- 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)
- Healthcare Financial Analyst I Job Category: Accounting/Finance Department: Actuarial Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created...to achieve that purpose. Job Summary The Healthcare Financial Analyst I will assist with gathering medical cost data… more
- 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 (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)
- …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 (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
- UCLA Health (Los Angeles, CA)
- …field required + Minimum of five (5) years' experience in a Medicare or Managed Care environment managing enrollment, claims or encounters required + Minimum of ... five (5) years' experience with CMS processes in a Medicare or Managed Care environment required + Experience with CMS processes is a plus + Knowledge of SQL… 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
- RTX Corporation (El Segundo, CA)
- …Summary: Our cybersecurity team in El Segundo, CA, is seeking a Cyber Security Analyst / Data Transfer Agent known as a Principal Specialist within the organization. ... The Cyber Security Analyst will support classified computing environments 100% onsite at...Assessment & Authorization processes, as defined within the Risk Managed Framework + Experience providing technical security consultation for… more
- 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
- UCLA Health (Los Angeles, CA)
- …or more years of experience managing enrollment, claims, or encounters in a Medicare or managed care environment required + Five or more years of experience with ... issues + Understanding of the healthcare model, capitation, and other managed care IPA and provider reimbursement methodologies + Knowledge of physician/facility… more
- UCLA Health (Los Angeles, CA)
- …individual with: + Five or more years of healthcare claim processing experience in a managed care environment + One or more years of experience with provider ... we have become Los Angeles' trusted provider of exceptional, compassionate patient care . If you're looking to experience greater challenge and fulfillment in your… more
- Prime Healthcare (Sherman Oaks, CA)
- …Specialist position is responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received. ... credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/164482/eob-payment- analyst patient-accounting/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityEncino Hospital Medical Center… more
- LA Care Health Plan (Los Angeles, CA)
- …and Access is required. Previous experience with Medi-Cal and Medicare in a managed care environment. Strong analytical and team building skills. Ability to ... continuous process improvements. Collaborates with Customer Solution Center Business Analyst to track, trend, and analyze results of QA... Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed… more
- LA Care Health Plan (Los Angeles, CA)
- …leading process, program, staff, or supervisory experience in a health/ managed care environment. Experience with program/policy development and implementation. ... Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of… more
- 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
- 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
- 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