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Full Time
1/3/2025
Rancho Cordova, CA 95741
(14.5 miles)
Your Role The Clinical Post Serviceteam reviews outpatient post service claims with medical records supporting services rendered to members for medical necessity and benefit validation. The Utilization Management Nurse, Seniorwill report to the Manager, Utilization and Medical Review. In this role you will beperforming post service review for members using BSC evidenced based guidelines, medical policies, and nationally recognized clinical criteria across lines of business. Successful RN candidate reviews post service requests for medical necessity, coding accuracy and medical policy compliance while maintaining turn-around time and production expectations. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions is required.Your Work In this role, you will: Perform retrospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and CommercialConducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract compliancePrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateClearly communicates, is collaborative, while working effectively and efficientlyTriages and prioritizes cases to meet required turn-around timesClinical judgment and detailed knowledge of benefit plans used to complete review decisionsYour Knowledge and Experience Bachelors of Science in nursing or advanced degree preferredRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires strong attention to detail to include ability to analyze claim data analyticsRequires independent motivation, strong work ethic and strong computer navigations skillsPrior post service review experience preferred Pay 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.
Full Time
1/1/2025
Sacramento, CA 95825
(5.0 miles)
Overview: As an Assistant Store Manager (“ASM”), you will use your customer service and leadership experience to provide a white-glove experience for our customers. Working closely with the Store Manager to develop your leadership skills in real-time, you will help coach our Customer Service Representatives and play a key role in helping the team produce results. In return, we will help you reach the next level in your career by providing an ongoing comprehensive training and development program that will allow you to truly shine. Responsibilities: Provide an exceptional customer experience throughout the full cycle of the loan or pawn process by educating consumers and making recommendations based on their financial needs.Assist in customer account management by accepting payments, monitoring, and managing customer appointments.Work to meet Company-set performance standards by leveraging business-to-business partnership opportunities, obtaining referrals, and participating in and hosting in-store and community events.Develop customer relationships to build new business, maintain store profitability, and further brand loyalty and recognition.Provide support, coaching, and development to Customer Service Representatives in order to improve the team’s potential.Maintain customer information in the Point of Sale system with accuracy and integrity.Help ensure a work environment that upholds compliance with Company policies and procedures, as well as local, state, and federal laws and regulations.Maintain office security protocols and conduct proper opening and closing procedures, including management of vault, cash drawer, and bank deposits.Monitor and maintain internal and external store appearance and cleanliness, addressing basic facility needs and scheduling maintenance services.Utilize personal vehicle to complete bank deposits and other Company business throughout the workday.Work efficiently in a rapidly changing and fast-paced environment and handle multiple challenging tasks with ease to meet individual and team performance standards.Utilize strong interpersonal skills to communicate and interact with customers and Team Members at all levels.Ability to maintain a full-time work schedule with regular in-person attendance, including limited Saturday hours, is required for this position. A full-time work schedule for this position includes, at a minimum, 40-hours per week*.*Store hours, schedules, and/or the minimum number of hours required for this position may be subject to change by brand entity and at the sole discretion of the Company. Speak with your recruiter for the most up-to-date hourly requirements. Qualifications: High School Diploma or equivalent requiredAt least 3 months of supervisory, key holder, or relevant leadership experienceMinimum one year experience in customer service, sales, or retailExcellent verbal and written communication skillsAbility to work phone, Point of Sale, Microsoft Office, and other systemsMust be at least 18 years of age (19 in Alabama)Background check required (subject to applicable law)Ability to meet the physical demands of this position, which frequently include: the ability to remain in a stationary position, the ability to move and transport up to 25 pounds, the ability to move about inside and outside of the store, and the operation of mechanical controls, such as a keyboard.Preferred Qualifications and SkillsAssociate degree or higherBilingual English/Spanish is a plus and may be required for certain locations What We Offer: Our Benefits Include**:A comprehensive new hire training program Access to a robust learning management system, full of e-learning modules and training programs to help boost your professional and personal developmentPerformance based career advancementEducational Reimbursement Program (up to $5,000 per 12-month period, then up to $10,000 per 12-month period after five years with the Company) for select programs, courses, and certifications. Terms and conditions apply.Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) optionsTraditional 401(k) and Roth 401(k) Retirement plan with a generous Company match programCompany-Sponsored Life and AD&D InsuranceVoluntary benefits, including dental, vision, short-term and long-term disability plans, accident, critical illness, hospital confinement insurance, and even pet insurancePaid Time Off (Accrue 12 days per calendar year plus additional days for each year of service after the first year of employment)Diverse Culture and Inclusive EnvironmentA relaxed, business casual dress code that includes jeans and sneakers!