Jobs at Alignment Healthcare

The Resolution Specialist resolves healthcare insurance claims, manages member issues, and collaborates with departments to improve service delivery and member satisfaction.

The Resolution Specialist engages with members to resolve complex healthcare issues through proactive outreach, case management, and interdepartmental coordination, ensuring high standards of member experience and compliance with guidelines.

The Scheduling Specialist provides outreach and assistance to ensure eligible members access appropriate care, supports their navigation through clinical programs, and delivers excellent customer service to enhance member satisfaction.

Lead the Delegate Performance team, translating oversight results into actionable strategies, managing performance discussions, and engaging with internal teams to ensure operational success.

The Manager of Compliance & Delegate Oversight Reporting & Analytics leads analytics and reporting efforts, ensuring compliance across health operations and delegated entities. This includes overseeing frameworks, developing insights, conducting root-cause analysis, and managing team performance.

The Senior Director of CAHPS and HOS Strategy manages Alignment Health's CAHPS and HOS programs, ensuring 5-Star performance through provider engagement, data analysis, and cross-functional collaboration.

As a Telephonic RN Case Manager, you'll provide remote case management for medically complex and chronically ill seniors, create care plans, and coordinate with healthcare providers.

The Customer Experience Specialist will provide compassionate service to seniors, resolving inquiries effectively while advocating for members and ensuring clear communication and follow-up.

The Hybrid Customer Experience Lead is responsible for leading customer service operations, supporting team performance, and ensuring high quality care for members. This role includes managing inbound and outbound call experiences, addressing member grievances, and collaborating on staff training and performance standards.

The Data Scientist will develop AI/ML models to enhance healthcare processes, ensuring compliance and quality in clinical documentation.

The Customer Experience Specialist provides compassionate, seamless service primarily to seniors, resolving inquiries and enhancing member satisfaction through effective communication and empathy.

The Senior Software Engineer will develop enterprise-level software applications, lead technical design and implementation, ensure quality deliverables, conduct research, and collaborate across teams. They will drive improvements in system architecture and product features.

The VP of Internal Audit will direct the internal audit function focusing on SOX compliance, enterprise risk management, and healthcare regulatory oversight. They will lead operational audits, ensure compliance with Medicare Advantage regulations, and drive continuous improvement in internal controls while providing strategic insights to senior leadership and the Audit Committee.

The Hybrid Manager oversees pharmacy technicians, ensuring operational efficiency, supervising performance, coaching team members, and supporting workflow improvements. They ensure compliance with regulations and enhance member satisfaction through collaboration across departments.

The role involves a 16-month rotational experience for MBA graduates to develop leadership skills across clinical, financial, and operational business areas.

The Provider Engagement Specialist develops relationships with providers, enhances satisfaction, drives performance metrics, conducts onboarding, and supports growth through education and resources.

The HR Coordinator assists with daily HR tasks including recruitment, onboarding, documentation, and employee engagement activities. Responsible for administrative support and managing sensitive information.

The Accounts Payable Specialist handles day-to-day accounts payable tasks including invoice processing, payments, reconciliations, and communication with vendors.

The Principal AI & Data Scientist will architect enterprise AI solutions, lead innovation in healthcare AI, influence technology decisions, and build partnerships to enhance organizational capabilities. They will leverage advanced AI methods to solve complex healthcare challenges and establish standards for technical excellence.

The Principal, Technical Product Management drives product strategy, influences senior stakeholders, and leads cross-functional initiatives within healthcare technology to enhance products for seniors and the chronically ill.