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Full Time
12/26/2024
Pittsburg, CA 94565
(19.0 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/5/2024
Rancho Cordova, CA 95741
(31.2 miles)
Your Role Reporting to the Sr. Director, Utilization Management, the role of the Director, Commercial Utilization Management is critical to the success of Blue Shield of California and the Utilization Management department in realizing its goals and objectives. This individual will play a key role as part of Utilization Management team in delivering and collaborating on all aspects of utilization management and care coordination for Commercial membership. The Director, Commercial Utilization Management role will also provide direction and leadership in compliance to regulatory requirements and key operational metrics. Your Work In this role, you will: Manages and monitors prior authorization and concurrent review to ensure that the patient is getting the right care in a timely and cost effective way.Leading development of UM strategy by leveraging the use of data/analytics to inform and technology solutions to streamline operational efficiencies while also building a cost-benefit methodology to rationalize decisions on UM reviews to be performed based upon staffing costs, productivity, and projected medical cost savings.Provides analysis and reports of significant utilization trends, patterns, and resource allocation. Partners with physicians and others to develop improved utilization of effective and appropriate services.Establishing and measuring productivity metrics in order to support workforce planning methodology and rationalization of services required to perform UM reviews.Reviewing and reporting out on Utilization Review (UR) trending for Commercial membership.Ensuring alignment of the authorization strategy with clinical policy, payment integrity, and network development strategies to optimize quality and cost of care.Responsible for managing strategic projects and supporting operations initiatives.Leading operational implementation of transformation changes (organizational management, process implementation, technology adoption).Responsible for operational teams' performance, resource management, continuous improvement, and training.Responsible for operational audit readiness, ensuring adequate processes and internal audit measures in place and maintained quarterly.Ensuring all operational processes are meeting regulatory and accreditation requirements.Fosters a culture of process excellence, BSC leadership principles, and a great place to work environment.Occasional business travel required.Your Knowledge and Experience Requires current CA RN LicenseBachelors of Science in Nursing or advanced degree preferredMaster’s degree or equivalent experience preferredMinimum of 10 years prior relevant experience, including 6 years of management experienceMinimum of 5 years of progressive leadership in Utilization Management operations, preferredHealth plan or similar health care organization structure experience requiredSuccessful track record in driving organizational change managementExcellent relationship and consensus-building skills required Pay Range: The pay range for this role is: $ 165990.00 to $ 248930.00 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-SS8
Full Time
12/22/2024
Fairfield, CA 94534
(5.7 miles)
Spectrum Center Schools and Programs, a growing, dynamic organization with a social mission to offer hope, is seeking an Area Behavior Analyst to join our award-winning team and perform meaningful work in a culture that welcomes innovation, encourages creative expression and offers limitless potential for personal and professional satisfaction! If you thrive in a fast-paced, goal-oriented, outcome-driven environment, seek a career with genuine purpose, and possess a problem-solving mindset, a sense of humor, and a stellar work ethic We Should Talk! As the AreaBehavior Analyst,you will provide expert behavioral support and consultation across multiple Spectrum School locations within an assigned region. This includes, but is not limited to conducting assessments, developing behavior intervention plans, training staff, and ensuring compliance with relevant regulations and standards. The Area Behavior Analyst works under the support and direction of the Area/Regional VP, Operations and onsite Program Directors to enhance the academic, social, emotional, and behavioral outcomes of students through use of evidence-based interventions and in collaboration with the operations and educational staff from each campus within assigned area. Responsibilities Include: Conducting Functional Behavior Assessments (FBAs) for all designated schools to identify the causes and functions of students' challenging behaviors.Creating and implementing BIPs that align with Spectrum standards and district guidelines, addressing the individual needs of each student.Supporting the development of measurable, objective IEP goals and facilitating progress monitoring in collaboration with on-site instructional personnel.Implementing evidence-based interventions by applying scientifically proven behavioral and educational strategies, promoting positive outcomes in academic, social, emotional, and independent functioning.Providing crisis management intervention and support for students exhibiting aggressive or self-injurious behavior and developing strategies to reduce the need for 1:1 staffing.Collaborating closely with on-site education teams to collect and analyze data on student behavior, monitor student progress, and ensure appropriate intervention responsiveness and consistent progress toward goals.Conducting regular quality checks for each campus within assigned region at the student, staff, classroom, and site levels; making recommendations for improvement based on analysis of data.Supporting the development of on-site teams within assigned the area through delivery of training on behavioral assessment, intervention, positive behavior supports, data collection, crisis management, and other relevant topics.Providing guidance and supervision to staff members within assigned region pursuing BACB certification (RBT, BCaBA, BCBA), as agreed with the Program Director or VP of Behavior Services.Assisting in the development and implementation of improvement plans for assigned campuses to enhance student performance and staff effectiveness.Engaging in multi-disciplinary on-site and regional team meetings to discuss behavioral needs and contribute to the development of comprehensive support strategies.Monitoring and ensuring adherence of all campuses to Department of Education regulations and internal standards for educational and behavioral service is maintained within assigned area.Maintaining accurate and detailed records of assessments, interventions, progress, and compliance activities.Providing operational support to all schools in the assigned area, focusing on academic achievement, behavioral support, staff retention, and development.Performing other related duties as assigned to support organizational success. Qualifications Required: Master’s degree or higher in Applied Behavior Analysis, Special Education, Psychology, or a closely related field.Valid certification from the Behavior Analyst Certification Board is required at one of the following levels (salary commensurate with certification level): Board Certified Behavior Analyst – Doctoral (BCBA-D)Board Certified Behavior Analyst (BCBA)Board Certified Associate Behavior Analyst (BCaBA) may be acceptable at some locations.Ability to obtain and maintain certification in company-approved crisis management proceduresA current education specialist or special education teaching credential (Mild/Mod or Mod/Severe) is preferred.A valid CA state driver’s license is required for travel between locations.Prior experience in training and implementing Applied Behavior Analysis (ABA) techniques, including effective teaching strategies, classroom management, and data-driven decision-making and functional analysis/behavior intervention plans in an educational setting.Highly skilled in working with individuals with severe learning, emotional behavioral disorders, autism spectrum disorders, and/or other related disabilities; preferably in a special education program setting.Proven ability to effectively prioritize tasks and meet deadlines while maintaining organization and attention to detail.Solid motivational skills and willingness to be flexible and adapt to changing priorities and new initiatives.Advanced oral and written communication, organization, conflict resolution, multitasking, problem solving, and decision-making ability.Knowledge of relevant technology including experience with instructional technology, Microsoft Office Suite, database entry and basic office equipment. Spectrum Center Schools is a division of ChanceLight Behavioral Health, Therapy, & Education, the