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You Lead the Way. We’ve Got Your Back.With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, communities and each other. Here, you’ll learn and grow as we help you create a career journey that’s unique and meaningful to you with benefits, programs, and flexibility that support you personally and professionally.At American Express, you’ll be recognized for your contributions, leadership, and impact—every colleague has the opportunity to share in the company’s success. Together, we’ll win as a team, striving to uphold our company values and powerful backing promise to provide the world’s best customer experience every day. And we’ll do it with the utmost integrity, and in an environment where everyone is seen, heard and feels like they belong.Join Team Amex and let's lead the way together.The Field Sales Manager sits within a geographical territory and grows the customer base through face-to-face interactions with new prospect customers with annual company revenues ranging from $10M to $300M. The ideal candidate works with senior executives to close calls and land new accounts. The Field Sales Manager understands customer needs and leverages product knowledge to deliver innovative business solutions that provide ongoing value to new customers through the American Express business suite of products. This is a field-based role in which in-person engagement through face-to-face interactions isrequired with prospects and clients.Job ResponsibilitiesProspecting (30 – 40% of time)&nbsp;▪ Leverage various contact methods such as cold calling or in-person meetings to secure profitable sales through firm provided leads and contact-lists, and self-generated leads (e.g., tradeshows) to complement commercial acquisition of product sales opportunities&nbsp;▪ All prospecting must be facilitated with integrity, and in accordance with our values, with a focus on profitably delivering solutions commensurate with the prospective clients needs▪ Business travel is required with the expectation of 25-50% of time spent in-market with prospects and clientsPipeline management (10 – 20% of time)&nbsp;▪ Effectively manage a pipeline of prospective customers provided by American Express and self-prospect within territory (Corporate and Business prospects with revenue between $10M-$300M)&nbsp;▪ Turn leads into prospects (contacts who know you and are willing to share info on available opportunity), follow up with contacts in CRM database, and probe for potential opportunities with the prospectsClient solution(10 – 20% of time)&nbsp;▪ Understand customer requirements and jointly develop solution in accordance with customer requests, bring in product specialists to meet with customer, and continue conversations to understand areas for improvement&nbsp;▪ Maintain a high level of knowledge about American Express products, processes (Underwriting, Line Increase, Customer Financials, Pricing, Contract), key internal partners (Risk, UWA, PPI) and tools (ONE.force, C360)Negotiate and close(10 – 20% of time)&nbsp;▪ Successfully negotiate, and consensually move the prospect through the next phase of the acquisition cycle (e.g., underwriting) in accordance with applicable disclosures, terms and conditions&nbsp;▪ Reaffirm deal details, secure necessary signatures and upon deal completion successfully transition client to Field Account Development to nurture, assess and further expand relationship and volumeCompliance (100% of time)&nbsp;▪ Ensure all aspects of the American Express Code of Conduct, and our Sales Practices policies, standard, and procedures, are adhered to so that we uphold the highest standards in our interactions with our customers and compliantly meet all regulatory requirementsKnowledge, Skills, Attributes, and Experience:Knowledge and SkillsAccount management &amp; pipeline management&nbsp;▪ Manages a pipeline of opportunities, leveraging client data/analytics to plan and prioritize activities&nbsp;Consultative selling&nbsp;▪ Effectively identifies client needs to configure solutions that address client requirements and deliver value&nbsp;Closing&nbsp;▪ Overcomes objections and resistance to proposed solutions with key client decision makers&nbsp;Influence &amp; persuasion&nbsp;▪ Uses appropriate interpersonal styles and communication methods to gain acceptance for products and/or services&nbsp;Demonstrating value&nbsp;▪ Proactively and consistently demonstrates the value of partnering with American Express&nbsp;Results focus&nbsp;▪ Demonstrates a competitive, positive attitude, quickly adapts to different situations, and recovers from setbacks&nbsp;Market, industry, &amp; product knowledge&nbsp;▪ Understands at a tactical level market/industry key competitors, challenges, terminology, technology, trends, and regulationAttributes: ▪ High learning agility&nbsp;▪ Intellectually curious&nbsp;▪ Collaborative and growth mindset&nbsp;▪ Personal accountability&nbsp;▪ Compliance focused&nbsp;Experience: ▪ Bachelor’s degree preferred&nbsp;▪ Excellent sales experience, 5 - 7 years minimum&nbsp;▪ Proven experience winning new business relationships&nbsp;▪ Experience achieving sales quota and goals through multiple product offerings&nbsp;▪ Experience in a highly-regulated industrySalary Range: $70,000.00 to $125,000.00 annually + sales incentive + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back our colleagues and their loved ones with benefits and programs that support their holistic well-being. That means we prioritize their physical, financial, and mental health through each stage of life. Benefits include:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.US Job Seekers/Employees - Click here to view the “Know Your Rights” poster and the&nbsp;Pay Transparency Policy Statement.If the links do not work, please copy and paste the following URLs in a new browser window:&nbsp;<a href="https://www.dol.gov/agencies/ofccp/posters&nbsp;to" target="_blank">https://www.dol.gov/agencies/ofccp/posters&nbsp;to</a> access the three posters.

