Medical Management Coordinator I

AltaMed Health Services Corporation; Montebello, Northern (CA, KY); Hybrid; USD 37,000 - 46,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

Retirement plan (403(b))

Flexible Spending Accounts

Paid Time Off & Holidays

CME Days

Tuition Reimbursement

Job summary

AltaMed Health Services Corporation is seeking a Medical Management Coordinator I for in-person work in Montebello, CA. The role focuses on supporting health plan audits, data validation, and quality improvement within the medical management division.

The position requires strong experience in medical billing, pre-authorizations, and regulatory compliance related to Medi-Cal, CCS, and other programs. A High School Diploma or equivalent is required, with a Medical Billing certificate preferred.

Qualifications

• Minimum 2 years in a medical billing environment (IPA or HMO preferred).
• Experience with pre-authorizations and reimbursement regulations for Medi-Cal, CCS, and other programs.
• Experience in quality improvement/data analysis/project management with measurable results.

Responsibilities

• Coordinate medical management activities under supervision.
• Assist with health plan audits and reporting, and data validation.
• Support internal departments and external clients to align with managed care objectives.

Skills

Quality improvement

Data analysis

Project management

Pre-authorizations

Reimbursement regulations

Medi-Cal knowledge

Education

High School Diploma or equivalent

Medical Billing certificate preferred

Job description

## Medical Management Coordinator IApply: In Person: Montebello, CA 90640: Full time: Posted Today: JR10811**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 Medical Management Coordinator I serves under the direction of the Supervisor of Medical Management Operations. Responsible for preparation efforts in key areas of focus, including Health Plan audits and reporting, internal audits, and data validation. This position is essential to maintaining an effective and efficient working relationship with all internal departments and external clients. Collaborates with staff dedicated to the execution of operational functions to maintain and support the strategic objectives of the managed care medical management division. Incumbent should possess knowledge of managed care industry standards, familiarity with government regulations, experience in interpreting full-service health plan contractual DOFR and delegation logic requirements, understanding of regulatory compliance, and experience in working on collaborative projects.**Minimum Requirements*** High School Diploma or equivalent required.* MA or Medical Billing certificate preferred.* Prior experience working in a clinic or health care call center.* Minimum 2 years of experience working in a medical billing environment (IPA or HMO preferred), with pre-authorizations and reimbursement regulations on Medi-Cal, CCS, and other government programs required.* Minimum 2 years’ experience working in a healthcare environment; knowledge of prior authorization and case management regulations governing Medi-Cal, Commercial, Medicare, CCS, and other government and commercial programs.* Minimum 2 years of experience in quality improvement/data analysis/project management with successful deployment demonstrating measurable positive results.**Compensation**$26.91 - $33.53 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.