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<p>Join the Clean Energy Revolution</p><p>Become&nbsp;an&nbsp;Information Technology Outsourcing Management, Advisor&nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you will be responsible for providing IT support services to meet SCE business needs in the IT Enterprise portfolio. You will provide oversight and strategic direction to the Managed Service Provider (MSP) to ensure efficient service delivery to finance business users. Additionally, you will manage the day-to-day responsibilities to support and maintain applications in the Enterprise portfolio, follow up on application services and problem escalations, and ensure customer satisfaction throughout the application service process. You will also communicate and coordinate with business and other IT teams and leadership to ensure appropriate integration of operational activities.</p><p>Key focus of role involves:</p><p>IT Service Delivery: Manage daily operations for SAP and finance applications, ensuring service quality and availability. Collaborate with Architects on product design and testing. &nbsp;</p><p>Partnering with Managed Service Providers: Manage a team of service providers to ensure efficient systems operation. Oversee their performance to meet contractual obligations and SLAs. Analyze IT performance metrics, identify improvement areas, and implement solutions. Conduct periodic reviews, including weekly reports, monthly trend analysis, and QBRs. </p><p>Client Engagement: Manage business relationships and provide comprehensive customer support to ensure client satisfaction and strengthen relationships. </p><p>Compliance and Security: Ensure IT solutions stay in sync with regulatory requirements and data governance policies. Safeguard finance data security and integrity and acts as the day-to-day point of contact for both external and internal audit in IT SOX related matters </p><p>Vendor Relationship: Coordinate with external vendors and service providers to address bug fixes, enhancements, software updates, and complex technical issues. Ensure timely response and issue resolution as defined by vendor Service Level Agreements (SLA). &nbsp;</p><p>Collaboration: Work closely with multi-functional teams, including IT, engineering, operations, vendor, and business partners, to understand requirements and deliver integrated solutions.<br></p><p>As an&nbsp;Information Technology Outsourcing Management, Advisor, 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>Responsibilities</h4><ul><li>Oversees and ensures services are being delivered on time and upholds terms of the contract via governance</li><li>Ensures software renewals are maintained and up to date with the latest software versions</li><li>Collaborates with other IT teams to ensure appropriate integration of operational activities</li><li>Analyzes and improves application service delivery to meet business needs</li><li>Facilitates the resolution of application and operational issues with service providers</li><li>Performs peer reviews on site visit documentation to ensure quality assurance</li><li>Identifies risks and establishes controls on newly outsourced services and activities</li><li>Conducts validation to ensure issues and risks noted during site visits are rectified or mitigated adequately and timely</li><li>Analyzes and reports on operational health to business and IT leadership</li><li>Provides technical expertise to ensure efficient service delivery to business users and to meet business expectations</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>Minimum Qualifications</h4><ul><li>Seven or more years of experience with IT Operations in a managed services environment.</li></ul><p>Preferred Qualifications</p><ul><li>Bachelor's degree or higher in Information Technology or related field.</li><li>Experience with working/managing applications such as SAP FICO, PowerPlan, UI Planner and databases such as HANA, Oracle, and SQL.&nbsp;</li><li>Experience with the Agile workflow process and operating modes such as DevOps, Waterfall, Product Lines, Value Streams and SOX compliance.</li><li>Experience with ITIL or other service management frameworks.</li><li>Experience with having technical conversations or making technical presentations to both technical and non-technical audiences.</li><li>Strong communication and interpersonal skills, with the ability to work effectively with finance professionals.</li><li>Excellent problem-solving and troubleshooting skills.</li><li>Experience working with managed IT outsourcing service providers.</li><li>Experience and solid understanding of IT service management best practices and standards</li></ul><p>Additional Information&nbsp;</p><ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;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&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li><li>Relocation does not apply to this position.</li></ul><p>About Southern California Edison</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>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected status.</p><p>We are committed to ensuring that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. Please contact us to request accommodations at (833) 343-0727.</p>

