L.A. Care Health Plan - On-site work

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...

Join our team as a PARS Reviewer II in Los Angeles. You will conduct tri-annual physical accessibility surveys at healthcare provider sites to ensure DHCS and CMS compliance. This role requires strong organizational skills, proficiency in Microsoft Office, and travel to various locations. We offe...

Join L.A. Care as a Salesforce Business and Technical Design Analyst II in Los Angeles. Translate business requirements into technical solutions using Salesforce, APEX, and Visualforce. This role involves full SDLC participation, from UI/UX design to deployment. Enjoy benefits like medical plans,...

Join L.A. Care as a Network Administrator III in Los Angeles. Utilize your 5+ years of experience and CCNP certification to support mission-critical LAN/WAN systems and mentor junior staff. This role offers comprehensive benefits, including medical, dental, vision, and PTO, in a dynamic technical...