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<p><b>Salary Range:&nbsp;</b>&nbsp;$55,245.00&nbsp;(Min.) -&nbsp;$69,045.00&nbsp;(Mid.) -&nbsp;$82,867.00&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, 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 Community Resource Center (CRC) Specialist III builds and maintains meaningful relationships with members of the community, L.A. Care departments, partner health plans, community based agencies, government agencies, and CRC vendors and instructors. The role leads community and provider outreach and engagement initiatives to increase member traffic at a CRC and bridges members of the community to physical and health education programs, classes and resources. Acts as a liaison to the L.A. Care on CRC marketing and promotional initiatives to meet operational needs. Implements processes including coordination of member service support across L.A. Care departments and promote positive health care outcomes. Provides extensive consultation on health care access issues, and identification of resource needs based on social drivers identified through a health assessment process. This position also conducts ongoing member assistance and follow-up in select cases. Collaborates with cross-functional L.A. Care health plan departments The CRCs serve anyone in the community in which they are located; and therefore, this role will provide expertise on referral processes to connect non-member cases to the appropriate external resources.</p><p>Participates in the planning, and development, implementation, and analysis of CRC services, programming, and vendor management. This role may serve as a lead on special projects through the development and implementation of a work plan, technical procedures, and relationship management ensuring successful implementation of CRC initiatives. &nbsp;Acts as a &nbsp;Subject Matter Expert, serves as a resource and mentor for other staff. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</p><h4>Duties</h4><p><b>Outreach and Engagement:</b> (25%) &nbsp;<br>Builds, maintains, and nurtures meaningful relationships with key internal and external stakeholders; and, is an ambassador to grow CRC partnership brand recognition. &nbsp;Identifies key community stakeholders, assesses community needs, and gathers and analyzes data to inform management with an integrated approach to outreach activities and targeted member engagement. &nbsp;Plan, develop, analyze and implement member and community engagement activities to increase member traffic at the CRCs. Makes recommendations for bridging members of the community to physical and health education programs and classes which will enhance health outcomes and member experience. &nbsp;Responsible for communications and marketing efforts through multiple platforms to increase member traffic at assigned CRC; and, engages and educates members of the community on L.A. Care and CRC programs. Responsible for CRC outreach and engagement opportunities relevant to the mission of L.A. Care and the CRCs; recommends to senior management in the development and implementation of &nbsp;work plans. &nbsp;Identifies and recommends what outreach activities to prioritize &nbsp;and implement tactics to attract new L.A. Care and partner health plan members to participate into the CRC services and programs. Responsible for collecting, transporting, and distributing CRC promotional items to community partners with the goal of generating brand awareness across various L.A. Care membership communities and geographical areas in Los Angeles County.</p><p><b>Cross-Collaboration: </b>&nbsp;(25%)<br>Oversees the community initiatives leveraging relationships within L.A. Care, partner health plans, and with community stakeholders to promote access to health care programs, classes, and preventative services offered at the CRC. &nbsp;Educates other L.A. Care departments on the necessary steps to implement relevant services and activities that will resonate with and engage members of the CRC community. &nbsp; &nbsp;</p><p><b>Implementing Strategic Initiatives: </b>&nbsp;(20%) &nbsp;<br>Leads &nbsp;the implementation of special projects and specific tasks that &nbsp;must be &nbsp;completed in order to ensure project, initiatives, and events are successfully implemented within the required timeframe. Proactively monitors risks and provides recommendations and implements mitigation plans to keep initiatives on-track. &nbsp;Maintains consistent documentation of project deliverables, tracks and reports project status. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p><h4>Duties Continued</h4><p><b>High-Touch Customer Focus</b>: (15%)&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; Performs high quality in-person service and contributes to the extended-hour schedule of the CRC to support members and visitors that may need services outside of regular operating hours and days based on business needs. &nbsp;Provides support in the creating of child creating of activities and programs to support children development while parents and guardians attend a class or service appointment at the CRC.</p><p><b>Day-to-Day Representation: </b>(15%)&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; Guides the coordination of member-centric customer service to respond and resolve simple inquiries and complex questions and bridges members to appropriate resources. &nbsp;Creates resource guides and reference materials to identify available CRC, L.A. Care and Plan Partner benefits, resources, and programs to meet the member/visitor needs. &nbsp;Provides guidance and support staff to identify, understand, and master meaningful program and benefit information and resources to inform and educate members, community residents, and other stakeholders. Implements the appropriate approach to identify member or visitor resource needs in complex situations and takes action to link the member/visitor to those services, programs, or resources. &nbsp;Informs L.A. Care and Plan Partner members of health care tailored services including Care Management, Social Services, Health Education, and others. Actively identifies gaps in CRC services, resources, and programs, delivers recommendations for new programs and proposes solutions for the implementation of new services.</p><p>Performs other duties as assigned.&nbsp; (10%)&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;</p><h4>Education Required</h4>Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p><b>Required:</b><br>At least 1 year of community work focused on health care, public health, or health education or</p><p>At least 1 year of operations work experience with community events, leading complex projects, and managing relationships with multiple stakeholders or experience related to health plan member services, health plan member benefits and knowledge of any of the following services: Care Management, Social Services, Health Education, or other social service or clinical teams.</p><p>Product experience including knowledge of at least one of the following health care programs: Medicaid/Medi-Cal, Covered California, Medicare, or Medicare Dual Special Needs Plan.&nbsp;</p><p>Minimum of 1 year experience related to marketing, brand awareness tactics, or social media&nbsp;</p><p>Experience with database software, data entry, and reporting process.&nbsp;</p><p><b>Preferred:</b><br>Minimum of 3 years experience with database software, data entry, and reporting processes. Salesforce knowledge.</p><h4>Skills</h4><p><b>Required:</b><br>Strong verbal and written communication skills</p><p>Excellent organizational skills.</p><p>Must be a detail-oriented, collaborative and enthusiastic team player.&nbsp;</p><p>Strong ability to garner consensus on and support for new partnerships and initiatives, particularly when projects rely on participation by multiple internal or external stakeholders.&nbsp;</p><p>Ability to solve complex issues and identify creative solutions to assist members and community stakeholders.</p><p>Must have the ability to troubleshoot problem areas and recommend effective alternative solutions and provide optimal customer service for internal and external customers.</p><p>Demonstrates action oriented leadership to take on new opportunities and rewarding challenges with a sense of urgency, high energy, and enthusiasm.</p><p>Ability to multi-task and meet competing deadlines while maintaining attention to detail and accuracy.</p><p>Must be able to work independently or as part of a diverse team while being business-minded as well as empathetic towards members.</p><p>Must show initiative and act on anticipated business needs without prompting from management.<br><br>Ability to adapt quickly to a fast-changing environment.</p><p>Advanced proficiency in MS Office including Outlook, Word, Excel, and PowerPoint</p><p>Strong interpersonal skills and ability to read non-verbal cues with a high level of situational adaptability.</p><p>Ability to make sound decisions with incomplete information.</p><p><b>Preferred:</b><br>Experience with the Salesforce CRM platform</p><p>Knowledge and understanding of the unique needs of the Medi-Cal beneficiary populations within a social service, healthcare, not-for-profit, or government setting.&nbsp;</p><p>Knowledge of public agencies, organizations, and other resources that support Community Resource Center visitors.</p><p>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.<br></p><h4>Licenses/Certifications Required</h4>Cardiopulmonary Resuscitation (CPR) Certified within 120 days of hire.<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><p><b>Required:</b></p><p>Within 120 days of hire: Cardiopulmonary resuscitation (CPR) and California Mandated Reporter. </p><p>Management of Aggressive Behavior (MOAB), de-escalation techniques training, safe lifting practices training. Emergency Action Plan (EAP).</p><h4>Physical Requirements</h4>Moderate<h4>Additional Information</h4><p><b>Required:&nbsp;</b><br>Travel to offsite locations for work.</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Medicare, Social Services, Data Entry, Relationship Manager, Medicaid, Healthcare, Service, Administrative, Customer Service                                                    </p>

