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<p>Lindsay has become a global force of innovation in a variety of segments:&nbsp;</p><ul><li>Helping farmers feed the world and conserve precious resources.</li><li>Assisting metropolitan regions so they can keep burgeoning populations moving freely and safely.</li><li>Assisting businesses thrive with better industrial connectivity solutions, as every product and service we provide is an opportunity to expand out world’s potential.</li></ul><p>What was once a small operation in Lindsay, Nebraska, has grown into a worldwide force in both irrigation and infrastructure. &nbsp;At Lindsay, we are innovating and expanding our world’s potential by providing advanced irrigation, infrastructure and industrial technology solutions that benefits everyone.</p><p>Global growth comes with unique challenges and exciting promise and, for us, every day at Lindsay is a chance to turn issues into opportunities that make a real difference.&nbsp;</p><p>Are you ready to join the team?&nbsp; Apply today for this position at our Lindsay, NE facility.</p><p>Position Summary:</p><p>Wire welding on a variety of metals and alloys for assemblies to meet strength and pressure requirements using&nbsp;aluminum, stainless steel, and other alloys.&nbsp;Spot welding operations on a variety of parts of products. Positions, aligns, and fits together fabricated plates, structural shapes, and weldments preparatory to assembly into structural fabricated products.&nbsp;Safety First – Demonstrate safe work practices in accordance with all compliance and regulatory requirements including Life Safety Elements and hold others accountable to do the same.</p><p>Essential functions:</p><ul><li>Must be able to pass a weld test</li><li>Must be able to work overtime including weekends when required</li><li>Understands and processes work orders properly</li><li>Proven experience as welder</li><li>Experience using a variety of welding equipment and procedures (MIG, MMA etc.)</li><li>Experience in using electrical or manual tools (tape measures, saws, squares, calipers etc.)</li><li>Ability to read and interpret technical documents and drawings</li><li>Must be able to lift up to 50lbs</li><li>Knowledge of relative safety standards and willingness to use protective clothing (face-shield, gloves etc.)</li><li>Deftness and attention to detail</li><li>Read blueprints and drawings and take or read measurements to plan layout and procedures</li><li>Professional Certification (e.g. an AWS welding certificate) will be a plus</li><li>Assist in accurate and timely inventory control management both physically and transactionally.</li><li>&nbsp;Other duties as assigned by his/her manager to ensure the best possible Safety, Quality and Cost deliverables for Lindsay.</li></ul><p>&nbsp;&nbsp; Qualifications:</p><ul><li>High School Diploma or GED, preferred.</li><li>Must be at least 18 years of age.</li><li>Ability to add and subtract using whole numbers, common fractions and decimals</li><li>Ability to apply common sense understanding to carry out instructions in written, oral or diagram form.</li><li>Must be able to wear Personal Protective Equipment (PPE) (metguard boots, protective eyewear, hard hats, gloves, ear plugs, etc)</li></ul><p>&nbsp;Benefits of Lindsay Corporation:</p><ul><li>Health, Dental, Vision Insurance beginning the first of the month following your start date.</li><li>Company paid Life Insurance and Short-Term Disability effective first of the month following start date.</li><li>Voluntary Life, Accident, Long Term Disability, and Critical Illness plans available.</li><li>401(k) retirement plan – company match $0.50 on the dollar up to 6%, five-year vesting.</li><li>Accrued PTO up to 15 days per year. Accrual begins on first day of employment.</li><li>Paid Holidays</li><li>Valuable Extras:<ul><li>Wellness reimbursement</li><li>Tuition assistance</li><li>Paid Parental Leave after 1 year of service</li><li>Employee Assistance Programs</li></ul></li></ul><p>Lindsay Corporation is proud to be an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants must be currently authorized to work in the United States in a full-time basis.</p>

