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<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, Commercial Product Implementation provides leadership and direction for the operational execution and lifecycle management of L.A. Care’s Commercial products, including LACC, LACCD, and PASC SEIU. This position leads all product implementation, readiness, and process improvement activities to ensure timely, compliant, and successful product launches, renewals, and changes.</p><p>As the operational lead for Commercial products, the Director partners across L.A. Care to ensure all components of product delivery are integrated, effective, and compliant with state and federal requirements. The Director is responsible for establishing discipline, governance, and consistency across all product-related processes and ensuring that the products meet strategic, operational, and regulatory objectives.</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>Lead the end-to-end operational implementation of Commercial product initiatives, including benefit changes, pricing, renewals, and market rollouts.</p><p>Develop and manage detailed implementation plans, timelines, and cross-functional coordination to ensure successful and compliant product delivery.</p><p>Serve as operational liaison with internal and external stakeholders, including regulators (DMHC, Covered CA), ensuring requirements are met and responses are timely and accurate.</p><p>Establish governance structures for product lifecycle management, ensuring operational readiness, quality assurance, and post-launch evaluation.</p><p>Partner with the Executive Advisor, Commercial Products, to ensure strategic alignment and seamless handoff from product strategy to implementation.</p><p>Manage and resolve escalated operational or compliance issues impacting product performance or service delivery.</p><p>Lead development of policies, processes, and documentation to support regulatory audits, filings, and readiness reviews.</p><p>Direct, coach, and develop staff responsible for implementation, monitoring, and improvement of Commercial product performance.</p><p>Oversee development of member and employer materials, including SBCs, benefit grids, and marketing collateral, ensuring accuracy and timeliness.</p><p>Drive continuous improvement and operational efficiency through data analysis, workflow optimization, and process automation.</p><p>Proactively initiate, build and maintain effective relationships and communication with both internal and external key stakeholders.&nbsp; Communicate with senior leadership and executives, provide reports on performance and progress towards objectives.</p><p>Develop goals, objectives and action plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews, training, and disciplinary matters for direct reports.</p><p>Conduct strategic planning for resource management in order to meet current and future departmental and enterprise-wide goals.</p><p>Develops, and manages department budget, monitors expenditures and ensures financial sustainability.</p><p>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Healthcare Administration or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Healthcare Administration or Related Field<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 7 years of experience in Commercial or managed care product operations.</p><p>At least 5 years in management or supervisory roles leading cross-functional projects or teams.</p><p>Demonstrated experience in benefit and rate implementation, product setup, and compliance coordination.</p><p><strong>Preferred:</strong></p><p>Experience in large-scale product launches or operational transformations in health plan environments.</p><p>Familiarity with DMHC filings, Covered CA submissions, and group plan renewals.</p><h4>Skills</h4><p>Strong understanding of Commercial product lifecycle management, including pricing, benefit configuration, and compliance processes.</p><p>Proven ability to lead complex, cross-departmental initiatives on schedule and within scope.</p><p>Demonstrated successful skills in project management, operational governance, and performance tracking.</p><p>Excellent leadership, communication, and problem-solving abilities.</p><p>Ability to mentor and develop high-performing teams and drive accountability.</p><p>Proficiency in data analysis and reporting to support decision-making and performance improvement.</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly.</p><p>Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change.</p><p>Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment.</p><p>Excellent written and verbal communication, negotiation, and interpersonal skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><p><strong>Preferred:</strong></p><p>Familiarity with Agile or Lean methodologies for process improvement.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4><h4>Additional Information</h4><p>Reports to the Executive Director, Commercial Products. Responsible for end-to-end execution of Commercial product lifecycle operations and ensuring compliance with regulatory and strategic requirements.</p><p><strong>Required:</strong></p><p>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>                    Healthcare Administration, Healthcare                                                    </p>

L.A. Care Health Plan

Director, Commercial Product Implementation

<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 Delegation Oversight Clinical Auditing and Monitoring serves as a senior leader within the Compliance Department. The Director will manage the Clinical Delegation Oversight Unit and ensure that all audits of plan partners, Participating Provider Groups (PPGs), specialty health plans and other external first tier, downstream and related entities are audited in accordance with Compliance Department policies and procedures and guidance from all applicable regulatory agencies. This role ensures that all delegated clinical functions—are operating in full compliance with all regulatory, and contractual requirements. The Director oversees the Clinical Auditing and Monitoring Unit, centralizing all activities related to audit planning, execution, monitoring, governance, and reporting for delegated entities including PPGs, Plan Partners, specialty health plans, and other first-tier, downstream, and related First Tier Entities (FDRs).</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>Provide strategic leadership and direction for the Clinical Delegation Oversight program, ensuring alignment with enterprise compliance and quality objectives.</p><p>Develop and maintain a robust audit and monitoring framework for delegated clinical functions, ensuring consistency, accuracy, and regulatory alignment across all Lines of Business (Medi-Cal, D-SNP, LACC, and others).</p><p>Serve as the subject matter expert on clinical delegation oversight requirements, providing guidance to leadership and departments across the organization.</p><p>Partner with Regulatory Compliance, Health Services, Quality Improvement, and Provider Network Management to ensure delegated entities adhere to contractual and regulatory standards for clinical performance and compliance.</p><p>Oversee the end-to-end lifecycle of delegated clinical audits, including risk assessment, audit scheduling, tool development, fieldwork execution, and corrective action validation.</p><p>Direct the monitoring and follow-up process for CAPs (Corrective Action Plans), ensuring timely and verifiable resolution of identified deficiencies.</p><p>Oversee the preparation and presentation of audit reports, performance scorecards, and trend analyses for executive leadership and governance committees.</p><p>Foster a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals</p><p>Proactively initiate, build and maintain effective relationships and communication with both internal and external key stakeholders.&nbsp; Communicate with senior leadership and executives, provide reports on performance and progress towards objectives.</p><p>Develop goals, objectives and action plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews, training, and disciplinary matters for direct reports.</p><p>Develops, and manages department budget, monitors expenditures and ensures financial sustainability. &nbsp;Conduct strategic planning for resource management in order to meet current and future departmental and enterprise-wide goals.</p><p>Performs other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Nursing or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Nursing or Related Field<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 7 years of experience in managed care, clinical compliance, delegation oversight, or healthcare auditing,</p><p>At least 5 years of leading staff or supervisory/management experience.</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Experience developing and managing audit programs, corrective action processes, and cross-functional compliance initiatives.</p><p>In-depth knowledge of DHCS, DMHC, and CMS regulatory requirements governing delegated clinical functions..</p><p>Demonstrated expertise in clinical oversight of delegated entities, including UM, QI, Credentialing, and Case Management functions.</p><p>Knowledge of Word and Excel.</p><p>Excellent interpersonal, verbal, and written communication skills required.</p><p>Must be able to present findings to various levels of management, across all organizations.</p><p>Ensuring organizational compliance with regulatory requirements and effectively communicate to L.A. Care staff, external contacts and regulatory agencies. Build relationships with regulatory agencies to communicate compliance activities and deliverables.</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly</p><p>Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change..</p><p>Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment</p><p>Excellent written and verbal communication, negotiation, and interpersonal skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Registered Nurse (RN) - Active, current and unrestricted California LicenseLicensed Vocational Nurse (LVN) - Active, current and unrestricted California LicenseCertified HealthCare Compliance (CHC)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Financial Impact: Salary expense, office equipment.</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>                    LVN, Nursing, Registered Nurse, Audit, Clinic, Healthcare, Finance                                                    </p>

