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<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 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.</p><h4>Duties</h4><p>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.</p><p>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.</p><p>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.</p><p>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.</p><p>Participate and contribute on the development/ creation of data models and interface design specifications. Support internal/ external stakeholder's roadmap and audits as needed.</p><p><br>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.</p><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><p>Required:</p><p>At least 5 years of successful experience in a quantitative role as a Business Analyst, Data Analyst, Programming Analyst, Claims processing, encounter processing.</p><h4>Skills</h4><p><strong>Required:</strong><br>Competent to work at the highest technical level of most phases of systems analysis.</p><p>Excellent verbal and written communication skills.</p><p>Coaching, Mentoring and Teaching skills.</p><p>Teamwork-focused/collaborative work style.</p><p>Demonstrated ability to work successfully on large projects.</p><p>Problem solving skills evidenced by demonstrated results in past positions.</p><p>Ability to work under tight deadlines and handle multiple/detail-oriented tasks.</p><p>Ability to influence at all levels of the organization.</p><p>Proficient in Microsoft Office and Vizio.</p><p><strong>Preferred:</strong><br>Ability to work on other programs such as SharePoint and/ or OneNote</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Department Specifics:</p><p>Customer Solution Center Appeals and Grievances:</p><p>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.</p><p>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 assigned</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>

L.A. Care Health Plan

Business Analyst III - Encounters Data

<p>Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&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 Supervisor of Utilization Management (UM) RN is responsible for executing the day-to-day operations of the UM department, and monitoring the Care Management (CM) staff’s responsibilities and activities. This includes, but not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolution within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Care/Case/Utilization Management and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope.</p><p>This position is responsible in assisting with and development and maintenance of a successful and cohesive unit, with high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the UM department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A. Care's culturally diverse membership.</p><p>The position supports the UM Manager/Director. This role also assists UM Educator/Manager/Director in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of UM staff.&nbsp; The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>Ensures adequate/appropriate distributions of workforce, assignments and time off requests. &nbsp;Participates in the hiring and termination process providing recommendations with appropriate supporting documentation.</p><p>Monitors of staff's performance including productivity and compliance with regulatory requirements, compliance with policies. &nbsp;Identifies, communicates and coaches to improve staff performance. &nbsp;Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the UM team. &nbsp;Completes intermittent and annual staff evaluations.</p><p>Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary.</p><p>Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals.</p><p>Plans and oversees UM activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members.</p><p>Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department.</p><p>Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs. &nbsp;Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines. &nbsp;<br><br>Serves as a leader and role model as well as technical and informational resource for staff and peers.</p><h4>Duties Continued</h4><p>Fosters a culture that encourages employee contribution to ensure that the department maintains an environment in which quality flourishes.</p><p>Services as member/resource/liaison to the Interdisciplinary Care Team. &nbsp;</p><p>Recommends resources to improve performance standards in terms of Utilization Management. &nbsp;Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate.</p><p>Participates on internal and external committees as delegated or assigned.</p><p>Serves as a consultant to other departments or organizations as needed.</p><p>Responsible for the daily workflow and leading the work of assigned staff.&nbsp; This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.</p><p>Performs other duties as assigned.</p><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p>Required:<br>Minimum of 7 years of acute/clinical care experience.<br></p><p>Minimum of 2 years of experience in Case/Care/Utilization Management in an acute care or health plan setting. </p><p>Minimum of 3 years leading process, program, or staff or supervisory experience.</p><p>Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><h4>Skills</h4><p>Required:<br>Knowledge of state, federal and regulatory requirements in Care/Case/Utilization Management.</p><p>Strong verbal and written communication skills.</p><p>Computer literacy with proficiency with Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software.</p><p>Excellent organizational, time management, and interpersonal skills.</p><p>Must be detailed-oriented, energetic, and an enthusiastic team player.</p><p>Must be able to work independently.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<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>

