Kaiser Permanente jobs in Atlanta, GA - 356 jobs

The Customer Service Coordinator (CSC) greets members in the medical office building (MOB) and creates an environment that makes internal and external customers feel welcome, comfortable and cared for. Supports clinical staff with back-office duties as assigned with general administrative work. Provides exceptional member experiences, maintains essential paperwork and records to support the business. Maintains a visible presence and assists members with their needs. Essential Responsibilities: * Assist members with registration, verifying eligibility and updating demographic information, as necessary. * Process co-payment and regulatory front-end forms and assist members who qualify for Medical Financial Assistance by referring to Financial Counselor or Patient Registration Associate. * Answers member questions regarding co-pay, deductible, co-insurance, and deposits. * Proficient in Point of Service (POS), back-office copay, and outstanding balance (OSB) collection. * Practices proper cash handling, reconciliation, and end-of-day processes in accordance with established policies and guidelines. * Greets members in the MOB at Kiosk general areas and assists with wayfinding. * Proficient in Health Connect as related to their job duties. * Schedule appointments at the request of members/physicians, per established protocols, and provide pre-appointment instructions, as necessary. * Assists with patient navigation, as appropriate. * Adheres to record retention practices. * Documents quality issues and informs the appropriate personnel. * Follows appropriate procedures for medical and non-medical emergencies in the medical office building or campus. * Be Knowledgeable of Emergency Management Guidelines. * Maintains an awareness of how to report compliance issues and concerns. * Builds effective working relationships with all members of the healthcare team and other departments within HP/TSPMG. * Maintains a visible presence at assigned location during operating hours for duties. * Request and maintains supplies for the Kiosk and reception areas. * Support of back-office duties (i.e. answering phones, calling nurse/lab tech for IVs, coordinating patient transport, coordination with ancillary services (e.g. pharmacy, lab, radiology, instrument delivery and inventory management, assisting with room turnover, obtaining outside medical records, ordering referrals, scheduling appointments and stat tests) Maintains an awareness of how to report compliance issues and concerns. * May perform other duties as assigned.

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 Pay Range: $21.16 - $38.37 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as well as company Risk Adjustment retrieval and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart collection research. **Job Duties** + Plans and/or implements operational processes for Risk Adjustment operations that meet state and federal reporting requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. + Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member and provider outreach. + Serves as operations subject matter expert and lead for Molina Risk Adjustment, using a defined roadmap, timeline and key performance indicators. + Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both prospective and retrospective risk programs. + Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key deliverables, timelines, barriers and escalated issues that need immediate attention. + Presents concise summaries, key takeaways and action steps about Molina Risk Adjustment processes, strategy and progress to national, regional and plan meetings. + Demonstrates ability to lead and influence cross-functional teams that oversee implementation of Risk Adjustment projects. + Possesses a strong knowledge in Risk Adjustment and RADV to implement effective operations that drive change. + Functions as key lead for clinical chart review/abstraction and team management. This includes qualitative analysis, reporting and development of program materials, templates or policies. Maintains productivity reporting, management and coaching. + Maintains advanced ability to collaborate and Manage production vendor relationships, including oversight, data driven KPI measurement and performance mitigation strategies. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in a clinical field, Public Health, Healthcare, or equivalent. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** - 8+ years' experience in managed healthcare, including at least 4 years in health plan Risk Adjustment or clinical data acquisition/chart retrieval roles - Operational knowledge and experience with Excel and Visio (flow chart equivalent). **PREFERRED EXPERIENCE:** - 10+ years' experience with member/ provider (Risk Adjustment) outreach and/or clinical intervention or improvement studies (development, implementation, evaluation) - 3-5 years Supervisory experience. - Project management and team building experience. - Experience developing performance measures that support business objectives. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** - Certified Professional in Health Quality (CPHQ) - Nursing License (RN may be preferred for specific roles) - Certified Risk Adjustment Coder (CRC) 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: $107,028 - $250,446 / ANNUAL *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

Job Title: Medical DirectorSalary Range: $215,000 to $250,000Location(s): Atlanta, GA | Multi-State Leadership Role (GA, AL, MS) Planned Parenthood Southeast (PPSE) is seeking a dynamic, mission-driven physician leader to serve as our next Medical Director. This is not just another clinical role-it's a chance to shape the future of reproductive health access in the South at one of the most pivotal times in our nation's history. If you are a visionary clinical leader who thrives at the intersection of medicine, advocacy, and strategy, this is your opportunity to lead with purpose. The Right Candidate You're not just looking for your next job-you're looking for your life's work. You believe every patient deserves access to compassionate, evidence-based reproductive healthcare. You thrive in high-stakes environments where your expertise and voice matter. And you're ready to use your medical leadership to make an indelible impact on the lives of patients and the future of reproductive freedom. Why This Role Matters At PPSE, we serve communities across Georgia, Alabama, and Mississippi, delivering comprehensive sexual and reproductive health services, including family planning, abortion care (as state law permits), and management of pregnancy complications. The Medical Director will set the standard for clinical excellence, guiding physicians and advanced practice clinicians, developing protocols, and ensuring we continue to meet the highest standards of quality, safety, and compassion.This role is equal parts leadership, mentorship, and direct patient care. You will have the ability to influence state-level reproductive health strategy while also maintaining a strong clinical connection with patients. The