Alignment Health

Director

• Leads and evolves the APC care delivery model across multi-state markets
• Partners with executive and clinical leadership to drive scalable innovation
• Oversee development and implementation of clinical standards, workflows, and policy frameworks
• Accountable for clinical OKRs and key enterprise KPIs
• Partners with Data & Technology Services (DTS) to monitor and report performance
• Ensure compliance with CMS, Medicare Advantage, and applicable federal/state regulations
• Provides strategic leadership to APCs and management teams
• Builds and sustains a high-performing clinical workforce
• Serve as a key clinical advisor and connector across virtual care and external partners
• Identify opportunities to enhance clinical workflows and improve member and provider experience

Senior Director, Nurse Practitioners, PAs

Product Manager

• Own end-to-end product strategy for complex, enterprise-scale product domains
• Lead long‑range product vision, investment planning, and multi‑year roadmaps
• Translate strategy into clear, actionable outcomes with differentiating product offerings
• Lead discovery, prioritization, and experimentation for major innovations
• Deliver high quality products in partnership with engineering, design, and clinical/business/operational stakeholders
• Influence senior leaders (VP+ level) through insights, data‑driven narratives, and thought leadership
• Drive alignment across business, operations, and technology architecture

Principal, Technical Product Management

Human Resources

• Implementing, maintaining, and optimizing Workday Human Capital Management functionalities
• Collaborating with HRIS Product Owners and other stakeholders
• Configuring and maintaining Workday functionality including business processes, reports, integrations
• Reviewing business requirements with stakeholders
• Managing and resolving HRIS support cases
• Developing and maintaining user guides and process documentation
• Supporting internal and external audits

HRIS Workday Analyst

Auditor

• Supports departmental Quality Assessment audits of internal Coding Analyst team and vendors
• Assists in Risk Adjustment related data audits
• Tracks and reports progress of QA audits performed on the coding vendors
• Analyzes and shares audit results with Manager
• Ensures compliance with HIPAA standards

MRA Coding Auditor

Manager

• Provide operational leadership and direction to two Utilization Management Supervisors overseeing non-clinical coordinator teams.
• Lead the teams meet established turnaround times (TATs), quality, and productivity standards for authorization processing, referral routing, and related UM functions.
• Oversee staffing allocation, scheduling, and workload balancing between inpatient and pre-service units.
• Conduct regular one-on-one meetings with supervisors to review performance metrics, workflow barriers, and staff development needs.
• Own the daily operations to ensure timely and accurate completion of authorizations, correspondence, and documentation.
• Identify process inefficiencies and implement corrective actions to improve turnaround, accuracy, and staff productivity.
• Lead root-cause analyses for escalated operational issues and coordinate corrective action plans.
• Mentor Supervisors to build leadership capacity, coaching them on staff management, delegation, and performance improvement techniques.
• Manage all team activities adhere to CMS and organizational policies related to Utilization Management, confidentiality, and member communication standards.
• Collaborate with network providers and internal teams to clarify authorization processes and ensure alignment with benefit and policy criteria.

Manager, Utilization Management Coordination, Non-Clinical

• Manage employee relations cases including disciplinary actions, workplace complaints, and performance issues
• Conduct thorough and objective investigations into employee concerns
• Serve as a trusted advisor and coach to managers on employee relations matters
• Interpret and apply HR policies and procedures in compliance with legal requirements
• Facilitate mediation and alternative dispute resolution processes

Human Resources Generalist

Data Analyst

• Design, build, and own standardized operational reports, dashboards, and scorecards for clinical, quality, and operational teams
• Define and develop key performance indicators (KPIs) and metrics to measure clinical outcomes, quality, utilization, productivity, and program effectiveness
• Partner with stakeholders to translate business and clinical requirements into scalable reporting solutions
• Ensure reporting solutions are reliable, repeatable, and aligned to operational workflows and decision-making needs
• Develop intuitive, user-friendly dashboards that enable leaders and frontline teams to track performance and identify issues quickly
• Apply best practices in data visualization to clearly communicate trends, risks, and opportunities
• Analyze clinical, claims, and encounter data to evaluate outcomes, quality performance, and adherence to clinical standards
• Identify variation in care, quality gaps, and utilization trends across populations, providers, and markets
• Support performance monitoring of clinical programs, internal teams, and operational workflows
• Develop and maintain complex SQL queries, datasets, and analytical models using large healthcare data sources
• Ensure data accuracy, validation, and documentation for all operational and analytical reporting
• Support ad hoc and deep-dive analyses to explain performance trends and root causes
• Work closely with Clinical Operations, Quality, Medical Economics, and Compliance teams to align metrics with strategic and operational priorities
• Present dashboards, insights, and recommendations to clinical and executive leadership
• Serve as a subject matter expert for clinical operational reporting and performance measurement
• Mentor junior analysts in reporting best practices and analytical rigor
• Contribute to analytics standards, data governance, and metric definitions

Senior Data Analyst – Clinical

Customer Support

• Provide compassionate, seamless service to valued members, primarily older adults and individuals with disabilities.
• Build caring connections and own each member interaction end-to-end.
• Deliver exceptional service by exceeding member expectations.
• Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures.

