AHN/AHNSS Operations Specialist

# **We value your privacy**AHN/AHNSS Operations Specialist page is loaded## AHN/AHNSS Operations Specialistremote type: Hybridlocations: Montebello, CA 90640time type: Full timeposted on: Posted Todayjob requisition id: JR8982**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 AHN/AHNSSP Operations Specialist supports the AHN Operations and Delegated Oversight team in the execution and monitoring of delegated managed care functions, including but not limited to Claims Operations, Provider Network Management, and Credentialing. This role is responsible for monitoring audit readiness activities, tracking regulatory compliance, facilitating cross-functional submissions, and ensuring delegated operational performance aligns with contractual and regulatory standards. This position serves as a key operational liaison between internal functional teams and health plan partners, ensuring timely and accurate responses to oversight requests, audits, reporting obligations, and corrective action initiatives. The role is execution-driven, compliance-focused, and highly collaborative, with responsibility for day-to-day delegation monitoring activities.**Minimum Requirements*** High school diploma or equivalent required; Associate’s or Bachelor’s degree preferred.* Minimum of 3 years of experience in managed care operations (including but not limited Claims, Provider Network Management and/or Credentialing) required.* Minimum 1 year of experience supporting delegation oversight, audit coordination, or regulatory compliance functions required.* Strong working knowledge of CMS, California state regulations, Medicare, Medi-Cal, and Commercial managed care requirements required.* Minimum 1 year of experience preparing audit documentation and corrective action plans required.**Compensation**$35.91 - $44.88 hourly**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.remote type: Hybridlocations: Montebello, CA 90640time type: Full timeposted on: Posted TodayAs the nation’s largest Federally Qualified Health Center (FQHC), AltaMed is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At AltaMed, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and supporting our community of over 400,000 patients. **Learn About AltaMed:**AltaMed Health Services Corporation is committed to providing equal employment opportunities for all qualified individuals. We strictly prohibit discrimination in employment based on race, color, creed, religion, marital status, sexual orientation, registered domestic partner status, sex, gender, gender identity or expression, ancestry, national origin, age, medical condition, physical or mental disability, military or protected veteran status, pregnancy or perceived pregnancy, childbirth, breastfeeding or related medical conditions, genetic information, or any other characteristic protected by local, state, or federal law, ordinance, or regulation.We are committed to promoting equality and inclusivity beyond our recruitment and hiring processes. We aim to create a respectful, valued, and inclusive workplace through training, advancement opportunities, and access to resources and support. We focus on fostering a diverse workforce because it enriches our organization and improves our ability to effectively serve our clients and community. We encourage individuals from all backgrounds to apply and join us in our mission to create a positive impact. #J-18808-Ljbffr