American Express

Manager-Business Development (Los Angeles, CA)

You Lead the Way. We’ve Got Your Back.With the right backing, people and businesses have the power to progress in incredible ways. When you join Team Amex, you become part of a global and diverse community of colleagues with an unwavering commitment to back our customers, communities and each other. Here, you’ll learn and grow as we help you create a career journey that’s unique and meaningful to you with benefits, programs, and flexibility that support you personally and professionally.At American Express, you’ll be recognized for your contributions, leadership, and impact—every colleague has the opportunity to share in the company’s success. Together, we’ll win as a team, striving to uphold our company values and powerful backing promise to provide the world’s best customer experience every day. And we’ll do it with the utmost integrity, and in an environment where everyone is seen, heard and feels like they belong.Join Team Amex and let's lead the way together.The Field Sales Director sits within a geographical territory and leads a team of managers responsible for new prospect acquisition with annual company revenues ranging from $10M to $300M. This position will drive results through thought leadership, rigorous performance management and coaching and development of a high performing team. This role requires up to 3 weeks per month of travel.Job Responsibilities:Strategic planning (20 – 30% of time)&nbsp;▪ Drive overall sales territory strategy to achieve business goals and sales targets&nbsp;▪ Collect customer feedback and distribute internally to influence product development based on customer need&nbsp;Coaching and development (20 – 30% of time)&nbsp;▪ Hire and on-board new Field Sales managers to build a strong team&nbsp;▪ Support team development by regularly conduct 1:1 coaching sessions, team huddles to share best practices&nbsp;Performance management (10 – 20% of time)&nbsp;▪ Drive a high quality, rigorous sales review process, including account planning, account prioritization and opportunity development in coordination with Field Sales managers&nbsp;▪ Partner with Marketing, EDA, PPI, Product and Senior Leadership to improve sales engagement and performance&nbsp;▪ Support team to handle client escalations, as needed&nbsp;Business development (10 – 20% of time)&nbsp;▪ Initiate, develop and maintain executive level relationships and drive sales activities with key customers&nbsp;▪ Lead sales team to develop a long-term strategy for each territory and top clients&nbsp;Compliance (100% of time)&nbsp;▪ Ensure all aspects of the American Express Code of Conduct, and our Sales Practices policies, standard, and procedures, are adhered to so that we uphold the highest standards in our interactions with our customers and compliantly meet all regulatory requirements&nbsp;▪ Conduct customer ride-alongs with Field Sales managers to ensure high quality and compliant customer interactionsKnowledge, Skills, Attributes, and Experience:Knowledge and SkillsClient development&nbsp;▪ Demonstrates ability to identify potential client growth opportunities and drive results through creative problem solving and excellent leadership&nbsp;Coaching&nbsp;▪ Provides individualized skills-improvement assistance, aiding in self-discovery and encouraging self-generated solutions&nbsp;Performance management&nbsp;▪ Exhibits consistent track record of managing performance, coaching, and motivating for success and identification of development strengths and opportunities improvement to a large team to enable improved business results&nbsp;Demonstrating value&nbsp;▪ Proactively and consistently demonstrates the value of partnering with American Express&nbsp;Results focus&nbsp;▪ Demonstrates a competitive, positive attitude, quickly adapts to different situations, and recovers from setbacks&nbsp;Market, industry, &amp; product knowledge&nbsp;▪ Understands at a tactical level market/industry key competitors, challenges, terminology, technology, trends, and regulation&nbsp;Attributes: ▪ Strategic thinking&nbsp;▪ Leadership and team motivation&nbsp;▪ Personal accountability▪ Compliance focused&nbsp;Experience:▪ Bachelor’s degree required, Master’s degree preferred&nbsp;▪ Experience leading sales teams, 7 – 10 years minimum&nbsp;▪ Proven experience winning new business relationships&nbsp;▪ Experience achieving sales quota and goals through multiple product offerings&nbsp;▪ Experience in a highly-regulated industrySalary Range: $115,000.00 to $190,000.00 annually + sales incentive + equity (if applicable) + benefitsThe above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.We back our colleagues and their loved ones with benefits and programs that support their holistic well-being. That means we prioritize their physical, financial, and mental health through each stage of life. Benefits include:<ul><li>Competitive base salaries&nbsp;</li><li>Bonus incentives&nbsp;</li><li>6% Company Match on retirement savings plan&nbsp;</li><li>Free financial coaching and financial well-being support&nbsp;</li><li>Comprehensive medical, dental, vision, life insurance, and disability benefits&nbsp;</li><li>Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need&nbsp;</li><li>20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy&nbsp;</li><li>Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)&nbsp;</li><li>Free and confidential counseling support through our Healthy Minds program&nbsp;</li><li>Career development and training opportunities</li></ul>For a full list of Team Amex benefits, visit our Colleague Benefits Site.American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law.American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positionsUS Job Seekers/Employees - Click here to view the “Know Your Rights” poster and the&nbsp;Pay Transparency Policy Statement.If the links do not work, please copy and paste the following URLs in a new browser window:&nbsp;<a href="https://www.dol.gov/agencies/ofccp/posters&nbsp;to" target="_blank">https://www.dol.gov/agencies/ofccp/posters&nbsp;to</a> access the three posters.

Director-Business Development (Los Angeles, CA)

