field_job_employment_type

job_industry

field_job_occupational_field_parents_all

job_organization_name

<p>Salary Range:&nbsp;&nbsp;$55,245.00&nbsp;(Min.) -&nbsp;$69,045.00&nbsp;(Mid.) -&nbsp;$82,867.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>The Help Desk Technician II provides workstation phone, off site and onsite support for users, vendors and/or clients, resolving computer issues and help desk-related requests. This position plans, analyzes, configures, and installs new personal computer systems, determining user specifications for hardware and software upgrades; maintains and repairs existing computers; and deals with most issues that are simple or routine, escalating more complex or involved issues to Level II staff. This position composes documentation and communication regarding help desk/telephone support operations, and focuses on customer relations, achieving user comfort level on computer applications and equipment. This position may be required to travel on an as needed basis in order to fulfill user support responsibilities.</p><h4>Duties</h4><p><strong>Help Desk Coordination:</strong> Track all help desk issues and ensure that all are assigned to a staff member, are completed, and that users are kept informed of the status of their requests. (30%)</p><p><strong>User Support:</strong> Provide 1st-tier user support for all simple or routine user issues. Help users resolve system problems, utilize standard software, and maintain standard hardware. The Help Desk Technician may be required to travel on an as needed basis in order to fulfill user support responsibilities. (30%)</p><p><strong>Account Creation:</strong> Create standard accounts for new users for workstation login or email. Assign users to established groups and assign standard file permissions on appropriate servers. (15%)</p><p><strong>Maintain Supplies:</strong> Responsible for maintaining computer-related supplies (toner cartridges, floppy disks, backup tapes, etc.). Keep track of use, research prices, submit expenditure requests when needed, and ensure that consumables don't run out. Ensure that new hardware is accurately entered into the FAS accounting system. Workstation Roll out/Patching: Provide manpower for workstation rollouts and applying patches to workstations. (15%)</p><p>Perform other duties as assigned. (10%).</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4>Associate's Degree<h4>Experience</h4><p>Required:</p><p>At least 2 years of experience in configuring &amp; administering networked computer systems in a Windows environment.</p><p>Strong experience with TCP/IP, Microsoft Outlook Email, Laptops and PDAs such as blackberry.</p><p>Experience in providing support to telecommute &amp; mobile laptop users required. </p><h4>Skills</h4><p>Required:</p><p>Familiar in configuring remote LAN access for VPN. </p><p>Excellent team work ethic.</p><p>Excellent communication and customer service skills. </p><p>Working knowledge of the Microsoft Office Suite, Windows XP/7 and Active Directory.</p><p>Preferred:<br>Strong PC and desktop application knowledge.</p><p>Strong computer troubleshooting and problem solving skills.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Computing Technology Industry Association (CompTIA) A+ CertificationHelp Desk Institute (HDI) Certification<h4>Required Training</h4><h4>Physical Requirements</h4>Moderate<h4>Additional Information</h4><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                </p>

L.A. Care Health Plan

Help Desk Technician II

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Description</p><p>Summary:&nbsp;</p><ul><li>Every day is a chance to learn something new!&nbsp;</li><li>Partner with a team of 6 nurses to drive quality improvements and get a behind-the-scenes look at how health plans operate.</li><li>This internship opportunity intersects clinical expertise, health plan operations and compliance, making it a strong foundation for careers in nursing, quality assurance or health plan administration. &nbsp;</li><li>Join a friendly, supportive team that values your contributions and celebrates success! &nbsp;&nbsp;</li><li>You will gain insider knowledge about healthcare compliance, auditing processes and how to apply clinical expertise in a dynamic environment.&nbsp;</li></ul><p>Role/Duties:&nbsp;</p><ul><li>Data collection and review</li><li>Learn about reports submitted by delegates and how these translate into an audit &nbsp;&nbsp;</li><li>Compliance Monitoring</li><li>Learn more about regulatory requirements&nbsp;</li><li>Quality Improvement Initiatives</li><li>Attend meetings with internal teams and delegated entities to discuss audit findings</li><li>Team Collaboration and Communication&nbsp;</li><li>Collaborate with teams to present findings and recommend improvements</li><li>Focus on attention to detail, and professional communication and learn more about the audit process&nbsp;</li><li>Support RN’s in identifying patters of non-compliance or areas for improvement</li></ul><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Clinical Research, Medical Research, Clinic, Healthcare                                                    </p>

