18 jobs match your criteria
Translation Project Coordinator
L.A. Care Health Plan - Los Angeles, CA
The Translation Project Coordinator (TPC) is responsible for the management of L.A. Care Health Plan?s translation process. The TPC?s scope of work includes ensuring that the source document is ready for...
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January 8 -
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Health Plan Field Representative
L.A. Care Health Plan - Los Angeles, CA
Maintains professional working knowledge of Medicare Special Needs Plan and Medi-Cal, Healthy Families, and Healthy Kids Programs. At least 90% implementing and participating in all outreach activities...
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January 3 -
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Utilization Management Specialist, RN
L.A. Care Health Plan - Los Angeles, CA
Assures timely and accurate determination and notification of authorization, reconsideration and appeals requests. Generates authorization, modifications and denials, to include member and provider notification...
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January 3 -
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Manager, Cultural and Linguistics
L.A. Care Health Plan - Los Angeles, CA
The C&L Manager is responsible for the management of the Cultural & Linguistic Services Department and its programs and services. Responsibilities include but are not limited to: 1) Ensure...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The Facility Site Review Medical Management Assistant will complete appointment making for FSR, SPD or other required audits with PCP offices (as a support to the FSR Scheduler), arrange meetings for Plan...
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January 3 -
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Director Strategic Initiatives
L.A. Care Health Plan - Los Angeles, CA
This position is responsible for business process improvement, scalability and other enterprise wide business improvement activities. Responsible to work with and lead specific sets of internal stakeholders...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The Care Management Social Worker will provide psychosocial assessments and support to people, families, or vulnerable populations so they can cope with chronic, acute, or terminal illnesses. They also...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The Project Manager, E-Health Initiatives will facilitate and support L.A. Care's internal and external e-health activities. The position will be responsible for coordinating L.A. Care’s management...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The QI Analyst is responsible for the analysis and design of data structures used for quality improvement projects and interventions. This position is responsible for working with the Data Analytic Unit,...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
Reporting to the Pharmacy Director, this Program Specialist position will be responsible for planning, implementing, monitoring, and evaluating programs for the Pharmacy & Formulary Department....
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January 3 -
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Family Resource Center Representative
L.A. Care Health Plan - Los Angeles, CA
Based at the L.A. Care Family Resource Center in Inglewood, this position reports directly to the Center Administrator. The Representative greets all customers, internally and externally, in person or...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The purpose of the Health Educator position is to assess population needs, plan, develop, implement, and evaluate member health education programs, activities, resources, systems, and services. The Health...
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January 3 -
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Community Health Resource Center Administrator
L.A. Care Health Plan - Los Angeles, CA
Based at the L.A. Care Family Resource Center (FRC) in located in Inglewood, this position is responsible for providing hands-on leadership and oversight of day-to-day services and operations of the Center....
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The position is responsible for the development of a successful and cohesive unit, with a high level of productivity to achieve the department's overall performance metrics. This position provides supervision...
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January 3 -
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Family Resource Center Community Representative
L.A. Care Health Plan - Los Angeles, CA
Based at the Family Resource Center (FRC) in Inglewood, this position reports to the Center Administrator and is responsible for participating in outreach activities aimed at increasing the Family Resource...
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January 3 -
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Manager, Utilization Management
L.A. Care Health Plan - Los Angeles, CA
The Manager, Utilization Management is directly responsible for the organization, direction and staffing of LA Care’s direct lines of business and TPA/ASO utilization management function(s)....
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
Responsible for maintaining good working relationships with all contracted participating physician groups, physicians, hospitals, ancillary providers and Plan Partners. Responsible for day-to-day administration...
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January 3 -
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L.A. Care Health Plan - Los Angeles, CA
The Sr. PL/SQL Developer is responsible for the architecture, design, coding, testing, maintaining & supporting new and existing enterprise-wide databases. This individual works closely with Database...
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January 3 -
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