Salary Range:&nbsp;&nbsp;$105,267.00&nbsp;(Min.) -&nbsp;$130,000.00&nbsp;(Mid.) -&nbsp;$173,689.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Enterprise Portfolio Management Office (ePMO) is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by L.A. Care (LAC) Leadership and the Board of Governors. These programs and projects span multiple functions and departments, and are enterprise investments in infrastructure and process excellence. The portfolio, program, and project management resources within the ePMO are uniquely positioned to support business units in the planning and delivery of large-scale programs and projects.The accurately, timely, and to a sufficient level of detail needed to define program deliverables (what, why, how, when, how much). Portfolio Delivery team is responsible for ensuring the timely execution of programs and projects on the enterprise portfolio developed in support of LACs strategic direction. The Project Manager III, Portfolio Delivery (Project Manager III) is responsible for managing all aspects of assigned projects leading project teams in creating project level artifacts as defined by the ePMO Shared Services. &nbsp;Such artifacts may include, but not limited to; definitive Plan of Record, scope statement, delivery schedules, risks &amp; issues logs, resource plans, and communications plans.&nbsp;The Project Manager III is responsible for maintaining accurate project execution data within the PPM systems and ensuring all project artifacts are centralized within project site document repository and must provide timely and accurate status reports and proactively escalate issues for resolution; The Project Manager III is accountable for leading complex project cross-functionally, by facilitating the definition of project scope, goals, benefits and deliverables, defines project tasks as well as develops full scale project plans utilizing the Systems Development Life Cycle (SDLC) methodology.The Project Manager III ensures high quality, consistent, and standardized documentation of projects &nbsp;leveraging best practices identified by the ePMO Shared Services function. The Project Manager III is responsible to ensure required artifacts are submitted. &nbsp;Acts as a &nbsp;Subject Matter Expert, serves as a resource and mentor for other staff.<h4>Duties</h4>Leads and manages a portfolio of large complex projects. Develops, manages, and maintains the project plan, schedule, resources, and project artifacts (what, why, how, when, how much) supports centralized document repository; identifies and tracks risks, assumptions, issues, and dependencies; provides timely status reports and proactively escalates issues for resolution; performs project reviews and drives continued progress for project success. &nbsp;Develops strategies for achieving project goals and realigns strategies to account for unforeseen challenges. &nbsp;Monitors best practices in field of expertise, assess and adopt them to increase productivity, managing change and resolving issues that span project teams, departments and able to manage large scale, diverse and complex projects executing simultaneouslyLeads others to successfully complete project deliverables on time, within scope and on budget by ensuring that all project execution toll-gates required by PACE are followed. Optimizes project governance by working with the over-arching infrastructure, processes, and procedures to accomplish objectives including establishing metrics of success and deliverables. Provides coaching and guidance to the team members to ensure understanding of project assignments, priorities and deadlines. Serves as a subject matter knowledgeable leader in multiple business operational/functional areas.Responsible for scheduling, cost tracking/budget, resource management allocation and utilization, project component integration and supporting program performance. Manage multiple complex projects to achieve continuous alignment with the organization’s strategic plans and objectives.Responsible for holding project work teams accountable for on-time delivery of assigned scope within baselined schedule, and costs/effort.&nbsp;Responsible for appropriate change management practice in partnership with stakeholders and delivery work teams to accurately and timely reflect project change controls and process timely within L.A. Care's governance framework.&nbsp; <h4>Duties Continued</h4>Ensures executive summaries are submitted to the Leadership Team for review and approval in an accurate and timely manner. Upon Leadership approval, manages the creation of definitive project execution plans.Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable &nbsp;meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.Perform other duties as assigned.&nbsp;<h4>Education Required</h4>Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree<h4>Experience</h4>Required: At least 5-7 years of experience in Project Management within a Managed Care Organization or Top 10 management consulting role in Healthcare industry.Experience facilitating complex decision making among multiple executive stakeholders with different interests and priorities.Experience in managing, motivating, mentoring staff and conflict resolution. Knowledge of managed care health insurance industry with preference given to applicants with strong experience in Medicaid and Medicare managed care.<h4>Skills</h4>Required:&nbsp; Demonstrated success managing medium to large scale, diverse and complex projects executing simultaneously.&nbsp;Ability to work well independently or leading a project team/efforts with limited supervision; strong team collaboration.Ability to manage priorities across multiple teams/projects, platforms.Well versed in project management processes supporting project deliverables to facilitate the creation of standard project documents and artifacts.Strong analytical, planning, and organizational skills. Strong facilitation and mentoring skills.Excellent written and verbal communication skills; speaks clearly and persuasively in positive or negative situations.Possesses excellent time management and organizational skills.Ability to manage priorities across multiple teams/projects, possesses ability to work in a fast-paced and changing environment. &nbsp;Ability to work well independently.&nbsp;Proven ability to work collaboratively with business and technology communities to accomplish expected committed project outcomes.Proven ability to understand healthcare technology architecture and application landscape by functional area.Proven ability to apply an enterprise project management methodology and framework (i.e. PACE).Ability to engage all project stakeholders and work teams within L.A. Care's established delivery methodology framework (PACE).ogy framework (PACE).<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Project Management Professional (PMP)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Medicaid, Medical Technology, Medicare, Healthcare

L.A. Care Health Plan

PMO Project Manager III

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.<h4>Duties</h4>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.<h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4>Required: At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;Preferred: Managed Care experience performing UM and CM at a medical group or management services organization.Experience with Managed Medi-Cal, Medicare, and commercial lines of business.<h4>Skills</h4>Required: Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp; Excellent time management and priority-setting skills.Maintains strict member confidentiality and complies with all HIPAA requirements.Strong verbal and written communication skills. &nbsp; &nbsp;Preferred: Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>May work on occasional weekends and some holidays depending on business needs.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance

Utilization Management Nurse Specialist RN II

ABOUT ROCKET LABRocket Lab is a global leader in launch and space systems. The rockets and satellites we build and launch enable some of the most ambitious and vital space missions globally, supporting scientific exploration, Earth observation and missions to combat climate change, national security, and exciting new technology demonstrations. Our Electron rocket has provided reliable access to orbit since 2018, becoming one of the most frequently launched rockets in the world. Neutron will be our next rocket on the launch pad, an advanced 13-tonne payload class, reusable rocket to launch the mega constellations of the future. Our space systems business includes our extensive line of satellites and components that have enabled more than 1,700 missions including the James Webb Space Telescope, NASA Psyche Mission, Artemis I, Mars Ingenuity helicopter, and more. &nbsp;Join our pioneering team and launch your career to new heights!BUSINESS DEVELOPMENTRocket Lab’s Business Development team is responsible for connecting customers across government and commercial sectors with our industry leading mission solutions spanning launch and space systems. They work closely with new and existing customers to understand their needs and develop tailored solutions to deliver their missions. Building and maintaining relationships with customers and internally with engineering and operations teams is at the core of our Business Development team. They have their fingers on the pulse of the space industry and are driven to deliver results for our customers and our business.BUSINESS DEVELOPMENT MANAGER, SATELLITES – DEFENSE SEGMENT&nbsp;(TS/SCI CLEARANCE)Based out of Rocket Lab's global headquarters in Long Beach, CA, as the Business Development Manager, Satellites - Defense Segment, you will be at the forefront of our efforts to expand Rocket Lab’s satellite offerings within the defense sector. You will lead the charge in identifying new business opportunities, crafting strategic capture plans, and securing major contracts that enhance our presence in the national security market.WHAT YOU’LL GET TO DO:&nbsp;<ul><li>Lead business development initiatives focused on satellite solutions for defense applications in coordination with the Director of Business Development – Satellites</li><li>Develop and execute capture strategies for securing large defense contracts, including those with government agencies and prime contractors</li><li>Engage with key defense stakeholders to build and maintain long-term relationships, ensuring Rocket Lab’s solutions align with their evolving needs</li><li>Collaborate with cross-functional teams to prepare and deliver compelling proposals that meet customer requirements and win new business&nbsp;</li><li>Monitor defense industry trends and competitor activities to inform and adapt our business development strategies&nbsp;</li><li>Grow existing business opportunities and nurture relationships with existing customers to develop additional business opportunities&nbsp;</li><li>Create new business opportunities and relationships by presenting Rocket Lab’s capabilities/experience to provide satellite solutions – including bus offerings and complete satellites to meet mission requirements&nbsp;</li><li>Lead and/or participate in proposal activities, including generation of technical, management, cost, schedule, and proposal content for new business&nbsp;</li><li>Develop strong relationships across all levels of the business to ensure alignment, efficiency, and collaboration, including coordinating with stakeholders</li><li>Represent Rocket Lab at industry conferences and customer meetings&nbsp;</li><li>Travel as needed for business opportunities&nbsp;</li><li>Other duties as assigned or required&nbsp;</li></ul>YOU’LL BRING THESE QUALIFICATIONS:&nbsp;<ul><li>Bachelor’s degree in engineering or other technical discipline</li><li> 8+ years of experience in business development, program management, or systems engineering within the aerospace sector</li><li> In-depth knowledge of defense acquisition processes, government contracting, and the national security landscape</li><li> Proven track record of securing large (&gt;$20M) contracts and managing strategic relationships within the defense industry</li><li>Active TS/SCI security clearance</li></ul>THESE QUALIFICATIONS WOULD BE NICE TO HAVE:&nbsp;<ul><li>Master’s degree in aerospace engineering or related engineering field; or business&nbsp;</li><li>Specialization in US government business development, with deep experience selling to US national security (Space Force, NRO, SDA, etc.)&nbsp;</li><li>Demonstrable record of success in business development, sales, program management and/or engineering of satellite systems, payloads, or platforms&nbsp;</li><li>Extensive awareness of current/ongoing US Government national security satellite programs&nbsp;</li><li>Excellent verbal and written communication and presentation skills&nbsp;</li><li>Experience leading, managing, and growing geographically disperse teams on fast-paced projects&nbsp;</li><li>Proficient in all Microsoft Suite products, including MS Project&nbsp;</li><li>General knowledge of industry specific technical requirements and quality requirements&nbsp;</li><li>Experience using customer relationship management (CRM) software&nbsp;</li><li>Experience with proposal development, writing, and best practice capture processes, and ability to independently complete cost and technical proposals&nbsp;</li><li>Experience working with subject matter experts to collect and create compelling proposal content and detailed responses</li></ul>ADDITIONAL REQUIREMENTS:&nbsp;<ul><li>Willingness to travel up to 50% of the time to meet with clients, attend industry events, and support capture efforts. Mostly domestic travel with some international travel required as well</li><li> Availability outside of normal business hours and/or weekends as needed</li><li>Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to focus</li><li>Regularly required to sit, use hands and fingers, operate computer keyboard and controls, and communicate verbally and in writing</li><li>Must be physically able to commute to buildings</li><li>Occasional exposure to dust, fumes and moderate levels of noise</li></ul>Level and base salary will be determined on a case-by-case basis and may vary based on the following considerations: job-related knowledge and skills, education, and experience.Base salary is just one component of our total rewards package at Rocket Lab.&nbsp; Employees may also receive company equity and access to a robust benefits package including: top tier medical HMO, PPO &amp; a 100% company-sponsored medical HSA plan option, dental and vision coverage, 3 weeks paid vacation and 5 days sick leave per year, 11 paid holidays per year, flexible spending and dependent care savings accounts, paid parental leave, disability insurance, life insurance, and access to a 401(k) retirement plan with company match. Other perks include: Discounted employee stock purchase program, subsidized EV charging stations, onsite gym, food and drinks, childcare concierge, and other discounts. Eligibility for benefits may vary based on employment status, please check with your recruiter for a comprehensive list of the benefits available for this role. Benefit programs are subject to change at the company’s discretion.Base Pay Range (CA Only)$120,000—$200,000 USDWHAT TO EXPECT&nbsp;We’re on a mission to unlock the potential of space to improve life on Earth, but that’s not an easy task. It takes hard work, determination, relentless innovation, teamwork, grit, and an unwavering commitment to achieving what others often deem impossible. Our people out-think, out-work and out-pace. We pride ourselves on having each other’s backs, checking our egos at the door, and rolling up our sleeves on all tasks big and small. We thrive under pressure, work to tight deadlines, and our focus is always on how we can deliver, rather than dwelling on the challenges that stand in the way.&nbsp;&nbsp;&nbsp;Important information:FOR CANDIDATES SEEKING TO WORK IN US OFFICES ONLY:To conform to U.S. Government space technology export regulations, including the International Traffic in Arms Regulations (ITAR), Rocket Lab Employees must be a U.S. citizen, lawful U.S. permanent resident (i.e., current Green Card holder), or lawfully admitted into the U.S. as a refugee or granted asylum, or be eligible to obtain the required authorizations from the U.S. Department of State and/or the U.S. Department of Commerce, as applicable. Learn more about ITAR here.Rocket Lab provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment at Rocket Lab, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Applicants requiring a reasonable accommodation for the application/interview process for a job in the United States should contact Giulia Johnson at <a href="mailto:g.biow@rocketlabusa.com.This" target="_blank">g.biow@rocketlabusa.com.This</a> dedicated resource is intended solely to assist job seekers with disabilities whose disability prevents them from being able to apply/interview. Only messages left for this purpose will be considered. A response to your request may take up to two business days.FOR CANDIDATES SEEKING TO WORK IN NEW ZEALAND OFFICES ONLY:For security reasons background checks will be undertaken prior to any employment offers being made to an applicant.&nbsp; These checks will include nationality checks as it is a requirement of this position that you be eligible to access equipment and data regulated by the United States' International Traffic in Arms Regulations.&nbsp;Under these Regulations, you may be ineligible for this role if you do not hold citizenship of Australia, Japan, New Zealand, Switzerland, the European Union or a country that is part of NATO, or if you hold ineligible dual citizenship or nationality.&nbsp; For more information on these Regulations, click here&nbsp;ITAR Regulations.

