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L.A. Care Health Plan Careers 22 Jobs in Los Angeles, CA

  • Utilization Management Clinical Quality Nurse Reviewer RN II

    L.A. Care Health Plan - Los Angeles, California
    ... regulatory guidelines and mandates. This position will focus on UM cases for all lines of business to ... process flows to ensure compliance with relevant regulatory, organizational, and departmental guidelines ...
  • Enterprise Resource Planning Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... ensure the BSD and TSD meet the business requirements. Create business process ... for S/4 HANA FS-CD and FI/CO. This role will document the business processes and requirements ...
  • Supervisor, Utilization Management RN

    L.A. Care Health Plan - Los Angeles, California
    ... requests. Participates in the hiring and termination process providing recommendations with appropriate ... performance. Develops tools, job aids, and workflows to optimize the process flow, performance and ...
  • Report Writer III (ALD)

    L.A. Care Health Plan - Los Angeles, California
    ... , Business Professionals Department: Claims Data and Support ... . Collaborates with various function teams to achieve business results. Acts as a Subject Matter Expert, serves ...
  • Supervisor, Appeals and Grievances Clinical Operations RN

    L.A. Care Health Plan - Los Angeles, California
    ... workforce, assignments and time off requests. Participates in the hiring and termination process providing ... process flow, performance and productivity of the A&G team. Completes intermittent and annual staff ...
  • Business Insights Data Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... Business Insights Data Analyst III Job Category: Administrative, HR, Business Professionals Department: Advanced ...
  • Business Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... The Business Analyst III facilitates business process improvement via the methodical investigation ... business function support for system migrations and consolidations, significant business area process ...
  • Manager, Business Insights

    L.A. Care Health Plan - Los Angeles, California
    ... documenting. Process improvement and development, benchmarking and/or evaluation of business ... Manager, Business Insights Job Category: Management ...
  • Business Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... The Business Analyst III facilitates business process improvement via the methodical investigation ... business function support for system migrations and consolidations, significant business area process ...
  • Vendor Relationship Manager III

    L.A. Care Health Plan - Los Angeles, California
    ... : Administrative, HR, Business Professionals Department: Claims Data and ... -to-end vendor management process. Foster positive and productive relationships with vendors ...
  • Payment Integrity Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... vendor implementations as needed. Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across ...
  • Manager, Enterprise Resource Planning Application

    L.A. Care Health Plan - Los Angeles, California
    ... , the ERP functional Architect will document the business requirements, will design and implement the application as required by business specifications. This role will ensure that SAP/SF system functions ...
  • Marketing Program Manager III

    L.A. Care Health Plan - Los Angeles, California
    ... development respective to each line of business. Some key functions range from consulting with cross ... functions to ensure programs align with line of business’ product strategies as well as overarching ...
  • Compliance Advisor III-Privacy

    L.A. Care Health Plan - Los Angeles, California
    ... : Administrative, HR, Business Professionals Department: Compliance ... as a Subject Matter Expert for the organization and assists business units in operational decision ...
  • Data Governance Program Manager I

    L.A. Care Health Plan - Los Angeles, California
    ... : At least 5 years of proven experience in business process analysis. At least 2+ years ... healthcare and payer applications or business process. Preferred: Working knowledge with ...
  • Portfolio Delivery Project Manager III

    L.A. Care Health Plan - Los Angeles, California
    ... are enterprise investments in infrastructure and process excellence. The portfolio, program, and project management resources within the ePMO are uniquely positioned to support business units in the ...
  • Internal Auditor III

    L.A. Care Health Plan - Los Angeles, California
    ... , Business Professionals Department: Compliance ... . Identifies and communicates issues raised, offering recommended solutions relevant to business and risk ...
  • Clinical Data Analyst III

    L.A. Care Health Plan - Los Angeles, California
    ... III supports Healthcare metrics, quality and process improvement activities by producing healthcare ... assurance, process programming, specification documentation and report developing. The ...
  • ETL Data Integration Developer III

    L.A. Care Health Plan - Los Angeles, California
    ... processes to support new development of the Enterprise Data Warehouse, Data Marts and other Business ... complex ETL processes. Applies subject expertise in evaluating business operations and processes ...
  • ETL Data Integration Developer III

    L.A. Care Health Plan - Los Angeles, California
    ... processes to support new development of the Enterprise Data Warehouse, Data Marts and other Business ... complex ETL processes. Applies subject expertise in evaluating business operations and processes ...
  • Customer Solution Center Appeal and Grievance Compliance Advisor

    L.A. Care Health Plan - Los Angeles, California
    ... Job Category: Administrative, HR, Business Professionals ... . Care has implemented a process to consider exemptions, for documented medical conditions and sincerely ...
  • Lead Community Resource Center

    L.A. Care Health Plan - Los Angeles, California
    ... , develops and recommends enhancements to process and procedures. 10% Manages complex projects ... continuous process improvements to workflows, processes, and customer-centric support and member engagement ...
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