Jobs with L.A. Care Health Plan

DUTIES The primary job function of the Health Education Advocate is to provide high-touch member outreach and education to L.A. Care Health Plan direct-line-of-business members. The Health Education

DUTIES The Medicare HCC Coder performs reviews, audits and codes medical records for the purpose of reimbursement, training, education and compliance using ICD-9 and CPT codes. The Medicare HCC Code

DUTIES The Medicare Operations Project Coordinator supports the Department by organizing and monitoring all CMS HPMS memos, requests, and deliverables ensuring timely action is taken to meet CMS comp

DUTIES The Medicare HCC Medical Record Coordinator provides support to the Medicare Operations Risk Adjustment team by coordinating, scheduling and tracking all Annual Wellness Exam form activities.

DUTIES The Medicare Operations Specialist works to ensure compliance with the Centers for Medicare and Medicaid Services (CMS) and be a resource for all departments related to L.A. Care ’ s Medicare

DUTIES The Medicare Risk Adjustment Analyst performs reviews, audits and coordinates the sharing of information derived from the Medicare Risk Adjustment tool provided through LA Care’s current vendo

DUTIES Under the general supervision of the Health Education Manager, this position is responsible for the provision of L.A. Care's Health Education programs and services. Primary functions include b

DUTIES The Senior Clinical Data Analyst supports quality and process improvement activities by producing healthcare outcome measurements that are used for internal and external reporting, the tasks i

DUTIES The Management Associate is responsible for providing a broad range of administrative support to the Medicare Programs team and Senior Director of the Department. Responsibilities include mana

DUTIES The position is responsible for managing their workload, addressing all functions for initial and recredentialing of ACN applicants in accordance with departmental policies and procedures, NCQ