L.A. Care Health Plan jobs - 477 jobs

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Care Management Specialist II utilizes clinical skills and training to perform essential functions of care management for identified and assigned member population according to Health Insurance Portability and Accountability Act (HIPAA) guidelines. Manages a specified caseload across the entire continuum of programmatic levels including those within National Committee for Quality Assurance (NCQA) scope or otherwise Complex/Catastrophic cases, which are those with the severest acuities or care needs and requiring the highest clinical skills and judgement. Management of the caseload assigned by Manager includes: coordinating health care benefits, providing education and facilitating member access to care in a timely and cost-effective manner. Collaborates and communicates with member, family, and interdisciplinary health team to promote wellness and member empowerment, while ensuring access to appropriate services across the healthcare continuum and maximizing member benefit: Serves as clinical advocate for members, active interdisciplinary team member, liaison with other departments and external health care team. Provides direction and assistance to Care Coordinators and to Community Health Workers (CHW) of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Uses claims processing and care management software to look up member information, document contacts, and track member progress. Duties Applies clinical knowledge and experience to evaluate information regarding prospective care management members referred by health risk assessment (HRA), risk stratification, predictive modeling, provider's utilization review vendors, members, Call Center, claims staff, Health Homes Program (HHP) eligibility or other data sources to determine whether care management intervention is necessary to meet the member's needs. Conducts Care Management services for the most complex and vulnerable members including: engaging in member centric communication which includes the interdisciplinary team, providers and family or authorized representatives; reviewing member claims histories and identifies intervention opportunities through the professional standards of practice; contacting and interviewing members to conduct a baseline assessment, assess self-care ability, assess knowledge and adherence deficits; conducting comprehensive clinical assessments as indicated; developing a member centric plan of care. Maintains assigned care management caseload for with a focus on the most complex, highest-risk members particularly those with advanced chronic conditions, co-occurring mental and/or substance abuse and complex social issues (e.g. homelessness, domestic violence). Collaborates with primary care physician and other treating professionals as appropriate. Authorizes initiation of care management services and specialized program services for members and specific populations, and develops interventions designed to meet member or population desired outcomes. Provides comprehensive education and resources to members about accessing services, in-network use, national guidelines for care, community resources, and self-management skills and strategies. Employs engagement techniques to build relationships with members and their authorized representatives. Encourages participants to participate in their health care decisions and assists member with researching treatment options in order to communicate effectively with providers and to make informed decisions. Notifies Care Coordinators and CHWs of members needs including the need for special educational mailings, reminder calls, satisfaction surveys, incentives or any additional service needs according to specific program guidelines. Performs field assessment and care coordination functions in community settings with members, such as at the L.A. Care Community Resource Centers, medical clinics, and member homes. Duties Continued Meets and assesses members at L.A. Care Community Resource Centers, as needed. Provides effective care management for Individualized Care Plan summary and interventions during the Interdisciplinary Care Team meetings based on department guidelines. Facilitates appropriate use of resources and coordinates necessary services to improve health status and impact the cost of care. Identifies member needs for and refers to appropriate internal and external programs, as appropriate. Encourages member and family empowerment through education and use of reliable resources. Monitors and evaluates member progress: evaluates member response to interventions and refines action plan to produce desired outcomes. Identifies complex care management issues and discusses possible solutions with management. Assesses effectiveness of care plan's goals and interventions on a regular basis. Uses claims and care management software to document interactions and interventions with members, vendors, and providers. Maintains case information in the member's clinical records to promote care coordination. Provides ongoing direction and support to internal customers regarding Care Management programs, processes, and benefit coverage. Responsible for staying current with best practices, identifying areas for personal growth opportunities and works with management to develop a plan for obtaining the necessary training. Performs other duties as assigned. Education Required Associate's Degree in Nursing for Registered Nurses Master's Degree in Social Work for Licensed Clinical Social Workers Education Preferred Bachelor's Degree in Nursing for Registered Nurses Experience Required: Minimum of 3 years of recent care management experience with responsibilities of managing complex acute or chronic conditions in collaboration with members and interdisciplinary care professionals in a hospital, medical group or managed care setting, such as a health insurance environment and/or experience as care manager in home health or hospice environments. Experience providing care management with complex/catastrophic conditions. Skills Required: Current knowledge of clinical standards of care and disease processes. Critical thinking skill. Excellent customer service skills. Ability to clinically analyze the most complex cases involving highly acute physical health, behavioral health, complex/catastrophic and/or psychosocial issues to determine and implement the most effective member-centered interventions. Ability to triage immediate member health and safety risks. Ability to sensitively manage member or family responses associated with high acuity cases and support effective coping. Strong verbal and written communications skills to consult effectively with interdisciplinary teams, coordinate care with members and their families, and other internal and external stakeholders. Ability to use a personal computer, and knowledge of medical information systems. Knowledge of and ability to comply with HIPAA compliance. Ability to interview, assess and coordinate care. Ability to prioritize caseload. Knowledge of community resources. Knowledge of Medi-Cal and Medicare regulations. Ability to work as a part of a diverse team and gain consensus and resolution of problems. Preferred: 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. Licenses/Certifications Required Registered Nurse (RN);current and unrestricted California License OR Licensed Clinical Social Worker; current and unrestricted California License. Licenses/Certifications Preferred Certified Case Manager (CCM) Accredited Case Manager (ACM) Certification Case Management Nurse - Board Certified (CMGT-BC) Required Training Physical Requirements Light Additional Information Required: Travel to offsite locations for work. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO) Nearest Major Market: Los Angeles Job Segment: Social Worker, Substance Abuse, Behavioral Health, Travel Nurse, Registered Nurse, Service, Healthcare