L.A. Care Health Plan

Community Resource Center Specialist III

<p><b>Salary Range:&nbsp;</b>&nbsp;$117,509.00&nbsp;(Min.) -&nbsp;$152,762.00&nbsp;(Mid.) -&nbsp;$188,015.00&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, 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 Manager, Appeals &amp; Grievances (A&amp;G) &amp; General Operations (Clinical) is responsible for the daily oversight of clinical appeals and grievances functions within the Appeals &amp; Grievances Department to ensure clinical grievances, complaints, appeals and complex issues are investigated and resolved using regulatory guidance across all lines of business. Provides direct supervision to the A&amp;G clinical team and the unit that supports them in order to assure operational effectiveness which includes the implementation and adherence to L.A. Care's Policies &amp; Procedures that meet Centers for Medicare and Medicaid Services (CMS), the California Department of Health Care Services (DHCS), the California Department of Managed Health Care (DMHC), the Managed Risk Medical Insurance Board (MRMIB), National Committee for Quality Assurance (NCQA) and other rules/ regulations/ standards.<br><br>The Manager is responsible for establishing and monitoring processes to oversee and coordinate the identification, documentation, reporting, investigation and resolution of all member appeals and grievances in a timely and culturally-appropriate manner. Coordinates, tracks, and resolves internal and external appeal and grievance complaints for L.A. Care Plan Partners, including identifying opportunities for improvement.</p><p>This position will be a role model for integrity and will establish and maintain effective professional work relationships, working collaboratively with all levels of management and business owners to help guide the discipline of planning, organizing, securing, managing, leading, and controlling resources to achieve specific goals.</p><p>Manages all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.&nbsp;</p><h4>Duties</h4><p>Manage and oversee the handling of clinical grievances and appeals, for L.A. Care and Plan Partner members. Establishes and oversees processes and all relevant member correspondence for accuracy, clarity, and cultural appropriateness and sensitivity.<br><br>Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member grievances. Serve as the Key Contact for State Fair Hearings, internal and external audits, DMHC and DHCS inquiries. Review and monitor procedures for identifying quality of care issues and work collaboratively with cross-functional departments to appropriately address and resolve member and provider grievances.</p><p>Responsible for timely daily operations in the A&amp;G Clinical Services Unit and other general operations units. &nbsp;Ensures timely appeal and grievance reporting to regulatory agencies, internal Regulatory Affairs and Compliance Department, internal Quality Oversight Committee, etc. Collaborates with cross-functional departments &nbsp;to ensure the use of appropriate appeal and grievance issue codes, timely resolution, and refers to community partners as appropriate. &nbsp;</p><p>Lead, participate and provide representation of the A&amp;G Team at Internal and External meetings/ workgroups and acts as the point person for A&amp;G Programs especially the Clinical Programs.</p><p>Develop and execute on strategic opportunities to improve the overall appeals &amp; grievance process. Create a best in clinical appeals process that is efficient and effective in managing member appeals.</p><p>Work cross functionally and collaboratively within Appeals and Grievances with key internal partners to build a high functioning, results oriented environment and organization.&nbsp;</p><h4>Duties Continued</h4><p>Partner with internal and external stakeholders to build and maintain collaborative relationships and partnerships. Identify areas of connection to leverage and create added value for L.A. Care.</p><p>Provide input into the development of automation to guide the team to process efficiencies for all lines of business while maintaining compliance and manageable workloads for staff.</p><p>Responsible for maintaining and updating on an annual basis, or as necessary, appeal and grievance policies and procedures, member correspondence, etc., consistent with regulatory changes. &nbsp;Develop and maintain inventory reports for the appeals process ensuring appropriate productivity, compliance, and inventory management. &nbsp;</p><p>Identify and implement continuous business process improvement recommendations to leverage organizational added value to the Appeals and Grievances Department. &nbsp;Develop and implement short and long-term strategies to improve team results, reducing administrative expenses.</p><p>Manage staff , including, but not limited to: monitoring of day to day activities of staff, monitoring of staff performance, mentoring, training, and cross-training of staff, handling of questions or issues, etc. raised by staff, encourage staff to provide recommendations for relevant process and systems enhancements, among others. Supervision of the Clinical Services unit and general operations within Appeals and Grievances. Maintain a team of top talent, providing a culture of teamwork and collaboration.&nbsp;</p><p>Perform other duties as assigned</p><h4>Education Required</h4>Bachelor's Degree in Nursing<h4>Education Preferred</h4><h4>Experience</h4><p><b>Required:</b></p><p>6 years of clinical acute care experience with at least 3 years of experience with health care grievance and/or appeals issues, preferably in a managed care or Medicaid Health Plan environment and/or public services or public benefits programs.</p><p>At least 3 years of management level operations leadership experience.</p><p>Experience working with firm deadlines, regulators, detail oriented with the ability to interpret and apply regulations</p><p>Experience building relationships with organizations and business partners.</p><p><b>Equivalency:</b>&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><p><b>Preferred:&nbsp; </b></p><p>Managed care experience.</p><h4>Skills</h4><p><b>Required:</b><br>Excellent analytical, problem solving, planning and implementation skills.</p><p>Demonstrated strong writing and communication skills.</p><p>Demonstrates excellent leadership, communication, and negotiation skills with the ability to interact and influence all levels of the organization including executive management and key decision -makers.</p><p>Demonstrates professional judgement, and critical thinking, to promote the delivery of quality, cost-effective care.</p><p>Time management and priority setting skills.</p><p>Excellent understanding of NCQA, DMHC, DOI, DHCS, and CMS regulatory requirements.</p><p>Knowledge of Coordination of Care, Medicare and Medi-Cal regulations, prior authorization, level of care and length of stay criteria sets.</p><p>Able to work effectively with various internal departments/service areas, L.A. Care's plan partners, participating provider groups, and other external agencies.</p><p>Able to operate PC-based software programs including proficiency in Word, Excel and PowerPoint presentations.</p><p>Excellent verbal, written communication and presentation skills.</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>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.</p><p>This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Nursing, Registered Nurse, Nurse Management, Medicaid, Medicare, Healthcare                                                    </p>