Director, Compliance Delegation Oversight Clinical Auditing and Monitoring

<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 of Information Technology (IT) Solution Delivery oversees IT Solutions Delivery for assigned Domain team reporting to the Managing Director of Applications IT Solution Delivery. This IT Leader would be responsible for Design, Delivery, Integration and Support for IT Systems and Processes. The ideal candidate will quickly develop working knowledge of legacy Business Processes/Systems and lead the development of transformative capabilities. This person will build strong relationships with key Business and IT stakeholders in a manner that is effective, efficient and responsive. The ideal candidate will work with key L.A. Care executives to distill strategic initiatives into Requirements/Solutions and provide a Roadmap for delivery. 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>Direct and facilitate Application Development, Customization, Operational &amp; Production Support activities in support of Product Lines and related regulatory functions.</p><p>Manage team of Systems/Technical Analysts, Technical Leads, Development Staff comprised of Full Time Employees and Consultants.</p><p>Develop 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>Collaborate with teams supporting System Business Configurations, Service Bus, Data Import/Export, Reporting, Quality Assurance, Production Control, Release Management, Enterprise Architecture, Resource Management, Vendor Management, Procurement, Information Management, Security, Infrastructure, Enterprise Program Management Office, Claims Operations, Provider Management, Customer Service, Health Services, Finance and Payments.</p><p>Develop and manage Roadmaps, Data Flow Diagrams, Requirements, Designs and Implementation Artifacts.</p><p>Collaborate on and execute Best Practices for Software Development Lifecycle Management (including successful transition to Agile), Time Reporting, Resource Planning, Talent Management, Vendor Management (Software &amp; Services), Production Support, Incident Management.</p><p>Develop understanding of Business Practices, Priorities, and Regulatory Requirements for assigned area(s).</p><p>Ensure proper communication across Solutions Delivery team and broader organization.</p><p>Provide ‘thought leadership’ for assigned Business Domain and broader IT team.</p><p>Drive initiation and delivery of key projects involving Member &amp; CSC IT Solutions.</p><p>Perform other duties as assigned.</p><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>Master's Degree in Related Field<h4>Experience</h4><p><br><b>Required:</b></p><p>At least 7 years of IT Applications work experience.</p><p>At least 5 years of progressive management experience.</p><p>At least 5 years developing Software Solutions leveraging a Software Development Lifecycle Methodology.</p><p>At least 4 years of IT Vendor (Software and Consultant) Management.</p><p>Demonstrable experience in overseeing and delivering IT Solution Development, preferably with Insurance Payer Systems.</p><p><b>Preferred:&nbsp; </b></p><p>At least 5 years of Health Plan IT experience.</p><p>At least 4 years of system oversight experience.</p><p>At least 4 years of Service Bus development experience.</p><p>At least 4 years of Los Angeles County Health Delivery experience (Hospital, Provider, Health Plan, and Vendor).</p><h4>Skills</h4><p><strong>Required:</strong><br>Strong leadership, team building, organizational and program/project management skills.</p><p>Well-organized, flexible and self-starter.</p><p>High level of written and verbal communication skills.</p><p>Strong decision making ability and attention to detail.</p><p>Ability to influence key internal and external business/IT partners.</p><p>Active listening skills.</p><p>Ability to navigate ambiguity and proactively develop effective plans.</p><p>Ability to create Application Architecture diagrams and Roadmaps.</p><p><strong>Preferred:</strong></p><p>Functional knowledge of assigned service area(s).</p><p>Detailed understanding of member eligibility rules for L.A. Care’s Product lines.</p><p>Microsoft Project Server, Excel, PowerPoint, Word.</p><p>Organizational Change Management.</p><p>Agile 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><strong>Health Services Domain</strong>: Oversees Health Services Domain and team that supports Business Utilization Management, Care Management, Clinical Case Management, Disease Management, Health Information Exchange (HIE), Clinical Data Exchange and Clinical Regulatory functions.</p><p>Develop understanding of Health Services Business Practices, Priorities, Regulatory Requirements (including HEDIS), HIE landscape, Los Angeles County ‘Safety Net’.</p><p><strong>Requires:</strong></p><p>At least 4 years of experience in clinical systems.</p><p><strong>Preferred:&nbsp;</strong></p><p>Functional knowledge of Utilization Management, Care Management, Clinical Case Management, Disease Management, Healthcare Effectiveness Data and Information Set (HEDIS), HIE.</p><p><br><strong>Customer Service or Member Eligibility Systems Domain:</strong>Develop understanding of Member &amp; CSC Business Practices, Priorities, Regulatory Requirements.</p><p><strong>Requires:</strong></p><p>At least 5 years of Customer Service or Member Eligibility Systems experience.</p><p><strong>Preferred:</strong></p><p><br>At least 5 years of Operations &amp; Solution Delivery experience.</p><p><br>At least 4 years of Member &amp; CSC Commercial system oversight experience.</p><p><br>Functional knowledge of technologies supporting Customer Service Center operations.</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, Insurance                                                    </p>

