ABOUT THIS TEMP POSITION

This is a temporary position. The length of the assignment is estimated to go from October 2026 through December 31,2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position.This is a full-time (40 hours/week) temporary assignment.

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Grievance Supervisor, this position:

• Assists in the administration and resolution of low complexity cases in support of the Alliance Grievance function
• Performs administrative duties to track, organize, monitor, and follow up on casework
• Participates in departmental and cross-departmental trainings, workgroups, and operational improvement activities

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description and list of requirements, click here.

• Knowledge of:
• The principles and practices of managed healthcare, healthcare coverage and benefit structures, principles of coordination of benefits and medical billing
• Title 22 and Title 28 utilization management and grievance regulations
• The diverse needs of the Medi-Cal population
• Conflict resolution
• Proper grammar, spelling, punctuation, and formatting
• Ability to:
  • Understand and communicate the complex operations and processes of the Alliance, particularly in the Utilization Management, Care Management, and Member Services departments
  • Use the Alliance's internal tracking systems
  • Draft professional correspondence
  • Verbally communicate the program mission, vision, and roles
• Education and Experience:
  • Associate's degree in health, social services or a related field
  • One year of experience in a managed health care setting, health plan, or provider office interacting with members, patients, or providers and receiving complaints, preferably related to healthcare administration or public assistance; or an equivalent combination of education and experience which would provide the required knowledge, skills and abilities may be qualifying

OTHER INFORMATION

• We are in a hybrid work environment, and we anticipate that the interview process will take place remotely via Microsoft Teams.
• While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
• In-office or in-community presence may be required for some positions and is dependent on business need. Details about this can be reviewed during the interview process.
• This is a temporary position and does not provide the benefits that are listed below (this is standard language from our regular job posts and cannot be altered or removed). Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.

COMPENSATION INFORMATION

• Zone 1 Pay Range: $26.00 - $32.50 Typical areas in Zone 1: Santa Cruz, San Benito, and Monterey Counties, Bay Area, Sacramento, Los Angeles and San Diego areas
• Zone 2 Pay Range: $24.00 - $30.50 Typical areas in Zone 2: Mariposa and Merced Counties, Fresno area, Bakersfield, Eastern California, San Luis Obispo area, and the Central Valley (except Sacramento)