Registered Nurse (RN) Manager, Appeals and Grievances General Operations (Clinical)

<p><b>Salary Range:&nbsp;</b>&nbsp;$47,840.00&nbsp;(Min.) -&nbsp;$57,062.00&nbsp;(Mid.) -&nbsp;$68,474.00&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, 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 Authorization Technician II supports the Utilization Management (UM) Specialist by handling all administrative and technical functions of the authorization process including intake, logging, tracking and status follow-up.</p><p>The Authorization Technician II collects information required by clinical staff to render decisions, assists the Manager and Director of the Utilization Management department in meeting regulatory time lines by maintaining an accurate database inventory of referral authorizations, retrospective reviews, concurrent reviews and grievance/appeal requests, and prepares UM Activity and Weekly Compliance Reports.</p><p>In addition, the position performs data entry and processing of referrals/authorizations in the system, &nbsp;authorizes request consistent with auto authorization criteria, maintains confidentiality when communicating member information, and assists with the communication of determinations by preparing template letters for members/ providers, with other duties as assigned.</p><h4>Duties</h4><h4>Functional Elements: Technical Support to UM Specialist: Processing of time sensitive authorization and pre-certification requests to meet department timeframes and regulatory requirements; Computer Input: Accurately and completely processing referrals/authorizations and distribute a complete file to UM Specialist within 2 hours of receipt; identify duplicate requests using the claims and verify existing authorization. Independently identifying and appropriately returning to claims or member services any file that is a duplicate to one already processed in the system; appropriately documenting what information was used in making this determination within 4 hours of receipt. Appropriate identification and timely notification of time sensitive requests; appropriately identifying for the staff which you support, request that are priority based on date of receipt and established Turnaround Time criteria for compliance. Accurate filing/maintenance of confidential member information. Creating secure, complete, files. Interface with members, medical personnel and other internal and external agencies; ensure&nbsp; all comply with L.A. Care requirements such as submitting requested information in a timely manner and using the approved Authorization Request form with complete medical information i.e.: ICD 10 codes, CPT, HCPC codes. (35%)</h4><h4>Assist in the preparation of communication for authorization determinations, including, but not limited to preparing template letters for members and providers (authorization approval, denial, deferral, modification and pay/education). (30%)</h4><h4>Assist in the technical aspects of the retrospective review process for authorizations and Member or Provider Appeals, including, but not limited to computer data entry, logging, copying, preparing of template letters for communication of appeal determinations to members, providers and partners (appeal uphold or overturn) and filing: Set up GNA files for review, log and keep track all due dates for each file. Inform nurses of a new case received from Grievance and Appeals Specialist.; submit all Grievances and Appeals response letters to Grievances Specialist on daily basis. (20%)</h4><h4>Support UM Committee and Audit activity via Department performance reporting. Assure the accuracy of reports concerning inventory and department proficiency in maintaining regulatory standards and time frames. (5%)</h4><p>Perform other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4><h4>Experience</h4><p><b>Required:</b></p><p>At least 6 months of health care experience.</p><p>Experience working in a cross functional work environment.</p><p><b>Preferred:</b></p><p>Experience in Medi-Cal managed care.</p><p>1 year of experience in UM/Prior Authorization.</p><h4>Skills</h4><p><b>Required:</b></p><p>Demonstrated proficiency in Medical Terminology required.</p><p>Strong verbal and written office communication skills.</p><p>Proficient with Microsoft Office Suite and Adobe PDF. and </p><p>Excellent organizational, interpersonal and time management skills. </p><p>Must be detail-oriented and an enthusiastic team player.</p><p><b>Preferred:</b></p><p>Knowledge of QNXT computer systems a plus.</p><p>Knowledge of the UM patient referral process.</p><p>Knowledge of member’s health plan eligibility.</p><p>Knowledge of member’s benefits coverage. </p><p>Knowledge of Health Plan regulations.</p><p>Knowledge of HMO/UM functions.</p><p>Knowledge of ICD-10/CPT coding. </p><p>Proficient utilizing electronic medical records and documentation programs.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Medical Coding Certification<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:</b></p><p>Weekends and holidays hours may be required, as well as OT based on a business need.</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    EMR, Data Entry, Medical Coding, Claims, Healthcare, Administrative, Insurance                                                    </p>

