YourRole The Children's Services Program (CSP) team provides identification, referrals, and care management for all Medi-Cal members under 21 years old and collaborates within Promise ClinicalTeam.The CaseManagement LVNConsultant willreporttotheCSPManager.Inthisrole you will be perform clinical review, assessment, evaluation of medical services for the organizationusingtheestablishedandapprovedBlueShieldMedicalPolicies andCCS/EIES/ DDS/CSHCN/EPSDT eligibility guideline which align with nationally recognized standards. Responsible for managing member needs for specific CCS/EIES/DDS/CSHCN/EPSDT and other clinical programs and care coordination.Responsible in assisting and working daily inventory, providing high-quality clinical reviews, performing efficient case management and care coordination, and ensuring compliance performance metrics are met.In addition, the CM LVN ConsultantwillassisttheCSPManagersinimprovingoperationalprocessesandimplementation of new regulatory requirements. They would also assist in training and developing CSP staffs performance.YourWorkInthis role,you will:PerformCare Management/Care Coordination formembers usingBSCevidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medi-Cal and CCS/EIES/DDS/ CSHCN/EPSDT Eligibility guidelines.Conducts clinicalreviewof claimsformedicalnecessity,codingaccuracy,medical policy compliance and contract complianceEnsuredischarge(DC)planningatlevelsofcareappropriateforthemembersneeds andacuityanddeterminepost-acuteneedsofmemberincludinglevels ofcare, durable medicalequipment,andpost service needsto ensure qualityand cost- appropriate DC planningPrepare andpresentcasestoMedicalDirector(MD) formedicaldirectoroversight and necessity determination and communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelopandreviewmembercentereddocumentationandcorrespondencereflecting determinations in compliance with regulatory and accreditation standards andidentify potentialqualityof care issues,serviceortreatmentdelays andintervenes or as clinically appropriatePreparesandpresents cases toMedicalDirector(MD)formedicaldirectoroversight and CCS eligibility determination.Communicatedeterminationstoprovidersand/ormemberstoincompliancewith state, federal and accreditation requirements.Develops and reviews member centered documentation and correspondence reflectingdeterminations incompliancewithregulatory andaccreditationstandards.Identifies potential quality of care issues, service or treatment delays and intervenes orasclinically appropriateandprovidecarecoordinationtoidentifiedCHPmembers.Provides referrals to Social Services, BehavioralHealth,AppealsandGrievance,andQualityDepartmentsasnecessary.In additiontocollaborationwithCountyCCSandRegionalCenters.Inaddition,theCM LVN Consultant will assist the CSP Managers in improving operational processes and implementationofnewregulatoryrequirements.Theywouldalsoassistintrainingand developing CSP staff’s performance.YourKnowledgeandExperience Requiresa bachelor'sdegree or equivalentexperienceRequiresacurrentCaliforniaLVNLicenseRequires at least7 yearsofpriorrelevantexperienceAminimum of 4years'experiencein Medi-CalClinicalReview, CaseManagementand Care Coordination.Aminimum of 2years'experiencewith ChildHealthPrograms[CCS,EI,ES, DDS, EPSDT, CHDP preferred]DemonstratedknowledgeofCMS/DHCSprotocolsand requirementsDemonstratedunderstandingofNCQA/CMS/DHCSregulatoryauditrequirementsCareCoordinationandCaseManagementexperience Pay Range: The pay range for this role is: $ 77990.00 to $ 116930.00 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

Hey detail-oriented person! We handle product movement at retail. We display it, we move it, we track it; making sure stores and their product suppliers have the best opportunities for optimal sales. Is your retail career ready for a boost Looking for the next step and a path to management Then make sure you choose the right place to grow. We offer great opportunities throughout our dynamic organization for you to ignite your goals. We’re hiring now so chat with us!What you get:Competitive wage; $22.00 per hourGet paid quicker with early access to earned wages.Growth opportunities abound – We promote from within. Simple. Excel and advance.We offer benefits that can be customized to meet your family’s needs, including medical, dental, vision, life insurance, supplemental voluntary plans, wellness programs, and online discounts.Now, about you:You’re 18 years or olderWith reliable transportation and valid driver’s licenseYou like physical work of moving, bending, standing and can lift up to 25 lbs.You have 1-2 years of merchandising experienceYou have experience as a supervisor or a leader of a projectClick here to learn more from our team. Join us and see what’s possible for you! Click to get started.