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Responsible for handling inbound calls, from providers and members in a call center / cue based environment Conduct initial clinical assessments and determine appropriate levels of care, based on medical necessity Explain and administer benefits according to plan descriptions for all levels of care (OP, IOP, PHP, RTC, IP) Ability to quickly assess and meet time sensitive deadlines within the Utilization management setting Ability to manage and resolve complex or escalated callers/issues in fast paced environment You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Master's degree in psychology, Social Work or Marriage and Family Therapy, LPCC, or PhD/PsyD Active, unrestricted independent clinical license in the State of CA: LP, LCSW, LMFT, LPC along with CA residency 2+ years of experience in behavioral health Live in and be a legal resident of California for the duration of employment Ability to work 8:30am-5pm PST Ability to work rotating holidays Dedicated office space and access to high-speed internet service in your home Preferred Qualifications: Dual diagnosis experience with mental health and substance abuse Experience in working in an environment that required coordinating benefits and utilizing various resources to meet patient needs Experience with utilizing computer applications and softphone to complete all primary work responsibilities Proficiency in Microsoft Office Suite Program (Word, Teams, Outlook, Excel, etc.) *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $58,800 to $105,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Opportunities with Surest, a UnitedHealthcare Company (formerly Bind). We provide a new approach to health benefits designed to make it easier and more affordable for people to access health care services. Our innovative company is part tech start-up, part ground-breaking service delivery-changing the way benefits serve customers and consumers to deliver meaningful results and better outcomes (and we have just begun). We understand our members and employers alike desire a user-friendly, intuitive experience that puts people in control when it comes to the choices they make and the costs they pay for medical care. At Surest, we pride ourselves in our ability to make a difference, and with the backing of our parent company, UnitedHealthcare, we can operate in the best of both worlds-the culture and pace of an innovative start-up with big company support and stability. Come join the Surest team and discover the meaning behind Caring. Connecting. Growing together. Surest is transforming the way people experience health benefits by offering a smarter, simpler, and more transparent health plan. We empower individuals to make informed care decisions while helping employers manage costs and improve outcomes. As part of our growing team, you'll play a key role in driving adoption and expanding our impact across markets. The Surest AE is responsible for supporting both reactive and proactive sales efforts across local markets. This role serves as a subject matter expert (SME) on Surest products and capabilities, helping to position Surest effectively in competitive opportunities and drive pipeline growth. The ideal candidate will be a dynamic communicator, strategic thinker, and collaborative partner across internal and external stakeholders. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Reactive Sales Activities Represent Surest as a product SME in "Know Us" meetings, finalist presentations, and broker events Deliver compelling product descriptions and demos tailored to client needs Support RFP responses, including plan positioning, pharmacy and clinical capabilities, exception requests, and product options Respond to ad hoc inquiries related to product functionality and search capabilities Assist in gathering client references and presale analytics to support sales efforts Proactive Pipeline Development Drive additional Surest opportunities through strategic outreach and relationship-building Promote and schedule "Know Us" meetings to educate prospects and deepen engagement Leverage Highspot and other marketing tools to support prospecting and lead generation Collaborate with internal teams to identify and pursue new business opportunities You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: 3+ years of experience in sales, account management, or business development within healthcare or benefits 3+ years of presentation and communication skills, with the ability to tailor messaging to diverse audiences 3+ years of experience supporting RFPs and navigating complex sales cycles Ability to travel 50% in the state of California and neighboring states Located in the state of California or able to relocate Driver's License and access to a reliable transportation Preferred Qualification: Familiarity with digital sales enablement platforms (e.g., Highspot) Ability to work cross-functionally with product, clinical, and underwriting teams Self-starter with a proactive mindset and solid organizational skills *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,000 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Clinical Wellbeing Specialist role is a part of a clinical team focused on behavioral health and emotional wellbeing navigation and support. The team is responsible for care and case management, which includes authorizations and coordination and assurance of appropriate levels of care to members, along with in the moment solution focused consultations and crisis support. The Clinical Wellbeing Specialist provides one-to-one engagement support with members using clinical expertise to conduct a thorough telephonic assessment of risk to self or others, clinical screening for substance abuse and medical co-morbidities for members. Solution Focused Consultation, Motivational Interviewing, and Short-Term problem resolution are the clinical modalities used to develop an individualized action plan, guiding members to appropriate benefits and resources provided by employer, community and other cross-carrier vendors. The role will provide case management services through review and evaluation of inpatient and outpatient behavioral health treatments for medical necessity, emergency status, and quality of care. The team is empowered to achieve the best possible outcome for the consumer by understanding where the consumer is at with their needs and ensuring the member receives the right care at the right time. The role includes telephonic, digital chat, and/or digital messaging for member interaction. Clinical specialists also coordinate and facilitate the response to high-risk situations through consultation with licensed staff. Work volume comes from both an inbound and outbound queue, both on demand and self-managed. Clinical Wellbeing Specialists are trained on the foundations of coaching and expected to fulfill their job duties by applying this skillset as a means of experience design. Clinical Wellbeing Specialists are expected to support goal articulation and activate the appropriate benefit or resource available to each unique member. This includes various clinical resources both within the team, as well as through broad partnerships in the organization. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Engage individually with members to clinically and holistically assess the reason for call and presenting needs including issues impacting the individual's personal wellbeing, emotional and physical health, and personal safety Genuine passion for improving a member's behavioral health experience, supporting adults, youth, and families "Provides services for adults, youth and families via inbound and outbound phone queues, inbound chats, and additional communications" Anticipates member needs and proactively identifies solutions Conduct thorough assessment of risk of harm to self, or others; assist with safety planning and coordinating services with emergency personnel and hospital staff through consultation with other licensed staff in order to access appropriate level of care and ongoing support Coordinate follow-up care and services to individuals and organizations, as appropriate Develop next steps and identify meaningful goals and resources utilizing Solution Focused Consultation model Provide appropriate type of service based on member's presentation, clinical history and needs and accurately differentiate between EWS and BH services Formulate short term problem resolution plan of action and provide Full Benefit Exploration reviewing the appropriate tools and resources to support the plan, offer and refer clients to additional benefits, and authorize additional services including behavioral health, and/or contracted EWS and behavioral health network providers Formulate accurate description of member's clinical presentation in their individual clinical records and maintaining appropriate records, case notes, forms and reports as well as database entries Provide training in coaching skills foundations and successfully employs techniques in engagements with a focus on member goal articulation and achievement Fosters a service-oriented environment and participates in human centered experience development Identifies solutions to non-standard requests and problems Solves moderately complex problems and/or conducts moderately complex analyses Works with minimal guidance; seeks guidance on only the most complex tasks Translates concepts in practice Provides explanations and information to others on difficult issues Coaches, provides feedback and guides others, acting as a resource for others with less experience Participate in staff meetings, case consultations, and training opportunities Consult as required with other licensed staff and supervisors You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Licensed Mental Health Clinician with a Master's degree in psychology, social work, counseling or marriage, or family counseling, or an RN with 3+ years of experience in behavioral health Active, unrestricted independent clinical license in the state of California Ability to work any of our 8.5-hour shift schedules during our normal business hours of Monday-Friday 6:45am - 7:15pm CST. It may be necessary, given the business need, to work occasional overtime Designated workspace and access to secure high-speed internet via cable/DSL in home Permanent residence in the state of California Preferred Qualifications: 2+ years of child and family experience Experience supporting members in an inbound call center Proven solid written, verbal and interpersonal skills. Able to use various computer applications and move through computer screens while talking with members Ability to build rapport, assess and address risk, and develop goals with members in a telephonic and/or online Ability to work with a culturally and geographically diverse population Ability to address a variety of problems and issues as presented by members Ability to work flexibly and creatively with other professional team members *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Utilization Review Nurse, RN is responsible for providing clinically efficient and effective Inpatient utilization management. Reviews inpatient criteria for acute hospital admissions and concurrent review and or prior authorization requests for appropriate care and setting by following evidence based clinical guidelines, medical necessity criteria and health plan guidelines. Reviews and applies hierarchy of criteria to all inpatient admission and preauthorization requests from providers that require a medical necessity determination. Is involved in assuring that the patient receives high-quality cost-effective care. Uses sound clinical judgement and managed care principles in the coordination of care. Prepares any case that does not meet medical necessity guidelines for medical appropriateness of procedure, service or treatment for review with the Medical Director for a decision. The shift is Monday through Friday 8am-5pm in Pacific or Mountain Time Zone. Occasional participation in weekend rotation is required. If you are located in PST or MST, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Maintains clinical expertise and knowledge of scientific progress in nursing and medical arena and incorporates this information into the clinical review and care coordination processes Performs clinical review for appropriate utilization of medical services by applying appropriate medical necessity criteria guidelines Authorizes healthcare services in compliance with contractual agreements, Health Plan guidelines and appropriate medical necessity criteria Documents clinical reviews in care management system. Provide accurate and timely documentation and supporting rational of decision in care management system Utilizes care management system and resources to track and analyze utilization, variances and trends, patient outcomes and quality indicators Research and prepares clinical information for case review with Physician Leadership for patient treatment and care planning Utilizes knowledge of resources available in the health care system to assist the physician and patient effectively Identifies members who are appropriate for care coordination programs and collaborates with the Medical Management team for care coordination of the member's needs along the continuum of care Successfully completes the Interrater Reliability Testing to ensure consistency of review and application of criteria Meets timeliness standards for decision, notification, and prior authorization activities Serves as an advocate for all providers and their patients Demonstrates a positive attitude and respect for self and others and responds in a courteous manner to all customers, internal and external Maintains the confidentiality of all company procedures, results, and information about patients, contracts, and all other proprietary information regarding Optum business Performs other duties as required or requested in a positive and helpful manner to enable the department to achieve its goals You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current unrestricted Registered Nurse (RN) license in state of residence Ability to obtain Registered Nurse license in the state of California within 90 days of hire 3+ years clinical nursing experience in acute care hospital or LTAC setting 1+ years Utilization Management experience in hospital or insurance setting Experience applying Medicare and/or Medicaid guidelines Experience with Milliman (MCG) or InterQual guidelines Experience researching and preparing clinical information for case review with Physician Leadership for patient treatment and care planning Experience providing accurate and timely documentation of clinical review and supporting rational of decision in care management systems Experience employing analytical skills necessary for quality case management, utilization review, and quality improvement to meet organizational objectives Experience using various computer software applications with an intermediate level of competence, including Microsoft Word and Excel Primary residence in Pacific or Mountain time zone and ability to work required hours in PST or MST Preferred Qualifications: Inpatient Utilization Management experience Utilization Management experience for insurance or managed care organization Prior Authorization experience *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