Authorization Technician II

<p><b>Salary Range:&nbsp;</b>&nbsp;$60,778.00&nbsp;(Min.) -&nbsp;$75,950.00&nbsp;(Mid.) -&nbsp;$91,166.00&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, 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 Lead Pharmacy Technician of Pharmacy Benefit Management is responsible for oversight on researching and resolving issues with the Pharmacy Benefit Management company under the direction of the Pharmacy Operations Supervisor, Clinical Pharmacists, Directors/Managers of Pharmacy and Senior Director, Pharmacy Formulary and/or Medical Director in compliance with all federal and state regulatory/contract requirements for all product lines within required Turn-Around-Time standards. Proactively develop and maintain process linkages with internal L.A. Care departments, contracted Pharmacy Benefit Management (PBM), and contracted vendors to increase operational efficiency of pharmacy processes by participating in internal and external workgroups and attending meetings and discussions to ensure best practice. Responsible for the daily workflow and leading the work of assigned staff. &nbsp;This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff. &nbsp;Responsible for producing and analyzing pharmacy reports from the Pharmacy Benefit Management company.</p><h4>Duties</h4><p>Reviews rejected claims and perform outreach for cases where action is required. Applies advanced skills in area of specialization regarding pharmacy daily operations and workflows. &nbsp;Oversees the daily office workflow, develops and recommends enhancements to process and procedures. Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval. (25%)</p><p>Collaborates with and act as liaison between Pharmacy staff and PBM representatives to resolve escalated issues. Delegates escalated cases to pharmacy technicians. (15%)</p><p>Takes part in on-call and after hours schedule rotation. (15%)</p><p>Ensures that the pharmacy technician resources, such as the formulary, guidelines, benefit information, and educational materials are updated and distributed. Delegates and assigns projects to Pharmacy Technicians as necessary, including outreach for Stars Adherence Programs. Leads the work of assigned staff; regularly assigns and checks the work of others, providing guidance, training and feedback on performance to department management.&nbsp; (20%)</p><p>Assists in the development of member and provider communication, including writing/editing and distribution. (15%)</p><p>Perform other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p><br><b>Required:</b></p><p>At least 3 years of experience as a Pharmacy Technician.</p><p>Minimum of 6 months of lead experience (process, program or staff). </p><p>At least 1 year in an outpatient/home infusion/hospital pharmacy setting.</p><h4>Skills</h4><p><br><b>Required:</b><br>Proficiency with Microsoft Word, Excel and Access.</p><p>Must be customer service oriented.</p><p>Must possess good Communication (verbal) skills.</p><p><b>Preferred:</b><br>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4>Pharmacy Technician - 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><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Pharmacy Tech, Pharmacy, Claims, Healthcare, Insurance                                                    </p>

Lead Pharmacy Technician

<p><b>Salary Range:&nbsp;</b>&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, 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 Customer Solution Center Training Specialist II is responsible for conducting functional training Customer Solution Center (CSC) staff in Customer Service, Health Insurance Portability and Accountability Act (HIPAA) Compliance, Plan Partner agreements, Departmental Policies and Procedures (including product operations), Supervisory/Managerial on boarding, and any additional work processes as needed. In addition, is responsible for developing, up keeping, and facilitating training (new and remedial) on Specialty Lines of Business (e.g., Cal MediConnect, L.A. Care Covered) and technology/system enhancements and updates (QNXT, CRM tools, Share Point, etc.).</p><p>This position is also responsible for coordinating and assisting with facilitating monthly remedial training to CSC staff on identified areas of improvement, such as Appeals and Grievance processes, Claims, etc. Through various delivery methods that meet business needs (web, LMS, PowerPoint, etc.) and coordinating with other units or departments in the development and implementation of technical procedures in triage of phone calls. This position is responsible for training Customer Service Vendors on new Customer Solution Center processes and updated Desk Level Procedures.&nbsp; </p><p>The position intermittently supports other departments within the organization. This position oversees new staff during the first 8 weeks, which includes close support to help assure that they meet the performance goals and department standards and will design and implement a scorecard audit procedure to assess the Customer Service performance of Call Center Reps and other employees within the Customer Solution Center. Coordinate timely implementation of mini-surveys and conduct performance studies within the verticals of CSC which includes working with the Quality Review team to identify points of training needs, and reports results and findings of surveys and performance studies to the training Supervisor, to analyze and identify areas of training needs and improvement.</p><p>The position will also work with Human Resources to ensure specialized training programs are tailored for the Customer Solution Center Department (Call Center Unit, Membership Information Unit and Member Relations Unit).</p><h4>Duties</h4><p>Formulates teaching outlines and determine instructional methods such as individual training, group instruction, lectures, demonstrations, conferences, meetings and workshops. Develops and selects teaching aids such as training handbooks, demonstration models, multimedia visual aids, computer tutorials, and reference workshops. Designs and updates training programs in the Customer Solution Center.</p><p>Creates and conducts timely implementation of mini-surveys and performance studies within the Call Center.&nbsp; Reports results, survey findings and performance studies to the Training Supervisor and provides recommendations in training needs and improvements. </p><h4>Conducts training for Customer Solution Center staff in customer service, product operations, and other work processes. Conducts training sessions covering specified areas such as on-the-job training, use of computers and software, interpersonal skills, quality &amp; process issues, and product knowledge. Ensures Customer Solution Center staff are trained in areas of Customer Service, HIPAA Compliance, Plan Partner Agreements, Departmental Policies and Procedures, and work processes.</h4><h4>Responsible for training Customer Service Vendors on new Customer Solution Center processes and updated Technical Procedures. Responsible for tiered learning modules for advancement training within Customer Solution Center. Oversight of all new staff during the first 8 weeks and ensure that they meet the performance goals and department standards. </h4><h4>Tests trainees to measure progress and to evaluate effectiveness of training. Reports on progress of employees under guidance during training periods. Maintains trainee records. Maintains all supplemental training materials to ensure accuracy and the most current information.</h4><h4>Duties Continued</h4><h4>Works with Human Resources to ensure specialized training programs are tailored for the Customer Solution Center Department. This includes providing supervisory/managerial training to new Management staff (Those in a lead role and above). Confers with management, supervisors and employees to gain knowledge of work situations requiring training and to better understand changes in policies, procedures, regulations, business initiatives and technologies.&nbsp; Intermittently supports other departments within the organization.</h4><h4>Performs other duties as assigned.</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><br><b>Required:</b></p><p>At least 3 years of previous experience as a trainer in a call center or customer service with a broad knowledge of training program design and delivery methods.</p><h4>Skills</h4><p><br><b>Required:</b><br>Strong, decision-making and interpersonal skills.</p><p>Excellent verbal land written communication skills. &nbsp;Ability to write routine reports and correspondence.</p><p>Excellent Microsoft Office skills (Excel, PowerPoint, Word).</p><p>Strong analytical and organizational skills.&nbsp;</p><p>Ability to interpret technical data, processes, operating and maintenance instructions and procedure manuals.</p><p>Attention to detail.</p><p>Must be a strong team player willing to work toward achieving team goals.</p><p>Must be flexible to meet the changing training needs.</p><p><b>Preferred:</b></p><p>Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</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><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Call Center, Claims, Customer Service, Insurance                                                    </p>

