AH

Astrana Health, Inc.

2 open positions available

2 locations
1 employment type
Actively hiring
Full-time

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Director - ACO Growth

Astrana Health, Inc.AnywhereFull-time
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Compensation$160K - 180K a year

Drive membership and savings growth for ACO business by building relationships with primary care practices, recruiting them into value-based care contracts, and supporting onboarding and operational integration. | Bachelor's degree in healthcare or business, 8+ years healthcare growth leadership experience (preferably in ACOs), strong knowledge of healthcare regulations, leadership and communication skills, and ability to work remotely with travel. | DescriptionAstrana is seeking a Director - ACO Growth to drive membership and savings growth for Astrana’s ACO business. This role serves to build relationships with independent primary care practices and local partners to establish and expand Astrana Health’s network in new markets, while also supporting growth in existing markets. Serving as a consultative accountable care expert, this role will recruit practices to participate in government value-based care contracts as well as potentially helping to onboard them into the ACO program operationally. This role will be accountable for achieving annual growth targets. What You'll Do • Work directly with Group VP to understand strategy and develop solid execution plans. • Engage with prospective practices in a consultative manner to evaluate fit and secure commitment to participate in the optimal ACO within Astrana Health’s portfolio. • Build rapport with clinical and business staff of prospective practices, understand their needs and goals, teach them about Astrana Health, deliver financial benefits analyses, illustrate the opportunities of participating in Astrana Health’s ACO REACH or MSSP programs. • Conduct outbound prospecting and respond to inbound leads for assigned market. • Extend and negotiate participation agreements (contracts) • Document notes, activities and provide updates on recruitment progress within shared systems such as Monday.com. • Report and track your progress against goals to effectively manage your pipeline. • Establish and manage strategic growth plans in collaboration with ACO team leaders, leverage data to prioritize prospects and outline initiatives and tactics to achieve growth goals. • Onboard newly recruited practices to the program (e.g., as work transitions from recruitment to operations), and help support them until the longer term operational plan is solidified within the given market. Qualifications • Bachelor's degree in Healthcare Administration, Business Administration, or a related field (advanced degree preferred). • 8+ years of experience in healthcare growth leadership, preferably in ACO settings. • Strong knowledge of healthcare regulations, compliance requirements, and quality improvement methodologies. • Excellent leadership skills with the ability to inspire and motivate teams. • Exceptional communication, interpersonal, and relationship-building skills. • Strategic thinker with a focus on achieving business goals and driving operational excellence. • Ability to thrive in a fast-paced, entrepreneurial environment • Other duties as assigned. Environmental Job Requirements and Working Conditions • This will be a remote role, expected to work from home and be out in the respective territory as needed. • The annual total compensation target pay range for this role is: $160,000 - $180,000. This salary range represents our national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

Healthcare growth leadership
ACO program knowledge
Strategic planning
Relationship building
Contract negotiation
Healthcare regulations and compliance
Quality improvement methodologies
Verified Source
Posted 11 days ago
Astrana Health, Inc.

Member Services Representative (San Francisco, San Mateo) - Cantonese Bilingual

Astrana Health, Inc.Daly City, CAFull-time
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Compensation$52K - 58K a year

Respond to inbound and outbound member and provider inquiries, verify eligibility and claims, assist with scheduling and outreach, and provide concierge support while maintaining confidentiality. | High school diploma or GED, 1+ year customer service experience (healthcare preferred), proficiency in Microsoft Office, bilingual in English and Cantonese, strong communication and problem-solving skills. | Description Astrana Health is looking for a Cantonese speaking Member Services Representative to join our growing team. In this role, you’ll be the first point of contact for members, providers, health plans, and other partners—helping resolve inquiries with empathy, professionalism, and accuracy. Our Values: • Patients First • Empowering the Independent Provider • Be Innovative • Operate with Integrity & Deliver Excellence • Team of One What You'll Do What You'll Do: • Respond to inbound calls from members, providers, health plans, brokers, and hospitals • Provide information and resolve inquiries related to authorizations, claims, eligibility, and benefits • Document all interactions in the company’s customer service system • Assist with appointment scheduling, member outreach, and provider coordination • Support walk-in members and help resolve concerns in person • Arrange transportation for Medicare/Medi-Cal members when needed • Handle special projects such as outreach campaigns, member surveys, and concierge support for new members • Communicate professionally and maintain confidentiality at all times Key Responsibilities Inbound Support • Verify eligibility, authorizations, claims, and demographic updates • Address member/provider complaints and grievances • Assist with pharmacy, lab, urgent care, and provider network inquiries • Support Medicare-specific needs such as AOR requests, AWV scheduling, and urgent notifications Outbound Support • Conduct follow-up calls for authorizations, benefits, complaints, and billing resolution • Provide translation support (Spanish/Chinese) for DME and appointment confirmations • Assist with outreach projects, surveys, and case management follow-ups Concierge Services • Welcome and support new members, including PCP assignment and network guidance • Coordinate with providers, health plans, and internal teams on complex cases • Facilitate billing/claims support and problem-solving for escalated issues Qualifications • High School Diploma or GED • 1+ year of customer service experience (healthcare setting preferred) • Proficiency with Microsoft Word, Excel, and Outlook • Strong communication and problem-solving skills • Bilingual in English and Cantonese Environmental Job Requirements and Working Conditions • This role follows an onsite work structure where the expectation is to work in-office on a weekly basis. The position is located in San Francisco, Daly City, and Burlingame. • The total compensation pay range for this role is $52,000 - $58,000. This salary range represents national target range for this role. Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation. Additional Information: The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change. About Astrana Health, Inc. Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Customer Service
Healthcare Enrollment
Bilingual Cantonese
HIPAA Compliance
Epic EHR
NextGen EHR
JIRA
Zendesk
Microsoft Word
Microsoft Excel
Microsoft Outlook
Verified Source
Posted 3 months ago

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