AltaMed Health Services

Referrals Manager

Anaheim, CA, US

$94.6k
6 days ago
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Summary

Grow Healthy

If you are as passionate about helping those in need as you are about growing your career, consider AltaMed. At AltaMed, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.

Job Overview

The Referral Manager is responsible for overseeing and managing the day-to-day operations of the centralized referral team and in-clinic referral operations. The Manager is responsible for the accurate and timely data entry of referral requests into the appropriate portal(s). Additional responsibilities include auditing the close-the-loop process for managed/non-managed care referrals, auditing and monitoring all daily operational functions to effectively process pre-authorization requests for multiple contracted health plans, maintaining data sets on referral trends and cost analysis. Lastly, the Manager is an integral part of the care team, working as a liaison between leaders, providers and Medical Management to ensure timely access to specialty care.

Minimum Requirements

  • Bachelor’s degree or a combination of education and experience required.
  • Minimum of 3 years of experience in a health care related, IPO or HMO required.
  • Minimum of 1 year in a supervisor capacity is required.
  • Medical Assistant certificate is preferred but not required.
  • BLS certificate required
  • Bilingual English/Spanish preferred.

Compensation

$75,662.37 - $94,577.97 annually

Compensation Disclaimer

Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. AltaMed is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.

Benefits & Career Development

  • Medical, Dental and Vision insurance
  • 403(b) Retirement savings plans with employer matching contributions
  • Flexible Spending Accounts
  • Commuter Flexible Spending
  • Career Advancement & Development opportunities
  • Paid Time Off & Holidays
  • Paid CME Days
  • Malpractice insurance and tail coverage
  • Tuition Reimbursement Program
  • Corporate Employee Discounts
  • Employee Referral Bonus Program
  • Pet Care Insurance

Job Advertisement & Application Compliance Statement

AltaMed Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if AltaMed Health Service Corp. is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.

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