Director, Information Technology Solutions Delivery

<p><b>Salary Range:&nbsp;</b>&nbsp;$149,502.00&nbsp;(Min.) -&nbsp;$201,827.00&nbsp;(Mid.) -&nbsp;$254,152.00&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, Information Technology (IT) Business Operations is responsible for governing and coordinating enterprise IT operational processes that ensure controlled, predictable, and high-quality delivery of technology releases into production. This position serves as the centralized authority for release management, change governance, financial tracking, and cross-functional operational coordination across all technology platforms and business verticals.</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><p>Develops strategic plans, drives change, and influences critical business outcomes.</p><p>Oversees operations, ensuring efficiency and effectiveness.</p><h4>Duties</h4><h4>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. Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Manages budgets and resources effectively.</h4><h4>Conducts strategic planning to utilize resources to meet current and future departmental and Enterprise-wide goals. Oversees the IT business operations financial tracking, actuals, and variance analysis. Manages budgets and resources effectively.</h4><h4>Leads the IT portfolio management function, ensuring visibility into project status, risks, and dependencies. Establishes program governance and ensure consistent delivery practices across teams. Drives prioritization frameworks to balance innovation, maintenance, and regulatory needs.</h4><p>Leads IT operational strategy to align technology capabilities with enterprise priorities. Leads and oversee enterprise Release Management for all technology solutions deploying to production.</p><p>Facilitates and responsible for the Change Advisory Board (CAB), ensuring risk assessment, dependency management, and stakeholder alignment for all changes.</p><p>Identifies and actualizes enhancements to support company vision. Define and enforce production readiness criteria for all releases, including documentation, support models, and monitoring requirements.</p><p>Establishes governance frameworks for budgeting, portfolio management, vendor oversight, and performance reporting. Serves as the escalation point for vendor-related issues impacting releases or production stability.</p><p>Develops and maintains relationships with key stakeholders. Collaborate with cross-functional management teams.</p><h4>Implements standardized processes across project intake, prioritization, and delivery. Monitors key performance indicators (KPIs) and operational metrics, driving continuous improvement initiatives. Ensures audit readiness and compliance with internal and external requirements.</h4><p>Performs other duties as assigned</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Information Technology or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree<h4>Experience</h4><p><strong>Required: </strong></p><p>At least 8 years of experience in technology and/or enterprise operations.</p><p>At least 5 years in release management, or business operations.</p><p>At least 6 years of experience in leading, supervising and/or managing staff.</p><p>Experience with IT governance, change and/ or release management frameworks.</p><p><strong>Preferred: </strong></p><p>Healthcare or other regulated industry experience.</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Exceptional knowledge and ability in ITIL, change management, release management frameworks.</p><p>Strong understanding of IT governance, fiscal management, and portfolio management.</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly</p><p>Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change.</p><p>Excellent people skills for building relationships, fostering teamwork, and creating a positive work environment</p><p>Excellent written and verbal communication, negotiation, and people skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><p>Must have a deep understanding of financial principles.</p><p>Ability and exceptional knowledge in developing and managing budgets, forecasting future financial outcomes, and making informed decisions about resource allocation.</p><p><strong>Preferred:</strong></p><p>Vendor management and risk mitigation expertise.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Information Technology Infrastructure Library (ITIL) Certification<h4>Required Training</h4><p><strong>Required:</strong></p><p>ITIL and change management training.</p><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>

Director, Information Technology Business Operations

<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 of DevOps and Digital Transformation will lead enterprise-wide initiatives to modernize L.A. Care’s technology delivery capabilities and drive digital innovation. This position is responsible for establishing and scaling DevOps practices, enabling continuous integration and delivery (CI/CD), and aligning digital transformation efforts with organizational goals to improve agility, efficiency, and member experience. The position ensures all digital initiatives comply with HIPAA regulations and safeguard Protected Health Information (PHI) and Personally Identifiable Information (PII).</p><p>Directs all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Responsible for driving performance to ensure that the team can facilitate high-impact decisions to support the success of L.A. Care’ initiatives and goals. Oversees the development, implementation, administration, and maintenance of the department's programs, policies, and procedures.</p><h4>Duties</h4><p>Conduct strategic planning to utilize resources to meet current and future departmental and Enterprise-wide goals. Direct the design and implementation of DevOps strategies, tools, and frameworks to support scalable, secure, and automated software delivery.</p><p>Drive digital transformation initiatives across Information Technology (I.T.) and business units, including cloud adoption, platform modernization, and Artificial Intelligence (AI)/automation integration.</p><p>Ensure all DevOps and digital transformation efforts comply with Health Insurance Portability and Accountability Act (HIPAA), Health Information Technology for Economic and Clinical Health (HITECH), and other healthcare regulations.</p><p>Oversee the implementation of robust security protocols to protect PHI and PII across all systems and platforms.</p><p>Foster a culture of ownership, continuous improvement, and cross-team collaboration.</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. Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Manages budgets and resources effectively.</p><p>Collaborate with cross-functional teams to align DevOps and digital initiatives and strategies with enterprise architecture, data governance, and compliance standards. Ensure alignment with L.A. Care’s mission to serve vulnerable and low-income communities through technology-enabled care delivery.</p><p>Establish key performance indicator (KPIs) and metrics to measure DevOps maturity, deployment velocity, and digital impact.</p><p>Partner with Human Resources Business Partner (HRBP) and leadership to define new roles and upskill teams in support of transformation goals.</p><p>Manage vendor relationships and evaluate emerging technologies to support strategic objectives.</p><h4>Perform other duties as assigned.</h4><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Computer Science<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 7 years of experience in DevOps or digital transformation.</p><p>At least 6 years of experience in leading, supervising and /or managing staff.</p><p>Proven experience implementing CI/CD pipelines, infrastructure as code, and cloud-native architectures.</p><p>Experience with on-prem (VMWare), multi-cloud (AWS, Azure), and hybrid environments.</p><p><strong>Preferred:&nbsp; </strong></p><p>Experience with AI/ML integration, automation platforms, and digital health tools.</p><p>Experience with Infrastructure as Code (IaC) tools (Terraform, ARM Templates/Bicep, CloudFormation).</p><p>Experience with artifact repositories (JFrog Artifactory, Nexus).</p><p>Experience with security tools for SAST/DAST (SNYK, Checkmarx, Rapid7, Wiz).</p><p>Experience with code quality and testing tools (SonarQube, Selenium).</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Strong understanding of healthcare I.T., HIPAA compliance, and security best practices for PHI and PII.</p><p>Demonstrated ability to lead cross-functional teams and manage complex change initiatives.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly.</p><p>Excellent written and verbal communication, negotiation, and people skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><p>Strong financial acumen.</p><p>Knowledge of CI/CD tools (GitHub Actions, Jenkins).</p><p><strong>Preferred:</strong></p><p>Familiarity with L.A. Care’s strategic priorities and community-focused mission</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certification in Amazon Web Services (AWS)Certification in AzureCertification in Google Cloud Platform (GCP)Certification in HealthCare Information Security and Privacy Practitioner (HCISPP)Certified Information Privacy Professional/United States (CIPP/US)<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>

