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<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 Customer Solution Center Appeals and Grievances (A&amp;G) Specialist II &nbsp;will receive, investigate and resolve member and provider complaints and appeals exercising strong independent judgment. This position will provide resolution of complaints in compliance with Centers for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MBMIB) and National Committee for Quality Assurance (NCQA) regulatory requirements. This position reviews pre-service authorizations, concurrent and post-service (retroactive review) medical necessity; benefit coverage appeals and reconsiderations, and complex provider claim disputes. &nbsp;The position is further responsible for tracking, trending and reporting complaints and appeals, as well as participating in internal and external oversight activities.</p><p>The position is responsible for maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting noncompliance, adhering to company policy and procedures, including accreditation requirements, applicable federal, state and local laws and regulations.</p><h4>Duties</h4><p>Identifies, investigates, and resolves administrative complaints, complex provider appeals and State Fair Hearing adhering to CMS, DHCS, DMHC, MRMIB and NCQA standards and regulations.</p><p>Intakes, acknowledges, prepares case files and routes complaints to appropriate internal department for investigation and resolution, exercising strong independent judgment.&nbsp;</p><p>Ensures integrity of A&amp;G database by thorough, timely and accurate assignment of cases. &nbsp;Monitors closure of complaints and works with Quality Control Supervisor to resolve all database issues.&nbsp;</p><p>Prepare and analyze monthly appeal and grievance reports to meet internal and external reporting requirements.</p><p>Participates in internal and external oversight activities, inter-rater reliability reviews and focused audits. &nbsp;Recommends opportunities for improvement</p><p>Perform other duties as assigned.</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><b>Required:</b></p><p>At least 2 years of experience in Managed Care with specific experience in resolving member and provider complaint and appeals issues, including eligibility, access to care, claims, benefit, and quality of care concerns.&nbsp;</p><p><br>Experience working with firm deadlines, able to interpret and apply regulations. &nbsp;</p><p>At least 5 years of experience in Managed Care working with Medicare, Medi-Cal and other State Sponsored programs. &nbsp;</p><p>Knowledge of Medical terminology and strong advocacy experience.</p><h4>Skills</h4><p><b>Required:</b><br>Must be organized, detail oriented, able to exercise strong independent judgment; poses conflict resolution and persuasion skills. &nbsp;</p><p>A team player with excellent communication and presentation skills, able to work effectively with various internal departments/service areas, plan partners, participating provider groups and other external agencies.<br><br>Proficient in MS Office applications, Word, Excel and Power Point.&nbsp;</p><p>Requires strong knowledge of regulatory standards and claims processing; strong analytical, oral, written and presentation skills, able to monitor and be compliant with strict regulatory deadlines.&nbsp;</p><p><b>Preferred:</b><br>Proficient in MS Office applications, Access, Visio.</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>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>                    Claims, Medicare, Medicaid, Healthcare, Insurance                                                    </p>

L.A. Care Health Plan

Customer Solution Center Appeals and Grievances Specialist II (Temporary)

