Alignment Health

Remote Sr. Director, Healthcare Analytics

Alignment Health · Full Time · 7 hours ago

Alignment Health

🌎 United States 💵 $172K - $258K per year ⭐ 10+ yrs exp 💼 Software Development

The Senior Director of Healthcare Analytics leads the organization's program evaluation and causal analytics capability to assess clinical and operational interventions. This role establishes analytic standards, quantifies ROI and quality outcomes, and partners with cross-functional teams to drive data-informed decision-making.

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Customer Experience Specialist - Las Vegas, NV

Alignment Health · Full Time · 11 hours ago

Alignment Health

🌎 United States 💵 $35712 - $53568 per year ⭐ 2-5 yrs exp 💼 Support

The Customer Experience Specialist provides compassionate, end-to-end support to senior members and individuals with disabilities regarding their healthcare benefits and services. They are responsible for resolving inquiries, documenting interactions accurately, and advocating for members to ensure a seamless and supportive experience.

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Remote Regional Concierge Navigator (Bilingual in Spanish)

Alignment Health · Full Time · a day ago

Alignment Health

🌎 United States 💵 $44790 - $67185 per year ⭐ 0-2 yrs exp 💼 Others

The Remote Regional Concierge Navigator provides outreach and support to members, helping them navigate their healthcare benefits and coordinate care. They act as a liaison between providers, health plan operations, and members to ensure quality care and issue resolution.

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Nurse Practitioner/Physician Assistant - Full Time (Must be able to conduct home visits in Wake County, NC)

Alignment Health · Full Time · 4 days ago

Alignment Health

🌎 United States 💵 $109K - $164K per year ⭐ 0-2 yrs exp 💼 Healthcare

Conduct in-home assessments for senior patients, including physical exams, medication reviews, and chronic disease management. Collaborate with an interdisciplinary team to coordinate care and communicate findings to primary care providers.

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JSA Nurse Practitioner / Physician Assistant (NP/PA) Must be able to conduct home visits in Riverside, CA

Alignment Health · Full Time · 4 days ago

Alignment Health

🌎 United States 💵 $113K - $169K per year ⭐ 0-2 yrs exp 💼 Healthcare

The clinician will conduct in-home assessments for senior patients, including physical exams, medication reviews, and chronic disease management. They will work within an interdisciplinary team to coordinate care and provide education to patients and their families.

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VP, Provider and Member Appeals & Grievances

Alignment Health · Full Time · 5 days ago

Alignment Health

🌎 United States 💵 $227K - $341K per year ⭐ 10+ yrs exp 💼 Others

The VP is responsible for the strategic, operational, and regulatory oversight of member and non-contracted provider appeals and grievances programs. This role drives enterprise-level performance, ensures CMS compliance, and leads a multi-layered team to improve quality and member outcomes.

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Bilingual Spanish Health Coach and Educator (Home Visits in San Gabriel Valley / Southeast LA, CA | Field Remote)

Alignment Health · Full Time · 5 days ago

Alignment Health

🌎 United States 💵 $48373 - $72559 per year ⭐ 0-2 yrs exp 💼 Healthcare

The Health Coach and Educator conducts home and virtual visits to provide wellness coaching, education, and support to seniors and their families. They collaborate with clinicians to develop action plans and assist patients in accessing community resources to improve health outcomes.

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VP, Vendor Management

Alignment Health · Full Time · 6 days ago

Alignment Health

🌎 United States 💵 $227K - $341K per year ⭐ 10+ yrs exp 💼 Others

The Vice President of Vendor Management oversees the performance, governance, and strategic alignment of the health plan's vendor ecosystem. This role ensures that all partners deliver high-quality, compliant, and cost-effective services while mitigating operational and financial risks.

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Remote Care Coordinator, SNP (Bilingual Spanish Preferred))

Alignment Health · Full Time · 6 days ago

Alignment Health

🌎 United States 💵 $41472 - $62208 per year ⭐ 2-5 yrs exp 💼 Healthcare

The Care Coordinator collaborates with the RN Case Manager to manage a panel of SNP members by addressing care gaps and coordinating complex care needs. Responsibilities include telephonic outreach, managing authorizations, updating medical records, and participating in interdisciplinary team meetings.