Director, DevOps Engineering and Digital Transformation

<p><b>Salary Range:&nbsp;</b>&nbsp;$206,311.00&nbsp;(Min.) -&nbsp;$278,520.00&nbsp;(Mid.) -&nbsp;$350,729.00&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 Senior Director, Information Technology (IT) Strategy and Product Management provides strategic leadership in defining and executing the technology vision aligned with enterprise goals. This role partners with executive leadership to ensure technology initiatives deliver business value, operational excellence, and innovation in support of member engagement and healthcare delivery. The position leads IT strategy development, product lifecycle management, and strategic initiatives across all L.A. Care business domains/IT functions. Working closely with cross functional teams to ensure that technology initiatives directly enable organizational growth, innovation, and operational excellence across all business lines.&nbsp;</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.&nbsp; Develops strategic plans, drives change and influences critical business outcomes.&nbsp; Oversee operations, ensuring efficiency and effectiveness.&nbsp;&nbsp; Steers top-level decision-making and implement initiatives that drive organization's forward.</p><h4>Duties</h4><p>Define and implement a multi-year IT strategy roadmap aligned with enterprise goals and transformation priorities.Translate business and clinical strategy into actionable technology initiatives that enhance member experience, care coordination, and operational efficiency.</p><p>Lead annual IT strategic planning, prioritization, and governance processes in coordination with enterprise strategy and transformation teams.This role is key to driving enterprise digital transformation and ensuring alignment with strategic goals.&nbsp;</p><p>Oversee the end-to-end lifecycle of enterprise solution deliveries from ideation and design to delivery, adoption, and continuous improvement.Champion the adoption of product management practices across IT to drive value-based delivery, iterative innovation, and measurable outcomes.Collaborate with business and technology stakeholders to develop product roadmaps, business cases, and key performance indicators (KPI) tied to enterprise goals.</p><p>Partner with cross functional teams to align IT investments with enterprise transformation programs, such as digital health, data modernization, member experience, provider experience etc.Serve as a strategic advisor on technology trends and innovation opportunities that advance the organization’s mission in the healthcare ecosystem.Foster a culture of collaboration between IT, Strategy, Clinical, and Operations leaders to ensure cross-functional alignment.</p><p>Establish performance metrics and governance frameworks to measure the success of IT strategic initiatives and product outcomes.Ensure compliance with healthcare regulations such as Health Information Portability and Accountability Act HIPAA), Centers for Medicare and Medicaid Services (CMS), Health Information Technology for Economic and Clinical Health (HITECH), etc. and IT security standards.Oversee vendor partnerships and technology investments to optimize value, scalability, and interoperability.</p><p>Build organizational capabilities in strategic thinking, product innovation, and agile delivery.Serve as a mentor and thought leader across the IT and business strategy communities.</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>Conducts strategic planning for utilization of resources in order to meet current and future departmental and enterprise-wide goals.</p><p>Leads discussions on policy operationalization and oversees key policy perspective sharing.</p><p>Manages budgets and resources effectively.</p><p>Identifies and drives change initiatives. &nbsp;Identifies and actualizes enhancements to support company vision.</p><p>Develops and implements communication strategies.</p><p>Develops and maintains relationships with key stakeholders.&nbsp; Collaborates with cross-functional teams to achieve common goals.</p><p>Represents the company or organization in external interactions.</p><p>Develops and maintains relationships with key stakeholders.</p><p>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Information Systems or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 10 years of progressive IT leadership experience.</p><p>At least 10 years of experience lead, supervisory and/or management experience.</p><p>At least 5 years of experience in strategic planning or product management within healthcare payer or provider environments.&nbsp;</p><p><strong>Preferred:</strong></p><p>Experience leading enterprise digital transformation and large-scale technology strategy initiatives.&nbsp;</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Strong strategic planning, communication, and leadership skills; deep understanding of healthcare technology landscape (EHR, interoperability, analytics, CRM).</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly</p><p>Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change.</p><p>Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment.</p><p>Excellent written and verbal communication, negotiation, and interpersonal skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><p><strong>Preferred:</strong></p><p>Expertise in agile delivery, product portfolio management, and enterprise architecture alignment.&nbsp;</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Project Management Professional (PMP)Certified SAFe Product Owner/Product ManagerCertified Scrum Product Owner (CSPO)<h4>Required Training</h4><p><strong>Required:</strong></p><p>Enterprise governance, compliance, and cybersecurity awareness training.&nbsp;</p><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>                    Medical Technology, Medicare, Medicaid, Healthcare                                                    </p>