nation’s leading provider of alternative and special education programs for children and young adults. For more than 45 years, and in partnership with over 235 school districts nationwide,we have helped change the direction of more than 240,000 student lives! Learn more about our history, our mission and the program services we provide by visiting the links below:https://bit.ly/MeetingSpectrumhttps://bit.ly/OurChancelightStory As a member of theChanceLightfamily you will be provided with the opportunity to make meaningful impacts, the support needed to achieve success, and all the tools essential to reaching personal & professional fulfillment! Additional Perks and Benefits Include: Comprehensive Medical, Dental and Vision PlansVirtual Medical VisitsHealth Savings AccountPaid Time OffSchool Hours and Paid Holiday ScheduleCompany Paid Life & Disability Insurance401k OptionsLegal InsurancePet InsuranceEmployee Assistance ProgramEmployee Discount ProgramOpportunities for Growth & DevelopmentAnd So Much More! If you're ready to start changing the direction of students' lives by providing them the opportunity to create successful, independent futures this is your Chance! Join us and start making a genuine difference in the lives of children today! Careers, With ChanceLight. Work. With Purpose. Copyright © 2024 ChanceLight Behavioral Health, Therapy, & Education, aChanceLight® company. *Benefit plans and eligibility requirements may vary based on role and employment status. EducationRequiredMasters or better in Applied Behavior Analysis or related fieldLicenses & CertificationsRequiredAll State Req CredentialsHas License/CredentialingBCBABCABACrisis Prevention InstDriver LicensesPreferredSpecial Ed CertificationSkillsPreferredSpecial EducationIndividualized Education Programs (IEP)Functional Behavioral Assessment (FBA)Emotional DisturbanceMultiple DisabilitiesPositive Behavior Intervention and SupportApplied Behavior Analysis (ABA)Teacher Mentoring/TrainingCrisis InterventionInterpersonal SkillsConflict ResolutionProblem SolvingBehaviorsPreferredInnovative: Consistently introduces new ideas and demonstrates original thinkingFunctional Expert: Considered a thought leader on a subjectMotivationsPreferredAbility to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organizationEqual Opportunity Employer/Protected Veterans/Individuals with DisabilitiesThe contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
Full Time
12/26/2024
Vallejo, CA 94592
(19.2 miles)
ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the nation’s schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today!POSITION DESCRIPTIONEpic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Speech Language Pathologist Assistant for the 2024 - 2025 school year.·Duration: ASAP - 06/06/2025·Location: Vallejo, CA·Location Type: On-Site·Schedule: Full Time·Hours: 35.00·Grade/Age Levels: Elementary School;High School;Kindergarten;Middle School;Pre-K·Weekly Pay Range: $36.00 – $41.40 per hour on a local contractBENEFITSWe offer a variety of benefits for you and your loved ones. As a valued and respected part of the Epic family, you will enjoy:·Competitive compensation packages for both local and travel contracts·Medical, Dental, and Vision benefits·Infertility & Domestic Partner Coverage·Summer Insurance Coverage·PTO & Holiday Pay·401K matching·Wellness and Employee Assistance Program (EAP)·CEU & license reimbursements·Referral bonuses of $1000QUALIFICATIONSThe minimum qualifications for School Speech Language Pathologist Assistant:·1 year of verifiable, professional experience as School Speech Language Pathologist Assistant within the last 3 years (may include residency or clinical practicum)·Valid School Speech Language Pathologist Assistant credential/license or in process in state of practice·Employees must be legally authorized to work in the United States and will be asked for proof upon hire. We are unable to sponsor or take over sponsorship of an employment Visa at this time.·We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.·Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability or genetics.At Epic Special Education Staffing, you will have the opportunity to apply your unique experience and expertise with school-based special education as your singular focus. We offer stimulating and rewarding careers that provide an opportunity to make a difference in a child's life! We appreciate referrals! Let us help your friends find a great place to call home! Ask your recruiter how you can receive a $1,000 referral bonus and $250 charitable donation!By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.
Full Time
12/8/2024
Pleasant Hill, CA 94523
(23.1 miles)
Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend. The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Salesforce, Workday, or PayPal among other leading organizations in the California Bay Area (Pleasant Hill, San Francisco, San Jose). Are you eligible You can apply to Year Up United if you are: - 18-29 years old - A high school graduate or GED recipient - Eligible to work in the U. S. - Available Monday-Friday throughout the duration of the program - Highly motivated to learn technical and professional skills - Have not obtained a Bachelor's degree What will you gain Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. Some coursework is eligible for college credit. During the internship phase, Year Up United students earn an educational stipend of $525 per week. In-depth classes include: - Application Development & Support - Helpdesk/Desktop Support - Project Management Support - Banking & Customer Success - Data Analytics Get the skills and opportunity you need to launch your professional career. 80% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Full Time
12/25/2024
Berkeley, CA 94704
(31.6 miles)
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Berkeley, CA.Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we believe that client accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought thatin order for our clinical team to be accessible to clientswe must fully support our clinicians by allowing them to do what they are trained to do. We operate under the idea that we are most successful by focusing on one job and being great at that job.Qualifications:Qualified candidates need to be fully and independently licensed as a LCSW in CaliforniaClinicians need to be licensed and living in the state in which they will be practicingCompensation:Up to $125,400 depending on licensure, sessions, and bonus opportunitiesWhat We Need:Individuals willing to see a minimum of 25 sessions per weekA true partnershipBehavioral Health Generalists - open to seeing couples and/or children (we provide support!)Candidates that may be looking to grow into leadership roles/supervisorsSelf guided determination to complete your notes inside of 24 hoursStrong character matters - integrity, honesty, adaptability and quality of care to name a fewIndividuals who enjoy being a part of team and working together to professionally developWhat We Give:We are dedicated to taking great care of our employees and empowering them to succeed. This enables them to focus on providing excellent care to our clients. We offer the following benefits:Guaranteed payPaid orientationPTOAnnual pay increasesAdditional bonus opportunitiesFlexibility with your schedule - we’re open 7am-10pm (seven days a week)No-Show ProtectionFull clinical caseload typically established within the first 90 days (after credentialing)Group health and dental, disability, life, and liability insurance optionsA W2 employment model with access to a 401k program with a 3% employer matchCEU ReimbursementAccess to “motivated” patient populationOpportunities for paid clinical supervisory rolesMonthly in-house professional developmentNo required callWe credential you!Support team for scheduling and client service with extended hoursCustomized MarketingAutonomy, but with access to case consultation groupsAmazing team culture and clinical supportMalpractice CoverageCareer advancement opportunitiesBrand prideWho we are - about Thriveworks:Thriveworks is a clinician-owned National outpatient mental health private practice groupWe are currently operating in 48 states and are continuing to expandCorporate headquartered in Fredericksburg, VAA career at Thriveworks isn’t just about finding a job that pays the bills. It’s about helping others, joining a community, and learning to thrive both personally and professionally. We believe that the success of our employees is just as important as the success of our organization in fact, they go hand in hand.So, what do you say Are you interested in joining our team Apply today.#LI-Hybrid #LI-MS1Interested in joining Team Thriveworks We're thrilled to meet you!With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:Our recruiters and other team members will only email you from or an @thriveworks.com email address.Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)We will never ask you to purchase or send us equipment.If you see a scam related to Thriveworks, please report to . You can contact with any questions or concerns.Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
