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Community Health Plan of Washington jobs in Seattle, WA

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  • Senior Healthcare Actuary

    Community Health Plan of Washington 4.3company rating

    Community Health Plan of Washington job in Seattle, WA

    This position is a hybrid location. It is remote from home, besides quarterly in-person meetings in our Seattle office. Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: * Strive to apply an equity lens to all our work. * Reduce health disparities. * Create an equitable work environment. About the Role The Senior Healthcare Actuary will be responsible for developing and monitoring risk and rating assumptions and will lead required state and federal documentation pertaining to actuarial assumptions used in pricing of the products. The Senior Healthcare Actuary will provide management with analyses, reporting and recommendations on product performance. Other responsibilities include calculation/review of reserves and forecasting/trend analysis. To be successful in this role, you: * Have a Bachelors degree in Actuarial Science, Statistics or Mathematics. * Have a current Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA) credential. * Have a minimum of eight (8) years working as Healthcare Actuary preferably at or on behalf of a health plan in managed Medicaid and/or Medicare Advantage and/or Individual & Family lines of business. * Have experience in all aspects of health care actuarial practice including pricing, reserving, and forecasting. * Have a current driver's license, an acceptable driving record, and proof of automobile insurance for travel on behalf of CHPW. Essential functions and Roles and Responsibilities: * Responsible for interpreting state and federal requirements related to product design, rate development, and premium stabilization programs. * Completes actuarial modeling including development of lag triangles, completion factors, trends and reserve requirements. * Manages federal actuarial filings. * Manages state actuarial pricing submissions and review of proposed rating assumptions. * Designs and builds complex data models. * Performs quantitative analysis of actuarial, financial, utilization and cost data. * Responsible for reviewing work of outside actuarial consultants to ensure accuracy and compliance with state and federal requirements. * Manage projects from inception to completion. * Other duties as assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: * Knowledge of recent healthcare related legislation * Project management skills. * Data analysis skills, including skilled in analysis of large data sets. * Skilled in using Microsoft Office programs. Including Microsoft Excel spreadsheets and database applications. * Communication skills including oral presentations and written reports. * Ability to develop strong working relationships with state, federal, and consulting actuaries. * Ability to prepare health plan statistical, financial, budgetary, and other specialty reports. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. * Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. * Vaccination requirement (CHPW offers a process for medical or religious exemptions) * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Exempt and has a 10% annual incentive target based on company, department, and individual performance goals. The base pay actually offered will take into account internal equity and also may vary depending on the candidate's job-related knowledge, skills, and experience among other factors. CHPW offers the following benefits for Full and Part-time employees and their dependents: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off including PTO accrual starting at 17 days per year. * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty Sensory/Physical/Mental Requirements: Sensory*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion * Frequent torso/back static position; occasional stooping, bending, and twisting. * Some kneeling, pushing, pulling, lifting, and carrying (not over 25 pounds), twisting, and reaching. Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
    $93k-128k yearly est. 11d ago
  • Client Administrator - Commercial Insurance

    Marsh McLennan Agency 4.9company rating

    San Diego, CA job

    The primary focus of the Client Administrator is to provide technical support to Client Executives and to clients in maintaining Business Insurance insurance policies in accordance with the objectives and procedures outlined by the Business Insurance Procedures Manual and by the Director, Client Services. Essential Duties & Responsibilities Process paperwork for new and renewal business to include: Applications and other documents required for a submission Binders Certificates of Insurance Policies Invoices Finance Agreements Endorsements Audits Perform account reconciliation. Review Loss Runs and Claim Status Reports. Order any missing loss runs or request updated loss runs as needed for marketing submission. Prepare Summary Of Insurance. Have good verbal and written communication skills for both client and internal communication. Maintain client files. File all documentation in ImageRight per regions filing guidelines. Manage Tasks within ImageRight. Participate in Errors & Omission audits. Establish and maintain positive and effective working relations with other Associates and clients. Education and/or Experience A bachelor's degree is required, or a minimum of 2 - 5 years industry experience showing increasing responsibility directly related to the performance of the above duties A good understanding of insurance terminology, the general functions of an insurance broker, and the various lines of Business Insurance insurance. Demonstrated ability to successfully perform the duties of an Insurance Associate if currently employed at Marsh & McLennan. Possess and maintain a valid unrestricted California Fire & Casualty Solicitors License. Currently hold or be in the process of obtaining an insurance designation with a willingness to pursue advanced insurance designations and continuing education. Proficiency with MS Office software (i.e., Word, Excel and Outlook). Prioritize tasks, and set and achieve goals, think logically in solving problems and present results neatly, with clarity and precision in both oral and written form. Strong attention to detail. Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods as well as use office machinery such as fax and copy machines, and telephones. Work is performed in a typical interior office environment. The applicable hourly rate range for this role is $21.05 to $44.92. The hourly rate offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. We embrace a culture that celebrates and promotes the many backgrounds, heritages and perspectives of our colleagues and clients. Marsh & McLennan Agency offers competitive salaries and comprehensive benefits and programs including: health and welfare, tuition assistance, 401K, employee assistance program, domestic partnership benefits, career mobility, employee network groups, volunteer opportunities, and other programs. For more information about our company, please visit us at: **************************** #MMABI #LI-DNI
    $21.1-44.9 hourly 3d ago
  • Select Commercial Lines Account Executive

    USI Insurance Services 4.8company rating

    Seattle, WA job

    General Description: Consultative account management partner for Commercial Lines (Select) client accounts for $10,000 to $20,000 in revenue. Activities include marketing, analyzing coverage options, presenting recommendations, and implementing insurance programs. Maintain 92% or above retention on assigned book of business. Support USI sales process by participating in new business sales opportunities. Responsibilities: * Provide proactive, personalized support to assigned Select Commercial Lines clients. * Make recommendations for client insurance programs based on USI's proprietary solution set. * Provide advanced technical expertise to clients and prospects. * Support sales and cross-selling opportunities. Accompany Producer and Practice Leaders to meet with prospective clients. * Manage client accounts in accordance with USI guidelines and key performance indicators. * Manage renewal workflow for assigned book of business, avoiding any lapses in coverage. * Responsible for marketing and placement of client insurance renewals. * Determine most appropriate carriers for market pricing. * Analyze and compare carrier quotes and coverage offerings. * Make insurance program recommendations to clients. * Develop strong relationships with insurance carriers to negotiate on client's behalf. * Adhere to company's credit and collection policy in invoicing and pursuing prompt payments. * Request policy cancellations in accordance with company standards. * Keep current on industry information, technology, and trends. * Mentor more junior members of the Select Commercial Lines team. * Attend sales and marketing weekly meetings. Knowledge, Skills, and Abilities: * 5+ years of experience in a Commercial Property & Casualty insurance agency. * College degree preferred. * Strong understanding of Property & Casualty insurance. * Must hold a Property & Casualty insurance license. * Knowledge of Sagitta/ImageRight preferred. * Industry designations such as ARM, CIC, CPCU preferred. * Comfortable with internet-based programs and Microsoft Office products. * Able to conduct complex tasks with many concrete and abstract variables. * Proven ability to work in a fast-paced, team environment with minimal instruction. * Strong written, verbal, and interpersonal communication skills.
    $70k-95k yearly est. 4d ago
  • Marketing Manager

