HCA Healthcare jobs in Thousand Oaks, CA

- 209 jobs

Program Administrator GME
HCA Healthcare 4.5
HCA Healthcare job in Thousand Oaks, CA
Salary Estimate: $63710.40 - $92414.40 / year Learn more about the benefits offered ( ********************************************************************* ) for this job. The estimate displayed represents the typical salary range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Job Summary and Qualifications** The Graduate Medical Education (GME) Program Administrator is responsible for supporting the administrative, operational and financial management functions of the assigned residency/fellowship training program. The GME Program Administrator assists GME leaders in providing an optimal working and learning environment for all trainees. The position requires a comprehensive and detailed understanding of Accreditation Council for Graduation Medical Education (ACGME), hospital policies, as well as a high degree of initiative and independent judgment. The Program Administrator will continually assess and direct a wide range of programmatic issues including long range planning, recruiting trainees, onboarding trainees, developing projects, analyzing administrative workflow, maintaining databases, communicating with faculty and trainees regarding a range of issues, developing faculty and managing internal and external program relations. The Program Administrator supports the education design and leadership of the residency program, and therefore, shares responsibility for the residents, faculty and other colleagues within the program. What you will do in this role: + Manage the day-to-day operations of one or more residency or fellowship training programs. + Coordinate and organize program recruitment efforts and the National Resident Matching Program (NRMP) process. + Understand the program accreditation requirements and assist in ensuring compliance of the program, residents, and faculty with all applicable requirements. + Prepare and maintain all required program/resident documentation. + Coordinate program/resident onboarding and orientation processes. + Serve as the resident/fellow liaison to assure a positive educational experience. + Continuously assess and coordinate a wide range of programmatic events and processes, including curricular activities, onboarding and graduation, periodic assessment, budget planning and maintenance, annual Accreditation Council for Graduate Medical Education (ACGME) program updates and accreditation site visits, and more. What qualifications you will need: + Bachelor's degree preferred + Minimum 3 years of experience in a healthcare setting (preferably in Graduate Medical Education or in some field of education, i.e. teacher/educator) preferred + Training Administrators of Graduate Medical Education (TAGME) certification highly regarded + Knowledge of Residency Management Systems (MedHub or New Innovations) preferred + Proficiency with MS Word, Excel, PowerPoint, PDF software, online meeting platforms, email and other forms of electronic communication + Ability to efficiently and accurately manage multiple tasks and projects + Excellent written and verbal communication skills **Benefits** Los Robles Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (*********************************************************************) _Note: Eligibility for benefits may vary by location._ Our teams are a committed, caring group of colleagues. Do you want to work as a(an) Program Administrator GME where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! Supporting HCA Healthcare's 186 hospitals and 2,400+ sites of care, Physician Services plays a crucial role as the main entry point for patients looking for high-quality healthcare within the HCA Healthcare system. With a focus on meeting the needs of our patients at all access points, Physician Services is dedicated to implementing innovative, physician-driven, value-added solutions to assist physicians in providing high-quality, patient-centered care, aligning with our mission to care for and enhance human life. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in costs for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Program Administrator GME opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$63.7k-92.4k yearly 10d ago
Case Management Assistant
HCA Healthcare 4.5
HCA Healthcare job in Thousand Oaks, CA
Hourly Wage Estimate: $20.40 - $28.56 / hour Learn more about the benefits offered ( ********************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:Case Management AssistantLos Robles Regional Medical Center **Benefits** Los Robles Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (*********************************************************************) **_Note: Eligibility for benefits may vary by location._** We are seeking a Case Management Assistant for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! **Job Summary and Qualifications** The Case Management Assistant (CMA) will work under the direction of the RN case manager or social worker to assist with facilitating patient discharges requiring post-acute placement or services, and will identify and report barriers to discharges. The CMA will provide administrative support in Case Management functions. + Coordinates with RN case manager and social worker for support needed. Communicates updates on progress throughout the day. Refers patient questions back to the case manager/social worker. + Uses web-based referral system to manage post-acute care (PAC) referrals - includes sending appropriate clinical information from the medical record required for the level of care. + Communicates with RN case managers/social workers regarding the status of PAC referrals, bed availability, and other barriers that cannot be resolved. + Based on facility practice, sets up transportation/sends information to Transfer Center and generates discharge packets for PAC transfers. + Utilizes Case Management systems, standards, and processes. What qualifications you will need: + High School Graduate / GED - REQUIRED + Associate Degree - PREFERRED + Medical knowledge and terminology - REQUIRED + Minimum of one year experience in a health care setting - REQUIRED + Healthcare professional (CNA, EMT) - PREFERRED + Case Management experience highly preferred Los Robles Regional Medical Center (****************************** is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care with **compassion** **and kindness** to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our Case Management Assistant opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$20.4-28.6 hourly 4d ago
Representative, Care Connections Member Advocate - Must Be Bilingual in Spanish. Mon - Fri 10:00 AM- 7:00 PM or Tues - Sat 7:00 AM- 4:00 PM Pacific Time Zone - CA ONLY
Molina Healthcare 4.4
Long Beach, CA job
Makes outbound calls to members, completes assigned hand-dial lists, and provides proactive member support, information, and assistance. Adheres to member interaction departmental standards, call quality, and documentation requirements. **Job Duties** + Schedules high-quality member appointments daily to meet departmental goals. + Completes assigned hand-dial lists and member research requirements with accuracy and efficiency. + Provides basic support and guidance to members with empathy and professionalism. + Participates in ongoing training sessions to enhance service quality and knowledge. **Job Qualifications** **REQUIRED QUALIFICATIONS:** + At least 1 year experience in a healthcare service environment, or equivalent combination of relevant education and experience. + High attention to detail and ability to follow member interaction scripting. + Flexible and adaptive to changing priorities and workflows. + Compassionate and service oriented. + Bilingual (English and at least one additional language, as required). + Strong verbal and written communication skills. **PREFERRED QUALIFICATIONS:** + Healthcare administrative support experience in roles such as Medical Office Assistant, Patient Services Representative, Medical Receptionist, Front Desk Coordinator, or Scheduler. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $19.9 - $30.39 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$19.9-30.4 hourly 19d ago