<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 Customer Solution Center Appeals and Grievances Specialist I primary function is to learn the specialty level appeals and grievances work supporting the higher level position in this class series to ensure positive outcomes for members. It will support the Appeals and Grievances team to receive, investigate and resolve member and provider complaints and appeals; escalates complex issues or questions to leadership team as appropriate.</p><p>The position is responsible for maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting noncompliance, adhering to company policy and procedures, including accreditation requirements, applicable federal, state and local laws and regulations.</p><h4>Duties</h4><p>Primary function of this role is to learn the specialty level appeals and grievances work by resolving less complex cases to ensure positive outcomes for members. (20%)</p><p>Supports the identification, investigation and resolve administrative complaints, simple appeals while adhering to Center for Medicare and Medicaid Services (CMS), California Department of Health Care Services (DHCS), Department of Managed Health Care (DMHC), Managed Risk Medical Insurance Board (MRMIB) and National Committee for Quality Assurance (NCQA) standards and regulations. (20%)</p><p>Intakes, acknowledges, prepares case files and routes complaints to appropriate internal departments and external business partners for investigation and resolution, exercising strong independent judgment. (20%)</p><p>Processes assigned cases accurately and in a timely manner per instructions. Escalates complex issues or questions to leadership as appropriate. (20%)</p><p>Actively participates in team meetings and provides recommendation for improvement as appropriate based on discoveries. (10%) </p><p>Performs 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>Associate's Degree<h4>Experience</h4><p><b>Required:</b></p><p>At least 1 year of experience in Managed Care working with Medicare, Medi-Cal and other State Sponsored programs.</p><p>Experience working with firm deadlines, able to interpret and apply regulations.&nbsp; </p><p>Strong advocacy experience.</p><h4>Skills</h4><p><b>Required:</b><br>Must be organized, detail oriented, able to exercise strong independent judgment; poses conflict resolution and persuasion skills. &nbsp;</p><p>A team player with excellent communication and presentation skills, able to work effectively with various internal departments/service areas, plan partners, participating provider groups and other external agencies.<br><br>Proficient in MS Office applications including Word, Outlook and Excel.&nbsp;</p><p>Ability to provide confidentiality and professional customer service skills.&nbsp;</p><p>Ability to work under tight deadline.</p><p>Strong analytical, verbal, written and presentation skills, able to monitor and be compliant with strict regulatory deadlines.&nbsp;</p><p>Knowledge of Medical terminology.</p><p><b>Preferred:</b><br>In depth knowledge of DHCS, NCQA, CMS, DMHC regulartories and guidelines.</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>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>                    Medicare, Medicaid, Healthcare                                                    </p>

Customer Solution Center Appeals and Grievances Specialist I (Temporary)

<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 Ariba Functional Analyst III will be responsible for supporting the procure-to-pay business processes. This position requires collaboration with various stakeholders, including business groups, the procurement team, and the S/4 team, to analyze, troubleshoot, and resolve production issues impacting the Ariba system, Ariba integration processes, and MM modules. </p><p>The Analyst will also provide support for enhancements and projects related to the Ariba application and procure-to-pay processes within both Ariba and S/4 environments. Core responsibilities include supporting and optimizing existing business processes, as well as contributing to the design, build, and testing of new solutions. Furthermore, the Analyst will provide comprehensive support for the FI/CO applications, including: Ariba to FI integration, Accounts Payable (vendor maintenance, invoicing and payments), Materials Management (Purchase Orders, Purchase Requisitions, logistics Invoicing), Controlling (G/L, Cost Center and Internal Orders maintenance) and Reporting. </p><p>Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.