Student Intern (Enterprise and Network Oversight Clinical Operations)

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Student Intern – Regulatory Affairs and Reporting (Compliance)</p><p>Internship Overview:<br>•&nbsp;&nbsp; &nbsp;The Regulatory Affairs &amp; Reporting team within Compliance serves as LA. Care’s main liaison with regulatory agencies, including the Department of Health Care Services (DHCS) and the Centers for Medicare &amp; Medicaid Services (CMS).&nbsp;<br>•&nbsp;&nbsp; &nbsp;The intern will utilize and develop skills related to project management, regulatory affairs and research, data report collection and review, managed care/health plan administration, problem-solving, meeting facilitation, and note-taking.</p><p>Possible Internship Duties:<br>•&nbsp;&nbsp; &nbsp;Assist in management of regulatory inquiries and report submissions.&nbsp;<br>•&nbsp;&nbsp; &nbsp;Conduct and aggregate regulatory research to identify regulatory requirements impacting the Regulatory Affairs &amp; Reporting team.&nbsp;<br>•&nbsp;&nbsp; &nbsp;Support implementation and enhancements to team processes such as regulatory inquiry and report management. This includes meeting scheduling and coordination, regulatory analysis, documenting workflows, and assisting in process improvement efforts.<br>•&nbsp;&nbsp; &nbsp;Provide support for the Medicare Data Validation (MDV) audit, including data collection and review, making updates to work plans/trackers, meeting scheduling and coordination, and regulatory analysis of audit requirements.<br>•&nbsp;&nbsp; &nbsp;Support coordination and management of regulator meetings, including collection of meeting deliverables, stakeholder outreach, and note-taking.</p><p>Desired Intern Profile &amp; Qualifications:<br>•&nbsp;&nbsp; &nbsp;Interest in and desire to learn about healthcare compliance and/or managed healthcare.<br>•&nbsp;&nbsp; &nbsp;Analytical and problem-solving skills.<br>•&nbsp;&nbsp; &nbsp;Effective verbal and written communication skills across a variety of stakeholders and settings.<br>•&nbsp;&nbsp; &nbsp;Ability to work cooperatively with others.<br>•&nbsp;&nbsp; &nbsp;Ability to adapt to changing business needs.<br>•&nbsp;&nbsp; &nbsp;(Preferred) Knowledge in compliance and/or managed healthcare.<br>•&nbsp;&nbsp; &nbsp;(Preferred) Knowledge in working with technology platforms such as Microsoft 365, SmartSheet, etc.</p><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Medicare, Medicaid, Healthcare                                                    </p>

Student Intern (Regulatory Affairs)

<p>Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>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.</p><h4>Duties</h4><p>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.</p><p>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. </p><p>Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.</p><p>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.</p><p>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. </p><p>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.</p><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><p>Required:<br>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;</p><p>Preferred:<br>Managed Care experience performing UM and CM at a medical group or management services organization.</p><p>Experience with Managed Medi-Cal, Medicare, and commercial lines of business.</p><h4>Skills</h4><p>Required:<br>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;</p><p>Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;<br><br>Excellent time management and priority-setting skills.</p><p>Maintains strict member confidentiality and complies with all HIPAA requirements.</p><p>Strong verbal and written communication skills. &nbsp; &nbsp;</p><p>Preferred:<br>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;</p><p>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.</p><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><p>May work on occasional weekends and some holidays depending on business needs.</p><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, Medicare, Medicaid, Claims, Healthcare, Insurance                                                    </p>

Utilization Management Nurse Specialist RN II

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><ul><li>This Intern would work on projects involving Provider Training Materials. &nbsp;</li><li>Create a process for cataloging the Provider Training materials in the SharePoint Evidence Tracker.</li><li>Create a process for organizing Provider Training Recordings - would we be able to set up a link with the recording of the webinar for providers to view, where we could track which providers view the recording.</li><li>The intern will&nbsp;set&nbsp;up and share the link with the other MCPs and ask for an additional push to ask providers to view required trainings.</li></ul><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Learning, Human Resources                                                    </p>

Student Intern (External Learning Provider Training)

