Top 90 Senior clinical specialist Jobs in Irvine Ca

Remote-Scheduling Specialist
Alignment Healthcare USA, LLC —Orange, CA
- $41,600 - $57,600 a year
- Full-time
- Remote
- Spanish
- Sales
- Basic math
Quick Apply
4d
Veterinarian | No on call! | AAHA Accredited Hospital!
Global Veterinary Careers —Orange County, CA
- $115,000 - $220,000 a year
- Part-time
- Inpatient
- Mid-level
- US work authorization
- Continuing education credits
- Paid parental leave
Quick Apply
11d
Behavior Analyst (BCBA) - Hybrid
Autism Learning Partners —Orange, CA
- $82,000 - $93,000 a year
- 8 hour shift
- Hybrid work
- Experience working with individuals with developmental disabilities
- Current TB test
- Mid-level
- Continuing education credits
- Disability insurance
Quick Apply
Senior Accounting Specialist
AIVITA BIOMEDICAL INC —Irvine, CA
- $68,000 - $76,000 a year
- Full-time
- Office
- Finance
- Bachelor's degree
- AD&D insurance
- Disability insurance
Registered Veterinary Technicians - Specialty, ER & Critical Care
AVSG Internal Medicine, Emergency & Critical Care —Tustin, CA
- $25 - $45 an hour
- 12 hour shift
- Mid-level
- Surgery
- Operating room
- Paid parental leave
- Health insurance
Quick Apply
ABA Program Manager / Mid-Tier Supervisor
Autism Learning Partners —Whittier, CA
- $30.00 - $35.25 an hour
- 8 hour shift
- Experience working with individuals with developmental disabilities
- Current TB test
- Mid-level
- Continuing education credits
- Disability insurance
Quick Apply
ABA Program Manager (BCBA Hours)
Autism Learning Partners —Whittier, CA
- $24.00 - $28.85 an hour
- Choose your own hours
- Management
- Current TB test
- Mid-level
- Continuing education credits
- Health insurance
Quick Apply
Behavior Technician (FULLTIME)
Uplift ABA Behavior Services —Fountain Valley, CA
- $20 - $25 an hour
- Part-time
- Experience working with individuals with developmental disabilities
- Applied behavior analysis
- High school diploma or GED
- Paid training
- Mileage reimbursement
Quick Apply
Sr. Clinical Specialist, Joint Replacement - Orange County
Stryker —Irvine, CA
- $79,900 - $127,500 a year
- Full-time
- Surgery
- Inventory management
- English
- Health savings account
- AD&D insurance
Senior Manager, Clinical Data Management
JENAVALVE TECHNOLOGY INC —Irvine, CA
- $175,000 a year
- Full-time
- Remote
- 7 years
- Analysis skills
- Bachelor's degree
Quick Apply
Specialist, Clinical Compliance
JENAVALVE TECHNOLOGY INC —Irvine, CA
- $80,000 - $90,000 a year
- Full-time
- Microsoft Excel
- Mid-level
- Bachelor's degree
Quick Apply
Member Liaison Specialist Sr, Behavioral Health Clinical / Care Management - Covered California
CalOptima —Orange, CA
- Weekends as needed
- Background check
- Spanish
- Microsoft Outlook
- Tuition reimbursement
- Paid time off
LTD - Senior Patient Specialist - Quality and Patient Safety - FT Days HYBRID (3 Months)
University of California, Irvine —Orange, CA
- $119,400 - $230,800 a year
- Full-time
- Background check
- Nursing
- 5 years
- Health insurance
- Retirement plan
Senior Credentialing Specialist - Medical Staff Admin - FT Days
University of California, Irvine —Irvine, CA
- $71,600 - $127,400 a year
- Full-time
- Background check
- Microsoft Outlook
- Customer service
- Health insurance
- Retirement plan
Practice Support Specialist
Astrana Health, Inc. —Orange, CA
- $33 - $40 an hour
- Email
- Hybrid work
- Spanish
- Microsoft Outlook
- Up to 50% travel
Quick Apply
Specialist, Clinical Safety
JENAVALVE TECHNOLOGY INC —Irvine, CA
- $100,000 a year
- Full-time
- Medicine
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Sr CLS Specialist- Molecular Pathology- FT Day Shift
University of California, Irvine —Orange, CA
- $67.23 - $97.90 an hour
- Overtime
- Background check
- Customer service
- English
- Health insurance
- Retirement plan
3d
Clinical Research Manager
BiVACOR Inc —Huntington Beach, CA
- $110,000 - $150,000 a year
- Full-time
- Nursing
- 5 years
- Office
- Health savings account
- Health insurance
Quick Apply
Health Services Manager, Senior
County of Orange —Orange County, CA
- $140,670.40 - $194,833.60 a year
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Paid holidays
Senior IT Support Specialist
Fluxergy —Irvine, CA
- $75,000 - $85,000 a year
- Full-time
- 6 years
- Windows
- Mentoring
- Paid holidays
- Health insurance
Quick Apply
3d

