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Part Time
12/23/2024
Rancho Palos Verdes, CA
(30.9 miles)
All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the everyday a little more fun is unwavering. Just like working here. Everyone encourages each other and embraces the excitement that can come with change. Each shift is a new opportunity to Discover Different.Opportunity: Contribute To The Growth Of Your CareerResponsible for executing receiving and merchandising standards while ensuring Associates are processing efficiently and effectively, and working as a team. Ensures an excellent customer experience by engaging and interacting with all customers, and maintaining a clean and organized store. Role models exceptional customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityOrchestrates truck delivery, prioritizing the processing of merchandise onto the sales floorTrains and mentors Associates on established merchandising and processing principlesEnsures merchandise is properly tagged, hung, secured, and codedCommunicates with the Coordinator on Duty to ensure efficient flow of goods to sales floorEnsures Associates complete tasks and activities according to store plan; prioritizes as neededMonitors productivity of team and coaches as necessaryOrganizes and rotates back stock for easy replenishmentMaintains and upholds merchandising philosophy and signage standardsMaintains all organizational, cleanliness and recovery standards for the backroom areaEnsures compliance with recycling and, where applicable, hazardous waste programsCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We Are Looking For: You!Able to work a flexible schedule, including nights and weekendsSuperior communication and organizational skills with attention to detailCapable of multi-taskingAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsCapable of lifting heavy objects with or without reasonable accommodationAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.This position has a starting pay range of $17.00 to $17.50 per hour.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.We’re reinventing retail and helping people discover that next find that’s going to be their new signature look. You can be a part of their journey to look amazing.Our inventory is always changing and our approach is continually evolving, which means every day is another chance to Discover Different. In fact, that’s what it’s like throughout the entire TJX family, which includes TJ Maxx, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
Full Time
12/8/2024
Long Beach, CA
(36.6 miles)
Style is never in short supply at our more than 1,000 TJ Maxx stores. They all have different products, but the same commitment to the thrill of the find. From designers straight off the runway to statement jewelry, we offer exciting surprises that make the everyday a little more fun. Same with working here. Our environment is ever-changing, yet always encouraging. Each shift is a new opportunity to Discover Different.Opportunity: Contribute To The Growth Of Your CareerResponsible for promoting an excellent customer experience. Oversees a team of Associates at front of store ensuring prompt, courteous customer service and promotion of loyalty programs. Leads by example by engaging and interacting with all customers, and maintaining a clean and organized store. Role models outstanding customer service.Creates a positive internal and external customer experiencePromotes a culture of honesty and integrity; maintains confidentialityTakes an active role in training and mentoring Associates on front end principlesTrains and coaches Associates on personalizing the customer experience while promoting loyalty programsAssigns registers, supports and responds to POS coverage needs, and coordinates breaks for all AssociatesAddresses customer concerns and issues promptly, ensuring a positive customer experienceEnsures Associates execute tasks and activities according to store plan; prioritizes as neededCommunicates accurately and effectively with management and Associates when setting and addressing priorities; provides progress updatesProvides and accepts recognition and constructive feedbackPartners with Management on Associate training needs to increase effectivenessEnsures adherence to all labor laws, policies, and proceduresPromotes credit and loyalty programsSupports and participates in store shrink reduction goals and programsPromotes safety awareness and maintains a safe environmentOther duties as assignedWho We Are Looking For: You!Available to work flexible schedule, including nights and weekendsStrong understanding of merchandising techniquesCapable of multi-taskingStrong communication and organizational skills with attention to detailAble to respond appropriately to changes in direction or unexpected situationsTeam player, working effectively with peers and supervisorsAble to train others1 year retail and 6 months of leadership experienceBenefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral bonuses. Those who meet service or hours requirements are also eligible for: 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long term disability; paid parental leave; paid holidays/vacation/sick; auto/home insurance discounts; scholarship program; adoption assistance. All benefits are provided in accordance with and subject to the terms of the applicable plan or program and may change from time to time. Contact your TJX representative for more information.This position has a starting pay range of $17.00 to $17.50 per hour.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.At TJ Maxx there’s so much potential to discover something new. A new day means new merchandise, and a fresh chance to reinvent retail. Discover Different means that we want you to bring your whole self and your sense of style to work with you every day - just as Associates do throughout the entire TJX family, which includes Marshalls, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
Full Time
12/8/2024
Lakewood, CA 90712
(35.5 miles)
