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 the direction of leadership in accounting. The Senior Accountant performs general and specialized accounting duties requiring advanced professional experience, knowledge and competency in a accounting principles and practices. Principal responsibilities include Prepare general and specialized reports and analyses relates to the organization's financial positions and

Under the general guidance from the Supervisor, Data Network Validation, the Provider Network Data Clerk is responsible for providing support to the Provider Services Department. The Provider Network Data Clerk is an entry level position that may be eligible to be flexed into the Provider Data Coordinator I position after completion of 6 12 months to be proficient with pr

Under the direction of the Manager Vendor Management, the Vendor Analyst 1 supports the organization in effective vendor monitoring to increase vendor value to the organization. Principal responsibilities include Responsible for purchasing all products and services greater than $400 and less than $25,000. Check routine daily purchasing requisitions and quotations for comp

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

Software Development Engineer in Test (SDET) has a strong background in programming, system architecture, infrastructure, and software testing. This position thoroughly understands software testing patterns, best practices and has experience implementing technical frameworks to streamline and standardize the development, maintenance, and execution of testing. This positio

The Provider Data Coordinator I, under general supervision from the Supervisor, Network Data Validation will verify, change and update provider data for accuracy. Provider data will be entered into multiple systems including but not limited to HealthSuite, Excel spreadsheets, and the Provider Repository. Principal responsibilities include Update provider terminations, cha

Under the general direction of the Supervisor, Provider Dispute Resolution Supervisor the Provider Dispute Resolution (PDR) Analyst will review, research, and resolve complex and involved provider disputes for contracted as well as non contracted providers in accordance with state and federal guidelines. Conduct all pertinent research in order to evaluate, respond and clo

Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day to day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position al

Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day to day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position al

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 Senior Project Manager, under the direction of the Sr Manager, Project Management Office (PMO) , is responsible for providing management and support for project development and implementation throughout Alameda Alliance's project portfolio. These projects may have business and/or technical components of healthcare operations including claims, membership, utilization a

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