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Sự Nghiệp

Sự Nghiệp Với Astiva Health

Chúng tôi rất sẵn lòng tạo cơ hội cho quý vị bán các sản phẩm tốt nhất tại Quận San Diego và Quận Cam.

Bắt đầu sự nghiệp với Astiva Health sẽ cho quý vị cơ hội có một việc làm ổn định trong lúc trợ giúp người khác vui hưởng cuộc sống trọn vẹn. Chúng tôi rất hãnh diện phục vụ cho một cộng đồng trải rộng và đa dạng qua việc chữa lành, và chúng tôi rất mong quý vị sẽ sát cánh cùng chúng tôi trên hành trình cải thiện việc chăm sóc sức khỏe cho mọi người.

Các vị trí đang tuyển dụng (bằng tiếng Anh):
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.
   Pharmacy Director
  • The Director of Pharmacy is responsible for monitoring of state government changes and putting new policies in-place and educating staff and physicians on the approach and to ensure the processes, programs and services are accomplished in a timely and efficient manner. Additionally, providing clinical support and oversight for all utilization management (UM) activities on an ongoing basis, in accordance with Astiva Health policies and procedures and in compliance with applicable state and federal regulations, as well as accreditation standards such as NCQA. Responsible for the strategic direction, growth, and profit and loss for Astiva Health, Inc’s pharmacy annual spend as well as the outsourced Pharmacy Benefits Manager (PBM) relationship. Leads a multi-disciplinary team and partners with clinical leadership to drive an integrated pharmacy and medical management model that will continue to reshape the care delivery system and improve health of the Astiva members. This position requires a strong comfort level of data analysis, prior knowledge of high-cost drug classes, strong analytical skills and an ability to lead at a cross-functional level by stewarding recommendations forward within various leadership forums, the Pharmacy & Therapeutics Committee and other Astiva Health Leadership. Must be able to work and commute to our Orange, CA office.
  • 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.
   Accounting Assistant
  • In this hands-on role, the Accounting Assistant will work closely with the Controller and accounting team to manage financial functions including accounts payable, bank reconciliations, journal entries, month-end closing, audit documentation, and DMHC & CMS reporting. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   Assistant Controller/Sr. Finance Manager
  • In this hands-on role, the Assistant Controller will work closely with the Controller to manage financial functions including, but not limited to financial analysis and reporting, accounts payable, bank reconciliations, journal entries, month-end closing, audit documentation, DMHC & CMS reporting, and other ad-hoc projects as needed. Must be able to work in our Corporate office located in Orange, CA.
  • 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.
   Administrative Assistant/Receptionist
  • Serves as the face of the company to greet and assist guests who come to our corporate office. Ensure guest sign in sheet is up to date, complete administrative tasks, manage and track office supplies, assist with adhoc projects as needed, and more. Excellent and clear communication skills; bilingual candidates preferred in English and a second language. 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
Sự Nghiệp Với Astiva Health

Chúng tôi rất sẵn lòng tạo cơ hội cho quý vị bán các sản phẩm tốt nhất tại Quận San Diego và Quận Cam.

Bắt đầu sự nghiệp với Astiva Health sẽ cho quý vị cơ hội có một việc làm ổn định trong lúc trợ giúp người khác vui hưởng cuộc sống trọn vẹn. Chúng tôi rất hãnh diện phục vụ cho một cộng đồng trải rộng và đa dạng qua việc chữa lành, và chúng tôi rất mong quý vị sẽ sát cánh cùng chúng tôi trên hành trình cải thiện việc chăm sóc sức khỏe cho mọi người.

Các vị trí đang tuyển dụng (bằng tiếng Anh):
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.
   Pharmacy Director
  • The Director of Pharmacy is responsible for monitoring of state government changes and putting new policies in-place and educating staff and physicians on the approach and to ensure the processes, programs and services are accomplished in a timely and efficient manner. Additionally, providing clinical support and oversight for all utilization management (UM) activities on an ongoing basis, in accordance with Astiva Health policies and procedures and in compliance with applicable state and federal regulations, as well as accreditation standards such as NCQA. Responsible for the strategic direction, growth, and profit and loss for Astiva Health, Inc’s pharmacy annual spend as well as the outsourced Pharmacy Benefits Manager (PBM) relationship. Leads a multi-disciplinary team and partners with clinical leadership to drive an integrated pharmacy and medical management model that will continue to reshape the care delivery system and improve health of the Astiva members. This position requires a strong comfort level of data analysis, prior knowledge of high-cost drug classes, strong analytical skills and an ability to lead at a cross-functional level by stewarding recommendations forward within various leadership forums, the Pharmacy & Therapeutics Committee and other Astiva Health Leadership. Must be able to work and commute to our Orange, CA office.
  • 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.
   Accounting Assistant
  • In this hands-on role, the Accounting Assistant will work closely with the Controller and accounting team to manage financial functions including accounts payable, bank reconciliations, journal entries, month-end closing, audit documentation, and DMHC & CMS reporting. Must be able to work in our Corporate office located in Orange, CA.
  • Number of positions: 1.
   Assistant Controller/Sr. Finance Manager
  • In this hands-on role, the Assistant Controller will work closely with the Controller to manage financial functions including, but not limited to financial analysis and reporting, accounts payable, bank reconciliations, journal entries, month-end closing, audit documentation, DMHC & CMS reporting, and other ad-hoc projects as needed. Must be able to work in our Corporate office located in Orange, CA.
  • 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.
   Administrative Assistant/Receptionist
  • Serves as the face of the company to greet and assist guests who come to our corporate office. Ensure guest sign in sheet is up to date, complete administrative tasks, manage and track office supplies, assist with adhoc projects as needed, and more. Excellent and clear communication skills; bilingual candidates preferred in English and a second language. 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