Full Time
12/11/2024
Sacramento, CA 95833
(36.1 miles)
Overview: Find Your Passion and Purpose as a Home Health Occupational TherapistTerritory: Elk Grove, Davis, NatomasReimagine Your Career in Home HealthAs a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of ExperienceSalary Range $100k-$150kThis position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation.#AC-OT What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Home Health Occupational Therapist You Can BeIf you meet these qualifications, we want to meet you!Knowledge of rehabilitation techniques related to complex neurologic injury Experience with home health, medical-surgical, or rehabilitation center environmentRequired Certifications and Licensures:Master’s degree in Occupational Therapy or the equivalent with license or certificate within the state providing servicesAt least two years of experience working independently under minimal supervisionMust be a licensed driver who can travel to all business locationsCome As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $100,000.00 - USD $150,000.00 /Yr.
Full Time
12/25/2024
Greenbrae, CA 94904
(37.0 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S.,MA, or M.S. or Doctorate in Occupational Therapythat the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Related:Occupational Therapist | OT | AOTA Pay Range: USD $59.00 - USD $60.00 /Hr.
Full Time
12/8/2024
Concord, CA 94521
(22.4 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more.Collegial work environment. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/10/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Clinical Quality Analytics and Informatics team delivers best-in-class clinical quality analytics and informatics to enable high quality and affordable member-centered care. Our data, intelligence, and actionable insights help drive quality strategy, performance improvement, and regulatory reporting. The Clinical Quality Analyst - Senior will report to the Clinical Quality Manager or Senior Manager. In this role you will provide data, analytic and reporting support for the Clinical Quality Department to improve Blue Shield of California and Promise Health Plan quality performance for regulatory and accreditation requirements including National Committee for Quality Assurance, Centers for Medicare and Medicaid and Department Health Care Service.Your Work In this role, you will: Conduct independent analysis of high complexity under moderate supervision and guidance, develop novel analyses and reportsDevelop documentation and create and execute workplans for analyses of high complexityProduce analysis of high complexity under the guidance and direction of Clinical Quality Analyst – Consultant or Principal or ManagerDesign, build, and enhance data systems and applications so that they better serve specific reporting requirementsIdentify business risks relating to report design and productionCollect data from various internal systems (example Claims processing or membership systems) and external systems (EMR/EHR) and converts those data to actionable insights to guide business decision making for BSC populations' health management and quality of careProduce monthly provider and/or employer group specific reports based on HEDIS measures in alignment with reporting quality ratings systems such as NCQA Stars/Accreditation, Medicare Stars, Medi-Cal Managed Care Accountability Sets, Quality Transformation Initiative and Quality Rating SystemPartner with the HEDIS data team, Clinical Quality Analytics and Medical Record Review teams to support HEDIS performance improvement initiativesYour Knowledge and Experience Requires a bachelor’s degree in health science, quantitative social science, public health, health services research or business or equivalent experiencePrefer an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or businessRequires at least 2 years of SAS/SQL programming experienceRequires at least 2 years of Tableau or Power BI development and visualization managementRequires at least 5 years of prior operational and / or data analysis experience, experience in database structures, and standard query and reporting toolsProficient in MS Office – Word, Excel, and PowerPointRequires at least 2 years of programming using inpatient claims, outpatient encounters, membership, pharmacy, or laboratory dataRequires at least 2 years of experience with ICD (International Classification of Diseases) codes, CPT (Current Procedural Terminology) codes, Diagnostic Related Group (APR-DRG/MS-DRG) codes or Healthcare Common Procedure Coding System (HCPCS) codesRequires at least 3 years of experience in Health Care (managed care, academic, or gov't payer)Requires at least 1 year of experience working with NCQA HEDIS quality measuresRequires at least 1 year of experience with NCQA Health Plan Rating, CMS Medicare Advantage Star Rating or Medi-Cal Managed Care Accountability Sets (MCAS)Tableau certifications preferredPreferred experience with task management tools (eg. JIRA, Work Front, SharePoint) or cloud data (eg. Azure, AWS, Snowflake)Mastery of at least two of the following: clinical coding, large-scale health databases, health statistics (e.g., epidemiology or health services), health insurance business principles preferredExperience developing SAS/SQL programs and scripts that can be passed on to other analysts to improve their work efficiencyMust be able to develop programs and scripts that can be used to repeatedly to generate reliable reports and analyticsMust exhibit level-appropriate competence in Departmental competency dimensions (Communication, Agile Learning, Business Knowledge, Creativity, Critical Thinking, Customer Focus, Drive for Results)Experience with cost-of-healthcare or quality of care assessment in a managed care or academic settingExperience utilizing a certified HEDIS software. Pay Range: The pay range for this role is: $ 99000.00 to $ 148500.00 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
12/26/2024
Martinez, CA 94553
(20.4 miles)
ABOUT USTogether, we are the Epic Special Education Staffing family and family is how we view each member of this incredible community. From our family to the nation’s schools, we remain focused on providing a world of opportunities for you to leverage your abilities and make an impact on special education. Apply today!POSITION DESCRIPTIONEpic Special Education Staffing is partnering with an exceptional school district who is looking for a contract School Speech Language Pathologist Assistant for the 2024 - 2025 school year.·Duration: ASAP - 06/06/2025·Location: Martinez, CA·Location Type: On-Site;Hybrid·Schedule: Full Time·Hours: 30.00·Grade/Age Levels: Elementary School;High School;Kindergarten;Middle School;Pre-K·Weekly Pay Range: $36.00 – $41.40 per hour on a local contractBENEFITSWe offer a variety of benefits for you and your loved ones. As a valued and respected part of the Epic family, you will enjoy:·Competitive compensation packages for both local and travel contracts·Medical, Dental, and Vision benefits·Infertility & Domestic Partner Coverage·Summer Insurance Coverage·PTO & Holiday Pay·401K matching·Wellness and Employee Assistance Program (EAP)·CEU & license reimbursements·Referral bonuses of $1000QUALIFICATIONSThe minimum qualifications for School Speech Language Pathologist Assistant:·1 year of verifiable, professional experience as School Speech Language Pathologist Assistant within the last 3 years (may include residency or clinical practicum)·Valid School Speech Language Pathologist Assistant credential/license or in process in state of practice·Employees must be legally authorized to work in the United States and will be asked for proof upon hire. We are unable to sponsor or take over sponsorship of an employment Visa at this time.·We will consider all qualified applicants for employment, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws.·Epic Staffing Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, housing, age, disability or genetics.At Epic Special Education Staffing, you will have the opportunity to apply your unique experience and expertise with school-based special education as your singular focus. We offer stimulating and rewarding careers that provide an opportunity to make a difference in a child's life! We appreciate referrals! Let us help your friends find a great place to call home! Ask your recruiter how you can receive a $1,000 referral bonus and $250 charitable donation!By applying for this position, you agree that any calls from Epic Staffing Group and its subsidiaries may be monitored or recorded for training and quality assurance purposes.