    Reagan Gold Group 3.0company rating

    Los Angeles, CA job

    The Marketing Manager will oversee the execution of digital strategy, brand presence, and campaign performance across multiple platforms. This individual will collaborate closely with external vendors, and agencies, lead content development, analyse campaign performance, and ensure consistency in messaging across all digital channels. The ideal candidate is a highly motivated self-starter who combines creativity with analytical thinking and a strong understanding of online marketing trends. Key responsibilities: Develop and implement digital marketing strategies in collaboration with agencies and vendors. Lead the production of marketing assets including digital ads, email campaigns, video content, and landing pages. Build and optimise campaigns across platforms such as Meta, YouTube, Google Ads, X (Twitter), Rumble, and others. Oversee Reagan Gold Group's brand identity across channels to ensure consistency and professionalism. Manage social media presence and engagement to increase reach and lead generation. Analyse website traffic, campaign performance, and conversion trends to drive continuous improvement. Create and manage editorial calendars and digital publishing schedules. Monitor industry trends and competitor activities to inform strategy. Report on campaign performance metrics, marketing ROI, and insights to leadership. Requirements: Strong initiative and ability to work independently with minimal supervision. Excellent analytical skills with the ability to interpret data and make strategy adjustments. Experience creating and managing campaigns across major digital platforms. Exceptional written and verbal communication skills. Strong organisational abilities, attention to detail, and ability to meet deadlines. Positive and professional attitude with collaborative team spirit. Required Qualifications: Bachelor's degree in Marketing, Communications, or related field OR a minimum of 3 years professional marketing experience. Proven experience as a Marketing Manager, Digital Marketing Specialist, or similar role. Demonstrated experience in social media management, content strategy, and campaign optimisation. Familiarity with SEO, CRO, marketing analytics tools, and CRM platforms is preferred. Fluency in English required. Additional Hiring Requirement: A marketing screening test will be required as part of the hiring process to determine eligibility for the role. The test will assess campaign, strategy, creativity, analytical ability, and problem-solving skills. What we Offer: Competitive salary Career growth opportunities within a fast-growing company Supportive and collaborative team culture Exposure to meaningful marketing projects and campaigns
    $91k-133k yearly est. 3d ago
  • Sales And Marketing Specialist

    Smart Choice Infusion 3.6company rating

    Burbank, CA job

    Infusion Center IV Infusion center located in Burbank CA Role Description Leading infusion therapy center dedicated to delivering personalized and high-quality care to patients with chronic and acute conditions. Our mission is to bridge the gap between providers, payers, and patients by offering efficient, compassionate, and coordinated infusion services. We're expanding our outreach efforts and seeking a dynamic Sales Account Manager to help grow our brand and strengthen referral relationships. Position Summary: As a Sales Account Manager, you will play a key role in driving patient referrals, increasing visibility, and fostering relationships with healthcare providers and partners. This position blends strategic marketing, relationship management, and field outreach to support business development initiatives across the infusion center network. Key Responsibilities: Develop and implement marketing strategies to drive physician referrals and patient engagement. Build and maintain strong relationships with referring providers, clinics, hospitals, and healthcare networks. Conduct outreach visits, presentations, and follow-up communications to promote services. Collaborate with internal teams to align marketing efforts with operational goals. Analyze referral data, track KPIs, and report on campaign and marketing effectiveness. Support branding initiatives including content creation, event planning, digital marketing, and promotional materials. Maintain a deep understanding of competitors, market trends, and payer dynamics in the infusion therapy space. Qualifications Strong Communication and Customer Service skills Proven experience in Sales and communication. Experience in Sales & Marketing Ability to provide Training and support to team members Excellent organizational and multitasking abilities Ability to work independently and remotely Experience in similar roles or industries is a plus Bachelor's degree in Marketing, Business, or related field is preferred but not required. What We Offer: Competitive pay and commission with performance incentives Professional development and career growth opportunities A mission-driven team culture that values patient care and community impact If you are a dynamic leader looking to make a significant impact within an organization, we encourage you to apply for this exciting opportunity. Job Type: Full-time/Part Time Ability to Commute: Burbank, CA 91505 (Required) Willingness to travel: 35% (Preferred) Work Location: In office
    $65k-92k yearly est. 3d ago
  • Testing & Commissioning

    IKOS Group 3.5company rating

    Seattle, WA job

    IKOS is the leading European consulting firm specialized in railway engineering. We are committed to supporting the ecological transition and developing the safe, sustainable, and durable means of transportation of the future. Objective To continue IKOS's growth and strengthen our team in the United States, we are recruiting a CBTC Test & Commissioning Engineer in Seattle, WA with relevant experience in the railway sector keen to work on large-scale projects. Responsibilities Execution of testing and commissioning activities of a rail transit system from the end of installation to the start of revenue service Conduct all testing and commissioning activities in full compliance with company standards, contract requirements, project schedule, approved test procedures, quality, safety, and environmental objectives Provide first level of customer support and be the primary contact to the customer when issues arise Create and issue test documentation and reports Regularly report test and commissioning progress and status to the Commissioning Manager. Manage the configuration of documentation, hardware and software in the field Perform troubleshooting, identification and resolution of system and subsystem issues and when required escalate issues to engineering and management Able to work independently and in team environment with minimal supervision Able to work under pressure during intense periods of testing and commissioning activities Willing to work flexibly and efficiently in support of the project which may include working shift rotation, nights, weekends and holidays Ability to interact with customer and project team in a professional manner Maintain and develop own professional competence and skills Qualifications You must hold a Bachelor and/or Master's degree in Science or Engineering field You must have work authorization for the United States Working knowledge with one or more of the following rail transit systems: Automatic Train Control, Communication Based Train Control, Positive Train Control Experience and knowledge of implementation engineering processes covering testing and commissioning Experience and knowledge of reviewing engineering drawing, blue prints and schematic diagrams Knowledge of Safety Critical and Safety Related activities in the Rail Transit System environment Equipment Installation Processes Test & Commissioning Processes Good verbal and written communication skills Health, Safety and Environment You have at least 1+ years of previous experience in the industry, (energy or transportation sectors are an asset). You are a team player and ready to learn quick You have good communications skills ✅ Why Join Us? Career Growth & Development: We offer tailored career plans, ongoing professional development, and clear progression pathways thanks to our IKOS Academy. High-Impact Projects: Work on pioneering railway and/or energy projects alongside industry leaders worldwide. International Experience: Here it is possible! Work with top global clients and (if interested) gain hands-on international exposure through exciting projects and assignments abroad. Collaborative Culture: Be part of a friendly/professional and collaborative Team that values passion, respect, and peer support. Competitive Benefits: We offer a comprehensive benefits package to support your health, happiness, and career journey with us (Transportation, WIFI, & more). Get on the right track! We thank all applicants for their interest, however only those under consideration will be contacted.
    $65k-112k yearly est. 3d ago
  • Bilingual Onsite Supervisor

