMS/Medicare and Alignment Healthcare guidelines. • Attend ongoing sales trainings and best practices with team and other departments. • Participate with competitor analysis (SWOTs) Strength, Weakness, Opportunities and Threats within respective market(s) and/or territories as required by management. • Must be a team player, share best practices and attend staff meetings when required. • Must possess strong time management and organization skills and abilities. • Must possess a demonstrated ability to handle multiple tasks and responsibilities. • Must be cross trained with call center capabilities to conduct telephonic enrollments, assisted telephonic enrollments, broker support assistance, field CMS secret shopping calls, participate with inbound/outbound campaign and/or quality assurance calls on an as needed basis. • Other duties may be assigned as needed. Supervisory Responsibilities: This position has no direct employee supervisory responsibilities, however, the ability to collaborate and potentially work closely with our Network team, Member Services, Senior Ambassadors, Tele-sales colleagues to name a few is required. 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. 1. Minimum Experience: a. Minimum of 2 - 3 years of general business to business, or business to consumer sales experience and/or clinical and/or community outreach and/or provider relations. b. Strong knowledge and understanding of the CMS Marketing Guidelines. c. Medicare knowledge and/or health insurance background preferred. 2. Education/Licensure: a. Bachelor's degree preferred. b. Must have and maintain active Life & Health insurance license within respective selling state. Additional state licensure may be required as we continue to expand our footprint. c. Must have a valid driver's license and reliable means of transportation to get to all sales activities and appointments. 3. Other: a. A self-starter who is a team player and extremely organized. b. Ability to motivate and educate providers, community affiliates, members and prospective members about company and health plan. Alignment Healthcare Job Descriptions c. Excellent public speaking and presentation skills. d. Solid computer skills (Word, Excel and PowerPoint). 4. Work Environment a. 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. 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. City: Remote - CA State: California Location City: Remote - CA Schedule: Full Time Location State: California Community / Marketing Title: Sr. Territory Manager 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 ******************.

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.

Neighborhood Health Center of the Lehigh Valley is currently hiring a full-time Integrated Team Care Navigator. The Integrated Team Care Navigator will work together with other members of the primary care team(s) and integrated behavioral health teams to provide high quality, well-coordinated, highly organized, patient-centered care to patients and their families/care givers/support systems. The Integrated Team Care Navigator will work in a number of capacities as a support role to the primary care team(s) and integrated behavioral health teams. The Integrated Team Care Navigator is responsible for closure of the loop of care for outstanding referrals related to integrated behavioral health and social services. The primary accountability of the Integrated Team Care Navigator role will be to ensure safe, timely, efficient and effective transitions of care for patients - both within and outside of the primary care practice. There are 5 main accountabilities: Pre-Visit Planning, Patient Outreach & Engagement, Visit/Encounter Preparation, Encounter Flow/Throughput (to include Care Team Huddles), and Non-Encounter Workflow. QUALIFICATIONS * Bachelor's Degree with 1 year of experience in Behavioral Health and/or Drug and Alcohol. * Minimum three years casework/case management or related experience. * Capacity to work with patients, families, and community partners in a confidential, respectful, caring, professional manner. * Competency in Spanish Language ability (spoken/written) preferred. * Strong communication skills both verbal and written. * Adequate computer skills required (MS Office, web based software, and some knowledge of electronic health records system). * Must have strong interpersonal skills. * Excellent organizational skills needed. * Must be able to work independently and as part of a team. * Valid driver's license and car that is insured is required. WORKING CONDITIONS * Hours of Operation: between 7:30am-8:00pm as scheduled based on patient needs. Evening and weekend hours possible. * Some off-site work will be required. * Out-of-town and overnight trips possible. If you have the above qualifications and would like to hear more about this opportunity to serve the community while working for a great agency, please apply now! This description is intended to describe the essential job functions and the essential requirements for the performance of this job. It is not an exhaustive list of all duties, responsibilities and requirements of a person so classified. Other functions may be assigned and management retains the right to add or change the duties at any time. PA Criminal Clearance, PA Child Abuse Clearance and FBI dated from within the past year. A credit history is needed for any role who directly handles agency funds. MMR, Varicella, Tdap, Tuberculosis (2 PPDs or QuantiFERON TB Gold), Hepatitis B, Influenza and Covid Vaccinations. Other credentialing requirements may be required depending on the role.