Full Time
12/8/2024
Pleasant Hill, CA 94523
(23.1 miles)
Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend. The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Salesforce, Workday, or PayPal among other leading organizations in the California Bay Area (Pleasant Hill, San Francisco, San Jose). Are you eligible You can apply to Year Up United if you are: - 18-29 years old - A high school graduate or GED recipient - Eligible to work in the U. S. - Available Monday-Friday throughout the duration of the program - Highly motivated to learn technical and professional skills - Have not obtained a Bachelor's degree What will you gain Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. Some coursework is eligible for college credit. During the internship phase, Year Up United students earn an educational stipend of $525 per week. In-depth classes include: - Application Development & Support - Helpdesk/Desktop Support - Project Management Support - Banking & Customer Success - Data Analytics Get the skills and opportunity you need to launch your professional career. 80% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Full Time
12/13/2024
Berkeley, CA 94704
(31.6 miles)
Thriveworks is currently seeking Licensed Clinicians to provide a mix of telehealth and face-to-face sessions in Berkeley, CA. Thriveworks is a clinician-founded national private practice group with locations in 48 states. Our mission is to help people live happy, successful lives, and we believe that client accessibility, integrity, and quality care are what is most important. We put a lot of emphasis on the thought thatin order for our clinical team to be accessible to clientswe must fully support our clinicians by allowing them to do what they are trained to do. We operate under the idea that we are most successful by focusing on one job and being great at that job.Qualifications:All eligible candidates must have one of the following independent licenses in California:LPCC or LMFT or LCSWLicensed Clinical Psychologists (PhD or PsyD)Clinicians need to be licensed and living in the state in which they will be practicingCompensation:Up to $68,100 depending on licensure, sessions, and bonus opportunitiesWhat We Need:Individuals willing to see a minimum of 15 sessions per weekA true partnershipBehavioral Health Generalists - open to seeing couples and/or children (we provide support!)Candidates that may be looking to grow into leadership roles/supervisorsSelf guided determination to complete your notes inside of 24 hoursStrong character matters - integrity, honesty, adaptability and quality of care to name a fewIndividuals who enjoy being a part of team and working together to professionally developWhat We Give:We are dedicated to taking great care of our employees and empowering them to succeed. This enables them to focus on providing excellent care to our clients. We offer the following benefits:Guaranteed payPaid orientationPTOAnnual pay increasesAdditional bonus opportunitiesFlexibility with your schedule - we’re open 7am-10pm (seven days a week)No-Show ProtectionFull clinical caseload typically established within the first 90 days (after credentialing)Group health and dental, disability, life, and liability insurance optionsA W2 employment model with access to a 401k program with a 3% employer matchCEU ReimbursementAccess to “motivated” patient populationOpportunities for paid clinical supervisory rolesMonthly in-house professional developmentNo required callWe credential you!Support team for scheduling and client service with extended hoursCustomized MarketingAutonomy, but with access to case consultation groupsAmazing team culture and clinical supportMalpractice CoverageCareer advancement opportunitiesBrand prideWho we are - about Thriveworks:Thriveworks is a clinician-owned National outpatient mental health private practice groupWe are currently operating in 48 states and are continuing to expandCorporate headquartered in Fredericksburg, VAA career at Thriveworks isn’t just about finding a job that pays the bills. It’s about helping others, joining a community, and learning to thrive both personally and professionally. We believe that the success of our employees is just as important as the success of our organization in fact, they go hand in hand.So, what do you say Are you interested in joining our team Apply today.#LI-Hybrid #LI-MS1Interested in joining Team Thriveworks We're thrilled to meet you!With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team:Our recruiters and other team members will only email you from or an @thriveworks.com email address.Our interviews will take place over Google Meet (not Microsoft Teams or Zoom)We will never ask you to purchase or send us equipment.If you see a scam related to Thriveworks, please report to . You can contact with any questions or concerns.Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team.By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.
Full Time
12/25/2024
Alameda, CA 94501
(37.9 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S.,MA, or M.S. or Doctorate in Occupational Therapythat the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Related:Occupational Therapist | OT | AOTA Pay Range: USD $54.00 - USD $56.00 /Hr.