Impact You'll Make As our Medical Director, you will: Lead with authority and compassion - Oversee medical programs across three states, serving as the clinical voice in executive leadership discussions. Drive quality and compliance - Develop and implement medical protocols aligned with PPFA Medical Standards & Guidelines and state/federal regulations. Mentor the next generation of clinicians - Provide oversight, training, and proctoring for physicians and APCs, fostering a culture of learning and excellence. Expand access to care - Provide clinical leadership and direct patient care across all PPSE service lines, while driving innovative strategies to expand access to both existing and new healthcare services. Be a public health leader - Represent PPSE at conferences, in the media, and with policymakers-shaping the dialogue around reproductive health in the South and beyond. Build meaningful community engagement by cultivating partnerships with healthcare providers, local organizations, and community agencies to strengthen referral networks and expand access to vital resources. Deliver direct care - Maintain patient engagement through high-quality, compassionate clinical services, ensuring you remain grounded in the realities of patient experience. What We're Looking For MD (Doctor of Medicine) or DO (Doctor of Osteopathic Medicine), residency trained in Obstetrics & Gynecology or Family Medicine with strong reproductive health experience. Willingness to obtain medical licenses in GA, AL, and MS within 90 days. Experience in abortion and reproductive healthcare, with the courage to innovate in a rapidly evolving healthcare landscape. Strong administrative skills, and the ability to balance strategy with hands-on patient care. A physician who is mission-driven, patient-centered, and equity-focused. Clinical oversight over Telehealth and all clinics in Georgia, Alabama, and Mississippi (travel up to 50%). Gestational ages up to: 6 weeks Surgical abortion experience: 2-5 years Medication abortion experience: 2-5 years Ability to mentor and supervise physicians and APCs. Patient-focused approach to care, with demonstrated commitment to equity and inclusion. CPR certification; active DEA required (or ability to obtain within 90 days). Location(s) Metro Atlanta, Lawrenceville, GA, Savannah, GA, Birmingham, AL , Telehealth Why Join PPSE? Purpose & Mission: Be on the frontlines of protecting and expanding reproductive healthcare access in some of the most challenging and rewarding environments. Leadership Opportunity: Serve as the senior clinical leader, reporting directly to the COO and influencing system-wide strategy. Impact Across States: Guide clinical operations and service expansion across three states, directly shaping access to care. Professional Growth: Opportunities for adjunct faculty appointments, hospital privileges, and participation in cutting-edge research. Compensation & BenefitsSalary Range: $215,000 to $250,000 Benefits available to full-time employees include: Comprehensive health, dental, and vision insurance for you and your family We value work-life balance; enjoy 15 days of paid time off and 13 paid holidays annually, with additional paid time off awarded as your tenure with PPSE progresses 401(k) retirement plan with employer match Life insurance Short-term and long-term disability coverage Employee Assistance Program Resource Advisor Program, offering confidential support for you and your family, including:Counseling services Legal guidance Financial planning assistance CME allowance and paid professional development Relocation assistance (if applicable) Malpractice coverage provided We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

**Become a part of our caring community and help us put health first** The Senior Program Delivery Professional strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Senior Program Delivery Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Program Delivery Professional - IHWA Interoperability plays a key role in driving seamless data integration and collaboration within the In-Home Health and Wellbeing Assessment (IHWA) team and across interoperability initiatives. Serving as a business subject matter expert (SME), this individual partners closely with internal and external stakeholders, as well as the Interoperability team, to advance program objectives. Key responsibilities include collaborating with leaders on implementation planning, reviewing and communicating program results, and contributing to the ongoing improvement of processes and automation. The role also begins to influence departmental strategy and requires independent decision-making on moderately complex to complex technical matters related to project components. Work is performed without direct supervision, with considerable latitude in determining objectives and approaches to assignments. The ideal candidate demonstrates a collaborative approach, a strong interest in technology solutions, and a commitment to continuous process improvement. **Use your skills to make an impact** **Required Qualifications** + Minimum three, (3) years of IT project management or business process automation, experience in technology solutions. + Excellent communication skills, both oral and written + Proven experience in interoperability or data integration within a healthcare or technology setting. + Strong problem-solving skills with demonstrated success in process improvement initiatives and process automation. + Familiarity with various technology solutions and interest in exploring new innovations. + Excellent collaboration, and stakeholder management abilities. + Experience with managing and monitoring successful and impactful projects. + Self-starter with the ability to work independently and as part of a team. + Futuristic and broad thinker with attention to detail and downstream impacts. **Preferred Qualifications** + Bachelor's degree in Information Technology, Computer Science, Information Systems, or a related field. + Experience with EHR integration or usage. + Experience with AI integration. + Experience automating business processes. + PMP certification a plus + Knowledge and experience in health care environment/managed care + Strong analytical skills **Workstyle** : Open for Hybrid or Remote Work at Home **Location:** U.S. **Schedule:** 8:00 AM - 5:00 PM Eastern Time Monday through Friday **Travel:** occasional onsite as business needs require. **Work at Home Guidance** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. **SSN Alert** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **Interview Format** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-08-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

The Southeast Permanente Medical Group (TSPMG) is one of Georgia???s largest independent, physician-owned, multi-specialty medical groups. More than 500 physicians and 150 associate practitioners work together in a unique integrated care model to provide high-quality care to over 300,000 Kaiser Permanente members. Care is delivered at 26 medical offices featuring state-of-the-art equipment, labs, imaging services, and pharmacies.