Supervisor, Utilization Management RN

<p>Salary Range:&nbsp;&nbsp;$77,265.00&nbsp;(Min.) -&nbsp;$100,445.00&nbsp;(Mid.) -&nbsp;$123,625.00&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 Business Analyst II works closely with business units to gain in-depth business understanding of customer’s business strategy processes, services, roadmaps and the content in which the business operates. The Business Analyst is focus-driven, focusing on strategy, collaboration, prioritization based on value off internal and external customers. The position consults and collaborates with internal and external customers to address any issues that are contributing to inaccurate or inefficient procedures/ processes within the Department. This position is key to understanding the documenting capabilities needed to address business challenges. It is responsible for reviewing end-to-end business processes to identify, address, and remediate operational and functional risks. This position conducts a strengths, weaknesses, opportunities, and threats (SWOT) analysis to identify opportunities to improve operational efficiency. It is responsible for a full range of activities leading small to large size projects, assist project managers on complex projects related to operational business functions affecting internal departments and external customers at market level.&nbsp; </p><h4>Duties</h4><p>Participate and contribute in multiple projects by completing and updating project documentation; managing project scope; adjusting schedules when necessary; determining daily priorities; ensuring efficient and on-time delivery of project tasks and milestones; follow escalation process; and managing customer relationships. Ensure data is valid and reliable; develop business process improvement; monitor and update software as needed; partner with internal and external customers to accomplish long-term business strategies and goals. &nbsp;Identify, create, and facilitate process design changes by conducting business and systems process analysis and design at a complex level; focusing on quality improvement and data management. &nbsp;Identify improvement opportunities (proactive and reactive).</p><p>Oversee customer relationships and expectations through communication process; updating others through project paths. &nbsp;Support and align efforts to meet business and customer needs. Facilitate meetings, projects, and presentations to diverse audiences. &nbsp;Provide leadership to team members and peers, collaborating cross-functionally with others; articulate ideas and viewpoints to Senior Management, peers, and others; identify and initiate projects; manage resources; implement resolutions; and hold self-accountable for completing tasks and results. &nbsp;Provide a strategic asset to decompose strategy into value change initiatives.</p><p>Maintain an up-to date knowledge of Information Systems to develop, execute, and improve corrective action plans by providing subject matter expertise and guidance to best business practices. &nbsp;Stay current with customer needs and strategies; utilize formal and informal written communication methods (BRDs, emails, PowerPoint presentations, Visio workflows, executive summaries, and project logs). &nbsp;Provide and support business solutions; build relationships with internal/external customers and key stakeholders; monitor project progress and results; provide project analysis and root-cause of operational issues.</p><p>Demonstrate leadership and interpersonal communication skills by working collaboratively and effectively with peers, superiors and subordinates to accomplish objectives. Able to concisely, clearly and formally communicate complex concepts and formulate process solutions. Work as a subject matter expert and review all submitted problem and improvement reports; identify priority issues; evaluates opportunities for improvement, presents findings to supervisors for evaluation and prepares resolution work plan as directed. Develop and execute test plans. Monitor all solutions through to resolution.</p><p>Perform other duties as assigned.&nbsp;</p><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>Master's Degree<h4>Experience</h4><p>Required:<br>At least 3 years of experience in data analysis in a health or managed care environment.</p><h4>Skills</h4><p>Required:</p><p>Proven ability to significantly impact process improvement and process management.</p><p>Ability to document scope, project tasks in a clear and concise manner.</p><p>Thorough understanding of relevant industry practices, techniques and standards.</p><p>Must have a comprehensive understanding of business process/ life cycle management principles, theories and concepts.</p><p>Strong problem-solving/ analysis skills.</p><p>Proficiency in Microsoft Office applications, database management.</p><p>Articulates relevant information and directions in an organized and concise manner.</p><p>Strong interpersonal, verbal, and written communication skills; Understanding of effective communication concepts tools and techniques.</p><p>Ability to conform to shifting priorities, demands, and timelines through analytical and problem-solving capabilities.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<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>This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits.</p><p><br>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>

Business Analyst II (ALD)

<p>Salary Range:&nbsp;&nbsp;$105,267.00&nbsp;(Min.) -&nbsp;$130,000.00&nbsp;(Mid.) -&nbsp;$173,689.00&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 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.</p><p>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;</p><p>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.</p><p>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.</p><h4>Duties</h4><p>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 simultaneously</p><p>Leads 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.</p><p>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.</p><p>Responsible for holding project work teams accountable for on-time delivery of assigned scope within baselined schedule, and costs/effort.&nbsp;</p><p>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;<br></p><h4>Duties Continued</h4><p>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.</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 &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.</p><p>Perform other duties as assigned.&nbsp;</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>At least 5-7 years of experience in Project Management within a Managed Care Organization or Top 10 management consulting role in Healthcare industry.</p><p>Experience facilitating complex decision making among multiple executive stakeholders with different interests and priorities.</p><p>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.</p><h4>Skills</h4><p>Required:&nbsp;<br>Demonstrated success managing medium to large scale, diverse and complex projects executing simultaneously.&nbsp;</p><p>Ability to work well independently or leading a project team/efforts with limited supervision; strong team collaboration.</p><p>Ability to manage priorities across multiple teams/projects, platforms.</p><p>Well versed in project management processes supporting project deliverables to facilitate the creation of standard project documents and artifacts.</p><p>Strong analytical, planning, and organizational skills. Strong facilitation and mentoring skills.</p><p>Excellent written and verbal communication skills; speaks clearly and persuasively in positive or negative situations.</p><p>Possesses excellent time management and organizational skills.</p><p>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;</p><p>Proven ability to work collaboratively with business and technology communities to accomplish expected committed project outcomes.</p><p>Proven ability to understand healthcare technology architecture and application landscape by functional area.</p><p>Proven ability to apply an enterprise project management methodology and framework (i.e. PACE).</p><p>Ability to engage all project stakeholders and work teams within L.A. Care's established delivery methodology framework (PACE).</p><p>ogy framework (PACE).</p><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><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>