Southern California Edison

Information Technology Outsourcing Management, Advisor

<p>Join the Clean Energy Revolution</p><p>Become a Non Energy Billing Accountant at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll be responsible for preparing and invoicing 3rd party Non Energy billings including work order cost true up, account reconciliation and data analysis.&nbsp;<br></p><p>As a&nbsp;Non Energy Billing Accountant, 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>Responsibilities</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>Minimum Qualifications</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>Preferred Qualifications</p><ul><li>Bachelor’s degree&nbsp;in Accounting or related field.</li><li>Certified Public Accountant or Certified Management Accountant.</li><li>Knowledge of Utilities or Regulated companies.</li><li>Experience working with PowerPlan system or other Fixed Asset Accounting systems.</li></ul><p>You should know</p><ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;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&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Relocation does not apply to this position.</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li></ul><p>About Southern California Edison</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>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected 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>

Non Energy Billing Accountant

<p>Join the Clean Energy Revolution</p><p>Become&nbsp;a Capital Asset Accountant&nbsp;at Southern California Edison (SCE) and build a better tomorrow. In this job, you’ll learn all aspects of Plant Accounting and will be responsible for monthly journal entries, analyzing and monitoring balance sheet fluctuations, performing account reconciliations and data analysis.</p><p>As a&nbsp;Capital Asset Accountant, 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>Responsibilities</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>Minimum Qualifications</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>Preferred Qualifications</p><ul><li>Bachelor’s degree in Accounting or related field.</li><li>Certified Public Accountant or Certified Management Accountant.</li><li>Knowledge of Utilities or Regulated companies.</li><li>Experience working with PowerPlan system or other Fixed Asset Accounting systems.</li></ul><p>You should know</p><ul><li>This position’s work mode is&nbsp;hybrid.&nbsp;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&nbsp;Candidate Resource&nbsp;page to get meaningful information related to benefits, perks, resources, testing information, hiring process, and more!</li><li>Relocation does not apply to this position.</li><li>Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.</li></ul><p>About Southern California Edison</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>At SCE, we celebrate our differences. We are a proud Equal Opportunity Employer and will not discriminate based on race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected 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>

Capital Asset Accountant

<p>Salary Range:&nbsp;&nbsp;$67,186.00&nbsp;(Min.) -&nbsp;$87,342.00&nbsp;(Mid.) -&nbsp;$107,498.00&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 Supervisor of the Customer Solution Call Center is responsible for the development of a successful and cohesive Call Center unit, with a high level of productivity to achieve the department's overall performance metrics, and to meet and/or exceed member satisfaction.&nbsp;</p><p>The position supervises all aspects of running an efficient &nbsp;team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>Supervision of day to day activities of Member Services and Provider Relations &nbsp;Representatives, including but not limited to: Providing direction, monitoring of staff performance and skillsets for consistency and improvement for all line of business. Handling all questions/issues raised by staff. Developing tools and procedures on training of staff. Recommending process improvement processes. Preparing and analyzing call center statistical reports. Monitoring of skillsets for consistency. Ensuring quantity/ quality is met for overtime. Ensures staff utilizes the NICE system to conduct target audits on incoming call activity and overtime activity. Prepare and review daily unit quality reports, analyze data and submit recommendations for improvements. Develop tools and procedures for the training and cross-training of staff, including but not limited to job aids and departmental and organizational policies and procedures.</p><p>Develop and maintain a positive working relationship with all business partners to ensure optimum member care and satisfaction. &nbsp;Responsible for the daily workflow and leading the work of assigned staff. &nbsp;This role will mentor, coach, act as a resource and provide feedback on performance of assigned staff.</p><p>Serve as a leader and role model as well as a technical and informational resource for staff and peers. Foster a culture that encourages employee contributions. Observe calls and assist representatives with any complex issues which may result from a call. Plan, organize and supervise the activities of the Member Services Representatives. Constant review of adequate skill-set assignment, lunch and breaks.</p><p>Increase efficiency by closely monitoring the CISCO Phone System. Analyze reports to identify trends and improve work flow processes.&nbsp;</p><p>Ensure telephone and correspondence responses comply with departmental, organization and regulatory agency requirements. Ensure all L.A. Care phone lines, IVR, ACD, MHC, MEIS and QMEIS systems are functioning properly for the Call Center.</p><p>Ensure department compliance with regards to Health Insurance Portability and Accountability Act (HIPAA) regulations related to protection of personal history information. (PHI).</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>Required:</p><p>At least 4 years of customer service experience. </p><p>At least 2 years of leading process, program, or staff or supervisory experience in a customer service environment.</p><p>Equivalency:&nbsp; </p><p>Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><h4>Skills</h4><p><br>Required:<br>Must have knowledge with all of products including Medicare and a good understanding of service to the disadvantaged population, seniors, or people with chronic conditions or disabilities.</p><p>Expected to work independently within the department's established guidelines, policies and procedures. &nbsp;</p><p>Excellent communication skills, strong analytical, coaching/mentoring skills, team building and the ability to work effectively with diverse team members. &nbsp;</p><p>Ability to troubleshoot problem areas and recommend effective alternative solutions to handle irate callers, and provide optimal customer service for internal and external customers. &nbsp;</p><p>Able to multitask and to streamline day to day operations, policies and procedures.&nbsp;</p><p>Advance PC skills including Excel and Access.</p><p>Knowledgeable in medical terminology and have prior ACD experience.&nbsp;</p><p>Preferred:<br>Bilingual in one of LA Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>Salary Range Disclaimer: 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>L.A. Care offers&nbsp;a wide range of benefits including</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, Call Center Manager, Call Center Supervisor, Medicare, Customer Service, Healthcare                                                    </p>

