Utilization Management Quality Reporting Specialist II
L.A. Care Health Plan · Los Angeles, California, US
Salary Range: $67,186. 00 (Min. ) - $87,342.
Job description
Salary Range: $67,186.00 (Min.) - $87,342.00 (Mid.) - $107,498.00 (Max.) 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. 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. Job Summary: The Utilization Management (UM) Quality Reporting Specialist II is responsible for working with internal teams to support and ensure the effective implementation of regulatory and operational reporting requirements and related projects for L.A. Care’s Utilization Management Quality Assurance Team, independently and collaboratively managing assigned reporting components and project deliverables. This position ensures compliance with federal, state, and accreditation requirements. Duties: Ensures successful completion of assigned quality...