- Avispa Technology (Los Angeles, CA)
- Claims Review Specialist - Managed Care Providers 2600101 One of the most prestigious hospital and health care systems is seeking a Claims Review Analyst ... years previous experience working for a Health Plan, IPA, or other Managed Care Organization. The company offers a great work environment! Claims Review… more
- LA Care Health Plan (Los Angeles, CA)
- …in designing, developing, generating and analyzing ad hoc/production reports in Healthcare/ Managed Care setting. Preferred: Experience as a Clinical Data ... Clinical Data Analyst III Job Category: Clinical Department: Quality Improvement...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- …SQL server). At least 3 years of project and/or data analysis experience in Managed Care Organization, PBM or health plan Skills Required: Proficiency with ... Pharmacy Information Analyst I Job Category: Clinical Department: Pharmacy &...prior projects and experiences. Preferred: Basic working knowledge of managed care principles and/or pharmacy operations within… more
- LA Care Health Plan (Los Angeles, CA)
- Enterprise Portfolio Management Office Solutions Analyst III Job Category: Information Technology Department: Enterprise Portfolio Management Office Location: Los ... Range: $105,267.00 (Min.) - $139,478.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- LA Care Health Plan (Los Angeles, CA)
- …small scale technical solutions to streamline operational processes. Must have Managed Care experience. Preferred: Medicaid, Medicare experience. Skills ... Technical Project Analyst II Job Category: Administrative, HR, Business Professionals...$115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 3 years of experience in data analysis in a health or managed care environment. Skills Required: Proven ability to significantly impact process ... Business Analyst II Job Category: Administrative, HR, Business Professionals...$100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
- LA Care Health Plan (Los Angeles, CA)
- Revenue Financial Analyst III Job Category: Accounting/Finance Department: Medical Payment System & Services Location: Los Angeles, CA, US, 90017 Position Type: Full ... $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Revenue Financial Analyst III is responsible for the daily management of… more
- The County of Los Angeles (Los Angeles, CA)
- …and achieve beneficial system transformation. + Cultivate and grow relationships with Medi-Cal Managed Care Plans to implement core CalAIM components related to ... SENIOR STAFF ANALYST , HEALTH / EMERGENCY APPOINTMENT HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4541923) Apply SENIOR STAFF … more
- The County of Los Angeles (Los Angeles, CA)
- SENIOR INFORMATION SYSTEMS ANALYST (Electronic Health Record) Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/3124187) Apply SENIOR ... INFORMATION SYSTEMS ANALYST (Electronic Health Record) Salary $102,729.84 - $138,443.04 Annually...coordinates change management documentation and ensures that approvals are managed according to departmental procedures. Check Out Our Outstanding… more
- UCLA Health (Los Angeles, CA)
- …sending re-bills and addressing denied claims. + Audit claims leakage for all Managed Care payors, validate capitation deductions, ensure contractual rates are ... Description As a Revenue Integrity Administrative Analyst , you will play a crucial role in...monthly performance statistics, and participate in meetings to discuss managed care contract trends. + Maintain confidentiality… more
- EPAM Systems (Los Angeles, CA)
- We are hiring a **Senior SAP Business Systems Analyst ** , who will support a critical digital transformation project for one of EPAM's top clients. This is a ... 10+ years of experience as Sr. SAP SD Business Analyst leading projects in SAP ECC 6.0/ S4 Hana...to detail and the ability to multi-task in a self- managed environment + Hands-on experience in implementing SAP projects… more
- UCLA Health (Los Angeles, CA)
- …* Five or more years of experience with CMS processes in a Medicare or managed care environment * Must have 3-5 years of experience with Encounter submission ... of the health care model, capitation, and other managed care IPA and provider reimbursement methodologies * Excellent communication, interpersonal,… more
- LA Care Health Plan (Los Angeles, CA)
- …environment required. Previous experience with Medi-Cal and Medicare in a managed care environment. Preferred: Tableau experience. Skills Required: Advanced ... Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- The County of Los Angeles (Los Angeles, CA)
- …the social work activities of a small social work unit in a community ambulatory care or managed care setting. Essential Job Functions Interviews and ... of community partner clinics - DHS annually provides direct care for 600,000 unique patients, employs over 23,000 staff,...application or email the required documents to the exam analyst , Christina Tadeo at ###@dhs.lacounty.gov , within seven (7)… more
- The County of Los Angeles (Los Angeles, CA)
- …meets with pharmaceutical product specialists to discuss current market conditions, managed care implications, disease state management, and obtain information ... - and expanded network of community partner clinics - DHS annually provides direct care for over 600,000 unique patients, employs over 23,000 staff, and has an… more
- The County of Los Angeles (Los Angeles, CA)
- …for periodic audits by Consolidated Accreditation and Licensure Survey and Office of Managed Care as requested; conducts internal reviews; and completes required ... DHS operates as an integrated health system, operating 25 health centers and four acute care hospitals, in addition to providing health care to youth in the… more
- The County of Los Angeles (Los Angeles, CA)
- …units. Essential Job Functions + Analyzes and evaluates physical therapy programs in the units managed to assess the quality of patient care and the need to ... therapy assessment, evaluation and treatment, both to provide patient care and to demonstrate or model proper techniques or...to ### or email the documents to the exam analyst ,at time of filing or within 15 calendar days… more
- Guidehouse (Los Angeles, CA)
- …and develops collaborative relationships with internal staff and EBO + Works with Managed Care Department for Underpayment Analysis + Works with EBO and ... follows up the appropriate Revenue Cycle Director or Systems Analyst team to facilitate communication and resolution of the...of Patient Access, HIM & PFS within an **Acute Care Hospital** + PC skills in a Windows environment… more