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Performance Management Coordinator II (Temporary)

Job Category:  Administrative, HR, Business Professionals
Department:  Enterprise Performance Optimization
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  7083

 

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 in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

As a condition of employment, L.A. Care requires a COVID-19 vaccine. This requirement includes our remote workforce. If you would like to request an exemption, L.A. Care has implemented a process to consider exemptions, for documented medical conditions and sincerely held religious beliefs. L.A. Care will review all exemption requests prior to proceeding with the recruitment process.

Job Summary

The Performance Management Coordinator II provides a broad range of coordination and operational supported to the Clinical Assurance Department. The position is mainly responsible for maintaining, monitoring and tracking delegated reporting for contracted Provider Groups and Specialty Health Plans.  This includes the submission of the monthly, quarterly, and annual activities; monitors and tracks the reporting for timeliness and completeness.

Duties

Prepare delegate compliance report and tracking logs ; assist in providing data to support monthly trend reports for the various CA Committees and Delegation Oversight Workgroups. Produce delegation activity reports in in a timely manner for use in the  Committee meetings. Coordinate exchange of delegate's reports to the appropriate internal departments for use in performance management of the delegated Provider Group/Specialty Health Plan. (30%)

 

Demonstrate ability to coordinate, prioritize and execute the following task: monitoring submission of delegate reports, provide tracking alerts for late or missing information, coordinate telephone meetings with applicable delegates, coordinating medical appropriateness reviews with internal physicians. (25%)

 

Coordinate and communicate with all contracted participating physician groups (PPGs) via email and telephonically for task vital to the Oversight Program. (20%)

 

Actively identifies and makes recommendations on areas for improvement of effectiveness and efficiencies of department functions. (15%)

 

Perform other duties as assigned. (10%)

Education Required

High School Diploma/or High School Equivalency Certificate

Education Preferred

Experience

Required:
At least 0-6 months of coordination/operation support in a health plan or health care related field.

Skills

Required:
Advanced proficiency in Microsoft Office applications.

 

Ability to work independently, prioritize workloads and handling multiple assignments.

 

Strong interpersonal and communication skills required to interface with a wide variety of internal and external stakeholders.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Additional Information

 

L.A. Care offers a wide range of benefits including

  • Medical, Dental and Vision
  • Wellness Program
  • Paid Sick Leave

 

At L.A. Care, we value our team members’ safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.


Nearest Major Market: Los Angeles

Job Segment: Performance Management, Medical, Human Resources, Healthcare

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