About the RoleAs Merchandising Supervisor you will be the expert in merchandising and leading associates to deliver excellent customer service through sales floor merchandising, pricing and recovery. You will teach, coach, develop and supervise associates while consistently executing merchandising processes.What You’ll DoExecute store merchandising standards following visual merchandising direction, accomplishing product presentation; make decisions about and adaptations to merchandising direction based on the layout, adjacencies and needs of the store in partnership with the Merchandising ManagerMaintain a well recovered selling floor where product is displayed in a manner that is clear, easy to understand and compelling to the customerMaintain appropriate levels of product on the sales floor by remerchandising and replenishing as necessary based on sell through and seasonal changesCoach, teach and train merchandising associates to accurately and efficiently execute company merchandising direction to brand standardsExecute pricing activities in store, ensuring that price changes, sign changes and ticketing procedures are completed accurately and efficientlySupport the training of associates on merchandising standards, product knowledge, and tools adhering to Kohl’s brand standardsSupport and partner with the Operations team on merchandising incoming product, ensuring efficient executionAll Supervisor roles at Kohl’s are responsible for:Leading with integrity, honesty and fostering teamwork in an engaged and inclusive cultureExercising good judgment; taking appropriate partners as neededModeling, guiding and providing direction to associatesDemonstrating and coaching a customer service mindset, including customer service philosophies, anticipating customer needs and satisfactorily resolving issuesLeading by example by personally meeting or exceeding individual goals (e.g., productivity, credit, loyalty)Supporting strong operational standards, shortage mitigation, and merchandising presentation to include accurate pricing and proper signingPreventing loss by educating associates, monitoring daily store activity, maintaining product protection standards, ensuring company policies are followed and partnering with Loss PreventionMonitoring and adjusting resources as dictated by the business to support customer needs and workload demands when assigned as leader on dutyUse key performance indicators (KPIs) to make informed business decisions that drive overall store resultsAccomplishing multiple tasks within established timeframesTraining, monitoring and reinforcing company policies, procedures, standards and guidelinesMaintaining adherence to company safety policies for the safety of all associates and customers Key holder responsibilities include opening and closing store processes, and providing direction to associatesOther responsibilities as assigned What Skills You HaveRequiredMust be at least 18 years of age or olderStrong verbal/written communication and interpersonal skillsFlexible availability, including days, nights, weekends, and holidaysPreferred2 years experience in retail or similar industryExperience supervising teams or associates, including the responsibility for coaching to achieve daily performance goalsPay Range: $22.25 - $34.50Kohl’s offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl’s partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).
Full Time
12/25/2024
Long Beach, CA 90802
(36.8 miles)
Your Role The Pharmacy Services Prior Authorization team conducts medical necessity reviews for drug coverage. The Pharmacist Manager will report to the Pharmacist Senior Manager, Pharmacy Benefit Prior Authorization. In this role, you willsupport the Blue Shield of California Pharmacy and Therapeutics (P&T) Committee process by ensuring that evidence-based clinical decisions are implemented operationally to support safe, efficacious, and cost-effective prescribing of medications. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.s the right way, and fostering continuous learning.Your Work In this role, you will: Provide oversight for the management of program area operations and employeesBe responsible for promotion and execution of overall vision, goals, objectives of the business unitProvide oversight for the coordination of activities of the program area with other business units and monitor operational statistics to ensure all respective accreditation, regulatory and compliance requirements are metProvide oversight for the development, implementation, coordination, and assessment of programs to improve quality and cost-effectivenessDemonstrate leadership principles daily and ensure team actions are in place to make Blue Shield a great place to workRegularly monitor program data and metrics to evaluate program effectiveness and outcomes; reports to appropriate committees, managers, and other internal or external stakeholdersSupport other teams within and outside of the Pharmacy Services department with subject matter expertisePrecept Pharmacy Practice Residents and students, as assigned. Maintain required residency program documentation and meet standards for preceptorship.Your Knowledge and ExperienceRequires a Doctor of Pharmacy (PharmD) degreeRequires at least 5 years of experience in a managed care setting, including at least 3-5 years of management experience or equivalentRequires an active and unrestricted California Registered Pharmacist (RPh) licenseDemonstrates thorough knowledge regarding therapeutic use of drugsUnderstands basic management approaches such as work scheduling, prioritizing, coaching and process execution, work organization, risk management and delegationExperience in leading and managing the execution of processes, projects, and tacticsDemonstrates critical thinking and effective decision-makingAdvanced skills analyzing data to make business decisionsPay Range:The pay range for this role is: $ 118800.00 to $ 178200.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-MM4
Full Time
12/20/2024
Van Nuys, CA 91405
(13.9 miles)
General information City: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