Rocket Lab

Business Development Manager, Satellites - Defense Segment (TS/SCI Clearance)

Join the Clean Energy Revolution Become&nbsp;a&nbsp;Grid Information Technology - Project Management, Senior Manager&nbsp;at Southern California Edison (SCE) and build a better tomorrow.&nbsp;&nbsp;In this job, you’ll lead a team of Project Managers who are responsible for delivering multiple Software projects in the Grid Management System portfolio that involves integrating Commercial Off-The-Shelf product with SCE’s Grid and Enterprise applications and systems with a high degree of quality and within scope, schedule, and budget.&nbsp; As part of the Grid Management System team, partner with business clients and other IT teams, to provide project management oversight and direction to project teams to ensure solution and service delivery. Handle all stages of the systems development life cycle, including analysis, estimation, design, evaluation, demonstration, construction, testing, implementation, and post-implementation support through warranty period. Play a key role in enablement and automation of business capabilities, functions, processes, and products for the Grid Management System.&nbsp; As a&nbsp;Grid Information Technology - Project Management, Senior Manager, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?<h4>Responsibilities</h4><ul><li>Develops long-term vision and strategic roadmap for the project management competency</li><li>Cultivates relationships with business partners and vendors to achieve operational excellence</li><li>Drive adoption of innovative project management methodologies and approaches </li><li>Directs project portfolio planning and ongoing optimization of resources to advance key initiatives</li><li>Enhances program increment planning, dependency management, and synchronization of Agile release trains</li><li>Promotes collaboration between project teams to share knowledge, reuse code, align architecture, and standardize processes</li><li>Provides coaching and mentoring to project managers on Agile principles, removing impediments, and evolving practices</li><li>Drives initiatives to improve team velocity trends, defect rates, and sprint burndown metrics to mitigate risk</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Five or more years of experience supervising a team of direct reports and/or project management.</li><li>Experience developing long-term vision and strategic roadmaps for IT projects. </li><li>Experienced in technical leadership of project portfolio planning and ongoing optimization of resources.</li></ul>Preferred Qualifications<ul><li>Ten or more years of experience in a Technical, Engineering and/or Business - related Project Management role, leading successful implementation of projects against scope, timeline, and budget.</li><li>Seven or more years of experience supporting or leading Software projects or key business initiatives.</li><li>Five or more years of experience with Deployment Readiness, IT Operational Readiness, Organization Change Management, Data Readiness, and Distribution Network Modeling.</li><li>Five or more years of experience managing System Integration work to integrate Commercial Off-The-Shelf product with Enterprise applications and systems.</li><li>Three or more years of experience managing suppliers, service contracts, project metrics, and contracts to meet project objectives.</li><li>Bachelor's degree or higher in Engineering, Computer Science, Information Systems, or related technical major.</li><li>Five or more years or experience working with Grid Control systems. (SCADA, Distribution Management System, Outage Management System) and&nbsp; deployment of DER capabilities. &nbsp;</li><li>&nbsp;Professional training and certifications consistent with Project Management, including one or more of the following: Six Sigma, ITIL, PMP, Agile and/or Scrum certification</li></ul>Additional Information<ul><li>TThis position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business needs.</li><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li><li>Relocation does not apply to this position.</li></ul>About Southern California EdisonThe people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.