</p><h4>Duties</h4><p>Applies subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.</p><p>Support SAP Ariba suite modules – Ariba Upstream &amp; Downstream (Ariba Sourcing, Contract Management, SLP and Buying &amp; Invoicing).</p><p>Support Ariba Buying &amp; Invoicing production issues with Guided buying capabilities - Tiles, Policies configuration, Tactical sourcing activation.</p><p>Support SAP Ariba supplier enablement – Onboarding, VUF, rules set up, country-based invoice rules, user roles creation in Buyer business network, supplier flight plan, enable end points, default transaction rules.</p><p>Support Ariba sourcing, contract management and Ariba SLP modules.</p><p>Support the Ariba to S/4 integration processes as well as the purchasing, receiving, invoicing, and payment processes in S/4 MM and FICO</p><p>Leverage business and understanding of SAP and accounting expertise to address the business requirements, blueprinting, data analysis, business modeling, unit and integration testing.</p><p>Work with business leaders to define end state procure-to-pay business processes. Works with business departments and process owners in defining functional requirements.</p><h4>Duties Continued</h4><p>Collaborate with business groups to define and develop best practices to standardize processes.</p><p>Analyze business processes and coordinate with the project team to provide solutions to optimize productivity and ensure data accuracy.</p><p>Build process documentation, functional specifications, test scripts and training documentation.</p><p>Establish reconciliation and monitoring processes to ensure system and data accuracy and integrity.</p><p>Provide change management support and direction and train users on new systems and processes.</p><p>Manage projects to roll out applications/business processes to ensure the goals and objectives are accomplish on time and within budget as necessary.</p><p>Work directly with project stakeholders throughout the entire lifecycle of projects to define, design and implement.</p><p>Manage outsourced resources to achieve project goals.</p><p>Prepare project status reports for management and business users.</p><p>Lead system testing effort necessary as part of project deliverables.</p><p>Analyze, troubleshoot, and resolve issues during the project and after it goes live.</p><p>Lead and participate in all the data conversion efforts such as Purchase Orders, vendors, invoices and Contracts.</p><p>Train the SAP team on any knowledge gaps.</p><p>Perform other duties as assigned.</p><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><b>Required:</b></p><p>At least 6 years of experience in SAP FI/CO and ARIBA functional support.</p><p>Experience completing at least 2 ARIBA implementation.</p><p>Experience in the creation of Project and Production Support Documentation such as Functional Specs, Test Scenarios, Test Scripts, Desktop procedures, Business process procedures, and others.</p><p>Experience creating and managing Ariba templates for Contract, Sourcing, Events etc. as per business requirements.</p><p>Experience preparing Ariba User Training guide test scripts. </p><p>Experience in configuring the S/4 Hana and Ariba integration with CIG connectivity.</p><p>Experience in configuring Ariba business network (AN) systems. </p><p><b>Preferred:</b></p><p>Experience with the integration between Procurement, Accounts Payable and Materials Management.</p><h4>Skills</h4><p><b>Required:</b></p><p>Detail oriented and excellent organizational, time and stress management skills.</p><p>Excellent analytical and problem-solving skills.</p><p>Excellent interpersonal skills.</p><p>Excellent communication (verbal, written) and customer-facing skills.</p><p>Willingness to expand knowledge and skills to other technologies and solutions.</p><p>Understand and familiar with SAP FI/CO, and Internal Orders.</p><p>Ability to transfer knowledge and training users.</p><p>Ability to influence at all levels of the organization.</p><p>Knowledge of Microsoft Office Word, Excel and PowerPoint.</p><p>Knowledge of Finance and business operations.</p><p>Knowledge of application testing and ability to design, plan and execute application testing strategies and tactics to ensure software quality throughout all stages of application development.</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>                    Accounts Payable, Finance                                                    </p>