Senior Director, Information Technology Strategy and Product Management

<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 of Inside Sales and Broker Services provides strategic and operational leadership for the organization’s internal sales operations and broker telephonic support and services functions. This role oversees the inside sales team responsible for Medicare Advantage and Covered CA (On-exchange) enrollment support, as well as the broker services team assisting contracted agents selling both on-exchange and Medicare products.</p><p>In this leadership role, the Director will collaborate and contribute to organizational initiatives that support our product lines: PASC SEIU, Medi-Cal,&nbsp; Medicare and Covered California Marketplace.&nbsp; As a recognized subject matter expert, the Director provides leadership to educate, develop, motivate and empower the sales team to achieve objectives with a focus on building effective business relationships within our markets.</p><p>The Director ensures the delivery of a high-performing, compliant, and mission-driven sales experience that aligns with the organization’s commitment to expanding access to affordable, quality health care for diverse and underserved communities.</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>Develop and execute the inside sales and broker support strategy to meet enrollment goals for all lines of business, including Medi-Cal, Medicare Advantage, and Covered California IFP plans.</p><p>Partner with Marketing, Compliance, and Operations to ensure all sales and broker activities reflect organizational values, community focus, and regulatory compliance.</p><p>Establish key performance indicators (KPIs) for sales conversion, broker satisfaction, service levels, and compliance adherence.</p><p>Foster a culture of member-centric and broker-partner service excellence.&nbsp; Champion diversity, equity, and inclusion in all sales and broker engagement practices.</p><p>Direct and coach the Inside Sales team responsible for telephonic, retention, and outreach efforts.</p><p>Implement CRM systems, call center tools, and digital lead management workflows to support efficient and compliant sales operations.</p><p>Develop training programs to ensure all staff maintain proficiency in plan benefits, eligibility, cultural competency, and CMS/Covered California requirements.</p><p>Monitor sales performance metrics and implement continuous improvement strategies.</p><p>Oversee the Broker Support team providing phone, email, and portal-based assistance to contracted agents and agencies.</p><p>Ensure timely resolution of broker inquiries related to commissions, application status, eligibility, and enrollment processes.</p><p>Lead the development of broker communication protocols, training sessions, and onboarding programs.</p><p>Collaborate with internal and external partners (e.g., Sales Operations, Broker Channel Managers, Covered California, General Agencies, etc.) to streamline broker engagement and operational efficiency.</p><h4>Duties Continued</h4><p>Maintain compliance with CMS, DHCS, and Covered California sales and marketing regulations.</p><p>Partner with Compliance and Legal to monitor evolving regulatory requirements and update procedures accordingly.</p><p>Support audit readiness, documentation accuracy, and data integrity for all sales and broker activities.</p><p>Work closely with Enrollment Operations, Provider Relations, and Customer Experience to ensure a seamless member acquisition and onboarding process.</p><p>Collaborate with Community Outreach teams to align inside sales and broker initiatives with community health education and equity goals.</p><p>Proactively initiate, build and maintain effective relationships and communication with both internal and external key stakeholders.&nbsp; Communicate with senior leadership and executives, provide reports on performance and progress towards objectives.</p><p>Develop goals, objectives and action plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews, training, and disciplinary matters for direct reports.</p><p>Conduct strategic planning for resource management in order to meet current and future departmental and enterprise-wide goals.</p><p>Develops, and manages department budget, monitors expenditures and ensures financial sustainability.</p><p>Perform other duties as assigned.</p><h4>Education Required</h4>Bachelor's Degree in Business or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Business or Related Field<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 7 years of progressive sales and service leadership experience in a health plan, managed care, or health insurance environment.</p><p>At least 5 years of leading, supervising and/or managing staff.</p><p>Experience overseeing broker or agent distribution channels preferred.</p><p>Previous experience and strong understanding of Covered California, CMS marketing regulations, and state/federal enrollment processes.</p><p>Previous experience with successful outcomes managing call center operations, CRM systems (Salesforce or equivalent), and sales analytics tools.</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Strategic leadership skills with the ability to balance mission-driven goals and sales performance.</p><p>Excellent analytical, organizational, and project management skills.</p><p>Proven ability to build and motivate high-performing teams in a multicultural environment.</p><p>Ability to support L.A. Care’s mission of providing access to quality health care for Los Angeles County’s vulnerable and underserved populations.</p><p>Demonstrated ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Demonstrated ability to adapt to changing situations and adjust strategies accordingly.</p><p>Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change.</p><p>Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment.</p><p>Excellent written and verbal communication, negotiation, and interpersonal skills.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</p><p><strong>Preferred:</strong></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>State of California Department of Insurance License -  Active, current and unrestricted California License (Or ability to obtain within 30-90 days of employment dependent on license/certification agency schedules)America’s Health Insurance Plans (AHIP) certification and Covered CA Plan Based Enroller Certification within 30-90 days of hire.Covered CA Certification (or ability to obtain within 30-90 days of employment dependent on license/certification agency schedules).<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><p><strong>Required:</strong></p><p>Ability to pass Medi-Cal Certification, L.A. Care Covered CA Certification and Medicare training certification within 90 days of hire.</p><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, Medicare, Public Health, Equity, Customer Service, Healthcare, Finance                                                    </p>

