Network Operations Specialist II

L.A. Care Health Plan; Los Angeles (CA); On-site; USD 77,000 - 124,000; Full time

Benefits offered by this job

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Volunteer Time Off (VTO)

Job summary

L.A. Care Health Plan in Los Angeles is seeking a Network Operations Specialist II to translate complex program requirements into actionable work packages and coordinate cross-functional teams across departments.

The role emphasizes maintaining operation logs, tracking deliverables, developing KPIs and dashboards, and ensuring audit readiness while supporting regulatory compliance and system enhancements.

Qualifications

• At least 3 years of experience in managed care or network operations.
• Experience supporting program execution, regulatory review, and documentation.
• Experience collaborating across teams and maintaining accurate records.
• Detail-oriented with strong analytical and organizational skills.

Responsibilities

• Translate program requirements into actionable tasks and timelines.
• Coordinate cross-functional teams and track deliverables.
• Summarize regulatory directives and draft business requirements.
• Maintain logs and update leadership with timely insights.
• Develop and update KPIs and dashboards; ensure audit readiness.
• Support deployment of provider notices and system changes with IT/Data teams.

Skills

Translating program requirements into

Regulatory directives understanding

Tracking deliverables & logs

Stakeholder communication

KPI tracking & dashboards

Audit documentation

Detail oriented

Cross-functional collaboration

Education

Bachelor's Degree

Equivalent education/experience

Job description

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, 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

(2 available positions)

The Network Operations Specialist II supports managed care and payment initiatives by translating program requirements into actionable tasks and coordinating cross-functional teams. This role maintains operational logs, tracks deliverables, and provides routine updates to leadership. Responsibilities include summarizing regulatory directives, drafting business requirements, monitoring process adherence, and documenting corrective actions. The specialist builds and updates key performance indicators (KPIs) and dashboards, ensures audit readiness, and collaborates with key stakeholders to facilitate operational changes and system enhancements.

The Network Operations Specialist II plays a role in advancing managed care and payment initiatives by translating complex program requirements into actionable work packages and task lists. This role is central to the coordination of cross-functional workgroups, ensuring seamless collaboration by meticulously tracking deliverables, documenting key decisions, and proactively reporting blockers to leadership.

Duties

Maintains operational excellence through diligent upkeep of implementation logs and the provision of routine updates, empowering leadership with timely insights. Supports regulatory compliance by intaking and summarizing directives such as Apls, drafting foundational business requirements, and aligning tasks across impacted teams. Monitors process adherence and documenting corrective actions, reinforcing a culture of continuous improvement.

Builds and updates KPIs and operational dashboards, assists in trend analysis, and prepares briefing materials that inform strategic decision-making. The specialist ensures audit readiness by keeping policies, procedures, and workflow documentation current, and by systematically filing and versioning artifacts.

Coordinates manual updates and distribution controls, schedules meetings, publishes agendas and notes, and follows up on action items with stakeholders. Supports the deployment of provider notices and web updates related to operational changes, and partners with IT/Data teams to facilitate system changes, reporting specifications, and user acceptance testing.

Supports operational integrity and strategic objectives across the enterprise.

Performs other duties as assigned.

Education Required

Bachelor's Degree

In lieu of degree, equivalent education and/or experience may be considered.

Experience

Required

At least 3 years of experience in managed care, network operations, or a related field.

Experience supporting program execution, regulatory review, and documentation within healthcare or network operations environments.

Experience collaborating across teams and maintain accurate records and consistently contribute to operational excellence and compliance, ensuring that organizational objectives are met through effective teamwork and meticulous attention to detail.

Preferred

Experience in data analysis and process improvement, consistently identifying opportunities to enhance operational efficiency.

Skills

Required

Ability to excel at translating program requirements into clear tasks and timelines, ensuring projects are executed efficiently and on schedule.

Foundational knowledge and understanding of regulatory directives and operational processes.

Adept at tracking deliverables, maintaining comprehensive logs, and preparing routine updates for stakeholders.

Strong organizational and communication (written and verbal) skills.

Effective collaboration and precise documentation Skills.

Knowledge and understanding of KPI tracking, dashboard management, and audit documentation, supporting operational transparency and continuous improvement.

Detail oriented with ability to thrive in a dynamic environment.

Preferred

Knowledge of payment methodologies including hospital-directed payments and alternative payment models with the ability to contribute to informed decision-making in complex healthcare environments.

Exposure and skills in provider communications, portal adoption, and manual updates that enable effective stakeholder engagement and operational transparency.

Ability to collaborate with key stakeholders that support system enhancements and reporting initiatives, ensuring that technical solutions align with organizational goals.

Physical Requirements

Light

Required

Travel to offsite locations for work required.

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)