Lindsay Corporation

Welding Technician I

<p>Regional Field Support Specialist / Remote Work</p><p>Organization Summary</p><p>Lindsay Corporation is a global company, headquartered in Omaha, Nebraska, focused on providing irrigation and infrastructure solutions to meet the needs of a growing population. As one of the world’s leading providers of irrigation and water management, its Zimmatic systems are operating in more than 90 countries. Lindsay Corporation’s infrastructure division offers a wide range of products that aid in roadway maintenance and transportation safety. Since 1955, Lindsay Corporation has been at the forefront of research and development of products and services designed to meet the needs of a constantly evolving world.</p><p>Position Description</p><p>The Regional Field Support Specialist is the primary point of contact for operational deployment and monitoring of all Permanent and Leased Road Zipper projects and will be based within the region accordingly.&nbsp; This includes providing on-site training for contractors and their personnel covering mobilization, installation, setup, maintenance, operation, and (when required) de-mobilization of Barrier Transfer Machines, barrier wall components, and supporting tooling/equipment.&nbsp; Additionally, this position will assist with troubleshooting, fault isolation, and repair of equipment or system malfunctions to support our customers either remotely, or on-site when necessary.&nbsp; </p><p>Position Details</p><p>This is a full-time, remote position located in western North America.&nbsp; Although a remote position, applicants must be already located in the Northwestern part of the US. Extensive travel (50-70%) will be required (including international based upon need) to facilitate the various project phases listed above and periodic visits to conduct and document routine maintenance inspections of machines and projects.</p><p>Responsibilities</p><ul><li>Foster positive, productive relationships with associated Regional Business Development Manager and all assigned Road Zipper customers via routine written, verbal, and/or in-person interactions.</li><li>Be the system technical expert – Responsible for assisting customers with troubleshooting, establishing a corrective action plan, and sourcing repair parts as needed if issues arise.</li><li>Coordinate with the LTS Project Manager and Field Support Manager to ensure all contractual obligations are satisfied in a timely manner.</li><li>Act as field liaison to communicate machine issues with personnel at the manufacturing facility in Rio Vista, California when equipment is returning for refurbishment.</li><li>Document customer communications, unscheduled maintenance events, and/or incidents via platforms such as MS Office, SalesForce, and Smartsheet tools.</li><li>Communicate in a clear, precise, and timely manner with internal and external customers.</li><li>Perform on-site or remote training sessions with the customer’s operator teams as necessary.</li><li>Perform hands-on periodic maintenance tasks on lease machines when appropriate.</li><li>Promote safety in everyday actions and drive operational excellence while leading and/or participating in continuous improvement projects. </li><li>Exhibit Lindsay’s core behaviors (One Lindsay, Building Trust, Customer-First Innovation, and Unlocking Creativity) both internally and externally at all times.</li><li>Maintain all barrier storage yards located within assigned region.</li><li>Other duties as assigned.</li></ul><p>Minimum Qualifications:</p><ul><li>Requires a minimum of five years of heavy equipment maintenance experience</li><li>Experience working with customers as primary point of contact.</li><li>Experience leading customer projects or leading training.</li><li>Experience with platforms such as MS Office, SalesForce, and Smartsheet</li><li>Road safety or construction experience is desired.</li></ul><ul><li>Ability to work independently or as part of a team.</li><li>Strong organizational skills and ability to adapt to changing priorities.</li></ul><p>Preferred Qualifications:</p><ul><li>10 years of heavy equipment maintenance experience</li><li>Already located within 100 miles of our Rio Vista, California plant</li><li>Experience related to Road Zipper system/operation</li><li>Experience with Electro-mechanical and hydraulic systems</li><li>Experience with platforms such as MS Office, SalesForce, and Smartsheet&nbsp;</li></ul><p>Physical Requirements:</p><ul><li>Repetitive heavy lifting up to 50 lbs.</li><li>Long periods of standing, stooping, bending, and climbing.</li><li>Varying shift schedules while on the road in support of customer operations possible.</li><li>Exposure to different elements including heat, cold, wet, and dry conditions, excessive noise, and various types of chemicals used in a shop. </li><li>50 to 70% travel.</li></ul><p>#LICC1</p>