Customer Solution Center Training Specialist II

<p><strong>Join the Clean Energy Revolution</strong></p><p>Become a&nbsp;<strong>Senior Manager of Advanced Analytics</strong> at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll lead the advanced analytics practice within the Digital and Process Transformation team in IT, driving a culture of data-driven decision-making through the delivery of advanced analytics solutions that solve business problems, create operational efficiencies, and deliver high value, highly complex use cases. You will exhibit strong leadership through collaboration across the business and IT, designing, developing and delivering predictive and prescriptive solutions, utilizing artificial intelligence, data mining, statistical and machine learning techniques and capabilities. You will conduct research on emerging trends and technologies, evolving the advanced analytics strategy and ensuring alignment with SCE’s strategic goals. </p><p>As a <strong>Senior Manager of Advanced Analytics</strong>, 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><h4><b>Responsibilities</b></h4><ul><li>Manages resources and budgets to deliver advanced analytics solutions, provides performance feedback, mentors employees, and ensures staffing levels and skills meet organizational objectives.</li><li>Builds and maintains resource plans to ensure level workloads and sufficient coverage for project work across sub-portfolios.</li><li>Provides strategic planning within the data and advanced analytics portfolio, partners with SMEs and leadership to understand business problems, and manages the Center of Excellence for Data Science.</li><li>Performs demand management, requirements management, benefits case development, and client relationship management.</li><li>Provides requirements to core IT for technology needs, facilitates technology solution evaluations, and assesses compatibility and integration of proposed products/services.</li><li>Responsible for rapid technology prototyping based on business-driven use cases and determining quality and fit for application.</li><li>Engages with business SMEs and leadership regarding advanced analytics objectives, develops business domain knowledge, and maintains open dialogue on interactions and dynamics.</li><li>Develops and communicates the strategy and roadmap for advanced analytics capabilities, keeps abreast of advancements in the field, and participates in industry forums.</li><li>Provides thought leadership, perspectives, and research around process, technology, and techniques to improve solutions.</li><li>A material job duty of all positions within the Company is ensuring the protection of all its physical, financial and cybersecurity assets, and properly accessing and managing private customer data, proprietary information, confidential medical records, and other types of highly sensitive information and data with the highest standards of conduct and integrity.<br></li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Five or more years of experience supervising a technical team of direct reports and/or project management.</li><li>Five or more years of hands-On experience in data and advanced analytics solution design, development and delivery experience.</li><li>Experience with Agile product development, data science methodologies and practices, and languages and platforms such as Python, R, SQL, MLFlow and Databricks.</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Broad understanding of the electric utility industry and its regulatory environment.</li><li>Specialized understanding of one or more electric utility business areas such as Customer Service, Transmission &amp; Distribution, Power Supply, Generation, system operations or planning.</li><li>Experience with visualization and dashboarding tools for communicating data science solution results in support of decision-making.</li><li>Experience with cloud platforms such as Google, Azure, AWS, and Snowflake for scalable data science solutions.</li><li>Understanding or model performance tracking, data drift detection and retraining workflows.</li><li>Knowledge of trends in generative AI, social science modeling and simulation techniques.</li><li>Masters or PhD in a quantitative discipline such as Data Science, Statistics, Mathematics, Engineering, Computer Science.</li></ul><p><strong>Additional Information</strong></p><ul><li>This position’s work mode is&nbsp;<strong>hybrid.&nbsp;</strong>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 work and 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&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li><li>The primary work location for this position is&nbsp;<strong>Rosemead, CA</strong> (SCE General Office, Building 3).&nbsp;However, the successful candidate may also be asked to work for an extended amount of time at<strong> any of our other office locations.</strong></li><li>Position will require up to <strong>30%</strong>&nbsp;traveling and being out in the field throughout the&nbsp;SCE service territory.&nbsp;</li><li>Relocation may apply to this position.</li></ul><p><strong>About Southern California Edison</strong></p><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>Southern California Edison is a proud Equal Opportunity Employer, including disability and protected veteran 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