Vietnamese Bilingual Customer Experience Specialist

• Build caring connections with every member by always leading with empathy, patience, and respect.
• Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact.
• Deliver exceptional service by exceeding member expectations and reinforcing a culture focused on trust, compassion, and first-call resolution.
• Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures.
• Assist members with provider network and claim/reimbursement inquiries.
• Document all member interactions, actions taken, and outcomes in real time.
• Proactively address member complaints, grievances, and disenrollment concerns.

Customer Experience Specialist

• Build caring connections with every member by always leading with empathy, patience, and respect, ensuring members feel heard, supported, and valued throughout every interaction.
• Own each member interaction end-to-end, taking accountability to resolve inquiries during the initial contact and ensuring clear follow-through when additional steps are required.
• Deliver exceptional service by consistently exceeding member expectations and reinforcing a culture focused on trust, compassion, and first-call resolution.
• Accurately respond to member inquiries regarding benefits, eligibility, services, policies, and procedures in a clear, confident, and member-friendly manner.
• Assist members with provider network and claim/reimbursement inquiries, benefit questions related to transportation, food, dental and other support services and needs, proactively identifying solutions and next steps.

Korean Bilingual Customer Experience Specialist

Bilingual

• Conduct outreach to members to support referrals, authorizations, medication refills, provider appointments, and other care needs.
• Complete tasks and assessments in the Case Management system for hospital and SNF discharges.
• Collaborate with RN Case Managers to manage a panel of SNP members.
• Monitor alerts for changes in condition, admissions, discharges, and diagnoses, and communicate updates.
• Build trust with members, acting as a liaison and advocate for their care.
• Document interactions and maintain accurate member records.
• Support communication with providers, including faxing/mailing of documents and requesting medical records.
• Attend interdisciplinary team meetings and participate in member case reviews.
• Maintain confidentiality and meet all departmental deadlines.

Care Coordinator, SNP – Bilingual: Vietnamese or Spanish

• Lead the design, integration, and execution of clinical interventions aligned to CMS STAR measures.
• Ensure STAR quality performance is embedded into clinical workflows, care management programs, and provider engagement strategies.
• Translate regulatory quality measures into actionable clinical processes that drive sustainable improvement in STAR ratings and member outcomes.
• Design, implement, and oversee multi-modal clinical interventions for closing STAR measures gaps.
• Develop intervention strategies tailored to member risk stratification and population needs.
• Monitor key performance indicators related to STAR measures intervention effectiveness and drive corrective action plans.

Senior Director, STAR Intervention

Analyst

• Responsible for intraday workforce management to ensure optimal alignment between staffing and contact center demand
• Monitors real-time performance against forecast and staffing plans
• Identifies variances and executes immediate corrective actions to achieve service level, ASA, occupancy, and efficiency targets
• Serves as the operational bridge between Workforce Management and Operations to proactively manage risk, maintain schedule adherence, and protect the customer experience
• Monitor real-time performance against key metrics including Service Level, ASA, Abandon Rate, AHT, Occupancy, and Schedule Adherence
• Compare actual workload and staffing to forecast and capacity plans; identify intraday variances and implement corrective actions
• Manage real-time queue, skill, and routing adjustments to balance workload and optimize resource utilization
• Coordinate with Operations to execute intraday actions such as overtime, VTO, off-phone adjustments, meetings, training, or break/lunch changes
• Monitor and drive real-time adherence to minimize unplanned shrinkage and ensure delivery of planned capacity
• Identify and communicate adherence risks or behavioral trends impacting service performance
• Perform intraday trend analysis of volume, handle time, and volume drivers
• Identify emerging risks related to contact spikes, AHT changes, absenteeism, system issues, or external drivers
• Provide timely and concise communication and actionable recommendations to Operations and the broader WFM team
• Create, maintain, and publish workforce schedules within WFM and ACD telephony platforms
• Validate schedule integrity, staffing levels, and ring/skill group assignments

Analyst, WFM Real Time

Communications

• Develop and execute mass communication strategies that align with company goals and ensure clear, consistent messaging
• Lead multi-channel internal communications, including email campaigns, intranet content, digital signage, executive messages, and video scripting
• Plan and execute internal events, including town halls, all-employee meetings, and culture-building initiatives
• Create and refine presentations for executives and internal teams, ensuring clarity, impact, and alignment with key messages
• Craft compelling written content for various internal platforms, translating complex business topics into accessible, engaging messages
• Support change management efforts by developing communication plans that drive awareness, alignment, and adoption
• Measure communication effectiveness and optimize messaging based on data, employee feedback, and engagement trends
• Serve as a trusted advisor to leadership, providing strategic counsel on internal communications and engagement strategies
• May supervise additional internal communications team members as the function evolves

Internal Communications Manager

Data Engineer

• Translate business requirements into specifications that will be used to implement the required reports and dashboards
• Work with business units to gather requirements, development and delivery of business intelligence & reporting services and lead end to end Data delivery
• Develops and implements business intelligence & analytics to support organizational initiatives
• Build rich and dynamic dashboards using out-of-box features, customizations, and visualizations
• Design and publish custom dashboards for business functions, stakeholders, and corporate users around the company
• Design, model, develop & optimize stored procedures to meet data management and data reporting objectives
• Design and model data flows and ETL procedures ensuring data quality and integrity
• Troubleshoot and resolve issues with the processes used and the content produced by the BI platform
• Provide ongoing maintenance support through troubleshooting, report modifications and optimization