Central California Alliance for Health

Director

• Provides strategic management oversight in implementing, directing and monitoring the Alliance’s Application Services Department functions
• Directs the Application Services Department, acts as a subject matter expert, and provides direction and advice on application development functions and overall business operations
• Directs, manages and supervises Application Services Department staff

Application Services Director

Software Engineer

• Develops and executes high-visibility optimization projects related to Alliance web properties, in coordination and collaboration with Marketing and Communications Department colleagues
• Develops and maintains the external website and web content and makes recommendations to enhance user experience
• Acts as a digital media expert responsible for developing and maintaining an engaging and effective user experience for the Alliance’s digital communication properties

Web and Digital Media Developer – Temporary

Operations

• Supports Medicare operations, sales, and enrollment functions through analysis and interpretation of Medicare and Medi-Cal data and ensures compliance with applicable state and federal regulations
• Conducts complex research and analysis in support of Medicare Operations activities
• Acts as a subject matter expert and liaison to internal and external stakeholders

Medicare Operations Analyst – Temporary

Risk

• Provide strategic management oversight in designing, implementing, directing, and monitoring the Alliance’s Risk Adjustment Department functions
• Direct the Risk Adjustment Department, act as a subject matter expert, and provide executive-level advice and guidance on coding and risk adjustment methodologies and overall business operations
• Direct, manage, and supervise Risk Adjustment Department staff

Risk Adjustment Director

Project Manager

• Provides intermediate-level project management support for medium to high complexity cross-functional, systems-driven strategic and operational projects involving interdepartmental units and/or external stakeholder teams through all aspects of the project lifecycle
• Conducts intermediate-level business, technical and financial analysis and reporting to support operations and business development
• Effectively utilizes, implements and communicates project management methodologies and policies, and mentors project teams, project stakeholders and Enterprise Project Managers, to ensure accuracy, consistency and thoroughness

Enterprise Project Manager II

Enterprise Project Manager II – Temporary

Manager

• Develops and manages an individualized comprehensive plan of care for Medicare Dual Eligible Special Needs Plan (D-SNP) members referred into the Case Management Program with the goal of promoting optimal, achievable outcomes in the most cost effective and appropriate manner
• Works with and educates members, families, providers, external agencies, and internal departments on the D-SNP Case Management Program
• Participates in Quality Improvement studies, to continually evaluate the program’s effectiveness and ability in promoting quality driven, cost effective, achievable goals and outcomes for members
• Performs D-SNP Program oversight and support activities
• Acts as a liaison between the D-SNP Program and providers and community agencies to promote effective implementation of program objectives and requirements

Senior Complex Case Manager – D-SNP, RN

Graphics Designer

• Developing, implementing, improving, and evaluating multimedia design approaches for the organization
• Acting as the multimedia expert responsible for developing engaging content throughout the organization

Application Services Director

Web and Digital Media Developer – Temporary

Medicare Operations Analyst – Temporary

Risk Adjustment Director

Enterprise Project Manager II

Enterprise Project Manager II – Temporary

Senior Complex Case Manager – D-SNP, RN

Senior Complex Case Manager – D-SNP, RN

Multimedia Designer – Temporary