Alignment Health

Resolve member inquiries and complaints, monitor team performance, assist onboarding, and collaborate on training and service quality improvements. | At least three years customer service experience, high school diploma or GED, proficiency in Medicare Managed Care Plans, and strong communication and problem-solving skills. | 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 Member Experience & Engagement Lead is a subject matter expert in the health care experience our members navigate daily. Supports the inbound and/or outbound call experience while also assisting and accelerating the performance of their team unit. The Lead helps ensure team members possess the skills and training necessary through daily performance monitoring as it pertains to production, quality, and service to ensure that company goals and departmental metrics are met. GENERAL DUTIES/RESPONSIBILITIES: 1. Acts as the subject matter expert for procedures, protocols, benefits, services, and any other necessary information to resolve member issues and inquiries 2. Leads any specific projects, products, regions, or other specializations as assigned, including complex or VIP member issues 3. Assumes the tier two role that includes answering incoming member phone calls within the department’s goal time frame, and conducting outbound member phone calls in accordance with the department’s productivity metrics and goals 4. Address complaints against the health plan and its contracted facilities according to applicable complaint or grievance procedure 5. Assists in defining and monitoring performance and productivity standards 6. Assists with the onboarding of entry level staff including but not limited to ‘nesting’ and quality assurance of live call monitoring during the training period as required 7. Collaborates with the Trainer and QA Specialist in identifying training needs; participate in regular meetings with management to report call trends and identify opportunities for team improvement 8. Maintains confidentiality and upholds standards for privacy, data integrity, and security 9. Encourages a spirit of cooperation, teamwork, and accountability among all department employees 10. Performs other duties as assigned Minimum Requirements: Experience: • Required: Minimum three (3) years of customer service experience. • Preferred: 5+ years customer service experience. Healthcare experience. Previous Lead experience Education: • Required: High School Diploma or GED. • Preferred: College courses Specialized Skills: • Required: Knowledge of Medicare Managed Care Plans required Type 40+ words per minute and ability/experience with 10-key by touch. 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; 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 uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. • Preferred: Bi-lingual (English/Spanish) preferred Licensure: • Required: None Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. 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 sit; use hands to finger, handle, or feel and talk or hear. 2 The employee is frequently required to walk; stand; reach with hands and arms. 3 The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. 4 The employee must occasionally lift and/or move up to 20 pounds. 5 Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Range: $44,790.00 - $67,185.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

Lead Medicare Risk Adjustment data operations and analytics team to ensure data integrity and strategic insights. | 7-10 years healthcare data operations experience with Medicare Risk Adjustment, bachelor's degree, advanced SQL and leadership skills. | 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 Sr. Director, Risk Adjustment Data & Analytics (Remote) is a senior technical and operational leader responsible for advancing the integrity, completeness, and strategic value of Medicare Risk Adjustment (MRA) data and analytics programs within the organization. This role serves as the primary accountable leader for MRA data operations — owning the analytical and data engineering infrastructure that enables suspecting, chart review, coding, submission, and reconciliation workflows to operate at scale. Working cross-functionally with MRA Business leadership, Finance, Actuarial, Clinical Operations, Compliance, and enterprise IT teams, this leader ensures that all key stakeholders are working from consistent, trusted, and defensible MRA data. The role leads a multidisciplinary team of analysts, data scientists, and data engineers, setting analytical standards and translating program outcomes into clear, actionable insights for senior leadership. This role is critical to the organization because Risk Adjustment Factor (RAF) scores directly drive plan revenue, making accurate, timely, and defensible MRA data a high-stakes organizational priority — and the Senior Director is the operational owner of that capability. Job Duties & Responsibilities Lead MRA Data Operations and Ecosystem Quality. Own the end-to-end MRA data ecosystem — spanning data ingestion, transformation, validation, reporting, and analytics across all Risk Adjustment programs. Ensure data is timely, complete, and consistently reliable to support all downstream MRA workflows, from prospective suspecting through CMS submission and reconciliation. Drive Analytical Insights and Program Performance Reporting. Develop and maintain reporting and analytical frameworks that explain what happened, why it happened, and where to intervene across MRA programs. Translate