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.
The Quality Configuration Assurance Analyst I performs technical and analytical work related to the testing, validation, and quality assurance of business requirements for and the configuration of the L.A. Care Health Plan core system and the related surround systems, applications, and databases (e.g., Clinical CareAdvance (CCA), Process Communication Tracking (PCT), Claims Test Pro, etc.). This position is responsible for conducting root cause analysis for system issues and helping to identify, implement, and validate well thought-out recommendations for improvement. This position interfaces and collaborates with peers within and outside the department and the organization to support configuration quality assurance best practices, process and system enhancements, etc.
Identify and support the implementation/enhancement of systems and business process improvements, taking into account industry best practices.
Conduct root cause analysis to identify issues, provide recommendations, and support the implementation/enhancement of systems and process improvements.
Interface and collaborate with peers within and outside the department and the organization.
Test, validate, and assist with the quality assurance of business requirements and systems configuration.
Perform other duties as assigned.
In lieu of degree, equivalent education and/or experience may be considered.
At least 2-3 years of experience in a Systems Configuration, Claims or other Operations department. Quality assurance experience in the health care industry. Claims experience with QNXT or equivalent claims processing system.
At least 5 years experience working with a California Medi-Cal managed care plan or commercial health plan, medical group, or management services organization.
L.A. Care offers a wide range of benefits including
Paid Time Off (PTO)
Medical, Dental and Vision
Volunteer Time Off (VTO)