L.A. Care Health Plan

Supervisor, Customer Solution Call Center

<p>Salary Range:&nbsp;&nbsp;$77,265.00&nbsp;(Min.) -&nbsp;$100,445.00&nbsp;(Mid.) -&nbsp;$123,625.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Product Business Analyst II is responsible for review and/or development of business requirements (BRD), POR solution definition, needs assessment, critical path, phase gate management and implementation support for commercial &amp; group product concepts/portfolio strategic initiatives.</p><h4>Duties</h4><p>Provide subject matter expertise through market trends, competitive analysis, regulatory developments, system feasibility and cross-functional feedback. </p><p>Collaborate with Product Leadership to provide findings and conclusions from industry, market and legislative reports in order to influence new product innovations, ideas, concepts and / or product enhancements.&nbsp; </p><p>Define functional, technical and operational business requirements needed to support new innovation development, and/or implementation of particular components of products, network and/or services enhancements.</p><p>Compose and maintain library of content and configuration requirements needed to implement particular product initiatives. Work with cross functional business partners to understand strategic drivers (administrative costs, costs of care and membership) and align with implementation cycle or Core Transformation initiatives.</p><p>Develop high-level work plans, including tasks, required staff and project timetable and works with Product Solutions Managers for successful execution. </p><p>Collaboration with business owners and Information Technology (I.T) to ensure right solution designs, implementation scope and necessary tradeoffs. Partnership with 3rd party vendors on new requirements, existing scope, implementation and support. </p><p>Research data operations workflow problems and system irregularities. Evaluate critical paths for all upstream and downstream processes. Develop, test, present process improvement solutions and other operational improvements.</p><p>Perform other duties as assigned.</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Business Administration or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Health Administration or Related Field<h4>Experience</h4><p>Required:</p><p>At least 3 years of relevant experience in product marketing analysis.</p><h4>Skills</h4><p>Knowledge and ability to apply principles of the product development life cycle (PDLC) discipline and process for development and implementation of new products and/or enhancements.</p><p>Must be familiar with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives.</p><p>Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio and Access.</p><p>Excellent written and verbal communication and presentation skills.</p><p>Ability to serve as member on cross-functional implementation or project teams.</p><p>Working knowledge of the company’s healthcare products, functions and regulatory 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>Salary Range Disclaimer: 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>L.A. Care offers&nbsp;a wide range of benefits including</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>                    Business Analyst, Finance                                                    </p>

