About Us: Astiva Health is a premier healthcare provider specializing in Medicare Advantage Prescription Drug Plans. We are dedicated to delivering comprehensive, personalized care that meets the unique needs of our diverse community. With a strong focus on accessibility, affordability, and quality, we strive to enhance every aspect of our members’ healthcare experience. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of those we serve.
Activity Center Member Service Specialist (Korean Speaking)
The Activity Center Member Service Specialist acts as a liaison between Astiva Health and
our valued members. This role plays an important part in ensuring member satisfaction
and member retention.
ESSENTIAL DUTIES AND RESPONSIBILITIES include:
• Educates members, family, providers and caregivers regarding benefits and plan options.
• Accurately, explain plan’s procedures, protocols, benefits, services, and any other
necessary information to the members who visit the activity centers.
• Provides follow-up with members by clarifying the customer’s issue, determining the
cause, and identifying and explaining the solution. Escalates appropriate member issues to
management or other departments as required.
• Facilitate member requests for changes with network provider changes, OTC orders,
transportation requests, or any other member request for assistance as appropriate.
• Make all attempts to resolve all member dis-enrollment / cancellation requests,
complaint / grievances, and assist the member with their questions or concerns and
following up as appropriate.
• Must be bilingual in Korean and English.
• Able to work in our LA Korea Town Activity Center, located in the Galleria Market building.
Work schedule may include Saturdays.
• Medicare insurance license must be obtained within 90 days of the employment
Number of positions: 1
The base hourly range for this full-time position is $21.00-$25.00
Please submit your resume to:
Email: adrienne.yi@astivahealth.com
Quality Improvement Coordinator (Korean Speaking)
The Quality Improvement Coordinator will be responsible for coordinating and
implementing quality improvement initiatives related to HEDIS measures and risk
adjustment/HCC. This individual will work with internal and external stakeholders to
ensure compliance with HEDIS specifications, data collection, reporting, and improvement
strategies
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:
• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data
reporting.
• Identify gaps and opportunities for improvement.
• Collaborate with internal departments to review and implement projects and
interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity.
• Review and summarize collected data with trend analysis for additional provider
educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry
trends.
• Regular and consistent attendance
• Other duties as assigned
The base hourly range for this full-time position is $20.00 - $25.00 depending on the level
of relevant qualifications and experience
Please submit your resume to:
Email: adrienne.yi@astivahealth.com
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