Southern California Edison

Grid Information Technology - Project Management, Senior Manager

ABOUT ROCKET LABRocket Lab is a global leader in launch and space systems. The rockets and satellites we build and launch enable some of the most ambitious and vital space missions globally, supporting scientific exploration, Earth observation and missions to combat climate change, national security, and exciting new technology demonstrations. Our Electron rocket has provided reliable access to orbit since 2018, becoming one of the most frequently launched rockets in the world. Neutron will be our next rocket on the launch pad, an advanced 13-tonne payload class, reusable rocket to launch the mega constellations of the future. Our space systems business includes our extensive line of satellites and components that have enabled more than 1,700 missions including the James Webb Space Telescope, NASA Psyche Mission, Artemis I, Mars Ingenuity helicopter, and more. &nbsp;Join our pioneering team and launch your career to new heights!PEOPLE &amp; CULTUREAre you ready to be part of an extraordinary journey beyond our planet? At Rocket Lab we are dedicated to innovation, teamwork and doing the impossible to improve life on earth. Our rockets and spacecraft enable humanity to tackle some of its greatest challenges by delivering vital data and services from space.Rocket Lab’s People &amp; Culture team is responsible for looking after our most valuable asset: our people. Across our global teams, the People &amp; Culture team supports our people and departments across recruitment, onboarding, total rewards, , training and development and much more. We make sure our growing and diverse global team is mission ready, supported, and continuing to grow into a world-class team.PEOPLE &amp; CULTURE (P&amp;C) HRIS Data CoordinatorRocket Lab is seeking a detailed-oriented People and Culture (HRIS) Data Coordinator to play a key role in entering, managing, and reconciling data within our Human Resources Information Systems. The ideal candidate will be responsible for accurately entering personnel information, ensuring data consistency, and supporting overall P&amp;C data integrity initiatives. Additionally, this role will support various P&amp;C administrative tasks related to onboarding, offboarding, and employee records management.WHAT YOU’LL GET TO DO:&nbsp;The role’s responsibilitiesData Reconciliation:<ul><li><ul><li>Actively reconcile data between multiple HR systems to ensure consistency and accuracy.</li><li>Identify and resolve discrepancies by conducting data audits and coordinating with relevant teams.</li></ul></li></ul>Data Entry and Employee Changes:<ul><li><ul><li>Enter and update employee information into HR databases with a high level of accuracy.</li><li>Process employee changes, such as new hires, terminations, promotions, and transfers in the HRIS systems.</li></ul></li></ul>Onboarding and Offboarding:<ul><li><ul><li>Support new hire preparations which include set-up, orientation, new hire paperwork collection, new hire merchandise, and preparing the electronic personnel file.</li><li>Prep termination paperwork and manage Active/Terminated employee data.</li></ul></li></ul>Document Management:<ul><li><ul><li>Maintain record-keeping and upload documents into HRIS systems.</li><li>Perform audits of HR files and records to ensure that all required documents are collected and filed appropriately.</li></ul></li></ul>Confidentiality and Compliance:<ul><li><ul><li>Handle sensitive employee information with the utmost confidentiality and integrity.</li><li>Ensure adherence to data protection and privacy regulations.</li></ul></li></ul>Administrative Tasks:<ul><li><ul><li>Use office software for word processing, spreadsheets, and creating or updating presentations, under the supervision of a manager.</li><li>Generate routine and ad-hoc reports for People and Culture and management teams.</li></ul></li></ul>Other Duties:<ul><li><ul><li>Support the team in various P&amp;C projects as needed.</li><li>Perform other duties as assigned.</li></ul></li></ul>YOU’LL BRING THESE QUALIFICATIONS: <ul><li>Associate’s degree in Human Resources, Business Administration, Information Systems, or related field.</li><li>At least 2 years of experience in Human Resources data coordination, data entry, or a similar role or equivalent experience obtained through bachelor’s degree in a related field.</li><li>Proficiency with HRIS and Payroll systems (e.g., Workday, Paylocity, ADP, UKG or equivalent).</li><li>Strong proficiency in Microsoft Office Suite, particularly Excel.</li><li>Excellent attention to detail and accuracy.</li><li>Exceptional organizational and time management skills.</li><li>Strong problem-solving abilities and analytical skills.</li><li>Proficient verbal and written communication skills.</li><li>Ability to manage confidential information with discretion and professionalism.</li></ul>THESE QUALIFICATIONS WOULD BE NICE TO HAVE: <ul><li>Experience in the aerospace or high-tech industries.</li><li>Familiarity with data protection regulations and compliance standards.</li><li>Ability to work effectively in a fast-paced, dynamic environment.</li></ul>ADDITIONAL REQUIREMENTS:<ul><li>Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to focus.&nbsp;&nbsp; </li><li>Regularly required to sit, use hands and fingers, operate computer keyboard and controls, and communicate verbally and in writing. &nbsp;</li><li>Must be physically able to commute to buildings </li><li>Occasional exposure to dust, fumes and moderate levels of noise.&nbsp;</li></ul>Level and base salary will be determined on a case-by-case basis and may vary based on the following considerations: job-related knowledge and skills, education, and experience.Base salary is just one component of our total rewards package at Rocket Lab.&nbsp; Employees may also receive company equity and access to a robust benefits package including: top tier medical HMO, PPO &amp; a 100% company-sponsored medical HSA plan option, dental and vision coverage, 3 weeks paid vacation and 5 days sick leave per year, 11 paid holidays per year, flexible spending and dependent care savings accounts, paid parental leave, disability insurance, life insurance, and access to a 401(k) retirement plan with company match. Other perks include: Discounted employee stock purchase program, subsidized EV charging stations, onsite gym, food and drinks, childcare concierge, and other discounts. Eligibility for benefits may vary based on employment status, please check with your recruiter for a comprehensive list of the benefits available for this role. Benefit programs are subject to change at the company’s discretion.Base Pay Range (CA Only)$30—$35 USDWHAT TO EXPECT&nbsp;We’re on a mission to unlock the potential of space to improve life on Earth, but that’s not an easy task. It takes hard work, determination, relentless innovation, teamwork, grit, and an unwavering commitment to achieving what others often deem impossible. Our people out-think, out-work and out-pace. We pride ourselves on having each other’s backs, checking our egos at the door, and rolling up our sleeves on all tasks big and small. We thrive under pressure, work to tight deadlines, and our focus is always on how we can deliver, rather than dwelling on the challenges that stand in the way.&nbsp;&nbsp;&nbsp;Important information:FOR CANDIDATES SEEKING TO WORK IN US OFFICES ONLY:To conform to U.S. Government space technology export regulations, including the International Traffic in Arms Regulations (ITAR), Rocket Lab Employees must be a U.S. citizen, lawful U.S. permanent resident (i.e., current Green Card holder), or lawfully admitted into the U.S. as a refugee or granted asylum, or be eligible to obtain the required authorizations from the U.S. Department of State and/or the U.S. Department of Commerce, as applicable. Learn more about ITAR here.Rocket Lab provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. This policy applies to all terms and conditions of employment at Rocket Lab, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.Applicants requiring a reasonable accommodation for the application/interview process for a job in the United States should contact Giulia Johnson at <a href="mailto:g.biow@rocketlabusa.com.This" target="_blank">g.biow@rocketlabusa.com.This</a> dedicated resource is intended solely to assist job seekers with disabilities whose disability prevents them from being able to apply/interview. Only messages left for this purpose will be considered. A response to your request may take up to two business days.FOR CANDIDATES SEEKING TO WORK IN NEW ZEALAND OFFICES ONLY:For security reasons background checks will be undertaken prior to any employment offers being made to an applicant.&nbsp; These checks will include nationality checks as it is a requirement of this position that you be eligible to access equipment and data regulated by the United States' International Traffic in Arms Regulations.&nbsp;Under these Regulations, you may be ineligible for this role if you do not hold citizenship of Australia, Japan, New Zealand, Switzerland, the European Union or a country that is part of NATO, or if you hold ineligible dual citizenship or nationality.&nbsp; For more information on these Regulations, click here&nbsp;ITAR Regulations.

