Astrana Health, Inc.

Medical Director - Utilization Management (Full-Time or Part-Time)

Astrana Health, Inc. · Full Time · 5 days ago

Astrana Health, Inc.

🌎 United States 💵 $275K - $300K per year ⭐ 5-10 yrs exp 💼 Healthcare

Provide clinical oversight and strategic leadership for utilization review operations to ensure high-quality, cost-effective care. Manage prior authorizations, analyze utilization data, and ensure compliance with CMS and NCQA standards.

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Risk Adjustment Coding Specialist II - Remote

Astrana Health, Inc. · Full Time · 6 days ago

Astrana Health, Inc.

🌎 United States 💵 $70000 - $85000 per year ⭐ 2-5 yrs exp 💼 Others

Conduct high-volume chart reviews to identify coding gaps and ensure accuracy for Medicare Advantage and Commercial risk adjustment. Deliver actionable insights and education to providers while tracking key performance metrics like HCC recapture rates.

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Supervisor - Electronic Data Interchange

Astrana Health, Inc. · Full Time · a month ago

Astrana Health, Inc.

🌎 United States 💵 $129K - $140K per year ⭐ 2-5 yrs exp 💼 Others

Develop and maintain large-scale software applications and data structures to support business needs for physicians and patients. Supervise EDI Analysts and collaborate with cross-functional teams to deliver mission-critical technical solutions.

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Data Engineer (Multiple Levels)

Astrana Health, Inc. · Full Time · 2 months ago

Astrana Health, Inc.

🌎 United States 💵 $105K - $200K per year ⭐ 2-5 yrs exp 💼 Software Development

Develop high-quality data models and scalable ELT pipelines to support internal and external healthcare clients. Implement data quality checks and business intelligence dashboards to drive strategy and improve patient outcomes.

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Manager - Data Engineering

Astrana Health, Inc. · Full Time · 2 months ago

Astrana Health, Inc.

🌎 United States 💵 $140K - $160K per year ⭐ 5-10 yrs exp 💼 Others

Lead and mentor a team of data engineers to design and implement scalable data pipelines and enterprise-grade ELT processes. Collaborate with cross-functional teams to ensure data quality and align technical solutions with business needs and healthcare regulatory requirements.

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Manager - Advanced Analytics

Astrana Health, Inc. · Full Time · 2 months ago

Astrana Health, Inc.

🌎 United States 💵 $160K - $170K per year ⭐ 5-10 yrs exp 💼 Software Development

Lead the design and execution of the enterprise analytics roadmap, focusing on scalable BI solutions and data governance. Manage a team of professionals to deliver HEDIS quality measurement and Risk Adjustment Factor analytics to improve patient outcomes.

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Provider Network Strategy Specialist

Astrana Health, Inc. · Full Time · 2 months ago

Astrana Health, Inc.

🌎 United States 💵 $70000 - $80000 per year ⭐ 2-5 yrs exp 💼 Others

The specialist is responsible for analyzing and executing network development strategies to optimize the Value-Based Care provider network. This includes identifying network gaps, recruiting providers, and coordinating contracting activities to ensure network adequacy.

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Medical Director - Utilization Management (Part Time)

Astrana Health, Inc. · Full Time · 3 months ago

Astrana Health, Inc.

🌎 United States 💵 $250K - $325K per year ⭐ 5-10 yrs exp 💼 Healthcare

The Medical Director provides physician oversight for outpatient utilization management, including prior authorizations, retrospective reviews, and appeals. They also collaborate with clinical leadership to ensure compliance with health plan requirements and improve cost efficiency through evidence-based care strategies.

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