Senior Manager of Advanced Analytics

<p><strong>Responsibilities</strong></p><p><strong>Summary&nbsp;</strong></p><p>Performs Source Inspection on behalf of customers as defined in customer delegation procedures.&nbsp;Completes defective material reports, data processing move transactions and first article reports per AS9102 requirements as required. Maintains Super Administrator status in Net Inspect portal.&nbsp;Maintains all access to customer portals (GE, Goodrich, PW, etc.) Communicates with department supervision regularly.&nbsp;</p><p><strong>Essential Duties and Responsibilities</strong>&nbsp;</p><ul> <li>Inspect parts visually and dimensionally for conformance to manufacturing drawings, quality control specifications and customer requirements.</li> <li>Performs Source Inspection duties on behalf of designated customers</li> <li>Performs ODA member duties on behalf of the FAA, including 8130 report completion, submittal</li> <li>Must utilize all precision measuring equipment and techniques as applicable, including micrometers, calipers, and optical comparators.</li> <li>Perform First Article Inspection Reports per AS9102 requirements</li> <li>Use statistical sampling plans; complete/verify various inspection reports-including S.P.C. charts, first article reports, and defective material and test reports.</li> <li>Complete data processing move transactions as required.</li> <li>Must know how to read blueprints, and to use different gages, such as micrometers, calipers, comparators, thread gages, pin gages, height gages, protrusion blocks, etc.</li> <li>Performs other tasks of equal or lesser skill as required. Other duties and/or responsibilities may be performed as part of cross-training or employee development plan.</li> <li>Trains personnel in Source Inspection activities.</li> <li>Facilitates access for personnel to customer portals and Net Inspect.</li> <li>Supports customer sourcing audits as necessary.</li></ul><p><strong>Qualifications</strong></p><p><strong>Basic Qualifications:</strong></p><ul> <li>High school diploma or General Education Degree (GED); and three to five years related experience or training; or equivalent combination of education and experience.</li> <li>Ability to read and interpret documents in English such as safety rules, operating and maintenance instructions, and procedure manuals.</li> <li>Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.</li> <li>To perform this job successfully, an individual should have knowledge of ERP software as well as use of customer portals.&nbsp;</li> <li>Employees must be legally authorized to work in the United States.&nbsp; Verification of employment eligibility will be required at the time of hire.&nbsp; Visa sponsorship is not available for this position.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul> <li>Knowledge of basic computer skills, such as Microsoft Word, Excel, PowerPoint, etc.</li></ul><p><strong>Benefits/Salary:</strong></p><p>The position includes competitive wages and a comprehensive benefits package, including health insurance (medical, dental, vision), excellent 401k matching program, paid holidays and vacation.&nbsp;The salary range for this position is $23.86 - $37.00.</p><p><strong>About us</strong></p>﻿Howmet Aerospace Inc. (NYSE: HWM), headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Our primary businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $7.4 Billion in revenue in 2024, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers’ success and making a positive impact on the world. To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2024 Environmental Social and Governance report at&nbsp;<a href="https://www.howmet.com/esg-report/" target="_blank">www.howmet.com/esg-report</a>. Follow: <a href="https://www.linkedin.com/company/howmet-aerospace" target="_blank">LinkedIn</a>, <a href="https://twitter.com/howmetaerospace" target="_blank">Twitter</a>, <a href="https://www.instagram.com/howmetaerospace/" target="_blank">Instagram</a>, <a href="https://www.facebook.com/Howmetaerospace/" target="_blank">Facebook</a>, and <a href="https://www.youtube.com/howmetaerospace" target="_blank">YouTube</a>. Equal Opportunity Employer: Howmet is proud to be an Equal Employment Opportunity employer. We are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other applicable legally protected characteristics. If you need assistance to complete your application due to a disability, please email&nbsp;<a href="mailto:TalentAcquisitionCoE_Howmet@howmet.com" target="_blank">TalentAcquisitionCoE_Howmet@howmet.com</a> <p><strong>About</strong></p>Howmet fastening systems are the premier aerospace and industrial fasteners, latches, bearings, fluid fittings and installation tools. Our products are used nose to tail on commercial and military defense aircraft, as well as on jet engines, automobiles, commercial transportation vehicles, wind turbines, solar power systems, and construction and industrial equipment.

