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Careers

Astiva Health Careers

We are pleased to offer the opportunity to sell quality products in San Diego and Orange County.

Starting your career at Astiva Health gives you the opportunity to complete fulfilling work while helping others live their life to the fullest. We are proud to serve a wide-ranging and diverse community through healing and hope you can join us on our path to better healthcare for all.

Open positions
   Member Service Specialist (Chinese speaking)
  • The Member Service Specialist is responsible for answering telephonic inquiries from current and potential members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing excellent customer service, displaying a desire to help and maintaining a professional demeanor. Member Service Specialists will be expected to maintain quality and performance standards. Must be bilingual in Chinese and English. Able to work in our Corporate office located in Orange, CA.
  • Number of positions: 2.
   Member Services Specialist (Korean speaking)
  • The Member Service Specialist is responsible for answering telephonic inquiries from current and potential members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing excellent customer service, displaying a desire to help and maintaining a professional demeanor. Member Service Specialists will be expected to maintain quality and performance standards. Must be bilingual in Korean and English. Able to work in our Corporate office located in Orange, CA.
  • Number of positions: 2.
   Member Outreach Coordinator
  • The Member Outreach Coordinator supports Astiva’s provider network and the growth plans of the sales and marketing development teams. Responsible for establishing and maintaining positive relationships with identified current and potential physicians and their office staff through frequent direct contact and strong relationship building. This person will troubleshoot service matters, maintain knowledge of practice patterns, gather market intelligence and implements strategies to capture business and establish loyalty with identified physicians. This person is also responsible for managing our database development and target audience development, as well as planning and executing initiatives to reach the target audience through appropriate channels (social media, e-mail, TV, etc.). Must be bilingual in Korean and English. Must be able to work and commute to our Buena Park office (opening soon).
  • Number of positions: 1.
   QI Coder (MSO)
  • The Quality Improvement Coder (MSO) is responsible for providing direct support to all QI initiatives for the managed service organization. In this role, the QI Coder will partner with the Director to collaborate with the MSO to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other reporting. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   QI Coordinator
  • The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustment/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies. Must be able to work and commute to our Orange, CA office.
  • Number of positions: 1.
   Case Manager
  • This role will report to the Case Management (CM) Manager. The primary objective of the Ambulatory Case Manager (ACM) is to work within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The ACM will function within the Astiva Case Management department, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The ACM utilizes the principles of mutual respect, member/family advocacy and coordinates within the team of internal partners and outside agencies to facilitate best practices, achieving quality clinical, financial, and member satisfaction outcomes. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   Case Management Manager
  • This role will report to the UM Director. The primary objective of the CM Manager is to foster an environment of excellence in servicing Astiva Health’s members. This includes extensive interaction with client organizations and multiple stakeholders, delivering a high-quality CM operation meeting and exceeding all service level agreements and KPIs, driving operational excellence, and building competencies for delivery. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
Interested, apply by email resume to: Christopher.vo@astivahealth.com
Astiva Health Careers

We are pleased to offer the opportunity to sell quality products in San Diego and Orange County.

Starting your career at Astiva Health gives you the opportunity to complete fulfilling work while helping others live their life to the fullest. We are proud to serve a wide-ranging and diverse community through healing and hope you can join us on our path to better healthcare for all.

Open positions
   Member Service Specialist (Chinese speaking)
  • The Member Service Specialist is responsible for answering telephonic inquiries from current and potential members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing excellent customer service, displaying a desire to help and maintaining a professional demeanor. Member Service Specialists will be expected to maintain quality and performance standards. Must be bilingual in Chinese and English. Able to work in our Corporate office located in Orange, CA.
  • Number of positions: 2.
   Member Services Specialist (Korean speaking)
  • The Member Service Specialist is responsible for answering telephonic inquiries from current and potential members and providers regarding Medicare Advantage benefits, eligibility, enrollment, claims, referral, prior authorizations, appeals & grievances and other related concerns. Our Member Service Specialists ensure customer satisfaction by providing excellent customer service, displaying a desire to help and maintaining a professional demeanor. Member Service Specialists will be expected to maintain quality and performance standards. Must be bilingual in Korean and English. Able to work in our Corporate office located in Orange, CA.
  • Number of positions: 2.
   Member Outreach Coordinator
  • The Member Outreach Coordinator supports Astiva’s provider network and the growth plans of the sales and marketing development teams. Responsible for establishing and maintaining positive relationships with identified current and potential physicians and their office staff through frequent direct contact and strong relationship building. This person will troubleshoot service matters, maintain knowledge of practice patterns, gather market intelligence and implements strategies to capture business and establish loyalty with identified physicians. This person is also responsible for managing our database development and target audience development, as well as planning and executing initiatives to reach the target audience through appropriate channels (social media, e-mail, TV, etc.). Must be bilingual in Korean and English. Must be able to work and commute to our Buena Park office (opening soon).
  • Number of positions: 1.
   QI Coder (MSO)
  • The Quality Improvement Coder (MSO) is responsible for providing direct support to all QI initiatives for the managed service organization. In this role, the QI Coder will partner with the Director to collaborate with the MSO to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other reporting. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   QI Coordinator
  • The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustment/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies. Must be able to work and commute to our Orange, CA office.
  • Number of positions: 1.
   Case Manager
  • This role will report to the Case Management (CM) Manager. The primary objective of the Ambulatory Case Manager (ACM) is to work within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The ACM will function within the Astiva Case Management department, which includes accountability for assessing, planning, implementing, evaluating, and communicating the patient care plan progression. The ACM utilizes the principles of mutual respect, member/family advocacy and coordinates within the team of internal partners and outside agencies to facilitate best practices, achieving quality clinical, financial, and member satisfaction outcomes. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   Case Management Manager
  • This role will report to the UM Director. The primary objective of the CM Manager is to foster an environment of excellence in servicing Astiva Health’s members. This includes extensive interaction with client organizations and multiple stakeholders, delivering a high-quality CM operation meeting and exceeding all service level agreements and KPIs, driving operational excellence, and building competencies for delivery. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
Interested, apply by email resume to: Christopher.vo@astivahealth.com