RSC Human Resources ManagerAbout This RoleWe have an opportunity for a Human Resources Manager at our distribution center in Sacramento, CA. The RSC Human ResourcesManager leads and administers the organization's HR programs and policies and is accountable for all employment law compliance, talent acquisition, employee relations, performance management practices, community relationships and guidance of consistent practices and processes for the RSC. This role leads a team to ensure a high level of HR service is met to strategic operational partners throughout the Retail Support Center. They will have oversight and manage the employee services function at the RSC as well. This includes CMN as well as other company and community events. Additionally, the position will participate in recruiting and onboarding all senior manager roles within the RSC with guidance from the Retail Support Director (RSD) and Regional HR Manager.The RSC HR Manager will also act as the strategic business partner with Operations within the RSC. This will include all exempt and non-exempt talent acquisition, employee relations, policy administration and assistance with employee services and events for the RSC.What You’ll DoLead, support and encourage our Ace Values: Winning, Excellence, Love, Integrity, Gratitude, Humility and Teamwork.Collaborates with and assists the RSC Regional HR Manager with RSC specific HR strategy. Recommend new approaches, policies, and procedures to ensure continual improvements and efficiencies with RSC.Lead and administer organization's HR programs and policies as they apply to employee relations, comp, bens, safety, performance, and staffing.Manages day to day operations of the HR team within the RSCOversee talent acquisition and employee on-boarding process for RSC population,compensation equity and compliance, unemployment administration, leaves of absence administration, workers comp administration, benefits administration, personnel file administrationPartners with Regional HR Manager on strategic direction of the department and creates goals for team based on directionResponsible for planning and managing the business within General Admin cost centerPartners with operations to train, develop and mentor RSC exempt staffInvestigate employee relations issues within the RSC and determine the best corrective action solution for each unique situation.Participate in final termination decisions, respond to all employee relations issues/concerns and conduct employee relations investigations as requiredProvide guidance to exempt staff on employee relations/performance issues; consult on the development of performance goals; editing performance appraisals; drafting constructive criticism or development feedback for inclusion in performance appraisalsCollaborate with operations team to create and oversee employee recognition programs, employee events and other activities to help create a positive and highly engaged environment.Ace Hardware is committed to promoting and maintaining a safe, healthy and injury-free environment for all team members. This is our number one priority, and we will support programs and initiatives that focus on this commitment. It is critical that all team members take responsibility for their safety as well as the safety of others to ensure that Ace Hardware is a world class safety organization.What you need to succeed:Be a safety champion by promoting a safe and productive workplace through your own actions, including the proper use of PPE, safe operation of powered equipment and safe lifting techniques as determined by the role.Be an active participant in contributing to a successful safety culture in the facility.Bachelor’s Degree in HR or related fieldPHR or SPHR Certification preferred5 years HR management experienceExcellent leadership, interpersonal, communications, research, negotiations, persuasion, analytical, problem solving, resourcefulness and influential staff development skills.Detail orientated self-starter able to handle heavy, priority shifting workload with minimal supervision.Ability to multi-task and work well in a high-pressure environment.Outstanding interpersonal skills, with the ability to create effective relationships throughout the organization with both rank & file as well as upper management.Successful and demonstrated HR generalist experience with proven track record of increased responsibility.Compensation Details:$101000 - $126000 per yearWhy should you join our team We live our values - W.E.L.I.G.H.T (Winning, Excellence, Love, Integrity, Gratitude, Humility, and Teamwork). Gratitude. Humility. Love. You don’t often see values like these in most corporate statements, but Ace is different. These things are important to us. They represent our