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<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>

L.A. Care Health Plan

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>

Utilization Management Clinical Quality Nurse Reviewer RN II

<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 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>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>

Business Analyst III

<strong>Job Description</strong><h4>Join the Clean Energy Revolution</h4><p>Become an IT Outsource Management, Advisor at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll be responsible for providing application services to meet SCE business needs in the Transmission &amp; Distribution, Wildfire (T&amp;D), and Grid Modernization portfolio. Provide oversight and strategic direction to the Manage Service Provider (MSP) to ensure efficient service delivery to T&amp;D business users and to manage the day-to-day responsibilities to support and maintain applications in T&amp;D. Follow up on application services and problem escalations. Ensure customer satisfaction throughout the application service process. Communicate and coordinate with business and other IT teams and leadership to ensure appropriate integration of operational activities. As an IT Outsource Management, Advisor, your work will help power our planet, reduce carbon emissions and create cleaner air for everyone. Are you ready to take on the challenge to help us build the future?</p><p>A day in the life - Get ready to think big, work smart and shine bright!</p><h4>Partner with Manage Service Providers (MSP) to:</h4><ul><li>Ensure application stability, data integrity, and policy adherence</li><li>Monitor, measure, and improve application service delivery to meet business needs</li><li>Ensure that the quality and timeliness of resolution for application issues and operational activities are met within service level agreements and within business expectation</li><li>Report on operational health to business and IT leadership</li><li>Ensure satisfaction in the timely delivery of IT services to business</li><li>Drive service improvements within IT</li><li>Manage software renewals to maintain latest software versions</li><li>Ensure that appropriate services are being delivered in a timely fashion and uphold terms of the contract via governance.</li><li>Manage enhancements, provide operational feedback to projects to ensure quality, and review roadmaps</li></ul><h4>Service Integration</h4><ul><li>Accountable for service management and integration of defined services to ensure efficient, predictable, and reliable services that meet expected customer outcomes</li><li>Utilize defined service management and integration practices to proactively orchestrate, align, and integrate defined IT service processes to achieve desired end-to-end service outcomes and experiences</li><li>Manage vendor relationships to ensure timely response and issue resolution as defined by vendor SLA</li><li>Meet with vendors to review SCE priority issues and plan for delivery of the bug fixes and software updates.</li></ul><h4>Client Engagement</h4><ul><li>Manage business relationships and liaises with the business units to establish stronger communication and drive towards collaboration and innovation.</li><li>Establish meeting cadence and appropriate communication channels with business counterparts. Report on operational health to business and IT leadership.</li><li>Proactively communicate with clients and provide details on planned and unplanned outages including one with business impact.</li><li>Engineering Services -- Partner with Quality Advisors to oversee and review the product design and testing of the products/applications to ensure proper architecture/design to maintain quality levels by minimizing defects and failures of the application.</li></ul><p>The essentials</p><ul><li>Seven or more years of combined technical experience in application development &amp; maintenance, integration systems, databases, and/or job scheduling environment.</li><li>Experience in working in IT Operations in a managed services environment.</li></ul><h4>The preferred</h4><ul><li>Bachelor's degree or higher in Information Technology or related field.</li><li>Experience with applications such as ArcGIS, AutoCAD Map3D, ClickSchedule, SPIDA, SAP PO, their related Interfaces, and databases such as HANA, Oracle, and SQL.</li><li>Experience with the agile workflow process and operating modes such as DevOps, Waterfall, Product Lines, Value Streams, and SOX compliance.</li><li>Knowledge of ITIL practices, processes, and principles.</li><li>ITIL Foundation Certified.</li><li>Transmission Distribution experience and/or knowledge in electric utility industry.</li><li>Experience with having technical conversations or making technical presentations to both technical and non-technical audiences.</li></ul><h4>You should know</h4><ul><li>This position’s work mode is hybrid. The employee will report to an SCE facility for a set number of days with the option to work remotely on the remaining days. Unless otherwise noted, employees are required to reside in the state of California. Further details of this work mode will be discussed at the interview stage. The work mode can be changed based on business needs.</li><li>Visit our Candidate Resource page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>The primary work location for this position is Rosemead, CA.</li><li>Relocation does not apply to this position.</li></ul><h4>About Southern California Edison</h4><p>The people at SCE don't just keep the lights on. Our mission is so much bigger. We’re fueling the kind of innovation that’s changing an entire industry, and quite possibly the planet. Join us and create a future with cleaner energy, while providing our customers with the safety and reliability they demand. At SCE, you’ll have a chance to grow personally and professionally, making a real impact in Southern California and around the world.</p><p>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Southern California Edison

