Central California Alliance for Health

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

Medicare Sales Agent – Defined Term

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

Risk

• Acts as the clinical coding subject matter expert and lead coding resource across the organization
• Acts as a resource and provides education to providers on clinical coding standards
• Coordinates and leads the Alliance Coding Workgroup

Risk Adjustment Coding Educator – Temporary

Security Analyst

• Reporting to the Information Security Manager, this position performs analysis of Alliance information security practices to ensure alignment with industry standards and guidelines
• Identifies, investigates, and resolves security breaches detected by Alliance security solutions
• Participates in the creation and maintenance of policies, standards, guidelines, and procedures related to information security
• Leads and performs staff training on information security and security breach prevention

Information Security Analyst – Temporary

Program Manager

• Develops, manages, implements, and supports Risk Adjustment programs and manages Risk Adjustment Department activities
• Manages small- to large-scale projects that advance business outcomes to achieve strategic objectives
• Acts as a risk adjustment subject matter expert and resource

Central California Alliance for Health

Medicare Sales Agent – Defined Term

Legal Services Director

Risk Adjustment Coding Educator – Temporary

Information Security Analyst – Temporary

Risk Adjustment Program Manager – Defined Term

Risk Adjustment Coding Educator – Temporary

Risk Adjustment Program Manager – Defined Term