commitment to the company, our employees, to Ace retailers and to the Ace brand.In addition to providing our employees a great culture, Ace also offers competitive benefits* that address life’s necessities and perks, many of which expand and improve year after year, including:Semi-Monthly PayIncentive opportunities, based on role/grade level (rapid company growth over the past 5 years resulted in incentives being paid out at an average of 122% of your target opportunity!)18 days of vacation immediately available (prorated in the first year) and up to 9 paid holidays depending on the month of hireComprehensive health coverage (medical, dental, vision and disability – up to 26 weeks short-term disability and long-term disability)& life insurance benefits for you and your dependents.Generous 401(k) retirement savings plan with a fully vested matching contribution the first year in addition to quarterly contributions and annual discretionary contribution (once eligibility requirements have been met).Over the past 5 years, company contributions (matching, quarterly & discretionary) for fully eligible employees have averaged 9.6% of total eligible compensationAce invests in every employee we hire, with a key focus on development and coaching. We offer on-site classes, facilitator-led courses, and a generous tuition assistance program, plus a performance management approach that goes beyond the typical annual review.Your career at Ace is more than just a job. It’s a chance to be part of something meaningful. We help locally-owned businesses thrive and make an impact in their communities – and we support our employees in doing the same by offering our employees opportunities to help Children’s Miracle Network Hospitals and the Ace Helpful Fund through the Ace Foundation.Employee discounts on Ace merchandise (including top brands like Weber, Traeger, Yeti, Craftsman, DeWalt and more), travel, fitness, computers and thousands more.Employee Assistance Program (EAP) – access to free visits to therapists and lawyers, guidance on financial matters, elder and childcare, and assistance with tickets to entertainment events.Birth/Adoption bonding paid time offAdoption cost reimbursementIdentity theft protection* Benefits are provided in compliance with applicable plans and policies.Want to be notified when new jobs are posted Follow the link below to create an account and set up custom job alerts:Create Job AlertWe want to hear from you!When most people think of career opportunities with Ace Hardware, they often think of the helpful cashiers and sales associates at their local store. However, have you also considered the people behind the scenes who select, promote, ship and process the invoices for more than 75,000 products Maybe you haven't, but we'd like you to. Because together we help our customers take care of their homes. Come find out why a career with the Ace Hardware Corporation is one of America's best kept secrets.Equal Opportunity EmployerAce Hardware Corporation is committed to a policy of promoting equal employment opportunities. The company recognizes the importance of diversity and leveraging the skills and talents of all people to the mutual advantage of each individual and the organization. The company is committed to the prevention of employment discrimination related to race, religion, color, sex (including sexual harassment), gender identity, national origin, age, marital status, disability and military or veteran status, sexual orientation or any other action covered by federal or applicable state/local laws.DisclaimerThe pay range for this position starts as listed in the job posting, but could be higher based on education and experience. Please note, compensation decisions are dependent on the facts and circumstances of each opening. We take into consideration the minimum requirements outlined in the job description, such as an individual’s education, training and experience, the position’s work location, required travel (if any), and external market conditions when determining the final salary for potential new hires. Be aware that salary estimates published via alternate online job boards may not be a true representation of the actual pay range offered for this position. Please refer to the Ace position description for the accurate starting pay range information and feel free to discuss this with a Talent Acquisition professional if you are chosen to move forward with an interview. This written “Position Description” is not intended to cover all aspects of the position listed. It is meant to cover the basic/general essential job functions of a particular position. Ace Hardware Corporation reserves the right to change job duties, including essential job functions, according to business necessity.

