Alignment Health

Customer Support

• Leads a Culture of Caring Connections
• Coaches and develops team members to lead every interaction with empathy, patience, and respect
• Reinforces service behaviors that build trust and emotional connection with older adults, individuals with disabilities and special needs
• Stills accountability for end-to-end resolution of member issues
• Monitors and improves first call resolution (FCR) performance and follow-through behaviors
• Ensures Specialists advocate for members, navigate systems effectively, and resolve root causes vs. just surface issues or pass off
• Conducts live call monitoring, coaching, and documented feedback sessions focused on empathy, ownership, and resolution
• Holds monthly 1:1 performance meetings with direct reports and develops individualized documented coaching plans
• Creates an environment of continuous coaching, learning, and psychological safety

Customer Experience Supervisor

Human Resources

• Manage employee relations cases including disciplinary actions and workplace complaints
• Conduct thorough and objective investigations into employee concerns
• Maintain accurate and confidential case records within HR information systems
• Serve as a trusted advisor and coach to managers across the organization on employee relations matters
• Support managers through difficult conversations and disciplinary processes
• Draft, update, and communicate employee relations policies and guidelines
• Build trusted relationships through effective stakeholder engagement and communication

Human Resources Generalist

Chief of Staff

• Drive the Operating Rhythm of the MSO Executive Office.
• Build and lead the daily operational cadence of the President's office — including preparing materials for leadership meetings, board presentations, and executive offsites, and ensuring that the right people have the right information at the right time.
• Serve as the connective tissue between the President's priorities and the broader MSO leadership team, translating direction into structured, actionable plans.
• Lead and Advance Cross-Functional Strategic Initiatives.
• Own the end-to-end project management and execution of enterprise-wide strategic initiatives — including those that fall between departments, span multiple leadership areas, or require orchestration across functions that no single team owns.
• Track milestones, manage dependencies, escalate risks, and ensure that action items are followed through to completion without requiring the President to manage every workstream directly.
• Serve as the President's Thought Partner and Information Hub.
• Act as an extension of the President — filtering and prioritizing incoming inquiries, assessing requests for urgency and appropriate routing, and standing in on meetings where the President's presence is needed but their bandwidth is constrained.
• Provide analysis, recommendations, and options on high-stakes decisions, offering a well-informed, independent perspective that challenges assumptions and surfaces what the President needs to know to act with confidence.
• Monitor and Advance Progress Against Organizational Priorities.
• Proactively track the MSO's highest-priority commitments and initiatives, identifying early warning signs of delays, misalignment, or execution gaps before they escalate.
• Facilitate Cross-Functional Communication and Stakeholder Alignment.
• Foster integration and collaboration across MSO functions and enterprise stakeholders by creating and maintaining the communication frameworks, meeting structures, and relationship management systems that keep the organization aligned.

Chief of Staff, Managed Services Organization

Auditor

• Conduct provider and coder-level audits
• Review medical record documentation and coding accuracy
• Identify compliance risks and outliers
• Support RADV and other risk adjustment audit initiatives
• Partner closely with Risk Adjustment leadership and cross-functional teams
• Help ensure coding accuracy, regulatory compliance, audit readiness, and corrective action follow-through across the organization
• Provide audit feedback and compliance education to internal and provider-facing stakeholders as needed

Risk Adjustment Compliance Auditor

Project Manager

• Plans and executes projects for multiple initiatives simultaneously
• Defines scope, goals, and deliverables in collaboration with senior stakeholders and business units
• Develops detailed project plans, timelines, and resource requirements
• Monitors project performance using appropriate tools and techniques; identifies and mitigates risks and issues
• Ensures all project documentation is maintained and complies with internal and regulatory governance standards
• Leads change management activities, including impact assessments, training, and communications
• Evaluates completed projects to capture lessons learned and drive continuous improvement

Operations Project Manager

• Design, implement, and govern a standardized, scalable project management methodology (e.g., Agile, Waterfall, Hybrid)
• Act as the lead subject matter expert in process improvement
• Develop, implement, maintain and report on the capacity of the IT organization to intake work, prioritize it, and report on demand for those resources
• Lead the change management initiatives required to ensure the successful adoption of new project management methodologies and optimized business processes across all departments
• Lead multiple complex, enterprise-wide initiatives with significant financial and operational impact
• Serve as a senior-level mentor and coach to project managers and operational teams
• Define and track key performance indicators (KPIs) for both project health and process efficiency
• Evaluate, select, and optimize project management and business process management (BPM) software and tools to support methodologies and improve overall efficiency
• Partner with senior leaders and stakeholders across the organization to align project and process optimization initiatives with strategic business goals
• Proactively identify and address risks related to project execution and process failures