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>The intern will utilize and develop skills such as research, managed care IT operations,<br>understanding of L.A. County’s health system, IT data collection and analysis, strategic<br>planning, project development/management/evaluation, process improvement, problem solving,<br>project management, and meeting facilitation and note-taking.</p><p>Possible Internship Duties</p><ul><li>Contribute to IT process improvement, implementation and evaluation efforts</li><li>Observe and assist in IT program, project meetings including weekly steering committee meetings</li><li>Assists in the collection of organizational information for financial reports and statistical research</li><li>Provides support in functional areas of the IT department</li></ul><p>Desired Intern Profile/Qualifications</p><ul><li>A candidate who in interested in how Information Technology is applied in the healthcare industry.</li><li>Preferably with a Computer/Information Science, Business Information, or Software Engineering Degree.</li><li>Someone who enjoys research, analysis, and a quantitative approach to solving challenges.</li><li>Has creative ideas and thinking.</li><li>An organized and enthusiastic candidate who takes initiative and states his/her opinion, and asks questions.</li><li>Decisive with good attitude that is flexible, able to take direction, and is open to receiving constructive feedback.</li><li>Fluency with Microsoft Office suite (Word, Excel, and PowerPoint).</li></ul><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                </p>

Student Intern (Information Technology, Technical Delivery)

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Role:</p><ul><li>The Digital Writer Intern will work with a diverse team to improve user experience across L.A. Care digital platforms.</li><li>The intern will support writing needs on the company websites, e-newsletters and social media platforms, including transforming complex ideas and processes into easy-to-read, engaging, grade-level appropriate language.</li><li>The Intern will also research and write reports on various project analytics to help improve future work.</li></ul><p>Duties and Responsibilities:</p><ul><li>Write copy for web pages, e-newsletters and social media posts; engage in project meetings with other members of the team and the company; provide strategic recommendations for improving digital platform copy and tone; develop research reports based on data and analytics for various projects; and learn to build web pages using copy and design elements that align with the company’s mission and convey our values.</li></ul><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                </p>

Student Intern (Communications)

