- LA Care Health Plan (Los Angeles, CA)
- …groups and related contractual scenarios. Skills Required: Solid understanding of standard claims processing systems and claims data analysis. Extensive ... Manager , Claims Job Category: Claims ...Health Plan. Provides direct supervision to a team of claims examiners, data entry clerks and claims… more
- LA Care Health Plan (Los Angeles, CA)
- Data Governance Program Manager I Job Category: Information Technology Department: IT Executive Administration Location: Los Angeles, CA, US, 90017 Position ... net required to achieve that purpose. Job Summary The Data Governance Program Manager I is a...Director promptly for specific domains (Provider, Clinical, Member, and claims and encounter). Under the mentorship and direction of… more
- Deloitte (Los Angeles, CA)
- Manager , Operations and Technology Transformation, Guidewire Application Solution Architect What we do Operations and Technology Transformation delivers ... efficiency. We implement innovative technology solutions spanning core, digital, data , analytics, cloud and AI. Deloitte's Financial Services Industry consulting… more
- Walgreens (Van Nuys, CA)
- …with the Store Manager **Job ID:** 1387269BR **Title:** Pharmacy Operations Manager **Company Indicator:** Walgreens **Employment Type:** Full-time **Job ... federal laws/regulations allow, accountable for performing day-to-day non-clinical pharmacy operations , administrative activities; Ensures efficient pharmacy workflow and a… more
- Deloitte (Los Angeles, CA)
- What we do Operations and Technology Transformation delivers market leading expertise and industry depth by harnessing deep sector knowledge, scaling the power of ... efficiency. We implement innovative technology solutions spanning core, digital, data , analytics, cloud and AI. Deloitte's Financial Services Industry consulting… more
- LA Care Health Plan (Los Angeles, CA)
- …etc. Collaborates with internal departments (Member Services, Provider Network Operations , Claims , Utilization Management, Pharmacy, and Quality Management) ... Manager , Customer Solution Center Appeals and Grievances Job...of care issues and work collaboratively with multiple departments ( Claims , Provider Network Operations , Utilization Management, Quality… more
- LA Care Health Plan (Los Angeles, CA)
- …Experience Required: At least 5-7 years of related experience relating to Medicare/Medicaid data operations , encounter data operations . At least ... net required to achieve that purpose. Job Summary The Manager of Encounter Data is responsible for...Experience with BI reporting tools. Knowledge and experience in Claims processing and Enrollment, Healthcare IT projects and/or file… more
- LA Care Health Plan (Los Angeles, CA)
- …Relationship Manager III Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: Los Angeles, CA, US, ... safety net required to achieve that purpose. Job Summary The Vendor Relationship Manager III is responsible for building and managing relationships with all vendors… more
- Abbott (Sylmar, CA)
- …identification of customer and market needs/wants, to concept and product development, claims and data development, supporting product launch teams, and long ... currently has an onsite opportunity for a Group Marketing Manager High Voltage Therapies. **WHAT YOU'LL DO** Lead the...and input to all in-house groups such as PMO, Operations , Finance, R&D, Quality, and Regulatory that affect the… more
- LA Care Health Plan (Los Angeles, CA)
- …Sales and Marketing (PSSM) service area and the enterprise. The Product Solutions Manager III leads in supporting ongoing operations of the assigned product ... Product Solutions Manager III (Medicare) Job Category: Administrative, HR, Business...and its portfolio. Conducts cost/benefit analyses, needs assessment and data analysis in order to align strategy, design and… more
- Unilever (Marina Del Rey, CA)
- …Maintain and update organizational charts + Respond promptly to employee verifications, manager /employee per diem requests, and unemployment claims + Stay ... We're in search of a detail-oriented and proactive People Operations Specialist to join our team. In this role,...pre-employment screening processes for new hires + Ensure HRIS data integrity - create and maintain employee records, make… more
- LA Care Health Plan (Los Angeles, CA)
- Manager , Delegation Oversight Clinical Audit Job Category: Clinical Department: Executive Services Location: Los Angeles, CA, US, 90017 Position Type: Full Time ... support the safety net required to achieve that purpose. Job Summary The Manager , Delegation Oversight Clinical Audit is directly responsible for the oversight and… more
- AECOM (Long Beach, CA)
- …us. **Job Description** **AECOM** has an exciting opportunity for an Environmental Project Manager with a Professional Engineering License to join our Long Beach, CA ... investigation/remediation consulting industry, who is also a seasoned Environmental Project Manager and who would like to grow their career into assisting… more
- LA Care Health Plan (Los Angeles, CA)
- Product Solutions Manager II Job Category: Administrative, HR, Business Professionals Department: Medi-Cal Product Management Location: Los Angeles, CA, US, 90017 ... safety net required to achieve that purpose. Job Summary The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing… more
- Genesis Healthcare (Los Angeles, CA)
- …resolving G/L variances;12. Supervises, organizes, evaluates, and monitors business office operations and staff, including Assistant Business Office Manager , ... POSITION SUMMARY: The Business Office Manager must be familiar with company policies and...Manages all month end processes, which include completion of data entry, review and correction of edits, and census… more
- Elevance Health (Woodland Hills, CA)
- **Account Service Manager Sr - CA Student Business** **Location:** This position is virtual eligible. The ideal candidate will live within 50 miles of one of our ... Health PulsePoint locations listed on the requisition. The **Account Service Manager Sr** is responsible for providing highly advanced account management… more
- RailWorks (Los Angeles, CA)
- …and the company's insurance carrier to strategically implement programs to reduce claims . * Participates in data analytics, KPI development, application, and ... excellent customer service. These responsibilities encompass all business unit operations pertaining to safety strategic planning, continuous improvement, and… more
- The County of Los Angeles (Los Angeles, CA)
- …Chief Executive Officer. The major assignments involve analyzing and evaluating County operations , programs, and projects that require skill in operations ... issues by analyzing the County's existing policies, practices, and operations . + Recommends changes to the CEO/LAIR programs and...financial affairs, under the general direction of a CEO manager . License A valid California Class C Driver License… more
- The County of Los Angeles (Los Angeles, CA)
- …of specialized County functions such as the County budget, finance, operations , capital projects, legislative analysis, organization and management studies, employee ... team of analysts or serve in a lead, project manager or consultant role for any assignment in one...inclusion.. + Analyzes and evaluates County policies, practices, and operations that may systemically prevent African-Americans and people or… more
- The County of Los Angeles (Los Angeles, CA)
- …Chief Executive Office's Legislative Affairs Division. Under the general direction of a Manager , CEO, the position assists the Chief Executive Office to manage the ... the support of measures that would enhance an entity's programs, revenues, operations , and services, and identifying State and Federal legislation and budget… more