    Malone Workforce Solutions 4.6company rating

    Moreno Valley, CA job

    Bring your personality to the Malone team! Go-getter. Straight-talker. People person. If that sounds like you, consider joining us for our mission. At Malone, there is nothing we love more than helping people and companies connect to accomplish amazing things. About Us: Malone is a private, award-winning company dedicated to providing staffing and recruitment needs to clients across the nation. Ranked on the SIA 2024 Top 100 List as one of the Largest Staffing Companies in the US, it is our pleasure to serve as the workforce resource and to make a positive impact on people's lives. Malone is actively recruiting a personable and knowledgeable Bilingual Onsite Supervisor to join our team. If you are passionate about working with clients, managing employees, a problem-solver, relationship builder and operationally focused, we would love to hear from you. Position Summary: The Onsite Supervisor is primarily responsible for managing onsite staff, new and ongoing training, providing operational and administrative support, along with fostering a positive relationship with the client and onsite team. This includes overseeing operational tasks are completed in a timely manner according to client specifications. Location: Moreno Valley, CA 92555 Job Type: Full-time Primary Responsibilities: • Maintain ongoing communication with customer representatives • Manage responsibilities for mid to large clients with direct responsibility for Malone field employees • Prepare and present statistical/metric reports on status of temporary assignments • Recruit, screen, test, interview, and evaluate applicants for assignments • Place candidates on temporary assignments in a timely manner • Retrieve and process job orders from clients • Make client-based decisions without oversight • Enter, update, and maintain personnel records in the employee database • Conduct orientations, drug screens, reference and background checks • Conduct investigations and provide corrective action and performance management for temporary associates • Is responsible for ending assignments and handling terminations of on-site Malone employees • Perform various administrative duties (file, fax, copy, etc.) The Qualifications: • Must have at least 2 years' experience managing others • Must have at least 2 years' experience in staffing, onsite management • Must be bilingual in Spanish and English • Experience in a client-facing role providing support in a process driven setting • Exceptional communication and customer service skills both written and verbal • Must be detail oriented with a high sense of urgency • 2Proficency in Microsoft Excel, Outlook, etc • Must be available to work in office Monday - Friday 8:00am-5:00pm Perks: • Full Benefits Package including health, dental, vision, and life insurance • Opportunities for internal advancement • Relaxed office environment with casual dress code • Fun, results-driven culture • Career Development Opportunities • Opportunity to work with a talented and driven team to support you • Paid Time Off and 11 paid company holidays • Partnership with Point University, an accredited institution, to provide tuition discounts • 2 Paid Days of Giving • Health and Dependent Care FSA options • 401K with Company Match Management Registry, Inc. hiring decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities. For more information, please contact our corporate office at **************.
    $27k-39k yearly est. 1d ago
  • Licensed Clinical Social Worker

    Malone Workforce Solutions 4.6company rating

    San Ramon, CA job

    We are looking for a Licensed Clinical Social Worker (LCSW in CA) to join the team! This is a full-time, direct hire, HYBRID position in San Ramon, CA (94583) or Sacramento, CA (95815). Provide telephonic psychosocial assessments and interventions to assist patients and caregivers in making care transitions and coping with their illness, diagnosis, treatment, and/or life situation, including emotional, mental, and substance abuse disorders. This role is primarily administrative with a focus on management, policy and program development but requires strong clinical and direct patient skills as well. Responsibilities: Coordinate appropriate services, such as Home Health or Hospice care, appropriate other levels of care such as SNF, Board and Care, Care Givers at home. Educate patients, family members, and care givers around issues related to adaptation to the patient's diagnosis, illness, treatment and or life situation. Participate in multi-disciplinary healthcare teams. Assist in advance care planning and completion of Advance Directives and POLST. Coordinate symptom management and/or end-of-life services. Facilitate assessment and referral for Medi-Cal and/or other insurance eligibility based on new entitlements and referral for SSI and/or SSDI, as needed or within scope of care definitions as indicated. Requirements: Active, unincumbered Licensed Clinical Social Worker (LCSW) license in the State of California. 2-4 years of social work experience in a managed care environment within the past 5 years (MSW field work not included). Must reside in the San Ramon or Sacramento, CA area. Details: This is a full-time, direct hire, HYBRID position in San Ramon, CA (94583) or Sacramento, CA (95815). Schedule: Monday - Friday, Days. Hybrid Schedule: In-office In San Ramon or Sacramento, CA 2 days a week; Remote 3 days a week. Pay: $120K + Full Benefits. This is a W-2 position. No B2C/C2C. No Sponsorship. Must have LCSW CA license. Must be local to San Ramon or Sacramento, CA. Malone is an Equal Opportunity Employer.
    $120k yearly 1d ago
  • Senior Litigation Attorney - California Staff Counsel Team

    American Family Insurance 4.5company rating

    Long Beach, CA job

    Senior Trial Attorney - Southern California page is loaded## Senior Trial Attorney - Southern Californiaremote type: Remotelocations: CA Los Angeles: CA Long Beach: CA Santa Ana: CA San Diego: CA Glendaletime type: Full timeposted on: Posted Yesterdayjob requisition id: R37691At American Family Insurance Company, we are committed to delivering exceptional legal representation and services to our insureds and customers all over the country. We are dedicated to assisting our insureds in times when they need us most, helping them through the litigation process and supporting them when they need legal counsel most. This role offers the opportunity to deliver exceptional legal representation to our insureds and policyholders by managing moderately complex civil litigation involving the corporation and/or its insureds, all within established corporate guidelines and the applicable code of professional responsibility. If you are looking for a place to build a long-term career, gain value litigation experience and hone your trial skills, and practice law with the purpose of helping American Family's policyholders and insureds, consider joining our California staff counsel team! You will report to a Senior Manager in the Legal department. Join our team today and be a part of our commitment to excellence!Position Compensation Range:$125,000.00 - $214,000.00Pay Rate Type:Salary*Compensation may vary based on the job level and your geographic work location.* *Relocation support is offered for eligible candidates.***Primary Accountabilities*** Handle litigation involving either the corporation and/or its insured within established corporate guidelines and the applicable code of professional responsibility.* Analyze file as litigation progresses. Evaluate cases and seeks settlement as necessary.* Conduct discovery (e.g. written interrogatories, requests for production of documents, and depositions).* Conduct motion practice.* Draft all necessary pleadings, papers and briefs to advance litigation. Conduct necessary research in support of drafting activities.* Handle litigated matter through trial, including mediations, settlement conferences and arbitration.* Advocate client position in all forums (state and federal court, alternative dispute resolution, administrative tribunals and regulatory hearings) and circumstances, both formal and informal.* Stay current on state statutes and court decisions and analyzes how statutes and court decisions affect the interpretation and enforceability of the various policy provisions.* May have or develop areas of specialty practice (e.g. special property, workers` compensation, environmental law, commercial coverage).**Specialized Knowledge & Skills Requirements*** Demonstrated experience providing customer-driven solutions, support or service* Demonstrated experience preparing civil pleadings, motions and discovery and deposing witnesses.* Demonstrated litigation experience.* Solid knowledge and understanding of rules of Professional Responsibility for the jurisdiction in which they practice.* Solid knowledge and understanding of tort, contract, and insurance law.* Admitted to the California State Bar* Juris Doctor**Travel Requirements*** Up to 50%.**Physical Requirements*** Work that primarily involves sitting/standing.**Working Conditions*** Not Applicable.#LI-remote### Additional Information* Offer to selected candidate will be made contingent on the results of applicable background checks* Offer to selected candidate is contingent on signing a non-disclosure agreement for proprietary information, trade secrets, and inventions* Sponsorship will not be considered for this position unless specified in the posting We provide benefits that support your physical, emotional, and financial wellbeing. You will have access to comprehensive medical, dental, vision and wellbeing benefits that enable you to take care of your health. We also offer a competitive 401(k) contribution, a pension plan, an annual incentive, 9 paid holidays and a paid time off program (23 days accrued annually for full-time employees). In addition, our student loan repayment program and paid-family leave are available to support our employees and their families. Interns and contingent workers are not eligible for American Family Insurance Group benefits.We are an equal opportunity employer. It is our policy to comply with all applicable federal, state and local laws pertaining to non-discrimination, non-harassment and equal opportunity. We also consider qualified applicants with criminal histories, consistent with applicable federal, state and local law.American Family Insurance is committed to the full inclusion of all qualified individuals. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please email *************** to request a reasonable accommodation.#LI-MN2 #J-18808-Ljbffr
    $125k-214k yearly 1d ago
  • Physician / Family Practice / California / Permanent / Family practice - rare opportunity Job

