- Elevance Health (Los Angeles, CA)
- ** Medicare Quality Management Health Planning Director Sr.** **Location:** This position will work in a hybrid model (remote and office). The ideal ... more
- UCLA Health (Los Angeles, CA)
- …Project Management Professional (PMP) or Certified Professional in Healthcare Quality (CPHQ), preferred * Master's degree in health services administration, ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- Elevance Health (Los Angeles, CA)
- …not limited to: + This position will be responsible for day-to-day Star performance, quality improvement and oversight of our Medicare contracts, as well as the ... more
- UCLA Health (Los Angeles, CA)
- …of all Health Plan initiated grievances and appeals received within the Quality Management department. This position will act as the primary contact person ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales and Quality Management (QM)) ... more
- LA Care Health Plan (Los Angeles, CA)
- … Management or Care Management (CM). Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) ... more
- UCLA Health (Los Angeles, CA)
- …career in an exciting new direction. You can do all this and more at UCLA Health . As a key leader within our Medicare Advantage team, you will be responsible ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. Knowledge of Department of Health Care Services (DHCS) ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- Emanate Health (Covina, CA)
- … exists to help people keep well in body, mind and spirit by providing quality health care services in a safe, compassionate environment. **Our vision** We are ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- LA Care Health Plan (Los Angeles, CA)
- …at the right time. Mission: LA Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and ... more
- Neogen Care (Los Angeles, CA)
- …business with our Kaiser partners while ensuring we maintain our core values, high Medicare quality ratings, and the highest possible patient outcomes. If you ... more
- Option Care Health (Santa Fe Springs, CA)
- …competency is maintained by providing direct patient care 20-40% of the time. In a Medicare Certified Home Health agency, this position may also serve as the ... more