Shire Jobs

Claims Documentation Specialist II

Job Category: Claims

Department: Claims Data and Support Services

Location:

Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 10588

Salary Range: $77,265.00 (Min.) - $100,445.00 (Mid.) - $123,625.00 (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 in five health plans, we make sure our members get the right care at the right place at the right time.

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

Job Summary

The Claims Documentation Specialist II is responsible for creating, editing and updating documents that will provide an in-depth record of the procedures, policies and workflows used by L.A. Care's business units in their day-to-day functions. This role is responsible for ensuring that all documentation adequately represents the business unit's processes, and cross-referencing documentation to ensure consistency and alignment with policies. This position possesses excellent oral and written communication skills, and is highly proficient in the use of Microsoft Word, Visio, PowerPoint and other design tools. This position ensures that a central depository for all policies, procedures, and workflows is maintained up-to-date, and that a change control process is in place to ensure that all updates have been appropriately documented and approved.

This position validates policy and procedural related information in existing documentation and makes the updates. The role assists the department in conducting research as needed, and participates in meetings to take and transcribe minutes for distribution to participants.

Duties

Concisely communicate complex concepts using written and verbal communication skills to internal and external stakeholders.

Designs business process flows, workflows, desktop procedures and policies. Designs charts, graphs and other non-verbal communications methods. Ensures that department workflows, policies and procedures are well documented allowing for a consistent implementation methodology. Ensures that proposed department proposed workflows are well documented allowing business units to readily interpret the process.

Effectively prioritize work and meet deadlines while managing multiple competing tasks.

Performs other duties as assigned.

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:

At least 3-5 years of experience in creating technical documentation of a complex nature.

Preferred:

Experience in designing and documenting procedures and workflows in a health care environment serving Medicare, Medi-Cal or commercial populations.

Skills

Required:

Expertise in technical writing, proposal writing, documenting business flows and developing written policies and procedures.

Proficiency with MS Office including Word, Excel, Access and PowerPoint and Adobe Acrobat.

Strong organizational, interpersonal, and written/verbal communication skills.

Must be detail-oriented and an enthusiastic team player.

Licenses/Certifications Required

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)