Central California Alliance for Health

The Alliance is a state-funded health plan that provides Medi-Cal insurance to Mariposa, Merced, Monterey, San Benito & Santa Cruz counties.

501-1000 employees
Founded 1996
Government
Private Company

Fully Remote

This company is fully distributed with team members working remotely.

Open Positions6

Remote in CaliforniaContractHealth CarePosted
  • Ensure prior authorization requests are completed in a manner that meets contractual requirements.
  • Conduct prior authorization reviews using nationally recognized and evidence-based standards.
  • Perform concurrent or post-service (retrospective) review of acute in-patient care services using established criteria.
  • Participate in the Utilization Management (UM) Care Programs.
  • Evaluate medical records and other health care data.
  • Interpret, apply, and explain policies, regulations, terms, and procedures.
  • Maintain organized and accurate records.
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About Central California Alliance for Health

You can transform healthcare access for over 442,000 Medi-Cal members across five Central California counties. The Alliance is a state-funded non-profit health plan, delivering no-cost or low-cost insurance. We partner with 100% of local hospitals and nearly 15,000 providers. Our mission is accessible, quality health care guided by local innovation. We invested $93 million in 2024 to improve community health outcomes. This includes proactive services like well-child checkups and STD screenings. We also fund local organizations through community grants. We serve seniors, persons with disabilities, and low-income families. You will connect members to vital day-to-day resources. Our team impacts 40% of the population in our service area. You will help build healthier communities.

How We Work

You will join a dedicated team of over 500 professionals. We are committed to a respectful, diverse, and professional culture. Collaboration and integrity are core values here. Our hybrid work environment offers flexibility. Some roles are fully remote within California. We believe in human connection, even in our hiring process. No AI or automated systems review your application. A real human team member gives every submission thoughtful consideration. This approach means our review process takes longer. We appreciate your patience as we work through applications carefully. This ensures we find the best fit for our mission. We prioritize candidates connected to the communities we serve. This strengthens our ability to deliver locally-guided innovation. You can make a real difference here.

Why Join Us

  • Drive impactful change by expanding access to essential healthcare services across five counties.
  • Contribute to a non-profit organization that reinvests $93 million annually into community health.
  • Work in a hybrid environment, with opportunities for remote work in California and quarterly team events.
  • Experience a human-centered hiring process where every application receives personal review.
  • Join a team of over 500 professionals committed to accessible, quality, and locally-innovated healthcare.

Benefits & Perks

  • Medical, Dental, and Vision Plans (3 medical plan options via Anthem Blue Cross)
  • Ample Paid Time Off and 12 Paid Holidays per year
  • 401(a) Retirement Plan (10% employer contribution after 1 year)
  • 457 Deferred Compensation Plan
  • Robust Health and Wellness Program (including gym/app reimbursements)
  • Onsite EV Charging Stations
  • Health Savings Accounts (HSAs) with employer contributions
  • Tuition reimbursement for ongoing professional development

Tech Stack

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