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

Enterprise Business Technology Lead sought in Los Angeles to bridge business and IT within a health plan. This Technical Product Manager role requires 6+ years in a payer organization, translating business needs into actionable product strategies. Drive enterprise digital solutions improving memb...

Principal Enterprise Data Architect sought in Los Angeles to lead end-to-end cloud-native data platform design. Requires 7+ years building enterprise data platforms with Snowflake or Databricks, plus expertise in data governance, AI solutions, and healthcare interoperability. Drive strategic road...

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...

Senior Manager, Stars and Clinical Initiatives in Los Angeles, CA. Drive measurable improvement in Star ratings for D-SNP and Covered California lines. Requires 7+ years Medicare Stars experience, deep knowledge of HEDIS and CAHPS, and 5+ years leadership. Lead cross-functional teams to enhance c...

Director of Care Management (RN or LCSW) sought in Los Angeles to lead operational strategy, improve member health outcomes, and ensure regulatory compliance. This role requires 7+ years of Care Management experience, 5 years in leadership, and a Bachelor's in Nursing or Master's in Social Work. ...

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...

Seeking an experienced **Autism Program Specialist II** in **Los Angeles, CA** to serve as the primary community contact for Medi-Cal behavioral health services. You will develop programs, review diagnostic evaluations, and approve treatment plans. Requires 4+ years in behavioral health, a **BCBA...