12/21/2024
Long Beach, CA 90802
(36.8 miles)
Schedule is Mon-Fri 10am-7pm The Behavioral Health Registered Nurse Case Managerwill report to the FEP Department Manager. In this role you will determine, develop, and implement a plan of care based on accurate and comprehensive assessment of the member’s needs. The Federal Employee Program (FEP) team performs integrated case management (CM) and disease management (DM) activities demonstrating clinical judgment and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your WorkIn this role, you will:Coordinates care for Lower Level of Care such as Residential Treatment, Partial Hospitalization Program, Intensive Outpatient Program, other outpatient services, and community programs as appropriateResearch and design treatment/care plans to promote quality of care, cost effective health care services based on medical necessity complying withcontract for each appropriate plan typeProvide Referrals to QualityManagement (QM), Disease Management (DM) and Appeals and Grievance department (AGD)Recognize the clients right to self-determination as it relates to the ethical principle of autonomy, including the client/family's right to make informed choices that may not promote the best outcomes, as determined by the healthcare teamDesign appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access and cost-effective outcomesInitiate and implement appropriate modifications in plan of care to adapt to changes occurring over time and through various settingsApplies detailed knowledge of FEP PPO and Blue Shield of California's (BSC) established medical/departmental policies, clinical practice guidelines, community resources, contracting and community care standards to each casePerforms effective discharge planning and collaborates with member support system and health care professionals involved in the continuum of careProvides disease management education on core chronic conditions (Diabetes, Heart Failure, COPD, Asthma and Coronary Artery Disease)Determines, develops and implements a plan of care based on accurate and comprehensive assessment of the member's needs related to behavioral healthMust be able to sit for extended periods of time and read information on one computer screen and apply that information on a second computer screen to complete documentationYour Knowledge and ExperienceBachelor of Science in Nursing or advanced degree preferredRequires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field3+ years managed care experience preferredRequires relevant behavioral health experienceComprehensive knowledge of case management, discharge planning, utilization management, disease management and community resourcesAble to operate PC-based software programs including proficiency in Word and Excel.Strong clinical documentation skills, independent problem identification and resolution skillsStrong supervisory, communication, abstracting skills with strong verbal and written communication skills and negotiation skillsCompetent understanding of NCQA and federal regulatory requirementsKnowledge of coordination of care, prior authorization, level of care and length of stay criteria sets desirableDemonstrates professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. This judgment is based on medical necessity including intensity of service and severity of illness within contracted benefits and appropriate level of careDemonstrate leadership, project management and program evaluation skills and ability to interact with all levels including senior management and influence decision-makingPay Range:The pay range for this role is: $ 87230.00 to $ 130900.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-MM4
Full Time
12/20/2024
Van Nuys, CA 91405
(13.9 miles)
General information City: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
12/21/2024
Long Beach, CA 90802
(36.8 miles)
Your Role The Clinical Program Manager, Principal in collaboration with the Regional Medical Director and internal Blue Shield of California teams will be responsible for collaborating with all externally facing partners to transform the way health care is delivered, ensuring best-in-class care for all members. Priority is given to delivering on the Quadruple Aim (lower cost care, increased quality, increased member satisfaction and physician satisfaction) with a focus on execution to drive and accelerate improvements in primary care for all patients. This role will report to the Regional Medical Director. Your work: In this role, you will: Operate at a strategic business level to ensure projects/programs are in line with Blue Shield of California’s strategic goalsConsult with all levels (including senior management) making recommendations and influencing decision-makingLeverage cross-functional internal and external relationships to drive initiatives forwardPlan and implement multiple and extremely complex projects/programs spanning across business areasDetermine key business issues, develop effective action plans, and implement to successful conclusionPerform data analysis for all lines of business: Analyze data in collaboration with Regional Medical Director for trends, drivers, and key initiatives. Incorporate the analysis into meaningful discussions with Group/IPAIdentify opportunities around utilization, quality, and clinical initiatives: Work side by side with internal and external partners in the design and launch of clinical programs focused on high-risk members, hospital initiatives, and behavioral health as well as internal innovation programsPartner with medical groups to co-create programs encompassing a full spectrum of initiatives around disease management, complex care management, transitions of care and site of service; ensuring optimal utilization, access, and quality of care for membersLead with a collaborative approach and an understanding of existing resources and relationships between/among partner organizations while moving them towards constructive changeWork cross functionally with Blue Shield of California internal teams to provide support both ad hoc and