Driver | Installer
Texas Health Resources 4.4
Torrance, CA job
Now Hiring Driving Installers At Bright Event Rentals The Role: As a Driver Installer your responsibilities include loading, unloading, and operating a box truck or any other company vehicles safely. Generally, would lead the team in installing any event from setting up tables, chairs, staging, lighting, flooring, or any other event rental equipment. The Perfect Candidate: Friendly, Team Orientated, Productive, Organized, Multi-Tasker, Driving Experience, Communicative. Willing to learn and grow in the Event Industry with Bright. The Environment: Friendly, Fast Paced, Family Orientated working environment. Hours vary depending on job/location. Must be available on weekends. Benefits: Medical, Dental, Vision, Company Matching 401k, Paid Vacation, Weekly Pay, Yearly Paid Volunteer Time, Life Insurance and Team Member Discounts. Compensation: Hourly position based on experience plus a referral program incentive when hired. The Company: - Bright Event Rentals is a leader in the full-service event rental industry. We create unique, memorable experiences and take great care of our clients and team members alike. We believe in providing the best experiences and services to all our customers by working together efficiently, safely, and as detailed as possible for overall satisfaction. Apply Here: https://www.click2apply.net/JB2lDytQjxxMLSoeNT7NMA PI188276349 Additional Information All your information will be kept confidential according to EEO guidelines.
$32k-37k yearly est. 14h ago
Senior Facilitated Enroller (In Field Rochester, NY)
Molina Healthcare 4.4
Long Beach, CA job
The Senior Facilitated Enroller will use a high degree of customer service to successfully work with the team to provide optimal enrollment success. The Senior Facilitated Enroller (SFE) will assist the Facilitated Enrollment Supervisor in meeting and exceeding sites expectations and providing exceptional levels of customer service. The SFE will continue to assist eligible recipients for enrollment by phone or conduct face to face meetings. Assist the Facilitated Enrollment Supervisor in training, assisting with client meetings (webinars and leading meetings) and will be more involved with the Marketing Tracker and Salesforce. The SFE will also work closely with the Facilitated Enroller and will report to the Facilitated Enrollment Supervisor the successes or areas that require improvement and will provide input on strategy as the business needs change within given territory. Knowledge/Skills/Abilities Assists with inbound/outbound calls when necessary to assist FE with achieving monthly, quarterly and annual enrollment goals. The SFE will assist in leading FE and/or projects to help ensure monthly enrollment results. SFE will provide support across projects, including quality checks to Marketing Tracker and Sales Force. Works with Facilitated Enrollment Supervisor to successfully support FEs in enrollment success and to formulate resolutions for struggling FEs. Identifies any challenges and communicates to Facilitated Enrollment Supervisor. Successfully maintains and/or manages monthly FE calendar Excellent time management with the ability to maintain multi-faceted projects, providing both quality and quantity while completing job duties and adhering to various objectives with little to no supervision. Maintains a high level of professionalism to all outgoing emails to clients Shows a comprehensive understanding of processes, best practices, and indications with minor errors Monitors daily operations and identifies need for program tools and works with Facilitated Enroller Supervisor to meet staff needs. Participates in the design and implementation of process improvements within the current facilitated enrollment policies, procedures, services and workflow to improve the customer experience as well as productivity Maintains expert knowledge of current processes, rules and regulations of the MMC, EP, CHP and QHP programs and serves as a resource for implementation, training teams Offers suggestions to Facilitated Enrollment Supervisor regarding corrective action plans and conducts other quality activities to include policy and procedure review and application reviews Performs research assignments as directed by Facilitated Enrollment Supervisor which may include but are not limited to educational resources and best practices. Meets with consumers at various sites throughout the communities Provide education and support to individuals who are navigating a complex system by assisting consumers with application process, explaining requirements and necessary documentation Consistently demonstrates high standards of integrity by supporting Molina Healthcare of NY, Inc mission and values and adhering to the Corporate Code of Conduct Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures Performs other functions as assigned by management. Job Qualifications Required Education: High School Diploma or equivalence Required Experience: Minimum of 3 years of experience working with State and Federal Health Insurance programs and populations Demonstrated organizational skills, time management skills and ability to work independently Previous experience leading projects, processes, or teams Excellent written and oral communication skills; strong presentation skills Basic computer skills including Microsoft Word, Excel, Salesforce and Share Point Strong interpersonal, organizational skills and the ability to work in a team environment. A positive attitude with the ability to be flexible and adapt to change Knowledge of Managed Care insurance plans Ability to work with a diverse population, including different ethnicities, cultural backgrounds, and/or underserved communities Required Licensure or Certification: Must have reliable transportation and a valid NYS drivers' license with no restrictions Successful completion of the NYSOH required training, certification To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$92k-124k yearly est. Auto-Apply 4d ago
Manager, Growth & Community Engagement (Southern New Mexico)
Molina Healthcare 4.4
Long Beach, CA job