Product Business Analyst II

<p>Salary Range:&nbsp;&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><br>The Customer Solution Center Member Navigator II is responsible for resolving member inquiries. Coordination of care for complex cases which may involve benefit coordination, continuity of care, access to care, quality of care issues, member eligibility, assignment, disenrollment's issues and interpreting requests for all product lines (Medi-Cal, L.A. Care Covered, Cal MediConnect (CMC)). It will be expected that the main focus is to provide member satisfaction. In addition, this position is responsible for handling disenrollment's in coordination with U.M. department and Plan Partners: Department of Health Services (DHS), Centers for Medicare and Medicaid Services (CMS) National Committee Quality Assurance (NCQA) as well as L.A. Care guidelines. The Navigator ensures the proper handling of member issues whether presented by members, the Ombudsman's, state contractors, member advocates, Executive Community Advisory Committee (ECAC), L.A. Care Board Members or providers are resolved expeditiously. The Navigator handles and coordinates the identification, documentation, investigation and resolution of complex cases, in a timely and culturally-appropriate manner. Coordinates multi-departmental (Member Services, Product Network Operations (PNO), Claims, Utilization Management (UM), Pharmacy, Medicare Enrollment/Disenrollment, Sales and Quality Management (QM)) processes to ensure identification of member's claims of gaps in coverage and resolution of cases for members' satisfaction and of referral cases to plan partners when applicable. The Navigator will be stationed and available to assist our members at any of our designated Community Resource Center/Walk-In Center. Will provide Navigator support at other Community &nbsp;Resources Center locations as needed.</p><h4>Duties</h4><p>Coordinate multi-departmental (Member Services, PNO, Claims, UM, Sales, Medicare enrollment and QM) processes to resolve members 'issues and complex cases to the members' satisfaction. This process may include referrals to plan partners to ensure compliance with regulatory and L. A. Care guidelines. Ensure to follow departmental guidelines/matrixes for all processes. Urgent Complex cases will be handled within 24hrs. All others within 48hrs. (30%)</p><p>Work as a navigator to our Medicare Line Of Business (LOB): A. Ensure to meet deadline for completion of Welcome Calls; B. Ensure to follow through on all cases forwarded to other areas for assistance; C. Document all transportation services provided to each member. Ensure to confirm appointment and authorization; D. Coordinate/assist with all other departments regarding Medicare Services; E. Thorough Reinstatement of enrollment of members whose disenrollment are questionable; F. Identify and complete Organization and Coverage Determination for timeliness and resolution; G. Ensure proper Guidelines are followed for Medicare disenrollment request; H. Ensure to complete all BAE and/or LIS request. (25%)</p><p>Identify potential quality of care issues and referral to QM Department, through calls received from our Call Center and other internal customers. (10%)</p><p>Handle disenrollment's requests from members, providers and plan partners: 1) Long Term Care (Exhaustion of Benefits); 2) Move out of County; 3) Major Organ Transfers; 4) Incarceration; 5) Foster Care. (5%)</p><h4>Work with Compliance Department regarding suspected fraudulent activities received through the L.A. Care hot line and the Call Center personnel. (5%)</h4><h4>Communicate with collection agencies, billing business offices regarding delinquent and problematic member accounts which includes claims issues from L.A Care Medi-Cal Direct Program (MCLA), Healthy Families (HF), Healthy Kids (HK), and Special Needs Populations (SNP) members. (5%)</h4><h4>Work with Cultural &amp; Linguistic (C&amp;L) to provide translations for members' correspondence into the appropriate languages. As requested review documents submitted by C&amp;L to ensure proper translation and culturally sensitive materials for distribution to our members (brochures pamphlets and educational materials). (5%)</h4><h4>Meet general L.A. Care requirements for attendance and punctuality and follow department guidelines. (5%)</h4><p>Perform other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>Associate's DegreeIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p><br>Required:</p><p>At least 2 years of experience resolving health care eligibility, access, grievance and appeals issues, preferably in health services, legal services and /or public services or public benefits programs with claims and Medicare experience.</p><p>Preferred:</p><p>Health Plan background a plus along with strong advocacy background.</p><h4>Skills</h4><p><br><strong>Required:</strong><br>Strong customer service skills.</p><p>Excellent oral and written communication skills.</p><p>Strong analytical and conflict resolutions skills as well as persuasion skills.&nbsp;</p><p>Proficient in MS Office applications, Word, Excel, Power Point, and Access.</p><p><strong>Preferred:&nbsp;</strong><br>Medical terminology a plus.</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.</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>Salary Range Disclaimer: 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>L.A. Care offers&nbsp;a wide range of benefits including</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, Claims, Call Center, Medicaid, Pharmacy, Healthcare, Insurance, Customer Service                                                    </p>

