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109

L. A. Care Health Plan jobs in california.

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Provider Network Data Associate (Temporary)

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
: At least to 1 year of healthcare work related Care experience, understanding of provider data requirements and claims processing. **Required: ​**Access, Excel, Word Proficiency. Strong analytical skills...
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Lead Utilization Management Oversight Specialist, RN

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Utilization Management (UM) Specialist Position ensures compliance of the Plan Partners and/ or Participating Physician Groups (PPG) to regulatory, contractual and LA Care requirements....
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Manager, Health Data Analytics

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES: ** The Manager of Health Data Analytics will manage project request tasks, design and complete some of the more complex tasks, identify staff training needs, manage the staff time (vacations...
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Senior IT Release Management Analyst

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
IT environment. Should have 1 year of Project Management Experience (Planning and Coordinating). Change Management, Software Version Control and Problem Management experience and disciplines. Experience in all...
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Provider Network Account Manager III

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Provider Network Account Manager III (Account Manager III) is responsible for all aspects of the L.A. Care (LAC) provider contracting and relationship management process, including draf...
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Manager, Community Clinic Initiatives

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES:** This manager position is the head of the Community Clinic Initiatives team within the Safety Net Initiatives (SNI) department. In this role, the manager is responsible for (1) directing...
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Manager, CSC Appeals & Grievance QA

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Manager, CSC Appeals & Grievance QA is responsible for leading the Quality Management team to develop, plan, implement and execute a continuous quality improvement strategy for the Appe...
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Supervisor Non-Clinical, Appeals & Grievances

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** Serves as Supervisor of the Grievance & Appeals Team in monitoring the timelines for handling member grievances and provider appeals. Has supervisory responsibilities to ensure all grievanc...
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Credentialing Specialist (Temporary)

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
of experience in a healthcare/ managed care environment with 1-2 years of credentialing or in a credentialing related experience. **Preferred: With Associate's Degree:** At least 1-2 years of experience...
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Director, Clinical Assurance

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Director of Clinical Assurance is directly responsible for the planning, organizing, directing, staffing and developing L.A. Care's Clinical Assurance Department. Responsibility include...
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Identity & Access Management Administrator

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
DUTIES:** The Identity & Access Management (IAM) Administrator is responsible for the overall direction and oversight into the IAM functions across the organization, including areas such as Federation...
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Claims Examiner I

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES: ** The Claims Examiner is responsible for the accurate and timely processing of direct contract and delegated claims per regulatory and contractual guidelines, which includes: * Processing c...
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CSC Lead Enrollment Service Representative

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
. This includes, but is not limited to, 1) Leading and trouble-shooting complex issues for the Membership Information Representatives; 2) Assuring that the team completes the audit and/or update of membership...
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Sales & Marketing Project Manager

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Project Manager is responsible for the day to day administration of correlation of the Sales & Marketing Department project activities with focus on lead generation campaigns that help ...
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Senior Human Resources Business Partner

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Senior Human Resources Business Partner is a hands-on human resources expert and formulates partnerships across the HR function to deliver value added service to management and employee...
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Claims Examiner II

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
. Moderate knowledge of Microsoft Word and Excel.essing experience in a managed care environment. Preferred: With Associate's Degree: At least 1-2 years of healthcare claims processing experience in a managed...
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Senior Manager, Appeals & Grievances

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Manager, CSC Appeals & Grievance is responsible for the centralized intake, logging and triage process for all member appeal and grievances. The Manager oversees the resolution of membe...
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CSC Provider Service Representative

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
of Level One (1) inquiries, this includes but not limited to, general inquiries on claims processing and status and eligibility verification. In addition, Provider Service Representative will provide support...
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Systems Configuration Analyst

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
**DUTIES** The Systems Configuration Analyst performs technical and analytical work related to the maintenance, update, etc. of the configuration of the L.A. Care Health Plan Core Systems and related ...
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Provider Network Data Associate (Temporary)

L.A. Care Health Plan All jobs » | Los Angeles, California, United States
DUTIES
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