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Remote-Scheduling Specialist

Alignment Healthcare USA, LLC -
Orange, CA

Quick Apply

Job Details

Full-time
$41,600 - $57,600 a year
4 days ago

Qualifications

Health insurance authorizations
Basic math
Health insurance customer support
High school diploma or GED
Health insurance referral requirements
Typing

Full Job Description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Remote Scheduling Specialist provides outreach and support to ensure all our eligible members have access to the care they deserve around our available Clinical/Patient Programs. Assists in navigating our members through the different programs they may be eligible and assists in scheduling them for what best suits their needs. Navigates with our members every step of the way to ensure they are never alone in their healthcare journey. Utilizes excellent customer service measures and understand the meaningful contribution the team makes to our members’ healthcare outcomes.

Job Duties/Responsibilities:
1. Serves as a “subject matter expert” in the clinical programs that our members may be eligible for. This includes being knowledgeable in procedures, scheduling for Health Assessments, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries.
2. Conducts member outreach phone calls and/or receiving inbound phone calls within the department’s goal timeframe; manage to the member’s communication preferences as possible, which may include time of day, channel, and language; utilize interpreter service as needed.
3. Collaborates with our partners – including but not limited to other departments, Member Services, and Clinical Departments – to facilitate the member experience.
4. Identifies members targeted for care gaps and other campaigns, and connect members to programs or services when appropriate; analyze available programs, determine program eligibility, and connect member to appropriate provider or vendor
5. Responsible for real-time documentation and timely wrap-up to support outcomes reporting in all systems/applications as required; must enter member demographics and information with accuracy and attention to detail, i.e. feel responsibility for the quality of our organizational data
6. Responsible for meeting or exceeding individual and team goals, and for submitting activity reports in the format and frequency required
7. Excels in customer service and contributes to a culture of going “above and beyond” to ensure the highest level of member satisfaction.
8. Other duties as assigned.

Job Requirements:

Experience:

Required: Minimum 1 year of call center experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.
Preferred: Experience in Clinical setting in managing provider schedules. Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits. Call Center experience in welcome/onboarding, appointment scheduling, retention, sales, or other health care/health plan related programs; and/or inbound call center experience that indicates a higher level of problem-solving such as escalation or resolution

Education:

Required: High School Diploma or GED.
Preferred: College courses

Training:

Required:
Preferred:

Specialized Skills:

Required:

Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
Language Skills: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of the organization.
Mathematical Skills: Ability to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Ability to perform these operations using units of American money and weight measurement, volume, and distance.
Reasoning Skills: Ability to apply common sense understanding to carry out detailed, but un-involved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations.
Computer Skills: Strong computer skills. typing 40+ words per minute.
Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
Preferred: Bilingual English/Spanish, or Vietnamese, Chinese (Mandarin), Korean

Licensure:

Required: None

Other:

Required: Must be available to work full-time and over-time through the Annual Enrollment Period (Oct-Dec) and Open Enrollment Period (Jan-Mar)

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Pay Range: $41,600.00 - $57,600.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email [email protected].

Quick Apply

Refine Your Search

senior clinical specialist jobs in irvine ca

Remote-Scheduling Specialist

Veterinarian | No on call! | AAHA Accredited Hospital!

Behavior Analyst (BCBA) - Hybrid

Senior Accounting Specialist

Registered Veterinary Technicians - Specialty, ER & Critical Care

ABA Program Manager / Mid-Tier Supervisor

ABA Program Manager (BCBA Hours)

Behavior Technician (FULLTIME)

Sr. Clinical Specialist, Joint Replacement - Orange County

Senior Manager, Clinical Data Management

Specialist, Clinical Compliance

Member Liaison Specialist Sr, Behavioral Health Clinical / Care Management - Covered California

LTD - Senior Patient Specialist - Quality and Patient Safety - FT Days HYBRID (3 Months)

Senior Credentialing Specialist - Medical Staff Admin - FT Days

Practice Support Specialist

Specialist, Clinical Safety

Sr CLS Specialist- Molecular Pathology- FT Day Shift

Clinical Research Manager

Health Services Manager, Senior

Senior IT Support Specialist

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