    Coastal Health Alliance 4.0company rating

    Point Reyes Station, CA job

    Job Announcement Family Physician The Coastal Health Alliance (CHA), a federally funded full service family practice, is beginning recruitment of a Family Medicine Physician. Our area is a designated site for National Health Service Corps loan repayment. Located in beautiful rural West Marin County, this is an exceptional opportunity for the right person. CHA operates out of three sites: Point Reyes Station, Bolinas, and Stinson Beach. These are all unincorporated villages on the California coast, one hours drive north of San Francisco. The area is known for its natural beauty and is home to the Point Reyes National Seashore as well as two state parks and the Golden Gate National Recreational Area. The economy is based on agriculture and tourism, as well as many local service businesses. CHA is searching for an MD interested in the full range of family medicine. As a rural practice, we see a full range of ambulatory care: well child and adult, including a full scope of well woman care, episodic illness and trauma care. We perform minor procedures in the office when appropriate. We are integrating behavioral and oral health. The personal and professional qualities we are seeking include: Training and experience with a broad clinical base. Professional focus on whole-patient care and quality outcomes. Comfort with office based procedures both scheduled and in urgent care setting. Enthusiastic about team care and problem solving in a small organization focused on patient and staff satisfaction Enjoys working in a collegial atmosphere with a strong emphasis on collaboration. Conveys respect for all staff and patients. Willingness to mentor new providers and participate in training of PA/FNP students periodically Is open to complementary and alternative health practices, which are evidence-based (Integrative Medicine) Has a strong self-awareness, high emotional IQ and well-developed management of stress in the workplace and in his/her personal life. Has a good sense of humor, and keeps life and work in a healthy balance. Competency in Spanish and in Latino cultural issues a plus Competitive salary and generous benefits.
    $171k-249k yearly est. 4d ago
  • Health and Well-Being Benefit Specialist

    Marsh McLennan Agency 4.9company rating

    Irvine, CA job

    The responsibility of a Health and Well-Being Benefit Specialist is to build and maintain excellent relationships with benefit practitioners and decision makers for the clients you are assigned to; coordinate HMS client activities with those of the Client Service/Broker Team; assume primary responsibilities for assigned client deliverables; and support HMS marketing and sales activities. Essential Duties & Responsibilities Following is a summary of the essential functions for this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time. Manage multiple, complex client relationships Provide strategic and tactical program development Participate in client-centric meetings to coordinate activities and deliverables Provide updates to support delivery of all related services Lead various client program campaigns through development and implementation Support engagement platform implementation and oversight Build and support internal Committees Provide ongoing engagement reporting and program results Support sales and prospecting opportunities as assigned Manage day to day client activities and oversee Client Service Specialist deliverables Required Qualifications The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Bachelor's degree in Wellness, Public Health or other health promotion field or equivalent education and training; Master's in health promotion related field preferred Minimum of 5+ years of related experience Ability to quickly develop relationships of trust and confidence with a variety of people Ability to work self-directed and collaboratively in a team environment Ability to manage complex employee health programs and deliver results Ability to interpret and present complex data with a high level of clarity and impact Excellent written, oral and presentation communications skills Excellent relationship building and listening skills Excellent project management and follow up skills Must be proficient in the use of a personal computer and supporting software in a Windows based environment including, MS Office products (Word, Excel, Outlook, PowerPoint), Adobe Acrobat Industry relevant licensing, professional credentials and continuing education Preferred Qualifications Population health account management or consulting experience Industry relevant licensing, professional credentials and continuing education California Life & Health insurance license (but may be obtained within 3 months of hire). Work Environment & Physical Demands Ability to use computer keyboard and sit in a stationary position for extended periods. Work is performed in a typical interior/office work environment. This is a physically active position requiring the ability to stoop and bend regularly, and lift up to 25 lbs. 15% - 30% travel may be required. Travel consists of 1 - 2 overnight trips per year covering areas both in and out of state. The applicable base salary range for this role is $80,600.00 - $128,700.00 The base pay offered will be determined on factors such as experience, skills, training, location, certifications, education, and any applicable minimum wage requirements. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives. We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.
    $80.6k-128.7k yearly 3d ago
  • Lead Investigator, Special Investigations Unit

