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The Customer Support Representative I (CSR) at AltaMed provides superior customer service to members, member advocates, and providers. Responsibilities include eligibility verification, authorizations status, PCP changes, appeals, and grievances. The CSR is expected to resolve and document inquiries/requests professionally and timely.
Responsible for administrative functions to support the Grievance & Appeals Department, including intake, documentation, investigation, and resolution of appeals and grievances. Requires 4 years of experience in a managed care or IPA setting. High School Diploma required, Bachelor's degree preferred.
The Paralegal Contracts Administrator position at AltaMed involves reviewing and revising legal research, compiling data from legal sources, preparing drafts of contracts, providing support to attorneys, and managing legal records.
The Administrator, Provider Network collaborates in managed care growth efforts to achieve financial goals. Responsibilities include compiling progress information, increasing brand awareness, bringing in new customers, and managing relationships with healthcare providers.
The Compliance Consultant III at AltaMed supports all operations and initiatives critical to enterprise-wide Compliance Program needs. Responsibilities include preparation for audits, response to non-compliance allegations, compliance training, policy drafting, and auditing activities. This role requires independent judgment and the ability to make decisions related to program operations.
The Compliance Consultant III at AltaMed provides support for enterprise-wide Compliance Program needs, including regulatory audits, compliance training, policy drafting, and risk assessment. Requires a Bachelor's degree in a related field and 7 years of healthcare experience.
The Strategy Project Manager at AltaMed is responsible for partnering with management and key leaders to identify project requirements that support strategic initiatives and special projects. They will plan, manage, and implement highly visible projects to improve enterprise infrastructure and promote service integration of clinic services, with a focus on improving patient health outcomes and business results.
Responsible for managing the day-to-day operations of the Front Office team, ensuring the delivery of the highest quality patient experience, measuring team performance, identifying trends, and implementing process improvements. Also responsible for maintaining provider templates and ensuring appropriate patient access. Supports clinic leadership in absence of Clinic Administrator.
Connecting and executing Letter of Agreements to out-of-network providers in Los Angeles and Orange County to ensure medical care is not compromised.
The Administrative Assistant IV provides administrative support, prepares reports, manages data, schedules meetings, and handles routine inquiries. Requires 6 years of office experience with health care experience preferred. Proficiency in MS Office Suite and fluency in English, Spanish, and Chinese is beneficial.
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