PLEASE NOTE: WHA has been made aware of impersonators using our name and enticing applicants to submit online job applications to fake and fraudulent sites and offering non-existent remote positions while requesting bank information to begin the hiring process. If anyone is contacted with the lure of open jobs, we recommend ignoring unverified links and requests. The jobs below are legitimate and we look forward to your interest in joining Western Health Advantage. Thank you!
Western Health Advantage is committed to providing equal employment opportunities to employees and applicants for employment on the basis of merit and without regard to race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, physical or mental disability, medical condition, genetic information, marital status, ancestry, military or veteran status, or any other basis made unlawful by federal or state law.
Western Health Advantage values and supports the unique talents and strengths that each employee brings to our organization. Collaborating with the best and the brightest means a dynamic, fulfilling work experience for you — and excellent customer service for our members.
Clinical Pharmacist
Summary Description:
Clinical Pharmacists function in many areas within the pharmacy department. Clinical Pharmacists perform the clinical review of medical and outpatient pharmacy Utilization Management (UM) cases, using their clinical acumen
Pharmacy Technician
Summary Description:
The Pharmacy Technician works closely with Western Health Advantage’s (WHA) Chief Pharmacy Officer, Pharmacy Manager, Medical Directors, Clinical Pharmacists and Pharmacy Coordinator to ensure pharmacy utilization management
Appeals & Grievances Nurse
Summary Description:
The Appeals & Grievances Nurse requires the abilities and knowledge of a California-licensed Registered Nurse (RN).
Specifically, the Appeals & Grievances Nurse reports directly to Western Health Advantage’s (WHA’s)
Claims Examiner I
Summary Description:
The Claims Examiner I is responsible for adjudicating medical claims accurately and in a timely manner to ensure state regulations are met. The Claims Examiner I provides thorough review, analysis, and on-time adjudication
Assistant Medical Director
Summary Description:
The Assistant Medical Director focuses on helping ensure high-quality, efficient care for our members through thoughtful clinical review, vendor and delegation support, and strategic contributions to population health and
Claims & Provider Relations Compliance Oversight Analyst
Summary Description:
The Claims and Provider Relations Compliance Oversight Analyst focuses on building relationships and ensuring compliance for providers, is responsible for day-to-day compliance and regulatory operations for the department,
Core/Senior Business Solutions Analyst
Summary Description:
The Senior Business Solutions Analyst performs business and systems analysis in support of the CORE Department; as
well as provides cross functional support of the Solutions Delivery Analysis and PMO teams in the Information
Provider Relations Representative I
Summary Description:
The Provider Relations Representative I works in close collaboration with internal departments to input and maintain up-to-date provider data and provide reporting on provider data. The Provider Relations Representative I
Thank you for your interest! Please submit your resume and cover letter here: whaSacramento.applyToJob.com
Or you can email us at: hr@westernhealth.com
Or mail to:
2349 Gateway Oaks Drive,
Suite 100
Sacramento, CA 95833
Attn: Human Resources