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L.A. Care Health Plan
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Los Angeles, California
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maintenance of Health Services Policies/Procedures, letter templates, Workflows, Process, Audit Tools and ... , contractual and accreditation standards to ensure Health Care Services Department policies are in compliance
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L.A. Care Health Plan
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Los Angeles, California
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(NCQA) audit and/or Centers for Medicare and Medicaid Services (CMS) audit. Background in teaching and ... internal department documentation audits. This role is ensures that UM practices and supporting
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L.A. Care Health Plan
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Los Angeles, California
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to audit each vertical under the Customer Solution Center. In addition, this position will make ... in the development of training materials delivered to various internal departments and off site Call
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L.A. Care Health Plan
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Los Angeles, California
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Department of Health Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit ... Healthcare Financial Analyst I
Job Category: Accounting
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L.A. Care Health Plan
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Los Angeles, California
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analysis, month-end reconciliations and preparation of financial reporting tools and audit schedules. This ... Revenue Financial Analyst III
Job Category: Accounting
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L.A. Care Health Plan
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Los Angeles, California
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Associate Counsel III Senior Director Health Care Legal Services ... III Senior Director Health Care Legal Services functions as second-in-command for the Legal Division
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L.A. Care Health Plan
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Los Angeles, California
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description and policy and procedures to provide timely, quality care and services to members and ... responsibilities. Conducts regular audit activity via department's performance reporting standards to maintain
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L.A. Care Health Plan
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Los Angeles, California
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. Ensure A&G Non-Clinical staff is following all Regulatory guidelines, internal P&Ps, Desktop Procedures ... assist the department in increasing positive audit outcomes and improved Customer Service to L.A. Care’s
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L.A. Care Health Plan
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Los Angeles, California
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: Accounting/Finance
Department: Finance Services ... internal controls and PHI information security in the areas of Billing. This position will work closely
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L.A. Care Health Plan
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Los Angeles, California
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activities of Member Services and Provider Relations Representatives, including but not limited to ... Member Services Representatives. Constant review of adequate skill-set assignment, lunch and breaks
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L.A. Care Health Plan
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Los Angeles, California
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this position also includes in/outbound interactions with other departments/entities, internal and ... areas, internal and external. (45%)
Provides on-boarding care connection for assigned
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L.A. Care Health Plan
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Los Angeles, California
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will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC
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L.A. Care Health Plan
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Los Angeles, California
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guidelines throughout the department ensuring the Plan’s compliance. This position will work with senior ... maintains strong working relationships with internal departments and external stakeholders involved in the
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L.A. Care Health Plan
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Los Angeles, California
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requirements to drive achievement of engagement strategies.
Oversight of all required internal and ... Provider Business Analytics Team within CRM to streamline financial work-ups, Settlement Planning, and
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L.A. Care Health Plan
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Los Angeles, California
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Senior Director, Care Management
Job Category: Clinical ... required to achieve that purpose.
Job Summary
The Senior Director, Care
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L.A. Care Health Plan
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Los Angeles, California
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will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC
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L.A. Care Health Plan
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Los Angeles, California
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Support Services
Location:
Los Angeles, CA, US, 90017 ... collaboration. Effectively communicate with internal key stakeholders, to align vendor strategies with business
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L.A. Care Health Plan
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Los Angeles, California
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presentations in small and large group settings to internal and external non-senior management level audiences ... , implementation, and monitoring. This position works under the guidance of the Senior Community Health Program
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L.A. Care Health Plan
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Los Angeles, California
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support effective delivery of ECM services and ensure compliance with local, State, and Federal ... Assessments and Care Plans created by the ECM Provider. Identify any gaps in the Care Plan services or
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L.A. Care Health Plan
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Los Angeles, California
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services to members.
Maintains all assigned reporting responsibilities, conducts regular audits to ... environment in which quality flourishes.
Services as member/resource/liaison to the Interdisciplinary
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L.A. Care Health Plan
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Los Angeles, California
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support effective delivery of ECM services and ensure compliance with local, State, and Federal ... Assessments and Care Plans created by the ECM Provider. Identify any gaps in the Care Plan services or
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L.A. Care Health Plan
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Los Angeles, California
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and procedures to provide timely, quality care and services to members.
Duties ... organizational enhancements and communicate development as appropriate. Participates on internal and external
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