**Based on current benefit offering, which is subject to change with or without notice. Certain benefits are subject to the terms and conditions of the governing plan documents which should be consulted for additional details and eligibility requirements.Our CompensationThe base pay for this position is $20.00/hr. The compensation listed represents only the base pay for this position, which is just one of the many elements of the Community Choice Financial ® Family of Brands Total Compensation package. About UsCalifornia Check Cashing Stores® provide quick and easy check cashing services for our customers including short term money services such as Money Orders, Tax Prep Help, Western Union®, Bill Pay Services and Green Dot® Visa® Debit Cards throughout our many retail locations across the state.The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor is it intended to be an all-inclusive list of the skills and abilities required to do the job. The Company may, at its discretion, revise the job description at any time, and additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills, and abilities included have been determined to illustrate the minimal standards required to successfully perform the position. Important: The Community Choice Financial® Family of Brands will never ask you for banking or other payment information at any point during the interview or hiring process, nor will we conduct an interview via text message. Any official email correspondence will come from the domains @ccfi.com, @titlemax.com, or @titlemax.biz. In-store positions are in-person only. The Community Choice Financial® Family of Brands is committed to providing an inclusive workplace free of discrimination based on race, color, religion, sex, age, national origin, military status, disability, pregnancy, sexual orientation, gender identity or expression, genetic information or any other characteristic protected by applicable law. Candidates of all backgrounds are encouraged to apply. CCFI Companies, LLC is an equal-opportunity employer.
Full Time
1/3/2025
Rocklin, CA 95765
(20.4 miles)
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.
Full Time
1/7/2025
Stockton, CA 95212
(40.1 miles)
Join us and inspire with every cup! At Starbucks, it’s all about connection. People are at the heart of who we are, especially the people that are a part of our store team. We connect with each other, our customers and our communities to make a positive impact every day. We believe in working together to make a difference and in celebrating our shared success, which is why we call ourselves Starbucks “partners.” Starbucks is a place of warmth and belonging, where everyone is welcome, and we value the unique experiences that each partner brings to our team! As a Starbucks shift supervisor, you’ll be a role model of the store operations standards that define our Starbucks Experience. You’ll lead each shift, working alongside a team of baristas to deliver quality customer service and expertly-crafted products. You’ll be in an energetic store environment where you’ll have the ability to positively influence and guide others, maintain an encouraging team environment, and grow your leadership skills. We believe our shift supervisors are leaders in creating an uplifting experience for our customers and partners alike. You’d make a great shift supervisor if you: Take initiative and act as a role model to others. Enjoy working as a team and motivating others.Understand how to create a great customer service experience.Have a focus on quality and take pride in your work.Are confident in leading, deploying, and guiding others.Are open to learning new things (especially the latest beverage recipe!)Are experienced with responsibilities like cash-handling and store safety. Can keep cool and calm in a fast-paced, energetic work environment.Have excellent communications skills. From free coffee to competitive pay, Starbucks is proud to offer a comprehensive compensation and benefits package to our eligible part-time and full-time partners. Benefits include 100% tuition coverage through our Starbucks College Achievement Plan, health coverage with a variety of plans to choose from, and stock & savings programs like our equity reward program, Bean Stock. What’s more, Starbucks offers flexible scheduling and opportunities for paid time off. Visit starbucksbenefits.com for details. Benefit Information Summary of Experience Customer service experience in a retail or restaurant environment - 1 year Basic Qualifications Maintain regular and consistent attendance and punctuality, with or without reasonable accommodationAvailable to work flexible hours that may include early mornings, evenings, weekends, nights and/or holidaysMeet store operating policies and standards, including providing quality beverages and food products, cash handling and store safety and security, with or without reasonable accommodationsSix (6) months of experience in a position that required constant interacting with and fulfilling the requests of customersPrepare and coach the preparation of food and beverages to standard recipes or customized for customers, including recipe changes such as temperature, quantity of ingredients or substituted ingredientsAt least six (6) months of experience delegating tasks to other employees and/or coordinating the tasks of two (2) or more employees Knowledge, Skills and Abilities Ability to direct the work of othersAbility to learn quicklyEffective oral communication skillsKnowledge of the retail environmentStrong interpersonal skillsAbility to work as part of a teamAbility to build relationships As a Starbucks partner, you (and your family) will have access to medical, dental, vision,basic and supplemental life insurance, and other voluntary insurance benefits.Partners have access to short-term and long-term disability, paid parental leave, family expansion reimbursement, paid vacationthat accrues starting at .01961 hours based on a 40 hour week up to 40 hours annually (64 hours in California) after an introductory period, sick time (accrued at1 hour for every 25 or 30 hours worked, depending on work location),and additional pay if working on one of eightobserved holidays. Starbucks also offers eligible partners participation in a 401(k)-retirement plan with employer match, a discounted company stock program (S.I.P.), Starbucks equity program (Bean Stock), incentivized emergency savings, and financial well-being tools. Additionally, Starbucks offers 100% upfront tuition coverage for a first-time bachelor’s degree through Arizona State University’s online program viathe Starbucks College Achievement