• Compliance Advisor II

    LA Care Health Plan (Los Angeles, CA)
    …delivering training programs and making presentations. Preferred: 2 years of Medi - Cal , Medicare or commercial product compliance. Regulatory change management ... - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...multiple priorities and projects and meet deadlines. Knowledge of Medi - Cal Managed Care principles and/or government programs.… more
    LA Care Health Plan (05/23/24)
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  • Housing Program Manager

    System One (Los Angeles, CA)
    …subcontracted staff to the delivery of SUD and collateral services as needed. The Drug Medi - Cal Manager will also plan , track, measure, and report on the ... the direction of the Senior SUD Manager, the Drug Medi - Cal Program Manager is responsible for the...+ Conduct ASAM Screening + Approve ASAM assessment, treatment plan and progress notes in SAGE PCNX. + Coordinate… more
    System One (06/22/24)
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  • Associate Counsel III Senior Director

    LA Care Health Plan (Los Angeles, CA)
    …and operations on complex and sensitive matters. Preferred: Substantial experience in Medi - Cal or Medicaid and Knox-Keene Act. Experience in Medicare, commercial ... Associate Counsel III Senior Director Health Care Legal Services Job Category: Administrative,...- $279,845.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the… more
    LA Care Health Plan (05/22/24)
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  • Associate Medical Director

    WelbeHealth (North Hollywood, CA)
    …enrolled or eligible for enrollment to provide services to Medicare and Medi - Cal participants **Benefits of Working at WelbeHealth:** Apply your clinical ... key to WelbeHealth's values, team culture, and mission. The Associate Medical Director performs in-person comprehensive assessments and coordinates with the IDT to… more
    WelbeHealth (08/08/24)
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  • Lead Systems Configuration Report Writer Analyst

    LA Care Health Plan (Los Angeles, CA)
    …setting with at least 10 years of experience working with data for Medi - Cal , Medicare, Market Place/Exchange, Commercial and Individual lines of business and ... - $173,689.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...not limited to: - Working closely with the Senior Director , Directors, Managers, and Leads on reporting mechanisms that… more
    LA Care Health Plan (08/13/24)
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  • Manager, Community Programs

    LA Care Health Plan (Los Angeles, CA)
    …reporting, and compliance activities. Enhanced Care Management (ECM): ECM is a statewide Medi - Cal benefit that provides a whole-person approach to care that ... (Min.) - $132,838.00 (Mid.) - $163,492.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
    LA Care Health Plan (07/26/24)
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  • Manager, Delegation Oversight Clinical Audit

    LA Care Health Plan (Los Angeles, CA)
    …of health plan or managed care experience. Experience with Medicaid ( Medi - Cal ), Medicare, and Commercial lines of business, and legal, regulatory, ... (Min.) - $152,762.00 (Mid.) - $188,015.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to… more
    LA Care Health Plan (08/15/24)
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  • Utilization Management Nurse Specialist RN II

    LA Care Health Plan (Los Angeles, CA)
    …CM at a medical group or management services organization. Experience with Managed Medi - Cal , Medicare, and commercial lines of business. Skills Required: Must be ... (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 California to… more
    LA Care Health Plan (08/06/24)
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  • Enhanced Care Management Clinical Specialist II

    LA Care Health Plan (Los Angeles, CA)
    …experience to include auditing/oversight/performance management experience. Working knowledge of Medi - Cal and Medicare regulations. Skills Required: Current ... - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the...and receives clinical supervision as needed from the Medical Director of Care Management. The position is responsible for… more
    LA Care Health Plan (05/23/24)
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  • Drug and Alcohol Navigator

    System One (Los Angeles, CA)
    …health, legal services, and additional need + Assist client in enrolling and verifying insurance ( Medi - Cal and My Health LA) + Assist with the coverage of other ... other projects as assigned by Program Manager or Division Director . + Maintain files/records on client services in compliance...voluntary plans, as well as participation in a 401(k) plan . System One is an Equal Opportunity Employer. All… more
    System One (08/08/24)
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  • Primary Care Physician

    WelbeHealth (Long Beach, CA)
    …enrolled or eligible for enrollment to provide services to Medicare and Medi - Cal participants **Benefits of Working at WelbeHealth** Apply your clinical ... and coordinates with the IDT to develop a care plan for each participant. At the direction of the...for each participant. At the direction of the Medical Director , the Primary Care Physician oversees all care of… more
    WelbeHealth (07/12/24)
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