Portfolio Delivery Project Manager III

<p>Salary Range:&nbsp;&nbsp;$50,216.00&nbsp;(Min.) -&nbsp;$62,770.00&nbsp;(Mid.) -&nbsp;$75,324.00&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 Transitional Care Services (TCS) Care Coordinator II is responsible for outreach to providers, facilities, and others to promote members’ optimal health and well-being by helping them navigate and access health services when transitioning between care settings. </p><p>This position coordinates the flow of information between the TCS Community Health Worker (CHW), member, other health plan staff, provider, and medical group and discharge facility. The position supports the coordination of member care as instructed by the Transitional Care Services (TCS) program requirements including the reinforcement of follow up provider appointments, coordination of transportation and Durable Medical Equipment (DME); linking member to Community Supports, Managed Long Term Supports and Services, Doula, health education information and other community resources to address the Social Determinants of Health (SDoH). The position is responsible to ensure the contractual and regulatory requirements and timelines are met by maintaining accurate documentation and following up with the member and provider as needed.</p><p>In addition, this position is assigned projects to support the department in meeting its regulatory and contractual requirements, such as running reports, data validation, quality checks and other projects. The position assists with the communication and coordination between programs and maintains confidentiality when communicating member information. </p><h4>Duties</h4><p>Responsible for the time sensitive processes for initiating cases, managing referrals to the department, appropriate documentation, routing of information, performing computer data input, faxing, emailing, filing of confidential member information, and maintaining activity logs etc. (50%) </p><p>Conducts telephonic outreach calls to discharge facilities, providers, and medical groups. Consults and collaborates with the TCS CHW to set up provider/specialist appointments and follow up. (10%)</p><p>Collaborates with team members and health plan staff to coordinate services for members. (10%)</p><p>Provides administrative assistance to ensure compliance with the TCS case tracking and closing out within the 30 day time frame. (10%)</p><p>Initiates follow up calls to Community-Based Organizations and other internal departments to confirm linkages to appropriate resources. (10%)</p><p>Performs 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 6 months of experience in an administrative and/or customer service role in a health care/health services setting. </p><p>Preferred:</p><p>2 years of experience as a Medical Assistant or similar role.</p><p>1 year of experience processing authorizations at a managed care/health plan setting.</p><h4>Skills</h4><p>Required:</p><p>Knowledge of medical terminology.</p><p>Strong verbal and written communication skills.</p><p>Proficiency in Microsoft Office with a high level of accuracy.</p><p>Ability to work in multiple systems/databases.</p><p>Excellent organizational, and time management skills.</p><p>Detail-oriented and a team player.</p><p>Excellent customer service skills with compassion and empathy.</p><p>Ability to demonstrate sensitivity and respect for the opinions, perspectives, customs, and individual differences of others. </p><p>Ability to value diversity of people and ideas, as well as interact with people from a wide range of backgrounds. </p><p>Ability to be flexible, open-minded, listen to and consider others’ viewpoints. </p><p>Ability to work well and develop effective relationships with diverse personalities.</p><p>Preferred:</p><p>&nbsp;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&nbsp;&nbsp; </p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified Management Accountant (CMA)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Preferred:</p><p>Motivation Interviewing</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>