Specialist, Regional Field Support

<p>The senior developer will be responsible for designing, developing, testing, and deploying custom applications using the Microsoft Power Platform and Dynamics 365. They will work within an Agile development team and collaborate with other developers, business analysts, testers and project managers to ensure that the project requirements are met and that solutions are designed following best practices for Microsoft development. They will help translate business requirements into working solutions that make the most of out-of-the-box capabilities of Dynamics 365 and the Power Platform. Responsibilities include:</p><ul><li>Develop and customize Dynamics 365 applications using Model-driven Power Apps with Dataverse, Power Automate, Power BI, and Azure services</li><li>Design and implement user interfaces, business logic, workflows, and integrations using the Power Platform and Dynamics 365</li><li>Perform unit testing, integration testing, and quality assurance of the developed solutions</li><li>Debug and troubleshoot issues and provide technical support as needed</li><li>Document and maintain the technical specifications and design documents of the solutions</li></ul><p>​The projected compensation range for this position is $130,000 - $160,000 (annualized USD). The final salary offered will generally fall within this range and is determined by various factors, including but not limited to the individual's particular combination of education, knowledge, skills, competencies, and experience, as well as internal pay equity, location, contract-specific affordability and other organizational requirements.</p>Required Skills<br><ul><li>At least 7 years of experience developing solutions using Microsoft technologies</li><li>Demonstrable advanced skills with most of the following: Power Apps, Power Pages, PCF Controls, SharePoint Online, Azure Functions, Azure logic apps, Azure API Management Gateway, and Power BI.</li><li>Proficient in C#, JavaScript, HTML, CSS, and SQL</li><li>Hands-on experience architecting solutions that involve Dynamics customization to include server side code, custom business logic, integration modules, workflow assemblies and plug-ins</li><li>Experience in using tools such as Visual Studio, Azure DevOps, Power Apps Studio, and Jira</li><li>Excellent communication, analytical, and problem-solving skills</li><li>Must be a US Citizen</li></ul><br><br>Desirable Skills<br><ul><li>Microsoft Dynamics 365 or Power Apps certifications</li><li>Experience working for federal government customers</li><li>Experience working with Jira</li><li>Active Federal Government public trust clearance</li></ul><br>

Procentrix

Senior Dynamics 365 / Power Platform Developer

<p>Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&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 Appeals and Grievances Clinical Operations (A&amp;G) RN is responsible for executing the day-to-day clinical operations of the A&amp;G department, and monitoring the A&amp;G RN staff responsibilities and activities. This includes, but is not limited to, ensuring proper staffing and coverage; monitoring and evaluating departmental operations to ensure optimal efficiency, productivity, and effectiveness; documenting and appropriately addressing excellence or deviations in work, departmental, and organizational expectations; and conducting intermittent and annual performance evaluations. This role assists in triaging identified issues/problems and forming resolutions within the scope of work/licensure. The Supervisor is a subject matter expert (SME) in Appeals &amp; Grievances and supporting regulations, policies, protocols, and procedures. This position serves as a formal and informal instructor, and escalates issues/concerns to the appropriate person when outside of their scope.</p><p>This position is responsible for assisting with and development and maintenance of a successful and cohesive unit, with a high level of productivity and accuracy to achieve the department's overall performance metrics. The Supervisor ensures all functions of the A&amp;G department are operating in accordance with the organization's mission, values and strategic goals, which are focused on quality care delivery and continuous improvement; and are provided in a manner that is responsive and sensitive to the needs of L.A Care's culturally diverse membership.</p><p>The position supports the A&amp;G Clinical Manager. This role also assists the A&amp;G Leadership in identification of training needs including, but not limited to, collaborating in development of programs, training materials, competency checklist, and orientation checklists necessary to meet education and training needs of A&amp;G staff.&nbsp; The position supervises all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.</p><h4>Duties</h4><p>Ensures adequate/appropriate distributions of workforce, assignments and time off requests.&nbsp; Participates in the hiring and termination process providing recommendations with appropriate supporting documentation.</p><p>Monitors staff’s performance including productivity and compliance with regulatory requirements, compliance with policies.&nbsp; Identifies, communicates and coaches to improve staff performance.&nbsp; Develops tools, job aids, and workflows to optimize the process flow, performance and productivity of the A&amp;G team. Completes intermittent and annual staff evaluations.</p><p>Serves as the primary resource for all business-related questions/issues raised by staff; escalates to appropriate leader/team when necessary.</p><p>Recommends and implements process improvement measures to achieve department's performance measures outcomes and goals.</p><p>Plans and oversees A&amp;G clinical activities according to model of care, program description and policy and procedures to provide timely, quality care and services to members.</p><h4>Duties Continued</h4><p>Maintains all assigned reporting responsibilities, conducts regular audits to ensure compliance with community, industry and organizational standards including regulatory requirements. Serves as a super-user on electronic programs and systems used by the department.</p><p>Assists in the development of programs, workflows, tools, training materials, orientation checklists, and competency checklist necessary to meet educational needs.&nbsp; Trains new staff, remediation of seasoned staff and cross training as needed in specified business lines.&nbsp; </p><p>Serves as a leader and role model as well as technical and informational resource for staff and peers.</p><h4>Fosters a culture that encourages employee contribution to ensure the department maintains an environment in which quality flourishes.</h4><h4>Serves as a member/resource/liaison to the A&amp;G Operations Team.</h4><h4>Recommends resources to improve performance standards in terms of Appeals &amp; Grievances.&nbsp; Collaborates with peers and colleagues within the organization to address process improvements, member's needs, department and organizational enhancements and communicate development as appropriate.</h4><h4>Participates on internal and external committees as delegated or assigned.</h4><h4>Serves as a consultant to other departments or organizations as needed.</h4><h4>Performs other duties as assigned.</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p>Required:</p><p>Minimum of 8 years of acute/clinical care experience.</p><p>Minimum of 2 years of experience in RN clinical operations in an acute care or health plan setting.</p><p>Minimum of 2 years in a lead/supervisory experience.</p><p>Equivalency:&nbsp; Completion of the L.A. Care Management Certificate Training Program may substitute for the supervisory/management experience requirement.</p><h4>Skills</h4><p>Required:</p><p>Knowledge of state, federal and regulatory requirements in Appeals/Care/Case/Utilization Management/Quality.</p><p>Strong verbal and written communication skills.</p><p>Computer literacy with proficiency in Microsoft Word, Excel, etc. and ability to learn core departmental computer systems and software.</p><p>Excellent organizational, time management, and interpersonal skills.</p><p>Must be detailed-oriented, energetic, and an enthusiastic team player.</p><p>Must be able to work independently.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>This position requires work after hours, on weekends, holidays, a hybrid remote schedule, occasional flexibility in hours/shift in critical situations and work on-call.</p><p>This position requires handling various caseloads and flexibility to adapt to changing priorities which may include but not limited to redistributed work assignments, team projects, and other priorities as assigned</p><p>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>