risk score trends, program impacts, and variance drivers into clear, executive-ready narratives and data visualizations that enable confident decision-making. Ensure Audit Readiness, Data Governance, and Compliance. Establish and maintain rigorous data governance standards, controls, and documentation to ensure MRA data is audit-ready, reproducible, and defensible at all times. Partner closely with Compliance to support RADV audits, internal reviews, and CMS regulatory requirements — including full traceability of submissions and supporting evidence. Partner Strategically with Finance, Actuarial, and Clinical Stakeholders. Serve as the primary MRA data partner to Finance and Actuarial teams, providing clarity on risk adjustment program performance, revenue impacts, and variance drivers. Support Clinical Operations and JSA Outreach teams with data that enables precise member identification, chart retrieval coordination, and coding accuracy. Direct and Develop the MRA Analytics Team. Lead, grow, and develop a multidisciplinary MRA data team spanning analytics, data science, and data engineering disciplines. Establish clear accountability structures, promote a culture of quality and continuous improvement, and ensure team outputs meet the technical and operational standards required for a highly regulated environment. Identify and Remediate Data Quality and Process Gaps. Proactively identify gaps in data quality, timeliness, or workflow execution and drive corrective actions through system improvements, tooling enhancements, or process redesign. Set and enforce technical and analytical standards — including definitions, assumptions, and validation checks — across all MRA data outputs. Supervisory Responsibilities This role is a people manager responsible for leading the MRA Data & Analytics team, which may include Analysts, Data Scientists, and Data Engineers. The Senior Director is accountable for building team capacity, setting performance standards, and developing talent to meet current and future program needs. Supervisory Requirements: Fulfill supervisory responsibilities in accordance with organization policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Job Requirements Experience Required: 7–10 years of progressive experience in healthcare data, analytics, or data operations, with direct, hands-on experience supporting Medicare Advantage Risk Adjustment programs. Demonstrated experience leading or managing data teams responsible for regulated, audit-sensitive data environments. Proven experience partnering with cross-functional stakeholders including clinical, finance, actuarial, and compliance teams. Demonstrated ownership of complex, end-to-end data pipelines and analytical outputs in a healthcare or regulated industry setting. Experience in a mid-to-large enterprise healthcare or health insurance environment, ideally a Medicare Advantage plan or managed care organization. Preferred: Experience building or scaling data and analytics functions within a health plan or insurance organization. Experience working with chart retrieval vendors and provider partners to coordinate medical records access. Experience implementing coding and auditing platforms (e.g., Episource, Veradigm, Cotiviti). Education Required: Bachelor's degree in Health Informatics, Data Science, Statistics, Computer Science, Mathematics, Healthcare Administration, or a related quantitative field; or an equivalent combination of education, certification, and direct work experience. Preferred: Master's degree in Data Science, Health Informatics, Biostatistics, or a related field. Training Required: No specific required certifications; demonstrated applied expertise in MRA data operations is essential. Preferred: Formal training in data governance frameworks, audit readiness methodologies, or advanced analytics (e.g., DAMA, CDMP, or equivalent). Training in Medicare Advantage regulations, CMS reporting requirements (encounter data, RADV, HEDIS, STAR ratings, interoperability), and general health plan operations. Required Skills & Competencies Technical / Hard Skills Medicare Risk Adjustment (MRA) Operations (Advanced) — Deep expertise in HCC coding, ICD-10 coding principles, RAF score calculation, CMS encounter data submission, and RADV audit requirements. Data Analytics & Statistical Modeling (Advanced) — Strong analytical and modeling skills, including the ability to translate complex MRA program outcomes into quantitative metrics and executive-ready narratives. Business Intelligence & Reporting Tools (Advanced) — Proficiency in Power BI, Tableau, or equivalent BI platforms; advanced spreadsheet modeling using Excel or Google Sheets. SQL & Data Querying (Advanced) — Proficiency in SQL for data extraction, transformation, and analysis across large healthcare claims and encounter data sets; familiarity with Python or R is a plus. Cloud & Data Platform Literacy (Advanced) — Familiarity with cloud data environments (Azure, AWS, GCP), data warehousing solutions, and integration with enterprise BI and analytics platforms. Licensure Required: None required. Preferred: Certified Risk Adjustment Coder (CRC) issued by AAPC, or Certified Professional Coder (CPC); or relevant data science/analytics certifications (e.g., CDMP, Databricks, Microsoft Azure Data Fundamentals). Pay Range: $198,219.00 - $297,329.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