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Inpatient Review Nurse (Remote | California RN/LVN License Required | Pacific Time Schedule)

Alignment Health · Full Time · 7 days ago

Alignment Health

🌎 United States 💵 $77905 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Inpatient Review Nurse performs utilization reviews for complex medical cases to ensure appropriate, cost-effective care while collaborating with healthcare providers. They also manage patient care transitions, document clinical criteria, and coordinate with multidisciplinary teams to support discharge planning.

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Bilingual Care Coordinator, Outpatient Case Management (Remote, Mon-Fri, 8am-5pm Pacific Required)

Alignment Health · Full Time · 7 days ago

Alignment Health

🌎 United States 💵 $41472 - $62208 per year ⭐ 0-2 yrs exp 💼 Healthcare

The Care Coordinator works with the interdisciplinary team to manage member care, coordinate services, and close care gaps. Responsibilities include telephonic outreach, documentation in the case management module, and assisting members with appointments and resource navigation.

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Broker Account Manager - Field position in Maricopa County, AZ

Alignment Health · Full Time · 9 days ago

Alignment Health

🌎 United States 💵 $49486 - $74228 per year ⭐ 2-5 yrs exp 💼 Sales

The Broker Account Manager is responsible for driving sales growth within the broker channel by managing relationships, recruitment, and training. They ensure compliance with CMS guidelines and oversee all channel activities including sales production and strategy.

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Remote RN Case Manager - Care Transitions - Bilingual Spanish - California RN License Required

Alignment Health · Full Time · 9 days ago

Alignment Health

🌎 United States 💵 $85696 - $128K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager will coordinate safe transitions for patients from hospital or skilled nursing facilities back to their homes. Responsibilities include creating individualized discharge plans, monitoring patient progress, and connecting patients with necessary community support services.

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Remote RN Case Manager - Care Transitions - Bilingual Spanish - California RN License Required

Alignment Health · Full Time · 9 days ago

Alignment Health

🌎 United States 💵 $85696 - $128K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Case Manager coordinates and monitors health care services for members with complex needs to ensure cost-effective and high-quality care. They are responsible for developing individualized discharge plans and collaborating with providers, families, and interdisciplinary teams to optimize patient outcomes.

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Remote Care Coordinator, Transition of Care, Bilingual Spanish

Alignment Health · Full Time · 9 days ago

Alignment Health

🌎 United States 💵 $41472 - $62208 per year ⭐ 0-2 yrs exp 💼 Healthcare

The Care Coordinator collaborates with the RN Case Manager to manage care for members with complex and chronic needs. Responsibilities include telephonic outreach, managing authorizations, coordinating appointments, and maintaining accurate member records.

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Remote Bilingual Spanish Care Coordination Supervisor, Transitions of Care

Alignment Health · Full Time · 9 days ago

Alignment Health

🌎 United States 💵 $58531 - $87797 per year ⭐ 2-5 yrs exp 💼 Others

The supervisor oversees the Care Coordinator team to ensure compliance with SNP program requirements and Model of Care standards. They manage daily operations, mentor staff, and collaborate with leadership to improve workflows and program performance.

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AVP, Medicare Quality Analytics

Alignment Health · Full Time · 11 days ago

Alignment Health

🌎 United States 💵 $149K - $224K per year ⭐ 10+ yrs exp 💼 Software Development

The AVP will lead the strategy and execution of advanced analytics to optimize performance for the Medicare Star Ratings Program. This role involves building predictive models, generating actionable insights, and partnering with cross-functional leaders to drive clinical and operational improvements.

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Bilingual Spanish Social Worker – Field-Based (Home visits in East LA / SGV / Orange County)

Alignment Health · Full Time · 11 days ago

Alignment Health

🌎 United States 💵 $77905 - $116K per year ⭐ 5-10 yrs exp 💼 Healthcare

Conduct in-home visits to provide psychosocial assessments, care coordination, and resource navigation for medically complex seniors. Collaborate with an interdisciplinary team to address social determinants of health and develop individualized care plans.