Plan, student loan management resources, and access to other educational opportunities.You will also have access to backup careand DACA reimbursement. Starbucks will comply with any applicable state and local laws regarding employee leave benefits, including, but not limited to providing time off pursuant to the Colorado Healthy Families and Workplaces Act, in accordance with its plans and policies. This list is subject to change depending on collective bargaining in locations where partners have a certified bargaining representative. For additional information regarding partner perks and more detailed information regarding benefits, go to starbucksbenefits.com. At Starbucks, it is typical for new partners to be hired at the entry point of the range for their role, which is based upon geographic location. Individual compensation decisions are dependent upon the facts and circumstances of each position and candidate. Starbucks is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, physical or mental disability, sexual orientation, marital status, military or veteran status, gender identity and expression, genetic information, or any other factor protected by law. We are committed to creating a diverse and welcoming workplace that includes partners with diverse backgrounds and experiences. We believe that enables us to better meet our mission and values while serving customers throughout our global communities. People of color, women, LGBTQIA+, veterans and persons with disabilities are encouraged to apply. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal state and local ordinances. Starbucks Corporation is committed to offering reasonable accommodations to job applicants with disabilities. If you need assistance or an accommodation due to a disability, please contact us at .
Full Time
12/18/2024
Sacramento, CA 95837
(9.9 miles)
Full Time
12/21/2024
Virtual, CA 94207
(14.5 miles)
In our ‘always on’ world, we believe it’s essential to have a genuine connection with the work you do.RUCKUSNetworks builds and delivers purpose-driven networks that perform in the tough, unique environments of the industries we serve. Leveraging network assurance and enterprise-wide automation driven by AI and machine learning (ML), we empower our customers to deliver exceptional experiences for every employee, guest, customer, student, and resident who counts on those networks to connect with their digital lives.How You'll Help Us Connect The World: RUCKUS is searching for aTerritory Account Managerto strategically manage its business for theWest territory. This critical role drives revenue, increases market share, develops strong customer and partner relationships, and develops new business. In this role, you will execute the sales go-to-market strategy and work with channel partners to apply a hands-on approach to driving sales and channel functions. Candidate residence within theterritory is required, and Sacramento area is highly preferred.Requirements:Experience working with IT and/or networking and wireless products with the ability to tap into technology to provide valued added business outcomes.Establishes a professional working relationship (up to the executive level) with clients and prospects to develop a core understanding of the unique business needs.Prospect and nurture growth opportunities using the account planning process; actively manages planning process through scheduled reviews and updates.Build and drive the execution of a territory account plan that includes working with partners and internal specialists to increase win rate.Demonstrated experience selling complex solutions, value selling, and/or consultative sales techniques.Cultivate relationships with our channel partners to bring channel-centric go-to-market approach for our customers.Demonstrates in depth knowledge of the full sales cycle and the ability to follow a structured sales process.Proficient in the understanding of forecast methodologies and provide weekly updates.Excellent time management skills, and work with high levels of autonomy and self-direction.Ability to manage excellent Sales Force hygiene.Thorough understanding and ability to meet KPIs. Required Qualifications:8+ years of proven track record in sales, technical sales, or a related field.Technical aptitude of IP networking and wireless products, software solutions, and service offerings as well as competitive offerings.A proven self-starter who is open to coaching and mentoring.A positive track record of delivering and overachieving revenue goals.Experience presenting technical solutions to technical and non-technical audiences including C-level executives in small and large group settings.Proficient in the understanding of MEDDICC and SFDC forecast methodologies.Bachelor, or equivalent, degree preferred.Fluency in english language is a must.#LI-RB1#LI-REMOTEOur salary ranges consider various factors, including but not limited to benchmarking by independent third-party consultants, skills, years of experience, training, education, geography, and other business needs. Depending on experience, the range can be higher for candidates with outstanding experience and a demonstrated history of successful performance. This position's expected total compensation (base salary and commission range) is $123,000.00 -$190,000.00What happens after you apply Learn how to prepare yourself for the next steps in our hiring process by visiting https://careers.commscope.com/how-we-hire.Why CommScope CommScope is on a quest to deliver connectivity that empowers how we live, work, and learn.Our employees push the boundaries of communications technology that enables game-changing discoveries like 5G, the Internet of Things, and gigabit speeds for everyone, everywhere.With our unmatched expertise in copper, fiber, and wireless infrastructure, our global clients rely on us to outperform today and be ready for the needs of tomorrow. If you want to grow your career alongside bright, passionate, and caring people who strive to create what's next..come connect to your future at CommScope. CommScope is an Equal Opportunity Employer (EEO), including people with disabilities and veterans. If you are seeking an accommodation for the application or interview process, please contact us to submit your request at . You can also learn more about CommScope’s accommodation process and EEO policy athttps://jobs.commscope.com/eeo
Full Time
1/2/2025
Folsom, CA 95630
(19.9 miles)
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.
