OUR COMMITMENT TO A HUMAN HIRING PROCESS
We believe every candidate deserves thoughtful consideration. That’s why we do not use AI or automated systems to review applications. Every application is reviewed by a real human member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.
SERVICE AREA PREFERENCE
While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.
This is a temporary position. The length of the assignment is estimated to go from October 2026 through December 31,2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position. This is a full-time (40 hours/week) temporary assignment.
WHAT YOU'LL BE RESPONSIBLE FOR
Reporting to the Grievance Supervisor, this position:
- Assists in the administration and resolution of low complexity cases in support of the Alliance Grievance function
- Performs administrative duties to track, organize, monitor, and follow up on casework
- Participates in departmental and cross-departmental trainings, workgroups, and operational improvement activities
To read the full position description and list of requirements, click here.
- Knowledge of:
- The principles and practices of managed healthcare, healthcare coverage and benefit structures, principles of coordination of benefits and medical billing
- Title 22 and Title 28 utilization management and grievance regulations
- The diverse needs of the Medi-Cal population
- Conflict resolution
- Proper grammar, spelling, punctuation, and formatting
- Ability to:
- Understand and communicate the complex operations and processes of the Alliance, particularly in the Utilization Management, Care Management, and Member Services departments
- Use the Alliance's internal tracking systems
- Draft professional correspondence
- Verbally communicate the program mission, vision, and roles
- Education and Experience:
- Associate's degree in health, social services or a related field
- One year of experience in a managed health care setting, health plan, or provider office interacting with members, patients, or providers and receiving complaints, preferably related to healthcare administration or public assistance; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying
- We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
- This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.
COMPENSATION INFORMATION
- Zone 1 Pay Range: $26.00 - $32.50
Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas - Zone 2 Pay Range: $24.00 - $30.50
Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)
The applicable salary ranges are based on work location and are aligned to a zone according to the cost of labor in your area. All ranges are subject to change in the future. We are happy to answer any questions that you have or share the applicable pay zone for your location if it’s not one of the typical areas listed. You can reach out to [email protected], and a member from our Talent Acquisition team will be in touch.
The posted hiring ranges represent a good‑faith estimate of what a temporary employee would be paid on this assignment. Final compensation will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferable experience related to the position, education, or training), as well as other factors (internal equity, market factors, and geographic location).
Available for all regular Alliance employees working more than 30 hours per week. Some benefits are available on a pro-rated basis for part-time employees. These benefits are unavailable to temporary employees while on an assignment with the Alliance.
- Medical, Dental and Vision Plans
- Ample Paid Time Off
- 12 Paid Holidays per year
- 401(a) Retirement Plan
- 457 Deferred Compensation Plan
- Robust Health and Wellness Program
- Onsite EV Charging Stations
We are a group of over 500 dedicated employees, committed to our mission of providing accessible, quality health care that is guided by local innovation. We feel that our work is bigger than ourselves. We leave work each day knowing that we made a difference in the community around us.
Join us at Central California Alliance for Health (the Alliance), where you will be part of a culture that is respectful, diverse, professional and fun, and where you are empowered to do your best work. As a regional non-profit health plan, we serve members in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. To learn more about us, take a look at our Fact Sheet.
The Alliance is an equal employment opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), sexual orientation, gender perception or identity, national origin, age, marital status, protected veteran status, or disability status. We are an E-Verify participating employer
At this time the Alliance does not provide any type of sponsorship. Applicants must be currently authorized to work in the United States on a full-time, ongoing basis without current or future needs for any type of employer supported or provided sponsorship.
Skills Required
- Associate's degree in health, social services, or a related field
- One year of experience in a managed healthcare setting, health plan, or provider office interacting with members, patients, or providers and receiving complaints
- Knowledge of managed healthcare, healthcare coverage and benefit structures, coordination of benefits, and medical billing
- Knowledge of Title 22 and Title 28 utilization management and grievance regulations
- Knowledge of the diverse needs of the Medi-Cal population
- Knowledge of conflict resolution
- Strong grammar, spelling, punctuation, and formatting skills
- Ability to understand and communicate complex health plan operations and processes
- Ability to use internal tracking systems
- Ability to draft professional correspondence
- Healthcare administration or public assistance experience
- Equivalent combination of education and experience
What We Do
Central California Alliance for Health is a state-funded health plan that provides Medi-Cal insurance to residents in Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The organization is dedicated to providing communities with accessible, quality health care guided by local innovation to improve the overall health and well-being of its members.
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