**Premium pay offered for evenings, overnights, weekends, and holidays** Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. You have high standards. So do we. Here at UnitedHealth Group, this includes offering an innovative new standard for care management. It goes beyond counseling services and verified referrals to programs integrated across the entire continuum of care. That means you'll have an opportunity to make an impact on a huge scale - as part of an incredible team culture that's defining the future of behavioral health care. For this role you must have an active and unrestricted license in your state of residence and you must be able to work nights, weekends and holidays. If you are located in California, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities: Field inbound calls in a queue from members and providers for purpose of assessment and triage Focus on initial inpatient admission for psychiatric and chemical dependency patients Assess patients and determining appropriate levels of care based on medical necessity Assess and manage member crisis calls Determine if additional clinical treatment sessions are needed Manage inpatient mental health cases throughout the entire treatment plan Identify ways to add value to treatment plans and consulting with facility staff Attend compliance training and team meeting You'll find the pace fast and the challenges ongoing. We'll expect you to achieve and document measurable results. You'll also need to think and act quickly while working with a diverse member population. You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Independent, Licensed Master's degree in Psychology, Social Work, Counseling or Marriage or Family Counseling, OR Licensed Ph.D., OR an RN with 2+ years of experience in behavioral health Residence and licenses must be independent, active and unrestricted in the State of California Proficient Microsoft skills (Word, Excel, Outlook) Proven ability to talk and type at the same time and have the ability to navigate between multiple screens Proven ability to work nights, weekends and holidays according to your schedule Preferred Qualifications: Inpatient experience Dual diagnosis experience with mental health and substance abuse Experience working in an environment that required coordination of benefits and utilization of multiple groups and resources for patients *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.

Internships at UnitedHealth Group. If you want an intern experience that will dramatically shape your career, consider a company that's dramatically shaping our entire health care system. UnitedHealth Group internship opportunities will provide a hands-on view of a rapidly evolving, incredibly challenging marketplace of ideas, products and services. You'll work side by side with some of the smartest people in the business on assignments that matter. So here we are. You have a lot to learn. We have a lot to do. It's the perfect storm. Join us to start Caring. Connecting. Growing together. Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare. This position will be supporting UnitedHealthcare's Employer & Individual (E&I) line of business and be located on-site in Cypress, CA with a hybrid work arrangement model of four days in office and one day remote. Actuaries are the decision-making engine for our business. That is why we support you from day one by offering guidance and assistance with exams. Our businesses serve the entire spectrum of health care participants: individual consumers and employers, commercial payers and intermediaries, physicians, hospitals, pharmaceutical and medical device manufacturers, and more, providing you with a career that is challenging, exciting, and integral in helping to write the history of healthcare. The Actuarial Summer Internship Program offers: Focused career development opportunities Networking with senior leadership Formal mentorship program Sponsored social and volunteer activities Meaningful, relevant, and current project work critical to managing our business Potential areas of focus may include but are not limited to: Healthcare Economics Pricing Reserving Forecasting Data Analytics Consulting Primary Responsibilities: Providing moderately complex analytical support to actuaries in the development and implementation of recommendations Conducting and documenting moderately complex analysis and research Preparing, forecasting, and analyzing trends Initiating, compiling and preparing analytical models, tools and databases Assisting in developing innovative strategies, policies, and procedures Providing detailed summaries, reports, and recommendations to assist in managerial decision making You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualification: Must be actively enrolled in an accredited college/university pursuing a bachelor's or master's degree throughout the duration of the internship - internships are not intended for graduating seniors Pursuing a major in Actuarial Science, Mathematics, Statistics, Accounting, Finance, Economics, or another related technical field Preferred Qualifications: Minimum 3.00 cumulative GPA 1 or more actuarial exams passed Demonstrated knowledge or interest in a career as an Actuary Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $27.00 to $37.00 per hour based on full-time employment. We comply with all minimum wage laws as applicable. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