Full Time
1/2/2025
SUISUN CITY, CA 94534
(43.7 miles)
Before you apply to a job, select your language preference from the options available at the top right of this page.Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.Job Description:Job Summary This position trains and supervises Package Handlers and Clerks on safety, productivity, and various job-related tasks. This position holds teams accountable for attendance and submits timecards. Responsibilities: Develops and maintains good working relationships with employees, management and customers. Facilitates training with new and current employees. Conducts and participates in group meetings. Coordinates evaluations with management. Determines best solutions for package concerns. Supervises daily activities of package handlers and clerks to ensure all assigned duties are accomplished safely and timely. Understands and consistently demonstrates UPS's high ethical standards and code of conduct. Qualifications: Ability to lift 70 lbs./32 kgs. Availability to work flexible shift hours, up to 5 days per week Strong problem solving skills, with ability to multitask Strong oral and written communication skills Working knowledge of Microsoft Office Ability to work in a fast-paced warehouse environment Bachelor's Degree or International equivalent - Preferred Management experience - PreferredEmployee Type:PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.Other Criteria: UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/nationalorigin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.Basic Qualifications:Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.Pay Range:Our compensation reflects the cost of labor across several US geographic markets. The base pay for this position ranges from $25.20/hr to $40.95/hr. Pay is based on several factors including but not limited to, market location and may vary depending on job-related knowledge, skills, and education/training and a candidate’s work experience. Hired applicants are offered annual short-term and/or long-term incentive compensation programs, subject to applicable eligibility requirements. Payments under these annual programs are not guaranteed and are dependent upon a variety of factors including, but not limited to, individual performance, business unit performance, and/or the company’s performance. The company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental coverage, Vision coverage, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick and Family and Medical Leave time as required by law, and Discounted Employee Stock Purchase Program.
Full Time
12/27/2024
Sacramento, CA 95837
(9.1 miles)
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.
Full Time
12/23/2024
Vacaville, CA
(30.0 miles)
All 1,000 of our Marshalls stores embrace discovery, from designer luggage to statement shoes. Our assortment of brands is always changing, but our mission to provide the surprises that make the everyday a little more fun is unwavering. Just like working here. Everyone encourages each other and embraces the excitement that can come with change. Each shift is a new opportunity to Discover Different.The Opportunity: Contribute To The Growth Of Your CareerAssist a Store Manager in the areas of Merchandising, Operations, Customer Service, and Human Resources within a high-volume store locationDevelop creative plans to increase store salesHire, train, supervise and mentor a team of AssociatesOversee and monitor loss prevention and operational programsEnsure every customer has a positive shopping experienceManage the daily activity of the sales floor, backroom, front end and cash officeWho We Are Looking For: You!Two (2) years' of retail leadership experience as an Assistant or Store ManagerExcellent interpersonal, strong communication, and follow through skillsProven ability to manage, develop, and motivate a large teamPrevious volume responsibility of $5 million or moreBenefits include Associate discount; 401(k) match; medical/dental/vision; HSA; health care FSA; life insurance; short/long-term disability; paid holidays/vacation /sick/bereavement/parental leave; EAP; incentive programs; auto/home insurance discounts; scholarship program; adoption/surrogacy assistance; smoking cessation; child care/cell phone discounts; pet/legal insurance; credit union; referral bonuses. All benefits are subject to applicable plan or program terms (including eligibility terms) and may change from time to time. Contact your TJX representative for more information.This is a bonus and overtime eligible position with a starting pay range of $23.25 to $29.70 per hour, which equates to approximately $57,947.37 to $74,023.09 annually.Actual starting pay is determined by a number of factors, including relevant skills, qualifications, and experience.Applicants with arrest or conviction records will be considered for employment.We’re reinventing retail and helping people discover that next find that’s going to be their new signature look. You can be a part of their journey to look amazing.Our inventory is always changing and our approach is continually evolving, which means every day is another chance to Discover Different. In fact, that’s what it’s like throughout the entire TJX family, which includes TJ Maxx, HomeGoods, Sierra, and Homesense.Discover Different also means we embrace each other’s differences and unique perspectives. We consider all applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, marital or military status. We also provide reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law.
