LSMA Management, Inc. Jobs in United States

The Staff Accountantis responsible for performing day-to-day accounting functions to ensure the accuracy and integrity of the organization's financial records. · ...

The Staff Accountant is responsible for performing day-to-day accounting functions to ensure the accuracy and integrity of the organization's financial records. · ...

Job Title: Prior Authorization LVN · About the Role · The Prior Authorization Nurse (LVN) plays a critical role in ensuring medical necessity, appropriate utilization of healthcare services, and compliance with regulatory and health plan requirements. · Key Responsibilities: · Cl ...

· JOB SUMMARY · The Delegation Oversight Reporting Analyst is responsible for supporting delegated oversight reporting, regulatory compliance, and data validation activities within the Managed Services Organization (MSO). This role ensures the accurate, timely, and compliant sub ...

:JOB SUMMARY · The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services, and compliance with regulatory and health plan requirements. This ...

JOB SUMMARY · The Staff Accountant is responsible for performing day-to-day accounting functions to ensure the accuracy and integrity of the organization's financial records. This role supports the monthly close process, maintains general ledger accounts, and assists with financi ...

Claims Examiner · The Claims Examiner role applies plan and contract rules, reimbursement methodologies and medical billing/coding guidelines to ensure claims are processed accurately timely and in compliance with federal and California requirements. · Reviews analyzes and adjudi ...

JOB SUMMARY · The Benefits Coordinator is responsible for setting up, maintaining, and auditing benefit plans within EZ-CAP to ensure accurate claims processing and compliance. This role translates contract benefit language into system rules, resolves discrepancies impacting clai ...

:JOB SUMMARY · The Delegation Oversight Letters Analyst is responsible for supporting delegated oversight compliance by developing, implementing, maintaining, and monitoring Utilization Management (UM), Case Management (CM), and Medical Management correspondence templates in acco ...

Job Type · Full-time · Description · JOB SUMMARY · The Front Desk Specialist serves as the first point of contact for patients, visitors, and external partners, providing professional, courteous, and efficient front office support in a medical clinic setting. This role is respons ...

The Claims Manager oversees daily operations, performance and regulatory compliance of the Claims Department within the Managed Services Organization (MSO). This role provides leadership to Claims Examiners and ensures accurate, timely and compliant adjudication of professional a ...

JOB SUMMARY · The Credentialing Specialist is responsible for coordinating initial credentialing and recredentialing activities for practitioners and other healthcare providers in accordance with organizational policies, payer requirements, and applicable accreditation/regulatory ...

· JOB SUMMARY · The Delegation Oversight Coordinator supports the Delegation Oversight program by assisting with the monitoring, coordination, and documentation of delegated functions to ensure compliance with regulatory, accreditation, and health plan requirements. This role h ...

JOB SUMMARY · The Payroll Specialist is responsible for the accurate and timely processing of payroll in compliance with federal, California state, and local tax and employment laws, organizational policies, and collective bargaining agreements where applicable. This includes adh ...

JOB SUMMARY · The Eligibility Coordinator is responsible for the accurate, timely processing and maintenance of member eligibility data. This position supports daily eligibility operations – including file processing, data validation, member record updates, discrepancy resolution ...

Job Title: Quality Improvement Coordinator · The Quality Improvement (QI) Coordinator supports the organization by performing administrative, analytical, and operational tasks that contribute to organizational compliance, quality outcomes, and performance improvement initiatives. ...

Job Title: High Risk Care Coordinator · Summary of Responsibilities · <ul style= ...

Job Type · Full-time · Description · JOB SUMMARY · The Customer Service Representative serves as the front-line point of contact for members, providers, and health plan partners within the MSO. This role responds to inbound calls and written inquiries, provides accurate benefit a ...

· JOB SUMMARY · The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and cost-effective utilization of healthcare services for members of a California ...

:JOB SUMMARY · The Concurrent Care Management LVN is responsible for supporting inpatient and post-acute care coordination and concurrent review activities to ensure medically appropriate, timely, and cost-effective utilization of healthcare services for members of a California M ...