L.A. Care Health Plan - United States, Los Angeles, On-site work

Seeking an experienced Data Analyst III to lead complex healthcare analytics projects in Los Angeles. You will serve as a Subject Matter Expert, utilizing advanced SQL, Tableau, and statistical analysis to derive insights from authorization and claims data. This role involves full project lifecyc...

Seeking an experienced Data Analyst III to lead complex healthcare analytics projects in Los Angeles. You will serve as a Subject Matter Expert, utilizing advanced SQL, Tableau, and statistical analysis to derive insights from authorization and claims data. This role offers full benefits and focu...

Seeking an experienced Data Analyst III to lead complex healthcare analytics projects in Los Angeles. You will serve as a Subject Matter Expert, utilizing advanced SQL, Tableau, and statistical analysis to derive insights from authorization and claims data. This role offers full benefits and focu...

Seeking an experienced Data Analyst III to lead complex healthcare analytics projects in Los Angeles. You will serve as a Subject Matter Expert, utilizing advanced SQL and Tableau to analyze authorization and claims data, driving operational and financial decisions. This role offers full benefits...

Lead complex healthcare analytics projects from scoping to delivery in this senior role. Utilize expert SQL, Tableau, and statistical skills to drive operational and financial decisions. This Los Angeles-based position offers strong benefits and requires 4+ years of experience, including healthca...

Join our team as a Transitional Care Services Community Health Worker II in Los Angeles. You will help Medi-Cal members navigate care transitions, providing crucial education, coordination, and advocacy. This role requires community health experience, exceptional engagement skills, and reliable t...

Seeking an expert Core Systems Configuration Analyst III in Los Angeles. You will manage complex healthcare system configurations, serving as a subject matter expert for QNXT and claims applications. This role requires 5+ years in healthcare systems configuration and advanced knowledge of Medicar...

Lead L.A. Care's Special Investigations Unit (SIU) and Fraud, Waste & Abuse (FWA) program in Los Angeles. This director role requires 7+ years in healthcare compliance/fraud investigations and 5+ years leading teams. You will oversee complex cases, ensure regulatory adherence, and drive program i...

Join L.A. Care in Los Angeles as a Paralegal II, supporting complex litigation, transactional, and regulatory matters in healthcare. This role requires a Bachelor's degree and 2+ years of paralegal experience in a health plan or law firm. We offer a comprehensive benefits package including medica...

Seeking a Care Management Specialist II for our D-SNP Team in Los Angeles. Utilize your RN or LCSW credentials and 3+ years of complex case management experience. You will manage a caseload, coordinate benefits, and empower members across the healthcare continuum. We offer robust benefits includi...

Seeking a Utilization Management Nurse Specialist RN II in Los Angeles. This role requires an active California RN license, 5+ years of acute care experience, and 2+ years in UM/CM. You will coordinate referrals, perform admission reviews, and develop discharge plans. We offer comprehensive benef...

Seeking an experienced RN Coder to serve as a Payment Integrity Subject Matter Expert in Los Angeles. This role involves medical record review, coding validation, and mentoring staff, requiring 8+ years of RN experience and 3+ years in UM/coding. Expertise in CPT, ICD-10, and Medicare/Medicaid po...