Jobs at Astrana Health, Inc.

Responsible for building data models, developing ELT pipelines, implementing data quality checks, and utilizing best practices in data engineering and healthcare analytics.

Lead and mentor a team of data engineers to design, implement, and maintain scalable data pipelines, ensuring data quality and compliance with healthcare regulations.

The Case Manager coordinates patient care, conducts medical reviews, collaborates with healthcare teams, and ensures compliance with standards while focusing on reducing hospital readmissions.

The Provider Relations Market Performance Lead analyzes physician practice performance, supports quality improvement, and transforms operations through provider education and collaboration.

The Senior Claims Manager oversees Claims Delegation Audits, ensures compliance with regulations, develops audit strategies, manages corrective actions, collaborates cross-functionally, and leads a performance-driven team.

The Provider Network Strategy Specialist analyzes and develops strategies for provider network growth and engagement, focusing on value-based care goals and contract negotiations.

The Senior Accountant prepares financial statements, ensures compliance with U.S. GAAP, manages audits, and oversees budget activities, contributing to financial accuracy and reporting.

Oversee daily claims processing, manage claims inventory, drive improvements for efficiency, resolve claims issues, and coach claims staff.

The Clinical Educator RN designs, implements education programs and assessments for nursing staff, ensuring clinical competencies are maintained. They collaborate with management for orientation and professional development.

The Manager of Advanced Analytics will lead the design and implementation of data solutions, mentor team members, and collaborate with stakeholders to drive analytics strategy and improvements in patient outcomes.

The UM Coordinator manages prior authorization requests, ensuring conformity with regulations while facilitating communication between providers, members, and clinical staff.

The Sr. Internal Auditor oversees SOX compliance, conducts audits, evaluates internal controls, collaborates with stakeholders, and communicates findings to support business objectives.

The Sr. Manager - Provider Contracting oversees contract inventory, manages provider and vendor agreements, leads project management initiatives, and drives operational efficiencies.

The role involves providing comprehensive primary care, managing chronic diseases, and collaborating with care teams while focusing on patient-centered care and preventive health.

The role involves overseeing provider network operations, achieving financial metrics, and leading strategic initiatives focused on network optimization and provider engagement in the Southern California markets.

The Risk Adjustment Coding Specialist II conducts chart reviews, provides education to providers, tracks performance metrics, and supports risk adjustment initiatives.

Provide critical care to ICU patients, assess conditions, administer treatments, lead care teams, and ensure compliance with nursing standards.

Perform prior authorization and retrospective reviews for outpatient procedures, elective admissions, post-homecare services and DME using medical necessity criteria. Refer to Medical Directors as appropriate, maintain regulatory and accreditation knowledge, comply with policies, and support other duties as assigned. Work remotely with rotating weekend/holiday coverage and overtime.

Process, verify, and reconcile vendor invoices and payments; perform check runs and electronic transfers; maintain vendor files and resolve discrepancies; assist month-end close, produce reports, support audits, and help maintain internal financial controls and compliance.

Support DME operations by answering calls, confirming orders, scheduling appointments, processing and tracking orders in DME software, assembling and delivering supplies, performing inventory counts, assisting with fittings and in-person service appointments, maintaining documentation and compliance, and providing clerical support to the DME team.