Become a part of our caring community and help us put health first Job Functions Working within an interdisciplinary care team, the Care Navigator is responsible for proactively engaging patients identified as high-risk and implementing targeted interventions to address social needs and increase access to care. The Care Navigator will provide guidance and oversight of care coordination efforts to other members of the team, and handle clinical escalations as indicated. This role requires an understanding of how socio-economic stressors can impact ability to engage in healthcare and subsequent health outcomes. Experience will ideally include prior work with patients with behavioral health diagnoses, as well as in navigating local community-based resources and benefit applications. This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate and foster connections. Duties and Responsibilities * Conduct Transitions of Care Management for a subset of the patient population, including ER and hospital follow ups * Provide triage guidance and supportive consultation to other team members, handling escalated complex cases * Develop care plans leveraging 5Ms Geriatric best practice framework * Develop a wholistic view of patient needs related to Social Determinants of Health * Identify existing barriers to engagement with necessary resources and supports * Provide education around maintenance of chronic health conditions, as well as available options for behavioral care and social support * Serve as liaison between the patient and the direct care providers, assisting in navigating both internal and external systems * Initiate care planning and subsequent action steps for high-risk members, coordinating with interdisciplinary team * Supporting patients' self-determination, motivate patients to meet the health goals they have identified * Refer patient to necessary services and supports * This field may include but is not limited to: assistance with transportation, food insecurity, navigation of and application for benefits including, Medicaid, HCBS, working to reduce costs associated with prescription medications, organizing schedules of follow up appointments, alleviating social isolation * Lead Interdisciplinary Team Meetings when indicated * Assess patient's family system, and conduct family meetings with patient and family when needed * Participate in creation and facilitation of team training content * Conduct group psychoeducation and support groups within the Center * Perform all other duties and responsibilities as required * Participate in and lead interdisciplinary review of and coordination around complex patients * Maintain patient confidentiality in accordance with HIPAA * Document patient encounters in medical record system in a timely manner * Follow general policies related to fire safety, infection control and attendance Use your skills to make an impact Required Qualifications * Master's Degree in Social Work * Minimum of 4 years of experience working in healthcare services and navigating community-based resources Preferred Qualifications * Licensed Master Social Worker * Familiarity with state Medicaid guidelines and application processes preferred * Experience working with patients with behavioral health conditions and substance use disorders preferred * Prior experience conducting home visits and knowledge of field safety practices preferred Skills/Abilities/Competencies Required * Advanced clinical acumen * Ability to multi-task in a fast-paced work environment * Flexibility to fluidly transition and adjust in an evolving role * Excellent organizational skills * Advanced oral and written communication skills * Strong interpersonal and relationship building skills * Compassion and desire to advocate for patient needs * Critical thinking and problem-solving capabilities Working Conditions This role has a mobile presence, involving travel to patients' homes, treatment facilities and community-based settings, and assigned clinics to facilitate connections. Location: Must reside in Atlanta, GA metro Hours: Must be able to work a 40 hour work week, Monday through Friday 8:00 AM to 5:00 PM, over-time may be requested to meet business needs. Tuberculosis (TB) screening: This role is considered member facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Benefits Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient's well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Under direct supervision of the Sterile Processing Department Manager or Supervisor, performs decontamination, preparation & packaging, sterilization or high level disinfection of reusable surgical instrument and/or rigid and flexible endoscopes throughout the KPGA region. Perform and maintain quality assurance indicators at the highest level. Follow safety guidelines to ensure quality outcomes for members and staff. This position independently performs the full scope of all central sterile processing functions with emphasis on rapid and correct assessment and response to critical situations in the medical centers. Utilizes the computerized instrument management tracking system to track instruments and equipment throughout the facilities. Inventories and restock departmental supplies including instruments, sterilization chemicals and other related items. Maintain flexibility including working in all SPD locations throughout the KPGA Region and on various shifts as situations dictates. Essential Responsibilities: * Disassemble, clean, varied and complex surgical instrumentation and endoscopes equipment appropriately. Clean, decontaminate and inspect reusable instrumentation, and endoscopes observing decontamination policies and procedures. Review, assemble, and package instrumentation singles/trays in preparation for sterilization. Sterilize or high level disinfect items according to manufactures instructions, department policy, including compliance with all regulatory agencies and safety requirements. Utilize personal protective equipment where appropriate and according to policy. Report any safety issues and/or employee accidents immediately to a supervisor. Monitor parameters on all equipment. * Perform and document quality assurance / quality control activities on all instrumentation, equipment including but not limited to sterilizers, instruments washers, sonic washers and automatic endoscope preprocessors (AER) as listed and defined in the CSPD policies and procedures. Track instruments throughout the facilities utilizing the computerized instrument tracking system. * Maintain PAR stocking and inventory control. Consistently demonstrate excellent customer service in a health care environment. Provide appropriate assistance to internal and external customers at all times. Provide direct or telephonic service in a polite and courteous manner. * Resolve member / customer concerns and escalate to the supervisor when necessary. Maintain working knowledge of surgical procedures and accurately provide appropriate instrumentation and service. * Apply knowledge of organizational policies and procedures. Follow all KP and department policies and procedures including use of time in work environment, including attendance expectations.