    Inland Empire Health Plan 4.7company rating

    Rancho Cucamonga, CA job

    The Lead Investigator - Special Investigations Unit (SIU) (Lead Investigator) is responsible for investigating and resolving high complexity allegations of healthcare Fraud, Waste and Abuse (FWA) by medical professional, facilities, and members. This position researches, gathers, and analyzes data to identify trends, patterns, aberrancies, and outliers in provider billing behavior. The incumbent serves as a subject matter expert for other investigators. The Lead Investigator works collaboratively within the Plan to ensure the proper oversight of IEHP's FWA Programs. The Lead Investigator is responsible to demonstrate IEHP's commitment to prevent, detect, and correct identified issues of potential or actual FWA in the healthcare environment to ensure compliance with the requirements set forth by the Centers for Medicare and Medicaid Services (CMS), the United States Health and Human Services Office of the Inspector General (HHS-OIG), the California Department of Managed Health Care (DMHC), and the California Department of Health Care Services (DHCS). *Perks* IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. * Competitive salary. * Hybrid schedule. * CalPERS retirement. * State of the art fitness center on-site. * Medical Insurance with Dental and Vision. * Life, short-term, and long-term disability options * Career advancement opportunities and professional development. * Wellness programs that promote a healthy work-life balance. * Flexible Spending Account - Health Care/Childcare * CalPERS retirement * 457(b) option with a contribution match * Paid life insurance for employees * Pet care insurance *Education & Requirements * * Six (6) more years relevant professional experience in a health care environment, with an emphasis in fraud, waste, and abuse investigations, including Federal and State reporting requirements * Experience in health care fraud investigation, detection, and/or healthcare related specialty including but limited to; Pharmacy, DEM, Mental Health, Behavioral Health, Hospice, Home Health, claims, or claims processing * Bachelor's degree from an accredited institution required (preferably in a related field) * Master's degree from an accredited institution preferred * Accredited Healthcare Fraud Investigator (AHFI) certification required *Key Qualifications* * Comprehensive knowledge of: * Managed Care, Medi-Cal, and Medicare programs as well as Marketplace * Compliance program principles and practices of managed care * Federal and state guidelines as well as ICD, CPT, HCPCS, coding * Strong analytical skills with emphasis on time management and project management * Exhibits exemplary verbal and written communication skills with thorough documentation, composing detailed investigative reports and professional internal and external correspondence * Interpersonal and presentation skills to communicate with internal departments and external agencies * Strong logical, analytical, critical thinking and problem-solving skills * Proficiency in Microsoft Office programs including, but not limited to: Word, Excel, PowerPoint, Outlook, and Access * Demonstrated proficiency in data mining and the use of data analytics to detect fraud, waste, and abuse, including the utilization of pivot tables, formulas, and trending * Excellent interpersonal skills and business judgment * Proven ability to: * Lead a Team * Research, comprehend, and interpret various state specific Medicaid, Federal Medicare, and ACA/Exchange laws, rules and guidelines * Identify, research and comprehend medical standards, healthcare authoritative sources and apply knowledge to investigative approach * Interact with individuals at all levels * Exhibit forward thinking with high ethical standards and a professional image * Be collaborative and team oriented * Share information in an organized, clear, and timely manner, both verbally and in writing * Take initiative, possesses excellent follow-through and persistence in locating and securing needed information * Manage multi-tasks and changing priorities * Be detail-oriented, self-motivated, able to meet tight deadlines *Start your journey towards a thriving future with IEHP and apply **TODAY**!* Pay Range * $104,041.60 USD Annually - $137,841.60 USD Annually Job Type: Full-time Pay: $104,041.60 - $137,841.60 per year Schedule: * 8 hour shift * Day shift * Monday to Friday Application Question(s): * Do you have comprehensive knowledge of managed care, medi-cal, and medicare programs? * Do you have experience leading healthcare investigations? * This position is on a hybrid work schedule. (Mon & Fri - remote, Tues - Thurs onsite in Rancho Cucamonga, CA). Would you have any complications with this schedule? Education: * Bachelor's (Required) Experience: * FWA investigation in healthcare: 6 years (Required) License/Certification: * (AHFI) certification (Required) Work Location: Hybrid remote in Rancho Cucamonga, CA 91730
    $104k-137.8k yearly 1d ago
  • Field Audit Representative - DTLA, Santa Monica, West LA

    Workers' Compensation Insurance Rating Bureau of California (Wcirb 4.1company rating

    Los Angeles, CA job

    Join the WCIRB as a Field Representative! Field Representative - Covered Areas: West Los Angeles, Santa Monica, Downtown Los Angeles For over a century, the Workers' Compensation Insurance Rating Bureau of California (WCIRB) has been California's trusted, objective provider of actuarially based information and research, advisory pure premium rates and educational services integral to a healthy workers' compensation system. The WCIRB is a California unincorporated, private, nonprofit association comprised of all companies licensed to transact workers' compensation insurance in California. The operations of the WCIRB are funded primarily by membership fees and assessments; no state money is used to fund its operations. The WCIRB is a stable company and a proven leader in the workers' compensation insurance industry nationwide. The WCIRB performs a number of functions to accurately measure the cost of providing workers' compensation benefits and ensure a healthy workers' compensation system. To learn more about our company, please visit About Us | WCIRB California. The WCIRB employs approximately 175 people with an average tenure of over 10 years. We are committed to fostering a healthy, safe and diverse work environment leading to a dedicated, collaborative and innovative workforce, Summary This is a field-based position, with work performed from a home office and travel to insureds' locations as required. The Field Representative uses significant independent judgment in applying knowledge of the workers' compensation insurance standard classification system and of WCIRB procedures to analyze information collected and to determine the standard classifications that apply to a policyholder's operations. Working independently, the Field Representative is responsible for (1) classification inspection reports, (2) Test Audits of payroll, (3) Test Audits of claims classifications, and (4) general email and phone correspondence with insurers, agents and brokers and employers. Core areas of responsibility include: 1 . Field Representatives are expected to meet established quality and quantity requirements including: Production : The Field Representative is required to hit production goals for inspections and Test Audits. Quality : The Field Representative is required to produce both a quality inspection and test audit that are reflective of a business classification and payroll. 2. Field Representatives meet and interact directly with California business owners, with a primary responsibility of delivering a positive customer experience through accessibility, responsiveness, and professional conduct. Essential Duties and Responsibilities Interviews policyholders and inspects their premises to obtain information needed to properly classify their business operation for workers' compensation insurance purposes. Prepares, proofreads and submits classification inspection reports describing the employer's business. Examines insurers' payroll audits and policyholders' payroll records to verify the proper reporting of exposure by classification for unit statistical purposes. Conducts claims classification audits to verify the classifications assigned by insurers to reported claims. Prepares, proofreads and submits the results of Test Audits and claims classification audits. Conducts ride along with team members and other employees from home office (as needed) Prepares general correspondence including setting appointments, emails and phone calls to employers, insurers, agents and brokers. Qualifications To perform this job successfully, the individual must be able to execute the tasks discussed in this job description. The requirements listed below are representative of the knowledge, skills and/or ability required. Reasonable accommodations, as required by ADA, may be made to enable individuals with disabilities to perform the essential functions. Bachelor's degree (including completed courses in relevant areas such as business administration, accounting, bookkeeping, mathematics, risk management, accounting, and communication) or a minimum of 3 years of Premium Audit experience with an insurance carrier/fee audit company or equivalent experience that demonstrates the required writing, analytical and computer skills. Proficiency in basic workers' compensation payroll auditing and general understanding of the administration of the standard classification system. Proficiency in Word and Excel. Position requires a self-starter who can work independently and meet production goals. Must have excellent interpersonal skills and the ability to interface with a variety of individuals in a number of different settings or work conditions. Sufficient mathematical skills to understand payroll records to conduct a payroll audit. Solid language skills to communicate clearly with co-workers and people outside the WCIRB, and to write and proofread inspection reports that are sent directly to the insurer without secondary review. Certificates, Licenses, Registrations Valid California driver's license required. Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 40%-60% time spent either at policyholders' locations or traveling thereto. Actual travel time varies with assigned territory. Travel may require overnight stays away from home. 40%-60% time spent at Field Representative's home office engaged in preparing for, researching, and producing classification inspection reports and test audit reports. On-site inspections involve exposure to a variety of work conditions that are not under the WCIRB's control. Success partly depends on effective time management skills, self-motivation, excellent follow through and comfort with working independently and alone most of the time. Work requires attention to detail over long periods of time. Work is performed at fast, accurate pace and in an occasionally stressful environment. Work requires that certain production goals be met. Perks & Benefits At the WCIRB, we go the extra mile to keep our employees happy and healthy. Proud to be recognized as a Plan Sponsor of the Year finalist for our commitment to retirement readiness through strong 401k and pension offerings. Some of our benefits and perks include: Medical, dental and vision benefits Competitive PTO Program Wellness benefits 401K and pension plan Social activities Community volunteer involvement WCIRB is an equal opportunity employer committed to an inclusive workplace that fosters belonging. All qualified applicants will receive consideration for employment without regards to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, age, genetic information, or any other basis prohibited by law. We also consider qualified applicants with criminal histories consistent with applicable federal, state and local law. Benefits: 401(k) matching Dental insurance Health insurance Paid time off Vision insurance Work from home Thank you for your interest in the WCIRB!
    $46k-65k yearly est. 1d ago
  • Underwriting Intern