Salary Range: $46,800.00 (Min.) - $52,597.00 (Mid.) - $62,270.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Quality and Population Health Coordinator I (QPHC) is responsible for outreaching to members to close care gaps. The QPHC also outreaches to providers for medical record pursuit and retrieval. This position supports the L.A. Care medical groups by assisting with scheduling member appointments. While this role is a combination of remote and in office work, this role is intended to support L.A. Care medical groups by being embedded in the provider offices and providing direct outreach to L.A. Care members. The QPHC is an important member of L.A. Care's quality improvement team, helping to drive improvement in health outcomes, population health, and health equity, as well as member and provider experience. Duties Make outbound calls to members to assist with scheduling and coordinating services (e.g. appointments, lab tests, health screenings, other diagnostic studies, transportation, etc.). (25%) Educate members on missing gaps in care. Encourage them to close care gaps and pursue preventative health and health promotion activities such as health fairs. (25%) Outreach to providers to request medical reports by fax, electronic medical records, or on-site visits if needed. (15%) Review medical records, claims, and encounter data to identify key information to help close gaps in care. (15%) Provide support as needed for care gap closure campaigns and other quality improvement programs. (10%) Perform other duties as assigned. (10%) Duties Continued Education Required High School Diploma/or High School Equivalency Certificate Education Preferred Associate's Degree Experience Required: At least 3 months of experience following basic workflows, procedures, and standards related to patient or provider communication and outreach. Previous experience working in an office setting with basic office equipment such as telephones, fax machines, computers, etc. Preferred: Health Plan, provider practice, or health education experience. Skills Required: Demonstrates deep compassion and sensitivity towards patient needs and community well-being. Driven by strong motivation to positively impact people's lives. Excellent verbal and written communication skills. Excellent interpersonal skills. Proficient with Microsoft Word, Excel, PowerPoint, and Outlook. Skills in utilizing various online platforms and search engines to efficiently gather accurate and relevant information. Highly organized with ability to maintain accurate notes and records. Demonstrates high efficiency in managing tasks and consistently delivering projects to successful and reliable completion. Ability to communicate effectively with patients and health care providers. Preferred: Some knowledge of HEDIS and other quality measures. Some knowledge of quality improvement processes. 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 Licenses/Certifications Required Active & Current Driver's License, with a clean record and Auto Insurance. Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Required: Travel to offsite locations for work. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. This position is a limited duration position. The term of this position is a minimum one year and maximum of two years from the start date unless terminated earlier by either party. Limited duration positions are full-time positions and are eligible to receive full benefits. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO) Nearest Major Market: Los Angeles Job Segment: EMR, Claims, Medical, Equity, Healthcare, Insurance, Finance

Director of Development and Communications (Santa Barbara) Director of Development and Communications - Santa Barbara June 17, 2013 Family Service Agency (FSA) seeks an expert and engaging Director of Development and Communications. The position reports to the Executive Director and also works closely with the Development/Marketing Committee to develop, implement and evaluate a comprehensive fundraising program that includes major gift solicitations, public, foundation and corporate support, special events, planned giving, and public relations/communications. Must possess integrity, astute interpersonal skills, and the ability to leverage key relationships and contacts to ensure meeting revenue goals. At least five years demonstrated success in nonprofit fundraising and effective collaborative relationships with staff, board, and donors required. Personnel management experience and strong analytical, organizational, written and verbal communication skills are imperative. Must be familiar with and passionate about FSA's mission and long tradition of service and commitment to the most vulnerable in our community. F/T position. Salary commensurate with experience. Excellent benefits. Please send cover letter of interest and resumes to: Attention: HR Family Service Agency 123 W. Gutierrez St. Santa Barbara, CA 93101 Fax: ************ *************** EOE

About the Role: Cigna partners with over 150 delegated medical groups in California to process healthcare claims. The California Department of Managed Health Care (DMHC) enforces strict requirements for claims processing, provider disputes, and regulatory compliance. As a Remote Claim Delegation Auditor, you will ensure these delegated groups meet all state and federal healthcare regulations. Through claims audits, performance monitoring, and collaboration, you'll help improve member experience and support cost-saving initiatives. Key Responsibilities: Conduct Commercial HMO (non Medicare) claims audits to ensure compliance with DMHC regulations, federal and state requirements. Review audit packages, including questionnaires and claims reports. Coordinate with delegated provider groups on claim and dispute selections; verify accuracy of self-reported scores. Perform onsite and virtual audits to assess operational security and identify compliance issues. Analyze medical claims and disputes for regulatory adherence; prepare detailed audit reports. Follow up on deficiencies, document corrective action plans, and conduct re-audits as needed. Present audit results at Delegation Oversight Committee meetings. Collaborate with functional areas (UM, Credentialing, Finance) on identified issues. Monitor monthly self-reported statistics for assigned groups and ensure corrective actions are implemented. Drive issue resolution by engaging cross-functional partners. Serve as the primary liaison between Cigna's Contracting & Provider Services Hub and delegated risk groups. Qualifications: Bachelor's degree preferred. 3+ years of claims auditing experience, ideally with capitated HMO products or providers. Strong knowledge of claims payment methodologies, coding standards (Rev Code, CPT, DRG), and healthcare compliance regulations. Knowledge of California Knox-Keene Act a plus. Proficiency in Microsoft Word and Excel; experience preparing detailed reports. Excellent interpersonal, verbal, and written communication skills. Why Join Us? Remote flexibility - work from home while making a meaningful impact. Healthcare compliance leadership - play a key role in ensuring regulatory adherence. Professional growth - leverage your expertise in claims auditing and delegated risk management. Inclusive culture - thrive in a collaborative environment that values diversity and innovation. Benefits & Perks: Comprehensive healthcare coverage (medical, dental, vision). 401(k) retirement plan with company match. Paid time off and company holidays. Tuition reimbursement and career development programs. Employee wellness programs and mental health support. Opportunities for advancement within a global organization. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 68,700 - 114,500 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Cigna Healthcare Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Salary Range: $60,778.00 (Min.) - $75,950.00 (Mid.) - $91,166.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Paralegal II provides support on a wide variety of legal matters handled by the department, which may include: 1) all phases of litigation (including pre-litigation and arbitrations), 2) transactional matters (including vendor and provider contractual documents, policies and procedures, and agreements), and regulatory matters. The Paralegal II researches and analyzes law, investigates facts, conducts and coordinates document collections and prepares and maintains legal and business documents for review, approval, and use. In carrying out these duties, the Paralegal communicates with various departments and external contacts, prepares business correspondence and reports, and assists with the creation and maintenance of Company documents and department files. The Paralegal II is moderately supervised by attorneys and required to utilize independent judgment to complete activities and functions. Duties Research and Analysis: 50% Research, monitor, update, and maintain current knowledge of developments in federal and state legislation, rules, regulations, and industry guidelines. Perform factual investigation and research. Analyze data, write reports and other documents as requested. Prepare and maintain legal and regulatory documentation pertinent to L.A. Care's organizational documents, including but not limited to managed care licensure; ensure timely preparation and submission of all documents required to maintain such licensure. Facilitate policy and procedure review to maintain compliance with regulatory agencies. Draft and file regulatory documents. Prepare legal documents for review, approval, and use by attorneys, as requested. Prepare, review, proofread, compile, and summarize a variety of legal correspondence, documents and other legal matters related to the normal functioning of the department and/or other ongoing administration of existing cases or orders. Administrative: 35% Organize, maintain, and update departmental logs and files, using department approved technology platform/software/application. Provide administrative assistance as needed ranging from taking messages to drafting, correspondence, scheduling meetings, typing, scanning, uploading documents and participating in projects as requested. Perform other duties as assigned. 15% Duties Continued Education Required Bachelor's Degree In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree Experience Required: Minimum of 2 years of paralegal experience in a health plan or healthcare organization, law firm, handling complex assignments relating to regulatory, public law or health care issues; litigation support on cases relating to employment, business and/or health care matters OR minimum of 4 years of experience and working knowledge of public agencies regulatory requirements e.g., Brown Act, California Public Records Act, Form 700s, Conflicts Laws, Knox Keene Act, Health Care Privacy (HIPAA, CMIA), CMS and DHCS etc.; and health care organizations e.g. physician groups, hospitals, health plans etc. Experience in a fast-paced complex office setting, working with multiple priorities under deadline pressures. Preferred: Minimum of 5 years of paralegal experience in vendor, provider contracts and/or administrative law. Experience in highly regulated industry and support on transaction work. Skills Required: Knowledgeable in the use of legal technology and other related research platforms. Attention to detail, accuracy in document preparation and review, and strong organizational skills. Must be strongly proficient in the use of computers (desktop/laptop) and supporting operating system (OS). Excellent interpersonal skills. Works as part of a team and is highly collaborative. Excellent communication and writing skills. Must be proactive and accountable. A self-starter with multi-tasking abilities. Licenses/Certifications Required Paralegal certification from ABA accredited paralegal program Licenses/Certifications Preferred Advanced Paralegal Certification Required Training Physical Requirements Light Additional Information General Legal Services Unit: The position reports to General Counsel or managing attorney of General Legal Services Unit. Under moderate supervision of attorneys, this position is responsible for handling, assisting with and performing essential duties and responsibilities on assigned matters within the Unit including supporting compliance with public agency laws, litigation (creating pleadings, filings, familiarity with government claims, discovery etc.), Form 700s, compliance with conflict of interest, labor and employment laws. The position may also be responsible for providing support on transactional work (vendor contracting and procurement), workplace investigations, records requests subpoenas, and trainings. Health Care Legal Services: Position reports to General Counsel or managing attorney for Health Care Legal Services Unit. Under moderate supervision of attorneys, this position is responsible for handling, assisting and providing support on assigned legal matters within the responsibility of the unit. This includes preparing and maintaining documentation pertinent to L.A. Care's Managed Care licensure and ensure timely preparation and submission of all documents required to maintain such licensure. Responsibilities also include under supervision of department attorneys, prepare, review, proofread, compile, and summarize a variety of legal correspondence and documents involving regulatory filings and matters related to the normal functioning of the department or other ongoing administration of existing cases or orders. Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO) Nearest Major Market: Los Angeles Job Segment: Claims, Insurance