Leads and supervises a team of pharmacy call center representatives and operations staff responsible to ensure that members have access to medically necessary prescription drugs. Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care. Essential Job Duties * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality operations. * Ensures that average phone call handle time, average speed to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all times of operation. * Assists pharmacy leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. * Responsible for key performance indicators (KPI) reporting to department leadership on a monthly basis. * Participates, researches, and validates materials for both internal and external program audits. * Acts as liaison to internal and external customers to ensure prompt resolution of identified issues. * Assists pharmacy leadership in the collection and tabulation of data for reporting purposes and maintains files of confidential information submitted for review. * Assures that activities and processes are compliant with CMS, National Committee of Quality Assurance (NCQA) guidelines, and Molina policies and procedures. * Participates in the daily workload of the department, performing Representative duties as needed. * Facilitates interviews with pharmacy service representative job applicants, and provides hiring recommendations to leadership. * Provides coaching for pharmacy representatives, and helps identify and provide for training needs in collaboration with pharmacy leadership. * Communicates effectively with practitioners and pharmacists. * Collaborates with and keeps pharmacy leadership apprised of operational issues, including staffing resources, program and system needs. * Assists with development of and maintenance of pharmacy policies and procedures * Participates in the development of programs designed to enhance preferential or required targeted drugs or supplies. Required Qualifications * At least 5 years of experience in health care, preferably within a health-related call center environment, or equivalent combination of relevant education and experience. * Knowledge of prescription drug products, dosage forms and usage. * Experience designing, implementing, monitoring, and evaluating metrics that measure call center agent productivity. * Working knowledge of medical/pharmacy terminology * Excellent verbal and written communication skills. * Microsoft Office suite, and applicable software program(s) proficiency. Preferred Qualifications * Supervisory/leadership experience. * 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. * Call center experience. * Managed care 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 Pay Range: $55,706.51 - $80,464.96 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

The Manager of the IT Service Desk is responsible for leading technical support operations within a fast-paced, dynamic environment. This position oversees a team of 10-15 Service Desk technicians, ensuring efficient resolution or appropriate escalation of hardware/software, desktop device, and end-user application issues. Key responsibilities of this role include managing critical escalations, driving timely resolutions, and minimizing any potential business impact. Strong leadership and operational expertise are essential to meet defined KPI targets while adapting to evolving business needs. Flexibility with scheduling is essential, including the potential to work nights, weekends, and some holidays as required. Job Summary: In addition to the responsibilities listed below, this position is responsible for managing the Service Desk technical support line in a fast paced, dynamic environment, and performing initial troubleshooting on client/server, networking, hardware/software, desktop devices, and end-user applications. This includes managing the major Incident process as it relates to all components of High and Critical escalation. Some of the unique challenges this position will face include meeting the defined KPI targets as call volume increases. Essential Responsibilities: + Manages individuals and/or teams in designated work unit by translating business plans into tactical action items; ensuring all policies and procedures are followed; delegating tasks to meet goals and objectives; overseeing the completion of work assignments; aligning team efforts; building accountability for and measuring progress in achieving results; identifying and addressing improvement opportunities; removing obstacles that impact performance; and guiding performance and developing contingency plans accordingly. + Pursues professional growth and provides developmental opportunities for others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; training and developing talent for growth opportunities; delegating tasks and decisions; fostering open dialogue amongst team members; supporting execution of performance management guidelines and expectations; and working closely with employees to set goals and provide open feedback and coaching to drive performance improvement. + Manages recurring and escalated problems. + Manages troubleshooting efforts to identify and rectify problems. + Manages efforts to analyze and prioritize incoming requests and alerts. + Manages the service delivery process and outcomes for first, second, and third level support for products and applications by taking accountability for resolution of systems issues. + Follows and manages the development of standard operating procedures. + Reviews and approves resolution proposal to prevent issue recurrence. + Defines and manages key performance indicators (e.g., performance, availability, capacity) + Promotes and ensures compliance in the use of a knowledge repository for technical support. + Defines and manages procedures for incident escalation. + Manages execution of disaster recovery, and business continuity processes and events. + Manages after hours on call support. + Manages the process for tracking and documentation by reviewing and updating documents, as appropriate. + Manages analysis of incident data and trends to help prioritize efforts to improve system availability and performance. + Reviews and approves departmental and enterprise changes to the production environment, according to established change control processes. Minimum Qualifications: + Minimum four (4) years experience in technical support and troubleshooting. + Minimum three (3) years in a leadership role working with IT or operational