Ariba Functional Analyst III

<p><b>Salary Range:&nbsp;</b>&nbsp;$135,136.00&nbsp;(Min.) -&nbsp;$175,676.00&nbsp;(Mid.) -&nbsp;$216,218.00&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 Director, Compliance on Special Investigations and Fraud, Waste and Abuse (FWA) is responsible for directing L.A. Care Health Plan’s enterprise special investigations unit (SIU) and FWA program. The Director oversees internal and external investigations into potential misconduct, regulatory violations, and fraudulent activity while ensuring compliance with federal and state regulatory requirements. </p><p>The Director provides strategic direction, operational leadership, and subject matter expertise to safeguard L.A. Care’s integrity, protect member trust, and mitigate financial and reputational risks. This position leads investigative governance across the enterprise, coordinating with internal stakeholders and external regulators to ensure timely, thorough, and effective resolution of investigative matters. </p><p>This position is responsible for directing all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports.</p><h4>Duties</h4><p><b>Leadership and Program Oversight:</b></p><p>Lead L.A. Care’s Special Investigations Unit (SIU) in overseeing the internal and external investigations into fraud, waste, abuse, and compliance violations. </p><p>Drive the design, implementation, and continuous improvement of the Fraud, Waste, and Abuse (FWA) program, ensuring compliance with Centers for Medicare and Medicaid Services (CMS), Department of Health Care Services (DHCS), and state/federal requirements. </p><p>Ensure effective case intake, triage, investigation, tracking, and resolution processes, including referral to law enforcement, regulators, or external entities as needed. </p><p>Develop and support enterprise policies, procedures, and training programs supporting FWA prevention, detection, and response.</p><p><b>Investigations and Regulatory Engagement: </b></p><p>Direct and oversee investigations into allegations of non-compliance, ethical violations, or fraudulent behavior involving employees, delegated entities, providers, or vendors.</p><p>Partner with Legal, Compliance, and Human Resources on sensitive internal investigations to ensure confidentiality, integrity, and fairness.</p><p>Ensure timely and accurate reporting of SIU/FWA activity to external agencies to meet regulatory requirements.</p><p>Lead enterprise readiness for external audits, regulatory inquiries, and enforcement actions involving SIU and FWA matters. </p><h4>Duties Continued</h4><p><b>Risk Management and Oversight</b></p><p>Conducts strategic planning to use resources to meet current and future departmental and Enterprise-wide goals.</p><p>Monitor investigative trends, emerging risks, and regulatory developments to proactively adapt investigative strategy and resource allocation.</p><p>Develop dashboards, analytics, and reporting tools to provide executives and the Board with visibility into investigative outcomes, financial recoveries, and risk trends.</p><p>Ensure alignment of investigative and FWA activities with organizational risk appetite, compliance strategy, and enterprise risk management frameworks.</p><p><b>Collaboration and Culture:</b></p><p>Serve as a trusted advisor and subject matter expert to senior leadership, the Compliance Committee, and the Audit Committee on investigative matters.</p><p>Collaborate with cross-functional leaders to embed FWA prevention and detection mechanisms across operations.</p><p>Champion a culture of integrity, accountability, and transparency by promoting awareness of FWA risks and prevention strategies.</p><p>Develops goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.</p><p>Manages budgets and resources effectively.</p><p>Perform other duties as assigned.</p><h4>Education Required</h4>Bachelor's Degree in Criminal Justice or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Public Policy or Related Field<h4>Experience</h4><p><b>Required:</b></p><p>At least 7 years of experience in healthcare compliance, fraud investigations, law enforcement, or related field.</p><p>At least 5years of experience in leading teams, projects, initiatives, or cross-functional groups.</p><p>Demonstrated experience managing complex investigations in a managed care or healthcare environment. </p><p>Experience in coordinating with external regulators and law enforcement agencies. </p><p><b>Preferred:</b></p><p>Prior leadership of a Special Investigations Unit (SIU) or equivalent function in a health plan, government agency, or large healthcare system.</p><p>Experience with compliance technology platforms and advanced data analytics for FWA detection.</p><h4>Skills</h4><p><b>Required:</b></p><p>Proven knowledge of CMS, DHCS, DMHC, OIG, and DOJ regulatory frameworks governing FWA programs</p><p>Strong investigative skills, including evidence gathering, interviewing, and case documentation. </p><p>Demonstrated success in leading complex, multi-party investigations with integrity and discretion.</p><p>Excellent communication skills, with the ability to present investigative findings clearly to executives, boards, and regulators. Presented at NHCAA, HCCA or other professional organizational conferences</p><p>Strong organizational and project management abilities; able to manage multiple investigations concurrently under tight deadlines.</p><p>Executive presence with ability to influence and build trust across the enterprise.</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p><b>Preferred:</b></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&nbsp;&nbsp; </p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>And/Or any of the following Licenses/ Certifications:Certified Fraud Examiner (CFE)Certified HealthCare Compliance (CHC)Certified Internal Auditor (CIA)Certified Coder, RN, MD,  PharmaD, or equivalent<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>                    Risk Management, Public Policy, Internal Audit, Medicaid, Medicare, Finance, Government, Healthcare                                                    </p>