L.A. Care Health Plan

Supervisor, Appeals and Grievances Clinical Operations RN

<p>Salary Range:&nbsp;&nbsp;$88,854.00&nbsp;(Min.) -&nbsp;$115,509.00&nbsp;(Mid.) -&nbsp;$142,166.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Utilization Management Nurse Specialist RN II facilitates, coordinates, and approves medically necessary referrals that meet established criteria. Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status. Generates approval, modification and denial communications, to include member and provider notification of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review. Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers. Acts as a department resource for medical service requests /referral management and processes. Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps. Follows up with caller to provide response or resolution steps. Answers all inquiries in a professional and courteous manner.</p><h4>Duties</h4><p>Promote and support team engagements, programs and activities to create and ensure a positive and productive workplace environment.</p><p>Perform telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, the member and significant others to develop and implement a successful discharge plan. Process, finalize and facilitate inbound requests that are received from providers. </p><p>Generate appropriate member and provider communication for all determinations within the required timelines as defined by the most current department policy.</p><p>Facilitate/review requests for Higher level of care or skilled nursing/discharge planning needs. Research for appropriate facilities, specialty providers and ancillary providers to utilize for all lines of business. Identification of potential areas of improvement within the provider network.</p><p>Identify and initiate referrals for appropriate members to the various L.A. Care programs/processes and external community based programs or Linked and Carve Out Services (e.g. DDS/CCS/MH). Potential quality of care/potential fraud issues are identified and documented per L.A. Care policy. High risk/high cost cases and reports are maintained and referred to the Physician Advisor/UM Director. Document in platform/system of record. Utilize designated software system to document reviews and/or notes. </p><p>Receive incoming calls from providers, professionally handle complex calls, research to identify timely and accurate resolution steps. Follow up with caller to provide response or resolution steps. Answer all inquiries in a professional and courteous manner.</p><h4>Perform other duties as assigned. </h4><h4>Duties Continued</h4><h4>Education Required</h4>Associate's Degree in Nursing<h4>Education Preferred</h4>Bachelor's Degree in Nursing<h4>Experience</h4><p>Required:<br>At least 5 years of varied clinical experience in an acute hospital setting. At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting .&nbsp;</p><p>Preferred:<br>Managed Care experience performing UM and CM at a medical group or management services organization.</p><p>Experience with Managed Medi-Cal, Medicare, and commercial lines of business.</p><h4>Skills</h4><p>Required:<br>Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint. &nbsp;Effectively utilizes computer and appropriate software and interacts as needed with L.A. Care Information System. Knowledge of personal computer, keyboarding, and appropriate &nbsp;software to produce correspondence, charts, spreadsheets, and/or other information applicable to the position assignment. Prepare clear, comprehensive written and oral reports and materials.&nbsp;</p><p>Provision of excellent customer service required due to frequent communication with providers and other members of the interdisciplinary team &nbsp;<br><br>Excellent time management and priority-setting skills.</p><p>Maintains strict member confidentiality and complies with all HIPAA requirements.</p><p>Strong verbal and written communication skills. &nbsp; &nbsp;</p><p>Preferred:<br>Knowledge of National Committee for Quality Assurance (NCQA) requirements for Utilization Management or Care Management (CM).&nbsp;</p><p>Knowledge of Department of Health Care Services (DHCS) or Centers for Medicare and Medicaid Services(CMS) requirements for health plan compliance with UM or CM.</p><h4>Licenses/Certifications Required</h4>Registered Nurse (RN) - Active, current and unrestricted California License<h4>Licenses/Certifications Preferred</h4>Certified Case Manager (CCM)<h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>May work on occasional weekends and some holidays depending on business needs.</p><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>