Principal Project Manager

Medical Director

• Processes second level reviews in compliance with Medicare/CMS
• Provides appropriate level of care classifications and continued stay reviews in compliance with CMS
• Acts as a liaison between the medical staff, utilization review, and 3rd party payers
• Reviews the entire claim denial process, including Appeals and Grievances
• Serves as a Physician member of the utilization review team

Medical Director – Utilization Management

Bilingual

• Provide member issue resolution managing and resolving healthcare insurance claims.
• Intake complex member cases and provide prompt and satisfactory resolution.
• Decrease turnaround time, improve the quality of resolution, and manage barriers to resolution.
• Serve as a subject matter expert in escalated member calls.
• Identify process improvement opportunities within the member engagement department.
• Conduct outbound phone calls and/or receive inbound phone calls.
• Collaborate with partners and other departments to facilitate the member experience.
• Document real-time and conduct timely wrap-up to support outcomes reporting.

Bilingual Spanish Resolution Specialist

• Provide telephonic case management to medically complex and chronically ill members
• Conduct comprehensive health assessments and create individualized care plans
• Coordinate care with internal and external partners, including physicians and specialists
• Educate members and caregivers on disease management and preventive care
• Monitor member progress and advocate for timely, appropriate interventions
• Identify and help resolve service or access issues impacting care quality

Bilingual Spanish Telephonic RN Case Manager – California RN Required

Full-stack Engineer

• Provide expertise on system architecture, design, implementation, testing, delivery, and operation of enterprise level software applications
• Work directly with product management and your team while analyzing and decomposing complex software requirement into simple stories
• Collaborate with your team to manage and estimate the size and complexity of the features
• Perform the technical design, implementation, and testing of features
• Be the technical leader for product features, ensuring that development activities are coordinated throughout the development cycle
• Own system and feature quality throughout the development, testing and deployment phases
• Drive value and build to continuously improve the quality of the team’s deliverables
• Conduct new technology research, proof of concept, and design work that will provide direction for the overall system and products.

Senior Software Engineer

• Provides specialized member support in respective market or region
• Conducts member engagement including Welcome Calls and New Member Onboarding
• Ensures members have access to PCP and specialists to coordinate care
• Assists with scheduling provider appointments and obtaining medical records
• Resolves member inquiry calls regarding eligibility and benefits

Customer Service Representative, Bilingual in Spanish

• Provides Telehealth Front Office Support
• Oversees virtual patient check-in by ensuring charts are prepared
• Reviews and prepares charts in advance of scheduled visits
• Calls members to schedule, reschedule, and confirm appointments
• Rooms and interviews patients, collects intake information
• Supports telehealth visits using platforms such as AVA, Doximity, and Zoom

Bilingual Spanish Medical Assistant – Home Visits

Community Manager

• Meets or exceeds weekly and monthly qualified lead goals.
• Helps local market achieve monthly sales goals; works with direct sales teams in lead development and public facing presentations.
• Cultivates new and maintains existing relationships with key senior and community influencers.
• Sets-up and attends monthly events and activities through in-person visits, via telephone contact and through email.
• Educates the community on Alignment and its benefits, services and contracted providers.

Community Marketing Outreach Representative

• Contacts patients that are eligible for Alignment’s Care at Home program and provides necessary wellness coaching to reduce or eliminate high-risk behaviors
• Collaborates with advanced practice clinicians and/or social worker to develop an action plan
• Encourages adoption of habits that are conducive to a higher quality of life
• Responsible for delivering a high level of patient service and increasing member retention and satisfaction
• Assists patients with accessing community resources and social services to address social determinants impacting health and wellbeing
• Develops and distributes health education materials to identified patients, caregivers, and/or families
• Coordinates Care with other Alignment team members, including health-related vendors for optimal patient care

Bilingual Spanish Health Coach, Educator

Executive Assistant

• Provides high-level support to Senior Leaders as an extension of their office
• Manages scheduling, meeting execution, and corporate travel arrangements
• Conducts research and prepares confidential materials
• Acts as liaison to board members and employees
• Manages complex administrative duties including calendaring