Director, Compliance on Special Investigations Unit and Fraud, Waste and Abuse

<p><b>Salary Range:&nbsp;</b>&nbsp;$121,056.00&nbsp;(Min.) -&nbsp;$160,400.00&nbsp;(Mid.) -&nbsp;$199,742.00&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 Application Architect III (AA) collaborates and supports a team of developers and architects to design and build L.A. Care's QNXT Solutions. Working closely with the business, application and Information Technology (I.T.) infrastructure teams, the AA assists in developing and formulating solutions that integrate with a new Service Oriented Architecture (SOA) bus framework to incorporate into QNXT event driven and batch processing entities. Supports the development of the QNXT integration architecture solutions roadmaps. Connects systems architecture to the business needs of the company by working closely with key stakeholders and partners.&nbsp; Plans and schedules all phases of system integration testing. Collaborates and supports the vendors and in-house development/configuration teams to implement roadmaps and QNXT solutions. Provides technical guidance to all departments and works closely with development teams to ensure compliance. Assists in creating roadmap documents, integration documents, process documents, standards documents and governance documents. Collaborates with program-level architects across the organization on the details of the systems architecture for their particular domain. Assists with the overall system design and architecture.&nbsp; Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.&nbsp;&nbsp; </p><h4>Duties</h4><p>Function as the QNXT Subject Matter Expert for IT, with full knowledge of all QNXT environment(s); User Interface; and backend functionality and processes.</p><p>Provide QNXT Enterprise Architecture support to IT Solution Delivery development departments, Data Architecture, and the Enterprise Architecture team. </p><p>Work with other architects with regards to QNXT business processes, data and databases, systems, and security needs, and understand how QNXT best integrates into the overall enterprise architecture solution.</p><p>Ability to integrate QNXT into a common SOA bus framework.&nbsp; </p><p>Establish standards around systems technology stacks and mechanisms for governing cloud-based infrastructure.</p><h4>Work closely with I.T. functional areas to identify and resolve QNXT integration considerations and issues. </h4><h4>Apply subject expertise in evaluating business operations and processes. Identifies areas where technical solutions would improve business performance. Consults across business operations, providing mentorship, and contributing specialized knowledge. Ensures that the facts and details are correct so that the project’s/program's deliverable meets the needs of the department, organization and legislation's policies, standards, and best practices. Provides training, recommends process improvements, and mentors junior level staff, department interns, etc. as needed.</h4><h4>Perform other duties as assigned.</h4><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Computer Science or Related FieldIn 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>A minimum of 6 years of experience working in&nbsp; IT.</p><p>Experience in Designing/Developing/Implementing Interfaces, custom Services and solutions for QNXT suite of products, Trizetto UNITS and BizTalk processing models, Trizetto Hosting Topology, Trizetto QXI and QNXT event modeling framework.</p><p>Experience in data modeling PLANDATA, CUSTOM &amp; PLANINTEGRATION databases to define the relational tables, primary and foreign keys and stored procedures in order to meet the technical requirements of QNXT Custom solutions.</p><p>Experience in collaborating in cross-functional organization teams as well as Business SMEs to ensure that Architectural principles are successfully implemented into new QNXT Business Solutions.</p><p>Experience Healthcare business domain</p><h4>Skills</h4><p><br><b>Required:</b></p><p>Excellent communication skills with business teams/operational managers – listening and providing answers.</p><p>Strong problem solving skills.</p><p>Ability to form good relationships with clients/operational managers and colleagues.</p><p>Ability to keep up-to-date knowledge of technical applications.</p><p>Extensive knowledge of quality standards, legislation and best practices.</p><p>Ability to work under pressure and meet deadlines.</p><p>Ability to think ahead and anticipate problems, issues and solutions.</p><p>Excellent verbal and written communication skills.</p><p>Ability to quickly learn new tools and technologies.</p><p>Strong and advanced knowledge of Microsoft Office applications such as Word, Power Point, Excel, and Visio.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>The Open Group Architecture Frame Work (TOGAF)<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                                                </p>

