• Clinical Data Analyst III

    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 (07/13/24)
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  • Enterprise Portfolio Management Office Solutions…

    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 (07/19/24)
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  • Technical Project Analyst II

    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 (07/20/24)
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  • Lead Systems Configuration Product Analyst

    LA Care Health Plan (Los Angeles, CA)
    …of Commercial Health Insurance, Medicare, Medicaid and benefit administration in a Managed Care Services organization. Working knowledge of configuring QNXT or ... Lead Systems Configuration Product Analyst Job Category: Information Technology Department: IT Enterprise...$139,478.00 (Mid.) - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created… more
    LA Care Health Plan (07/03/24)
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  • Surround Systems Configuration Analyst III

    LA Care Health Plan (Los Angeles, CA)
    …practices. Preferred: At least 5 years of experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management ... Surround Systems Configuration Analyst III Job Category: Information Technology Department: IT...services organization. Skills Required: Advanced understanding of managed care operations (including, but not limited… more
    LA Care Health Plan (07/03/24)
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  • Revenue Financial Analyst III

    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
    LA Care Health Plan (06/12/24)
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  • Senior Staff Analyst , Health / Emergency…

    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 (07/02/24)
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  • Senior Information Systems Analyst

    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
    The County of Los Angeles (06/28/24)
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  • Senior Business Systems Analyst - SAP OTC

    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
    EPAM Systems (07/19/24)
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  • Business Analytics Lead Analyst , Provider…

    The Cigna Group (Santa Monica, CA)
    …and apply statistical models to validate / interpret results + Understanding of managed care business processes, data, systems, and applications for claims ... Digital & Analytics team as a Provider Contract & Network Underwriting Lead Analyst . In this role, you will conduct hospital and professional provider contract… more
    The Cigna Group (07/09/24)
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  • Medicare Advantage EDI Analyst

    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
    UCLA Health (07/18/24)
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  • Customer Solution Center Audit Readiness…

    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 ... masking orders. Therefore, when on-site at any LA Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed . more
    LA Care Health Plan (05/21/24)
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  • BH Care Manager II

    Elevance Health (Woodland Hills, CA)
    …range of experience with complex psychiatric/substance abuse cases required. Prior managed care experience required. **Preferred:** + **Previously worked with ... + Will serve as a resource to other BH Care Managers. Assists with more complex cases and may...the United States required. + a **Board Certified Behavioral Analyst (BCBA)** is also acceptable if all of the… more
    Elevance Health (05/31/24)
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  • Director of Charter Business Development

    Clay Lacy Aviation (Van Nuys, CA)
    …Recruiter, Continuous Learner, ERP Expert, Problem Solver/Fleet Interrogator, Data Analyst , Marketer and Salesperson, Customer Mediator, Cost benefit calculator. ... and new business) as well as expense budgets and managed fleet goals . + Utilize and manage using...benefits package and other resources that help you take care of yourself and your family. + Health Insurance… more
    Clay Lacy Aviation (06/05/24)
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  • Clinical Pharmacist

    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 (07/01/24)
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  • Credentialing Specialist

    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 (06/11/24)
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  • Physical Therapy Supervisor II

    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
    The County of Los Angeles (07/01/24)
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  • Account Executive - Revenue Cycle - Hospital…

    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
    Guidehouse (05/21/24)
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