Lead enterprise-wide project management and process optimization initiatives while mentoring staff. | Over 10 years project management experience with leadership and relevant certifications required. | 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 Principal Project Management is a key driver of process optimization and project success across our organization. This is a highly strategic and hands-on role where you will be responsible for both defining the "what" and optimizing the "how." You will lead the development and implementation of a unified project management framework while simultaneously analyzing, designing, and improving our core business processes. The ideal candidate is a seasoned expert who can think at a strategic level, mentor and lead teams, and get into the weeds to solve complex operational challenges. Job Duties/Responsibilities: Strategic Project Management Framework: Design, implement, and govern a standardized, scalable project management methodology (e.g., Agile, Waterfall, Hybrid) that is tailored to our organization's needs and ensures consistency, predictability, and quality in project delivery. Process Optimization Leadership: Act as the lead subject matter expert in process improvement. Conduct comprehensive analysis of current business processes to identify inefficiencies, bottlenecks, and opportunities for automation and optimization. Capacity and Demand Management: Develop, implement, maintain and report on the capacity of the IT organization to intake work, prioritize it, and report on demand for those resources. This will support work execution and resource planning. Change Management: Lead the change management initiatives required to ensure the successful adoption of new project management methodologies and optimized business processes across all departments. This includes developing training materials, conducting workshops, and providing ongoing support. Enterprise Project Management: Lead multiple complex, enterprise-wide initiatives with significant financial and operational impact. Mentorship and Coaching: Serve as a senior-level mentor and coach to project managers and operational teams. Provide expert guidance on best practices in project planning, execution, risk management, and stakeholder communication, as well as process analysis and continuous improvement techniques. Performance Metrics and Reporting: Define and track key performance indicators (KPIs) for both project health and process efficiency. Develop and maintain dashboards and reports that provide executive leadership with a clear, data-driven view of our project portfolio and operational performance. Tooling and Technology: Evaluate, select, and optimize project management and business process management (BPM) software and tools to support our methodologies and improve overall efficiency. Cross-Functional Collaboration: Partner with senior leaders and stakeholders across the organization to align project and process optimization initiatives with strategic business goals. Facilitate cross-functional teams to drive and implement complex improvements. Risk Mitigation: Proactively identify and address risks related to project execution and process failures. Develop and implement strategies to mitigate these risks and ensure business continuity. Continuous Improvement Culture: Foster a culture of continuous improvement by promoting lean principles, data-driven decision-making, and a proactive approach to identifying and solving problems. Required Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Experience: 10+ years of progressive experience in a combination of project management, process improvement, information technology, and business analysis roles, with a minimum of 5 years in a principal or leadership capacity. Certifications: PMP (Project Management Professional) and/or other relevant certifications (e.g., Lean Six Sigma Black Belt, Agile, Scrum Master) are required. Education: Bachelor's degree in Business Administration, Operations Management, Engineering, or a related field. Technical & Analytical Skills: Deep expertise in process mapping, data analysis, and the use of process improvement methodologies (e.g., Lean, Six Sigma, Kaizen). Leadership & Influence: Exceptional leadership, communication, and interpersonal skills with a proven ability to influence and drive organizational change without direct authority. Strategic Thinking: Proven ability to develop and execute a strategic vision for project and process management that aligns with and supports business growth. Problem-Solving: Strong analytical and problem-solving skills with a meticulous attention to detail. Tool Proficiency: Advanced proficiency with project management software (e.g., Jira, Asana, Microsoft Project) and process mapping tools (e.g., Visio, Lucidchart). This is a fully remote position open to candidates based in the United States Preferred Qualifications: Education/Licensure: Master's degree preferred. Experience with FreshService or ServiceNow Physical Requirements: 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. 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. 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: $126,422.00 - $189,634.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