teams. + Bachelors degree in Computer Science, Engineering, Social Science, Education, Business, Health Care or related field and Minimum six (6) years IT experience in a support or operations environment. Additional equivalent work experience may be substituted for the degree requirement. Additional Requirements: Preferred Qualifications: + Four (4) years experience in the administration of healthcare delivery workflow processes. + Four (4) years experience working with IT service desk tools or software. COMPANY: KAISER TITLE: Manager IT Support, Service Desk - Contact Center LOCATION: Atlanta, Georgia REQNUMBER: 1397016 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Upon start, selected candidate must reside in CA, CO, GA, HI, MD, OR, or WA. Also, please note, this position will require reporting to the office 2 days per week. Provide product management leadership to enable capabilities that motivate patients to actively participate in their health care journey by providing easy access to health data, facilitating self-care management, and promoting shared decision-making with providers. Job Summary: This senior director role is primarily responsible for directing team(s) in defining product strategy and vision, overseeing product roadmaps from ideation to launch across multiple functional areas, and driving and approving decisions on new products or enhancements to bring to market. This includes reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt; providing direction and oversight to product team(s) and influencing diverse stakeholder groups across the organization throughout the product management life cycle, and building and leveraging partnerships with operations teams and market stakeholders to support product adoption. This role is also responsible for directing internal and external discovery for new and existing products; overseeing end-to-end prototyping and validation with end users; ensuring learnings are funneled to product roadmaps; overseeing the ongoing tracking of outcomes, financials, and key performance indicators; and directing and overseeing product teams to ensure the resolution of complex or high impact user problems. Essential Responsibilities: * Oversees the operation of multiple units and departments by identifying customer and operational needs; analyzing resources, costs, and forecasts and incorporating them into business plans; engaging strategic, cross-functional business units to champion and drive support for business plans and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; anticipating and removing obstacles that impact performance; addressing performance gaps and implementing contingency plans accordingly; ensuring products and/or services meet customer requirements and expectations while aligning with organizational strategies; serving as a subject-matter expert and trusted source to executive leadership; and providing influence and consultation in the development of the larger organizational or business strategy. * Models and drives continuous learning and maintains a highly skilled and engaged workforce by aligning cross-functional resource plans with business objectives; overseeing the recruitment, selection, and development of talent; motivating and empowering teams; building organizational capacity and grooming high potentials for growth opportunities and advancement; staying current with industry trends, benchmarks, and best practices; providing guidance and leadership when difficult decisions need to be made; and ensuring performance management guidelines and expectations drive business needs. * Directs team(s) in defining product strategy and vision, and oversees product roadmaps from ideation to launch across multiple functional areas by driving and approving decisions on new products or enhancements to bring to market; reviewing the evaluation of potential business process changes, system impacts, and flow concepts to determine the viability of implementing desired enhancements; ensuring the provision of an end-to-end holistic view of how specific business processes and internal system configurations impact the user experience; reviewing and selecting business cases for new products, improvements to existing products, and/or business ventures; defining, overseeing, and avoiding technical debt as appropriate; managing product and operational budgets; ensuring documentation clearly communicates customer/stakeholder needs to the product team; and partnering with team members to clarify features and requirements as necessary. * Provides direction and oversight to product team(s) and influences diverse stakeholder groups across the organization throughout the product management life cycle by driving the resolution of inter-squad, cross-product and external dependencies, roadblocks and constraints; building and leveraging partnerships with operations teams and market stakeholders to support product adoption; overseeing the development of strategic training efforts to build readiness for production support and operational readiness teams; leading feature demos for executive stakeholders; providing advanced product expertise, peer training, and consultation as appropriate; ensuring adherence to enterprise compliance standards; and managing technology risks as appropriate. * Directs the internal and external discovery for new and existing products by leveraging partnerships with key stakeholders to identify business needs; ensuring the identification and selection of best in class marketplace innovation; overseeing prototyping and validation with end users with support from UX design and research, engineering, and other stakeholders as appropriate; and ensuring learnings are funneled to the product roadmap. * Oversees the ongoing tracking of outcomes, financials, and key performance indicators by reviewing KPIs and performance metrics (e.g., speed, quality, etc.); reviewing key metrics and verifying KPI alignment; and directing the development and maintenance of ad hoc reports, status updates, and presentation decks for key stakeholders and executive leadership. * Directs and oversees product team members to ensure the resolution of user problems for complex and high impact issues by ensuring the work backlog is prioritized and balanced across new development, non-functional requirements, and technical work (e.g., maintenance, support, technical debt, etc.); and overseeing competitive and user research/testing, experimentation, and design thinking initiatives.

