12 jobs found in montebello

PUT YOUR CAREER IN MOTION AS A CONSUMER LOAN SALES SPECIALIST  At OneMain, Consumer Loan Sales Specialists empower customers listening to their needs and providing access to friendly, fast and affordable financing for life s expenses.   Consumer Loan Sales Specialist will learn the lending and servicing business at OneMain allowing them to grow their career.  A career with OneMain offers you the potential to earn an annual salary plus incentives. You can steer your career with access to a variety of robust training programs and opportunities to advance toward leadership roles such as Branch Manager and District Manager. Other team member benefits include competitive pay, variable incentives tied to business performance, medical, dental, vision, 401(k), paid time off, paid volunteer time, tuition reimbursement and more.  Full Time and Part-time hours (20-30 per week) are available and vary based upon the needs of the branch.  IN THE ROLE  Deliver results related to...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Specialist, Hlth Plan Prov Ops US-CA-Montebello Job ID: 2021-10900 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview The Health Plan Provider Operations Specialist is a key member of the Managed Care Department that aims to improve provider satisfaction and access to care. This position is responsible for the maintenance of provider data as well as paneling operations for the entire AltaMed network. The Health Plan Provider Operations Specialist will ensure providers are listed accurately in all health plans and across all applicable lines of business. This individual will monitor, assess, validate and implement standard paneling procedures...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Claims Administrative Support US-CA-Montebello Job ID: 2020-10689 Type: Regular Full-Time # of Openings: 1 Category: Administrative Support Montebello MSO Overview This position is responsible for administrative, clerical and Mail room support for the Claims Department. Provide support to Front Reception; assist with mail consolidation/ distribution as well as completing other general office duties as assigned. Responsibilities Sort/distribute incoming mail and prepare outgoing mail (envelopes, packages, etc.) Create, maintain and update records ensuring accuracy and validity of information. Data Entry of Claims, both Institutional and Professional Assist with the...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Claims Examiner II US-CA-Montebello Job ID: 2020-10686 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Performs payment reconciliations and/or adjustments related to retroactive contract rate and fee schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims incident/inquiries. Identifies root causes of claims payment errors and reports to Management. Responds to provider inquiries/calls related to claims payments. Generates and develop reports which include...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Case Management Coordinator II US-CA-Montebello Job ID: 2020-10672 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview This position has primary responsibility for gathering relevant information for the identified member population during assessment, care planning, interdisciplinary care team meeting, and transitions of care. This position performs trouble-shooting when problems situations arise and takes independent action to resolve complex issues. Responsibilities Input data into the case management system to ensure timely care coordination and outreach. Verifies member benefits and eligibility upon receipt of care coordination...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Utilization Management Coordinator II US-CA-Montebello Job ID: 2020-10518 Type: Temporary Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview This position is responsible for providing support to the Medical Management department to ensure timeliness of outpatient or inpatient referral/authorization processing per state and federal guidelines. This position performs trouble-shooting when problems situations arise and takes independent action to resolve complex issues. Responsibilities Input data into the Medical Management system to ensure timeliness of referral/authorization processing. Verifies member benefits and eligibility upon receipt of the...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Analyst, Business Managed Care US-CA-Montebello Job ID: 2020-10727 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview The Business Analyst’s, BA primary responsibility is to ensure the increase and maintenance of the Managed Care organization’s auto-adjudication. Through regular work sessions with Managed Care leadership, the BA will take the business rules matrix and translate into automation rules using Managed Care’s Rule Builder application. The role will work with product management to track initiative progress, provide support to the analytics team to produce metrics for presentation, software development to develop and deploy rules...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Sr. Manager, Risk Adjustment Programs US-CA-Montebello Job ID: 2020-10719 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview The Sr. Manager, Risk Adjustment Program is responsible for managing the process of developing, implementing, and monitoring AltaMed's Medicare Risk Adjustment strategies across the MSO client base. The Senior Manager will track and monitor key performance indicators for multi-year strategies and tactics to deliver profitable growth for the Medicare segment. In collaboration with multiple business areas, the Senior Manager will play an essential role in Medicare Advantage performance improvement, conceiving the...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Sr. Systems Engineer US-CA-Montebello Job ID: 2020-10709 Type: Regular Full-Time # of Openings: 1 Category: Information Technology Montebello MSO Overview The Sr. Systems Engineer role is responsible for providing engineering support, system deployment and administration of physical and virtual computing environments. The position will provide mentoring, training and direction to other engineers as well as systems architectural design. This position works closely with IT Network/System Engineers and IT Infrastructure support to implement, monitor and maintain production and Dev infrastructure. Additionally, they work closely with the IT Management to ensure all system changes...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Customer Support Representative II US-CA-Montebello Job ID: 2020-10705 Type: Regular Full-Time # of Openings: 1 Category: Customer Service Montebello MSO Overview Under the direct supervision of the Customer Support Center Manager, the Customer Support Representative I (CSR) is the front line support to members, member advocates and providers. The CSR II provides superior customer service to all incoming callers while assisting with their inquiries and requests. Calls include but are not limited to eligibility verification, authorizations status, PCP changes, appeals and grievances, claims status and requests for EOBs. CSRs II are expected resolve and/or escalate...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Claims Examiner II US-CA-Montebello Job ID: 2020-10685 Type: Regular Full-Time # of Openings: 1 Category: Managed Care Montebello MSO Overview A Claims Examiner is responsible for analyzing and the adjudication of medical claims as it relates to managed care. Performs payment reconciliations and/or adjustments related to retroactive contract rate and fee schedule changes. Resolve claims payment issues as presented through Provider Dispute Resolution (PDR) process or from claims incident/inquiries. Identifies root causes of claims payment errors and reports to Management. Responds to provider inquiries/calls related to claims payments. Generates and develop reports which include...

AltaMed Health Services We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, veteran status, or any other basis protected by applicable federal, state or local law. Clinical Technical Trainer US-CA-Montebello Job ID: 2020-10568 Type: Regular Full-Time # of Openings: 1 Category: Training Montebello MSO Overview Under the direction of the Director of Operations, Medical Management, this position is responsible for training of all end users on AltaMed applications, which currently include the enterprise referral management system and where applicable, the EHR and claims payment system. Trainees will include employed and contracted medical directors, employed and temporary nursing staff, and coordinator staff. The position will also provide update to application training which will correlate to updated staff workflows, as directed by the...