Senior Application Architect

<h4><em>How you will change lives</em></h4><p>As a Patient Care Technician (PCT) at US Renal Care, you will be an integral part of a cross-functional team providing care and delegated activities of treatment to patients. The PCT will work under the supervision of a Registered Nurse (RN) or Charge Nurse (CN) for patients with renal failure.</p><h4><em>What you'll be doing</em></h4><p><strong>Patient care.</strong> You will work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include gathering patient stats before and after treatment, initiating treatment, monitoring patients during treatment, terminating treatment, and collecting patient blood samples per physician orders.</p><p><strong>Technician Duties. </strong> You will ensure quality comes first by preparing machines for hemodialysis treatments, cleaning and disinfecting machines after treatment, and conducting machine safety checks and logging results for quality control, ensuring all protocols and regulations are followed.</p><p><strong>Safety and Quality. </strong> You will use appropriate safety measures, including personal protective equipment. Working under the supervision of a Charge Nurse, you will adhere to all company policies, procedures, and state/federal laws and regulations. You will participate in all required staff meetings and continuing education offerings.</p><p><strong>PATIENT CARE TECHNICIAN<br>STATE SPECIFIC BOARD OF NURSING REQUIREMENTS </strong></p><strong>California</strong><ul><li>Must possess current Certified Hemodialysis Technician (CHT) certificate from California Department of Public Health (CDPH) at time of hire OR</li><li>Hired at USRC location recognized by state of California as an approved dialysis technician training program and obtain California state certification (CHT) within six (6) weeks of successful completion of training program. </li></ul><strong>Maryland</strong><ul><li>Must possess current Certified Nursing Assistants -- Dialysis Technicians (CNA-DT) certificate from Maryland Board of Nursing OR</li><li>Hired at USRC location recognized by state of Maryland as an approved dialysis technician training program and obtain Maryland CNA-DT certificate within three (3) months from date of hire OR</li><li>Out-of-state applicant must have active BONENT certification and provide proof of initial application for CNA-DT certification.</li></ul><strong>New Mexico</strong><ul><li>Must have New Mexico dialysis technician certificate at time of hire <strong>OR</strong></li><li>Hired at USRC location recognized by state of New Mexico as an approved dialysis technician training program and obtain New Mexico state certification within six (6) months of successful completion of training program <strong>OR</strong></li><li>New Mexico certification of hemodialysis technician is required for out of state applicant with active state or national hemodialysis certification; must obtain New Mexico state certification prior to working as a Certified Hemodialysis Technician. </li><li>After January 1st, 2024, all initial applications for the certified hemodialysis technician will require a national hemodialysis technician certificate.</li><li>The applicant must submit proof of a valid national hemodialysis technician certificate from a recognized organization.</li><li>Hemodialysis technician students must have a current basic life support credential prior to and while the student has contact with patients</li></ul><strong>OHIO</strong><ul><li>Must have Ohio dialysis technician intern certificate at time of hire OR</li><li>Hired at USRC location recognized by state of Ohio as an approved dialysis technician training program and submit application for Ohio dialysis technician intern certificate to board no later than four (4) weeks prior to completion of the approved training program.</li><li>Must obtain Ohio Board of Nursing Certificate (OCDT) not less than twelve (12) months and not later than eighteen (18) months of enrolling in the USRC OCDT program.</li></ul><strong>OREGON</strong><ul><li>Must possess current Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division at time of hire OR</li><li>Must obtain Oregon dialysis technician provisional certificate within three (3) weeks of successful completion of training program and obtain Certified Hemodialysis Technician (CHDT) certificate from Oregon Public Health Division within eighteen (18) months. An Oregon Provisional Certification is valid for six months and can be renewed for one additional six month period.</li></ul>&nbsp;<br>