The Software Engineer in Test will work directly with product management and the team to analyze complex software requirements and build test automation frameworks. They will own system and feature quality throughout the development, testing, and deployment phases. | Candidates must have a minimum of 2 years of professional software development experience or a Master's in Computer Science, with a solid understanding of data structures and algorithm design. Experience in test automation, web applications, and REST APIs is essential. | 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. We are seeking to add a Software Engineer in Test with a high level of experience, and who have shown an extreme ability to learn advanced technologies. The products and services that we develop will enable next generation care delivery models for seniors. We are looking for talented engineers to execute amazing web & mobile app experiences for our users. The ideal candidate will enjoy working alongside other engineers, data scientists, designers, users, and clinicians, collaborating on the various layers of our AVA platform. General Duties/Responsibilities (May include but are not limited to): Work directly with product management and your team while analyzing and decomposing complex software requirement into simple stories for planning and execution. Build, enhance and maintain test automation frameworks for scalability, reliability, and performance. Experience in best software development for test suite automation and frameworks and documentation, making sure designs meet requirements, and delivering high quality software on tight schedules. Collaborate with your team to manage and estimate the size and complexity of the features. Perform the technical design, implementation, and testing of features and commit to stories can be accomplished in an iteration. Own system and feature quality throughout the development, testing and deployment phases to ensure quality delivery expectations are met. Drive value and build to continuously improve the quality of the team’s deliverables. Conduct new technology research, proof of concept, and design work that will provide direction for the enhancement of the overall system and products. Contribute to software engineering best practices for design, coding standards, performance, security, delivery, and maintainability. Supervisory responsibilities: N/A Minimum Requirements: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum Experience 2+ years professional experience in software development experience or MS in Computer Science, including object-oriented design or object-oriented programming Solid understanding of computer science fundamentals in data structures, algorithm design and analysis. Demonstrated track record of delivering test automation, quality requirements, designing functional and performance test suites and producing deliverables that exceed commitments Experience in design and implementation of large-scale web applications, APIs, frameworks, and databases. Experience in following software development best practices through architectural reviews, CI/CD build automation & deployment, automated test frameworks and continuous performance monitoring using Java, C#, ASP.NET, MVC and ASP.NET Web API Demonstrated proficiency with HTML, CSS, JavaScript, jQuery and js. 1+ years of experience with Web Services lifecycle (design, build, test, deploy), API versioning and design approaches, tools, inter-operability, and SOA concepts. Knowledge of professional software engineering practices & best practices for the full software development life cycle, including coding standards, code reviews, source control management, build processes, testing, and operations Demonstrated experience designing, creating, testing, and consuming REST APIs with a focus on security, high availability and scalability. Excellent oral and written communication skills. Hunger to learn with an intense technical curiosity. Critical thinker and solutions-oriented. Strong analytical and problem-solving skills. Education/Licensure: Bachelor’s Degree in Computer Science or related field Other: Hands on experience with Cloud services (AWS, Azure, Google Cloud Platform). Hands on experience with Design and Development of Micro-services. Experience building large-scale, multi-tiered, distributed systems Familiarity with React A proven track record of software delivery through all phases of development Healthcare domain software development experience. Hands on experience developing, delivering, and supporting publicly facing web applications. Experience developing with .NET Core. Mobile experience Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 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. 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. 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. Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran. If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com. Pay Range: $91,651.00 - $137,477.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

The Sales & Marketing Coordinator assists in marketing advertisement and sales broker functions while ensuring an organized environment for the Sales and Marketing Department. Responsibilities include distributing advertisements, managing direct mail, proofreading marketing materials, and tracking commissions. | Candidates must have a minimum of 2 years of experience in grassroots marketing, preferably in healthcare marketing. A high school diploma is required, with a bachelor's degree or additional experience preferred. | 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 Sales & Marketing Coordinator will assists in both Marketing advertisement and Sales Broker functions as well as ensure an organized and productive environment for the Sales and Marketing Department. GENERAL DUTIES/RESPONSIBILITIES: 1. Advertisement: a. Distributes appropriate advertisements to local newspaper publications and Chamber events. 