for recurrent initiatives Your Knowledge and Experience Requires a current, active California RN, NP, or PA licenseRequires a bachelor’s degree; advanced degree is preferredRequires a minimum of 10 years of prior relevant clinical or job related experienceExperience in case utilization, quality improvement and disease management; MediCal experience is a plus.In-depth understanding of the managed care delegated model and associated efficiency and quality measures. Health plan experience is preferredExcellent verbal and written communication style to drive positive outcomesStrong data analytic skills and advanced knowledge in Microsoft 365, especially in Excel and PowerPoint applicationsAbility to be resourceful and collaborative; a team collaborator with strong listening skills and the ability to offer creative solutions to drive consensus Pay Range The pay range for this role is: $ 136400.00 to $ 204600.00 for California. Note Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-EB1
Full Time
12/20/2024
Van Nuys, CA 91405
(13.9 miles)
General information City: Van Nuys State: California Team Clinical Services Working time Full- Time Description & Requirements Description Sign-On Bonus:$750Compensation: $26 - $32 Per Hour-Full time, based upon experiencePromotion opportunity to Program Supervisor (salaried) based upon experienceBenefits of Working at Intercare:Monthly Bonuses!Flexible work schedule with a focus on work/life balance; Manage your own scheduleMileage reimbursement, a company computer and cell phoneEducation tuition reimbursement program (Masters & BCBA)!Leadership training and CEUs - we will teach how to become a better leader!Medical, Dental, and Vision insuranceGenerous time off policy (vacation, sick time, and holidays)Company 401k PlanOutstanding mentorship and supportive environment for continual learningRequired Credentials/Experience:Completed Master’s degree in relevant fieldIn progress with BCBA preferredStrong ABA and clinical skillsExcellent written and spoken communication, time management skills, and interpersonal skillsAbility to give and receive constructive feedback with a team player attitudeBilingual skills valuedJob DescriptionIntercare Therapy provides evidence-based behavioral therapies that help children overcome challenges related to autism spectrum disorders. Our mission is to optimize the independence and quality of life of our clients and their families. We love what we do, and we are seeking team members who share our passion for improving the lives of children and families affected by autism.AProgram Managerserves in the field as the onsite case supervisor and leader, mastering daily case management skills, including developing and overseeing clinical programs, supervising BIs and providing education and training for client caregivers. You must be willing to drive 30 to 60 miles a day, andable to supervise client sessions anytime between 8AM and 6PM on weekdays, and occasionally on weekends.We are proud to be the highest rated established ABA organization on Glassdoor! Check out our rankings and reviews on Glassdoor!Learn more about us on You Tube!This position may require the candidate be fully vaccinated for COVID-19 in accordance with all vaccination requirements set forth by Intercare funding sources and pursuant to any guidelines from the California Department of Health.Closing:If you have experience in any of the following fields, we encourage you to apply:Behavior Analyst, Autism, Social Learning, Social Skills, Developmental Condition, Psychology, Sociology, Social Services, Children, ABA, Applied behavior analysis, BCBAIntercare Therapy will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the Los Angeles Fair Chance Initiative for Hiring (Ban the Box) Ordinance.Intercare Therapy supports a diverse workforce and is an Equal Opportunity Employer.
Full Time
12/21/2024
Long Beach, CA 90802
(36.8 miles)
Your Role The Medicare Appeals and Grievances team is responsible for compliance processing of Medicare appeals and grievances. The supervisor will report to the Manager for Medicare Appeals and Grievances. In this role you will manage the daily, short-term, and/or long-term activities of the customer service and operations teams to ensure alignment with service levels and providing service worthy of our family and friends. You will be responsible for the oversight of quality, production levels, strategic initiatives, employee development, preparation and management of budgets, goals, objectives, and results for various operational areas. Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.Your Work In this role, you will: Be responsible for routine operations and people management functionsFoster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organizationConsult and make recommendations to management on operational issuesUse concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload managementApply policies and procedures within health care operationsStay up to date on legislation and regulations to ensure team complianceInterpret audit information requests, prepare narratives, conduct preliminary risk assessments, anticipate adverse findings to prepare for internal corrective action plansMake decisions on people and operational matters consistent with goals and objectivesProvide coaching, performance management, skill development, and guidance on team members’ Professional Development PlansContribute towards achieving the organizations Medicare Stars goalsYour Knowledge and Experience Requires a high school diploma or GEDRequires a minimum of 5 years of prior relevant experienceRequires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager trainingKnowledge of Medicare preferred.Experience working with appeals and grievances in healthcare preferredAbility to work collaboratively across diverse teams to improve processes and policies with a focus on the customer experience. Pay Range: The pay range for this role is: $ 66,600 to $ 98,900 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-CP3
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