P&C Data Coordinator - Temporary

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4> The Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines.Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. &nbsp;Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner.&nbsp;Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress.&nbsp;<h4>Duties</h4>Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence).&nbsp; Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies.Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions.<h4>Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines.</h4><h4>Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes.</h4><h4>Duties Continued</h4><h4>Meets and assesses members at L.A. Care Community Resource Centers, as needed.</h4><h4>Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines.</h4><h4>Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate.</h4><h4>Encourages member and family empowerment through education and use of reliable resources.</h4><h4>Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan’s goals and interventions on a regular basis.</h4><h4>Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. </h4><h4>Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage.</h4><h4>Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training.</h4><h4>Performs other duties as assigned.</h4><h4>Education Required</h4>Associate's Degree in Nursing for Registered NursesMaster's Degree in Social Work for Licensed Clinical Social Workers<h4>Education Preferred</h4>Bachelor's Degree in Nursing for Registered Nurses<h4>Experience</h4> Required: Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. &nbsp;Experience providing care management with complex/catastrophic conditions.<h4>Skills</h4> Required: Current knowledge of clinical standards of care and disease processes.Critical thinking skill.&nbsp;Excellent customer service skills.Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions.Ability to triage immediate member health and safety risks.Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. &nbsp;Ability to use a personal computer, and knowledge of medical information systems.Knowledge of and ability to comply with HIPAA compliance.Ability to interview, assess and coordinate care. Ability to prioritize caseload.Knowledge of community resources.Knowledge of Medi-Cal and Medicare regulations.Ability to work as a part of a diverse team and gain consensus and resolution of problems.Preferred: Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.<h4>Licenses/Certifications Required</h4>Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Required:&nbsp; Travel to offsite locations for work.Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Social Worker, Travel Nurse, Nursing, Registered Nurse, Behavioral Health, Service, Healthcare

Care Management Specialist II (D-SNP)

Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. <h4>Job Summary</h4>The Business Analyst III facilitates business process improvement via the methodical investigation, analysis, review and documentation of functional business specifications. This position manages the requirements development process through the elicitation, analysis, specification and verification of multiple levels of requirements from an end-to-end perspective and supports the ongoing management of the requirements. This position develops report and analysis for the department. It is responsible in communicating and coordinating with IT on a day-to-day department related efforts. The Business Analyst III manages and coordinates the implementation and/or integration of products or new features for clients including client training and provides subject matter expertise (SME) and support of the department's inbound and outbound functions. This position acts as mentor to Business Analysts I/ II.<h4>Duties</h4>Develop functional and user acceptance test plans and scenarios. Coordinate functional and user acceptance testing by executing the testing strategy, scheduling resources and tracking test performance. Perform data analysis to support evaluation of system defects or to develop requirements for new functionality; assist in various system trouble shooting and balancing and correction efforts including analysis, verification and validation of issues and fixes. Coordinate activities including on-time delivery, testing and production moves.Collaborate with I.T. on all department &nbsp;related efforts, including submission of Service Requests and writing BRD's. Coordinate related data requests from internal departments, and/or assist I.T. with definition of criteria. Delegate data and reporting requests to business analysts. Facilitate collaborative system and data design sessions with the user community, technical architecture resources and development resources. Preparation of status updates to enterprise for distribution and communication.Work as a technical support and liaison to designated I.T. personnel to provide testing, support and feedback on enhancement requests and regular updates/releases; adhere to release schedules. Provide analytical support for critical corporate initiatives including business function support for system migrations and consolidations, significant business area process improvement projects and complex product installations.Demonstrate a high level of subject matter expertise in functional area to bridge business requirements and I.T. solutions; provide technical direction and ensure compliance with best practice solutions. Practice knowledge transfer and foster change management as the organization changes and new skills are required, focusing on team/individual development to be a valued contributor.Participate and contribute on the development/ creation of data models and interface design specifications. Support internal/ external stakeholder's roadmap and audits as needed. Oversee the business process support across multiple client engagements. Communication with internal/ external stakeholders for department's submission requirements. Review submission of data against established benchmarks and coordinate correction and improvement efforts. Monitor timely and accurate outbound data submission to state and federal recipients.<h4>Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.</h4><h4>Perform other duties as assigned.</h4><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4><h4>Experience</h4>Required:At least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, encounter processing.<h4>Skills</h4>Required: Competent to work at the highest technical level of most phases of systems analysis.Excellent verbal and written communication skills.Coaching, Mentoring and Teaching skills.Teamwork-focused/collaborative work style.Demonstrated ability to work successfully on large projects.Problem solving skills evidenced by demonstrated results in past positions.Ability to work under tight deadlines and handle multiple/detail-oriented tasks.Ability to influence at all levels of the organization.Proficient in Microsoft Office and Vizio.Preferred: Ability to work on other programs such as SharePoint and/ or OneNote<h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4>Department Specifics:Customer Solution Center Appeals and Grievances:This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assignedSalary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market.&nbsp; The range is subject to change.L.A. Care offers&nbsp;a wide range of benefits including<ul><li>Paid Time Off (PTO)</li><li>Tuition Reimbursement</li><li>Retirement Plans</li><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Volunteer Time Off (VTO)</li></ul> Nearest Major Market: Los Angeles Job Segment: Business Analyst, Claims, Finance, Insurance