Your Role The Medi-Cal Operations and Performance team oversees the operations governance and regulatory oversight in a complex highly matrixed environment for Blue Shield of California Promise Health Plan . The Executive Assistant, Senior will report to the VP, Medi-Cal Operations and Performance . In this role you will serve as the primary point of contact for internal and external constituencies on all matters pertaining to the office of the executive. You will be the liaison to the Operations and Performance; monitor and respond to emails, heavy scheduling and calendaring meetings; organize and coordinate all travel and arrange special events and offsite events. organize and coordinate all travel and arrange special events and offsite events. organize and coordinate all travel and arrange special events and offsite events. The Executive Assistant must be creative, agile and nimble, and enjoy working in an entrepreneurial environment that is member-driven, results-driven, and service-oriented. The ideal individual will have the ability to exercise good judgment and high level of discretion, with strong written and verbal communication, scrupulous administrative and organizational skills, and the ability to maintain balance among multiple competing priorities. The Executive Assistant position requires the ability to work independently as well as within a team environment on projects from inception to completion and must be able to work under pressure to handle a wide variety of activities and confidential matters with discretion. Your Knowledge and Experience Requires a bachelor's degree or equivalent experience Requires at least 5 years of prior relevant experience Requires at least 3 years of increasing professional level responsibility in executive support for C-level executives Requires expert proficiency with Microsoft Office applications including PowerPoint, electronic communications, and IT savvy Requires the ability to work executive hours and must be willing to work non-business hours when needed for special projects or events; must have excellent communication skills, both verbal and written, and work with a sense of urgency while applying well-honed attention to detail Requires the ability to be both service-oriented and behind the scenes leader; able to effectively manage multiple projects and tasks simultaneously; possess excellent organizational skills and ability to design, set-up and manage internal processes and protocols; manage collaboratively and thrive in a fast-paced, rapidly changing environment; possess a positive, can-do attitude and value continuous professional development; good judgement, attention to detail, keen sensitivity and responsiveness to executive's needs and requests Requires ability to travel to offsite team events and/or meetings as needed #LI-AD3 Your Work In this role, you will: Be responsible for providing analytical and specialized administrative support to relieve and assist executive managers with complex details and advanced administrative duties Collect and prepare information for use in discussions/meetings of executive staff and outside individuals Analyze problems, determine approach, compile and analyze data and prepare reports/recommendations Contact company personnel at all organizational levels to gather information and prepare reports Manage day-to-day organization of executive's calendar, appointments, meetings, and related schedule Compose and prepare correspondence; arrange meeting agendas; monitor and respond to emails; scheduling and calendaring meetings; Research required information or background on organizations and individuals; prepare travel arrangements, expense reports, plans/coordinates and ensure the executive's schedule is followed and respected; acts in a “gatekeeper” capacity, creating win-win situations for direct access to the executive Research, prioritize, and follow up on incoming issues and concerns addressed to the executive, including those of a sensitive or confidential nature; Consult with the executive in determining appropriate course of action, referral, or response; communicate directly, and on behalf of the executive with senior leaders and board members, and others on matters related to the organization's initiatives and activities; Provide a bridge for clear communication and maintains credibility, trust and support between the office of the executive and the internal staff Work closely and effectively with the executive to keep the leader well informed of upcoming commitments and responsibilities and follows up appropriately; Act as a “barometer,” having a sense for the issues taking place in the internal and external environments and keeps the executive updated; Draft correspondence to the team, and other tasks that facilitate the executive's ability to effectively lead the organization; Prioritize conflicting needs; handles all matter expeditiously, proactively, and follows through on projects to successful completion, often with deadline pressures Serve as the day-to-day manager of office logistics; manages accounts receivable and payable, maintains office supplies, mail processing, and manages office protocols including space requirements, IT, equipment, phone protocols, etc.; Update and edit Shield Central page and coordinate with the team members on upcoming updates to publicize; Perform several high-level review functions including department financial performance against budget, and processing payment for vendors and related service contracts; sets up internal systems and protocols ensuring standardization of processes and a high level of efficiency; Provide back-up support to the other Medi-Cal Executive Assistants and Administrative Support team as needed Other duties as assigned