Full Time
12/26/2024
Pleasant Hill, CA 94523
(23.1 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/5/2024
Petaluma, CA 94952
(37.3 miles)
Overview: **$5,000 Bonus**Find Your Passion and Purpose as a Clinical Support Specialist RN or LVN/LPNReimagine Your Career in Corporate HealthcareAs a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care.Offer Based on Years of Experience#AC-LPNLVN What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including:Medical, dental, and vision coveragePaid time off and paid holidaysProfessional developmentCompany-matching 401(k) Flexible spending and health savings accountsCompany store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Clinical Support Specialist You Can BeIf you meet these qualifications, we want to meet you!RN or LVN/LPN with current licensure to practice nursing in the practicing state.Possess and maintain CPR certification.Previous experience in home care setting preferred.Prior use of Electronic Medical Records (EMR) preferred.Knowledge of accepted professional standards and practice, Medicare Conditions of Participation, and federal, state, and local regulatory requirements.Demonstrates excellent observation, nursing judgement, and communication skills.Must be a licensed driver with an automobile in good working order.Come As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $32.40 - USD $51.85 /Hr.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Core Manual underwriting team is responsible for balancing operating income and membership goals while protecting the company’s bottom line from loss. The group underwriter, large (experience) will report to the group underwriting manager. In this role you will directly contribute to the company achieving its financial and strategic goals for employer accounts with 101 or more eligible subscribers.Your WorkIn this role, you will:Collect, review and analyze customer specific information including financial condition, employee demographics, carrier history and previous claim experience to determine risk, potential benefit features and premium rates for fully insured groups requiring minimal customizationUnderwrite new and renewal business by calculating monetary risk along with amendments to existing contractsAssist as necessary in the negotiation of benefit plan designs and financial assumptions with sales teams on new and renewed businessReview and approve all sales requests within company established standards and policy guidelinesReview and interpret ad hoc reports as requested and produce ongoing reportsMay assist the sales team in implementing new and existing contracts by reviewing final enrollment numbersProvides underwriting knowledge sharing and education to peers and/or members of the sales teamYour Knowledge and ExperienceRequires a bachelor's degree in a related field such as finance, mathematics or accounting and/or equivalent combination of education and experienceRequires at least 3 years of prior relevant experienceRequires working knowledge of underwriting principles and proceduresRequires demonstrated math/statistical, analytical and problem-solving skillsRequires an attention to detail and accuracy and understanding of the company’s revenue, operating income and membership goalsRequires ability to solve complex problems with sometimes ambiguous informationRequires good time management and customer service skillsPay Range: The pay range for this role is: $ 71280.00 to $ 99770.00 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-LC1
Full Time
12/8/2024
Pleasant Hill, CA 94523
(23.1 miles)
Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend. The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Salesforce, Workday, or PayPal among other leading organizations in the California Bay Area (Pleasant Hill, San Francisco, San Jose). Are you eligible You can apply to Year Up United if you are: - 18-29 years old - A high school graduate or GED recipient - Eligible to work in the U. S. - Available Monday-Friday throughout the duration of the program - Highly motivated to learn technical and professional skills - Have not obtained a Bachelor's degree What will you gain Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. Some coursework is eligible for college credit. During the internship phase, Year Up United students earn an educational stipend of $525 per week. In-depth classes include: - Application Development & Support - Helpdesk/Desktop Support - Project Management Support - Banking & Customer Success - Data Analytics Get the skills and opportunity you need to launch your professional career. 80% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Full Time
12/4/2024
Mill Valley, CA 94941
(39.3 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S., MA, or M.S. or Doctorate in Occupational Therapy that the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $55.00 - USD $60.00 /Hr.
Full Time
12/17/2024
Davis, CA 95616
(23.6 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productionFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Risk Adjustment Provider Partnership team provides essential support to all functions within the risk adjustment program, which includes interaction with various cross-functional teams within Blue Shield and contracted Provider Groups. The Risk Adjustment Consultant, Senior will report to the Manager, Risk Adjustment Provider Partnership. In this role, you will work with Provider Group leaders to improve recapture rates, understand clinical suspects, and ensure accurate documentation and coding. The Risk Adjustment Consultant, Senior will also implement Blue Shield Programs to meet CMS and risk adjustment coding guidelines and manage projects within the Risk Adjustment Provider Partnership team. The ideal candidate should have strong customer service skills, project management abilities, organizational skills, analytical skills, be self-motivated, and demonstrate high attention to detail. Your Work In this role, you will: Analyze information for core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniquesTrain lower-level analysts on how to update and apply these advanced analytic techniquesContribute to successful programs for the team, engaged multiple areas related to vendor oversight, internal cross-functional partnerships, tracking performance and measuring resultsLead data analysis, documenting and verifying the assumptions used in computations such as those used in member risk data and score submissions and establishing revenue accrualsManage the development and implementation of process of company's projects involving departmental or cross-functional teams focused on delivery of new or existing internal/external programs and/or productsConsult with provider groups to develop tailored plans aimed at enhancing their risk adjustment processes, boosting RAF performance, and improving coding specificityAssist provider groups in comprehending the various risk adjustment models, with a particular focus on the Medi-Cal CPDS+Rx model as it pertains to payment methodology. This includes guidance on claims and encounter submissions and the critical importance of accurate chart documentation for procedures and diagnosis codingCollaborate with Risk Adjustment Provider Partnership Management and Quality teams to formulate and implement comprehensive risk adjustment strategiesUse analytics to identify training opportunities and collaborate with providers to clarify missing or inadequate information for determining appropriate diagnostic and procedure codesCollaborate with Analytics and internal departments for accurate monthly reports sent to Provider GroupsOversee internal administrative projects and manage the department inbox, addressing requests from Provider Groups and key internal departmentsYour Knowledge and ExperienceRequires a bachelor’s degreeRequires at least 3 years of professional experienceRequires knowledge of ICD-10, Risk Adjustment, Medicare Quality/Stars, analytics/finance, provider contracting, provider relations, medical management and/or provider network management areas of a healthcare-related companyRequires a minimum of 2 years experience facilitating meetings and presenting program education, metrics and results to external parties or internal leadershipRequires an understanding of clinical metrics, claims/encounters and analyticsRequires proficiency in Excel, Word, PowerPoint, and OutlookPay Range:The pay range for this role is: $ 99000.00 to $ 148500.00 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-RU1
Full Time
12/8/2024
Pleasant Hill, CA 94523
(23.1 miles)
Year Up United is a one-year or less, intensive job training program that provides young adults with in-classroom skill development, access to internships and/or job placement services, and personalized coaching and mentorship. Year Up United participants also receive an educational stipend. The program combines technical and professional training with access to internships and job placement support through our industry-leading talent placement firm YUPRO Placement. If you receive an internship, it may be at Salesforce, Workday, or PayPal among other leading organizations in the California Bay Area (Pleasant Hill, San Francisco, San Jose). Are you eligible You can apply to Year Up United if you are: - 18-29 years old - A high school graduate or GED recipient - Eligible to work in the U. S. - Available Monday-Friday throughout the duration of the program - Highly motivated to learn technical and professional skills - Have not obtained a Bachelor's degree What will you gain Professional business and communication skills, interviewing and networking skills, resume building, ongoing support and guidance to help you launch your career. Some coursework is eligible for college credit. During the internship phase, Year Up United students earn an educational stipend of $525 per week. In-depth classes include: - Application Development & Support - Helpdesk/Desktop Support - Project Management Support - Banking & Customer Success - Data Analytics Get the skills and opportunity you need to launch your professional career. 80% of Year Up United graduates are employed and/or enrolled in postsecondary education within 4 months of graduation. Employed graduates earn an average starting salary of fifty-three thousand dollars per year.