Full Time
12/20/2024
Sacramento, CA 95834
(4.2 miles)
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).
Full Time
1/1/2025
Rancho Cordova, CA 95741
(14.5 miles)
Your Role The Utilization Management team reviews the inpatient stays for our members and correctly applies the guidelines for nationally recognized levels of care. The Utilization Management Nurse will report to the Utilization Management Nurse Manager. In this role you will be assigned a list of inpatient facilities and then review clinical information provided by the facilities to determine medical necessity when our members admit. You will also be involved with discharge planning and transfers as needed for higher levels of care or out of network admissions.Your Work In this role, you will: Perform prospective, concurrent and retrospective utilization reviews and first level determination approvals for long term care members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as Medicare and FEPConducts clinical review of claims for medical necessity, coding accuracy, medical policy compliance and contract complianceEnsuredischarge (DC) planning at levels of care appropriate for the members needs and acuityand determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planningPrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateRefer to Case Management when there are acute inpatient needs affecting dischargeAttend staff meetings, clinical rounds and weekly huddlesMaintain quality and productivity metrics for all caseworkBuddy or support new employeesMaintaining HIPAA compliant workspace for telework environmentYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires strong communication and computer navigation skillsDesires strong teamwork and collaboration skillsRequires independent motivation and strong work ethicRequires strong critical thinking skills Pay 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-RU1
Full Time
12/17/2024
Sacramento, CA 95841
(9.7 miles)
What We Offer: Our Benefits Include**:A comprehensive new hire training program Access to a robust learning management system, full of e-learning modules and training programs to help boost your professional and personal developmentPerformance-based career advancementEducational Reimbursement Program (up to $5,000 per 12-month period, then up to $10,000 per 12-month period after five years with the Company) for select programs, courses, and certifications. Terms and conditions apply.Multiple coverage choices for medical insurance, all include free telemedicine and medical spending account (HSA/FSA) optionsTraditional 401(k) and Roth 401(k) Retirement plan with a generous Company match programCompany-Sponsored Life and AD&D InsuranceVoluntary benefits, including dental, vision, short-term and long-term disability plans, accident, critical illness, hospital confinement insurance, and even pet insurancePaid Time Off (Accrue 12 days per calendar year plus additional days for each year of service after the first year of employment)Diverse Culture and Inclusive EnvironmentA relaxed, business casual dress code that includes jeans and sneakers!**Based on current benefit offering, which is subject to change with or without notice. Certain benefits are subject to the terms and conditions of the governing plan documents which should be consulted for additional details and eligibility requirements.Our CompensationThe pay range for this position is $12 to $23 per hour or $19.00 to $27.00 per hour in California.Exact compensation may vary based on education, skill, and experience. The compensation range listed represents only the base pay for this position, which is just one of the many elements of the Community Choice Financial® Family of Brands Total Compensation package. About UsSince 1997, CASH 1 has provided hassle-free Installment Loans to people denied by traditional banks and other installment loan lenders. We have many convenient locations throughout Arizona and Nevada focusing on the financial needs of customers by offering Title Loans, Personal Loans, Installment Loans, Smart Loans, and of course, great customer service.The information contained herein is not intended to be an all-inclusive list of the duties and responsibilities of the job, nor is it intended to be an all-inclusive list of the skills and abilities required to do the job. The Company may, at its discretion, revise the job description at any time, and additional functions and requirements may be assigned by supervisors as deemed appropriate. Requirements, skills, and abilities included have been determined to illustrate the minimal standards required to successfully perform the position. Important: The Community Choice Financial® Family of Brands will never ask you for banking or other payment information at any point during the interview or hiring process, nor will we conduct an interview via text message. Any official email correspondence will come from the domains @ccfi.com, @titlemax.com, or @titlemax.biz. In-store positions are in-person only. The Community Choice Financial® Family of Brands is committed to providing an inclusive workplace free of discrimination based on race, color, religion, sex, age, national origin, military status, disability, pregnancy, sexual orientation, gender identity or expression, genetic information or any other characteristic protected by applicable law. Candidates of all backgrounds are encouraged to apply. CCFI Companies, LLC is an equal-opportunity employer.