Utilization Management Nurse Specialist RN II

<p>Salary Range:&nbsp;&nbsp;$50,216.00&nbsp;(Min.) -&nbsp;$62,770.00&nbsp;(Mid.) -&nbsp;$75,324.00&nbsp;(Max.)</p><p>Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.<br><br>Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.<br></p><h4>Job Summary</h4><p>The Customer Solution Center (CSC) Representative II has advanced knowledge of healthcare and various managed care product lines, including Medi-Cal, PASC, L.A. Care Covered/Cal Medi-Connect and is proficient in medical terminology. The position responsibilities include duties such as: assist supporting queues and management with projects as needed (e.g. provide informative feedback on desktop procedures, follow-up on member inquiries, CSC Representative shadowing etc.), acting as back-up support to Call Center Leads. This position handles inbound and outbound interactions involving member eligibility verification, general provider inquiries, claim status (pre-payment), &nbsp;general program and administration questions for all lines of business including direct member request for I.D cards and Primary Care Physician (PCP) changes, triages calls to appropriate units or outside entities and processes payments for L.A. Care Covered members. All interactions are documented in system of record.</p><h4>Duties</h4><p><br>Answers incoming calls for all product lines from members, potential members, providers and advocates. Handles and resolves member issues, assists members in connecting with internal units or external parties such as Plan Partners, Primary Care Physician (PCP) offices, pharmacists, etc. Provides essential information to members regarding access to care issues, coordination of care issues, benefits, Evidence of Coverage (EOC), Member Handbook, etc. Assists providers in using the Interactive Voice Response (IVR) web portal and verifying member eligibility. Documents all calls via the member data base systems. (QMEIS). Ensures department compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations relating to protection of personal history information. Troubleshoots and directs calls to the appropriate departments or outside entities. (60%)</p><p>Processes payments for L.A. Care Covered members. (15%)&nbsp;</p><p>Supports robocall and ad-hoc member outreach activities as determined by business need. (15%)</p><p>Performs other duties as assigned. (10%)</p><h4>Duties Continued</h4><h4>Education Required</h4>High School Diploma/or High School Equivalency Certificate<h4>Education Preferred</h4><h4>Experience</h4><p>Required:<br>At least 1 year of customer service call center experience in a healthcare environment.&nbsp;</p><p>Data entry experience with ability to type a minimum of 40 wpm.&nbsp;</p><p>Ability to answer a high volume of calls; previous ACD experience preferred.&nbsp;</p><p>Preferred: &nbsp;<br>Managed care or health plan experience.</p><h4>Skills</h4><p>Required:<br>Knowledge of medical terminology.</p><p>Good understanding of service to the disadvantaged population, seniors and or people with chronic conditions or disabilities.&nbsp;</p><p>Must be a quick learner, excellent team player and customer service oriented.&nbsp;</p><p>Preferred:<br>Bilingual in one of L.A. Care Health Plan’s threshold languages is highly desirable. English, Spanish, Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese.</p><h4>Licenses/Certifications Required</h4><h4>Licenses/Certifications Preferred</h4><h4>Required Training</h4><h4>Physical Requirements</h4>Light<h4>Additional Information</h4><p>L.A. Care Health Plan Call Center is available 24 hours a day, 7 days a week, including holidays. Call Center work shifts are assigned based on business need and may include, but not be limited to, evenings, weekends and holidays.</p><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>