Molina Healthcare is hiring for a Manager of Growth & Community Engagement in southern New Mexico. This position will work alongside leadership and the other Managers to ensure team and department goals are met. They will work closely to lead and execute Molina signature events, manage the day-to-day activities and support the team. They will interact with public officials, external organizations, and internal departments. If you have passion and enthusiasm for building relationships within the community that foster growth all while improving the health and lives of the community, we want to talk with YOU! This position is fast paced and requires someone who is versatile, creative, and can lead by example. They will be a mentor, a leader and need to be hands on. The duties will range from doing ride-a-longs with team members (Community Engagement Reps), leading and facilitating meetings, events, and department activities. This position will interact with other department management and leads. This position is primarily in the Medicaid space, however, will cross over to Marketplace and Medicare. This role will lead by example, working alongside their team. There may be evening and weekend events that the Manager will be needed at. Prior experience working with the community in some capacity is highly desired ***Must live in Southern New Mexico*** ***NM State Driver's License and Reliable Transportation Required** KNOWLEDGE/SKILLS/ABILITIES Responsible for achieving established goals improving Molina's enrollment growth objectives encompassing all lines of business. Works collaboratively with key departments across the enterprise to improve overall choice rates and assignment percentages. Works closely with the AVP/Director to develop and execute the enrollment growth strategy for a specific area, while also being accountable to achieve assigned membership growth targets. Accountable for achieving established goals with the primary responsibility for improving the plan's overall “choice” rate. In addition, works collaboratively with other key departments to increase Medicaid assignment percentages for Molina. Responsible for day-to-day operations and management of team members, including hiring, training, developing, coaching and mentoring, etc. Creates and regularly reviews team performance metrics/scorecards to ensure team performance contributes to overall enrollment growth, while providing clear direction and intermittent steps to achieve success. Contributes to the development, implementation, and evaluation of the enrollment growth plan for assigned territory; plans enrollment activities to promote membership growth. Collaborates with other Lines of Business' sales teams to identify growth opportunities focused on key providers and Community Based Organizations. Leads team in the development of relationships with key providers, Community Based Organizations (CBOs), Faith Based Organizations (FBOs), School Based Organizations (SBOs) and Business Based Organizations (BBOs) and how to move them through the enrollment pipeline. Directs the coordination, development and approval of State/Federal guidelines for all marketing and promotional materials for all product lines. Demonstrates thorough understanding of Molina's product lines, Medicaid, CHIP, Medicare SNP, Marketplace, MMP, etc JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree or equivalent experience. PREFERRED EDUCATION: Bachelor's degree in marketing or healthcare administration. REQUIRED EXPERIENCE: 5-10 years' experience in business development, community relations or health care related activities. 3 years Managed-Care, Medicaid experience; knowledge of advertising requirements pertaining to the Medicaid and Medicare media campaigns. Prior work experience in a supervisory capacity, demonstrating excellent organizational, prioritizing, and motivational skills. Experience in negotiation, sales or marketing techniques. Must live in San Diego County PREFERRED EXPERIENCE: Previous healthcare enrollment, marketing and/or sales experience. Fluency in a second language is highly desirable. Prior demonstrated work experience in a managerial capacity. REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: Completion of Molina /DHS/MRMIB Marketing Certification Program Must have valid driver's license with good driving record and be able to drive within applicable state or locality with reliable transportation. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: Active Life & Health Insurance Marketplace Certified To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJHPO Key Words: Medicare, Medicaid, Managed Care, Manager, Leader, Marketing, Duals, Enroll, Enrollees, Coverage, #LI-TR1, NY York State, NY State Department of Health, Star Plus, Reimbursement, community, health coach, community health advisor, nonprofit, non-profit, family advocate, health educator, liaison, promoter, outreach worker, peer counselor, patient navigator, health interpreter and public health aide, NY Care, community lead, HMO, PPO, community advocate, nonprofit, non-profit, social worker, housing counselor, human service worker, Sales, Navigator, Assistor, Connecter, Promotora, Marketing, Growth, Manager, Supervisor, Leader, Management, Medicare Advantage
$114k-164k yearly est. Auto-Apply 60d+ ago
Senior Specialist, Premium Billing (Must Reside in WI)
Molina Healthcare 4.4
Long Beach, CA job
Knowledge/Skills/Abilities • Process daily enrollee's (Individual and family) invoices and premium reconciliation for Marketplace members. • Reconcile premiums received from the individual subscriber or responsible party with the amount due for the healthcare program the member is enrolled. • Guide and support Member Service representatives to help them resolve member inquiries related to healthcare premium. • Assist in resolution for escalated premium issues with Appeals and Grievances team members. • Guide and collaborates with enrollment team to resolve eligibility issues affecting premium billing. • Generate billing data using the QNXT premium billing module to be sent to print and fulfillment vendor. • Reconcile unallocated payments on a daily basis. • Resolve orphan member payments on a daily basis. • Reconcile monies received from the financial institution. • Perform month-end invoicing and accuracy audits. • Comply with all State/Regulatory requirements.Under limited supervision, drives and supports reconciliation of premiums for members enrolled though the Healthcare Marketplace as a part of the Affordable Care Act (ACA). Reconciliation will be performed for more complex premiums received from members, state agencies and CMS. Team member will work closely with enrollment teams and offer guidance where premiums are directly impacted by enrollment discrepancies. Collaborate with and advises call center teams to maintain member satisfaction for this product. Work with financial institutions to ensure timely and accurate processing of payment received.• Marketplace, Commercial, or Medicare healthcare experience with premium billing and reconciliation. • Must have excellent time management and organizational skills. • Strong team-oriented individual. • Excellent communication with all levels of team. • Must have strong knowledge and experience in MS office products, minimally Outlook, Word and Excel. • Access or SQL experience is a plus. • Excellent verbal and written communication skills. • Ability to abide by Molina's policies. • Maintain regular attendance based on agreed-upon schedule. • Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA). • Ability to establish and maintain positive and effective work relationships with coworkers, clients, members, providers and customers.. Job Qualifications Required Education High School diploma required Required Experience 3+ years of Member Billing /R Required License, Certification, Association Marketplace, Commercial or Medicare Industry preferred Required Licensure/Certification: None Preferred Education Associates Degree or higher preferred Preferred Experience Healthcare industry experience, with emphasis on enrollment, member billing, and premium reconciliation preferred. Preferred License, Certification, Association None To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$45k-63k yearly est. Auto-Apply 43d ago
RN Surgical First Assist
HCA Healthcare 4.5
HCA Healthcare job in Thousand Oaks, CA