    Burns & Wilcox 4.6company rating

    Sacramento, CA job

    At Burns & Wilcox, we are looking for a passionate individual aiming to follow a career path in the specialty insurance industry. The 12-week summer internship program aims to develop one's business acumen, communication, and leadership skills through real world experience. This is a paid internship that provides additional learning opportunities for students to learn from and network with executive leadership and fellow interns in a range of departments. This individual will be expected to work 40 hours per week, with four days spent in an office setting and one day remote. The Underwriting Intern will gain valuable experience in one of our insurance underwriting teams comprised of commercial, personal, environmental, or professional lines teams. Responsibilities Underwriting and cross selling across the department renewal portfolio and new business submissions Participate in agent marketing calls Engage in insurance policy renewals Update new business and renewals in Microsoft Excel Determine which program or market best meets the needs of agency clients Communicating loss notices and policy changes Work alongside senior leaders on special projects and attend client meetings Qualifications Enrolled as an undergraduate at an accredited university, actively pursuing a degree in Risk Management and Insurance (strongly preferred), Business, Finance, or another relevant field Expected graduation in December 2026 or May 2027 Previous internship experience is preferred Technical proficiency in Microsoft Office applications About Our Company Burns & Wilcox, the flagship organization of H.W. Kaufman Group, is North America's leading wholesale insurance broker and underwriting manager. Burns & Wilcox offers wide ranging and comprehensive solutions to serve retail insurance brokers and agents of all sizes, from the large houses to the more than 30,000 independent brokers and agents worldwide. Fueled by its freedom from Wall Street and private equity, Burns & Wilcox is a privately owned company whose standards of service, depth of market relationships and outstanding talent are unsurpassed in the specialty insurance sector. Equal Opportunity Employer The H.W. Kaufman Group of companies is an equal opportunity employer. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, gender identity, age, national origin, disability, veteran status, marital status, sexual orientation, pregnancy, genetic information or any other status or condition protected by the laws or regulations in the locations where we operate. In addition, Kaufman will make reasonable accommodations to known physical or mental limitations of an otherwise qualified person with a disability, unless the accommodation would impose an undue hardship on the operation of our business.
    $31k-50k yearly est. 5d ago
  • People & Talent Sourcing/Coordinator

    Allcare Health 4.0company rating

    Cerritos, CA job

    All Care Therapies is a leading provider of Physical, Occupational, and Speech therapy services. We place an emphasis on attracting passionate healthcare professionals who share a philosophy of providing quality patient care in an inviting, caring, and collaborative team environment. Job Description We're looking for a detail-oriented and organized part-time HR Coordinator to join our People & Talent team. This role will play a key part in supporting the full talent lifecycle - with a focus on recruiting coordination, onboarding, candidate communication, and HR administrative support. The ideal candidate thrives in a fast-paced environment, enjoys working collaboratively, and demonstrates a genuine passion for creating a seamless and positive candidate and employee experience. Please note this is a part-time position working 20-25 hours per week (PST hours) Qualifications Support the People & Talent team with daily operations, focusing on Talent Acquisition and onboarding. Schedule interviews, coordinate candidate communications, and manage follow-up through SmartRecruiters. Assist in preparing and sending offer letters, ensuring accuracy and timely delivery. Track candidate progress, manage background checks, and maintain compliance documentation. Facilitate a smooth onboarding process for new hires, including welcome communications and system access. Maintain accurate data in SmartRecruiters and HR systems, ensuring integrity and confidentiality. Support special projects, events, and initiatives within the People & Talent team. Provide general administrative support and assist with other HR-related tasks as needed. Hourly rate $23-$25 depending on experience Additional Information All your information will be kept confidential according to EEO guidelines. All Care Therapies is an equal opportunity employer. All aspects of employment, including the decision to hire, promote, discipline, or discharge, will be based on merit, competence, performance, and business needs. We do not discriminate based on race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.
    $23-25 hourly 6d ago
  • Lead Building Engineer

    Hays 4.8company rating

    San Diego, CA job

    Your new company A global facilities management leader with over 130 years of technical excellence is seeking a Lead Building Engineer to support operations at one of downtown San Diego's most iconic Class A high-rise commercial properties. This is a unique opportunity to join a high-performing team at a landmark building in the heart of the city. Your new role As Lead Building Engineer, you'll oversee day-to-day engineering operations and ensure the property's systems are operating at peak performance. You'll work alongside a team of five engineers in a dynamic, well-supported environment. Key responsibilities include: Leading daily operations and maintenance of building systems Ensuring compliance with safety and performance standards Collaborating with vendors and internal teams to resolve technical issues Supporting preventative maintenance and energy efficiency initiatives Providing mentorship and guidance to junior engineers What you'll need to succeed Proven experience in commercial building operations and engineering Background in high-rise or Class A commercial properties Strong leadership, troubleshooting, and hands-on technical skills Ability to work collaboratively in a fast-paced environment What you'll get in return Competitive compensation at $40/hour Full medical, dental, and vision benefits Opportunity to work at a premier downtown San Diego property Supportive team culture and access to industry-leading resources Long-term growth potential with a respected global FM provider What you need to do now If you're interested in this role, reach out directly to: Kyle Heyward 📧 ********************* 📞 ************ If this role isn't quite right for you but you know someone who might be a fit, feel free to connect-I'd love to hear from you.
    $40 hourly 1d ago
  • Manager, Clinical Services Business Insights

