- Cedars-Sinai (Los Angeles, CA)
- …throughout Los Angeles and beyond. **Req ID** : 10223 **Working Title** : Program Manager - Managed Care (Hybrid) **Department** : MNS Managed ... **Job Description** The Program Manager is responsible for supporting...membership. + Monitors and Tracks all other aspects of Managed Care , quality & efficiency measures, Star… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a Program Manager to join the Managed Care Operations team. Reporting to the Assistant Director, this role supports ... a key liaison to internal and external stakeholders. The Program Manager will manage timelines, resolve issues,...group, or health plan preferred). + Strong background in managed care operations, project management, and performance… more
- UCLA Health (Los Angeles, CA)
- Description UCLA Health is seeking a dynamic Program Manager to support the Managed Care Operations team. This role is instrumental in overseeing the ... UAT initiatives, and participate in strategic planning related to managed care operations. Salary Range: $83,800 -...$179,400 annually Qualifications We're looking for a strong, organized program leader with: + Bachelor's degree in a related… more
- LA Care Health Plan (Los Angeles, CA)
- …At least 4 years of recent care management experience in a hospital or managed care setting, such as a health insurance environment and/or experience as ... care manager in home health or hospice...populations and regulatory requirements. Equivalency: Completion of the LA Care Management Certificate Training Program may substitute… more
- LA Care Health Plan (Los Angeles, CA)
- … Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts ... Provider Network Account Manager III Job Category: Provider Relations Department: Provider...providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4658522) Apply MENTAL ... HEALTH PROGRAM MANAGER I/EMERGENCY APPOINTMENTS HOMELESSNESS Salary $122,088.00...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
- The County of Los Angeles (Los Angeles, CA)
- MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS Print (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4659662) Apply ... MENTAL HEALTH PROGRAM MANAGER II / EMERGENCY APPOINTMENTS HOMELESSNESS...to ensure that services conform to acceptable standards of care and establishes and modifies program monitoring… more
- Molina Healthcare (Los Angeles, CA)
- …or related **REQUIRED EXPERIENCE:** 1-3 years in case management, disease management, managed care or medical or behavioral health settings. **REQUIRED LICENSE, ... reliable transportation. **PREFERRED EXPERIENCE:** 3-5 years in case management, disease management, managed care or medical or behavioral health settings. Prior… more
- Elevance Health (Los Angeles, CA)
- …for autism and depression, and insightful analytics to improve the delivery of care . **Title:** Behavioral Health Care Manager II **Location:** Woodland ... and ensures essential face-to-face onboarding and skill development. The **Behavioral Health Care Manager II** is responsible for managing psychiatric and… more
- LA Care Health Plan (Los Angeles, CA)
- … Covered) in a manner consistent with regulatory requirements from the Department of Managed Health Care , Department of Health Care Services, Centers for ... their authorized representative, the Ombudsman office, state contractors, member advocates, LA Care Board Members, providers, etc. The Manager is responsible for… more
- LA Care Health Plan (Los Angeles, CA)
- …Preferred Provider Groups (PPG), Specialty Health Plans (SHP) and Pharmacy Benefit Manager (PBM) including LA Care 's Claims Department. This requires interaction ... discrepancies prior to DMHC filing. Responds to Department of Managed Health Care (DMHC) questions regarding data...the facts and details are correct so that the project's/ program 's deliverable meets the needs of the department, organization… more
- LA Care Health Plan (Los Angeles, CA)
- …and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience ... incentives or any additional service needs according to specific program guidelines. Uses claims processing and care ...as care manager in home health or hospice...as care manager in home health or… more
- Molina Healthcare (Los Angeles, CA)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed ... work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management, writing,… more
- AbbVie (Los Angeles, CA)
- …relationships with appropriate providers within territory + Remain current on key managed care , reimbursement, and policy activities Qualifications + At least ... CA + Los Angeles, CA The Parkinson's Field Reimbursement Manager (FRM) acts as an alternative in-office resource that...years of experience in rare disease with experience in Managed Health Care , Payer Account Management, and/or… more
- Grifols Shared Services North America, Inc (Los Angeles, CA)
- …connect them with the customer as appropriate + Possess an understanding of the Managed Care landscape and when to utilize necessary internal resources to assist ... and functions including Territory Sales Representatives, Regional Sales Directors, Managed Markets, the Product Brand Team and other necessary stakeholders.… more
- Volunteers of America Los Angeles (North Hollywood, CA)
- …for a successful re-entry into society. DUTIES AND RESPONSIBILITIES Under supervision of licensed Program Supervisor or Manager , the Clinical Case Manager I: ... Clinical Case Manager Location:North Hollywood, CA Job ID:3222 Salary:$30.65 -...college prep programs, veterans- services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation. Learn… more
- Elevance Health (Los Angeles, CA)
- …preferred. + Travels to the worksite and other locations as necessary preferred. + Managed care experience preferred. + Candidates who live in the Ventura or ... **Title:** Behavioral Health Provider Quality Manager **Candidates must posses a licensure for the...Health family of brands, offering clinical programs and primary care options for seniors. We are a team of… more
- A Bright Future, Inc. (Los Angeles, CA)
- …of the entire staff assigned to work at specific homes, coordinating personal care , training, and support to meet the goals and objectives of the individuals ... director. TITLE: Community Support Facilitator STATUS: Full-Time, Regular CLASSIFICATION: Non-Exempt PROGRAM HOURS: Non-Exempt - On Call rotation for 24 hours for… more
- The County of Los Angeles (Los Angeles, CA)
- RECREATION SERVICES MANAGER (Executive Director, Southern California Municipal Athletic Federation) Print ... (https://www.governmentjobs.com/careers/lacounty/jobs/newprint/4859404) Apply RECREATION SERVICES MANAGER (Executive Director, Southern California Municipal Athletic Federation) Salary… more
- Volunteers of America Los Angeles (North Hollywood, CA)
- Clinical Case Manager II Location:North Hollywood, CA Job ID:3650 Salary:$32.18 - $33.87 Per Hour Area of Interest:Veterans Division:Adult Services Shift Type:Day ... Bound college prep programs, veterans- services, homeless shelters, low-income housing program as well as drug and alcohol rehabilitation. Learn more… more