Hourly Wage Estimate: $56.00 - $79.00 / hour Learn more about the benefits offered ( ********************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Experience the HCA Healthcare difference where colleagues are trusted, valued members of our healthcare team. Grow your career with an organization committed to delivering respectful, compassionate care, and where the unique and intrinsic worth of each individual is recognized. Submit your application for the opportunity below:RN Surgical First AssistLos Robles Regional Medical Center **Benefits** Los Robles Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling services and resources for emotional, physical and financial wellbeing + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan with 10% off HCA Healthcare stock + Family support through fertility and family building benefits with Progyny and adoption assistance. + Referral services for child, elder and pet care, home and auto repair, event planning and more + Consumer discounts through Abenity and Consumer Discounts + Retirement readiness, rollover assistance services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) + Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits (*********************************************************************) **_Note: Eligibility for benefits may vary by location._** We are seeking a(an) RN Surgical First Assist for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry for these reasons? We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply! **Job Summary and Qualifications** **Performs direct patient care through utilization of the nursing process in** **accordance with the California Nurse Practice Act, physician orders, hospital policies and procedures, and established professional standards. The RN is responsible and accountable for the delivery of safe, competent care either through direct delivery of that care or appropriate delegation and for performance improvement and quality initiatives as appropriate.** + **You will assess the health status of the patient in order to develop an individualized plan of care by collecting, categorizing, and interpreting data (physical and psychosocial) from documented information, observation, patient/family interview and other health care team members.** + **You will Instruct the patient and family to assist the patient in the achievement of optimal health status document nursing activities to provide a permanent record, for continuity of care, quality improvement and professional accountability.** + **You will Plan, supervise and assist with the transfer of the patient to protect the patient and personnel from injury.** + **You will Coordinate support services need during surgery by anticipating and communicating patient and surgical team needs** + **You will Provides assigned patients and families with explanation of procedures, treatments and medications** + **You will demonstrate organizational, time-management, and priority-setting skills.** + **You will ensure knowledge of hospital and department performance improvement initiatives and participates actively to contribute to improvement efforts.** **What qualifications you will need:** + Valid California RN license. + Current BCLS Certification. + Current CRNFA Certification + Minimum of one-year experience in specialty preferred. + Graduate from an accredited school of nursing. Los Robles Regional Medical Center (****************************** is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care with **compassion** **and kindness** to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you find this opportunity compelling, we encourage you to apply for our RN Surgical First Assist opening. We promptly review all applications. Highly qualified candidates will be directly contacted by a member of our team. **We are interviewing - apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$56-79 hourly 60d+ ago
Certified Sterile Processing Technician II PRN
HCA Healthcare 4.5
HCA Healthcare job in Thousand Oaks, CA
Hourly Wage Estimate: $24.99 - $34.98 / hour Learn more about the benefits offered ( ************************************************************************* ) for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. **Introduction** Do you have the PRN career opportunities as a Certified Sterile Proc Tech II PRN you want with your current employer? We have an exciting opportunity for you to join Thousand Oaks Surgical Hospital which is part of the nation's leading provider of healthcare services, HCA Healthcare. **Benefits** Thousand Oaks Surgical Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Fertility and family building benefits through Progyny + Free counseling services and resources for emotional, physical and financial wellbeing + Family support, including adoption assistance, child and elder care resources and consumer discounts + 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) + Employee Stock Purchase Plan + Retirement readiness and rollover services and preferred banking partnerships + Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) Learn more about Employee Benefits (*************************************************************************) **_Note: Eligibility for benefits may vary by location._** Our teams are a committed, caring group of colleagues. Do you want to work as a Certified Sterile Proc Tech II PRN where your passion for creating positive patient interactions is valued? If you are dedicated to caring for the well-being of others, this could be your next opportunity. We want your knowledge and expertise! **Job Summary and Qualifications** As a Certified Sterile Processing Technician, you will play a critical role in protecting patient safety and supporting life-saving care through precision and attention to detail. In this rewarding role, you will be a vital part of our team - helping surgical staff deliver safe, effective care by ensuring every instrument and supply is clean, prepared, and ready when it is needed most. Your responsibilities will include: + Cleaning, inspecting, assembling, and sterilizing surgical instruments and trays to ensure they are sterile, complete, labeled, and ready for use + Managing sterilization equipment and keeping accurate records to support patient safety and infection prevention + Preparing customized surgical sets and case carts based on daily schedules and specific procedure needs + Managing inventory and supplies in OR storage and specialty lockers, working with the surgical team to meet needs and keep operations running smoothly + Responding quickly to instrument requests during surgeries and helping solve urgent equipment needs **What qualifications you will need:** + High School graduate or equivalent + Advanced knowledge of general surgical instruments and medical equipment preferred + A minimum of 2 years Central Service/Sterile Processing experience preferred + (CSPDT) Cert Sterile Processing and Distribution Technician, or (CRCST) Certified Registered Central Service Technician Required Los Robles Regional Medical Center (****************************** is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center (************************************************************** in East Ventura County. We are known for providing excellent care with **compassion** **and kindness** to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "Bricks and mortar do not make a hospital. People do."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Certified Sterile Proc Tech II PRN opening. We review all applications. Qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!** We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status
$25-35 hourly 60d+ ago
Adjudicator, Provider Claims
Molina Healthcare 4.4
Long Beach, CA job
Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims. • Provides support for resolution of provider claims issues, including claims paid incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. • Collaborates with the member enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. • Responds to incoming calls from providers regarding claims inquiries - provides excellent customer service, support and issue resolution; documents all calls and interactions. • Assists in reviews of state and federal complaints related to claims. • Collaborates with other internal departments to determine appropriate resolution of claims issues. • Researches claims tracers, adjustments, and resubmissions of claims. • Adjudicates or readjudicates high volumes of claims in a timely manner. • Manages defect reduction by identifying and communicating claims error issues and potential solutions to leadership. • Meets claims department quality and production standards. • Supports claims department initiatives to improve overall claims function efficiency. • Completes basic claims projects as assigned. Required Qualifications • At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. • Research and data analysis skills. • Organizational skills and attention to detail. •Time-management skills, and ability to manage simultaneous projects and tasks to meet internal deadlines. • Customer service experience. • Effective verbal and written communication skills. • Microsoft Office suite and applicable software programs proficiency. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$41k-53k yearly est. Auto-Apply 13d ago
Corporate Development Manager
Molina Healthcare 4.4
Long Beach, CA job
This position will be responsible for supporting the execution of merger and acquisition transactions and will actively contribute in advancing Molina Healthcare's overall growth strategy. The role entails working closely with the senior members of the Corporate Development team and will actively interact with the business leaders and senior management team at Molina. The ideal candidate will have at least two years of experience as an analyst at an investment bank or similar firm. Knowledge/Skills/Abilities • Develop financial models and perform analyses to assess potential acquisition, joint venture and other business development opportunities (i.e., discounted cash flow, internal rate of return and accretion/dilution) • Prepare ad-hoc analyses and presentations to help facilitate various discussions • Research and analyze industry trends, competitive landscape and potential target companies • Coordinate deal activities among internal cross-functional teams and external parties • Coordinate due diligence and closing-related activities • Actively participate in reviewing and negotiating transaction agreements • Prepare board and senior management presentations Job Qualifications REQUIRED EDUCATION: Bachelor's degree in Accounting or Finance or related fields REQUIRED EXPERIENCE: Minimum 5 years' experience in financial modeling and analysis Ability to synthesize complex ideas and translate into actionable information Strong analytical and modeling skills Excellent verbal and written communication skills Highly collaborative and team-oriented with a positive, can-do attitude Ability to multi-task, set priorities and adhere to deadlines in a high-paced organization PREFERRED EXPERIENCE: Prior analyst experience in investment banking strongly preferred Healthcare industry experience preferred PHYSICAL DEMANDS: Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. #PJCorp #LI-AC1
$130k-181k yearly est. Auto-Apply 60d+ ago
OR Tech II
HCA 4.5
HCA job in Thousand Oaks, CA
Hourly Wage Estimate: 37.84 - 44.56 / hour Learn more about the benefits offered for this job. The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range. Introduction Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a(an) OR Technician II with Los Robles Regional Medical Center you can be a part of an organization that is devoted to giving back! Benefits Los Robles Regional Medical Center offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: * Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. * Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. * Free counseling services and resources for emotional, physical and financial wellbeing * 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) * Employee Stock Purchase Plan with 10% off HCA Healthcare stock * Family support through fertility and family building benefits with Progyny and adoption assistance. * Referral services for child, elder and pet care, home and auto repair, event planning and more * Consumer discounts through Abenity and Consumer Discounts * Retirement readiness, rollover assistance services and preferred banking partnerships * Education assistance (tuition, student loan, certification support, dependent scholarships) * Colleague recognition program * Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence) * Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income. Learn more about Employee Benefits Note: Eligibility for benefits may vary by location. Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Los Robles Regional Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic OR Technician II to help us reach our goals. Unlock your potential! Job Summary and Qualifications As a Surgical Technologist at HCA Healthcare, your skill, dedication, and impact help drive the success of every surgery. You'll prepare the surgical suite and assist during operations while collaborating with a highly skilled team that values each member's expertise. With access to cutting-edge surgical equipment, predictable staffing, on-call support, and opportunities for education and career growth, you'll have the resources to build a career of a lifetime while improving the lives of patients every day. Your responsibilities will include: * Setting up and maintaining the surgical suite with instruments, supplies, and advanced equipment to ensure safe, seamless procedures * Assisting with patient transport, positioning, prepping, and draping while prioritizing comfort, privacy, and safety * Scrubbing in and partnering with the surgical team by providing instruments, handling specimens, and anticipating the team's needs * Monitoring patients and surgical equipment throughout procedures, responding promptly and effectively to any concerns * Upholding sterile technique, completing room turnover efficiently, and supporting a high-performing, collaborative team environment What qualifications you will need: * High School graduate required or equivalent, college prepared preferred * Completion of OR Tech course from an accredited school * Surgical Technologist Certification preferred * Precept new employees and students * Three years training or experience in multiple specialties in acute care facility * Able to perform 80% of procedures * Participate in an administrative approved projects with at least one of those projects being an * employee identified project * Actively participates in preference card edits * Current BLS certification Los Robles Regional Medical Center is a 380+ bed acute care hospital dedicated to serving the residents of Ventura and Los Angeles Counties along with the Greater Conejo Valley. We are the only Level II Trauma Center in East Ventura County. We are known for providing excellent care with compassion and kindness to each of our patients. In addition, Los Robles Regional Medical Center features a 24-hour emergency department, comprehensive stroke center, ICU/CCU, maternity, Level III NICU, comprehensive cancer center, heart & cardiovascular center, same day surgery, and rehab center. HCA Healthcare has been recognized as one of the World's Most Ethical Companies by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated 3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses. "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder Be a part of an organization that invests in you! We are reviewing applications for our OR Technician II opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$35k-49k yearly est. 60d+ ago
QNXT Configuration Analyst