Develop a sound business plan to capture and penetrate market share within the division’s footprint, focusing on Division customers with sales potential > $0.5m annually. Responsible for producing new account revenue in line with current organization and individual targets and quotas (minimum of $2 million in first year, $6 million annually in following years), or annual target agreed with Division President and VP Sales.Utilizing Key Performance Indicators (KPIs), focus on (1) opening highest potential new accounts, (2) sales dollars, and (3) gross profit dollars of all new accounts.Responsible for sourcing, pursuing, securing and developing highest potential new business that can be transitioned to a Territory Manager (TM) in order to achieve annual sales and profit operating plans; maintain a pipeline of new, emerging high potential clients.Research potential customer requirements, menu design, business size, current suppliers, etc.; analyze current trends within the market and remain informed of market conditions, product innovations, competitors' products, prices, and sales; share information with customers, along with new menu ideas and products, as part of value-added services provided.Work with Category and Segment Specialists to create order-guide/pricing for prospective accounts; develop and present compelling offering to prospective accounts.Complete new customer credit application forms; work with Customer Solutions Coordinator, Sales Coordinator and TM to ensure an effective on-boarding process as well as to facilitate a smooth handover of the new account to the TM and Sales Coordinator, including any AR responsibility while in development.Maintain full understanding of company IT tools to identify high potential opportunities and update progress; utilize Company-approved data base for lead generation; communicate with District Sales Managers on field intelligence and observations.Selective involvement in the SOS process, only for accounts recently opened by NBM where they areat-risk of churn. Visit customers, understand concerns and change offerings, pricing as required; maintain contact with new accounts as required; conduct Customer Business Review (CBRs) with critical customers upon request.Maintain ongoing relationships with key decision makers; leverage industry contacts to "follow" decision makers as they moveAttend sales meetings, food shows, and vendor, marketing and industry events to network with prospective accountsShare skills and experience with TMs in at 1 – 2 sales meetings/year i.e. how to on-board, do account research, penetration, warming and closing techniquesOther duties assigned by manager.Education/Training:High School diploma or equivalent; Bachelor’s Degree preferred.Related Experience:Must possess a minimum of 3 years sales experience requiredMinimum 3 years of experience opening accounts greater than $0.5m, preferably in foodservice industryExceptional sales and interpersonal skills and proven ability to warm, convert, and close high-potential new street accounts required.Overnight travel may be required to participate in trainings, meetings, or other company events.Knowledge/Skills/Abilities:Excellent communication and negotiation skills required, as well as strong interpersonal skills and ability to successfully build relationships internally and externally, leveraging relations to achieve business goals.Able to present in front of large groups of people utilizing creative presentation skills.Highly motivated, results-driven and able to work autonomously; detail-oriented, ability to work under pressure and meet tight deadlines.Working knowledge of Microsoft Word, Excel and PowerPoint is required.Compensation depends on relevant experience and/or education, specific skills, function, geographic location, and other factors as applicable by law.The expected base rate for this role is between $75,000 and $120,000.This role will also receive incentive compensation. Benefits for this role may include health insurance, pre-tax spending accounts, retirement benefits, paid time off, short-term and long-term disability, employee stock purchase plan, and life insurance. To review available benefits, please click here: https://www.usfoods.com/careers/benefits.html.#LI-BK1

As a General Manager, you will be collaborative and inclusive in helping our customers while leading a fun, team-oriented retail culture. You’ll make a visible impact as a retail leader and business professional in driving your stores community relationships, merchandise sales, technical services portfolio, print & marketing services, and business-to-business network. Get great perks. Two bonus plans, generous paid time off, career development program, and weekly payCompensation based on qualifications and experience. Hiring immediatelyFull medical benefits package, 401(k) with company match, and many more benefitsAssociate store discount and more perks (discounts on mobile plans and other retailers, etc.) Provide strong leadership in community, customer service, sales, and team development. Ensure that the store culture embodies Staples values and its commitment to the communityDevelop a consultative and customer centric environment for the small business customerEmpower your team to learn, grow and deliver through teaching, coaching and inspiringLead merchandise sales, print & marketing services and retail operationsDrive profitable sales and margin while reducing variability and