• Financial Compliance Auditor III Claims

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to ... residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make...by Delegated Participating Physician Groups (PPGs), hospitals and health plans contracted with LA Care and various tasks within… more
    LA Care Health Plan (10/23/25)
    - Related Jobs
  • Lead Community Resource Center

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California 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… more
    LA Care Health Plan (10/13/25)
    - Related Jobs
  • Remote Health Plan Nurse Coordinator

    Actalent (Santa Barbara, CA)
    Job Title: Health Plan Nurse CoordinatorJob Description The Health Plan Nurse Coordinator is a Registered Nurse assigned to various Health Services operational ... and Confidentiality laws and regulations. + Adhere to Health Plan , Medical Management, and Health Services policies and procedures....+ Experience in case management and working with health plans and providers. Work Environment The role is based… more
    Actalent (12/12/25)
    - Related Jobs
  • Actuary, Sutter Health Plan

    Sutter Health (Sacramento, CA)
    …line, including Medicare Advantage and preferred provider organization health care plans . Participates as a key financial expert on Sutter Health's customer-facing ... delivering health benefits that enable patients and our health plan members to access care when, where, and how...Advanced knowledge of key operational functions of a health plan , including expert knowledge of key dimensions of health… more
    Sutter Health (12/05/25)
    - Related Jobs
  • Special Needs Plan - Support Social…

    Humana (Sacramento, CA)
    …functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care team member ... (SDOH) needs to assess and assist with coordinating care with available plan benefits and/or appropriate community resources in a telephonic, call center, work… more
    Humana (11/06/25)
    - Related Jobs
  • Community Resource Center Specialist II…

    LA Care Health Plan (Palmdale, CA)
    …(Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to provide ... 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… more
    LA Care Health Plan (11/06/25)
    - Related Jobs
  • Technical Applications Manager II

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $160,400.00 (Mid.) - $199,742.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California 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… more
    LA Care Health Plan (09/16/25)
    - Related Jobs
  • Licensed Clinical Social Worker, New Century…

    UCLA Health (Los Angeles, CA)
    Description Step into a vital role at New Century Health Plan and coordinate the care for our Medicare Advantage members. As a Clinical Social Worker, you will focus ... assess and analyze complex cases to develop individualized care plans and interventions + Knowledgeable of community resources and...year of experience in a managed care or health plan setting, preferred + Minimum of one year of… more
    UCLA Health (10/23/25)
    - Related Jobs
  • Utilization Management Quality Reporting…

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to provide ... residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make...and ensure effective implementation of reporting and auditing work plans and projects on behalf of LA Care's Utilization… more
    LA Care Health Plan (11/05/25)
    - Related Jobs
  • Care Management Specialist II, D-SNP Team (12…

    LA Care Health Plan (Los Angeles, CA)
    …(Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, LA Care Health Plan is an independent public agency created by the state of California to ... residents. We are the nation's largest publicly operated health plan . Serving more than 2 million members, we make...Paid Time Off (PTO) + Tuition Reimbursement + Retirement Plans + Medical, Dental and Vision + Wellness Program… more
    LA Care Health Plan (10/21/25)
    - Related Jobs