Central California Alliance for Health

Analyst

• Collaborates and partners with management, project managers, and Information Technology Services (ITS) Division staff to develop, implement, and manage an assigned reporting/analytics portfolio

Health Informatics Analyst II

Attorney

• Provides strategic management oversight in implementing, directing, and monitoring the Alliance’s Legal Services Department, which provides advice and counsel and performs enterprise risk management for Alliance operations
• Directs the Legal Services Department, acts as a leader and subject matter expert and provides direction and advice on legal and administrative contracting issues and overall business operations
• Manages and coordinates litigation and disputes related to Alliance operations
• Directs health plan administrative contracting, including maintenance of agreements and negotiation and re-negotiation of contracts in coordination with Alliance staff and external counsel
• Directs, manages, and supervises Legal Services Department staff

Legal Services Director

Consultant

• Designs and validates managed care payer models and performs moderately complex analysis to evaluate the feasibility of payer reimbursement methodologies
• Conducts moderately complex financial analysis to support successful payer reimbursement outcomes
• Coordinates and collaborates with internal and external stakeholders to achieve payer reimbursement objectives

Payer Analytics Consultant – Temporary

Strategy

• Manages the advancement of provider reimbursement methodologies to align with organizational strategies and objectives, including value-based payment, and advises executive leadership regarding the feasibility of various strategies and methodologies
• Utilizes a variety of methods and models to evaluate the feasibility of reimbursement methodologies
• Provides management oversight and guidance related to the provider reimbursement function, acts as a subject matter expert, and provides guidance on departmental operations
• Manages, supervises, mentors and trains assigned staff

Provider Payment Strategy Manager – Defined Term

Sales

• Increases membership in the Alliance Medicare D-SNP program through direct sales and marketing of Alliance Medicare products to dual-eligible, Medicare/Medi-Cal recipients within assigned service area
• Develops a sales network to generate leads and provide opportunities for outreach
• Supports Medicare Sales Department activities and programs

Health Informatics Analyst II

Legal Services Director

Payer Analytics Consultant – Temporary

Provider Payment Strategy Manager – Defined Term

Medicare Sales Agent – Defined Term