Full Time
12/27/2024
Woodland, CA 95776
(13.6 miles)
The pay range per hour is $24.75 - $42.05Pay 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 .ALL ABOUT GENERAL MERCHANDISEExperts of operations, process and efficiency who enable a consistent experience for our guests by ensuring product is set, in-stock, accurately priced and signed on the sales floor. The General Merchandise and Food Sales team leads inbound, outbound, replenishment, inventory accuracy, presentation, pricing and promotional signing processes for all General Merchandise (GM) areas of the store. This team leads Food & Beverage and Food Service, providing a fresh and food safe experience. Experts enable efficient delivery to our guests by owning pick, pack and ship fulfillment work.At Target, we believe in our leaders having meaningful experiences that help them build and develop skills for a career. The role of a General Merchandise Team Leader can provide you with the skills and experience of: Guest service fundamentals and experience building a guest first culture on your teamRetail business fundamentals including: department sales trends, inventory management, guest shopping patterns, pricing and promotions strategiesPlanning department(s) daily/weekly workload to support business priorities and deliver sales goalsProcess improvements and workload efficiencyHelping build a team of hourly team membersAs a General Merchandise Team Leader, no two days are ever the same, but a typical day most likely will include the following responsibilities: Demonstrate a service culture that prioritizes the guest service experience. At the direction of the ETL, model, train and coach expectations to deliver the service standardExecute daily/weekly workload to deliver on department and store sales goals and guest engagement, including: merchandising, pricing, transitions, revisions, sales plans, sampling, promotions and price changeWith the guidance from the Executive Team Leader, help lead the understanding of how operational procedures, like planogram (POG) ties, product capacities and salesfloor quantities impact shortage, profitability, in store replenishment and inventory accuracyHelp empower the team to create a consistent experience for our guests. Help assess reporting to identify gaps in GM and Fulfillment processes and assist to develop a plan to resolve for the ETL to review and approve. Be an expert of operations, accuracy, process and efficiencyWith ETL guidance, help with execution of processes in inbound, outbound, replenishment, inventory accuracy, presentation, pricing and promotional signing processes for select GM areas of the storeWith ETL guidance, help with efficient delivery to our guests by leading pick, pack and ship fulfillment work (if applicable)Responsible for working with Closing teams to identify key priorities and ensure the store is guest ready per the ETL’s direction.Help create a scheduling plan approved by your ETL based off of monthly and weekly business workload and guest trafficEnable team members to stay up-to-date on relevant trends and productsEvaluate candidates for open positions and develop a guest-centric team Lead team onboarding and learning and close knowledge gaps through training and experiencesWith ETL guidance, help establish clear goals and expectations and hold team members accountable to expectationsPer the direction of your ETL, help lead and coach the team to ensure accuracy and efficiency in all GM processesWork a schedule that aligns to guest and business needs (this includes early morning, evening, overnight shifts and weekends)Assess Fulfillment business and make decisions consistent with your ETL’s direction to help teams fulfill all guest orders accurately and efficientlyDemonstrate a commitment to diversity, equity, and inclusion through continuous development, modeling inclusive behaviors, and proactively managing biasDemonstrate a culture of ethical conduct, safety and compliance; lead and hold the team accountable to work in the same wayPer the direction of your ETL, help create a safety advocacy culture by understanding how safety impacts your role and that of your team, identifying and correcting hazards, and holding team accountable to working in a safe manner to benefit themselves and othersIf applicable, as a key carrier, follow all safe and secure training and processesLead and demonstrate a culture of executing all best practices as outlined with team onboarding and learning; help close skill gaps through development, coaching and team interactionsAddress store needs (emergency, regulatory visits, etc.)Support guest services such as back-up cashier, digital fulfillment processes while maintaining a compliance culture, including compliance with federal, state, and local adult beverage lawsAll other duties based on business needsWHAT WE ARE LOOKING FORWe might be a great match if:Working in a fun and energetic environment makes you excited, we work efficiently and as a team to deliver for our guestsProviding service to our guests that makes them say I LOVE TARGET! excites you, that’s why we love working at TargetLeading teams who are stocking, setting and selling Target products sounds like your thing, that’s the core of what we doYou aren’t looking for a Monday - Friday job where you are at a computer all day, we are busy all day (yes, even on the weekends), making it easy for the guest to feel welcomed, inspired and rewardedThe good news is that we have some amazing training that will help teach you everything you need to know to be a General Merchandise Team Leader. But, there are a few things you need from the get-go: High school diploma or equivalentAge18 or olderPrevious retail experience preferred, but not requiredAbility to:Lead and hold others accountableCommunicate on multiple frequency devices and operate handheld scanners, and other technology equipment as directedWork independently and as part of a teamManage workload and prioritize tasks independentlyCapability to remain focused and composed in a fast-paced environment and accomplish multiple tasks within established timeframesWelcoming and helpful attitudeEffective communication skillsWe are an awesome place to work and care about our teams, so we want to make sure we are clear on a few more basics that we expect: Access all areas of the building to respond to guest or team member issuesInterpret instructions, reports and informationAccurately handle cash register operations as neededClimb up and down ladders as neededScan, handle and move merchandise efficiently and safely, including frequently lifting or moving merchandise up to 44 pounds Flexible work schedule (e.g., nights, weekends and holidays); reliable and prompt and regular attendance necessaryCapable of working in and exposure to varying temperatures, humidity, and other elements while performing certain job duties including but not limited to Drive-Up, carryout, etc.Ability to remain mobile for the duration of a scheduled shift (shift length may vary).Target 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)Target will provide reasonable accommodations with the application process upon your request as required to comply with applicable laws. If you have a disability and require assistance in this application process, please visit your nearest Target store or reach out to Guest Services at 1-800-440-0680 for additional information.