Customer Solution Center Service Representative II

<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 Healthcare Financial Analyst I will assist with gathering medical cost data to support the production of internal routine healthcare reports, ad hoc studies, as well as regulatory request required by Department of Health Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit Request. &nbsp;Support of all Actuarial functions and needs. Create and maintain Excel workbook to compare monthly, quarterly, and yearly membership, medical cost and utilization data, Identify and track data anomalies. This position will work closely with Financial Analyst II and &nbsp;III to provide assistance and perform routine &nbsp;task.</p><h4>Duties</h4><p>Support in gathering data to feed regulatory request required by Department of Health Care Services (DHCS) such as Rate Development Template, Supplemental Data Request, Audit Request. &nbsp;Accurately and timely completion of regulatory data request.</p><p>Updating ad hoc and routine monthly/quarterly/yearly reports, identify and research variance.</p><p>Update integrated revenue/medical care expense (FFS + RX Claims/Provider Capitation/other medical cost) analysis. &nbsp;Update financial reconciliation and data validation workbooks,</p><p>Generate reports from accounting system and convert to useable format.&nbsp;</p><p>Supports higher level financial analyst with audits and projects.&nbsp;</p><p>Meets deadlines with accurate data and support the legal department's arguments.</p><p>Perform other duties as assigned.&nbsp;</p><h4>Duties Continued</h4><h4>Education Required</h4>Bachelor's Degree in Business AdministrationIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Bachelor's Degree<h4>Experience</h4><p>Required:&nbsp;<br>At least 2 years of finance or managed healthcare experience.</p><h4>Skills</h4><p>Required:<br>Understanding of financial/accounting concepts. &nbsp;</p><p>Basic knowledge of SQL programming. Demonstrated knowledge in data analysis, MS Excel and SQL programming.</p><p>Must be able to create and manage Excel spreadsheets.&nbsp;</p><p>Must have solid and effective verbal, written and interpersonal communication skills. &nbsp;&nbsp;</p><p>Must have strong analytical and problem solving skills.&nbsp;</p><p>Preferred:<br>Understanding of health care cost structures (fee schedules, health care cost categories, and health care service utilizations, and medical codes).</p><p>Medical/Medicare/Commercial Health Insurance knowledge.</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>