Full Time
12/10/2024
Danville, CA 94506
(33.4 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions. Pay Range: USD $55.00 - USD $57.00 /Hr.
Full Time
12/26/2024
Walnut Creek, CA 94598
(25.1 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/8/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Sr. Principal Actuarial Analyst for our Medi-Calteamis responsible for overseeing rate development & rate analysis, Medi-Cal program analysis, experience reporting, and Medi-Cal program strategy. This position requires directly managing 1 actuarial analyst and partnering with Senior Leadership and cross-functional teams to drive successful strategy and analytics. This role will report directly to the Senior Director of Medicare Finance & CFO Promise Health Plan. 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. Your Work In this role, you will: Rate Development/Analysis; Influence & Negotiation Be responsible for developing, updating, and evaluating all rate packages from DHCS including development factors, trend support, actuarial assumptions, program analysis, and risks or opportunitiesReport to the CFO of Promise Health Plan and senior executives of Promise Health Plan financial opportunities and areas of focus for performance optimizationAssist with, and influence, rate negotiation and rate guidanceRevenue & Cost of Healthcare Forecasting for Medi-Cal / Promise Health Plan Develop, implement, manage and own advanced analytics projects from end to end and proactively add improvements and enhancementsExplain and influence the project to audiences outside the job function and to senior leaders. Will drive and ensure alignment of project with team goals and long-term strategic goalsConduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluate actuarial risk related analysisMedi-Cal Program Actuarial Support & Revenue optimizationFinancial and Actuarial Process support and Talent developmentMedi-Cal strategy development & program planning Acts as the lead subject matter expert in the data areas of claim, premium, membership, and/or risk score assignmentWork closely with Senior Leadership at Promise Health Plan to understand strategic direction and financial strengths and opportunitiesPartner with financial and actuarial leaders to strengthen finance and actuarial processes and build strong talent pipelinesPartner with CFO of Promise Health Plan on annual budget setting process and on-going forecasting processesResponsible for evaluating and explaining monthly financial variances to plan for revenue and cost of healthcareUnderstand the core principles and act as an expert within a specialized discipline, along with the functionality underlying decision, descriptive, predictive and prescriptive advanced analytic methods Your Knowledge and Experience Requires college degree in mathematics, statistics, computer science or equivalent business experienceRequires 8 years of professional health actuarial experience.Requires a minimum of 5 years of experience in health actuarial pricingRequires an ASA, may have FSA designation, must be working towards FSA if not completeRequires extensive knowledge of job area (including health plan operations) and regulations obtained through professional experience and advanced education.Requires a mastery level knowledge within the Actuarial job area and may have deeper knowledge of project management.Requires a high proficiency in applied statistics skills, such as distributions, statistical testing, and regressionRequires the ability to program in SQL, SAS and/or Tableau, and experience with common data science toolkits such as R and PythonRequires a business level, functional exposure to three or more machine learning algorithms such as random forest, decision trees, clustering, generalized linear models, principle component analysis Pay Range: The pay range for this role is: $ 172260.00 to $ 258280.00 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.
Full Time
12/4/2024
Greenbrae, CA 94904
(37.0 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $60.00 - USD $63.00 /Hr.
Full Time
12/26/2024
Walnut Creek, CA 94598
(25.1 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Back Office Analytics team supports operations stakeholders with dashboarding, analytic studies, and statistical modeling to drive a better member/provider experience while reducing both administrative and healthcare costs. The Medical Informatics Analyst, Consultant will report to the Sr. Manager of Back Office Analytics. In this role you will provide analytic support to the operations team which involves defining a business problem, developing an analytic framework, and producing analytically driven insights and solutions that support transformational initiatives improving health care operations efficiency and member experience. You will face off directly with executive leadership to understand business challenges and present your analytic findings. You will own the relationship with your executive stakeholders and be responsible for delivering on their priorities within committed timeframes. Your Work In this role, you will: Proactively and aggressively partner with business stakeholders to understand problems and provide guidance / support before you are askedConduct independent analysis of highly complex domains under minimal supervision and guidanceDevelop analytical methods so that they may be subsequently delegated for production to Medical Informatics Analysts at lower levelsDevelop documentation and create / execute workplans for analyses. Workplans may coordinate the activities of Medical Informatics Analysts at lower levels and may involve collaboration with more than one teamProvide training and mentoring for team members on best practices for analysis andAnalyze structured and unstructured data to size and solve different business problems which can include uncovering pain points, performing root cause analysis, recommending, and sizing improvements for prioritizationBuild complex data sets from disparate sources with required linkages to enable analyticsUse statistics, text mining, topic modeling, predictive modeling to answer business questions and generate insights/outcomes that relate to solving business problemsWork directly with business stakeholders and leaders to become an "embedded" analytic partner who understands the business and is ready to contribute directly to meeting stakeholder goalsLead teams of full time and contract analysts to produce impactful insights in a highly matrixed and fast paced environmentYour Knowledge and Experience Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experienceRequires advanced level proficiency in SAS, R, or Python (preferred) for data wrangling, automation, and creating statistical and machine learning modelsRequires at least 7 years of prior relevant experienceRequires expert level skill with SQL, Excel, data visualization (Tableau preferred), query tuning, various database models (normalized / dimensional / data vault / etc.)Requires high level of curiosity, superior conceptualization, and problem-solving skillsRequires proficiency in statistics, regression techniques, text mining, predictive modelingDesire at least 5 years of experience in Health Care (managed care, academic, or gov't payer)Desire proficiency in agile methodology, confluence, Jira, etc.Desire proficiency in cloud-based computing and data platforms (Azure, Google Cloud, BigQuery, Snowflake, DataBricks)Desire experience with medical claims payment, payment integrity, corporate recovery, provider operations/relations, provider network management, inventory management, workforce productivity measurement Pay Range: The pay range for this role is: $ 118800.00 to $ 178200.00 for California. Notes: 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.