Full Time
12/16/2024
Sacramento, CA 95834
(4.2 miles)
About the RoleAs Beauty Team Leader, you will lead the team to drive sales and department initiatives through an authentic passion for beauty and engage the team and clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets and support replenishment and visual standards. You will guide the team to meet Sephora at Kohl’s standards and ensure an excellent overall client experience.What You’ll DoLead the Beauty Team to deliver a positive and compelling client experienceProvide leadership for the Beauty Team through strong partnership with the Store ManagerBuild a strong culture within the department and team through executing recognition programs to reward client experience and sales, providing feedback and coachingAct as a point of contact for Store Manager, Sephora Training Team, and other partnersDrive sales performance, understand and execute the sales plans and hold the team accountable to support and meet goalsBuild and maintain client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell productsProvide credibility to the client through knowledge of products and beauty trendsInspire clients through demonstrating products and application of productsActively engage and complete all required training to expand knowledge and ensure the team completes all required training according to established timelinesWork with Store Manager and Sephora partners to identify and address any additional training opportunities needed for Beauty AdvisorsEnsure all Sephora visual merchandising and operational standards are executed according to company guidelines and established timelines, including merchandise sets, tester maintenance and department cleanliness and hygiene standardsEnsure timely and consistent sales floor replenishment to drive sales and enhance the client experienceSupport 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 assignedWhat Skills You HaveRequiredAuthentic passion for beauty 5 years of 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: $21.30 - $31.95Kohl’s offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl’s partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).
Full Time
12/24/2024
Rancho Cordova, CA 95741
(14.5 miles)
Your Role The UM Prior Authorization teamconducts medical necessity reviews for services before they are rendered. TheSr. Manager Medical and Utilization Reviewwill report to theDirector Medical and Utilization Review. In this role you will bemanaging a high functioning team, have direct oversight of day-to-day operations and participate in process improvement/cost of health care initiates.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,buildingand sustaining high-performing teams, getting results the right way, and fostering continuous learning.Your Work In this role, you will: Establish operational objectives for department or functional area and participate with other managers to establish group objectives.Be responsible for team, department or functional area results in terms of planning, cost and methods in collaboration with Director.Participate in the development and implementation of the annual budget under the direction of Director.Ensureworkflowprocedures and guidelines are clearly documented and communicated.Interpret or initiate changes in guidelines/policies/procedures.May lead special projects/committees/task forces.Manages a team and/or department with focus on policy and strategy implementation.Establishes operational plans with measurable contribution towards the achievement of results for the function.Provides measurable input to new products, processes or standards in operational plans that will have some impact on the achievement of overall function results.Exerts significant decision-making authority, guided by resource availability and functional objectives.Has budgetary responsibility and/or manages certain processes or projects within department’s budget.Responsible for making moderate to significant improvements of processes and policies to enhance performance of the department.Requires ability to exert influence on others within department in the development of multiple objectives and annual goals for a department.Influences higher-level management on large-scale tactical changes and organization improvements.Manages a large team consisting of experienced clinical professionals. Leads, directs and reviews the work of team who exercise latitude and independence in their assignments.Manage multiple regulatory reports.Manage operational and regulatory reports.Ensure compliance to regulatory and accreditation standards.Collaborate across functionally to improve member outcomesYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 10 years of prior relevant experience including 4 years of management experienceRequires knowledge of regulatory requirements for all Lines of Business (Medi-Cal, ASO/SA, IFP, Medicare Advantage)Requires practical knowledge in leading and managing the execution of processes, projects and tactics within an areaRequires strong emotional intelligenceRequires the ability to work collaborative with cross functional operations Pay Range: The pay range for this role is: $ 136400.00 to $ 204600.00 for California. Note: Please note that this range represents the pay range for this and many other positions at Blue Shield that fall into this pay grade. Blue Shield salaries are based on a variety of factors, including the candidate's experience, location (California, Bay area, or outside California), and current employee salaries for similar roles. #LI-RU1
Full Time
12/17/2024