Molina Healthcare 4.4
Long Beach, CA job
Responsible for providing business process redesign, communication and change management for operations. Backend operationalization of policies, standardization of system set-up and a resource for all departments and health plans company-wide. Knowledge/Skills/Abilities Conduct interviews with staff and management to assess internal business processes within a department or function to ensure compliance with existing organizational Policies and Procedures, Standard Operating Procedures and other internal guidelines. Review, research, analyze and evaluate information to assess compliancy between a process or function and the corresponding written documentation. Use analytical skills to identify variances. Use problem solving skills and business knowledge to make recommendations for process remediation or improvement. Summarize and document assessment outcomes and recommendations. Ensure that they are appropriately communicated (written and verbal) to process owners and management. Collaborate with process owners to maintain and/or create business process documentation and workflows related to Core Operations functions. Serve as liaison between Core Operations and internal and external auditors for all formal Core Operations audits that are not compliance related. Coordinate, facilitate and document audit walkthroughs. Research, collect or generate requested documentation. Provide timely and accurate responses, both written and verbal. Research and respond to clarifying questions submitted by internal and external auditors. Work in partnership with other functional areas as needed.. Ability to write SQL queries Experience with QNXT configuration Experience with troubleshooting and analyzing issues. Experience working in a Medicare environment is highly preferred. Claims adjudication experience is highly preferred. Job Qualifications Required Education Associate's Degree or two years of equivalent experience Required Experience • Four years proven analytical experience within an operations or process-focused environment. Additional required experience for Corporate Operations: • Analytical experience within managed care operations. • Knowledge of managed care enrollment processes, encounter processes, provider and contract configuration, provider information management, claims processing and other related functions. Preferred Education Bachelor's Degree Preferred Experience • Six years proven analytical experience within an operations or process-focused environment. • Previous audit and/or oversight experience. To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$112k-147k yearly est. Auto-Apply 20d ago
Supervisor, Healthcare Services Operations Support
Molina Healthcare 4.4
Long Beach, CA job
JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc. • Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes. • Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. • Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement. • Assists in the development and implementation of internal desktop processes and procedures. • Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience. • Strong analytic and problem-solving abilities. • Strong organizational and time-management skills. • Ability to multi-task and meet project deadlines. • Attention to detail. • Ability to build relationships and collaborate cross-functionally. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Supervisory/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$57k-96k yearly est. Auto-Apply 38d ago
Pharmacy Representative
Molina Healthcare 4.4
Long Beach, CA job
JOB DESCRIPTION Job SummaryProvides customer service support for inbound/outbound pharmacy calls from members, providers, and pharmacies. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job Duties • Handles and records inbound/outbound pharmacy calls from members, providers and pharmacies in accordance with departmental policies, state regulations, National Committee of Quality Assurance (NCQA) guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. • Provides coordination and processing of pharmacy prior authorization requests and/or appeals. • Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any other necessary information to providers, members and pharmacies. • Assists with clerical tasks and other day-to-day pharmacy call center operations as delegated. • Effectively communicates plan benefit information, including but not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. • Assists members and providers with initiating verbal and written coverage determinations and appeals. • Records calls accurately within the pharmacy call tracking system. • Maintains established pharmacy call quality and quantity standards. • Interacts with appropriate primary care providers to ensure member registry is current and accurate. • Supports pharmacists with completion of comprehensive medication reviews (CMRs)through pre-work up to case preparation. • Proactively identifies ways to improve pharmacy call center member relations. Required Qualifications • At least 1 year related experience, including call center or customer service experience, or equivalent combination of relevant education and experience. • Excellent customer service skills. • Ability to work independently when assigned special projects, such as pill box requests, case management referrals, over the counter (OTC) requests, etc. • Ability to multi-task applications while speaking with members. • Ability to multi-task applications while speaking with members. • Ability to develop and maintain positive and effective work relationships with coworkers, clients, members, providers, regulatory agencies, and vendors. • Ability to meet established deadlines. • Ability to function independently and manage multiple projects. • Excellent verbal and written communication skills, including excellent phone etiquette. • Microsoft Office suite (including Excel), and applicable software program(s) proficiency. Preferred Qualifications • Certified Pharmacy Technician (CPhT) and/or state pharmacy technician license (state specific if state required). If licensed, license must be active and unrestricted in state of practice. • Health care industry experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
$152k-198k yearly est. Auto-Apply 46d ago
Associate Specialist, Provider Contracts HP
Molina Healthcare 4.4
Long Beach, CA job
Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with respect to adequacy, financial performance and operational performance, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems when available, and the application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing. Job Duties This role supports negotiations with assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost effective and marketable providers. Maintains tracking system and publish reports according to departmental procedures. • Sends out contracts/applications to prospective providers upon request of Director or Manager and/or Provider Contracting and/or Provider Relations team members. • Receives calls from prospective providers and answers questions regarding contracting process, policies and procedures. • Forwards requested information/documentation to prospective providers in a timely manner. • Maintains database of all contracts and specific applications sent to prospective new providers. • Completes and updates Provider Information Forms for each new contract. • Ensures accuracy and completeness of provider demographic information and coordinates communication of such information to Provider Configuration team. • Sends out new provider welcome packets to providers who have contracted with the plan. • Utilizes Plan's system to track and follow up with Providers who have not responded to Contracts and/or Applications sent as directed by management. • Formats and distributes Provider network resources (e.g. electronic specialist directory). Job Qualifications REQUIRED EDUCATION: High School Diploma or equivalent GED REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: 1 year customer service, provider service, contracting or claims experience in the healthcare industry. PREFERRED EDUCATION: Associate's Degree or Bachelor's Degree in a related field or an equivalent combination of education and experience PREFERRED EXPERIENCE: Managed Care experience To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$32k-62k yearly est. Auto-Apply 8d ago