Transitional Care Services Care Coordinator II

<p><strong>ABOUT ROCKET LAB</strong></p><p>Rocket 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;</p><p>Join our pioneering team and launch your career to new heights!</p><p><strong>BUSINESS DEVELOPMENT</strong></p><p>Rocket 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.</p><p><strong>BUSINESS DEVELOPMENT DIRECTOR, RF PRODUCTS</strong></p><p>Based out of Rocket Lab's global headquarters in Long Beach, CA, the <strong>Business Development Director, RF Products</strong> is responsible for managing all business development activities for RF products such as radios. You will also support senior leadership and the Business Development organization, with deliverables required for our Board of Directors and investors.</p><p><strong>WHAT YOU’LL GET TO DO:</strong></p><ul><li>Lead Rocket Labs RF products business development, generating and executing sales of strategically aligned software products to meet and exceed sales metrics for the Space Systems division, including radio transceivers, complete RF subsystems, etc.</li><li>Develop and implement sales plans, systems, policies, initiatives, and procedures to manage the sales pipeline and close deals</li><li>Collaborate with the Communications &amp; Marketing team in creating RF product collateral, marketing material, and strategic communications; and the Engineering and Production/Operations teams to ensure adequate plans for low lead-time delivery of RF products</li><li>Lead research on the RF product competitive landscape and market, lead forecasting of sales, determine pricing, and provide support for business development, strategy, and the space systems product and services roadmap</li><li>Grow existing business opportunities and nurture relationships with existing customers to develop additional business opportunities</li><li>Create new business opportunities and relationships by presenting Rocket Lab’s capabilities/experience to provide RF products</li><li>Responsible for forecasting pipeline (non-backlog) element of revenue</li><li>Develop and present bid/no-bid strategies, and manage proposal planning, preparation, and submission</li><li>Advise on, and help implement, technology licensing deals and strategic acquisitions for new and strategically aligned space systems elements</li><li>Identify and obtain RFPs from aerospace/satellite primes and other satellite integrators for new and continuing space mission and program opportunities</li><li>Lead and/or participate in proposal activities, including generation of technical, management, cost, schedule, and proposal content for new business</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</li><li>Travel as needed for business opportunities</li><li>Other duties as assigned or required</li></ul><p><strong>YOU’LL BRING THESE QUALIFICATIONS:</strong></p><ul><li>Bachelor’s degree in engineering or other technical discipline</li><li>12+ years of experience working with contractors in the aerospace or defense industry</li><li>Experience in the aerospace/satellite sector</li><li>Experience with satellite RF products development, manufacturing, and/or sales</li></ul><p><strong>THESE QUALIFICATIONS WOULD BE NICE TO HAVE:</strong></p><ul><li>Master’s degree in aerospace engineering or related engineering field; or business</li><li>Specialization in US government business development, with deep experience selling to US national security (Space Force, NRO, SDA, etc.) and civil space customers (NASA, NOAA, etc.)</li><li>Demonstrable record of success in business development, sales, program management and/or engineering of satellite RF products</li><li>Extensive awareness of current/ongoing commercial and government satellite programs</li><li>Experience and/or deep understanding of engineering design or analysis is preferred</li><li>Experience and knowledge of satellite telecommunications services, hardware, and software</li><li>Experience and knowledge of satellite cryptographic capabilities and requirements</li><li>Excellent verbal and written communication and presentation skills</li><li>Must be personable and have the ability to interface well with customers, and present to large groups</li><li>Experience leading, managing, and growing geographically disperse teams on fast-paced projects</li><li>Ability to take ownership and action on challenges, and step up to manage tough situations while encouraging colleagues and direct reports to do the same</li><li>Proficient in all Microsoft Suite products, including MS Project</li><li>General knowledge of industry specific technical requirements and quality requirements</li><li>Understanding of a manufacturing and engineering company, working in a manufacturing environment in the RF products industry, and RF products for space applications</li><li>Knowledge of typical RF product customer requirements and associated technical solutions, needs, schedules, and costs</li><li>Experience using customer relationship management (CRM) software</li><li>Experience with proposal development, writing, and best practice capture processes, and ability to independently complete cost and technical proposals</li><li>Ability to develop cost estimates for build to print and design to specification programs</li></ul><p><strong>ADDITIONAL REQUIREMENTS:</strong></p><ul><li>Frequent domestic and international travel is required</li><li>Availability outside of normal business hours and/or weekends as needed</li><li>Ability to obtain security clearance if necessary</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><p><em>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.</em></p><p><em>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. </em></p><p><em>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.</em></p>Base Pay Range (CA Only)$150,000—$250,000 USD<p><strong>WHAT TO EXPECT</strong>&nbsp;</p><p>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;</p><p>Important information:</p><p><strong>FOR CANDIDATES SEEKING TO WORK IN US OFFICES ONLY:</strong></p><p><em>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.</em></p><p><em>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.</em></p><p><em>Applicants requiring a reasonable accommodation for the application/interview process for a job in the United States should contact Giulia Biow 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.</em></p><p><strong>FOR CANDIDATES SEEKING TO WORK IN NEW ZEALAND OFFICES ONLY:</strong></p><p><em>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;</em></p><p><em>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.</em></p>

