4 jobs found in los angeles

Job Summary   The Lead Product Solutions Manager provides program support (end to end) for the ongoing operations of the product line annual cycle.  This role is cross functional.  The Lead Product Manager must partner closely with key stakeholders including but not limited to  IT, Operations, Health Services, Marketing & Sales to develop, organize, and execute the department priorities, resource commitments and deliverables.  The ideal candidate has extensive healthcare knowledge and experience (Commercial, Cal MediConnect and/or D-SNP, Medi-Cal) and will work independently to lead and facilitate complex projects, initiatives that ensure deliverables are aligned with the line of business objectives, on time, and aligned with product retention and growth objectives.  Duties Provides organizational representation in policy workgroups and stakeholder meetings and summits. Evaluates policy and regulatory changes to identify impacts...

Job description Job Summar y The Actuary I will report to the Director of Actuarial Services. This position will help make estimates for the monthly Financial Statements including, but not limited to, revenue projections and reserves for Incurred But Not Paid claims. Additionally, this position will assist in providing financial contracting guidelines to the Provider Network Management department.    The  Actuary I will also routinely participate in the data collection and reporting for the Rate Development Template and other Supplemental Data Requests for the Department of Health Care Services. Furthermore, this position will provide ad hoc financial analyses to external departments for new programs and projects. This Position will provide guidance and mentoring to Actuarial Analysts in the Actuarial department.  Duties Review premium rates from DHCS and assist in rate negotiations.    Support in monthly financial...

Job description Develops and manages technology strategies and operations in a localized environment including hospitals and/or MOB's and functions as an expert authority and single point of contact for clinical technology issues, providing integrated managerial oversight and support for areas as defined by the medical groups. Aligns local planning efforts with Clinical Technology Medical Equipment Consultants, NFS Project Managers, IT Leadership and Medical Group Leaders. Manages the Service Area-wide maintenance service program for all of the medical devices and associated systems and connectivity of those systems including non-traditional environments and equipment. Coordinates technology management for clinical technology plan implementations with Capital Project Teams to ensure new technologies are delivered on time, on budget and meet technical and operational specs as defined. Communicates key deliverables, milestones and interdependencies. Provides leadership and...

Job Summary: Manages a single department or multiple small departments providing ambulatory patient care services. Ensures staff provides high quality, accessible, cost effective care, and patient focused services to members across the continuum which comply with local, state, and federal requirements. Develops and maintains clinical and nursing practice standards, budgets, and staff development. Manages the planning, development, implementation, delivery and evaluation/improvement of quality out-patient/nursing services that add value and are integrated with nursing standards of practice, service priorities and performance/ outcome measures, as well as with strategic, business and organizational goals/objectives. Essential Responsibilities: Manages the delivery of nursing services and out-patient care which are integrated with business plans and meet or exceed cost, quality, clinical and utilization standards and performance measures. Ensures that services...