improving performance YoYHold yourself and your team accountable for flawless execution of operational excellenceCoach every manager and supervisor to create a culture of consultative selling and total solutionsOverall leadership of running a store; additional responsibilities as needed or assigned Essential skills and experience: 1+ year progressively responsible store management experience in a retail environment as a General/Store ManagerStore Operations experience with analysis, planning, financial acumen and driving resultsExperience creating a customer centric environment and working in a consultative selling environment that provides customers a total solutionExperience developing a team in operational excellence to drive profitable YOY sales and marginsAbility to lift/move materials in the 10-50 pound range, climb ladders, stand and walk continuouslyStaples does not sponsor applicants for work visas for this position Preferred skills and experience: Bachelor’s Degree in Business or related fieldAbility to engage with the community and network & support small business customers The world of working and learning has changed. This is your opportunity to be a part of a brand transformation and growth strategy within the retail industry. Staples is helping our customers and community discover innovative products, services, and inspiration that unlock what’s possible, while empowering you to unlock your potential. Our people are the heart of our success and there has never been a better time to join us as we lead the way in a new era of working and learning. Want to learn more about Staples Stores Visit RetailCareers.Staples.com for information and to learn about our career opportunities.Click here to learn more about the employee benefits, programs and perks offered at Staples!Staples is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, protected veteran status, disability, or any other basis protected by federal, state, or local law.Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act; as well as with any other state and local Fair Chance Ordinance/Act regulations.It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

Job ID: 259857Store Name/Number: CA-Folsom (1190)Address: 280 Palladio Parkway Space #901, Folsom, CA 95630, United States (US)Hourly/Salaried: Hourly (Non-Exempt)Full Time/Part Time: Full TimePosition Type: RegularYour Role at Sephora: As a Sales and Service Coordinator, you'll be a key player in our mission to provide an exceptional shopping experience for every client. You'll support all aspects of sales and service initiatives, including paid services, events, classes, loyalty programs, cash handling, and training in your store. If you have a passion for retail sales and service and love being part of a team, this is the perfect role for you.Key Responsibilities:Supporting Sales and Service Initiatives: Support all aspects of sales and service initiatives, ensuring an exceptional shopping experience.Coordinating Paid Services, Events, and Classes: Coordinate paid services, events, and classes.Implementing Loyalty Programs: Support the implementation of loyalty programs.Handling Cash: Responsible for cash handling, ensuring a smooth checkout process.Training Store Team: Educate teams on service offerings, customer experience, and other key areas.Qualifications/Experience:Prior experience in retail sales and service, preferably in a coordinator role.Passion for client service and teamwork.Strong communication skills, ability to multitask.Resilience and adaptability to changing store priorities.Flexible availability to work during “peak” retail hours.Consistent and reliable attendance.Ability to lift and carry up to 50 pounds.While at Sephora, you’ll enjoy.Diversity, Inclusion & Belonging?We pledge to create a beauty community where everyone’s uniqueness is celebrated, respected, and honored.Meaningful Rewards?Sephora offers comprehensive healthcare and wellbeing benefits based on eligibility; Details about our company benefits can be found at the following link: $22.30 - $27.33/hr. The actual hourly pay offered depends on various factors, including qualifications for the position and relevant experience; and other legitimate, non-discriminatory business factors specific to the position or location. Sephora now offers a Flex (on demand) position for employees who can work anywhere from 0-19 hours a week. This flexibility allows you to balance your work schedule with other commitments. This could be a steppingstone into a more permanent position if you are looking for more in the future.Sephora is an equal opportunity employer; and values a diverse and inclusive workplace. All persons will receive consideration for employment without regard to sex, pregnancy, race, color, national origin, gender (including gender identity and gender expression), age, religion, sexual orientation, military/veteran status, disability, or any other legally protected status. Sephora is committed to providing reasonable accommodation in our recruiting processes to applicants with disabilities or other medical conditions.Sephora will consider for employment all qualified applicants, including those with a criminal history, in a manner consistent with the requirements of all applicable federal, state, and local laws, including the Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and the New York City Fair Chance Act.*This job will be posted for a minimum of 5 business days.

