Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

Under the supervision of the Director of Diversity, Equity, and Inclusion, the Diversity, Equity, and Inclusion Program Trainer within the Human Resource department is responsible for developing and implementing diversity, equity, and inclusion training programs and initiatives to enhance the skills, knowledge and performance of the company workforce. This position will s

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

Under the supervision of the Senior Manager, Financial Planning and Analysis (FP&A) Healthcare, the Lead Financial Analyst, Healthcare Finance is responsible to support the Finance Department in the areas of special projects, financial analysis and reporting as well as review work completed by other analysts. The position requires a high level of understanding of medical

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

The Inpatient Utilization Management (UM) Reviewer is responsible for conducting on site and telephonic utilization review of hospitalized members and initiating the transition of care process. The Inpatient UM Reviewer works directly with hospitals and primary and specialty care providers to meet the targeted needs of each individual member and their families. Principal

The Inpatient Utilization Management (UM) Reviewer is responsible for conducting on site and telephonic utilization review of hospitalized members and initiating the transition of care process. The Inpatient UM Reviewer works directly with hospitals and primary and specialty care providers to meet the targeted needs of each individual member and their families. Principal

Under administrative supervision, this position performs mailroom, department assistance and hospitality coordination and functions as needed including department/company support with well defined assignments that require minimal instructions and supervision. Additional functions also include good communication and customer service, problem solving, spreadsheets, and full

Under the general direction of the Supervisor, Health Plan Audits,this position is responsible for supporting the Alameda Alliance for Health's (AAH) Compliance Program, with an emphasis on external/delegate auditing activities. Principal responsibilities include Lead and/or coordinate external audits of AAH delegated entities to ensure compliance with regulatory and cont

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

Under the direct supervision of the Claims Processing Supervisor and the general direction of the Manager, Claims Production, this position is responsible for the accurate review, entry and processing of all claims received for payment by AAH. Principal responsibilities include Research claims for completion and appropriateness. Review and handle rejected claims as necess

Under general direction from the Director, Claims, the Senior Manager, Claims Operations Support is responsible for the management and oversight of the Claims Operations Support function which includes, but is not limited to, research and resolution of claim payment issues, auditing, refund processing and claims system analysis/testing activities; the Provider Dispute Res

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications co