Under general supervision from the Leadership of Long Term Care (LTC), the LTC Health Navigator will support clinical staff of the Long Term Care program. This role will focus on transitions of care and care coordination for members coming both in and out of Long Term Care. The LTC Health Navigator will provide assistance in locating accepting facilities and to members ne

Under the direction of the Director, Community Health Strategy, the Manager of Community Health Initiatives supports the operationalization and implementation of Alameda Alliance for Health's (Alliance) community health efforts. The Manager plays a key role in helping integrate Population Health Management (PHM) principles with actionable, community based interventions th

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 general direction of the Sr. Director Member Services, the Member Services Supervisor D SNP, is responsible for overseeing the daily operations of a team of call center agents who primarily handle inquiries and coordinate care for Dual Special Needs Plan (D SNP) members, ensuring quality service delivery while adhering to complex healthcare regulations, monitori

Under limited supervision, this position is responsible for management and coverage of the receptionist desk; serves as a customer service liaison for members, plan partners, and visitors and provides administrative support to the Operations Department. Answers and directs all incoming phone calls and greets and directs visitors. This position also performs administrative

The Technical Analyst II will provide technical analysis and support in areas of health care related applications, authorizations, and enrollment file management, under the supervision of the Senior Manager, IT Applications. The duties include work in the areas of user and systems requirements, support and analysis, documentation, reporting, applications support, troubles

This position works under the direct supervision of the Supervisor, Case Management and is responsible for the operational delivery of the plan's case management and care coordination programs and processes. The Complex Case Manager, Nurse will provide case management services for health plan members with highly complex medical and psychiatric conditions where advocacy an

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

This position works under the direct supervision of the Supervisor, Case Management and is responsible for the operational delivery of the plan's case management and care coordination programs and processes. The Complex Case Manager, Nurse will provide case management services for health plan members with highly complex medical and psychiatric conditions where advocacy an

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

The Inpatient Utilization Management (UM) RN is responsible for evaluating the clinical presentation of members in inpatient settings, utilizing the applicable clinical practice standards/guidelines to determine medical necessity for the level of care required by the member. The Inpatient UM RN (Inpatient UM RN) processes clinical and psychosocial information to ensure th