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Alignment Health Plan Jobs (NOW HIRING)

Alignment Healthcare

Care Management Trainer

Orange, CA · On-site

$85K - $128K/yr

Coordinates and performs educational activities that promote the competency and development of Alignment Health Plan staff, including orientation, competency validation within the scope of Care ...

Alignment Healthcare

Care Management Trainer

Orange, CA · On-site +1

$85K - $128K/yr

Coordinates and performs educational activities that promote the competency and development of Alignment Health Plan staff, including orientation, competency validation within the scope of Care ...

Alignment Healthcare

VP, Compliance

Orange, CA · On-site +1

$134K - $180K/yr

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and ... Serve as the overall owner of the Compliance Plan and all program documentation, driving annual ...

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Alignment Health Plan information

What are the key skills and qualifications needed to thrive as an employee at Alignment Health Plan, and why are they important?

To thrive at Alignment Health Plan, you typically need a background in healthcare administration, insurance, or clinical fields, often with relevant degrees or certifications. Familiarity with healthcare management systems, Medicare Advantage regulations, and CRM software is important for daily operations. Strong customer service, problem-solving abilities, and effective communication set top performers apart in member-focused roles. These skills ensure compliance, member satisfaction, and efficient healthcare delivery in a regulated and competitive industry.

What is the difference between Alignment Health Plan vs Healthcare Customer Service Representative?

AspectAlignment Health PlanHealthcare Customer Service Representative
Primary RoleProvides health plan services, member support, and benefits explanationHandles patient inquiries, appointment scheduling, and billing issues
Required CredentialsHealth insurance knowledge, customer service skillsCustomer service experience, communication skills
Work EnvironmentOffice-based, healthcare insurance settingCall centers, healthcare facilities, or remote
Industry UsageHealth insurance providers, managed care organizationsHospitals, clinics, insurance companies

Alignment Health Plan roles focus on managing health plan services and member support within the healthcare insurance industry. Healthcare Customer Service Representatives primarily handle patient inquiries and administrative tasks. Both roles require strong communication skills but differ in their specific responsibilities and work environments.

What is Alignment Health Plan?

Alignment Health Plan is a Medicare Advantage health insurance provider that offers various health coverage options to eligible individuals, primarily seniors and those with certain disabilities. Their plans typically include medical, hospital, prescription drug, and additional benefits such as dental, vision, and wellness programs. Alignment Health Plan is known for its focus on personalized care and innovative technology to improve member health outcomes. They partner with a network of doctors and hospitals to deliver coordinated care and support services. Membership is available in select regions, and plan options vary by location.

What are some common challenges faced by team members working at Alignment Health Plan, and how are they typically addressed?

Team members at Alignment Health Plan often work in a fast-paced, highly regulated environment where keeping up with evolving healthcare policies and ensuring top-notch member support can be challenging. To address these challenges, the organization emphasizes ongoing training, cross-functional collaboration, and open communication among departments such as member services, clinical care, and compliance. Employees are encouraged to leverage support resources and participate in regular team meetings, which help them stay updated and foster a culture of continuous improvement.
What cities are hiring for Alignment Health Plan jobs? Cities with the most Alignment Health Plan job openings:
What states have the most Alignment Health Plan jobs? States with the most job openings for Alignment Health Plan jobs include:
Adult Health, Nurse Practitioner/Physician Assistant-Field Remote

Adult Health, Nurse Practitioner/Physician Assistant-Field Remote

Alignment Health

Charlotte, NC

$106K - $137K/yr

Full-time

Posted 15 days ago

Job description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

As a leader in the care of older adults, we are seeking an Advanced Practice Provider (Nurse Practitioner or Physician Assistant) who enjoys managing complex patients in a collaborative, highly coordinated home-based setting. The provider will work closely with physicians, advanced practice providers, social workers, case managers, nutritionists, and other members of our health care team, as well as participate in multidisciplinary conferences that focus on the most high-risk members. He/she will have access to advanced technology, including an innovative, patient-friendly home monitoring system, Epic EMR, and a proprietary decision support tool that synthesizes data from a variety of sources into actionable alerts that drive care.

General Duties/Responsibilities (May include but are not limited to):

  • M-F Traditional Work Hours, No Call, and No Weekends.
  • Schedule: 3.5 days a week Conduct in-home assessments (with some outpatient clinical work) on health plan members and the other 1.5 days a week work from home. 
  • In-Home Assessments will include obtaining comprehensive history, physical exam, medication review, and appropriate cognitive/depression/safety screenings.
  • Comfort with End-of-life care discussions imperative.
  • Laboratory specimen collection in the home setting when appropriate.
  • Identify diagnoses to be used in active medical management and care management of patients with focus on chronic disease management.
  • Communicate findings of the patient assessment to inform the PCP of potential gaps in care.
  • Provide patient/family/caretaker education, with an emphasis on close monitoring and follow up of patient needs.
  • Emphasis on knowledge of appropriate community resources for referral.
  • Comply with all HIPAA regulations and maintain security of protected health information (PHI).

Supervisory responsibilities:

N/A

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience:

Computer literacy/EMR proficiency

At least one (1) year prior clinical experience

Education/Licensure:

Active California state license as a Nurse Practitioner/Physician Assistant

Active Nurse Practitioner/Physician Assistant Board Certification

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