L.A. Care Health Plan Job - 41216868 | CareerArc
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Company: L.A. Care Health Plan
Location: United States of America
Career Level: Mid-Senior Level
Industries: Banking, Insurance, Financial Services



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 Incentives Program Manager II is responsible for developing and operating a diverse portfolio of incentive programs that advance L.A. Care's key clinical and quality improvement priorities. This includes being responsible for the design, implementation, and ongoing management of L.A. Care's pay-for-performance (P4P) programs, provider performance measurement and reporting, member incentives management and other quality improvement projects. These programs are an important point of engagement with providers to improve quality of care for L.A. Care members. This position is directly responsible for day-to-day incentive program operations, design and implementation of new incentive programs, leading project teams and building relationships with key stakeholders, developing marketing strategies and materials, as well as data management and program analytics.


Program management: Plan and guide the implementation of essential P4P and performance measurement projects and departmental priorities. This entails maintaining an understanding of projects' overarching goals, tracking the status of implementation details, coordinating the activities of project collaborators, maintaining project plans and documentation, and ensuring completion of program deliverables for multiple, concurrent initiatives. This includes coordination of (and delegation to) project teams and workgroups, and ensuring timely and accurate completion of deliverables.


Program operations: Responsible for daily/ongoing operation of incentive programs. This may include (but is not limited to) scheduling, calculating, validating, and distributing incentive awards; development of performance and payment reports; development of internal tracking systems and business processes; creation and maintenance of program materials; coordination with internal and external stakeholders; and responding to internal and external inquiries for reporting requests.


Incentive program development and design: Lead the design, development, and deployment of incentive and pay-for-performance programs. This includes the development of new incentive programs to address organizational priorities, as well as evolution of existing pay-for-performance programs to improve efficacy, and to maintain alignment with other initiatives; and keeping current on industry standards and best practices.


Data management and analytics: Assisting with maintaining incentive-related datasets, as well as development of queries and reports used for incentive program modeling, generation of eligibility lists, performance measurement, performance reporting and incentive payments, and evaluation of incentive programs. The Incentives Program Manager should understand the capabilities and limitations of datasets used in incentive programs, work with collaborators, help complete analytic deliverables, and assist with quality assurance of incentive-related data products. This includes use of provider, member, encounter, HEDIS, and other data, including information covered by HIPAA.

Education Required Bachelor's Degree in Public Health or Related Field In lieu of degree, equivalent education and/or experience may be considered. Education Preferred Master's Degree in Public Health or Related Field Experience

At least 5 years of experience of project management in incentives or quality improvement programs for providers and members. 


Prior professional experience (1+ years) in public health, health care, data management, or pay-for-performance is desired. 


Prior experience in Medi-Cal, Medicare, and/or managed care, as well as experience with health care program evaluation and evaluation design is a plus


Strong organizational and communication skills are required. 


Proficiency with Microsoft Excel and Access (including data management, queries, forms, and reports) is desired. 


Excellent data management and analytic skills (including basic statistics or better) are desired.


Proficiency with Visio, MS Project, SAS and/or SPSS is desired.


Persuasion Skills: Persuade external agencies (vendors) to commit to program scope and to delivery of promised services in a timely fashion. Motivate team members and collaborators to complete tasks in high quality, timely manner. Facilitate meetings and encourage lively discussion.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Additional Information

The Incentive Program Manager will gain exposure to, and will have direct responsibility for, a wide range of projects and tasks related to incentive programs. 

Financial Impact: Program budgets, Incentives Budget


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)


At L.A. Care, we value our team members' safety. In order to keep our work locations safe, each employee is required to self-screen for symptoms prior to entering any L.A. Care location each day. L.A. Care and all of its staff are required to comply with all state and local masking orders. Therefore, when on-site at any L.A. Care location, employees are expected to wear a mask in areas where physical distancing cannot be managed.

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