    Community Health Plan of Washington 4.3company rating

    Community Health Plan of Washington job in Seattle, WA

    Who we are Community Health Plan of Washington is an equal opportunity employer committed to a diverse and inclusive workforce. All qualified applicants will receive consideration for employment without regard to any actual or perceived protected characteristic or other unlawful consideration. Our commitment is to: * Strive to apply an equity lens to all our work. * Reduce health disparities. * Create an equitable work environment. About the Role Provides oversight of strategy, auditing, training, analytics, and reporting for the Clinical Services business unit. Responsible for daily oversight of monitoring programs, managing department projects and internal and external reporting of Clinical Services programs. Ensures Clinical Service programs and processes align with applicable regulatory standards including Centers for Medicare and Medicaid (CMS), Dual Eligible Special Needs Plans (DSNP) Model of Care (MOC), Health Care Authority (HCA), and National Commission for Quality Assurance (NCQA). To be successful in this role, you: * A bachelor's degree in a relevant field such as Public Health, Health Informatics, Business Administration, or a related discipline; a relevant master's degree, such as MPH, MHA, MBA, or MS in Analytics is highly preferred. * Have five (5)+ years of progressive experience in project management, program management, or healthcare analytics with at least three (3) years in a leadership or supervisory role, required. * Have a minimum of three (3) years of working experience at a Managed Care Organization (MCO), required. * Have experience managing large scale projects with both clinical and non-clinical stakeholders, required. * Have experience as a strategic partner to clinical leadership, translating business needs into technical requirements and ensuring outputs are aligned with operational priorities. * Professional certifications demonstrating expertise in project management, analytics, or process improvement preferred. Essential functions and Roles and Responsibilities: * Manages staff, including coaching direct reports for optimal performance. * Responsible for divisional auditing and reporting to ensure compliance with department productivity metrics and regulatory requirements. * Provides operational oversight and supervision of staff performing internal & external Auditing Process Oversight for Clinical Services * Collaborate closely with clinical leaders to identify opportunities for intervention, monitor program performance, and evaluate program effectiveness and impact. * Lead cross-functional analytics and reporting projects from initiation through execution, ensuring alignment with clinical operations goals across care management, utilization management, behavioral health, quality, and pharmacy. Leads the integration of contract changes to ensure they are fully implemented into Clinical Services programs and services. * Manages the division onboarding process which includes delegating and supervising staff to ensure that all department staff are trained to department standards. * Other Duties as Assigned. Essential functions listed are not necessarily exhaustive and may be revised by the employer, at its sole discretion. Knowledge, Skills, and Abilities: * Ability to communicate insights clearly to both technical and non-technical stakeholders, tailoring messages to clinical, operational, and executive audiences. * Ability to set performance expectations, coach for performance success, and achieve department and company objectives. * Ability to plan, assign and/or delegate, and supervise the work of others. * Knowledge of regulatory and certification requirements and their impact on the organization such as Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and NCQA. * Ability to leverage healthcare analytics to support clinical operations teams with actionable insights that improve member outcomes and operational efficiency. * Well versed knowledge in tools such as SQL, Power BI/Tableau, and project management platforms (e.g., Jira, Smartsheet, or MS Project) to manage deliverables and communicate progress. * Ability to organize, prioritize, and manage work to meet deadlines. * Ability to work with attention to detail and accuracy. As part of our hiring process, the following criteria must be met: * Complete and successfully pass a criminal background check. Criminal History: includes review of criminal convictions and probation. CHPW does not automatically or categorically exclude persons with a criminal background from employment. The applicant's criminal history will be reviewed on a case-by-case basis considering the risk to the business, members, and/employees. * Has not been sanctioned or excluded from participation in federal or state healthcare programs by a federal or state law enforcement, regulatory, or licensing agency. * Vaccination requirement (CHPW offers a process for medical or religious exemptions) * Candidates whose disabilities make them unable to meet these requirements are considered fully qualified if they can perform the essential functions of the job with reasonable accommodation. Compensation and Benefits: The position is FLSA Exempt and is not eligible for overtime. Based on market data, this position grade is 69 and has a 10% annual incentive target based on company, department, and individual performance goals. CHPW offers the following benefits for Full and Part-time employees and their dependents: * Medical, Prescription, Dental, and Vision * Telehealth app * Flexible Spending Accounts, Health Savings Accounts * Basic Life AD&D, Short and Long-Term Disability * Voluntary Life, Critical Care, and Long-Term Care Insurance * 401(k) Retirement and generous employer match * Employee Assistance Program and Mental Fitness app * Financial Coaching, Identity Theft Protection * Time off including PTO accrual starting at 17 days per year. * 40 hours Community Service volunteer time * 10 standard holidays, 2 floating holidays * Compassion time off, jury duty Sensory/Physical/Mental Requirements: Sensory*: * Speaking, hearing, near vision, far vision, depth perception, peripheral vision, touch, smell, and balance. Physical*: * Extended periods of sitting, computer use, talking and possibly standing * Simple grasp, firm grasp, fine manipulation, pinch, finger dexterity, supination/pronation, wrist flexion * Frequent torso/back static position; occasional stooping, bending, and twisting. Mental: * Must have the ability to learn and prioritize multiple tasks within the scope and guidelines of the position and its applicable licensure requirements, many requiring extremely complex cognitive capabilities. Must be able to manage conflict, communicate effectively and meet time-sensitive deadlines. Work Environment: Office environment Employees who frequently work in front of computer monitors are at risk for environmental exposure to low-grade radiation.
    $100k-124k yearly est. 60d+ ago
  • RN Clinical Program Sr. Advisor - (Nurse Executive Sales Specialist) - Multiple West Coast Locations - Hybrid

    The Cigna Group 4.6company rating

    Seattle, WA job

    **EXPECTATIONS:** This role partners with the sales team and requires travel to client offices based on location. **GENERAL PURPOSE:** + Cigna's mission is to improve the health, well-being and sense of security for those we serve. The ClinicalSalesand Network Organization, as Champions for affordable, predictable and simple health care, is dedicated to achievement of our Enterprise goals improving affordability and customer health outcomes, client growth and retention, and network performance. **OVERVIEW:** + TheNurse ExecutiveSalesSpecialist, trusted Clinical Leader, Educator and Advocate, is closely aligned with Clients, Brokers, and other Key Stakeholders to promote improvedhealthcarequality and affordability for clients, members and communities we serve. This role executes on strategic priorities to meet enterprise targets related to CignaHealthcareU.S.SalesGrowth, Persistency and TotalMedicalCost. **RESPONSIBILITIES:** + Stays current withhealthcareindustry trendsand maintains a working knowledge of Cigna business segment strategies, clinical programs, services and operational processes necessary to educate and provide consultative clinical insights to Sales, Clients, Brokers and other key stakeholders. + Fosters deep collaborative relationships with Sales,Sales Operations, Clients and Brokers, championing Cigna's differentiated clinical value proposition. + Supports achievement of business growth targets including prospective review, request for proposal, finalist meeting and newclient onboarding. + Supports achievement of business persistence targets includingmedicalcost driver analysis and action, complex case review, referral and engagement, account renewal consultation and recommendations to positively impactmedicalcost trend,healthcarequality and outcomes. + Collaborates and aligns across business units, working closely withsales, clinical product and program teams, marketing, data and analytics,clinical operations, health engagement, Evernorth Workplace Care and others, to design and deliver innovative client and market specific solutions. + Participates in cross-functional projects at the local or national level, implementing actions that improve organizational or enterprise effectiveness and affordability. + In conjunction with Sales, Health Engagement and others, facilitates Client and/or Broker external engagements (health forums, community and worksite events, educationalpresentations, corporate tours, other) promoting Cigna's integrated value proposition. + Responds to and facilitates resolution to escalated case inquiries, benefit and coverage explanations and non-standard client benefit requests. + **Ideal candidate must reside in one of the following locations: Glendale, CA, Irvine, CA, San Francisco Bay Area,** **Walnut Creek, CA,** **Seattle, Washington or Portland, Oregon.** **QUALIFICATIONS** : + Active and unrestricted nursing license in your state of residence required + Bachelor's degree is required. + Advanced Degree is preferred + Minimum of three (3) years of clinical practice experience + Proven industry experience in a Health Sector related field (Health Insurance;HealthcareProfessional and/or Delivery System Entities or Allied Health Industry,Pharmaceutical Sales,Medical Salesa plus) + Strong Leadership, Organizational, Critical Thinking and Executionskills + Broad-based thinker with a solid understanding of overall approach to population health for employers + Works effectively in a matrixed environment + Proven ability to foster, influence and maintain collaborative successful relations with internal and external stakeholders. + Excellent oral andwritten communication skills. + Proficient in multiple forumpresentationsinternally and externally + Skilled in using Microsoft and Technology/Software applications. + **Requires intermittent travel up to 50% of the time.** If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 116,200 - 193,600 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group . **About Cigna Healthcare** Cigna Healthcare, a division of The Cigna Group, is an advocate for better health through every stage of life. We guide our customers through the health care system, empowering them with the information and insight they need to make the best choices for improving their health and vitality. Join us in driving growth and improving lives. _Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws._ _If you require reasonable accommodation in completing the online application process, please email:_ _*********************_ _for support. Do not email_ _*********************_ _for an update on your application or to provide your resume as you will not receive a response._ _The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State._ _Qualified applicants with criminal histories will be considered for employment in a manner_ _consistent with all federal, state and local ordinances._
    $69k-84k yearly est. 22d ago
  • Investment Grade Credit Trader