Director, Inside Sales and Broker Services

<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, Marketing Strategy Creative and Member Communications oversees all Marketing areas and the Creative Services unit. The Director is responsible for supporting senior leadership in change management efforts that unify the teams to ultimately provide an end-to-end comprehensive experience in how it supports all line of business (LOBs) across the enterprise. Direct and enhance all branding efforts for L.A. Care's products and services, leading a matrixed team in a cross-functional environment. In close collaboration with leadership and internal teams, the Director develops strategic initiatives to achieve and sustain market growth. This position is responsible for overseeing marketing operations and sales support functions and requires proactive collaboration with key stakeholders to drive successful growth and retention strategies.</p><p>The Director leads and oversees the Annual Marketing Plan development, actualization and monitoring efforts. This includes sub-product marketing annual plans that also encompass Go-To-Market efforts for each LOB. A key aspect of this position is leading the strategic planning and program execution for growth and retention initiatives across L.A. Care’s direct lines of business. The Director also manages features of annual L.A. Care Brand marketing programs. This position emphasizes developing and executing strategies that build a positive brand identity, attract new members, and support retention of existing members through integrated marketing campaigns and programs that educate consumers on the benefits.</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. Develops strategic plans, drives change and influences critical business outcomes. Oversees operations, ensuring efficiency and effectiveness.</p><h4>Duties</h4><p>Provide strategic oversight of the teams, ensuring creative initiatives align with overall marketing strategy and brand positioning. Collaborate closely with key stakeholders to provide high-level guidance when needed, set priorities, review major outputs and ensure brand consistency is maintained.</p><p>Partner with internal teams and advertising vendors to develop comprehensive annual Marketing plans that align with L.A. Care’s enterprise goals and objectives while advancing overarching business and product-specific objectives through effective Go-To-Market strategies. Lead cross-functional unit workgroups to compile relevant data required to develop annual plans. Develop a product-based and master calendar of Marketing activities for transparency and alignment with business partners. Business plan roadmaps will reflect the development of a plan from start to end with a comprehensive analysis of market conditions, strategy and tactics. Interface directly with sales leadership to consider all business and regulatory state requirements and/or restrictions. Develop and maintain product dashboards for transparency and to be shared with the senior and executive management.</p><p>Develop and drive strategies to streamline and eliminate redundancies and irrelevant touchpoints resulting in a consistent and cohesive end to end member journey.&nbsp; Lead development and execution of the go to market strategy across all LOBs.&nbsp; Ensure regulatory compliance is adhered to in all marketing outputs. Develop and execute on organizational brand strategy, communication and creative elements into product advertising. Define the strategy and deliver member marketing programs within the organization centered on the education and engagement of our members, and retention/loyalty programs aimed at sustainable growth.</p><p>Provide end to end marketing services including campaign management, media buying, creative services, targeted messaging, digital marketing services, and marketing response metrics tracking/reporting. Manage all aspects of a campaign, including deliverables, timelines, asset trafficking, budget tracking and vendor management. Create, establish and maintain appropriate tools and processes to keep deliverables on time and on budget. Direct, oversee, and influence improvements for current and future systems, process flows and service channels as necessary. Develop and implement the marketing team’s strategic plan, including budget development and management, performance tracking, and vendor management supported by Return on Investment (ROI) analysis. Responsible for annual investment strategy with associated budget development ensuring alignment with key stakeholders on budget allocations. Prepare and present Board of Governor (BOG) motions for marketing budgets.</p><p>Lead cross-functional marketing teams across all lines of business to anticipate future product needs and develop proactive marketing solutions that address the challenges of both current and prospective members. Develop a service plan for all key stakeholders by engaging with leadership to identify areas of marketing support and opportunities for cross-functional collaboration. Facilitate resources, develop marketing collateral and establish working tactics to help grow and retain membership for all products with the Sales team.</p><h4>Duties Continued</h4><p>Manage a dedicated marketing team to develop and enhance internal and external marketing partnerships. Develop 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. Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Lead discussions on policy operationalization and oversees key policy perspective sharing. Conduct strategic planning to utilize resources to meet current and future departmental and Enterprise-wide goals. Lead discussions on policy operationalization and oversee key policy perspective sharing. Manage budgets and resources effectively. Identify and actualize enhancements to support company vision. Develop and maintain relationships with key stakeholders.</p><p>Perform other duties as assigned.</p><h4>Education Required</h4>Bachelor's Degree in Marketing or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 7 years of experience in marketing, advertising, healthcare administration, or product brand management.</p><p>At least 3 years of experience in managing healthcare marketing/advertising.</p><p>At least 6 years of lead, supervisor/ management experience with demonstrated increasing levels of successful planning and results.</p><p>Experience in strategic marketing planning, branding, and campaign development.</p><p>Experience leading teams, projects, initiatives, or cross-functional groups.</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Excellent people management skills.</p><p>Strong organizational, planning and project management skills, including flexibility to handle multiple</p><p>assignments and projects, changing priorities, and compressed deadlines.</p><p>Proficient in MS Office, including Word and Excel.</p><p>Excellent interpersonal, negotiation, verbal and written communication skills.</p><p>Excellent organizational and project management skills.</p><p>Ability to work well in a team and matrixed work environment and collaborate effectively with team members and other departments.</p><p>Marketing skills that include multicultural marketing, member communications, collateral development,</p><p>internet marketing, analytics, reporting, budget development and management.</p><p>Ability to successfully develop and execute different marketing levers, such as traditional and non-traditional</p><p>advertising tactics, as well as effective cross functional project management.</p><p>Ability to think long-term and develop strategies that align with the overall goals of the organization.</p><p>Demonstrated ability to make sound and timely decisions.</p><p>Ability to adapt to changing situations and adjust strategies accordingly.</p><p>Ability to adapt to a fast-paced and evolving environment and to lead others through change.</p><p>Excellent ability and knowledge in analyzing data, identifying problems, and making informed decisions, often in complex or ambiguous situations.</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>                    Healthcare Administration, Healthcare                                                    </p>