Full Time
12/26/2024
Greenbrae, CA 94904
(37.0 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate part-time Speech Language Pathologist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accrediteduniversity with an MA, or M.S. in communication disordersthat ASHA recognizes and state board.SLP holds a current license and/or registration as a Speech Language Pathologist in-state as applicable.Responsibilities:Provide comprehensive speech therapy evaluations as per MD orders.Document findings on the standardized evaluation format neatly, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration and treatment modalities, therapeutic interventions, clinical and technical guidelinesEnsure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modifying patient treatment as indicated and adhering to precautions. Pay Range: USD $63.00 - USD $65.00 /Hr.
Full Time
12/26/2024
Walnut Creek, CA 94598
(25.1 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/5/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Actuarial Pricing team is responsible for forecasting costs and revenues to ensure the financial stability of the company. The Actuarial Analyst, Principle will report to the Senior Director, Select, ASO & Specialty Pricing. In this role you will be responsible for all Actuarial support for the CalPERS PPO product. This role will include responsibilities across all the major Actuarial disciplines, including forecasting, pricing, cost of healthcare analysis, and reserve setting. Your Work In this role, you will: Understand the core principles and functionality underlying decision, descriptive, predictive, and prescriptive advanced analytic methodsConduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysisCoordinate, prepare, perform, and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategiesPerform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploys predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficienciesLead, coordinate and/or develop strategic, market and competitive analysisWork directly with Senior Leadership, up to and including the CEO, to manage this exciting new product and ensure Blue Shield is achieving our commitments to CalPERS Your Knowledge and Experience Requires a bachelor's degree in mathematics, statistics, computer science or equivalent business experienceRequires an ASA and must be working towards the completion of an FSARequires at least 8 years of professional actuarial experiencePricing and forecasting experience is preferred Pay Range: The pay range for this role is: $ 145970.00 to $ 218900.00 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.
Full Time
12/26/2024
Walnut Creek, CA 94598
(25.1 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on production.Flexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/24/2024
Alameda, CA 94501
(37.9 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Alliance is part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate part-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Alliance you will enjoy:Unparalleled schedule flexibility and supportive company cultureDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S.,MA, or M.S. or Doctorate in Occupational Therapythat the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Related:Occupational Therapist | OT | AOTA Pay Range: USD $53.00 - USD $56.00 /Hr.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Network and Provider Analytics team drives the development of an affordable provider network through data analytics and expertise. The Senior Actuarial Analyst will report to the Senior Manager. In this role you will perform financial analyses and modeling for CalPERS provider contracting support including term changes, renewals, network changes, and terminations for hospitals, ambulatory surgery centers and other types of providers. Your Work In this role, you will: Understand the core principles and functionality of decision, descriptive and predictive analytic methods including forecasting, statistical and machine learning techniques Conduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysis Coordinate, prepare, perform and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategies Perform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploys predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficiencies Develop evaluation and financial reporting standards for internal and external reports Conduct independent analysis of high complexity under moderate supervision and guidance, develop novel analyses and reportsDevelop documentation and create and execute workplans for analyses of high complexityCreate financial unit cost trend reporting and rate calculations under moderate supervision using Excel modeling toolsRun and maintain SAS queries to gather data required for complex financial analysisReprice historical data against provider contract terms based on deep understanding on contract structure and configurationAnalyze CalPERS PPO contract rate proposals from hospitals and ambulatory surgery centers to assess the financial and trend impactPartner with network management department in maintaining and developing the CalPERS PPO provider network and contracting strategy Your Knowledge and Experience Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experienceRequires a minimum of 3 years of professional actuarial experienceRequires 2 years of experience in Health Care (managed care, academic, or government payer)Requires eperience analyzing healthcare claims data, trends, and forecastingRequires proficiency in Exce and comfort working with large data setsKnowledge of SAS is preferred Pay Range: The pay range for this role is: $ 99000.00 to $ 148500.00 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.
Full Time
12/26/2024
Oakley, CA 94561
(25.6 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/24/2024
Mill Valley, CA 94941
(39.3 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Occupational Therapist to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited university with a B.S., MA, or M.S. or Doctorate in Occupational Therapy that the AOTA recognizes.Recognized by the NBCOT as a designated OTR (if state mandated)OT holds a current license and/or registration as an Occupational Therapist in-state as applicable.Responsibilities:Provide a comprehensive occupational therapy evaluation based on MD orders.Document findings on the standardized evaluation form timely, accurately and adhering to all guidelines.Provide a comprehensive treatment plan including long and short-term goals, frequency, duration, and treatment modalities.Ensure MD orders are obtained for evaluations, treatments, recertifications and discharges.Provide comprehensive treatment to patients utilizing modalities and modify patient treatment as indicated while adhering to precautions.Work settings include: Outpatient, rehabilitation center, long term care, inpatient, clinic, nursing home, acute care, hospital Pay Range: USD $55.00 - USD $60.00 /Hr.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Cost of Health Care Actuarial team is responsible for supporting the Pharmacy Reimagined strategy in addition to traditional actuarial functions of claim reserves and cost trends. The Pharmacy Medical Informaticist, Principal will report to the Senior Director, Cost of Health Care Actuarial. In this role you will support the Pharmacy Team’s strategic objectives in contract negotiations, pricing for self-funded employer groups, formulary changes, product development, and initiative evaluation. Your Work In this role, you will: Use deep understanding of underlying business requirements to conceptualize and develop analytical systems that meet important business needsDesign and develop these systems so that they can be used by lower-level analysts thereby promoting company-wide efficienciesCoordinate activities with other internal departments to maximize overall efficiency and resolve conflictsCommunicate project status, progress, and outcomes to executive managementFulfill a leadership role in the critical review and ongoing development of data management and analytical systems for strategically important enterprise-wide analysis and reportingSupport vendor financial contract performance evaluation, forecast and negotiation (e.g. rebates, network contracts)Support development of budget/trend impact models and formulary strategy models for high impact existing and pipeline drugsProvide Rx data support and participate in product governance /value assessment committee on Rx benefit and formulary strategySupport ASO product strategy evaluation and coordinate with UW and Actuarial Trend teams as neededSupport RxCare strategic initiatives evaluation as needed Your Knowledge and Experience Requires an MPH, MBA, MS, MA, RN, or RHIA in health science, quantitative social science, public health, health services research or business, or BA/BS with demonstrated equivalent work experienceRequires SAS Certified Base Programmer Credential or equivalent and SAS Certified Advanced Programmer Credential or equivalentRequires at least 10 years of prior relevant experienceRequires at least 5 years of experience in Health Care (managed care, academic, or gov't payer)Requires experience at a Pharmacy Benefit Manager (PBM) Pay Range: The pay range for this role is: $ 145970.00 to $ 218900.00 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.
