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L.A. Care Health Plan Careers 26 Jobs in United States

  • Care Management Initiatives Program Manager II

    L.A. Care Health Plan - Los Angeles, California
    ... initiatives with moderate guidance and supervision from director. Program Development: Independently ... Care Management Initiatives Program Manager II Job ...
  • Senior Director, Talent Acquisition and Human Resources Technology (Temporary)

    L.A. Care Health Plan - Los Angeles, California
    ... Senior Director, Talent Acquisition and Human Resources Technology (Temporary ... The Senior Director, Talent Acquisition and Human Resources Technology is responsible for overseeing ...
  • Supervisor, Behavioral Health Services

    L.A. Care Health Plan - Los Angeles, California
    ... independent Behavioral Health program support needs (ASD Program, Transgender Health Navigation Program and Institute for Mental Disease Program). Position will be expected to meet the needs of Department Leadership ...
  • Manager, Social Services

    L.A. Care Health Plan - Los Angeles, California
    ... department’s needs and ensures program objectives and performance targets are met. This includes day-to-day ... network and other community based organizations; evaluating and improving processes, program and policy ...
  • Data Governance Program Manager I

    L.A. Care Health Plan - Los Angeles, California
    ... under the direction of a Director. Assists in developing a domain-specific data quality program ... implement program guidance under the direction of the Director of the Data Governance department ...
  • Utilization Management Program Manager II

    L.A. Care Health Plan - Los Angeles, California
    ... Under the general direction of the Director of Utilization Management (UM) the Program Manager II is ... Utilization Management Program Manager II Job Category ...
  • Senior Director, Regulatory Compliance

    L.A. Care Health Plan - Los Angeles, California
    ... Senior Director, Regulatory Compliance Job Category ... The Senior Director serves as a senior leader within the Compliance Department, leading compliance ...
  • Senior Director, Care Management

    L.A. Care Health Plan - Los Angeles, California
    ... Senior Director, Care Management Job Category: Clinical ... required to achieve that purpose. Job Summary The Senior Director, Care ...
  • Customer Solution Center Appeals and Grievances Nurse Specialist LVN II

    L.A. Care Health Plan - Los Angeles, California
    ... for the overall coordination of the Appeals & Grievance program for L.A. Care Health Plan members under the direct supervision and management of the A&G Nurse Specialist, RN and/or Medical Director ...
  • Advisor Provider Network Operations

    L.A. Care Health Plan - Los Angeles, California
    ... consistently in daily operations. This position will serve as a strategic liaison between the Director ... communication. The Advisor will act on behalf of the Director on operational activities and provide updates to ...
  • Authorization Technician II

    L.A. Care Health Plan - Los Angeles, California
    ... , assists the Manager and Director of the Utilization Management department in meeting regulatory time lines ... Retirement Plans Medical, Dental and Vision Wellness Program Volunteer Time Off ...
  • Customer Solution Center Appeals and Grievances Coordinator I

    L.A. Care Health Plan - Los Angeles, California
    ... Appeals & Grievance Manager and Director in meeting regulatory timelines by maintaining an accurate ... Grievance Specialists for L. A. Care's Medicare Advantage program. This includes the technical aspects of ...
  • Senior Director, Commercial and Group Product Management

    L.A. Care Health Plan - Los Angeles, California
    ... Senior Director, Commercial and Group Product Management ... required to achieve that purpose. Job Summary The Senior Director ...
  • Associate Counsel III Senior Director Health Care Legal Services

    L.A. Care Health Plan - Los Angeles, California
    ... 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 ...
  • Manager, Claims Integrity Provider Remediation (ALD)

    L.A. Care Health Plan - Los Angeles, California
    ... with Director and other Management to collaborate on provider meetings, ensuring all communications are ... provider escalated issues. Supports the Director and other Management with development of ...
  • Supervisor, Utilization Management RN

    L.A. Care Health Plan - Los Angeles, California
    ... . The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in ... model of care, program description and policy and procedures to provide timely, quality care and ...
  • Leave of Absence Partner II

    L.A. Care Health Plan - Los Angeles, California
    ... stakeholders. This position also oversees all aspects of the Workers' Compensation (WC) program to ensure ... Manager of Leaves, Ergonomics and Internal Investigations, and the Senior Director of Business Support ...
  • Community Health Program Manager II (ALD)

    L.A. Care Health Plan - Los Angeles, California
    ... Community Health Program Manager II (ALD) Job Category ... The Community Health Program Manager II is responsible for supporting Community Health projects ...
  • Compliance Advisor II

    L.A. Care Health Plan - Los Angeles, California
    ... , Director, and Chief Compliance Officer on other duties as assigned to support the mission and ... (ICC) Charter, Compliance Program and key performance indicators. Responsible for the development of ...
  • Manager, Enhanced Care Management (RN or LCSW)

    L.A. Care Health Plan - Los Angeles, California
    ... Reporting to the Director of Enhanced Care Management (ECM), the ECM Manager will be responsible for ... maintain high standards of care. Program Operations Enhancement: Work closely ...
  • Customer Solution Center Appeals and Grievances Quality Auditing Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... and Director for all problems related to quality improvements as needed to increase staff knowledge of ... Program Volunteer Time Off (VTO) ...
  • Enhanced Care Management Clinical Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... and receives clinical supervision as needed from the Medical Director of Care Management. The position ... training activities related to the ECM Program operations. Duties Conduct ...
  • Utilization Management Nurse Specialist RN II

    L.A. Care Health Plan - Los Angeles, California
    ... Physician Advisor/UM Director. Documents in platform/system of record. Utilizes designated software ... , Dental and Vision Wellness Program Volunteer Time Off (VTO) ...
  • Manager, Claims

    L.A. Care Health Plan - Los Angeles, California
    ... . Works with the Claims Director, Claims Managers and Supervisors to ensure the Plan’s core system ... Management Certificate Training Program may substitute for the supervisory/management experience requirement ...
  • Enhanced Care Management Clinical Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... and receives clinical supervision as needed from the Medical Director of Care Management. The position ... training activities related to the ECM Program operations. Duties Conduct ...
  • Systems Configuration Project Specialist II

    L.A. Care Health Plan - Los Angeles, California
    ... Medical, Dental and Vision Wellness Program Volunteer Time Off (VTO) ...
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