Director, Marketing Strategy Creative and Member Communications

<p><b>Salary Range:&nbsp;</b>&nbsp;$149,502.00&nbsp;(Min.) -&nbsp;$201,827.00&nbsp;(Mid.) -&nbsp;$254,152.00&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 Senior Director, Compliance Delegation Oversight is responsible for leading L.A. Care’s overall Delegation Oversight strategy. The Senior Director partners across the organization to ensure that all delegated entities comply with contractual and regulatory requirements, and that L.A. Care maintains effective oversight of delegated functions. The Senior Director collaborates with cross-functional departments, and other stakeholders to align oversight activities, mitigate risk, and ensure accountability.</p><p>The position provides enterprise-wide strategic direction for Delegation Oversight, including frameworks for monitoring, auditing, escalation, sanctioning, reporting, and overall governance. The Senior Director develops strategic plans, drives change and influences critical business outcomes. This position oversees operations, ensuring efficiency and effectiveness. The Senior Director will steer top-level decision-making and implement initiatives that drive organization's forward. In this role, Compliance helps set and advise on standards and alignment with L.A. Care’s broader strategy, while operational units remain accountable for execution and delegate operations, including oversight of day-to-day performance.</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>Conduct strategic planning to utilize resources in order to meet current and future departmental and Enterprise-wide goals. Provide enterprise leadership of Delegation Oversight governance, including strategy, frameworks, and alignment with state and federal requirements.</p><p>Direct oversight of compliance monitoring and auditing for delegated entities, ensuring gaps, risks, and deficiencies are identified, escalated, and addressed through corrective action and sanctions where appropriate, while collaborating and coordinating with functions not directly in scope for this role when those functions hold oversight responsibility.</p><p>Chair executive governance forums (e.g., Delegation Oversight Committee(s)) to ensure cross-functional accountability and transparent reporting to executive leadership and the Board.</p><p>Leads discussions on policy operationalization and oversees key policy perspective sharing. Develop and maintain L.A. Care’s Delegation Oversight Sanctioning framework and other compliance standards in partnership with Legal and business stakeholders.</p><p>Collaborate with business owners to support effective remediation of delegate deficiencies, while ensuring Compliance retains oversight authority rather than executing operational responsibilities.</p><p>Identify opportunities for operational improvements, create and implement new policies, and ensure that products and services meet customer and organizational requirements.</p><p>Help lead/coordinate the escalation and reporting processes to regulators, ensuring timely, accurate responses.</p><p>Lead staff and managers/directors, fostering a high-performing compliance culture with accountability for timely audits, monitoring, reporting, escalations and closure of corrective action plans.</p><p>Partner with other high-level supervisors and cross-functional teams to drive large-scale company changes and align resources with business objectives. Provide strategic analysis to executive leadership and/or Board committees regarding delegate performance, risk exposure, and sanctions activity, leveraging dashboards and metrics.</p><p>Collaborate with cross-functional teams to achieve common goals. Represent Compliance in enterprise projects and system implementations (e.g., GRC) to ensure Delegation Oversight requirements are embedded.</p><p>Prepare and approve budgets, manage financial investments and resources, and monitor performance data to track productivity and profitability.</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>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Public Health or Related Field<h4>Experience</h4><p><strong>Required:</strong></p><p>At least 8 years of progressively responsible experience in health care compliance, managed care, or related field</p><p>At least 6 years of experience in leading, supervising and/or managing staff.</p><p>Experience leading teams, projects, initiatives, or cross-functional groups</p><h4>Skills</h4><p><strong>Required:</strong></p><p>Strong ability and knowledge in Compliance.</p><p>Strong analytical and critical thinking skills with the ability to research issues and guide resolution.</p><p>Proven ability to lead large-scale, cross-functional projects while collaborating effectively with diverse stakeholders inside and outside the organization.</p><p>Demonstrated skill in navigating ambiguity, developing adaptive plans, and making sound decisions that guide others.</p><p>Excellent written and verbal communication skills, including preparation of clear, effective Board-level materials and executive reporting.</p><p>Strong governance and committee leadership capabilities.</p><p>Strategic thinker with experience in designing and implementing enterprise-wide compliance strategies and initiatives.</p><p>Demonstrated ability to drive organizational and culture change and influence enterprise priorities.</p><p>Experience in developing and mentoring staff, building high-performing teams, and cultivating compliance leadership talent.</p><p>Strong leadership, organizational, and program/project management skills, with high business acumen.</p><p>Ability to collaborate and work cross-functionally while balancing compliance requirements with operational realities.</p><p>Excellent interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment.</p><p>A strong aptitude for analyzing data, identifying challenges, and implementing effective solutions.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified HealthCare Compliance (CHC)Certified in Healthcare Compliance Fellow (CHC-F)Certified Compliance &amp; Ethics Professional (CCEP)<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>                    Public Health, Healthcare                                                    </p>

