20 Best remote jobs in california (Hiring Now!)

Resolution Specialist
Alignment Healthcare —California
Conduct outbound phone calls and / or receive inbound phone calls within the department’s goal timeframe; successfully contact and manage to the member’s…
$43,500 - $65,200 a year
Quick Apply
1d
Licensed Clinical Psychologist - LCP (No Associates)
Rula Health —Irvine, CA
Providers in the Rula network are 1099 contractors, have no minimum caseloads and complete schedule autonomy. Licensed Psychologist: $105 per hourly session (53…
$90 - $105 an hour
Quick Apply
9d
Remote Mental Health Counselor (LPC)
Telemynd —California
Our Care Coordination team manages Higher Level of Care requests, and our Quality Team of licensed clinicians provides peer reviews, develops practice…
From $70 an hour
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REMOTE Experienced Family law Attorney (Must Live in Bay Area)
Confidential —San Francisco Bay Area, CA
Bar license in the state of California. You ideally reside in the San Francisco Bay Area, but we are open to candidates living in throughout the state, so long…
$120,000 - $205,000 a year
Quick Apply
Provider Success Manager, Team Manager (Remote)
Rula —California
As a member of the Provider Success management team, this individual will also play a significant role in the implementation of new team initiatives, and…
Estimated: $69.2K - $87.7K a year
Quick Apply
1d
Manager - Patient Financial Services (Remote)
Stanford Health Care —Sacramento, CA
Knowledge of local, state and federal regulatory requirement related to the functional area. Ability to develop long-range business plans and strategies.
$49.66 - $65.80 an hour
8d
Licensed Marriage and Family Therapist (LMFT) (No Associates)
Rula Health —Los Angeles, CA
Providers in the Rula network are 1099 contractors, have no minimum caseloads and complete schedule autonomy. Licensed Psychologist: $105 per hourly session (53…
$90 - $105 an hour
Quick Apply
9d
Business Analysis Manager (Remote)
Stanford Health Care —Sacramento, CA
Assist in assuring compliance with local, state, federal coding standards. Develops processes to analyze, design, and perform user acceptance testing on…
$52.64 - $69.74 an hour
1d
Remote Clinical Social Worker (LMFT, LCSW, LPC, LPCC)
Telemynd —California
Our Care Coordination team manages Higher Level of Care requests, and our Quality Team of licensed clinicians provides peer reviews, develops practice…
From $70 an hour
Quick Apply
Associate Quality Assurance Analyst (Project Hire)
That's No Moon Entertainment —Los Angeles, CA
That's No Moon is an independent studio of storytellers and game-makers who believe in the power of narrative-driven experiences.
$48,000 - $66,000 a year
Quick Apply
1d
Mental Health Therapist (LMFT, LCSW or PsyD)
Silver Lake Psychology —California
Must hold a valid license as one of the following:*. Warmth and ability to connect and develop therapeutic relationships. $60 for W2 clinical supervision.
Up to $70 an hour
Quick Apply
Case Manager
Pro-Spectus LLC —California
Ability to develop, maintain and navigate relationships. Make sound independent decisions in urgent and non- routine situations pertaining to client and patient…
$40 - $54 an hour
Quick Apply
1d
Billing Specialist
Wood, Smith, Henning & Berman —California
Understand and ensure correct implementation of client Outside Counsel Guidelines. This includes but is not limited to pre-bill generation and edits, updating…
$72,000 - $74,000 a year
Quick Apply
11d
Tagalog Bilingual Digital Literacy Instructor (Virtual and San Francisco Bay Area)
Community Tech Network —San Francisco Bay Area, CA
Make phone calls to establish contact with learners, schedule classes, and assess their digital skills. And other communication and collaboration tools (Zoom,…
$26 an hour
Quick Apply
2d
Implementation & Connectivity Specialist
DentalXChange —California
Comply with all federal, state, accreditation and institutional policies and procedures. Punctual and reliable in order to consistently support the team and the…
$25.00 - $28.50 an hour
Quick Apply
Licensed Clinical Social Worker (LCSW) - Remote
BetterHelp.com Counselors —California
Then, BetterHelp provides clients with a wide variety of ways to connect with you so that they can best start their therapeutic journey: from scheduled live…
Up to $114,400 a year
Virtual Military Support Specialist
Key Talent Indicator —San Francisco, CA
Provide administrative support to our team of travel agents by organizing paperwork, completing data entry tasks, and preparing documents.
Estimated: $45.7K - $57.9K a year
Quick Apply
2d
Permit Expediter
MID Construction Group —Los Angeles, CA
Prepare and submit permit applications, plans, and other required documentation to relevant city, county, and state agencies.
$30 - $70 an hour
Quick Apply
10d
Remote Healthcare Call Center Lead
Alignment Healthcare —California
Answer incoming member phone calls within the department’s goal time frame, and conducting outbound member phone calls in accordance with the department’s…
$43,500 - $52,000 a year
Quick Apply
1d
Licensed Mental Health Therapist - CA (Remote)
Little Otter —Santa Clarita, CA
1+ years of independent direct clinical experience providing psychotherapy to children and families. Complete clinical documentation using the Little Otter…
$88,000 - $103,000 a year
Quick Apply

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Resolution Specialist

Alignment Healthcare - California

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Job Details

Full-time $43,500 - $65,200 a year 1 day ago

Qualifications

Bilingual
Microsoft Word
Mandarin
Spanish
Interpretation
Microsoft Excel
Microsoft Outlook
Medicare
Multilingual
Process improvement
English
Microsoft Office
3 years
Vietnamese
High school diploma or GED
Korean
Chinese

Full Job Description

Job Number6629

Workplace Type:Fully Remote

Remote-US,California

By leveraging our world-class technology platform, innovative care delivery models, deep physician partnerships and our serving heart culture, Alignment Health is revolutionizing health care for seniors! From member experience professionals and clinicians, to data scientists and operations leaders, we have built a talented and passionate team that is deeply committed to our mission of transforming health care for the seniors we serve. Ready to join us?