Healthcare Financial Analyst I

<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>

Supervisor, Customer Solution Call Center

<p>Salary Range:&nbsp;&nbsp;$102,183.00&nbsp;(Min.) -&nbsp;$132,838.00&nbsp;(Mid.) -&nbsp;$163,492.00&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 Solutions Manager III is responsible for assisting the product leadership team within the Product Strategy, Sales and Marketing (PSSM) service area and the enterprise. The Product Solutions Manager III leads in supporting ongoing operations of the assigned product lines in bridging the gap between state requirements and required transformation of future state alternatives. The position navigates the regulatory/legislative and market environment to drive desired performance levels to balance short-term business needs with long-term innovative solutions to ensure achievement of enterprise strategic goals. Work with management to identify and lead products, programs and initiatives that support achievement of organizational goals and objectives that align with and support enterprise strategic directions. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.</p><h4>Duties</h4><p>Supports the assigned product lines in policy and regulatory efforts. &nbsp;Evaluates policy and regulatory changes to identify impacts to current processes and supports implementation initiatives. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;<br>Assess market strategy white papers, Legal memos, legislation/mandate language, regulatory changes and/or &nbsp;regulator model contracts and provides an impact recommendations, feasibility and execution plan.<br><br>Responsible for defining product strategy and positioning. Drive design, feasibility and definition of new innovations and manages the ongoing evolution, growth, and strategic direction of assigned PSSM unit and its portfolio.<br><br>Conducts cost/benefit analyses, needs assessment and data analysis in order to align strategy, design and business solutions with business objectives. Leads and documents requirement sessions/JAD sessions. &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp;&nbsp;<br>Manage cross-functional partnerships with stakeholders responsible for quality measures and policy initiatives. Reviews data to monitor product performance and identify areas for cost containment initiatives (i.e. encounters, utilization, rates) and develops improvement plans.</p><p>Develop and design processes and product requirements that support business needs. Design methods for integrating function and process including improvement opportunities and development performance improvement plans with business units. Support business units on developing and executing process improvement plans, monitoring programs and enhancements to promote efficiency, quality, and compliance. Partner with functional areas to involve day-to-day issues impacting product performance</p><p>Orchestrate, plan and execute end to end cycle strategy, including complex development and implementation efforts for the assigned line of business and their products (on / off exchange). &nbsp;<br></p><h4>Duties Continued</h4><p>Identify gaps in operational processes that impact quality scores, enrollment, revenue and member retention. Design appropriate mitigation and contingency plans. &nbsp;Lead efforts to identify best practices to drive product integrity and efficiency. Validate functional area readiness for effective administration of benefits and transactions for the upcoming plan year, including creation, scope and execution for enhancements and/or product cycle implementations.</p><p>As a Subject Matter Expert, develop and conduct training on unit processes, for lower-tiered positions.&nbsp;</p><p>Perform other duties as assigned.</p><h4>Education Required</h4>Bachelor's Degree in Public Administration or Related FieldIn lieu of degree, equivalent education and/or experience may be considered.<h4>Education Preferred</h4>Master's Degree in Public Administration or Related Field<h4>Experience</h4><p><br>Required:<br>At least 5 years of relevant experience in product development/management.</p><p>Risk management and mitigating planning experience.</p><p>Must have experience and knowledge with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives.</p><h4>Skills</h4><p>Must have deep 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>Requires deep knowledge of product development life cycle discipline.</p><p>Knowledge of product management and strategic planning concepts.</p><p>Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio.</p><p>Ability to manage risk through change control and/or escalation protocols if necessary.</p><p>Excellent interpersonal, motivational, and communication skills.</p><p>Excellent written and verbal communication and presentation skills.</p><p>Ability to serve as member on or lead cross-functional implementation or project teams.</p><p>Ability to interpret data sets and forecast future revenue streams.</p><p>Working knowledge of the company’s healthcare products, functions and regulatory guidelines.&nbsp;&nbsp;&nbsp;&nbsp;</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>Department Specifics:</p><p>Medicare:<br>Required:&nbsp;<br>Experience and knowledge in &nbsp;Cal MediConnect (CMC) / D-SNP policy and product lines of business.&nbsp; Experience in improving Stars and Quality Measures.&nbsp;&nbsp;&nbsp;&nbsp;<br>Experience in&nbsp; Medicare Advantage, with experience serving duals population.<br>Direct experience in Medicare and Duals program administration including stars, quality, financial performance review, operational functions (claims, enrollment, readiness).</p><p>Medi-Cal:<br>Required:<br>Experience serving Medi-Cal population.&nbsp;</p><p>Preferred:<br>Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory requirements governing Medi-Cal managed care plans.&nbsp; Understanding of managed care principles and operations.</p><p>Medi-Cal Plan Partners:<br>Required:<br>Experience serving Medi-Cal population.&nbsp; Talented in building relationships with external partners. Service oriented. Talented in resolving conflict.</p><p>Preferred:<br>Understanding of Medi-Cal managed care model, eligibility requirements, benefits, enrollment processes, and regulatory requirements governing Medi-Cal managed care plans.&nbsp; Understanding of managed care principles and operations.</p><p>Commercial Group:<br>Required:<br>Experience working in Commercial and Group Product Health Plans</p><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>