Your Role The AI and Analytics team oversees the artificial intelligence platform and analytical functions. In this role, you will be providing critical analytics support to our healthcare insurance clients (BlueShield of California and other health plans). This role is responsible for driving data-informed strategies and delivering actionable insights to optimize marketing campaigns and improve business outcomes. The ideal candidate is a strategic thinker with a strong analytical mindset and a passion for using data to solve complex Marketing business problems. They would be leading projects end-to-end, independently presenting insights to senior leadership, and mentoring junior analysts. Your Knowledge and Experience Bachelor's degree in Statistics, Mathematics, Economics, Computer Science, Marketing, Business Analytics, or related quantitative field Master's degree in Data Science, Statistics or Business Analytics (preferred) Requires 10+ years of experience in a marketing analytics role Proven experience in providing analytics support to clients or internal stakeholders in a consultative capacity. Experience with meeting with senior stakeholders within or external to the company Demonstrated ability to communicate complex ideas clearly, with strong presentation skills and a proven track record of delivering impactful insight to diverse stakeholders. Strong proficiency in SQL for data extraction, manipulation, and analysis. Expertise in Python for statistical analysis, predictive modeling, and data automation. Advanced skills in Tableau for creating interactive dashboards and data visualizations. Demonstrable experience in building and deploying marketing mix models, acquisition and retention models and brand effectiveness models for marketing teams. Solid understanding of web analytics and customer journey analytics. Proven experience with experimentation methodologies (A/B, MAB, MVT) Requires five years of experience in Health Care (managed care, academic, or gov't payer) Experience with Generative AI (GenAI) and Large Language Models (LLMs) in a marketing or analytics context (preferred) Hands-on experience with the Databricks platform for large-scale data processing and analytics (preferred) Experience with CRM platforms (e.g., Salesforce) (preferred) Cloud Platforms: AWS, Azure, or Google Cloud experience (preferred) Certifications in analytics tools like Adobe Analytics and Databricks (preferred) #LI-EB1 Your Work In this role, you will: Design, execute, and analyze marketing campaigns across various channels to measure their effectiveness and provide recommendations for optimization. Develop and maintain dashboards and reports to track key performance indicators (KPIs) and communicate campaign performance to stakeholders. Utilize advanced analytical techniques to segment customer data, identify target audiences, and personalize marketing messages. Develop and refine customer personas to enhance campaign relevance and drive engagement. Build and deploy predictive models to forecast marketing outcomes, identify at-risk customers, and uncover new growth opportunities. Generate actionable insights from Marketing datasets to inform strategic decision-making and drive business growth. Develop marketing mix, brand effectiveness, and acquisition/retention models • Design and implement A/B and multivariate tests to optimize website performance, user experience, and conversion rates. Analyze test results and provide data-driven recommendations for continuous improvement. Create and maintain interactive dashboards and data visualizations using Tableau to provide real-time insights into marketing performance. Communicate complex data stories in a clear and compelling manner to both technical and non-technical audiences. Provide detailed specifications for the marketing Datamart to IT developers and ensure it is built in alignment with the analytics team's requirements. This DataMart will support key functions such as insights generation, dashboarding, model development, and facilitate self-serve Adhoc requests via agentic solutions. Independently lead and execute complex marketing analytics projects from start to finish, delivering insights and strategic recommendations to senior leadership with a sharp focus on uncovering opportunities that drive business growth. Serve as a trusted advisor to Stellarus clients, providing expert analytics support and strategic guidance. Collaborate with client teams to understand their business objectives and translate them into analytical requirements. Apply strong critical thinking and presentation skills to effectively communicate insights to stakeholders. You will also manage stakeholder relationships with professionalism, demonstrating the ability to navigate conflicts and foster collaboration. Mentor and guide junior analysts on the team.

Your Role The Finance, Cost of Health Care (CoHC) team is responsible for financial oversight, analytics and strategic planning to manage and reduce healthcare costs across all lines of business for Blue Shield of California. The Data Analyst - Behavioral Health, Principal will report to the Medical Informatics Analyst - Sr Principal. In this role you will be collaborating with leadership in developing behavioral health finance analytics including measurement of the internal cost of healthcare, and reporting and analytics supporting the various stakeholders in the behavioral health (BH) insourcing project. A key responsibility will be to work with Line of Business Leadership on their cost of health care metrics and analytics. Your Knowledge and Experience Requires an MPH, MBA, MS, MA in science, social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experience Requires at least 10 years of prior relevant experience Requires at least 5 years of experience in Health Care (managed care, academic, or gov't payer) Requires advanced SQL and Excel for data manipulation and analysis Requires expertise in Data Modeling to support predictive and prescriptive analytics Requires experience with data visualization tools for creating insightful dashboards Requires strong analytical and problem-solving abilities to interpret complex datasets and identify actionable insights Requires the ability to communicate complex findings clearly, using compelling narratives and visual representations to engage technical and non-technical audiences Requires strong customer service orientation and proven ability to collaborate with individuals at all organizational levels Your Work In this role, you will: Develop and conduct evaluations and studies within limited time frames and produce analyses that are easy for non-technical persons to understand, specifically for Behavioral Health as we move to in-sourced environment Apply advanced statistical methods, advanced analytics and modeling techniques, visualization techniques, and advanced programming to innovate our products and services Identify how our customers are using our products to make strategic decisions and generate/implement ideas to improve our products and services to allow even better decision support Work with business partners to engineer new products/services/analytics that will improve customer satisfaction; estimate the resources needed and provide planning and support for product/service innovation Conduct proof of concept using techniques that can quickly contemplate the viability of a product/service Deliver accurate and timely submissions to the Compliance team for mandated Behavioral Health reporting requirements, aligned with regulatory standards Design and implement ad-hoc models, analyses, and tools to address emerging issues, including initiatives to detect and mitigate Fraud, Waste, and Abuse with a focus on Behavioral Health Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various departments on resolution Conduct research and perform data-driven analyses to identify priority areas for Behavioral Health initiatives and strategic improvement Role will also collaborate with the Corporate Finance department on budget to actual variance analyses and projections Role will also include using data-driven analyses to identify and prioritize process gaps or issues and working with various teams on resolution