The pay range is $69,000.00 - $124,200.00Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at .About us:Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. .A role in Distribution and Receive Centers means being on the very front lines of getting product to the guest as fast as possible – a critical differentiator and one of the most essential functions within Logistics. Whether it’s through focusing on regional or upstream distribution centers, target.com fulfillment centers, or import warehouses, you’ll have the chance to positively impact thousands of fellow team members and Target guests worldwide. There’s so much good work to be done, from Distribution Center Operations, where process and problem solving drive our results, Quality Management, which influences and maintains our good name in the retail marketplace, or overall Distribution Center Productivity, where we’re always analyzing and recalibrating how to best support our people, process and technology investments to support an ever evolving business.A role as an Operations Manager provides a chance to influence with a focus on safety, leadership, excellence, self-motivation, problem-solving and teamwork. You will foster a “safety first” culture through awareness, training and accountability. You will quickly establish yourself as an engaging and inclusive leader with ownership for the team’s ability to maximize its productivity, growth and development. Create a positive work environment though real-time observation and specific, constructive and actionable feedback. Working with a sense of urgency will help ensure that ensure that operational plans are executed, performance and budget goals are achieved and teams are kept informed and coordinated across functions. You’ll have the autonomy to innovate with new approaches to process and method, all in the name of more efficiency and implementing future process flow optimization. Your ability to find root causes to problems will be well supported by an environment of calculated risk and testing. And your commitment to others will shine when you jump right in to help teams meet their business goals.Core responsibilities of this job are described within this job description. Job duties may change at any time due to business needs.About you:• Four-year degree or equivalent experience• Demonstrated leadership ability, with the ability to engage and motivate others• Excellent communication, interpersonal and organizational skills• Good reasoning, conflict-management, and analytical and problem-solving skills• Able to access all areas of the Distribution Center, including the mezzanine platforms• Able to read and interpret necessary policies and procedures to perform updates and operate systems and other programs within the Distribution Center, for example, ability to traverse conveyor crossoversTarget will consider for employment qualified applicants with criminal histories in a manner consistent with the San Francisco and City of Los Angeles Fair Chance Ordinances.Americans with Disabilities Act (ADA)In compliance with state and federal laws, Target will make reasonable accommodations for applicants with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, please reach out to candidate.accommodations@HRHelp.Target.com.

About the RoleAs Beauty Lead Advisor, you will drive sales through an authentic passion for beauty and engage clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets, replenishment and visual standards according to Sephora at Kohl’s standards and ensure an excellent overall client experience.What You’ll DoBuild strong client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell productsDevelop and expand knowledge of the beauty industryProvide credibility to the client through knowledge of products and beauty trendsInspire clients through demonstrating products and application of productsUnderstand and execute the sales plans to support and meet goalsExecute and maintain all Sephora visual merchandising and operational standards, including merchandise sets, tester maintenance and department cleanliness and hygiene standardsEnsure timely and consistent sales floor replenishment to drive sales and enhance the customer experienceActively engage and complete all required training to expand knowledgeSupport omni-processing within the departmentSupport inventory management from receipt to sale, including freight processing, back stocking, inventory counts and price changesAll associates are responsible for:Acting with integrity and honesty and fostering teamwork in an engaged and inclusive cultureExercising good judgment and discernment when making decisions; taking appropriate partners as neededSupporting and executing safety and shortage reduction programs following company guidelinesAccomplishing multiple tasks within established timeframesFollowing company policies, procedures, standards and guidelinesMaintaining adherence to company safety policies for the safety of all associates and customersReceiving, understanding and proactively responding to direction from leaders and other company personnelOther responsibilities as assigned What Skills You HaveRequiredAuthentic passion for beauty Client-facing retail or service industry experienceExcellent written and verbal communication skills with the ability to influence in a clear and concise mannerAvailability to work days, nights, weekends and holidaysPay Range: $19.60 - $27.45Kohl’s offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl’s partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).

