on behalf of member. Interprets and explains health plan benefits, policies, procedures, and functions to members and providers... in the electronic database. Coordinate and prepare the Alliance component of the State Fair Hearing, MAXIMUS, Independent...
include holistic, DME, radiology, allergy, advanced laboratory services, medication, dialysis, Home Health, orthotics... staff as well as other departments at the Alliance to receive, date, document and resolve inquiries/issues for claims...
-contracted providers. Principal responsibilities include: Manage the provider contracting process for the Alliance including... in both paper and electronic systems. Manage the addition, revision and termination of provider contracts in the Alliance's systems...
entry experience (or equivalents). Six months of experience in managed health care setting;Medicare/Medi-Cal experience... Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive...
orientation per Alliance policy. Greet member walk-ins, provide them with Member Services questionnaires, answer routine... schedules. Notify appropriate suites/departments at 1320 Harbor Bay on incoming Facility vendors and visitors per Alliance...
representative or provider on behalf of member. Interprets and explains health plan benefits, policies, procedures, and functions.../grievance record in the electronic database. Coordinate and prepare the Alliance component of the State Fair Hearing, MAXIMUS...
, and Registration with CAQH. Paneled with AlamedaAlliance is a plus. (non-licensed clinicians maybe considered depending on the... OR CLOSELY LICENSED CA BBS Registered mental health therapist to join a growing group private practice in Dublin, CA. Medical...
company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment..., trial coordinators, field clinical specialists, functional management, cross-functional team members and business alliance...
grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO.... This is an onsite opportunity in Alameda, CA. What You’ll Work On Formulates, harmonizes and consolidates project scopes, plans...
grow the career you dream of. · Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO... This position works out of our Alameda, CA location in the Diabetes Care division where we are focused on helping people...