Compassion. It's the starting point for health care providers like you and it's what drives us every day as we put our exceptional skills together with a real feeling of caring for others. This is a place where your impact goes beyond providing care one patient at a time. Because here, every day, you're also providing leadership and contributing in ways that can affect millions for years to come. Ready for a new path? Learn more, and start doing **your life's best work.SM** Optum's Pacific West region is redefining health care with a focus on health equity, affordability, quality, and convenience. From California to Oregon and Washington, we are focused on helping more than 2.5 million patients live healthier lives and helping the health system work better for everyone. At Optum Pacific West, we care. We care for our team members, our patients, and our communities. Join our culture of caring and make a positive and lasting impact on health care for millions. **Life Changing Work** Want to make a real difference in the lives you touch? **LOOK NO FURTHER.** Optum is a physician-led, close-knit team that has been long-respected in Southern California. We are passionate about patients. We are leading the state of California toward better healthcare practices. And we are looking for amazing doctors like you. As part of our continued growth, Optum is seeking a per diem Hospitalist to join our team in Chatsworth, CA. The Clinicians we seek are those who practice medicine with a focus on patient care, not volume. We want our Clinicians to take the time needed to truly address the patient's needs. If you're looking to join a physician-led community that is making a difference in healthcare, Optum is the place for you. **Position Highlights:** + Hospitals: Holy Cross, Valley Presbyterian, Saint Joseph OR Northridge + Shifts 8am - 8pm. 8pm - 8am, or Northridge 7am - 7pm + Conduct hospital rounds on all patients referred to the service + Provide patient care in a manner consistent with hospital medical staff by-laws and referring physician requests + Communicates with families, referring physicians, specialists, administration and hospital departments in the care and treatment of patients referred to the service + Work with hospitals and clinical staff, social services, utilization management and other members of the interdisciplinary teams + Collaborates with interdisciplinary team to discuss patients progress, variances and achievement of expected outcomes and plan of care + Assumes responsibility to ensure that all necessary documentation is accurate, complete, and timely including medical records, billing/coding and any other such documentation as requested by hospital from time to time + Attends and completes all specific competencies and annual organizational requirements You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: + Unrestricted California State Medical License + Current California DEA certificate + Board Certified Internal Medicine + 1+ years' experience preferred + EMR proficient + Positive attitude and strong work ethic + Self-starter with ability to practice with a high degree of independence + Strong verbal and written communication skills + Managed Care and Medi-Cal experience desirable + Full COVID-19 vaccination is an essential requirement of this role. Candidates located in states that mandate COVID-19 booster doses must also comply with those state requirements. UnitedHealth Group will adhere to all federal, state and local regulations as well as all client requirements and will obtain necessary proof of vaccination, and boosters when applicable, prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation _To protect the health and safety of our workforce, patients and communities we serve, UnitedHealth Group and its affiliate companies require all employees to disclose COVID-19 vaccination status prior to beginning employment. In addition, some roles and locations require full COVID-19 vaccination, including boosters, as an essential job function. UnitedHealth Group adheres to all federal, state and local COVID-19 vaccination regulations as well as all client COVID-19 vaccination requirements and will obtain the necessary information from candidates prior to employment to ensure compliance. Candidates must be able to perform all essential job functions with or without reasonable accommodation. Failure to meet the vaccination requirement may result in rescission of an employment offer or termination of employment_ We offer competitive compensation and comprehensive benefit package including medical malpractice coverage and tail policy, generous, CME time and dollars, medical, dental and vision benefits, company paid life insurance, bonus potential. Careers with Optum. Here's the idea. We built an entire organization around one giant objective; make health care work better for everyone. So when it comes to how we use the world's large accumulation of health-related information, or guide health and lifestyle choices or manage pharmacy benefits for millions, our first goal is to leap beyond the status quo and uncover new ways to serve. Optum, part of the UnitedHealth Group family of businesses, brings together some of the greatest minds and most advanced ideas on where health care has to go in order to reach its fullest potential. For you, that means working on high performance teams against sophisticated challenges that matter. Optum, incredible ideas in one incredible company and a singular opportunity to do your life's best work.(sm) **About Us:** We're changing health care for the better by improving access to affordable, high quality care, and working together to improve the patient experience. That takes passion, commitment, intense focus and the ability to contribute effectively in a highly collaborative team environment. All this together is your time to do **your life's best work. SM** **California Residents Only:** The hourly range for California residents is $129.00 to $171.00. Salary Range is defined as total cash compensation at target. The actual range and pay mix of base and bonus is variable based upon experience and metric achievement. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you'll find a far-reaching choice of benefits and incentives. _UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._ _UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment._

Salary Range: $47,840.00 (Min.) - $57,062.00 (Mid.) - $68,474.00 (Max.) Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Job Summary The Medical Document Management Specialist II is responsible for the secure, accurate and efficient management of medical records and any other documentation for the Enterprise Risk Adjustment (ERA) department in compliance with all healthcare regulatory agencies and organizational standards. This position utilizes the most current technology for faxing, emailing, scanning, secure file transfer protocol (SFTP) and various technological platforms/application softwares in the management of medical documents. Duties Document Management: Manages the collection, processing, organizing, storing of all medical documents while ensuring completeness, accuracy, and compliance with all regulatory, legal, and organizational standards. (50%) Compliance and Quality Assurance: Ensures all medical documents meet compliance and quality standards per organizational policies and procedures, Health Insurance Portability and Accountability Act (HIPPA), legal and regulatory requirements. (10%) Audit and Review: Performs routine audits of medical documents to ensure proper categorization, quality standards, completeness and compliance with organizational policies and procedures and regulatory requirements. (15%) Record Retention: Ensures proper organization of all medical documents, storage, retention, and destruction of in accordance with organizational policies and procedures and regulatory requirements. (5%) Document Retrieval & Distribution: Manages the retrieval, copying and distribution of medical documents as requested from internal and/or external partners. (5%) Collaboration: Works with internal and external partners to ensure seamless integration document processes and data management across various technological platforms/application software. (5%) Performs other duties as assigned. (10%) Duties Continued Education Required High School Diploma/or High School Equivalency Certificate Education Preferred Experience Required: Minimum of 1 year of experience in medical document management or health information management. Experience working with Microsoft Office Suite, copying, faxing, scanning, and uploading documents to various technological platforms/applications. Skills Required: Proficient with medical terminology and medical document management standards. Excellent communication and interpersonal skills. Knowledge of HIPAA regulations and privacy standards. Excellent organizational, and problem-solving skills, with attention to detail and the ability to manage multiple tasks simultaneously. Ability to collaborate with cross-functional teams. Ability to maintain confidentiality with sensitive information. Licenses/Certifications Required Medical Terminology Certificate within 180 days of hire Licenses/Certifications Preferred Required Training Physical Requirements Light Additional Information Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change. L.A. Care offers a wide range of benefits including * Paid Time Off (PTO) * Tuition Reimbursement * Retirement Plans * Medical, Dental and Vision * Wellness Program * Volunteer Time Off (VTO) Nearest Major Market: Los Angeles Job Segment: Medical, Healthcare