Rancho Cordova, CA 95741
(14.5 miles)
Your Role The Utilization Management Prior Authorization team ensures accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Manager, Utilization and Medical Review will report to the Sr. Manager, Utilization and Medical Review. In this role you will be managing a high functioning team, have direct oversight of day-to-day operations and participate in process improvement/cost of health care initiatives.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 WorkIn this role, you will:Establish operational objectives for department or functional area and participate with other managers to establish group objectivesBe responsible for team, department, or functional area results in terms of planning, cost in collaboration with Sr ManagerParticipate in the development and implementation of the annual budget under the direction of Sr Manager / DirectorEnsureworkflowprocedures and guidelines are clearly documented and communicatedInterpret or initiate changes in guidelines/policies/proceduresManage multiple regulatory reportsEstablish and manage operational reportsEnsure regulatory and accreditation standards are met for multiple lines of businessCollaborate across functionally to improve member outcomesParticipate in Regulatory and Internal Audits.Your Knowledge and ExperienceRequires a bachelor's Degree or equivalent experienceRequires a current California RN LicenseRequires at least 7 years of prior relevant experience including 3 years of management experienceHas demonstrated experience with basic management approaches such as work scheduling, prioritizing, coaching, process execution, work organization, inventory management, risk management and delegationKnowledge of regulatory requirements for all Lines of Business (Medi-Cal, ASO/SA, IFP, Medicare Advantage) preferredRequires strong emotional intelligence skillsRequires the ability to work collaborative with cross functional operationsPay Range:The pay range for this role is: $ 109120.00 to $ 163680.00 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
12/17/2024
Rancho Cordova, CA 95741
(14.5 miles)
Your Role The Utilization Management Prior Authorization team accurate and timely prior authorization of designated healthcare services, continuity or care, and access to care clinical review determinations. The Utilization Management Nurse, Senior will report to the Manager, Utilization and Medical Review. In this role you will be performing first level determination approvals for members using BSC evidenced based guidelines, policies, and nationally recognized clinical criteria across lines of business or for a specific line of business such as Medi-Cal and Medicare. Successful RN candidate reviews prior authorization requests for medical necessity, coding accuracy and medical policy compliance. Clinical judgment and detailed knowledge of benefit plans used to complete review decisions is required.Your Work In this role, you will: Perform prospective utilization reviews and first level determination approvals for members using BSC evidenced based guidelines, policies and nationally recognized clinal criteria across lines of business or for a specific line of business such as BSC Promise Medi-Cal and MedicareEnsuredischarge (DC) planning at levels of care appropriate for the members needs and acuityand determine post-acute needs of member including levels of care, durable medical equipment, and post service needs to ensure quality and cost-appropriate DC planningPrepare and present cases to Medical Director (MD) for medical director oversight and necessity determinationand communicate determinations to providers and/or members to in compliance with state, federal and accreditation requirementsDevelop and review member centered documentation and correspondence reflecting determinations in compliance with regulatory and accreditation standardsand identifypotential quality of care issues, service or treatment delays and intervenes or as clinically appropriateTriages and prioritizes cases to meet required turn-around times and expedites access to appropriate care for members with urgent needsProvides referrals to Case Management, Disease Management, Appeals and Grievance and Quality Departments, as necessaryOther duties as assignedYour Knowledge and Experience Requires a bachelor's degree or equivalent experienceRequires a current California RN LicenseRequires at least 5 years of prior relevant experienceRequires practical knowledge of job area typically obtained through advanced education combined with experienceExperience working with or for a manage health care plan preferredExperience with Medi-Cal managed care including Medicare preferredEffective time management skills and ability to define and act on priorities efficiently preferredExcellent communication skills both orally and in writing with all levels of BSC Promise staff, members, contracted physicians, and participating provider groups preferred Pay 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.
Full Time
1/2/2025
Rancho Cordova, CA 95741
(14.5 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
12/21/2024
El Dorado Hills, CA 95762
(24.0 miles)
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
Full Time
12/19/2024
El Dorado Hills, CA 95762
(24.0 miles)
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
Full Time
1/8/2025
El Dorado Hills, CA 95762
(24.0 miles)
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
Full Time
1/8/2025
El Dorado Hills, CA 95762
(24.0 miles)
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.
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