PRINCIPAL RESPONSIBILITIES. . Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day-to-day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position also manages the receipt and development of Lett...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, ...
PRINCIPAL RESPONSIBILITIES. . The Provider Data Coordinator I, under general supervision from the Supervisor, Network Data Validation will verify, change and update provider data for accuracy. Provider data will be entered into multiple systems including but not limited to HealthSuite, Excel spreadsheets, and the Provider Repository. Principal responsibilities include. Update provider terminations, changes, additions, and contracts into various c...
PRINCIPAL RESPONSIBILITIES. Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day-to-day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position also manages the receipt and development of Letter...
PRINCIPAL RESPONSIBILITIES. . Under general supervision of the Manager, Networks and Contacting, the Contract Specialist coordinates the day-to-day work processes associated with the contracting process. This includes developing, maintaining and executing contracts (new and revised) as well as changes to DOFRs (Divisions of Financial Responsibilities) affiliated with delegated groups. This position also manages the receipt and development of Lett...
PRINCIPAL RESPONSIBILITIES. . The Senior Project Manager, under the direction of the Sr Manager, Project Management Office (PMO). . is responsible for providing management and support for project development and implementation throughout Alameda Alliance's project portfolio. These projects may have business and/or technical components of healthcare operations including claims, membership, utilization and disease management, provider services, fin...
P. RINCIPAL. RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of emai...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, ...
PRINCIPAL RESPONSIBILITIES. . Under general guidance from the Provider Services Manager, the Provider Relations Representative III is responsible for building long-term relationships with physicians, physician groups, ancillary and behavioral health providers and their staff in a positive and proactive manner in order to support their understanding and compliance with Alliance contracts, policies, and procedures. Principal responsibilities includ...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, ...
PRINCIPAL RESPONSIBILITIES. Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, ...
PRINCIPAL RESPONSIBILITIES. . Under the general direction of the Supervisor, Provider Dispute Resolution Supervisor the Provider Dispute Resolution (PDR) Analyst will review, research, and resolve complex and involved provider disputes for contracted as well as non-contracted providers in accordance with state and federal guidelines. Conduct all pertinent research in order to evaluate, respond and close incoming Provider Disputes accurately, time...
