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The Operations Specialist manages and supports the execution of strategic initiatives within Health Services, focusing on operational, quality, and population health outcomes. Responsibilities include developing project plans, engaging stakeholders, and implementing standard operating procedures to improve care delivery. The role also emphasizes cross-functional collaboration and continuous improvement in business performance.
The Coordinator II in Case Management gathers information for assessments, care planning, and interdisciplinary meetings in a healthcare environment. They resolve complex issues independently and assist in transitions of care for an ethnically diverse population.
The Data Operations Supervisor leads the PACE Data Operations staff, oversees operational procedures, and ensures effective financial reporting related to enrollment and disenrollment, encounter management, and capitation payments. This role collaborates with Center Managers to maintain quality data delivery across PACE locations.
As an EDI Analyst, you will develop and implement secure file transfers in compliance with standards, collaborating with trading partners under the direction of the Supervisor, BI Integrations. Your role will support operational efficiency by ensuring effective data integration in a healthcare setting.
The Junior Administrator, IT Network is responsible for implementing, maintaining, and supporting the network infrastructure at AltaMed, including firewalls, switches, routers, and monitoring systems. The role also involves assisting other teams and requires knowledge in network security and troubleshooting.
Provider Network Specialist at AltaMed supporting the Managed Care / Network Management Department by processing new contracts, provider additions, updates/changes, and terminations for various healthcare providers. Responsible for handling requests from contracted and non-contracted providers, as well as internal stakeholders. Requires a four-year college degree in health care or related experience, with extensive knowledge of managed care principles preferred.
The Coordinator I for Utilization Management assists the Medical Management department by ensuring prompt referral and authorization processing according to regulations. They troubleshoot issues as they arise and coordinate with leadership to maintain compliance with state and federal guidelines.
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