Medicare Product Solutions Manager III

<br><h4>Company Description</h4><p>Veolia Water Technologies &amp; Solutions (VWTS) is a worldwide leader in water recovery, treatment, and reuse. We design, supply, and service a range of water systems and monitoring equipment in industries ranging from pharmaceutical to food and beverage applications, and from microelectronics ultrapure water to municipal water and industrial wastewater treatment. We are one of the world’s leading manufacturers of total organic carbon (TOC) analyzers and corresponding certified reference materials. Our ground-breaking endotoxin analyzer is the latest addition to our expanding analytical instruments portfolio. We strive to provide not only superior technology and design, but also outstanding quality, service, and application support.</p><h4>Job Description</h4><p>The Water Technologies and Solutions, Analytical Instruments product line business has an opportunity for a Sales Account Manager in the tri-state area.</p><p><strong>Position Purpose</strong></p><p>The person in this role will represent our expanding portfolio of industry leading chemical and biological water testing solutions (instruments, consumables and services) within the defined area encompassing Connecticut, New Jersey, and New York, to develop strong partnerships with our extensive install base, utilize commercial expertise to drive new sales opportunities, and collaborate with our extensive sales support structure (inside sales and applications specialists) to facilitate customer success. This is a developed territory in the life science space with over two decades of growth, and our commercial group is looking to add a team member who will expand the business through customer focused activities, creative problem solving and continued professional development opportunities.</p><p><strong>Key Characteristics</strong></p><ul><li>Autonomous – Our teams work remotely, strategically managing their workload and schedule to ensure customer success</li><li>Collaborative – Our people and products provide innovative solutions to the Life Science Industry and our team is rewarded for their creativity and teamwork</li><li>Focused – Our sales professionals handle multiple priorities and leverage their strong interpersonal and communication skills as the face of a rapidly expanding organization with multiple career growth opportunities</li></ul><p><strong>Duties &amp; Responsibilities</strong></p><ul><li>Generate new business using extensive install base and customer networks to exceed sales plan</li><li>Develop and maintain business, perform equipment demos as needed, and assist in the sale of aftermarket products (consumables and services)</li><li>Manage a portfolio of accounts to develop positive relationships and achieve long-term success</li><li>Act as the point of contact and handle customers’ needs in a timely manner</li><li>Set and track sales account targets, aligned with company objectives. &nbsp;Monitor sales metrics (e.g. quarterly sales results and bi-annual forecasts)</li><li>Attend company sponsored trade shows within the territory and bring awareness to local or regional conferences that would help create sales opportunities in the territory</li></ul><p><strong>Knowledge, Skills &amp; Abilities</strong></p><ul><li>Excellent communication skills</li><li>Experience with analytical instruments preferably within the pharmaceutical, biotech or life sciences industries</li><li>Strong interpersonal and customer focused skills</li><li>In-depth knowledge of the industrial applications for product lines and markets</li><li>Excellent problem-solving skills</li><li>Self-motivated</li><li>Excellent time management, presentation and organizational skills</li><li>Ability to manage multiple priorities in a fast-paced work environment</li><li>Ability and willingness to work in a range of environments including GMP facilities, labs and production areas.</li></ul><h4>Qualifications</h4><p><strong>Education &amp; Experience</strong></p><p><strong>Required:</strong></p><ul><li>Bachelor's Degree in Biology, Biochemistry, Chemistry or similar Life Sciences discipline</li><li>At least 3 years, or more, of experience successfully selling analytical instruments or capital equipment and consumables to cGMP biotech, biopharma, and life science companies or related experience</li></ul><p><strong>Preferred:</strong></p><ul><li>5 years or more analytical instruments capital equipment sales work experience preferred</li></ul><p><strong>Working Conditions:</strong></p><ul><li>Travel ≥50% with up to 25% overnight.</li><li>Ability to lift/carry up to 45lbs</li><li>Valid driver’s license required</li></ul><h4>Additional Information</h4><p><strong>Why You’ll Love Working Here!</strong></p><ul><li>In diversity lies strength - We strive to be a workplace that is inclusive and empowers people to contribute their best</li><li>Recognition and rewards for your hard work and achievements</li><li>Opportunity for new challenges - We are growing and love to promote from within</li><li>An excellent leadership team and a collaborative culture that values innovation&nbsp;</li><li>At all levels of the organization, we recognize talent and want to help you build your sustainable career!</li></ul><p>At Veolia, we realize diverse teams make smarter decisions, deliver better results, and build stronger communities. We’re an organization that champions diversity and inclusion at every rung of the ladder and are proud to be an equal opportunity workplace. Because our people are our greatest assets, we also offer competitive compensation and benefits that include:</p><ul><li>Compensation - The salary range is tied to the market for similarly benchmarked roles. &nbsp;The range is not an absolute, but a guide, and offers will be based on the individual candidate’s knowledge, skills, experience, and market conditions, as well as internal peer equity. &nbsp;Depending upon all the preceding considerations for the final selected individual candidate, the offer may be lower or higher than the stated range: &nbsp;$85,000 - $115,000 annually&nbsp;</li><li>Sales Incentive Plan&nbsp;</li><li>Medical, Dental, &amp; Vision Insurance Starting Day 1!&nbsp;</li><li>Life Insurance</li><li>Paid Time Off&nbsp;</li><li>Paid Holidays</li><li>Parental Leave</li><li>401(k) Plan</li><li>Flexible Spending &amp; Health Saving Accounts</li><li>AD&amp;D Insurance</li><li>Disability Insurance</li><li>Tuition Reimbursement</li></ul><p>Disclaimer: The salary, other compensation, and benefits information is accurate as of the date of this posting. The Company reserves the right to modify this information at any time, subject to applicable law.</p><p><br>****Applicants are required to be eligible to lawfully work in the U.S. immediately; employer will not sponsor applicants for U.S. work authorization (e.g. H-1B visa) for this opportunity****</p><p><br>VWTS does not accept unsolicited resumes from external recruiting firms. All vendors must have a current and fully executed MSA on file before submitting candidates. &nbsp;Any unsolicited resumes and candidate profiles will be deemed the property of VWTS, and no fee will be due.</p><p><strong>As an inclusive company, Veolia is committed to diversity and gives equal consideration to all applications, without discrimination.</strong></p>

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