Lead Business Analyst - Managed Care Operations
Molina Healthcare 4.4
Long Beach, CA job
Provides lead level support for accurate and timely intake and interpretation of regulatory and/or functional requirements related but not limited to coverage, reimbursement, and processing functions to support systems solutions development and maintenance for system changes. This role includes coordination with stakeholders and subject matter experts on partnering teams and supporting governance committees where applicable. This role will work directly with Ohio Healthplan leadership including the Plan President, CFO, and other department heads to improve performance according to our Key Performance Indicators. Candidate will utilize SQL and Azure Databricks to query and analyze data however this is not just a technical role. They must be able to understand the business need, propose solutions, and meet KPIs. JOB DUTIES Develops and maintains requirement documents related to coverage, reimbursement and other applicable system changes in areas to ensure alignment to regulatory baseline requirements and any health plan/product team developed requirements. Monitors regulatory sources to ensure all updates are aligned. Uses comprehensive background to navigate analytical problems, including: clearly defining and documenting their unique specifications. Leads coordinated development and ongoing management / interpretation review process, committee structure and timing with key partner organizations. Recognizes, identifies and documents changes to existing business processes and identifies new opportunities for process developments and improvements. Provides status and updates to health plan/product team partners, senior management and stakeholders. Communicates requirement interpretations and changes to health plans/product team and various impacted corporate core functional areas for requirement interpretation alignment and approvals as well as solution traceability through regular meetings and other operational process best practices. Where applicable, codifies the requirements for system configuration alignment and interpretation. Provides support and/or requirement interpretation inconsistencies and complaints. Assists with the development of requirement solution standards and best practices while suggesting improvement processes to consistently apply requirements across states and products where possible. Self-organized reporting to ensure health plans/product team and other leadership are aware of work efforts and impact for any prospective or retrospective requirement changes that can impact financials. Conducts industry research and engagement to evaluate, provide insights, and best practices as applicable. Coordinates with relevant teams for analysis, impact and implementation of changes that impact the product. Engages with operations leadership and Plan Support functions to review compliance-based issues for benefit planning purposes. Mentors and trains new staff as well as provide ongoing support, leadership, and training new/integrating health plans and corporate teams. KNOWLEDGE/SKILLS/ABILITIES Maintains relationships with Health Plans/Product Team and Corporate Operations to ensure all end-to-end business requirements have been documented and interpretation is agreed on and clear for solutioning. Ability to meet aggressive timelines and balance multiple lines of business, states, and requirement areas. Ability to lead complex projects across organizational boundaries with little direct instruction. Strong interpersonal and (oral and written) communication skills and ability to communicate with those in all positions of the company. Ability to concisely synthesize large and complex requirements. Ability to organize and maintain regulatory data including real-time policy changes. Self-motivated and ability to take initiative, identify, communicate, and resolve potential problems. Ability to work independently in a remote environment. Ability to work with those in other time zones than your own. Create reporting tools to enhance communication on updates and initiatives. JOB QUALIFICATIONS Required Qualifications At least 6 years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or equivalent combination of relevant education and experience. Policy/government legislative review knowledge. Strong analytical and problem-solving skills. Familiarity with administration systems. Robust knowledge of Office Product Suite including Word, Excel, Outlook and Teams. Previous success in a dynamic and autonomous work environment. Preferred Qualifications Project implementation experience Knowledge and experience with federal regulatory policy resources including Centers for Medicare & Medicaid Services (CMS) and the Affordable Care Act (ACA). Medical Coding certification. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$102k-128k yearly est. Auto-Apply 32d ago
Practice Manager De La Pena Eye Clinic
Tenet Healthcare Corporation 4.5
Montebello, CA job
Are you a results-driven leader ready to make a meaningful impact to patients, caregivers, and your community? At Tenet Physician Resources, were seeking an innovative and experienced healthcare leader to drive excellence and inspire our team towards exceptional patient outcomes and operational success. At Tenet Physician Resources, we understand that our greatest asset is our dedicated team of professionals. That's why we offer more than a job - we provide a comprehensive benefit package that prioritizes your health, professional development, and work-life balance. The available plans and programs include: * Medical, dental, vision, and life insurance * 401(k) retirement savings plan with employer match * Generous paid time off * Career development and continuing education opportunities * Health savings accounts, healthcare & dependent flexible spending accounts * Employee Assistance program, Employee discount program * Voluntary benefits include pet insurance, legal insurance, accident and critical illness insurance, long term care, elder & childcare, auto & home insurance Note: Eligibility for benefits may vary by location and is determined by employment status * Oversees the development and implementation of goals and objectives. * Develop and implement new office procedures as necessary to improve office flow and overall operations. * In addition manages the daily operations including staff scheduling, cash reconciliation, charge entry, and operational checks and balances. * Manages Human Resources by interviewing, hiring, orienting and evaluating ensuring optimal staffing at all times. * Reviews the operational budget and expenditures and works to ensure the practice stays within the budget parameters. The Physician Practice Manager is directly responsible for managing all administrative and operational functions associated with an assigned practice or practices. This includes ensuring a smooth and efficient operation, inventory control, personnel management, patient relations, and patient flow. Education Required: Bachelor's degree or an equivalent combination of education and experience Experience Required: 3 years of experience in progressive and hands-on managerial experience in a medical practice #LI-MS3 Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. Tenet participates in the E-Verify program. Follow the link below for additional information. E-Verify: ***************************** The employment practices of Tenet Healthcare and its companies comply with all applicable laws and regulations. **********