Rocket Lab

Business Development Director, RF Products

<p><strong>ABOUT ROCKET LAB</strong></p><p>Rocket 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;</p><p>Join our pioneering team and launch your career to new heights!</p><p><strong>BUSINESS DEVELOPMENT</strong></p><p>Rocket 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.</p><p><strong>BUSINESS DEVELOPMENT MANAGER, RF PRODUCTS</strong></p><p>Based out of Rocket Lab's global headquarters in Long Beach, CA, the <strong>Business Development Manager, RF Products</strong> is responsible for managing all business development activities for RF products such as radios. You will also support senior leadership and the Business Development organization, with deliverables required for our Board of Directors and investors.</p><p><strong>WHAT YOU’LL GET TO DO:</strong></p><ul><li>Lead Rocket Lab's RF products business development, generating and executing sales of strategically aligned software products to meet and exceed sales metrics for the Space Systems division, including radio transceivers, complete RF subsystems, etc.</li><li>Develop and implement sales plans, systems, policies, initiatives, and procedures to manage the sales pipeline and close deals</li><li>Collaborate with the Communications &amp; Marketing team in creating RF product collateral, marketing material, and strategic communications; and the Engineering and Production/Operations teams to ensure adequate plans for low lead-time delivery of RF products</li><li>Lead research on the RF product competitive landscape and market, lead forecasting of sales, determine pricing, and provide support for business development, strategy, and the space systems product and services roadmap</li><li>Grow existing business opportunities and nurture relationships with existing customers to develop additional business opportunities</li><li>Create new business opportunities and relationships by presenting Rocket Lab’s capabilities/experience to provide RF products</li><li>Responsible for forecasting pipeline (non-backlog) element of revenue</li><li>Develop and present bid/no-bid strategies, and manage proposal planning, preparation, and submission</li><li>Advise on, and help implement, technology licensing deals and strategic acquisitions for new and strategically aligned space systems elements</li><li>Identify and obtain RFPs from aerospace/satellite primes and other satellite integrators for new and continuing space mission and program opportunities</li><li>Lead and/or participate in proposal activities, including generation of technical, management, cost, schedule, and proposal content for new business</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</li><li>Travel as needed for business opportunities</li><li>Other duties as assigned or required</li></ul><p><strong>YOU’LL BRING THESE QUALIFICATIONS:</strong></p><ul><li>Bachelor’s degree in engineering or other technical discipline</li><li>8+ years of experience working with contractors in the aerospace or defense industry</li><li>Experience in the aerospace/satellite sector</li><li>Experience with satellite RF products development, manufacturing, and/or sales</li></ul><p><strong>THESE QUALIFICATIONS WOULD BE NICE TO HAVE:</strong></p><ul><li>Master’s degree in aerospace engineering or related engineering field; or business</li><li>Specialization in US government business development, with deep experience selling to US national security (Space Force, NRO, SDA, etc.) and civil space customers (NASA, NOAA, etc.)</li><li>Demonstrable record of success in business development, sales, program management and/or engineering of satellite RF products</li><li>Extensive awareness of current/ongoing commercial and government satellite programs</li><li>Experience and/or deep understanding of engineering design or analysis is preferred</li><li>Experience and knowledge of satellite telecommunications services, hardware, and software</li><li>Experience and knowledge of satellite cryptographic capabilities and requirements</li><li>Excellent verbal and written communication and presentation skills</li><li>Must be personable and have the ability to interface well with customers, and present to large groups</li><li>Experience leading, managing, and growing geographically disperse teams on fast-paced projects</li><li>Ability to take ownership and action on challenges, and step up to manage tough situations while encouraging colleagues and direct reports to do the same</li><li>Proficient in all Microsoft Suite products, including MS Project</li><li>General knowledge of industry specific technical requirements and quality requirements</li><li>Understanding of a manufacturing and engineering company, working in a manufacturing environment in the RF products industry, and RF products for space applications</li><li>Knowledge of typical RF product customer requirements and associated technical solutions, needs, schedules, and costs</li><li>Experience using customer relationship management (CRM) software</li><li>Experience with proposal development, writing, and best practice capture processes, and ability to independently complete cost and technical proposals</li><li>Ability to develop cost estimates for build to print and design to specification programs</li></ul><p><strong>ADDITIONAL REQUIREMENTS:</strong></p><ul><li>Frequent domestic and international travel is required</li><li>Availability outside of normal business hours and/or weekends as needed</li><li>Ability to obtain security clearance if necessary</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><p><em>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.</em></p><p><em>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. </em></p><p><em>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.</em></p>Base Pay Range (CA Only)$90,000—$160,000 USD<p><strong>WHAT TO EXPECT</strong>&nbsp;</p><p>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;</p><p>Important information:</p><p><strong>FOR CANDIDATES SEEKING TO WORK IN US OFFICES ONLY:</strong></p><p><em>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.</em></p><p><em>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.</em></p><p><em>Applicants requiring a reasonable accommodation for the application/interview process for a job in the United States should contact Giulia Biow 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.</em></p><p><strong>FOR CANDIDATES SEEKING TO WORK IN NEW ZEALAND OFFICES ONLY:</strong></p><p><em>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;</em></p><p><em>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.</em></p>