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Remote-Manager, Case Management SNP (California RN License Required)

Alignment Health · Full Time · 12 days ago

Alignment Health

🌎 United States 💵 $113K - $169K per year ⭐ 5-10 yrs exp 💼 Healthcare

The manager oversees the day-to-day operations of an integrated care management team to ensure compliance with CMS Model of Care requirements. They are responsible for driving quality outcomes, monitoring performance metrics, and collaborating with cross-functional teams to support Medicare Advantage members.

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Field Remote Provider Engagement Specialist Merced/Stanislaus County

Alignment Health · Full Time · 14 days ago

Alignment Health

🌎 United States 💵 $58531 - $87797 per year ⭐ 2-5 yrs exp 💼 Recruitment

The specialist will build and maintain collaborative relationships with providers to improve performance in quality, growth, and utilization metrics. They will also conduct provider onboarding, education, and serve as the primary point of contact for operational issues.

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Provider Engagement Specialist - Field - Must live in El Paso, TX.

Alignment Health · Full Time · 16 days ago

Alignment Health

🌎 United States 💵 $54434 - $81651 per year ⭐ 2-5 yrs exp 💼 Recruitment

The Provider Engagement Specialist develops and maintains strong relationships with provider offices to improve network performance and satisfaction. They partner with providers on strategies to increase patient retention and growth while driving performance across key quality and utilization metrics.

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Care Management Trainer

Alignment Health · Full Time · 18 days ago

Alignment Health

🌎 United States 💵 $85696 - $128K per year ⭐ 2-5 yrs exp 💼 Teaching

The Care Management Trainer is responsible for onboarding, training, and developing clinical and non-clinical staff within the Care Management department. This role also involves performing call and chart quality audits to drive compliance and providing targeted coaching to staff.

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Sr. Director, Delegate Oversight

Alignment Health · Full Time · 18 days ago

Alignment Health

🌎 United States 💵 $130K - $195K per year ⭐ 10+ yrs exp 💼 Others

The Senior Director is responsible for the vision, strategy, and performance of the enterprise delegated oversight function. They ensure delegated partners meet clinical, operational, financial, and regulatory expectations while driving value-based performance.

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Director, AI & Automation Engineering

Alignment Health · Full Time · 18 days ago

Alignment Health

🌎 United States 💵 $172K - $258K per year ⭐ 10+ yrs exp 💼 Software Development

The Director of AI & Automation Engineering will define and execute the enterprise AI strategy to support Medicare Advantage operations. They will lead a multi-disciplinary team to design and scale intelligent automation solutions that improve clinical quality and operational efficiency.

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Health Coach and Educator (Home Visits in Las Vegas NV)

Alignment Health · Full Time · 19 days ago

Alignment Health

🌎 United States 💵 $44987 - $67480 per year ⭐ 0-2 yrs exp 💼 Healthcare

The Health Coach and Educator conducts home and virtual visits to provide wellness coaching, support, and education to seniors and their families. They collaborate with clinicians to develop action plans and assist patients in accessing community resources to address social determinants of health.

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Clinical Appeals Nurse (Remote | Must have California LVN / RN License)

Alignment Health · Full Time · 19 days ago

Alignment Health

🌎 United States 💵 $77905 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Clinical Appeals Nurse reviews and processes inpatient and outpatient appeal requests by applying evidence-based clinical criteria. They collaborate with medical directors and providers to ensure timely, cost-efficient outcomes while maintaining accurate documentation and regulatory compliance.

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Remote Medicare Risk Adjustment Coding/ Auditor (Prior CMS-HCC V28 required)

Alignment Health · Full Time · 19 days ago

Alignment Health

🌎 United States 💵 $64384 - $96577 per year ⭐ 2-5 yrs exp 💼 Finance

The MRA Coding Auditor performs quality assurance audits on internal coding teams and vendors to ensure accurate data submission to CMS. They also analyze audit results to identify opportunities for clinical documentation improvement and provide training to staff.