IT Outsource Management, Advisor [HYBRID]

<p>Salary Range:&nbsp;&nbsp;$67,186.00&nbsp;(Min.) -&nbsp;$87,342.00&nbsp;(Mid.) -&nbsp;$107,498.00&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 Nurse Specialist LVN II will facilitate, coordinate and approve 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 on site admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/ family interaction to develop and implement a successful discharge plan. </p><p>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 prospective, concurrent, post-service and retrospective claim medical review processes. Utilizing considerable clinical judgement, independent analysis, critical-thinking skills and detailed knowledge and application of medical policies, clinical guidelines and benefit plans to complete reviews and determinations within required turnaround times specific to the case type. Identifies cases needing Physician Advisor (PA) review or input and presents for physician review if indicated.</p><p>Perform telephonic and/or on site 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 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.&nbsp; 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 initiates 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). Ensure potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. Ensure high risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. </p><p>Documents in platform/system of record. Utilizes designated software system to document reviews and or notes.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </p><h4>Duties Continued</h4><h4>Participate in the department’s continuous quality improvement activities. Communicates to UM Manager and supervising RN, barriers to completing assignments or daily work in an efficient and effective manner.</h4><h4>Receive incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.</h4><p>Perform other duties as assigned.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</p><h4>Education Required</h4>Associate's Degree<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p>Required:</p><p>At least 4 years of experience in a patient care setting and/or combination in utilization management, appeals and grievances, delegation oversight, and/or CNA experience. </p><p>At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting.</p><p>Preferred:&nbsp; </p><p>Managed Care experience performing UM and CM at a medical group or management services organization. Experience with Managed Medi-Cal, Medicare, and commercial lines of business.</p><h4>Skills</h4><p>Required:</p><p>Technical skills: Must be computer literate, with expertise in Outlook, Word, Excel, and PowerPoint.&nbsp; Effectively utilize computer and appropriate software and interacts as needed with L.A. Care Information System. </p><p>Customer Service Skills: Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team.</p><p>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.</p><p>Preferred:</p><p>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or CM. </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>Licensed Vocational Nurse (LVN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Case Management Certificate<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>