2. Direct Mail: a. Inputs information and make changes on current templates for flyers and advertisements. Edits must be approved by Marketing Manager. b. Maintains timeframes on deadlines for advertisements regarding events. 3. Proofreading Marketing Materials: a. Assists the Marketing Manager with the creation and proofreading of brochures, flyers, member letters and all pre- and post-enrollment materials. Additionally, any other information for member distribution (for new, current and/or retention efforts). 4. Commission: a. Calculates and tracks monthly legacy lives payments to all FMO Agencies and Agents b. Coordinates information with Finance Department and distributes commission to FMO Agencies and Agents. c. Calculates and tracks monthly commission and chargebacks to all FMO Agencies. d. Prepares the monthly commission reports/Attestations for the VP of Sales to review and approve. e. Coordinates information with Finance Department and distributes the commission reports to each FMO Agency on a monthly basis. f. Communicates with FMO’s for day-to-day operations regarding any discrepancies with commission. 5. Inventory: a. Controls, process and tracks all print material in the Sales and Marketing Department when requested. 6. Media: a. Maintains a chronological date book of media advertisements, including specific campaigns and co-branded marketing ads that AHC prints with partners. 7. Other projects or duties as assigned. Supervisory Responsibilities: N/A Job Requirements: Experience: • Required: Minimum 2 years of experience in grass roots marketing efforts generating leads at local in-person community events. • Preferred: Healthcare marketing experience. Related experience in the Medicare and Medi-Cal Managed Care industry. Education: • Required: High School Diploma or GED. Bachelor's degree or four years additional experience in lieu of education. • Preferred: MBA Training: • Required: 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 uninvolved written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Computer Skills: Intermediate experience with Microsoft Office (Word, Excel, Powerpoint, Outlook). Beginner/Intermediate experience with Adobe Photoshop, Illustrator, InDesign and Acrobat. Basic knowledge of audio/visual aids. Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Report Analysis Skills: Comprehend and analyze statistical reports. • Preferred: Bilingual (English/Spanish) Licensure: • Required: Valid Driver’s License and valid car insurance and registration Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate. 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 sit; use hands to finger, handle, or feel and talk or hear. 2 The employee is frequently required to walk; stand; reach with hands and arms. 3 The employee is occasionally required to climb or balance and stoop, kneel, crouch, or crawl. 4 The employee must occasionally lift and/or move up to 30 pounds. 5 Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus. Pay Range: $53,210.00 - $79,815.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

The Care Coordinator supports the Care Anywhere Program by managing provider schedules, conducting outreach, and handling care coordination needs for high-risk members. This role involves preparing charts for home visits, managing inbound and outbound calls, and coordinating various healthcare services. | Candidates are required to have at least one year of experience in a healthcare setting, specifically with referrals and prior authorizations. A high school diploma is required, with a preference for those who have completed a medical assistant program. | 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. Alignment Health is seeking an compassionate, customer service oriented, and organized, bilingual Spanish care coordinator in California to join the remote Care Anywhere team. The Care Coordinator is responsible for supporting the Care Anywhere Program field providers, scheduling, outreach, and managing all care coordination needs for high-risk members enrolled with the program. If you're looking for an opportunity to learn and grow, be part of a collaborative team, and make a difference in the lives of seniors - we're looking for YOU! Individuals with front office medical assistant experience, experience supporting multiple providers, and high call volume experience are highly encouraged to apply. Schedule: Mondays - Fridays - Option 1: 8:00 AM - 5:00 PM Pacific Time (with 1-hour lunch) - Option 2: 8:30 AM - 5:30 PM Pacific Time (with a 30- minute lunch) General Duties / Responsibilities Manage (4) provider schedules to ensure schedules are filled. Prepare charts for upcoming home visit appointments (check member eligibility, gather records needed by the provider prior to the home visit) Conduct outreach for scheduling, appointment confirmation calls, wellness checks for high risk members, and to providers / pharmacies for member needs. Handle inbound / outbound Call (60 - 80 calls / day) Obtain medical records from provider offices, hospitals and skilled nursing facilities (SNF) and upload medical records to the electronic medical records (EMR). Submit referral authorizations to independent physician association (IPA) / medical groups for specialty, durable medical equipment (DME), and home health (HH) services. Coordinate lab orders, transportation for high-risk members. Documentation via EMR for Inbound / Outbound calls. Support short message service (SMS) and member outreach campaigns. Assist nurse practitioner (NP) team with visit preparation needs Appointment reminders to members