L.A. Care Health Plan

Associate's degree and 6 months of community work or operations experience. Experience with data entry and reporting processes

2+ years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and/or public services or public benefits programs with claims and Medicare experience

High school diploma or equivalent, 3 months of experience in patient or provider communication and outreach, proficiency in Microsoft Office and online platforms

4+ years of experience in community events and leading projects focused on health care, public health, or health education

2 years of experience, Associate's Degree, strong customer service skills

8 years of clinical appeals and grievances experience in a managed care, utilization management and/or case management setting, and 2 years in Medicare/ Medicaid in a managed care/ health plan environment

Bachelor's degree, 5 years of experience in Systems Configuration, Claims or other Operations department, and advanced knowledge of complex pricing mechanism and contractual terms

3+ years of care management experience, managing complex cases, providing care management with complex/catastrophic conditions

Bachelor's Degree in Criminal Justice or Related Field, 7+ years of experience in healthcare compliance, and 5+ years of experience in leading teams

6+ years of IT experience, 4+ years of Salesforce experience, and knowledge of Information Technologies