<p>Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>The Provider Network Account Manager III is responsible for all aspects of the L.A. Care (LAC) provider contracting and relationship management process, including drafting, reviewing, negotiating and implementing phases of contracts, and building, nurturing, and maintaining positive working relationships between LAC and its network of providers. Assigned accounts include multiple large provider organizations (i.e. Participating Physician Group (PPGs); Hospitals; Ancillaries; etc.), or individual practitioners, in a single or multiple locations. The Account Manager III is responsible for representing LAC in their partnership with contracted and non-contracted providers, at all times. The Account Manager III is responsible for maintaining an in-depth understanding of LAC governing regulations, policies and procedures, operating standards, provider contracts, and provider performance and needs. The Account Manager III leverages that information to identify, develop, and conduct relevant and tailored provider orientation sessions, makes educational visits about LAC practices, policies, and requirements, and works to resolve provider issues. The Account Manager III is responsible for monitoring and managing network adequacy by assuring appropriate access to services throughout L.A. County, and beyond as necessary, to comply with State and Federal requirements for all product lines of business (Medicaid, Medicare, and Commercial). The Account Manager III is responsible for the initial on-board training of new managed care contract provider partners, and for ensuring their provider accounts maintain appropriate trainings and credentials to care for LAC members.</p><p>Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.</p><h4>Duties</h4><p>Responsible for identifying, contacting, and actively soliciting qualified providers and/or provider organizations to participate with LAC; assuring the financial integrity of LAC is maintained through rate negotiation; and, ensuring contract requirements are adhered to, including language, terms, and reimbursement requirements. Responsible for the project management of all contract implementations and renegotiation functions, from pre-contracting to activation, according to pre-determined internal guidelines and financial standards, while ensuring a smooth transition of services for members. Responsible for drafting contract clauses/addenda, review, and negotiating new contracts/amendments and other contracting related documents based on LAC contracting guidelines, parameters, and standards, including leadership strategy discussions; implementing contracts/amendments across LAC; and providing in-service orientation meetings with providers. Responsible for monitoring managed care contracts for renewals and expirations.</p><p>Acts the liaison between Provider Network Management (PNM) and other internal Plan departments, as necessary, to resolve complex issues, and to effectively deliver accurate, timely, and appropriate information to their assigned accounts. Responsible for supporting the credentialing and re-credentialing process, investigation of member complaints, and assisting LAC in investigating any potential quality issues. Monitors timely receipt of contractually required reporting. Acquires and maintains a functional working knowledge of applicable systems like QNXT, Visual Cactus, and proprietary provider databases, and routinely relays information about additions, deletions, or changes to the LAC PNM and Provider Data Management (PDM) department. </p><p>Researches and resolves contractual interpretation, operational and/or payment issues; researches and resolves incoming escalated provider inquiries within specified guidelines; educates providers on new protocols, policies, and procedures. Ensures provider database and documentation is up-to-date, accurate, and complete.</p><p>Maintains a complete understanding of LACs reports and metrics to evaluate the performance of assigned providers and/or provider organizations, and use the data to develop and implement methods to improve </p><p>relationships with all providers. Responsible to assist in all corrective actions required, up to and including termination, following LAC policies and procedures, and applicable contractual and regulatory requirements.&nbsp; </p><h4>Duties Continued</h4><p>Responsible for supporting the credentialing and re-credentialing process, investigation of member complaints, and assisting LAC in investigating any potential quality issues.&nbsp; </p><p>Serve as a communication link between provider accounts and LAC. Complete regularly scheduled meetings (site visits, or conference calls) with all accounts. Translate information exchange, ideas, requests and other inquiries into actionable items for improved contracting/relationship management and enhanced operational service delivery.</p><p>Support all of the LAC PNM departments (Oversight and Monitoring; Engagement and Strategy; Data Management; and, Operations). Support all of the LAC PNM groups; assist in the development and distribution of provider engagement material (trainings, notices, newsletters); assist in oversight and monitoring efforts; implement LAC provider strategies; and assist in improving the quality of provider data, as needed.</p><p>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.</p><p>Perform other duties as assigned.</p><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><p>Required:<br>Minimum of 4 years of experience in contracting and/or regulatory analysis in managed care or healthcare industry.</p><p>At least 4 years of healthcare experience in Managed Care; or, with a physician group, clinical-based organization, and/or in a hospital/facility setting.</p><h4>Skills</h4><p>Required:<br>Good organizational skills and demonstrate excellent attention to detail and follow up skills.</p><p>Knowledgeable financial and financial risk analysis.</p><p>Competent computer skills; MS Office skills required.</p><p>Excellent customer service skills with the ability to make independent judgments, handle multiple projects simultaneously, adapt to shifting priorities and utilize time management skills to meet deadlines.</p><p>Must have excellent written and verbal communications skills and the ability to communicate effectively with management and non-management personnel, and LAC provider network physicians.</p><p><br>Possess a professional and mature demeanor at all times.</p><p><br>Ability to work in a fast-paced department independently and handle multiple tasks; work with interruptions and deal effectively with confidential information.</p><p>Preferred:</p><p>Knowledge of ICD-9, ICD-10, and Current Procedural Terminology (CPT) codes desired.</p><p>Proven ability to work with a diverse group of people, including physicians, support staff, coworkers and management.</p><p>Demonstrated ability to research issues and bring about resolution either directly or with the assistance of others.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Medical Coding Certification<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Required:</p><p>Travel to offsite locations for work.</p><p>Total Provider Management (TPM):&nbsp; Ensures that the LAC standard provider dataset is complete, accurate, and current. Provides network adequacy analysis and data to the Network Account Managers for the purpose of monitoring and evaluating existing contracts and the need for additional providers based on ongoing network adequacy analysis. Ensures timely submission of provider data, facilitates remediation of data errors, monitors provider data submission and data quality, and performs necessary data analysis.&nbsp; Responsible for the data management of assigned accounts from data collected prior to contracting, through activation, and the ongoing submission of provider data in accordance with regulatory requirements and LAC contractual requirements. </p><p>Required: Experience in provider data regulatory reporting and provider directory management.</p><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Medical Coding, Medicare, Medicaid, Relationship Manager, Healthcare, Customer Service                                                    </p>