Assign members to NP in EHR Provide needed documentation to NP for visits each day Direct inbound calls from members / family related to medication refills Assist with maintaining and updating members' records Assist with mailing or faxing correspondence to primary care physicians (PCP), specialists, related to, as needed. Attend Care Anywhere meetings / presentations and participates, as appropriate. Recognize work-related problems and contributes to solutions. Work with outside vendors to provide appropriate care needs for members Job Requirements: Experience: Required: Minimum (1) year experience entering referrals and prior authorizations in a healthcare setting. Preferred: 2 years' healthcare experience. Education: Required: High School Diploma or GED. Preferred: Completion of medical assistant program from an accredited school of training Training: • Preferred: Medical Terminology Specialized Skills: • Required: Able to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others. Knowledge of ICD9 and CPT codes Knowledge of Managed Care Plans Able to type by 10-key touch minimum of 40 words per minute (WPM) Proficient with Microsoft Outlook, Excel, Word Effective written and verbal communication skills; able to establish and maintain a constructive relationship with diverse members, management, employees and vendors; Language Skills: Able to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Able to write routine reports and correspondence. Communicates effectively using good customer relations skills. Mathematical Skills: 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. Reasoning Skills: Able to apply common sense understanding to carry out detailed but uninvolved written or oral instructions. Able to deal with problems involving a few concrete variables in standardized situations. Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment. Bilingual English / Spanish required. • Preferred: Knowledge working in Athena Licensure: • Required: None • Preferred: Medical assistant certificate Medical terminology certificate 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. Pay Range: $41,472.00 - $62,208.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.

The Talent Acquisition Associate will oversee full-cycle recruitment efforts, managing the end-to-end recruitment process from sourcing to onboarding. This role also provides consultative support to hiring managers throughout the hiring journey. | Candidates should have at least 2 years of full-cycle recruitment experience, preferably in corporate or healthcare settings. A bachelor's degree or equivalent experience is required, along with knowledge of employment laws and strong communication skills. | 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 Talent Acquisition Associate will oversee full-cycle recruitment efforts at Alignment Health. This role manages the end-to-end recruitment process, from sourcing and screening candidates to offer negotiation and onboarding while also providing consultative support to hiring managers throughout the hiring journey. Job Duties/Responsibilities: Manage full-cycle recruitment for a variety of entry level, high volume, non-exempt roles, including intake, sourcing, interviewing, offer negotiation, and onboarding. Coordinate and support the conversion of temporary employees to regular status, as well as internal transfers, promotions, and support temporary staffing efforts. Assist recruiters with drafting and posting job advertisements. Support coordination and execution of hiring events and recruitment initiatives. Partner with hiring managers to understand hiring needs, define job requirements, and develop effective recruitment strategies. Source candidates through job boards, social media, networking, and other creative methods. Maintain accurate and up-to-date candidate records in the applicant tracking system. Provide an exceptional candidate and hiring manager experience throughout the recruitment process. Other duties or projects may be assigned. Experience: Required: 2+ years of full cycle recruitment experience Preferred: Recruiting experience in corporate, healthcare organizations, and/or search firms Education: Required: Bachelor’s degree from four-year college or university; or equivalent combination of education and experience. Specialized Skills: Required: Knowledge in all full lifecycle recruiting components including, but not limited to, sourcing, qualifying, networking, assessing, applicant tracking, closing, offer processes, relationship management. Skilled in creative sourcing strategies and tools including Boolean search and LinkedIn Recruiter. Proficiency with applicant tracking systems. Strong communication, relationship-building, and negotiation skills. Knowledge of employment laws and hiring compliance requirements. Ability to manage multiple roles and priorities in a fast-paced environment. 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: $72,452.00 - $108,678.00 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 careers@ahcusa.com. Alignment Health is championing a new path in senior care that empowers members to age well and live their most vibrant lives. Our mission-focused team makes high-quality, low-cost care a reality for members every day. Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most. We believe that great work comes from people who are inspired to be their best. We've built a team of people who want to make a difference in the lives of the seniors we serve. Come join the team that is changing health care — one person at a time.