Utilization Management Nurse Specialist LVN II

<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 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 Care Management Business Data Analyst II supports quality and process improvement activities by producing Care Management (CM) measurements that are used for internal and external reporting, the tasks including data quality assurance, process programming, specification documentation and report developing.</p><p>The position applies technical skills to design, develop, and generate ad hoc or production reports that may evolve into complex data analysis/data integration projects that this position may be responsible for maintaining. The complex data analysis/integration projects are those which may require periodic maintenance on a weekly, monthly, quarterly, biannual, or annual basis. The position works with Information Systems analysts and Health Outcome &amp; Analysis staff when ongoing reports can be accurately transferred for production.&nbsp;</p><p>The position interprets and documents both written and verbal specifications. The position takes basic instructions or specifications from appropriate CM staff responsible for delivering CM performance data in order to obtain complete details sufficient for writing data queries based for ad hoc and ongoing health care measures. The position must comprehend the relationships between the field elements in encounters and claims, membership, and provider databases. Must be able to apply and/or develop technical specifications for health care measures such as those used by Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS),National Committee for Quality Assurance (NCQA) and others as identified.</p><p>The position is a key resource to the Care Management department on application use. The position supports the functions related to quality improvement activities inclusive of ad hoc, monthly or quarterly reports that demonstrate health care outcomes in comparison to targets or national averages/percentiles published by recognized organizations such as NCQA and Center for Disease Control and Prevention (CDC/ CDCP).&nbsp;</p><p>For the projects directly assigned to the Data Analyst, this position will also perform project specific tasks, including data management, data analytics, project coordination, technical documentation maintenance report write-up as well.</p><h4>Duties</h4><p>Investigate and document organizational data flow and sources. Provide thorough documentation regarding current: 1) data sources 2) data flow 3) current process and procedures to code, group, Quality Control (QC), link and seed the data.</p><p>Develop automatic, robust and sharable SAS procedures and programs towards building a comprehensive clinical Care Management data repository (may be in collaboration with HO&amp;A department).</p><p>Develop analytical programs, databases, routine procedures using SAS programming language. Develop automatic, robust and sharable SAS procedures and programs towards building a comprehensive clinical data repository.</p><p>Design, develop, and generate routine and &nbsp;ad hoc/production reports. Produce automatic, robust, timely and accurate results based on client specifications.</p><p>Maintains complex ongoing data projects and completes other related duties as assigned in addition to maintaining a comprehensive reporting work plan and tracks timing and completion. Produce accurate analysis as allowed by resources. Identifies and creates contingency plans when necessary to create valid results that meet the intent of the client's specifications .Work plan document is maintained and updated at all times. Produces periodic results as scheduled.</p><p>Communicate and work with essential and supporting departments regarding project details, plans and data sources (i.e. HO&amp;A and IT departments). Reach consensus based on mutual understanding of business requirements/resource availability.</p><p>Perform other duties as assigned.&nbsp;</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Health Science or 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:</p><p>At least 3 years of health care experience.</p><p>Preferred:</p><p>At least 2 years of work experience in health plan.</p><p>Previous experience with report generation using health care data with focus on elements from encounter/claims, membership, and provider data.</p><p>Relevant project coordination/management experience is preferred.</p><h4>Skills</h4><p>Required:<br>Proficiency skills using MS Access, Excel, and Word software.</p><p>Basic SAS programming skills. Must demonstrate appropriate SAS skills in developing programs and procedures for analytics and quality assurance.</p><p>Demonstrated ability to use relational databases for the purpose of generating ad hoc reports.</p><p>The ability to work well in collaboratively with positions having professional backgrounds in the technical and/or clinical fields in order to achieve job duties and departmental objectives and responsibilities for the position.</p><p>Must demonstrate the ability to work independently and seek solutions proactively.&nbsp;</p><p>Able to apply critical thinking in evaluating priorities/solutions.</p><p>Must demonstrate the ability to analyze dataset in relational database environment.</p><p>Analytic skills include the ability to identify data aberrations and recognize data patterns that impact quality.</p><p>Must be able to present data in a format that is appropriate for analysis. This includes the ability to determine select the correct information for calculating basic rates, table configuration, and graphical presentations.&nbsp;</p><p>Must demonstrate an aptitude in learning and expanding abilities to use new applications with basic training.</p><p>Must be a self-starter and demonstrate the ability to multi-task and take charge and accountability of projects assigned.&nbsp;</p><p>Must be able to make recommendations to the report requestor that demonstrate strengths and limitations of the organization's ability to meet the request.&nbsp;</p><p>Preferred:<br>Medium SAS programming skills.</p><p>Past work with membership, provider, and claims encounter/claims.</p><p>Demonstrated ability to take responsibility for making sure requested projects meet the client's needs with respect to data accuracy, format, and timeliness.</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>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>