Customer Solution Center Member Navigator II (Location- Metro Los Angeles)

<h4><em><strong>How you'll change lives</strong></em></h4><p>As a Registered Nurse (RN) at US Renal Care, you'll be an integral part of a cross-functional team, working under the supervision of a Charge Nurse and assisting and supervising Patient Care Technicians (PCTs) to care for patients living with kidney disease.</p><h4><em><strong>What you'll be doing</strong></em></h4><p><strong>Patient care.</strong> You'll work directly with patients to provide safe, comfortable, and high-quality dialysis treatment. Responsibilities include completing and documenting physical assessments before and after treatments and monitoring patients during treatment. You'll ensure quality renal care by completing monthly reviews of patient medication profiles and administering medications according to physician orders. </p><p><strong>Teamwork.</strong> You'll be a critical member of an interdisciplinary team to provide all required patient assessment and care planning activities. You'll also make sure center staffing requirements are met at all times under the direction of the Administrator and according to state regulations for staffing ratios.</p><p><strong>Safety &amp; Quality.</strong> Working under the supervision of a Charge Nurse, you'll adhere to all company policies and procedures and state and federal laws and regulations. You'll participate in all required staff meetings and continuing education offerings.</p>

U.S. Renal Care

Dialysis Registered Nurse TTS

<p>The <strong>Clinical Specialist</strong> is responsible for positively impacting regulatory standards and clinical outcomes of clinics in an assigned geographic region. The CS is also responsible for the training of new employees and current clinical staff. The CS will also be responsible for conducting in-services and review classes, ensuring that the clinics have properly trained staff that meet regulatory standards and provide quality patient care. The CS reports directly to the next level of clinical management which may be the Director of Clinical Operations or Vice President of Clinical Operations/Services, depending on the region/demographics or responsibilities.</p><p>Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.</p><ul><li> Responsible for overseeing overall clinical operation of assigned clinics from regulatory and growth perspective in accordance with Company goals.</li><li> Assist in clinical operational development and transition of new or acquired clinic(s) as needed or requested.</li><li> Assist with developing, implementing and monitoring of quality of care processes for program regulatory compliance in accordance with Company goals. </li><li> Ensure clinical processes in assigned USRC facilities are maintained in accordance to company policy and federal, state and local regulations.</li><li> Knowledge of and remain current with federal, state, local laws and regulations.</li><li> Assure that assigned clinics are in compliance with all applicable federal, state, and local laws and regulations and receive continuing certification from all statutory and regulatory agencies by conducting internal clinical reviews.</li><li> Assure compliance with required Governing Body meetings, monthly CQI meetings and care plan conferences and assures documentation of such through recorded minutes.</li><li> Evaluate patient care data to ensure that care is provided in accordance with clinical guidelines and organizational performance standards.</li><li> Understand, lead and promote the Company's mission and philosophy relating to ethics, integrity, safety, corporate responsibility and objectives.</li><li> Communicate with clinical operations management and regional management on a consistent basis regarding the status of each clinic in the region.</li><li> Ensure all clinical staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations.</li><li> Orient and mentor Administrators in the QAPI process, outcomes, education programs and operational readiness in accordance with USRC practices.</li></ul><br>

