Senior Manager, Clinical and Regulatory Operations
L.A. Care Health PlanLos Angeles, California, United States
Posted January 15, 2026
117509 - 188015 USD year
Full Time
About the Company
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.
Job Description
The Senior Manager, Clinical and Regulatory Operations, is responsible for leading clinical case operations, regulatory interpretation, and clinical decision stewardship across all grievance, appeal, and State Fair Hearing cases.
Requirements
- Bachelor's Degree in Nursing or Related Field
- At least 6 years of experience working in managed care operations, quality assurance, audit readiness, compliance, or related regulatory roles
- At least 5 years of experience in leading, supervising and/or managing staff
Benefits
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