Directs risk management programs by contributing to proactive planning and strategy for audits and analyses to evaluate risk management programs. Provides thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses. Collaborates across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management. Influences strategy, holds teams accountable, and directs the development and refinement of protocols for incident response. Provides proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets. Holds teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. Contributes to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics. Essential Responsibilities: + Prepares individuals for growth opportunities and advancement; builds internal collaborative networks for self and others. Solicits and acts on performance feedback; drives collaboration to set goals and provide open feedback and coaching to foster performance improvement. Demonstrates continuous learning; oversees the recruitment, selection, and development of talent; ensures performance management guidelines and expectations to achieve business needs. Stays up to date with organizational best practices, processes, benchmarks, and industry trends; shares best practices within and across teams. Motivates and empowers teams; maintains a highly skilled and engaged workforce by aligning resource plans with business objectives. Provides guidance when difficult decisions need to be made; creates opportunities for expanded scope of decision making and impact. + Oversees the operation of multiple units within a department by identifying member and operational needs; ensures the management of work assignment completion; translates business strategy into actionable business requirements; ensures products and/or services meet member requirements and expectations while aligning with organizational strategies. Gains cross-functional support for business plans and priorities; assumes responsibility for decision making; sets standards, measures progress, and fosters resolution of escalated issues. Communicates goals and objectives; analyzes resources, costs, and forecasts and incorporates them into business plans; prioritizes and distributes resources. Removes obstacles that impact performance; guides performance and develops contingency plans accordingly; ensures teams accomplish business objectives. + Ensures compliance by: contributing to the development of policies and procedures to maintain compliance with State and Federal laws, regulations, patient rights, and professional ethics; driving a culture of compliance, holding teams accountable for compliance with, and contributing to Kaiser Permanentes policies and procedures and applicable federal and state laws and regulations as they relate to Risk Management; contributing to strategy and best practices for assisting other departments in complying with highly complex accreditation and regulatory risk management requirements (e.g., policies and procedures, legal claims manager), aligning regional and national initiatives; contributing to guidelines and holding teams accountable for preparation for and participation in regulatory audits and related projects (e.g., annual audits, accrediting bodies); and communicating to senior leadership and influencing adoption of regulatory compliance matters as they apply to risk management. + Directs Risk Management consulting by: providing proactive, strategic advice for the Board of Trustees and subsidiary governing boards, and to senior leadership and related entities to minimize risk and preserve corporate assets; influencing the development and implementation of plans for communications, outreach, and education as part of a comprehensive response plan to mitigate risk; providing expertise by serving as a member of risk management-related forums (e.g., Quality Council, Patient Safety Committee, Professional Liability Committee); and shaping goals and processes for comprehensive risk management consultation to clinical and administrative staff across organizations on all clinical and non-clinical risk management issues. + Directs documentation, analysis, and reporting by: influencing the design and management of sophisticated risk management data sources to align with strategic objectives; contributing to a standard documentation process across organizations; engaging with senior leadership to influence strategies for the design, development, and production of reports on scheduled cadence to senior leadership, Board committees, and regulators; providing thought leadership on reporting and specialized data analysis for professional liability cases, risk management trends and issues, significant events, and near misses; driving organization-wide processes for data and risk analyses with consideration for organizational goals; shaping standards for the utilization of reports and analyses in developing recommendations and action plans; shaping expectations for researching risk exposure data and prepare underwriting submissions in the areas of insured risks, including general and professional liability and contributing to guidelines for consulting on certificates of insurance, indemnification letters, and credentialing responses as they relate to insured risks, including general and professional liability programs; and holding teams accountable for determination, investigation, analysis, and resolution of potentially compensable events, compensable events, and regulatory investigations. + Directs Risk Management education and training by: setting standards for comprehensive, ongoing risk management-related training and education for providers, staff, and external audiences; driving a culture of continuous learning and holding teams accountable for integration of learning into work strategies; holding teams accountable for training evaluation and improvements aligned with organizational objectives and monitoring their sustainability; influencing strategic goals for risk management training and education across sphere of influence based on industry trends and organizational needs; and holding teams accountable for disseminating risk management-related information to providers, staff, and external partners across organizations. + Guides Risk Management incidents by: influencing strategy, holding teams accountable, and directing the development and refinement of protocols for incident response; contributing to organization-wide incident investigation practices; directing the development of escalation protocols and holding managers accountable for incident resolution and/or mitigation; influencing guidelines for root cause analysis, process improvements, and corrective actions, providing guidance and expertise as needed; and ensuring facilitation of organizational awareness and handling of highly impactful clinical risk issues. + Directs Risk Management programs by: influencing strategic direction and goals for comprehensive integrated, enterprise-wide risk reduction and prevention programs; contributing to proactive planning and strategy for audits and analyses to evaluate Risk Management programs; and shaping Health and Safety programs based on analyses, observations, industry best practices, and strategic organizational goals. + Directs threat monitoring and risk prevention by: collaborating across organizations to manage processes for collecting and analyzing data from multiple reporting systems, sources, and emerging industry trends to identify