Dialysis Clinical Specialist | $10,000 Sign-On Bonus

<br><br>Howmet Fastening Systems (HFS) is seeking Sr. Accountant in our Carson location. HFS is a business unit of Howmet Aerospace, headquartered in Torrance, California.&nbsp; We hold the number one global position in aerospace fastening systems, and we’re the North American leader in commercial transportation fasteners. Our high-tech, multi-material fastening systems are found nose to tail on aircraft and aerospace engines. Our products are also critical components of industrial gas turbines, automobiles, commercial transportation vehicles, and construction and industrial equipment.<br><br><strong>About Howmet Aerospace</strong><br><br>Howmet Aerospace is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Headquartered in Pittsburgh, Pennsylvania, the Company’s primary businesses focus on jet engine components, aerospace fastening systems and airframe structural components necessary for mission-critical performance and efficiency in aerospace and defense applications, as well as forged wheels for commercial transportation. With approximately 1,150 granted and pending patents, the Company’s differentiated technologies enable lighter, more fuel-efficient aircraft and commercial trucks to operate with a lower carbon footprint. For more information, visit <a href="http://www.howmet.com" target="_blank">www.howmet.com</a><br><br><strong>Job duties and Responsibilities:</strong><br><ul><li>Prepares reports of key operational metrics on a timely basis for tracking performance to forecast and budget. and meet external reporting requirements.&nbsp; Analyzes operational performance in comparison to profit plan and prepares related reports for use by operational personnel;</li><li>Prepares, analyze and reviews product margins, including DVP Analysis;</li><li>Prepares month-end general ledger entries.&nbsp; Responsible for the accuracy and integrity of the financial data in the Trial Balance;</li><li>Responsible for month end processing of ERP system including running all ME reports, closing the current month and opening the new month;</li><li>Monitors daily ERP interface to Oracle General Ledger and Accounts receivable and trouble-shoots any problems;</li><li>Calculate and validate CIP (Continuous Improvement Projects) Savings;</li><li>Manage Fixed Asset from RFA, project accounting, asset tag management, disposition, and preparation of Capital Status Report.</li><li>Prepare monthly account reconciliations.</li><li>Conducts monthly internal audits (ASATS) in accordance with internal audit procedures and compliance calendar;</li><li>Maintains full compliance with Company policies and procedures and conducts all activities in accordance with Company Standards of Business Conduct;</li><li>Ensure that all work activities are performed in accordance with established safety and environmental standards;</li><li>Performs other duties as assigned by the controller.</li></ul><br><strong>Benefits/Salary:</strong><br><br>The position includes competitive wages and a comprehensive benefits package, including health insurance (medical, dental, vision), excellent 401k matching program, paid holidays and vacation.&nbsp;The salary range for this position is $80,000 to $100,000.<br><br><strong>Requirements:</strong><br><ul><li>Minimum of Bachelor degree in accounting or finance required</li><li>Minimum of three (3) to five (5) years in Accounting in a manufacturing company</li><li>Must be proficient in Excel.&nbsp; Super-User preferred.</li><li>Must be punctual and reliable in terms of attendance and work hours.</li><li>Experience in Aerospace manufacturing preferred.</li><li>Experience in SOX preferred.</li><li>Exposure to cost accounting preferred, but not required.&nbsp; Must be willing to be trained to perform certain cost accounting functions.</li><li>Employees must be legally authorized to work in the United States.&nbsp; Verification of employment eligibility will be required at the time of hire.&nbsp; Visa sponsorship is not available for this position;</li></ul><br><br>About Howmet Aerospace<br><br>Howmet Aerospace Inc. (NYSE: HWM), headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Our primary businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $6.6 billion in revenue in 2023, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers’ success and making a positive impact on the world. To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2023 Environmental Social and Governance report at&nbsp;<a>www.howmet.com/esg-report</a>.<br><br>Follow: <a>LinkedIn</a>, <a>Twitter</a>, <a>Instagram</a>, <a>Facebook</a>, and <a>YouTube</a>.<br><br><i>Howmet is proud to be an Equal Employment Opportunity and Affirmative Action employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.<br></i><br><br><i>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other applicable legally protected characteristics.<br></i><br><br><i>If you need assistance to complete your application due to a disability, please email&nbsp;<a href="mailto:TalentAcquisitionCoE_Howmet@howmet.com" target="_blank">TalentAcquisitionCoE_Howmet@howmet.com</a></i><br><br>

