Jobs at Astrana Health, Inc.

Provides front-desk support at an outpatient cardiology clinic by greeting patients, managing check-in and check-out, scheduling appointments, verifying demographics and insurance, collecting payments, handling calls, maintaining records, processing referrals and authorizations, and supporting office operations. Requires fluent Mandarin, Cantonese, and/or Spanish, at least one year of outpatient clinic front-desk experience, EHR proficiency, HIPAA knowledge, and strong customer service and organizational skills.

Processes high-volume capitation, bonus, special handling, and deposit pay files; performs bank reconciliations, journal entries, financial reporting, and discrepancy resolution. Provides backup accounts payable support, maintains documentation and internal controls, and contributes to workflow improvements and automation. The role requires accuracy with large dollar amounts and consistent execution of repetitive accounting processes.

Provides front-desk, administrative, and clinical support across three outpatient clinics. Responsibilities include scheduling, maintaining medical records, preparing exam rooms, escorting and interviewing patients, recording medical histories and vital signs, documenting test results, and cleaning and sterilizing equipment. Requires flexibility across locations, strong organization and communication, confidentiality, and the ability to work onsite Monday through Friday. Mandarin, Cantonese, or Spanish proficiency is preferred.

Manages front desk operations by scheduling appointments, coordinating conference rooms and events, greeting visitors, ordering supplies, preparing documents, and supporting office managers, executive assistants, committees, and staff. Requires strong communication, customer service, multitasking, basic computer skills, and a professional demeanor in an on-site office environment.

The Senior Accountant prepares journal entries, reconciliations, financial statements, management reports, budgets, forecasts, and regulatory filings. The role oversees cash deposits, revenue and expense accounting, month-end and year-end close, internal controls, compliance, and audit coordination. This hybrid position requires knowledge of U.S. GAAP, managed care accounting, technical accounting research, complex spreadsheets, and financial analysis.

Leads and builds the organization’s pharmacy function on the health plan side, owning specialty and provider-administered drug utilization management, prior authorizations, appeals, clinical criteria, and cost-of-care initiatives. Develops specialty pharmacy contracting, clinical pathways, formulary and UM criteria, reporting dashboards, compliance processes, and team infrastructure. Partners with medical, care management, network, finance, and compliance teams while personally handling complex case reviews.

Leads specialist capitation provider contracting strategies, negotiations, relationships, reimbursement modeling, contract administration, and compliance. Oversees DOFRs, amendments, RFPs, contracting initiatives, risk assessment, and issue resolution while partnering with Claims, Configuration, Business Development, and Data Management. Provides executive guidance, reports, and recommendations regarding network adequacy, financial impact, regulatory requirements, and strategic opportunities. Establishes enterprise contracting processes and serves as the escalation point for critical provider and payer issues.

Conduct high-volume retrospective and prospective chart reviews to identify risk-adjustment coding gaps and verify ICD-10-CM documentation compliance. Audit medical records, analyze HCC and provider performance metrics, educate physicians and practice staff, and provide feedback on documentation and coding issues. Maintain knowledge of coding regulations, mentor staff, support process improvements, and assist with projects. The role requires travel to Houston-area provider offices up to 75% of the time while being remotely based in the U.S.

Lead 24/7 perioperative services, overseeing clinical care, staffing, quality, patient safety, regulatory compliance, financial performance, and operational efficiency. Develop and mentor nursing leaders and staff, manage recruitment and performance processes, maintain staffing and payroll, and collaborate with surgeons, anesthesiologists, physicians, and hospital departments. Drive evidence-based care, quality improvement, patient satisfaction, employee engagement, and continuous performance improvement across surgical services.

Provide nursing case management for pediatric and adult patients: assess, plan, coordinate, monitor, and evaluate care transitions; review medical records for medical necessity using Milliman Care Guidelines; collaborate with hospitalists, discharge planners, health plans, and providers; perform onsite hospital case management and maintain utilization management compliance.

Plan, design, and deliver nursing education and orientation programs; assess and maintain clinical competencies; coach staff; support quality, safety, and professional development across nursing teams.

Owns tracking, modeling, forecasting, and executive reporting for health plan incentive revenue across Medicare Advantage, Medicaid, Commercial, Exchange, and ACO programs. Monitors quality measures and payout thresholds, identifies revenue opportunities and risks, reconciles internal and plan-reported results, and supports contract negotiations. The role also builds repeatable data pipelines, quality controls, dashboards, and recommendations while partnering with clinical, operational, data engineering, and executive stakeholders.

Schedules radiology procedures and exams, provides patient preparation instructions, confirms provider orders and insurance authorizations, verifies coverage, manages referrals and faxes, coordinates records and authorization requests, and supports front desk operations. The role requires Mandarin or Cantonese fluency, strong communication, organization, multitasking, and patient-service skills in an in-person medical office setting.

Reviews medical records and provider documentation to identify risk adjustment coding gaps, validate ICD-10-CM and HCC coding, conduct audits, and ensure CMS compliance. Educates physicians and practice staff, analyzes performance metrics, reports noncompliance, recommends process improvements, and supports coder training. The hybrid role requires frequent travel to provider offices in Orange County.

Prepare and reconcile financial statements and journal entries in accordance with U.S. GAAP, manage month/quarter/year-end close, coordinate audits and reporting to health plans, analyze revenues and expenses, maintain internal controls, and support ad-hoc financial tasks and regulatory submissions.

Responsible for building data models, developing ELT pipelines, implementing data quality checks, and utilizing best practices in data engineering and healthcare analytics.

Lead and mentor a team of data engineers to design, implement, and maintain scalable data pipelines, ensuring data quality and compliance with healthcare regulations.

Provides comprehensive perioperative nursing care throughout surgical procedures. Assesses patients, develops care plans, functions as a scrub and/or circulating nurse, maintains aseptic and infection-prevention standards, collaborates with surgeons and anesthesia providers, and advocates for patient safety and quality outcomes. The role requires flexible scheduling, including on-call, nights, weekends, and holidays, in an onsite acute-care hospital environment.

Provides advanced perioperative nursing care throughout the surgical experience, including preoperative assessments, intraoperative first-assist duties, scrub or circulating responsibilities, aseptic technique, and postoperative evaluations. The RNFA supports surgeons, promotes patient safety, and delivers high-quality care in a hospital operating-room environment. Flexible on-call, evening, night, weekend, and holiday availability is required.

The Senior Claims Manager oversees Claims Delegation Audits, ensures compliance with regulations, develops audit strategies, manages corrective actions, collaborates cross-functionally, and leads a performance-driven team.