opportunities to improve risk and threat management; shaping strategy for analysis, validation, and interpretation of new and ongoing threats and risks, ensuring alignment with organizational goals and facilitating partnerships with other functions (e.g., Quality Management, Patient Safety, Operations, Customer Service Call Center, Member Services, EH&S, and Security); overseeing and shaping strategy for a comprehensive risk financing program through combined self insurance and insurance procurement to preserve corporate assets by reducing the impact of financial loss in the areas of property casualty, workers compensation, general liability, and professional liability; ensuring effectiveness and consistency of risk and threat response processes across organizations; strategically leading the review and analysis of high-level product safety risks; shaping general guidelines for preparation of initial processing and receipt of clinical / safety events; and driving risk management knowledge sharing across the organization to support the reduction of preventable errors in health care delivery. Minimum Qualifications: + Minimum two (2) years of experience managing operational or project budgets. + Minimum five (5) years of experience in a leadership role with direct reports. + Minimum six (6) years of experience using medical terminology. + Minimum four (4) years of program / project management experience. + Bachelors degree in Analysis, Research, Statistics, Health Care (e.g., Registered Nurse), Healthcare Administration, Health Care Management, Economics, Business, Homeland Security, or related field AND minimum eight (8) years of experience in risk management, quality program, claims management, patient safety, or directly related field OR Minimum eleven (11) years of experience in risk management, quality program, claims management, patient safety, or a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Systems Thinking; Change Management; Negotiation; Business Process Improvement; Loss Prevention; Risk Management; Compliance Management; Confidentiality; Applied Data Analysis; Business Relationship Management; Conflict Resolution; Relationship Building; Risk Assessment; Adaptability; Organizational Skills; Risk Identification; Patient Safety; Trusted Advisor; Legal Risk Management; Insurance Regulations, Policies, and Procedures; Insurance Contracts; Clinical Risk Assessment; Health Information Systems; Health Care Compliance; Internal Controls; Data Integration; Relational Database Management; Member Service; Microsoft Office; Personal Courage Preferred Qualifications: + Five (5) years of experience with risk management-related applications (e.g., event reporting software, case management software, patient safety database). + Four (4) years of Early Resolution or Mediation training/experience. + Seven (7) years of experience in risk management, quality program, claims management, patient safety, or a directly related field. + Five (5) years of experience with contracts, operational structure, policies, and/or procedures. + Five (5) years of experience in personal injury claims handling, processing, or administration. + Master's degree in health care administration, Business Administration, Nursing, or related field. + Professional in Healthcare Risk Management Certificate (CPHRM) COMPANY: KAISER TITLE: Director, Risk Management LOCATION: Atlanta, Georgia REQNUMBER: 1381670 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Please note, this position is designated as Flexible, which means at least part of the time each week the selected candidate will need to report to the assigned office in CA, CO, GA, HI, MD, OR, or WA. In addition to the responsibilities listed below, this position is responsible for providing support for customers (users), and assigned applications and/or information systems, including software implementation, cross-functional integration, complex configuration, and testing. Additional responsibilities also include leading solution design support efforts and research initiatives for translating requirements into workable technical solutions, and supporting the evaluation of third-party vendors as directed. Essential Responsibilities: * Conducts or oversees business-specific projects by applying deep expertise in subject area; promoting adherence to all procedures and policies; developing work plans to meet business priorities and deadlines; determining and carrying out processes and methodologies; coordinating and delegating resources to accomplish organizational goals; partnering internally and externally to make effective business decisions; solving complex problems; escalating issues or risks, as appropriate; monitoring progress and results; recognizing and capitalizing on improvement opportunities; evaluating recommendations made; and influencing the completion of project tasks by others. * Practices self-leadership and promotes learning in others by building relationships with cross-functional stakeholders; communicating information and providing advice to drive projects forward; influencing team members within assigned unit; listening and responding to, seeking, and addressing performance feedback; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership and mentoring junior team members; creating and executing plans to capitalize on strengths and improve opportunity areas; and adapting to and learning from change, difficulties, and feedback. * Develops requirements, or leads a team of IT consultants in the development of requirements for complex or specialized process or system solutions which may span multiple business domains by partnering with stakeholders and appropriate IT teams (for example, Solutions Delivery, Infrastructure, Enterprise Architecture). * Leverages multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements (for example, SMART) across the enterprise. * Leads and oversees the development and documentation of comprehensive business cases to assess the costs, benefits, ROI, and Total Cost of Ownership (TCO) of complex solution proposals. * Provides insight, guidance, and recommendations throughout the evolution of applications, systems, and/or processes to a desired future state by maintaining and leveraging a comprehensive understanding of how current processes impact business operations across the enterprise. * Maps current state against future state processes. * Defines the impact of requirements on upstream and downstream solution components. * Provides insight and influence to senior management and business leaders on how to integrate requirements with current systems and business processes across the enterprise. * Reviews, evaluates, and prioritizes value gaps and opportunities for process enhancements or efficiencies. * Influences solution design by providing insight and consultation at design sessions with IT teams to help translate requirements into workable business solutions. * Recommends and advocates for additional data and/or services needed to address key business issues related to process or solutions design. * Participates in evaluating third-party vendors as directed. * Drives continuous process improvement by leading the development, implementation, and maintenance of standardized tools, templates, and processes across the enterprise. * Recommends and advocates for regional and national process improvements which align with sustainable best practices, and the strategic and tactical goals of the business.