Senior Director, Compliance Delegation Oversight

<p><b>Salary Range:&nbsp;</b>&nbsp;$171,925.00&nbsp;(Min.) -&nbsp;$232,100.00&nbsp;(Mid.) -&nbsp;$292,274.00&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, Enterprise Analytics Provider Performance and Experience provides strategic leadership and operational oversight for one of two primary analytic domains: Provider Performance &amp; Experience or Member Experience &amp; Outcomes. This position plays a pivotal role in enabling data-driven decision-making across the enterprise by translating complex data into actionable insights that inform strategy, improve performance, and advance organizational goals. As a key leader, the Director ensures that analytic strategy and execution are tightly aligned with other cross-functional areas to drive L.A. Care’s enterprise transformation and strategic outcomes.</p><p>The Director oversees analytic teams in the design, development, and delivery of insights that span multiple operational and strategic workstreams. Ensures efficiency and effectiveness in work outcomes. &nbsp;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>Lead strategic planning and prioritization for analytics efforts within the assigned domain, ensuring alignment with organizational objectives and enterprise priorities.</p><p>Oversee and mentor leadership, fostering development of technical, operational, and leadership capabilities.</p><p>Ensure delivery of enterprise-level dashboards, reports, and analytic products that support business performance, regulatory compliance, member outcomes, and provider experience.</p><p>Partner with executives, strategic pillar leaders, cross-functional stakeholders, and partners to translate organizational priorities into analytics strategies, work plans, and actionable insights.</p><p>Support and enforce analytic governance, standardization, and methodology consistency across teams and domains.</p><p>Serve as the first point of engagement for domain analytics needs, providing expert guidance, strategic recommendations, and escalation support.</p><p>Track and monitor analytic initiatives, ensuring timely delivery, quality, and relevance to business objectives.</p><p>Advocate for data-driven decision-making, assuring they are embedded into strategic planning performance management and transformation initiatives across the enterprise and provide thought leadership on analytic strategy, capabilities, and innovation.</p><p>Collaborate with key stakeholders to ensure alignment of data architecture, availability, and quality with analytic needs.</p><p>Continuously assess enterprise and domain-level analytic capabilities, identifying opportunities for process improvement, automation, and innovation. Support and enforce the development, standardization, and governance of analytic processes and outputs across domains to ensure consistency, accuracy, and quality. </p><h4>Duties Continued</h4><p>Integrating development and outputs from the Applied AI and Causal Impact Data Science Team into the domain portfolio and roadmap, ensuring predictive and explainable models and program causal impact evaluations are operationalized, actionable, and aligned with business needs. Serving as a primary analytics liaison to stakeholders for the position’s focal analytic domain.</p><p>Develop goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews, training, and disciplinary matters for direct reports.</p><p>Conduct strategic planning for resource management in order to meet current and future departmental and enterprise-wide goals.</p><p>Develop, and manage department budget, monitor expenditures and ensures financial sustainability.</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>Master's Degree<h4>Experience</h4><p><strong>Required:<br></strong>At least 9 years of progressively responsible experience in analytics.</p><p>At least 7 years of experience supervising/managing staff.</p><p>Experience leading teams, projects, initiatives, or cross-functional groups.</p><p>Experience with SQL, Python, and Tableau (or comparable BI/visualization tools) in a server-based analytics environment.</p><p>Experience integrating outputs from advanced analytics or data science models into operational analytic portfolios.</p><p>Proven experience leading and executing analytics strategies across at least one of the following managed care domains: Authorizations, Claims and Medical Cost Driver Analytics, Provider Network Strategy Analytics, or Risk Adjustment and Encounter Analytics.</p><p>Experience integrating analytic insights into provider engagement, performance improvement, and contracting strategies.</p><p><strong>Preferred:<br></strong>Experience with stakeholder engagement, executive reporting, and strategic initiative management.</p><p>Experience implementing and enforcing enterprise-level analytic standards and governance.</p><p>Experience with predictive modeling, cost driver analytics, and provider performance dashboards to support strategic decision-making.</p><h4>Skills</h4><p><strong>Required:<br></strong>Ability to lead multiple Managers and analytic teams, set priorities, and align work with enterprise strategy. Deep knowledge of healthcare operations, quality measurement, risk adjustment, provider networks, provider performance, population health and member experience. Demonstrated ability to set enterprise analytic priorities, translate strategy into execution, and deliver actionable insights to executive leadership. Knowledge of managed care, Medicare Advantage, Medi-Cal, commercial insurance operations, and compliance reporting. Knowledge of prescriptive analytics, predictive risk modeling, or causal impact modeling. Ability to support and enforce the development, standardization, and governance of enterprise analytics outputs. Ability to synthesize complex findings into actionable recommendations and communicate effectively with senior leaders. Ability to provide oversight of multiple complex analytic initiatives, ensuring on-time and high-quality delivery. Ability to partner effectively across Information Technology (IT), Data Governance, operational and clinical teams, and business stakeholders. Ability to mentor Senior Managers, Managers, and analytic leaders, building enterprise analytic capability. Excellent written and verbal communication skills. Strong negotiation and interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment. Strong strategic and operational acumen, with the ability to collaborate across business areas, anticipate analytic needs, and ensure alignment with enterprise priorities and transformation initiatives. Demonstrated ability to adapt to a fast-paced and evolving environment and to lead others through change.&nbsp;</p><p>Demonstrated ability to align operational, financial, and clinical analytics to improve provider performance, experience, and value-based outcomes.</p><p><br><strong>Preferred:</strong><br>Advanced knowledge of visualization design, executive dashboards, and Key Performance Indicators (KPI) frameworks. Strategic planning skills for enterprise analytic initiatives. Change management expert knowledge to drive adoption of standardized processes and tools. Deep understanding of provider network contracting, credentialing, utilization management, and claims operations. Knowledge of managed care regulations, compliance requirements, and operational reporting standard.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4>Certified Professional in Healthcare Quality (CPHQ)Project Management Professional (PMP)Tableau Desktop or Tableau Server CertificationSnowflake SnowPro Core CertificationOther analytics or data-focused certifications (e.g., Microsoft Certified: Data Analyst Associate, Python for Data Science certifications)<h4>Required Training</h4><p><b>Preferred:</b></p><p>Snowflake or SnowPro training</p><p>Healthcare analytics training (e.g., HEDIS, Risk Adjustment, MLTSS)</p><p>Executive leadership or strategic analytics training</p><p>Training in data governance, reproducibility, and analytic methodology best practices</p><p>Familiarity with predictive modeling, prescriptive analytics, and causal inference methods</p><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p><strong>Domain Focus: Provider Performance &amp; Experience Analytics<br>Required:</strong></p><p>Proven experience leading and executing analytics strategy across at least one of the following managed care domains: Authorizations, Claims and Medical Cost Driver Analytics, Provider Network Strategy Analytics, or Risk Adjustment and Encounter Analytics.</p><p>Demonstrated ability to align operational, financial, and clinical analytics to improve provider performance, experience, and value-based outcomes.</p><p>Experience integrating analytic insights into provider engagement, performance improvement, and contracting strategies.</p><p><strong>Preferred: <br></strong>Experience with predictive modeling, cost driver analytics, and provider performance dashboards to support strategic decision-making.</p><p>Deep understanding of provider network contracting, credentialing, utilization management, and claims operations.</p><p>Knowledge of managed care regulations, compliance requirements, and operational reporting standard.</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, Performance Management, Insurance, Healthcare, Human Resources                                                    </p>

33 Leadership / Executive Board Jobs in Beverly Hills, CA, USA