U.S. Renal Care

Dialysis Patient Care Technician MWF

<p>USRC's greatest strength in being a leader in the dialysis industry is our ability to recognize and celebrate the differences in our diverse workforce. We strongly believe in recruiting top talent and creating a diverse and inclusive work climate and culture at all levels of our organization.</p><p>The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.&nbsp; This position is accountable for providing quality care to all patients and is committed to delivering superior customer service in all internal and external interactions.&nbsp;&nbsp;<br><br>ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.&nbsp; Other duties and tasks may be assigned.</p><ul><li>Knowledge of and comply with federal, state, local laws and regulations, including health care professionals practice act requirements as they pertain to home dialysis program and patient care requirements.</li><li>Train patient (and/or care partner) in the practice of self-care Peritoneal Dialysis or Hemodialysis upon meeting federal and state regulations governing Registered Nurse qualifications.</li><li>Conduct home visits to assess the patient's home environment per policy; initially and minimally annually thereafter.&nbsp; Routinely evaluate patient performance and assess the home environment more frequently as needed to improve care.</li><li>Communicate results of patient assessment, reassessment, and ongoing monitoring to the physician, team members, and others as appropriate to the individual needs of the patient.</li><li>Document all nursing services in the Electronic Medical Record including but not limited to training sessions, routine and non-routine in-person interactions, and phone conversations.&nbsp; Documentation should accurately reflect the patient status and nursing interventions and be written to ensure continuity of care.</li><li>Participate in infection control monitoring, implementation, and recording as requested.</li><li>Be familiar with emergency equipment and all emergency operational procedures.&nbsp; Communicate and regularly review Emergency Preparedness procedures with all home patients, including but not limited to emergency disconnection from dialysis equipment, what to do and who to contact if displaced from home.</li><li>Ensure clinic and patient supply inventory and usage is appropriate for patient prescriptions and place orders in timely manner to avoid fees and penalties.</li><li>Continually seek to improve patient and quality outcomes through tracking and trending of program and patient performance, use of critical thinking skills and root cause analysis to improve patient and quality outcomes.&nbsp; Assist in obtaining data for the continuous quality improvement activities.</li><li>Obtain routine and non-routine laboratory tests as ordered and communicate critical lab values and urgent patient needs to the responsible physician or physician extender in a timely manner.</li><li>Complete and document monthly review of patient medication profiles.&nbsp; Administer medications as ordered by the physician.</li><li>Responsible for performing on call nursing services, nights and weekends, on a rotational basis as needed or assigned.</li><li>Flexible with staffing locations and hours to accommodate patient and USRC home program needs.</li><li>Regular and reliable attendance is required for the position.</li></ul><p>Home Hemodialysis Only:</p><ul><li>Coordinate home evaluation with technical services department to ensure that the necessary electrical, plumbing and drainage requirements for proper equipment operation are met prior to patient acceptance into home program.</li><li>Ensure required and appropriate water sampling is complete per policy and product requirements.&nbsp; Monitor and report water sample and culture results.&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;</li></ul>

Dialysis Registered Nurse, Home Hemo & Peritoneal RN

Dialysis Patient Care Technician

The e-Commerce Sales Associate interacts with hundreds of customers – online, over the phone and in person – to help guide their vehicle purchase in our no-haggle sales environment. Responding to leads in a timely fashion, answering questions, providing information and helping guide customers effectively from phone and internet contact to an in-store experience while providing an exceptional customer experience is key.<p><b>Sell with Confidence. Grow with AutoNation.</b></p><p>AutoNation is redefining the car-buying experience—and we need driven, customer-focused professionals to help us lead the way. With nationwide inventory and a supportive team, you’ll have everything you need to succeed.</p><p><b>Why You’ll Love Working Here:</b></p><ul><li>Competitive benefits</li><li>Career paths into finance, management, and beyond</li><li>A culture built on trust, transparency, and teamwork</li></ul><p><b>What We’re Looking For:</b></p><ul><li>Strong communication and interpersonal skills</li><li>A desire to help people and exceed expectations</li><li>Sales or customer service experience preferred</li></ul><p>Apply now and start building a career with purpose and potential.</p><p>With your outstanding communication and listening skills, you’ll help our customers select their perfect vehicle, negotiate terms to ensure that payment options meet their lifestyles, budgets, and expectations and close the deal. Our e-Commerce Sales Associates provide an exceptional customer experience both before and after purchase, driving loyalty by following up to ensure customer satisfaction and helping transition customers to the Service department to support their ownership experience.</p><h2>What are the requirements for this job?</h2><ul><li><p>High school diploma or equivalent</p></li><li><p>Proven ability to provide an exceptional customer experience</p></li><li><p>Drive to set and achieve targeted goals</p></li><li><p>Prior sales experience, retail preferred</p></li><li><p>Demonstrated communication, consultative, interpersonal and organizational skills</p></li><li><p>The willingness to follow up with customers</p></li><li><p>Experience and desire to work with technology</p></li><li><p>Valid in-state driver’s license and an acceptable, safe driving record</p></li><li><p>Why should I come work for AutoNation?</p></li><li><p>You want to work for a car dealer that has a strong moral compass and treats all of its associates with respect</p></li></ul><p>This is a commission based position, ranging from $4k to $10k a month.</p><h2>Exciting Benefits and Perks Await You:</h2><ul><li><p>Competitive compensation and 401k matching</p></li><li><p>Enjoy a healthy work-life balance with insurance plans (health, dental, vision) and maternity benefits.</p></li><li><p>Associate purchase and discount programs for new and pre-owned vehicles, services, parts, collision, accessories, and AutoGear</p></li><li><p>Access amazing deals and discounts through YouDecide, a website with offers from top providers and retailers</p></li><li><p>Join our DRVPNK mission to raise and donate millions of dollars to cancer research and treatment, partnering with cancer charities nationwide</p></li></ul><p>AutoNation is one of the largest automotive retailers in the United States, offering innovative products, exceptional services, and comprehensive solutions, empowering our customers to make the best decisions for their needs. With a network of dealerships nationwide strengthened by a recognized brand, we offer a wide variety of new and used vehicles, customer financing, parts, and provide expert maintenance and repair services. Through DRV PNK, we have raised over $40 million for cancer-related causes, demonstrating our commitment to making a positive difference in the lives of our Associates, Customers, and the communities we serve.<br>&nbsp;</p><p>AutoNation is committed to creating a diverse, equitable, and inclusive environment in our workplace and the services we provide. We welcome candidates from all backgrounds who are passionate about making a positive impact. Even if you do not meet every requirement, we encourage you to apply. Join our team and help us foster a culture of belonging while contributing to our revolutionary work in the automotive industry. We value innovation, teamwork, and a commitment to making a positive impact in the world.</p>