Howmet Aerospace

Senior Accountant

<br><br><strong>Multiple Spindle Machining Technician&nbsp;(Davenport)</strong><br><br>This is an opportunity to grow your career at a large, international aerospace company. The position includes competitive wages and a comprehensive benefits package, including health insurance (medical, dental, vision), a 401(k) matching program, and paid holidays and vacation.<br><br><strong>Howmet Aerospace</strong>, headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. The Company’s primary businesses focus on jet engine components, aerospace fastening systems and titanium structural parts necessary for mission-critical performance and efficiency in aerospace and defense applications, as well as forged wheels for commercial transportation. Howmet Aerospace is transforming the next phase of more fuel-efficient, quieter aerospace engines and sustainable ground transportation. For more information, visit <a>www.howmet.com</a>. Follow @howmet: Twitter, Instagram, Facebook, LinkedIn and YouTube.<br><br><strong>Key Responsibilities:</strong><br><ul><li>With minimum assistance from Lead, the operator will perform all standard set up within standard time on router; operating, troubleshooting, and machine service as required</li><li>Adjust machining parts, tooling, including sharpening tools on surface grinders or pedestal grinders</li><li>Set-up and operation of equipment – Multiple Spindle (Davenport/Chucker).</li><li>Responsible for producing and maintaining high level quality parts per print specifications</li><li>Work with various types of material such as Titanium, Aluminum, and other stainless steel</li><li>Perform first piece verification process per part print as required</li><li>Run multiple machines as required which maintaining high quality parts, efficiency, and productivity per standard time on router</li><li>Perform Preventative Maintenance per daily schedule</li><li>Take initiative to perform daily 5S in assigned area and machinery</li><li>Active involvement in autonomous maintenance and process improvements initiatives</li><li>Understand and perform statistical process control</li><li>Perform other duties as assigned to meet facility goals</li><li>Follow EHS Policies, Procedures, and report all incidents/injuries immediately</li></ul><br><br><strong>Physical Demands:</strong><br><ul><li>Must be able to lift/move 30 lbs. (may not exceed per EHS policies)</li><li>Must be able to stand for long periods of time</li></ul><br><strong>Benefits/Salary:&nbsp;</strong><br><br>The position includes competitive wages and a comprehensive benefit package, including health insurance (medical, dental, vision), excellent 401k matching program, paid holidays and vacation. Howmet Aerospace curates a strong working environment through opportunities for career progression, community engagement activities, and flexible schedules contingent upon role and location. The salary range for this is $24.00 to $29.19.<br><br><strong>Basic Requirements:</strong><br><ul><li>High school diploma or GED</li><li>2-years experience operating machinery</li><li>Employees must be legally authorized to work in the United States.&nbsp; Verification of employment eligibility will be required at the time of hire.&nbsp; Visa sponsorship is not available for this position</li><li>This position is subject to the International Traffic in Arms Regulations (ITAR) which requires U.S. person status.&nbsp; ITAR defines U.S. person as an U.S. Citizen, U.S. Permanent Resident (i.e. 'Green Card Holder'), Political Asylee, or Refugee</li></ul><br><strong>Preferred Qualifications:</strong><br><ul><li>5 years’ experience machinery operator of precision metal forming experience in aerospace manufacturing</li><li>Ability to read and interpret product prints.</li><li>Ability to use inspection gages and instruments</li></ul><br><br>About Howmet Aerospace<br><br>Howmet Aerospace Inc. (NYSE: HWM), headquartered in Pittsburgh, Pennsylvania, is a leading global provider of advanced engineered solutions for the aerospace and transportation industries. Our primary businesses focus on jet engine components, aerospace fastening systems, titanium structural parts and forged wheels. With $6.6 billion in revenue in 2023, our products play a crucial role in enabling fuel efficiency and lightweighting, contributing to our customers’ success and making a positive impact on the world. To learn more about the way Howmet Aerospace Inc. is advancing the sustainability of our customers, markets, and communities where we operate, review the 2023 Environmental Social and Governance report at&nbsp;<a>www.howmet.com/esg-report</a>.<br><br>Follow: <a>LinkedIn</a>, <a>Twitter</a>, <a>Instagram</a>, <a>Facebook</a>, and <a>YouTube</a>.<br><br><i>Howmet is proud to be an Equal Employment Opportunity and Affirmative Action employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.<br></i><br><br><i>All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or other applicable legally protected characteristics.<br></i><br><br><i>If you need assistance to complete your application due to a disability, please email&nbsp;<a href="mailto:TalentAcquisitionCoE_Howmet@howmet.com" target="_blank">TalentAcquisitionCoE_Howmet@howmet.com</a></i><br><br>

621 Jobs in Torrance, CA, USA