Business Development Manager, RF Products

<p>Salary Range:&nbsp;&nbsp;$105,267.00&nbsp;(Min.) -&nbsp;$139,478.00&nbsp;(Mid.) -&nbsp;$173,689.00&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 in five health plans, 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 Enterprise Portfolio Management Office Solutions Analyst III is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by L.A. Care 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.</p><p>The Shared Services team within the ePMO operates as a center of excellence for portfolio management, and provides leadership and support in ensuring the ePMO leverages project management best practices when initiating projects, and while monitoring and reporting the status of those projects to project and business leadership. </p><p>Under the general direction of the Manager, and following best practices based on BABOK and other authoritative bodies, the Solutions Analyst is a critical thinker who is responsible for eliciting, analyzing, communicating, testing and verifying functional and non-functional business requirements for strategic initiatives, assisting with the definition of Acceptance Test Criteria, and ensuring requirements are specific, testable, and in alignment with business goals and architecture. The Solutions Analyst works with business and technology resources to temper and align preferences to develop collective and valuable solutions to business needs. This position performs these duties on large, complex projects and programs that require collaboration across many business units. The requirements, solutions and testing for these larger projects require a complete understanding of all impacted processes and work teams. This position is skilled in negotiating between business units to find the best overall solutions and outcomes. </p><p>This position not only works on the complex and difficult projects, but also mentors other analysts both within the ePMO and within the business units, to strengthen L.A. Care's business analysis capability. This very experienced individual also helps to define and implement best practices for solutions and business analysis for the organization, based on industry-standard authorities. The individual is accountable for intake, execution, and managing the oversight of strategic programs and projects approved and budgeted by L.A. Care 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.&nbsp; Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.</p><h4>Duties</h4><p>Leads analysis and requirements gathering sessions on large, complex programs and projects using methodologies such as JAD, JAR, SCRUM, etc., to define, analyze, and document business needs and requirements in support of strategic initiatives. Collaborates across multiple business units ensuring that all parties get the best possible outcomes for L.A. Care and its members and providers. Documents functional and non-functional business needs and requirements, ensuring requirements are usable, specific and testable, and in alignment to business goals and overall business architecture. Assists in defining Acceptance Test Criteria, tracing back to documented business requirements.</p><p>Creates and updates complex as-is and future state business workflows to enable the documentation of business process needs and production of requirements for all related business, and operational systems critical to the project or program. Makes recommendations for solutions or improvements that can be accomplished through new process or technology, or alternative uses of existing processes or technology. Researches and analyzes data in support of business functions, process knowledge, and systems requirements.</p><p>Tracks maintenance of business need and requirements to ensure they are not attenuated or discarded during the execution and delivery phases. Supports the Project Manager by providing more detailed project objectives; clear structured, and useable requirements; tradeoff analysis; requirement feasibility; and risk analysis to improve the execution of the project plan.</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 &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. &nbsp;Mentors other Solutions Analysts and Business Analysts to strengthen L.A. Care's solution and business analysis capability.</p><p>Defines and follows best practices for the organization based on BABOK or other authoritative bodies of knowledge.</p><p>Conducts analysis in support of the entire ePMO.</p><p>Performs other duties as assigned.&nbsp;</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Related Field<h4>Experience</h4><p>Required:<br>Minimum 5 years of experience eliciting and documenting business and systems requirements using techniques such as JAR/JAD, SCRUM, etc. OR minimum of 5 years of experience developing, implementing, and evaluating workflow processes, policies, and procedures.&nbsp;</p><p>Minimum of 7 years of experience in managed healthcare environment with strong domain expertise in at least one of the following disciplines: Claims/EDI, Membership, Provider, Care Management, or Finance.&nbsp;</p><p>Preferred:<br>Experience with Tableau and Requirements Management software.</p><h4>Skills</h4><p>Required:<br>Proven ability to work with a diverse group of people, including leadership, support staff, coworkers and department management.</p><p>Proven ability to lead cross-functional discussions to reach collaborative outcomes.</p><p>Proven ability to be produce outstanding analysis deliverables on complex, multi-disciplinary projects and programs.</p><p>Demonstrated ability to research complex issues and bring about resolution.</p><p>Demonstrated mentoring and coaching skills to develop other team members.</p><p>Excellent critical thinking and problem solving skills.</p><p>Strong elicitation and process documentation skills.</p><p>Strong organizational and communication skills to build and foster effective relationships.</p><p>Excellent computer skills; MS Office Suite (Word, Excel, Visio, PowerPoint) 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.&nbsp;</p><p>Ability to maintain a professional and mature demeanor at all times.</p><p>Ability to work in a fast-paced department independently or in a team, and handle multiple tasks with competing priorities; work with interruptions and deal effectively with confidential information.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified ScrumMaster (CSM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<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>