Full Time
12/26/2024
San Pablo, CA 94806
(27.9 miles)
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better. Our mission is to help people lead healthier, more fulfilling lives by improving access to trusted, affordable, and personalized mental healthcare. Everywhere. Every day. It’s a lofty goal; we know. But we make it happen with the best team in behavioral health.Thank you for taking the time to explore a career with us. As the fastest growing behavioral health practice group in the country, now is the perfect time to join our clinical team! We are actively looking to hire talented Psychologists in the area, who are passionate about patient care and committed to clinical excellence. We offer Psychologists:Compensation range of $136K to $182K based on productivityFlexible work schedules. Telemedicine and in-person flexibility.Full benefits package: health, dental, vision, life, 401k (with match), paid parental leave, holidays, EAP and more. Collegial work environment. Newly designed and modern offices. Full administrative support. Latest in digital technology. Strong work/life balance.Psychologists are a critical part of our clinical team. We’re seeking Psychologists that are:Fully licensed and credentialed in California, including a Ph.D. or Psy.D.Experienced with caring for adult and/or child and adolescent populations.To learn more about this position contact Jackie at jackie.Kalpin@lifestance.comAbout LifeStance HealthLifeStance is a national provider of mental healthcare services focused on evidenced-based, medically driven treatment services for children, adolescents and adults suffering from a variety of mental health issues in an outpatient care setting, both in-person at its clinics nationwide and through its digital health telemedicine offering. The company employs psychiatrists, psychologists, psychiatric nurse practitioners, and licensed therapists throughout the US. LifeStance Health is an equal opportunity employer. We celebrate diversity and are fully committed to creating an inclusive work environment for all our employees.Our values:Belonging: We cultivate a space where everyone can show up as their authentic self.Empathy: We seek out diverse perspectives and listen to learn without judgment.Courage: We are all accountable for doing the right thing - even when it's hard - because we know it's worth it.One Team: We realize our full potential when we work together towards our shared purpose.
Full Time
12/4/2024
Mill Valley, CA 94941
(39.3 miles)
Overview: Must be a licensed and or a registered therapist to be considered.** EXCLUSIVE NEW JOB OPPORTUNITY!!*****Highly competitive rates and benefits package! ***Do you know a therapist who's a perfect fit for our team EARN UP TO $1,000 by referring a clinician to the Enhance family of brands! Make a difference and get rewarded for it!https://enhancetherapies.com/refer-a-friend/ About Us: South Pacific Rehab/Rehab Allianceis part of Enhance Therapies, a family of therapy companies with more than 30 years of industry leading experience. With over 7,000 therapists in 28 states and growing, we provide quality rehabilitation services to homecare, sub-acute, long-term care, outpatient, hospital, and assisted living facilities throughout the nation.South Pacific Rehab/Rehab Allianceis hiring! We are looking for a passionate full-time Physical Therapist Assistant to join our growing team. In the same way that you are committed to quality work, we are equally dedicated to helping you grow and succeed with us.At South Pacific Rehab/Rehab Allianceyou will enjoy:Unparalleled schedule flexibility and supportive company cultureHealthcare benefits packageDynamic company partnerships to ensure career stability401K Plan with company matchOnline CEU CreditsPromotion / Advancement / Transfer OpportunitiesReferral bonus program eligibilityEmployee Assistance ProgramStudent mentor programWe offer additional benefits and perks, please reach out todayWe hire candidates who need H1B Sponsorship to include those on student Visa’s, H1B transfer and new H1B filing. Contact us today to learn about our amazing immigration program! Qualifications: Graduate of an accredited college with an A.S., in Physical Therapist Assistant that the APTA recognizes.PTA holds a current license and/or registration as a Physical Therapist Assistant in-state as applicable.Responsibilities:Physical Therapist Assistant provides comprehensive treatment to patients under the supervision of a PT according to state practice guidelines.Assist PT in identifying appropriate patients and referring them to rehab accordingly.Document patient’s progress on weekly progress note in an accurate and timely fashion, and obtain the co-signature of the PT.Ensure MD orders are obtained for treatments, recertifications and discharges.Physical Therapist Assistant completes all required documentation requirements as indicated and according to state guidelines.Related:Physical Therapist Assistant | PTA | APTA Pay Range: USD $45.00 - USD $48.00 /Hr.
Full Time
12/21/2024
Oakland, CA 94616
(35.9 miles)
Your Role The Large Group Pricing team is responsible for pricing and forecasting our Large Group Health Insurance products. The Experienced Actuarial Analysts will report to the Manager. In this role you will be applying your analytical toolset to project the future costs and premiums for the Large Group customers, as well as additional analysis and reporting for emerging results. Your Work In this role, you will: Understand the core principles and functionality of decision, descriptive, predictive and prescriptive analytic methods including forecasting, statistical and machine learning techniquesUnderstand the core principles and functionality of decision, descriptive, predictive and prescriptive analytic methods including forecasting, statistical and machine learning techniquesConduct and develop analysis, assess risk and population risk scores and assignment, develop pricing and trends, assess changes in benefit designs, develop reserves, perform forecasting, analyze provider reimbursement terms and/or evaluates actuarial risk related analysisCoordinate, prepare, perform and audit actuarial analyses to assist in the development of complex actuarial formulations leading to the recommendation of pricing, trending, reserving, provider reimbursement and/or risk assessment strategiesPerform data exploration using a combination of statistical programming languages (including, but not limited R, Python, SQL, SAS) and deploy predictive analytics and machine learning techniques to improve risk prediction, improve reserve, trend and financial forecasting in a manner that is actuarially sound, and enable real-time results and operational efficienciesDirect, coordinate, and/or develop evaluation and financial reporting standards for internal and external reportsProduce timely various standard analytic reports for internal and/or external useStudy for exams towards credentials Your Knowledge and Experience Requires a bachelor’s degree with at least a minor in mathematics, statistics, computer science or equivalent business experienceRequires at least 2 years of professional actuarial experienceTypically, has completed 1 to 2 courses towards the eventual attainment of the Associate, Society of Actuaries (ASA) designation Pay Range: The pay range for this role is: $ 79750.00 to $ 111650.00 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.
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