    Pacific Life 4.5company rating

    Newport Beach, CA job

    Providing for loved ones, planning rewarding retirements, saving enough for whatever lies ahead - our policyholders count on us to be there when it matters most. It's a big ask, but it's one that we have the power to deliver when we work together. We collaborate and innovate - pushing one another to transform not just Pacific Life, but the entire industry for the better. Why? Because it's the right thing to do. Pacific Life is more than a job, it's a career with purpose. It's a career where you have the support, balance, and resources to make a positive impact on the future - including your own. We're actively seeking an experienced Investment Grade Credit Trader to join our growing Pacific Life Investments (PLI) team with a strong preference for candidates who have traded or managed assets on behalf of insurance companies. In this high-impact role, you'll execute trades directed by Portfolio Management in investment grade corporate bonds, with a focus on aligning with insurance General Account mandates and portfolio objectives. The ideal candidate will bring over 8 years of experience in investment grade credit markets and have a deep understanding of the unique regulatory, capital, and risk considerations involved in managing insurance portfolios. This position will be located in our Newport Beach office. How you'll help move us forward: Collaborate with portfolio managers, credit analysts, and portfolio strategy to support liability-driven investment strategies. Monitor market conditions, credit spreads, and liquidity to help Portfolio Managers identify relative value opportunities and price anomalies. Maintain strong relationships with broker-dealers and internal stakeholders to ensure best execution and market insight. Contribute to the development of trading strategies, tools, and processes tailored to insurance asset management. Ensure compliance with NAIC guidelines, internal risk limits, and regulatory requirements. The experience you bring: 8+ years of sell-side or buy-side experience trading investment grade credit, preferably with direct exposure to insurance asset management or trading on behalf of insurance clients. Strong understanding of insurance General Account portfolio objectives, regulatory capital considerations, and asset-liability management (ALM). Demonstrated expertise in executing trades across U.S. and global investment grade corporate bonds, including primary and secondary markets. Proficiency in Bloomberg, Excel, and fixed income analytics platforms. Experience with electronic trading platforms (e.g., MarketAxess, Tradeweb) is a plus. Excellent communication, collaboration, and decision-making skills. Upholds the highest standards of ethics and integrity. Bachelor's degree in Finance, Economics, Mathematics, Statistics, or a related field; CFA designation or advanced degree preferred. You can be who you are. People come first here. We're committed to an inclusive workforce. Learn more about how we create a welcoming work environment at ******************** What's life like at Pacific Life? Visit Instagram.com/lifeatpacificlife. #LI-AJ1 Base Pay Range: The base pay range noted represents the company's good faith minimum and maximum range for this role at the time of posting. The actual compensation offered to a candidate will be dependent upon several factors, including but not limited to experience, qualifications and geographic location. Also, most employees are eligible for additional incentive pay. $180,180.00 - $220,220.00 Your Benefits Start Day 1 Your wellbeing is important to Pacific Life, and we're committed to providing you with flexible benefits that you can tailor to meet your needs. Whether you are focusing on your physical, financial, emotional, or social wellbeing, we've got you covered. Prioritization of your health and well-being including Medical, Dental, Vision, and Wellbeing Reimbursement Account that can be used on yourself or your eligible dependents Generous paid time off options including: Paid Time Off, Holiday Schedules, and Financial Planning Time Off Paid Parental Leave as well as an Adoption Assistance Program Competitive 401k savings plan with company match and an additional contribution regardless of participation EEO Statement: Pacific Life Insurance Company is an Equal Opportunity /Affirmative Action Employer, M/F/D/V. If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact a Human Resources Representative at Pacific Life Insurance Company.
    $61k-105k yearly est. Auto-Apply 48d ago
  • Senior Insurance Loss Control Consultant

    Alexander & Schmidt 3.8company rating

    Santa Cruz, CA job

    Senior Insurance Loss Control Consultant Job Description At Alexander & Schmidt, a Senior Insurance Loss Control Consultant performs inspections and prepares in-depth reports for insurance underwriting purposes. Insurance companies use the reports to properly insure a commercial building, or business operations, for a new policy or renewal of a current policy. Required Skills MUST HAVE 10+ years' experience with a major carrier or working as an independent contractor providing commercial insurance loss control services. Extensive understanding of commercial property and casualty lines. Property assessments will potentially include the necessity to determine adequacy of sprinkler systems based on occupancy, commodities and racking systems. Inland Marine coverages will include builders risk, contractor's equipment, motor truck cargo, WLL and MOLL and other specialty coverage's. Commercial General Liability will include Premises, Operations, Products and Completed Operations. Workers Compensation assessments for regulatory compliance and workplace safety. Loss analysis involving identification of trends, root cause and appropriate corrective action. Specialty fields such as Environmental and Professional Liability Risk Improvement services including training, consulting, hazard analysis and regulatory assessments will also be conducted. Solid communication skills-including exceptional writing ability, organizational skills, and computer skills Excellent Time management skills Professional certifications CSP, OHST, ALCM and/or ARM are preferred, but not required. Uploading completed reports, photos and diagrams through a special website or complete reports on web based systems Travel within a reasonable territory, 60 mile radius This work will be challenging and covers everything from contractors to real estate to retail to warehouse and distribution to manufacturing. High-quality, accurate loss control surveys guide the underwriter in the selection of profitable business, and assist the insured in controlling losses through the demonstrated value of the loss control services provided.
    $87k-111k yearly est. 60d+ ago

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