AutoNation

Sales Associate eCommerce - AutoNation Toyota Cerritos

<p><strong>Hiring Manager:</strong>&nbsp;Qiuping Huang&nbsp;</p><p><strong>Job Abbreviation:</strong>&nbsp;ACC900_P2_E&nbsp;</p><p><strong>Pay Grade:</strong>&nbsp;&nbsp;Exempt - 30&nbsp;</p><p><strong>Pay Range:</strong>&nbsp;$77,200.00&nbsp;-$115,800.00&nbsp;</p><p><strong>Join the Clean Energy Revolution</strong></p><p>Become an <strong>Accountant Specialist -- Corporate Accounting</strong> at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll work on complex accounting activities, partner with cross-functional teams, and support critical financial reporting process that ensure transparency, accuracy, and regulatory compliance. As an <strong>Accountant Specialist -- Corporate Accounting</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>Participates in all aspects of the month end close, including consolidation of subsidiaries, intercompany account reconciliations and foreign currency translations</li><li>Supports in the formulation of the budget and preparing the monthly budget variance analyses</li><li>Executes month-end and year-end close procedures such as reconciling accounts on the balance sheet</li><li>Provides financial status information by preparing special reports</li><li>Works directly with external/internal auditors and other departments</li><li>Verifies that vendor invoicing, inventory product pricing and counts are accurate</li><li>Takes note of necessary requirements, due dates and deadlines for arranging various financial reports</li><li>Compiles necessary financial reporting information as required by senior management regarding the preparation of monthly reports</li><li>Maintains a rigorous and well documented Sox and internal audit environment</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.</li></ul><h4><b>Minimum Qualifications</b></h4><ul><li>Three or more years of experience in general accounting.</li><li>Experience with interpreting and applying Generally Accepted Accounting Principles (GAAP)</li></ul><p><strong>Preferred Qualifications</strong></p><ul><li>Bachelor’s degree in accounting, finance, or related field.</li><li>CPA license or progression toward CPA.</li><li>Public accounting or large-enterprise accounting experience.</li><li>Experience with month-end close process</li><li>Experience with SAP or other ERP system</li><li>Advanced Excel and data analysis skills</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&nbsp;reside in the state of California.  Further details of this work mode will be discussed at the interview stage.&nbsp;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.&nbsp;</li><li>Relocation does not 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>

451 Full Time Jobs in Torrance, CA, USA