Your Role The Commercial Appeals & Grievances department performs comprehensive research related to the facts and circumstances of member complaints, appeals, and grievances. The department partners with the customer service and operations teams to ensure alignment with service levels to provide service worthy of our family and friends. The Commercial Appeals & Grievances Supervisor will report to the Commercial Appeals & Grievances Senior Manager. In this role, you will be accountable for hiring, promoting, coaching and daily supervision of Commercial Appeals & Grievances coordinators as they review, investigate, and process member appeals and grievances in a manner that is consistent with regulatory requirements and department policies and procedures. You will manage projects and participate in regulatory audit activities.Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially.Your Work In this role, you will: Be responsible for routine operations and people management functionsFoster a great place to work communicating clear roles and responsibilities and building successful working relationships across the organizationConsult and make recommendations to management on operational issuesUse concepts and abilities to manage processes and operations, including procedural changes, inventories, and workload managementApply policies and procedures within health care operationsStay up to date on legislation and regulations to ensure team complianceInterpret audit information requests, prepare narratives, conduct preliminary risk assessments, anticipate adverse findings to prepare for internal corrective action plansMake decisions on people and operational matters consistent with goals and objectivesProvide coaching, performance management, skill development, and guidance on team members’ Professional Development PlansPerform other related duties as assignedYour Knowledge and Experience Requires High School Diploma or GEDRequires a minimum of 5 years of prior relevant experienceRequires a minimum of 2 years of experience operating in a lead role or equivalent leadership training or manager trainingRequires related experience and/or training, or equivalent combination of education and experience. Must have experience in appeals and grievances and preferred experience in claims, customer service, installation & billing, or member services role in the health care industry.Understands basic supervision/management approaches such as work scheduling, prioritizing, coaching and process executionRequires broad knowledge of technical or operational practices within assigned disciplineCommercial experience preferredMust be willing to work weekends and holidays as needed Pay Range: The pay range for this role is: $ 66,600 to $ 98,900 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-CP3

Hey detail-oriented person! We handle product movement at retail. We display it, we move it, we track it; making sure stores and their product suppliers have the best opportunities for optimal sales. Is your retail career ready for a boost Looking for the next step and a path to management Then make sure you choose the right place to grow. We offer great opportunities throughout our dynamic organization for you to ignite your goals. We’re hiring now so chat with us!What you get:Competitive wage; $22.00 per hourGet paid quicker with early access to earned wages.Growth opportunities abound – We promote from within. Simple. Excel and advance.We offer benefits that can be customized to meet your family’s needs, including medical, dental, vision, life insurance, supplemental voluntary plans, wellness programs, and online discounts.Now, about you:You’re 18 years or olderWith reliable transportation and valid driver’s licenseYou like physical work of moving, bending, standing and can lift up to 25 lbs.You have 1-2 years of merchandising experienceYou have experience as a supervisor or a leader of a projectClick here to learn more from our team. Join us and see what’s possible for you! Click to get started.