Care Management Business Data Analyst II

<p><strong>Clinical Research Data Coordinator</strong></p><p>Are you a compassionate and driven individual with a passion for helping others? Do you want to be part of a dynamic team at the forefront of cancer treatment and research? If so, we have the perfect opportunity for you!&nbsp;</p><p><strong>Berenson Cancer Center&nbsp;</strong>is one of the only outpatient medical clinics devoted to multiple myeloma cancer treatment and research. Led by world-renowned oncologist and researcher James R. Berenson, MD., Berenson Cancer Center is a pioneer in creating cutting-edge therapies for patients with myeloma and associated blood cancers. This clinic is located near Beverly Hills in the Sunset Medical Tower in West Hollywood, California.</p><p>We seek a detail-oriented&nbsp;Clinical Research Data Coordinator&nbsp;to utilize their initiative and organizational skills to keep our research moving at top performance. As an ideal candidate, you should have:</p><ul><li>Bachelor's degree in a health-related field</li><li>At least 2 years of Clinical Research Coordinating Experience under a PI at a Research Site/Facility.&nbsp;</li></ul><p>As a&nbsp;Clinical Research Data Coordinator,&nbsp;you will be responsible for successfully performing the following:</p><p>Data collection and management for clinical research studies</p><ul><li>Collect and transcribe patient clinical data and study-related information from our EMR &nbsp;system and physical charts</li><li>Gather and enter clinical data from various sources, including medical records, laboratory reports, and patient assessments, into electronic databases or data management systems.</li><li>Perform quality checks on collected data to ensure accuracy, completeness, and compliance with study protocols, standard operating procedures (SOPs), and regulatory requirements.</li><li>Identify and resolve discrepancies or inconsistencies in collected data through data cleaning procedures. Generate queries to investigate and resolve data discrepancies with clinical site staff or study investigators.</li><li>Design and maintain efficient systems for the processing and quality control of data</li><li>Ensure IRB patient compliance forms are completed and recorded</li><li>Protocol Adherence: Ensure adherence to study protocols, data management plans, and regulatory guidelines (such as Good Clinical Practice) throughout the data collection and management process.</li><li>Collaboration with Study Team: Collaborate with principal investigators, clinical research coordinators, biostatisticians, and other members of the study team to coordinate data collection efforts, address data-related issues, and support study objectives.</li><li>Participate in process improvement initiatives to enhance data collection, management, and analysis processes. Identify opportunities to streamline workflows, increase efficiency, and improve data quality.</li></ul><p>Research blood specimens –This is currently the Scribe and Data analysis, if Dr. Berenson wants the new coordinator to do this they will a IATA certification.</p><ul><li>Manage the daily scheduling, logging, and transfer of research blood specimens</li><li>Coordinate and provide data for research teams to track specimens designated for study</li><li>Generate monthly reports of logged specimens.</li></ul><p>Skills:</p><ul><li>Proficient in data management software and electronic data capture (EDC) systems (e.g., Medidata Rave, Oracle Clinical)</li><li>Strong understanding of clinical research regulations and guidelines (ICH-GCP, FDA regulations)</li><li>Excellent organizational and time management skills, with the ability to prioritize tasks and meet deadlines</li><li>Attention to detail and accuracy in data entry and analysis</li><li>Effective communication and interpersonal skills, with the ability to collaborate with multidisciplinary team</li><li>Problem-solving and critical thinking abilities in resolving data discrepancies and implementing corrective actions</li></ul><p><strong>We offer you: &nbsp;</strong></p><p>We value our employees’ time and efforts. Our commitment to your success is enhanced by a competitive compensation of <strong>$25 - $32 per hour,</strong> depending on experience, and an extensive benefits package including:</p><ul><li>Health benefits, including medical, dental, and vision insurance.</li><li>401(k) / retirement plan with employer matching</li><li>Life and disability insurance.</li><li>Flexible spending account.</li><li>Health savings account.</li><li>Paid time off and holidays.</li><li>Flexible schedule.</li><li>Employee assistance program.</li><li>Professional development assistance.</li></ul><p>Plus, we work to maintain the best environment for our employees, where people can learn and grow with the company. We strive to provide a collaborative, creative environment where everyone feels encouraged to contribute to our processes, decisions, planning, and culture.</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>

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