At Alignment, delivering exceptional care to seniors starts with ensuring an exceptional experience for our over 1,300 employees. At the center of our employee experience is a culture where employees at all levels and across all teams are encouraged to share their unique ideas and perspectives. After all, when you can bring your authentic self to work, whether that’s in a clinical setting, our corporate office or a home office, creativity and innovation flourish! Another important part of the Alignment culture is a belief in continuous learning and growth. As a result, in this fast-growing company, you will find ample support to grow your skills and your career – with us.

Overview of the Role:

Alignment Health is seeking a resolution specialist to join the member engagement team to provide member issue resolution. As a resolution specialist, you will intake complex member cases and provide prompt and satisfactory resolution. You will be dedicated to decreasing turnaround time, improving the quality of resolution, and managing barriers to resolution as part of process improvement and Voice of the Customer (VoC).

Responsibilities:

Serve as a “subject matter expert” in escalated member calls (authorizations, claims, provider network issues) and be able to resolve these escalations based on level of understanding / experience of healthcare processes and protocols.

Identify process improvement opportunities within the member engagement department given the collaboration with different departments.

Knowledgeable in procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries.

Conduct outbound phone calls and / or receive inbound phone calls within the department’s goal timeframe; successfully contact and manage to the member’s communication preferences as possible, which may include time of day, channel, and language; multi-lingual skills and / or utilize interpreter service as needed.

Collaborate with our partners, including other departments, supplemental benefit vendors, and provider network, to facilitate the member experience.

Identify 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.

Document real-time and conduct timely wrap-up to support outcomes reporting in all systems / applications by entering member demographics and information with accuracy and pay attention to detail, focusing on data integrity in support of quality organizational data.

Meet and exceed individual and team goals by submitting activity reports in the format and frequency required.

Provide excellent customer service and contribute to a culture of going “above and beyond” to ensure the highest level of member satisfaction.

Participate in all required team meetings and trainings and demonstrate satisfactory understanding of new information and process.

Adhere to all applicable attendance and productivity policies.

Assist with development and training of new hires including shadowing and nesting.

Required Skills and Experience:

Minimum (1) year healthcare experience and / or training required; 3-4 years of healthcare experience / training required.

Minimum (1) year outbound call center experience which may include 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.

Experience helping members navigate access to care through Medicare Advantage or HMO, including referrals and authorizations.

Experience helping members navigate their Medicare Advantage benefits including medical, prescription drug, and supplemental benefits.

High school diploma or general education degree (GED); or equivalent combination of education and experience.

Intermediate proficiency in Microsoft Office Suite (Outlook, Word, Excel) required

Bilingual English and Spanish, Vietnamese, Chinese (Mandarin), or Korean preferred

Independent, motivated, self-starter who can prioritize work assignments and make every day a productive day.

Team player willing to help and support colleagues and do their part to support us all reaching our organizational goals.

Learn, describe, explain, and educate our members about health plan coverage and services.

Passionate about customer service and member retention

Excellent customer service and comfortable being on the phone.

Able to troubleshoot and problem solve.

Able to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Able to write routine reports and correspondence. Able to speak effectively before groups of customers or employees of the organization.

Able to add and subtract two-digit numbers and to multiply and divide with 10’s and 100’s. Able to perform these operations using units of American money and weight measurement, volume, and distance.

Able to apply common sense understanding to carry out detailed, but un-involved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations.

Work Environment

Must be available annually to work full-time and over-time through the Annual Enrollment Period (October through December) and Open Enrollment Period (January through March)

PAY RANGE: $43,500 - $65,200 annually.

Please note: All clinical positions are contingent upon successful engagement with Alignment Health’s COVID-19 Vaccination program (fully vaccinated with documented proof or approved exception/deferral).

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 careers@ahcusa.com.

Quick Apply

remote jobs in california

Resolution Specialist

Licensed Clinical Psychologist - LCP (No Associates)

Remote Mental Health Counselor (LPC)

REMOTE Experienced Family law Attorney (Must Live in Bay Area)

Provider Success Manager, Team Manager (Remote)

Manager - Patient Financial Services (Remote)

Licensed Marriage and Family Therapist (LMFT) (No Associates)

Business Analysis Manager (Remote)

Remote Clinical Social Worker (LMFT, LCSW, LPC, LPCC)

Associate Quality Assurance Analyst (Project Hire)

Mental Health Therapist (LMFT, LCSW or PsyD)

Case Manager

Billing Specialist

Tagalog Bilingual Digital Literacy Instructor (Virtual and San Francisco Bay Area)

Implementation & Connectivity Specialist

Licensed Clinical Social Worker (LCSW) - Remote

Virtual Military Support Specialist

Permit Expediter

Remote Healthcare Call Center Lead

Licensed Mental Health Therapist - CA (Remote)

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