Your Role The Care Managementteam will serve to support the mission of the department, which is to provide support to patients in maintaining health and wellness in the outpatient setting. The Senior Care Manager will report to the Manager of Care Management. In this role you will ensure that services are provided based on standardized procedures including coordination of care with specialists, community resources. Care Managers perform a blended function of utilization management (UM) and care management (CM) activities demonstrating clinical judgement and independent analysis, collaborating with members and those involved with members’ care including clinical nurses and treating physicians.Your WorkIn this role, you will:Research and design treatment /care plans to promote quality of care, cost effective health care services based on medical necessity complying with contract for each appropriate plan type.Initiation of timely individualized care plans (ICP) based on health risk assessment (HRA) completion, participation in and documentation of interdisciplinary meetings (ICT), assisting in transitions of care across all ages.Determines appropriateness of referral for CM services, mental health, and social services.Provides Referrals to Quality Management (QM), Disease Management (DM) and Appeals and Grievance department (AGD).Conducts member care review with medical groups or individual providers for continuity of care, out of area/out of network and investigational/experimental cases.Manages member treatment in order to meet recommended length of stay. Ensures DC planning at levels of care appropriate for the members needs and acuity.Assessment: Assesses members health behaviors, cultural influences and clients belief/value system. Evaluates all information related to current/proposed treatment plan and in accordance with clinical practice guidelines to identify potential barriers.Research opportunities for improvement in assessment methodology and actively promotes continuous improvement. Anticipates potential barriers while establishing realistic goals to ensure success for the member, providers and BSC.Determines realistic goals and objectives and provides appropriate alternatives. Actively solicits client’s involvement.Planning: Designs appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes. Adjusts plans or creates contingency plans as necessary.Assesses and re-evaluates health and progress due to the dynamic nature of the plan of care required on an ongoing basis. Initiates and implements appropriate modifications in plan of care to adapt to changes occurring over time and through various settings.Develops appropriate and fiscally responsible plan of care with targeted interventions that enhance quality, access, and cost-effective outcomes.Recognizes need for contingency plans throughout the healthcare process.Develops and implements the plan of care based on accurate assessment of the member and current of proposed treatment.Your Knowledge and ExperienceBachelor's degree of Science in Nursing or advanced degree is preferredRequires a current CA RN LicenseCertified Case Manager (CCM) Certification or is in process of completing certification when eligible based on CCM application requirementsRequires at least 5 years of prior experience in nursing, healthcare or related field A minimum of 3+ years managed care experience in inpatient, outpatient or managed care environment preferredHealth insurance/managed care experience preferredTransitions of care experience preferredExcellent communications skillsPay Range:The pay range for this role is: $ 87230.00 to $ 130900.00 for California.Note:Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles.#LI-MM4

Your Role The IT Health Solutions Pharmacy team delivers all IT Pharmacy solutions to support Pharmacy operations and Pharmacy Transformation. The IT Product Manager, Consultantwill report to the IT Apps Pharmacy Solution Delivery Director. In this role you will as part of an agile team, successfully deliver high-quality pharmacy solutions. You will build strong partners with business and IT stakeholders and align/engage appropriate agile team resources to deliver initiatives, mandates and operational enhancements. Your Work In this role, you will: Develop new product concepts, designs, and/or enhancements to existing product design that reflect business and user needsConduct research and develop a strong understanding of the business' needs, new technologies, technology trends and competitorsDrive advanced, complex technical product(s) and business issues requiring state of the art technical or industry knowledgeInvest in product process improvements, utilizing data and organizational strategies to foster and influence changeServe as an advocate of product team to Senior Leadership and provides consultation to other product managersLead all Agile Quarterly Planning activities work with business to ensure Epic and stories are created and define quarterly two-week sprintsManage/groom product backlogCreate and maintain robust product roadmapEnsure availability and stability of applicationsProvide IT estimates for all work assigned to business serviceUnderstand and be able to influence technical design and architectural patterns as well as understand Cloud technologies and data integrations Your Knowledge and Experience Requires a bachelors degree or equivalent experienceRequires at least 7 years of prior relevant experienceDeep knowledge of product managementComprehensive understanding of Cloud technologies, system/data integrations and APIsRequires Healthcare KnowledgePreferred Healthcare Pharmacy Knowledge and experience working with Pharmacy Benefits Manager Pay Range: The pay range for this role is: $ 119130.00 to $ 178860.00 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.