Howmet Aerospace

Source Inspection Quality Lead

<p><strong>Responsibilities</strong></p><p><strong>About Howmet Aerospace</strong></p><p>Howmet Aerospace Inc. (NYSE: HWM), headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Our primary businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $7.4 Billion in revenue in 2024, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers’ success and making a positive impact on the world. To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2024 Environmental Social and Governance report at&nbsp;<a href="http://www.howmet.com/esg-report" target="_blank">www.howmet.com/esg-report</a>. Follow:&nbsp;LinkedIn,&nbsp;Twitter,&nbsp;Instagram,&nbsp;Facebook, and&nbsp;YouTube.</p><p>Born from many well-known and long-standing brands, Howmet Fastening Systems, headquartered in Torrance, California, is the premier designer and manufacturer of aerospace and industrial fasteners, latches, fluid fittings and installation tools. Our products are used nose to tail on commercial and military aircraft, as well as on jet engines, industrial gas turbines, automobiles, commercial transportation vehicles, wind turbines, solar power systems, and construction and industrial equipment.</p><p>Howmet Fastening Systems (HFS) is seeking a <strong>Quality Engineer II</strong>&nbsp;at our <strong>Torrance, CA&nbsp;</strong>location.&nbsp;HFS is a business unit of Howmet Aerospace, headquartered in Torrance, California.&nbsp; We hold the number one global position in aerospace fastening systems, and we’re the North American leader in commercial transportation fasteners. Our high-tech, multi-material fastening systems are found nose to tail on aircraft and aerospace engines. Our products are also critical components of industrial gas turbines, automobiles, commercial transportation vehicles, and construction and industrial equipment.</p><p>Under the direction of the Quality Manager, the Quality Engineer is responsible for customer-plant liaison, implementation and of improvement statistical methods, quality cost analysis, specification and procedure development, and assisting with plant quality audits. Acts as a liaison between Manufacturing, Quality and Engineering relative to customer specification, customer quality requirements and customer problems.</p><p><strong>Job Duties and Responsibilities:</strong></p><ul> <li>Review customer complaints, analyze returns and make recommendations for corrective action.</li> <li>Review statistical data and represent in a graphical format. Assist plants in implementation of statistical methods and quality improvement programs.</li> <li>Assist in conducting annual plant audits and system surveys.</li> <li>Update and augment group Quality Assurance procedures and systems.</li> <li>Assist application Engineering and Sales in development and application problems.</li> <li>Continually drive to improve; testing methods, tooling, and equipment through statistical sampling, that will ensure adequate quality in our manufactured products.</li> <li>Work with Engineering to develop simple and efficient methods of testing new product lines.</li> <li>Monitor all manufacturing processes through audits and daily evaluations, to ensure that processes are being followed, and short cuts are not being taken, jeopardizing the quality of our product.</li> <li>Provide support as being deemed necessary by management to allow the Quality Department to function efficiently.</li> <li>Remain flexible with daily activities in order to handle emergency issues as they arrive.</li> <li>Travel as necessary to customers and suppliers to control problem areas.</li> <li>Perform other duties as may be assigned by the Quality Manger.</li> <li>Work in a safe manner that promotes the health and well being of the individual and the environment.</li> <li>Comply with EHS rules and regulations and supervisory instructions</li> <li>Report all incidents including injuries, spills, fires, property damage, and near misses to their supervisor.</li></ul><p><strong>Qualifications</strong></p><p><strong>Basic Qualifications:&nbsp;&nbsp;</strong></p><ul> <li>Bachelor’s degree in an engineering discipline from an accredited institution.</li> <li>+4 years’ Quality Engineering&nbsp;experience.</li> <li>Employee must be legally authorized to work in the United States.&nbsp;Verification of employment eligibility will be required at the time of hire.&nbsp;Visa sponsorship is not available for this position.</li> <li>This position entails access to export-controlled items and employment offers are conditioned upon an applicant’s ability to lawfully obtain access to such items.</li></ul><p><strong>Preferred Qualifications:</strong></p><ul> <li>Proficient knowledge and application of root cause analysis tools for process improvements and corrective action effectiveness.</li> <li>Experience implementing core body of knowledge of Quality Engineering principles</li> <li>Experience with high volume manufacturing (i.e. machined components, fasteners, etc.)</li></ul><p><strong>Benefits/Salary:</strong></p><p>The position includes competitive wages and a comprehensive benefits package, including health insurance (medical, dental, vision), excellent 401k matching program, paid holidays and vacation.&nbsp;Howmet Aerospace curates a strong working environment through opportunities for career progression, community engagement activities, and flexible schedules contingent upon role and location. The salary range for this position is $80K-103K.&nbsp;</p><p><strong>About us</strong></p>﻿Howmet Aerospace Inc. (NYSE: HWM), headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Our primary businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $7.4 Billion in revenue in 2024, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers’ success and making a positive impact on the world. To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2024 Environmental Social and Governance report at&nbsp;<a href="https://www.howmet.com/esg-report/" target="_blank">www.howmet.com/esg-report</a>. Follow: <a href="https://www.linkedin.com/company/howmet-aerospace" target="_blank">LinkedIn</a>, <a href="https://twitter.com/howmetaerospace" target="_blank">Twitter</a>, <a href="https://www.instagram.com/howmetaerospace/" target="_blank">Instagram</a>, <a href="https://www.facebook.com/Howmetaerospace/" target="_blank">Facebook</a>, and <a href="https://www.youtube.com/howmetaerospace" target="_blank">YouTube</a>. Equal Opportunity Employer: Howmet is proud to be an Equal Employment Opportunity employer. We are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other applicable legally protected characteristics. If you need assistance to complete your application due to a disability, please email&nbsp;<a href="mailto:TalentAcquisitionCoE_Howmet@howmet.com" target="_blank">TalentAcquisitionCoE_Howmet@howmet.com</a>

