AltaMed Health Services
AltaMed Health Services
AltaMed Health Services ir bezpeļņas veselības aprūpes organizācija, kas apkalpo daudzveidīgas kopienas Losandželosas un Orindžas apgabalos. Tās kopienas veselības aprūpes tīkls 46 atrašanās vietās nodrošina primāro medicīnisko aprūpi, zobārstniecības pakalpojumus un senioru aprūpi, koncentrējoties uz pieejamu, kvalitatīvu ārstēšanu un visas kopienas labklājību. AltaMed palīdz cilvēkiem arī reģistrēties veselības aprūpes programmās, atbalstot savu misiju padarīt kvalitatīvu veselības aprūpi pieejamāku ikvienam.

Utilization Management Coordinator II - AltaMed (Hybrid, Commerce, CA)

AltaMed Health Services is hiring a hybrid Utilization Management Coordinator II in Commerce, California. The role manages outpatient and inpatient authorization workflows, resolves complex referral issues, and applies state and federal requirements.

Apraksts

  • Support the Medical Management department
  • Process outpatient and inpatient referrals and authorizations promptly while following state and federal guidelines
  • Investigate and troubleshoot referral and authorization problems
  • Use independent judgment to resolve complex issues

Prasības

  • High school diploma or equivalent is required
  • At least two years of experience in a medical billing environment is required
  • Experience with pre-authorizations and reimbursement rules for Medi-Cal, CCS, and other government programs is required
  • Previous experience in utilization management and authorization-referral processing is required
  • An MA or medical billing certificate is preferred
  • Experience with an IPA or HMO is preferred
  • Previous experience in a lead role is preferred

Priekšrocības

  • Medical, dental, and vision insurance
  • 403(b) retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career advancement and development opportunities
  • Paid time off and holidays
  • Paid CME days
  • Malpractice insurance and tail coverage
  • Tuition reimbursement program
  • Corporate employee discounts
  • Employee referral bonus program
  • Pet care insurance
  • Discretionary bonuses or incentives may apply

Saistītās vakances

Delegate Group

Senior .NET Developer, Agentic Engineering

Delegate Group

Build AI-first food management software for gastronomy, catering, and healthcare as a senior .NET developer. Coordinate AI coding agents and ensure their work meets production standards.

Atvērt
Guidehouse

Senior Financial Improvement Consultant, Audit Remediation

Guidehouse

Guidehouse consultant supporting federal agency financial audits and remediation. Work spans internal controls, audit readiness, corrective actions, and project delivery.

Atvērt
Aspire Living & Learning

Director of Financial Planning and Analysis

Aspire Living & Learning

Lead budgeting, forecasting, financial modeling, and strategic planning at Aspire Living & Learning, a mission-driven nonprofit. Manage financial analysts and provide insights that support organization-wide decisions.

Atvērt
Ameriprise Financial Services, LLC

Capital Markets Financial Analysis Manager

Ameriprise Financial Services, LLC
5001 – 10 000 Darbinieki
ApdrošināšanaFinansesKonsultācijas

Lead quantitative financial analysis and modeling for Ameriprise Financial’s Capital Markets Solutions team. Guide risk assessment, model controls, and business decisions using complex investment and insurance data.

Atvērt