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Sr. Director, Risk Adjustment Data & Analytics (Remote)

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $198K - $297K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the end-to-end Medicare Risk Adjustment data ecosystem, ensuring the integrity and completeness of data for submissions and reconciliation. Manage a multidisciplinary team of analysts and engineers to provide actionable insights and maintain audit readiness for senior leadership.

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Remote Vietnamese Bilingual Customer Experience Specialist

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $41600 - $57600 per year ⭐ 2-5 yrs exp 💼 Support

Deliver compassionate and seamless service to seniors and individuals with disabilities by resolving inquiries regarding benefits and eligibility. The role involves owning the member experience end-to-end and documenting all interactions to ensure continuity of care.

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RN Nurse Health Specialist (Remote | California RN License Required | Rotating Pacific Time Schedule)

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $77905 - $116K per year ⭐ 2-5 yrs exp 💼 Healthcare

Serve as a frontline triage nurse providing telephonic and video-based clinical support to seniors and chronically ill patients. Collaborate with a multidisciplinary care team to develop care plans and prevent unnecessary hospitalizations.

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Coding Analyst, Care Delivery Organization - Fully remote

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $58531 - $87797 per year ⭐ 2-5 yrs exp 💼 Others

Perform accurate HCC coding from member medical records and conduct structured coding audits for provider partners. Deliver targeted education to physicians and clinical staff to improve documentation quality and risk capture accuracy.

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Utilization Management Nurse, Lead (Inpatient | Remote | Must have California LVN / RN License)

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $85696 - $128K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Lead UM Nurse reviews inpatient and prior authorization requests while overseeing a team of UM Nurses to ensure high-quality medical outcomes. They act as a liaison between management and staff, providing coaching, training, and operational support to maintain program compliance.

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Field Remote Nurse Practitioner/ Physician Assistant (hospice/palliative care experience preferred)

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $130K - $195K per year ⭐ 0-2 yrs exp 💼 Healthcare

Conduct in-home assessments, medication reviews, and health screenings for senior members to prevent unnecessary hospitalizations. Coordinate care plans with Regional Medical Officers, PCPs, and a multidisciplinary clinical team.

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Customer Success Lead

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $44790 - $67185 per year ⭐ 2-5 yrs exp 💼 Sales

The Customer Success Lead manages complex and high-visibility member escalations while providing real-time guidance and coaching to frontline Specialists. This role balances direct member interaction with operational oversight to ensure high-quality service recovery and regulatory compliance.

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Regional Concierge Navigator (Bilingual in Spanish)

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $44790 - $67185 per year ⭐ 0-2 yrs exp 💼 Others

The Regional Concierge Navigator provides outreach and support to members to help them navigate healthcare benefits and access necessary care. They act as a liaison between members, providers, and health plan operations to ensure coordinated care and resolve member issues.

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Remote-Senior Workforce Management Analyst

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $77905 - $116K per year ⭐ 5-10 yrs exp 💼 Recruitment

Responsible for delivering advanced reporting, predictive insights, and operational intelligence for a 24/7 contact center. The role involves transforming complex data into actionable intelligence to drive service excellence and ensure CMS regulatory compliance.

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Advanced Practice Clinician (NP/PA) hospice/palliative care experience preferred

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $130K - $195K per year ⭐ 0-2 yrs exp 💼 Healthcare

The clinician conducts in-home assessments, medication reviews, and health screenings for senior patients to prevent unnecessary hospitalizations. They collaborate with medical officers and stakeholders to develop and lead comprehensive care plans for members.

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Complex Care Registered Nurse

Alignment Health · Full Time · a month ago

Alignment Health

🌎 United States 💵 $85696 - $128K per year ⭐ 2-5 yrs exp 💼 Healthcare

The Complex Care RN manages the clinical journey for high-acuity Medicare Advantage members within a virtual care pod. Key duties include coordinating transitions of care, performing medication reconciliations, and escalating clinical concerns to providers.

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