Develops and initiates client-centered individual care plans while coordinating patient care across the continuum. Acts as a patient advocate and liaison with health plans to ensure continuity of care and compliance with clinical standards.
Astrana Health, Inc.
7 Remote Job Openings at Astrana Health, Inc.
Medical Director - Utilization Management (Full-Time or Part-Time)
Astrana Health, Inc.
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Full Time
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a month ago
Astrana Health, Inc.
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.
Supervisor - Electronic Data Interchange
Astrana Health, Inc.
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Full Time
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2 months ago
Astrana Health, Inc.
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.
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.
Data Engineer (Multiple Levels)
Astrana Health, Inc.
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Full Time
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2 months ago
Astrana Health, Inc.
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.
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.
Provider Network Strategy Specialist
Astrana Health, Inc.
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Full Time
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3 months ago
Astrana Health, Inc.
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.