Quality Engineer II

<p><strong>Position Title:</strong> Program Officer<br><strong>Reports To:&nbsp;</strong>Vice President of Programs<br><strong>Location:&nbsp;</strong>Echo Park, Los Angeles; hybrid schedule (3 days/week in-office required)<br><strong>Time Commitment:&nbsp;</strong>Full-time<br><strong>Announcement Date:&nbsp;</strong>September 5, 2025<br><strong>Applications Due:&nbsp;</strong>open until filled<br><strong>Compensation:</strong> $8,800- $9,600/month; commensurate with experience<br><br><strong>Position Summary</strong></p><p>The Levitt Foundation is seeking an experienced, high-performing Program Officer to oversee the Foundation’s growing national portfolio of Levitt Music Series grantees, comprised of nonprofits based in small towns to large cities across the country. This is an exciting opportunity to join a collaborative team environment, working across the organization with Foundation staff and closely with the Programs team to expand the reach of the Foundation’s grantmaking and deepen impact in communities. The Program Officer will work with grant applicants, new and existing grantees, conduct site visits throughout the country, manage each phase of grant cycles, and identify and develop resources to support the local efforts of grantees and advance programmatic goals and outcomes.<br><br>The Program Officer will play a key role in identifying opportunities and developing strategies aligned with the Foundation’s values and mission to inform Levitt network initiatives and new grant programs. The ideal candidate will have an interest in traveling to communities across the country and strong interpersonal and analytical skills and program management experience, along with a passion for Levitt’s mission of supporting free, outdoor concerts as a means to create welcoming, vibrant public spaces and invigorate community life.</p><p><br><strong>Major Areas of Responsibilities&nbsp;</strong></p><ul><li>Builds and maintains strong, authentic relationships with grant seekers and grantees</li><li>Identifies and builds relationships with a range of organizations to support outreach efforts to help attract diverse applicant pools from across the country and nonprofit sector</li><li>Manages each phase of the Levitt Music Series application period, including the review and award process</li><li>Provides guidance, technical assistance and support to grant seekers throughout the application process</li><li>Manages portfolio of Levitt Music Series grantees including tracking grant deliverables, disbursements, and reporting</li><li>Provides guidance and support to grantees, including technical assistance and regular communication, for impactful execution of funded programs&nbsp;</li><li>Performs site visits of current grantees to nurture relationships and discuss feedback and ideas regarding Levitt Foundation support</li><li>Identifies, develops and provides resources and learning opportunities for grantees to effectively support their Levitt Music Series and work in the field</li><li>Evaluates grant program measures and outcomes, identifies key findings, and provides recommendations to support program impact</li><li>Plays a role in the development, implementation, and management of new grant programs</li><li>Performs site visits of prospective grantees to learn about their communities and assess potential match for future Levitt Foundation funding</li><li>Co-creates and facilitates in-person and online Levitt training sessions for potential and existing grantees</li><li>Collaborates with cross-departmental teams to facilitate information sharing amongst the Levitt network</li><li>Plays a key role in the development and implementation of processes and systems to support efficiencies within the Programs department</li><li>Ensures program-related information and resources are current on the Levitt network's grants portal and information exchange platform</li><li>Remains abreast of evolving practices in the fields of philanthropy, creative placemaking, arts funding, and performing arts presenting</li><li>Represents the Levitt Foundation at events, conferences, and other related activities</li><li>Performs other duties as assigned</li></ul><p><strong>Qualifications</strong></p><ul><li>7-9 years of experience in effective grantmaking, program development, and/or project management</li><li>Outstanding interpersonal skills with ability to develop productive relationships with colleagues, potential applicants, grantees, partners, and stakeholders</li><li>Excellent project management skills with a strong ability to balance multiple, often competing, priorities, without loss of attention to detail</li><li>Innovative and critical thinker with strong analytical and problem-solving skills</li><li>Excellent writing skills with keen ability to communicate clearly&nbsp;</li><li>Working knowledge of creative placemaking and driving social impact through the arts; experience in the performing arts a plus</li><li>Ability to commit to and interest in traveling throughout the country for site visits and national conferences throughout the summer and fall, up to 3 times per month; duration of travel is approx. 2 to 5 days per trip</li><li>Willingness to adapt as programs evolve and comfortable adjusting based on organization and grantee needs</li><li>Strong leadership qualities with ability to work independently and collaboratively in a team environment</li><li>Self-motivated with high degree of initiative and entrepreneurial spirit</li><li>Passion for the Levitt mission of <i>building community through music</i></li><li>Proficient in Microsoft Office and willingness to learn new technologies</li><li>Willingness to work flexible hours, including some nights and weekends</li><li>Bachelor’s degree or equivalent experience</li></ul><h2>Application Submission&nbsp;</h2><p>To apply, upload your cover letter and resume at&nbsp;<a href="https://jobs.appone.com/levittfoundation" target="_blank">https://jobs.appone.com/levittfoundation</a>.&nbsp;</p><p>&nbsp;<br>The Levitt Foundation offers a dynamic work environment and competitive salary commensurate with experience. Benefits include health insurance, 401(k), and other benefits. EEO/AAW employer.</p>

Levitt Foundation

Mortimer & Mimi Levitt Foundation

Program Officer

<p><b>Salary Range:&nbsp;</b>&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, 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><br>The Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines.</p><p>Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. &nbsp;Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner.&nbsp;</p><p>Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress.&nbsp;</p><h4>Duties</h4><p>Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider’s utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs.</p><p>Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence).&nbsp; </p><p>Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies.</p><p>Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions.</p><h4>Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines.</h4><h4>Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes.</h4><h4>Duties Continued</h4><h4>Meets and assesses members at L.A. Care Community Resource Centers, as needed.</h4><h4>Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines.</h4><h4>Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate.</h4><h4>Encourages member and family empowerment through education and use of reliable resources.</h4><h4>Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan’s goals and interventions on a regular basis.</h4><h4>Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. </h4><h4>Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage.</h4><h4>Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training.</h4><h4>Performs other duties as assigned.</h4><h4>Education Required</h4>Associate's Degree in Nursing for Registered NursesMaster's Degree in Social Work for Licensed Clinical Social Workers<h4>Education Preferred</h4>Bachelor's Degree in Nursing for Registered Nurses<h4>Experience</h4><p><br><strong>Required:</strong><br>Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. &nbsp;</p><p>Experience providing care management with complex/catastrophic conditions.</p><h4>Skills</h4><p><br><b>Required:</b><br>Current knowledge of clinical standards of care and disease processes.</p><p>Critical thinking skill.&nbsp;</p><p>Excellent customer service skills.</p><p>Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions.</p><p>Ability to triage immediate member health and safety risks.</p><p>Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping.</p><p>Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. &nbsp;</p><p>Ability to use a personal computer, and knowledge of medical information systems.</p><p>Knowledge of and ability to comply with HIPAA compliance.</p><p>Ability to interview, assess and coordinate care. Ability to prioritize caseload.</p><p>Knowledge of community resources.</p><p>Knowledge of Medi-Cal and Medicare regulations.</p><p>Ability to work as a part of a diverse team and gain consensus and resolution of problems.</p><p><b>Preferred:</b><br>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License.<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)Accredited Case Manager (ACM) CertificationCase Management Nurse – Board Certified (CMGT-BC)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><b>Required:&nbsp;</b><br>Travel to offsite locations for work.</p><p><b>Salary Range Disclaimer:</b> 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><b>L.A. Care offers&nbsp;a wide range of benefits including</b></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><p><br><strong>Nearest Major Market: </strong>Los Angeles                                                                            <br><strong>Job Segment: </strong>                    Social Worker, Substance Abuse, Behavioral Health, Travel Nurse, Nursing, Service, Healthcare                                                    </p>

340 Full Time Jobs in Culver City, CA, USA