Enterprise Portfolio Management Office Solutions Analyst III

<p><strong>Clinical Project Manager</strong></p><p><strong>Onsite in West Hollywood, CA</strong></p><p><strong>ONCOtherapeutics</strong>&nbsp;is a full-service Contract Research Organization (CRO) with a unique focus in the therapeutic area of oncology. We are a strategic CRO running multiple clinical trials in community oncology sites throughout the United States (US). We provide the necessary support to major biopharmaceutical companies throughout the US to successfully run, enroll, and complete clinical trials. Uniquely focused on community-based Hematology &amp; Oncology research sites, we provide real-world experience, data, and outcomes that lead to improved clinical utility of cancer therapies, improving the lives of cancer patients.</p><p>We hire exceptional people. We want individuals who thrive on being challenged and are passionate about building a great company and growing with us. If you want your next step to be the right one, and you've worked hard to get where you are today, then we have the perfect opportunity for you.</p><p>As the Clinical Project Manager, you will ensure project timelines and goals are met on time and within budget while following Good Clinical Practices (GCP), ICH, FDA, and best practices. This includes utilizing expert working knowledge to anticipate project roadblocks and solve problems efficiently and effectively. You will be the primary liaison between Oncotherapeutics and its clients (Sponsors and Sites), ensuring questions are answered and issues resolved. You must demonstrate the ability to manage multiple projects with different sponsors and timeline demands.</p><p></p><p><strong>To succeed, you should have:</strong></p><ul><li>Bachelor’s degree in a scientific discipline</li><li>2+ years' experience in clinical trial project management&nbsp;</li><li>Therapeutic experience in oncology.</li><li>Ability to work independently and establish and maintain effective working relationships with co-workers, supervisors, and other staff. Excellent interpersonal abilities are required.</li><li>Thorough knowledge of clinical research concepts, practices, and FDA regulations and ICF Guidelines regarding drug development phases, clinical research, and data management methods.</li><li>Ability to solve problems. Must have effective time management and organizational skills.</li><li>Read, write, and speak in fluent English. Excellent verbal and written communication skills.</li><li>Willing to wear many hats in a growing company.&nbsp;</li><li>Ability to work onsite in the West Hollywood, CA office.</li></ul><p></p><p><strong>Your responsibilities as the Clinical Project Manager will include:</strong></p><ul><li>Manage several multi-site clinical trials throughout the project's lifetime. Lead the study start-up process, including, but not limited to, the Trial Kick-off meeting, the set-up of the trial master file (TMF), the set-up of the electronic data capturing (EDC) system, site selection, and the finalization of site Clinical Trial Agreements and budgets.</li><li>Develop project plans such as data management plans (DMPs), case report forms, data management plans, source document worksheets, central laboratory specifications, etc.</li><li>Maintain the TMF to date, set up, and maintain the investigator site file (ISF) for all participating sites.</li><li>Manage clinical research associates (CRAs), review and approve site trip reports; Oversee tracking, follow-up, and resolution of site issues. Assist in source data verification (SDV) as needed.</li><li>Conduct site-initiating visits (SIV) and guide protocol and proper data collection.</li><li>Organize and prioritize work according to study timelines and proactively address potential problems; Create tracking tools for weekly internal meetings and monthly reports to clients.</li><li>Create effective and professional relationships with sites, vendors, and clients to ensure project goals are met. Act as liaison between Oncotherapeutics, sites, and sponsors.</li><li>Ensure adherence to GCP, ICH, and FDA regulations and guidelines and international regulations.</li><li>Prepare study regulatory documents, FDA, and IRB submissions such as yearly reports/renewals, SAEs, etc.; Manage submissions and distribution of documents to sites of protocols amendments, informed consent forms, investigator documentation, safety reports, and recruitment materials.</li><li>Assist the Medical Writer with creating trial protocols, schedule of procedures, and informed consent, as needed.</li><li>Provide efficient updates on the trial progress to the Director of Clinical Operation and CEO. Ensure potential risks are escalated to the appropriate team.</li></ul><p><strong>Best-in-Class Benefits and Perks:</strong></p><p>We value their employees’ time and efforts. Their competitive compensation of $80K-$100K annually, depending on experience and extensive benefits package, enhances their commitment to your success. Our client’s benefits package includes:&nbsp;</p><ul><li>Comprehensive health coverage: Medical, dental, and vision insurance</li><li>Retirement planning: 401(k) plan with employer matching</li><li>Financial security: Life and disability insurance</li><li>Flexible financial options: Flexible spending and health savings accounts</li><li>Work-life balance: Generous paid time off and holidays</li><li>Supportive resources: Employee assistance program</li></ul><p></p><p>Plus, we maintain the best environment for their employees, where people can learn and grow with the company. They strive to provide a collaborative environment where everyone feels encouraged to contribute to their processes, decisions, planning, and culture.</p><p></p><p><em>We are an equal opportunity employer that welcomes and encourages diversity in the workplace. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law. We will consider qualified applicants with criminal histories for employment.</em></p>

