L.A. Care Health Plan

Appeals and Grievances Nurse Specialist RN II needed in Los Angeles. This role investigates and resolves complex clinical member and provider complaints, ensuring compliance with CMS and regulatory guidelines. Requires an active CA RN license, 5+ years of clinical experience, and 2+ years in Medi...

Seeking a Manager, Quality Data in Los Angeles to lead HEDIS and Survey data operations. This role requires 6+ years of clinical outcomes and quality data experience, plus 4+ years of supervisory management. You will optimize ETL processes, ensure regulatory compliance, and manage a team of analy...

Seeking a skilled Help Desk Technician II in Los Angeles to provide onsite and remote support. This role requires 2+ years of call center help desk experience, expertise in Windows, MS Office 365, Active Directory, and hardware troubleshooting. You will manage Jira tickets, perform system configu...

Seeking an experienced Clinical Pharmacist II in Los Angeles. Requires a Pharm.D and 4+ years of pharmacy experience (or residency with 1 year experience). You will oversee clinical pharmacy programs, manage formulary compliance, and collaborate with the PBM to ensure cost-effective, safe medicat...

Seeking a skilled RN or LCSW for a **Care Management Specialist II** role in **Los Angeles**. Manage complex, catastrophic cases using clinical judgment and care coordination. Requires 3+ years of experience in managed care, hospital, or hospice settings. Enjoy benefits like PTO, tuition reimburs...

Seeking a **Quality Improvement Project Manager II** in **Los Angeles** to drive healthcare project success. Manage a portfolio ensuring compliance with **Medicaid, Medicare, and NCQA** standards. Requires 3+ years in managed care, strong data analytics (SPSS), and program design skills. Enjoy be...

Lead ETL Data Integration Developer role in Los Angeles, US. Seeking 6+ years of ETL, data warehousing, and data modeling experience with Erwin. Lead development teams, mentor staff, and design scalable data solutions for enterprise BI and migration projects. Benefits include PTO, tuition reimbur...