$54k-93k yearly est. 26d ago
Healthcare Services Intern (Ohio Health Plan)
Molina Healthcare 4.4
Long Beach, CA job
The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values. KNOWLEDGE/SKILLS/ABILITIES Healthcare Services (HCS) - Ohio Medicaid Learn Molina HCS Medicaid business and the customers we serve in Ohio Learn our HCS platforms, SharePoint, and the corresponding business processes the platform supports Work closely with a team of Care Coordination, Population Health and Utilization management SMEs and leaders Assist with SharePoint review, editing, organizing, and page development Assist with review and updating of training materials, research new topics - all HCS areas Support and assist with cost-of-care initiatives Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skills Strong work ethic, self-motivated and ability to develop relationships Good time management, organizational and interpersonal skills required Computer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research. Excellent critical thinking/problem solving skills Ability to handle confidential information Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA) JOB QUALIFICATIONS REQUIRED EDUCATION: Must be currently enrolled in an undergraduate program as a freshman, sophomore, or junior Minimum GPA of 3.0 or higher Pursuing a degree in Healthcare Administration, Public Health, or a related field Must have unrestricted authorization to work in the United States Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026 To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
$35k-43k yearly est. Auto-Apply 60d+ ago
Field Nurse Practitioner (Los Angles, CA)
Molina Healthcare 4.4
Los Angeles, CA job
Provides screening, preventive primary care and medical care services to members - primarily in non-clinical settings where members feel most comfortable, including in-home, community and nursing facilities and “pop up” clinics. Strives to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Provides general medical care and care coordination to various and/or specific patient member populations - adult, women's health, pediatric, and geriatric. • Performs comprehensive evaluations including history and physical exams for gaps in care and preventive assessments. • Addresses both chronic and acute primary care complaints, and demonstrates ability to ascertain medical urgency. • Establishes and documents reasonable medical diagnoses. • Seeks specialty consultation as appropriate. • Orders/performs pertinent diagnostic laboratory and radiology testing for the medical diagnosis or presenting symptoms; works within an environment of limited resources and therefore uses diagnostic tests judiciously and appropriately. • Understands when a member's needs are beyond their scope of knowledge and when physician oversight is needed. • Creates and implements a medical plan of care. • Schedules appointments for visits when appropriate. • Provides post-discharge coordination to reduce hospital readmission rates and emergency room utilization. • Performs face-to-face in-person visits in a variety of settings including in-home, skilled nursing facilities, and public locations. • Performs face-to-face visits via alternative modalities based on business need, leadership direction and state regulations. • Orders bulk laboratory orders to target specific member populations. • Performs alternating on-call coverage to triage any urgent lab results and pharmacy inquiries and develops appropriate plans of care. • Participates in community-based “pop up clinics” to build relationships with communities, and address gaps in health care. • Drives up to 120 miles a day on a regular basis to a variety of locations within the assigned region. Drives beyond 120 miles as part of extended mileage may be required on special project days. Special projects may include an overnight hotel stay. • Obtains and maintains cross-state license in other states besides home state based on business need. • Collaborates with fellow nurse practitioners to develop best practices to perform work duties efficiently and effectively. • Actively participates in regional meetings. • May prescribe medications and perform procedures as appropriate. • Performs timely medical records documentation in electronic medical record (EMR) computer system. • On occasion, may be required to walk flights of stairs while carrying up to 50 lbs. of equipment. • Engages in practices constituting the practice of medicine in collaboration with and under the medical direction and supervision of a licensed physician to the degree required by state laws. • Local travel required (based upon state/contractual requirements). Required Qualifications • At least 1 year of experience as a nurse practitioner, or equivalent combination of relevant education and experience. • Active and unrestricted national certification from one of the following organizations: American Academy of Nurse Practitioners (AANP) or American Nurses Credentialing Center (ANCC). • Current state-issued license to practice as a Family Nurse Practitioner (FNP). License must be active and unrestricted in state of practice. • Prescriber Drug Enforcement Agency (DEA) license with authority to prescribe per state qualifications. License must be active and unrestricted in state of practice. • Current Basic Life Support (BLS) certification. • Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements. • Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. • Ability to work independently with minimal supervision and demonstrate self-motivation. • Responsive in all forms of communication. • Ability to remain calm in high-pressure situations. • Ability to develop and maintain professional relationships. • Excellent time-management and prioritization skills; ability to focus on multiple projects simultaneously and adapt to change. • Excellent problem-solving and critical-thinking skills. • Strong verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency, and electronic medical record (EMR) experience. Preferred Qualifications • Experience as a registered nurse or nurse practitioner in a home health, community health or public health setting. • Experience in home health as a licensed clinician, especially in management of chronic conditions. • Experience with underserved populations facing socioeconomic barriers to health care. • Immunization and point of care testing skills. • Bilingual. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJNurse Pay Range: $101,721 - $198,356 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$101.7k-198.4k yearly 24d ago

HCA Healthcare jobs in Thousand Oaks, CA

Program Administrator GME

Case Management Assistant

Representative, Care Connections Member Advocate - Must Be Bilingual in Spanish. Mon - Fri 10:00 AM- 7:00 PM or Tues - Sat 7:00 AM- 4:00 PM Pacific Time Zone - CA ONLY

Driver | Installer

Senior Facilitated Enroller (In Field Rochester, NY)

Manager, Growth & Community Engagement (Southern New Mexico)

Senior Specialist, Premium Billing (Must Reside in WI)

RN Surgical First Assist

Certified Sterile Processing Technician II PRN

Adjudicator, Provider Claims

Corporate Development Manager

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