Insperity

Clinical Project Manager

<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 in five health plans, 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 Clinical Quality Nurse Reviewer RN II, under the purview the Utilization Management (UM) Department Leadership Team, is responsible for conducting and tracking targeted and random internal department documentation audits. This role is ensures that UM practices and supporting documentation are compliant with all regulatory requirements. &nbsp;The Incumbent also serves as a Subject Matter Expert during external audits as well as leads pre- and post-audit preparation/follow-up.&nbsp; This position actively participates in development and review of policies and procedures to certify compliance with regulatory guidelines and mandates. This position will focus on UM cases for all lines of business to identify areas of opportunity for increasing positive audit outcomes and improved service to L.A. Care’s membership. This position is responsible for identifying and monitoring staff (non-clinical, nurse, and physician) performance against key performance indicator trends that warrant recognition or remediation. This position performs data mining and analysis and create reports on audit findings, as well as make recommendations, to submit to the department's Quality Assurance Team and UM Management.</p><h4>Duties</h4><p>Facilitates the development, review, and revision of organizational and departmental process flows to ensure compliance with relevant regulatory, organizational, and departmental guidelines.</p><p>Keenly focuses on practices and documentation of clinical staff, serving as a resource on state and federal industry mandates applicable to UM functions.</p><p>Generates results of findings, enhances, and analyzes various reports related, but not limited to, quality and accuracy of case documentation.&nbsp;</p><p>Works with department leadership to assess for all opportunities related to quality improvements.&nbsp;</p><p>Compiles and presents quality report cards that measure adherence to quality and regulatory compliance.&nbsp;</p><p>Keeps UM Leadership apprised of departmental and industry trends, deficiencies, and any potential risks, and collaborates with the team to develop and execute mitigation efforts.</p><p>Serves as a consultant to the organization's Compliance team on an ad hoc basis.</p><p>Performs other duties as assigned.&nbsp;</p><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's DegreeMaster's Degree in Nursing<h4>Experience</h4><p>Required:&nbsp;<br>At least 5 years of experience in Clinical Nursing. Minimum of 2 years of auditing clinical documentation. &nbsp;Active participation in at least two state regulatory audits and one federal regulatory audits. Previous experience with Medi-Cal and Medicare in a managed care environment and experience with mitigation planning and implementation.</p><p>Preferred: &nbsp;<br>Experience performing clinical documentation for a health plan. Active participation in at least three state regulatory audits, at least one National Committee for Quality Assurance (NCQA) audit and/or Centers for Medicare and Medicaid Services (CMS) audit. &nbsp;Background in teaching and/or clinical education.</p><h4>Skills</h4><p>Required:&nbsp;<br>Superior verbal and written communication skills.&nbsp;</p><p>Advanced computer proficiency in both Microsoft Word and Excel.&nbsp;</p><p>Strong analytical and team building skills.&nbsp;</p><p>Ability to work independently and be self-directed.&nbsp;</p><p>Ability to work effectively with diverse team members.&nbsp;</p><p>Strong problem-solving skills.&nbsp;</p><p>Ability to multitask and streamline day-to-day operations.&nbsp;</p><p>Ability to translate regulatory requirements into auditable tools.&nbsp;</p><p>Preferred:</p><p>Proven ability to lead successful performance improvement projects.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<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>

47 Project Management / Professional Services Jobs in Long Beach, CA, USA