Your Role The Law Department Intern will work with the attorneys in the Law (Corporate Law, Litigation, Health Law, Privacy, and Compliance) and Government Affairs teams to support clients across the Company. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Must be a current 1st or 2nd year Law School Student Must reside in the state of California Requires strong research, analytical, writing skills and strong interpersonal and communication skills Requires at least 1 year of related professional experience, project, or coursework Requires strong communication skills, particularly writing for publication Experience analyzing and presenting sets of data and reports preferred Interest in health care preferred Proactive, solution focused mindset with demonstrated creative, problem-solving skills Pay: $25.00 per hour for Undergraduate $30.00 per hour for Graduate About Our Internships Our paid internship program is thoughtfully curated to provide students experience and exposure to the health professional industry. Interns will be given the opportunity to get hands-on experience with real work projects, build meaningful relationship and connections within the organization, and experience our mission and enterprise goals through our program curriculum centered on our leadership model (Personal, People, Thought, and Results Leadership). To see more about our internship program, check out this video. Our Summer 2026 Internship is June 8th or June 15th through August 14th, 2026. Application Process and Timeline: Now: Actively accepting applications November: If you meet the requirements, you will receive an invitation to complete Pre-Recorded Video Interview November - January: 2nd round interviews & offers extended As an intern at Blue Shield of California, you will: Participate in impactful projects during a 10-week internship program Undertake a 10-week curriculum designed to familiarize interns with BSC, leadership development, exposure to the healthcare industry, and more Be invited to participate in BSC employee events and networking opportunities such as Employee Resource Groups, employee volunteer activities, and more Your Work In this role, you will: Review and draft pleadings, contracts, board minutes, and legal memos Attend client meetings Conduct legal and policy research Perform other special assignments

Your Role Reporting to the VP, Network Operations, the Director, Provider Services - Relations, Blue Shield of California and Promise Health Plan (BSCPHP), is responsible for creating and maintaining high integrity relationships with risk-baring medical providers, hospitals and health systems in their assigned region to enable BSCPHP to become the health plan of choice. The outcome of being the ideal partner for our providers will be to materially improve cost, quality, maintain compliance, service and together grow membership in service to our communities across BSCPHP business. The Director will lead in a highly matrixed environment across multiple internal business teams to provide strategic alignment, business planning, and effective execution of the business plans for all providers in their region for BSCPHP business as well as partner with all lines of business as they impact our Provider Network. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning. Your Knowledge and Experience Requires a college degree or equivalent experience. Master's degree is preferred Requires 10 years prior relevant experience in Provider Relations or healthcare network contracting Requires 6 years of management experience and must be comfortable operating in a matrixed/collaborative environment Minimum 5 years of direct Medicare and Medi-Cal experience with a Managed Care Organization (MCO) preferred Previous experience in management of process analysis and improvement Experience in the development of policies and procedures pertaining to Network Management Strong experience and orientation to the quadruple aim coupled with knowledge of markets, sales, operations, product development, network management, clinical operations, finance, regulatory issues and compliance Able to collaborate and work strategically in a team setting with various professional, technical, and administrative staff, integrating resources in a timely and organized manner Comprehensive knowledge of managed care risk contracts and the operational requirements involved in managing a provider network Outstanding verbal and written communication abilities, with demonstrated effectiveness when engaging executive leadership Demonstrated ability to build enduring, trustworthy relationships and effectively interact across all organizational levels, both internally and externally Ability to lead and manage significant culture change. Demonstrated experience with change and organization management; possess a performance driven management style Strong leadership skills, including excellent interpersonal, communications, problem solving and negotiating skills Ability to think strategically while at the same time drive operational performance Proven project management experience applying industry methodologies and practices Technologically savvy and able to utilize information systems and Office software effectively Proven ability to mentor and coach leaders in their respective teams Your Work In this role, you will: Lead the Provider Relations team which serves as the primary liaison between BlueShield and Blue Shield Promise Health Plan and the contracted provider networks upholding transparency, integrity, and reliability in interactions with both internal and external stakeholders Oversee the management of provider concerns, including but not limited to contract interpretations, claims discrepancies, eligibility and capitation payment issues, credentialing challenges, service area changes, rate load corrections, retroactive member assignments, provider terminations, member moves and third-party disputes Develop and implement an operations engagement strategy that incorporates statewide Joint Operations Meetings, inclusive of Medi-Cal requirements, and includes interaction with provider leadership. The aim is to support provider satisfaction with Blue Shield, encourage provider wellness, and maintain operational performance in areas such as access to care, member experience, affordability, and sustainability Manage structured processes for claims disputes and appeals, driving research, root cause analysis, and corrective action plans to prevent recurring issues Deliver expert insight and guidance for strategic and operational initiatives impacting Provider Relations, driving effective execution of implementation tasks within the team's scope Provide effective and detailed thought leadership to inform the Blue Shield Provider Engagement Model working with the Performance Enablement Team Work collaboratively with Provider Partnerships and the Regional Medical Directors, along with other internal provider-facing partners, to execute an overall strategic engagement strategy Identify and implement process improvement as it pertains to provider operations, contract and regulatory compliance, efficient relationship management and other areas Establish operational Key Performance Indicators to assess the effectiveness and performance of the Provider Relations team. Define baseline metrics, set measurable targets, and drive achievement through ongoing process improvement Assess regulatory, government, or organizational mandates to ensure Blue Shield and Blue Shield Promise Health plans comply with all requirements. Work collaboratively with various departments to maintain internal compliance with regulations by leading workgroups and taskforces Build and lead a high-performing team that meets all operating goals, including cost of health care, clinical quality improvement, regulatory compliance, administrative costs and employee engagement Foster a culture of innovation and creativity to enable Blue Shield of California to meet changing market conditions and strategy Promote and model a collaborative and partnership-oriented culture by cultivating strong relationships with internal stakeholders to achieve collective success

Village Fertility Pharmacy Group (“VFP”) which is part of Freedom Fertility Pharmacy supports patients on their journey to parenthood through efficient, compassionate customer service and expert clinical support. As a Pharmacy Technician Representative, you will primarily support the Pharmacists and Patient Care Team by processing prescriptions and handling operations tasks and requests. Responsibilities: Manage inbound and outbound phone communications. Document insurance claim rejections accurately. Process prescription orders, including insurance billing and discount applications. Facilitate prescription transfers between pharmacies. Respond to calls routed through the operations queue. Communicate with insurance providers, patients, and clinics as needed. Address operations-related requests via email and chat platforms. Process card payments securely and efficiently. Collaborate with various departments to fulfill operational requests. Support new hire onboarding and training initiatives. Requirements: Ability to work daily onsite at: 10840 National Blvd Los Angeles, CA 90064. Ability to work Monday through Friday - 9 AM to 5:30 PM (alternating Saturday, 2 Saturdays per month, 9 AM - 1:30PM.) Active State of CA Pharmacy Technician License. CPhT License a plus. Minimum of one year of pharmacy or healthcare experience. Comfortable talking with patients, insurance companies, and clinics. Ability to work independently, meet deadlines, and be flexible. Excellent data entry skills. Strong organizational skills, attention to detail, and problem-solving skills. Solid computer skills and ability to learn new systems. What we offer: Day 1 medical insurance 401(k) plan with employer match Paid Time Off Competitive Benefit package Growth and Advancement opportunities If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 17.88 - 26 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About Evernorth Health Services Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.