Provider Network Account Manager III

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>The Intern shall assist our Regulatory Audits team within the Compliance area to provide support in the following areas with the below experience and/or skillset.</p><p>Possible Internship Duties&nbsp;</p><ul><li>Assist with compiling data for regulatory research necessary to help address requests for clarification on regulations and requirements.&nbsp;</li><li>Provide support during regulatory audits, such as, but not limited to: Scheduling meetings, take notes during the meetings, providing updates to project leads, updating workplans and additional administrative duties, as assigned.</li><li>Provide administrative support to Compliance Committees and Compliance staff; this includes coordinating meetings, taking meeting minutes, data entry and tracking, and stakeholder outreach.</li><li>Actively support the Compliance projects (i.e., Glossary Update, GRC software); this includes reviewing documents, research, data entry and tracking, and stakeholder outreach.</li></ul><p>Desired Intern Profile/Qualifications</p><ul><li>&nbsp;Analytical and problem solving skills</li><li>Ability to learn quickly and experience in producing high quality work</li><li>Attention to detail</li><li>Excellent verbal and written communication skills</li><li>Project management and research skills preferred</li><li>Compliance or legal knowledge preferred<br></li></ul><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Data Entry, Administrative Assistant, Audit, Administrative, Finance                                                    </p>

Student Intern (Regulatory Audits)

<p>Salary Range:&nbsp;&nbsp;$45,760.00&nbsp;(Min.) -&nbsp;$45,760.00&nbsp;(Mid.) -&nbsp;$52,024.00&nbsp;(Max.)</p><p>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.<br><br>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.<br></p><h4>Job Summary</h4><p>As the student intern enters the company, this position is expected to assume, as much as possible, the role of a regular staff member.&nbsp;</p><h4>Duties</h4><p>Assists with specialized project and administrative tasks to ensure the coordination and completion of all segments of the assigned project. Compiles and consolidates reports and prepares presentation based on findings or outcomes. </p><p>Assists with various administrative tasks to ensure the coordination and completion of all segments of the assigned project. </p><p>Completes the project timeline (if applicable) ensuring management reviews and approves it. </p><p>Conducts research and gathers data for reports and presentations. </p><p>Compiles and consolidate reports and prepare presentation based on findings or outcomes. </p><p>Works closely with assigned staff and varying levels of management. </p><p>Maintains cooperation and participation with key people involved in the project. </p><p>Adheres to company work hours, policies, procedures and rules governing professional staff behavior.</p><p>Adheres to company policies governing the observation of confidentiality and the handling of confidential information.</p><p>Assumes personal and professional responsibilities for actions and activities.</p><p>Maintains professional relationships with company employees, customers and so forth.</p><p>Utilizes a courteous, enthusiastic, open-minded, critical approach to policies and procedures within the profession.</p><p>Relates and applies knowledge acquired in the academic setting to the company setting.</p><h4>Duties Continued</h4><p>Develops a self-awareness in regard to attitudes, values, behavior patterns, and so forth that influence work.</p><p>Prepares for and utilizes conferences and other opportunities of learning afforded in the company.</p><p>Being consistent and punctual in the submission of all work assignments to the supervisor and faculty coordinator.</p><p>Provides the faculty coordinator with periodic progress reports. </p><p>Performs other relevant duties as assigned.</p><h4>Education Required</h4>Must be enrolled in an accredited undergraduate or graduate degree and field placement program.<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>Must have general experience writing, meeting project deadlines and working with basic Microsoft Office Suite applications, such as word, excel and PowerPoint.</p><h4>Skills</h4><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Duties include:</p><ul><li>Normal everyday duties ( filing, scanning, sorting, researching and writing)</li><li>Special Project - Concur maintenance (updating data, updating information and training materials)</li><li>Special Projects - TBD (projects in the past have included inventory, researching MCO Tax, becoming familiar with SBITA GASB97, updating Business Continuity plans, preparing spreadsheets for audit, etc.)</li></ul><p>Tools used: Microsoft Office (especially Excel)</p><p>Majors: Finance, Accounting, Economics, Business</p><p>Must be able to come on-site and to willing to learn about Accounting and L.A. Care.<br></p><p>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.</p><p>L.A. Care offers&nbsp;a wide range of benefits including</p><ul><li>Medical, Dental and Vision</li><li>Wellness Program</li><li>Paid Sick Leave</li></ul><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Accounting, Finance                                                    </p>

86 L.A. Care Health Plan Jobs