Business Analyst III

Join the Clean Energy RevolutionBecomeaPrincipal Manager, Facilities Asset Managementat Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll&nbsp;eport to the Director of Corporate Real Estate and be responsible for the operation and maintenance of a diverse portfolio of offices, data centers, service centers, substations, operations centers, and warehouses - over 7 million square feet of facilities covering our 50,000 square mile service area.&nbsp; You will lead our overall strategy to provide safe and productive workspaces for our over 13,000 employees and manage a budget of over $100M a year.&nbsp; As a&nbsp;Principal Manager, Facilities Asset Management, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?<h4>Responsibilities</h4><ul><li>Designs and implements real estate and facilities strategy, plans and activities, such as identifying, acquiring and investing in land and offices, in order to support business operations needs in the short and long term in accordance with company-wide guidelines</li><li>Develops mid and long-term business plans and objectives for the organization and contributes to the development of business plans and corporate objectives</li><li>Establishes and delivers a strategic playbook for real estate and facilities management that balances total cost of ownership with the needs of the operating units</li><li>Oversees and implements continuous improvement projects, including operationalizing lease management database, maintaining site assessments, establishing and enforcing the company's facility standards, ensuring transactions are correctly processed, and delivering on various security initiatives</li><li>Designs and implements strategy for maximizing Other Operating Revenue (OOR) through secondary land use (e.g., licensing/leasing property, timber sales, filming revenue), campground revenue, and other identified revenue streams.</li><li>Responsible for navigating politically sensitive issues around SCE land use. Ensuring encroachments onto SCE land are identified and removed, managing SCE transmission corridors to mitigate risk to SCE, such as fire risk, homeless encampments, and maintenance of property rights</li><li>Responsible for SCE's title and real estate appraisal services. Overseeing the team responsible for research and analysis of property and property rights to ensure accurate financial approaches and properly documenting land rights with appropriate agencies</li><li>Responsible for SCE's rights analysis functions, researching and analyzing SCE's property rights to allow for performance of construction and maintenance work</li><li>Manages supply chain concerns and all lead times that could affect construction and maintenance projects</li><li>Oversees the preparation of facility costs evaluations, including utilities energy savings programs</li><li>Oversees and manages all real estate facilities that the company leases and owns, ensuring that proper records are kept with respect to lease expirations along with critical dates for exercising renewal options, purchase options, early termination rights, expansion options, and the deadline to request reimbursement</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.</li></ul><h4>Minimum Qualifications</h4><ul><li>Seven or more years of experience supervising a team of direct reports and/or project management.</li><li>Experience in Real Estate Licensing, Real Estate Acquisitions, Right of Way or Real Property Transactions.</li><li>Posses a valid Class C Driver's License.</li></ul>Preferred Qualifications<ul><li>Masters Degree in Business,&nbsp;&nbsp;Asset Management, or related field.&nbsp;</li><li>Ten or more years of experience directly supervising employees.&nbsp;</li><li>Experience managing a real estate portfoliio of over 5 million square feet.</li><li>Experience managing a real estate budget of over $50 million a year.&nbsp;</li><li>Certifications or memberships from the following professional organizations: PMI, BOMA, IFMA&nbsp;</li><li>Experience managing building services such as landscaping, janitorial, etc.&nbsp;</li><li>Construction project management experience&nbsp;</li></ul>Additional Information<ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days.  Unless otherwise noted, employees are required to work and&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;The work mode can be changed based on business need</li></ul><ul><li>Visit our&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li></ul><ul><li>Position will require up to&nbsp;30%&nbsp;traveling and being out in the field throughout the&nbsp;SCE service territory.&nbsp;</li></ul><ul><li>This position has been identified as a NERC/CIP impacted position - Prior to being hired, the successful candidate must pass a Personnel Risk Assessment (PRA) or Background Investigation.&nbsp; Once hired, the candidate must complete specified training prior to gaining un-escorted access to assigned work location and performing necessary job duties.</li></ul><ul><li>Relocation may apply to this position.</li></ul>About Southern California EdisonThe people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.

32 Project Management / Professional Services Jobs in Santa Monica, CA, USA