Please note: This is a remote role. We are open to any KP Location (CA, HI, WA, OR, CO, GA, IL, MD, VA, DC). We are looking for a senior lead for Digital Products Marketing to own E2E strategy development efforts and drive adoption of digital tools and experiences on the KP mobile app and kp.org. The work centers on ensuring new digital capabilities (e.g., MyChart, e-commerce, rewards program) are effectively marketed to members with a clear focus on increased adoption. This role will lead cross-functional teams and drive influence across the organization, providing critical input into developing the member experience. The position sits on the Member Retention Leadership team and is part of the broader Business and Member Marketing team, which is responsible for driving commercial growth and member retention through integrated strategies. Additional responsibilities include: Develop and lead marketing strategies for digital products (e.g., MyChart, rewards program) that support member retention; Drive adoption of digital products and experiences among members; Ensure new digital capabilities are effectively communicated and resonate with millions of members; Partner with C-level and executive leaders to shape the future of member retention through digital innovation; Measure and optimize ROI and translate insights into smarter, stronger strategies; Collaborate with cross-functional teams and drive influence across product, analytics, and member experience teams. Job Summary: In addition to the responsibilities listed below, this position is responsible for building and maintaining complex customer relationships across a variety of digital and traditional channels, responding to and initiating dynamic customer interactions, leading and conducting complex analyses, reviewing and evaluating campaign metrics, and reporting out results of campaigns to senior leadership. Essential Responsibilities: * Practices self-leadership and promotes learning in others by soliciting and acting on performance feedback; building collaborative, cross-functional relationships; communicating information and providing advice to drive projects forward; adapting to competing demands and new responsibilities; providing feedback to others, including upward feedback to leadership; influencing, mentoring, and coaching team members; fostering open dialogue amongst team members; evaluating and responding to the strengths and weaknesses of self and unit members; and adapting to and learning from change, difficulties, and feedback. * Drives the execution of multiple work streams by identifying customer and operational needs; developing and updating new procedures and policies; gaining cross-functional support for objectives and priorities; translating business strategy into actionable business requirements; obtaining and distributing resources; setting standards and measuring progress; removing obstacles that impact performance; guiding performance and developing contingency plans accordingly; solving highly complex issues; and influencing the completion of project tasks by others. * Leads and conducts complex market data collection and synthesis by interpreting data and insights to turn them into actionable, evidence-based marketing plans; partnering with research and strategy teams to gather marketplace and consumer dynamics to drive marketing strategies; defining market research needs; partnering with analytics teams to drive marketing strategies and track performance; and reporting and optimizing ROI on strategies and tactics. * Leads and drives the design and implementation of complex marketing strategies by ensuring strategies support membership growth, retention, and product/service promotion initiatives to meet business goals; developing strategic plan deliverables; verifying brand consistency and brand standard compliance through all marketing channels; conducting and leveraging market research to identify new opportunities and/or validate assumptions; analyzing sales and marketing metrics; creating reports and presenting results; tracking progress to overall enterprise objectives; and driving improvement and optimization efforts toward established goals. * Leads and drives the development and implementation of complex strategic go-to-market plans by managing relationships with channel partners; assessing and validating channel partner needs and performance on an ongoing basis; investigating audience needs using data-driven learnings to evaluate and identify new multi-channel opportunities; and leading channel marketing programs to drive go-to-market strategies. * Leads the development and execution of integrated marketing communications programs and strategies by integrating business-to-business, business-to-consumer, and line of business; analyzing information from market research teams to understand stakeholder attitudes and needs; translating insights into promotional strategies; working with enterprise teams to align activities; communicating consistent positioning and messages across all media; evaluating effectiveness of plans, programs, and campaigns; and making recommendations to optimize campaigns. * Leads and drives complex marketing projects by developing and updating project plans; identifying and managing cross-functional stakeholder contacts; assembling teams based on project needs and team member strengths; forecasting and adhering to project budget; participating in vendor selection; defining scope of vendor contracts; managing vendor relationships; presenting project updates; and managing project financials and deliverables. * Provides direction and subject matter expertise to creative team by gathering data, research, and customer input and sign-off to develop an understanding of the work; collaborating with communication and marketing teams; developing and writing complete creative briefs that inform and inspire writers, designers, and other creative professionals; reviewing the completed brief with the customer and relevant stakeholders; and presenting the brief.

This is a great opportunity to join a high-impact team that supports the launch of new products within the National Product Design and Management (NPDM) organization. As part of the Product Deployment team, you will help ensure new and enhanced products move smoothly from design to launch by supporting planning, coordination, and day-to-day execution activities. In this role, you will work under the guidance of the Senior Director, Product Deployment Leader, and collaborate with partners across NPDM, IT, and other business areas. You-ll assist with readiness tasks, help track and resolve deployment issues, and contribute to maintaining consistent processes across the product portfolio. We-re looking for someone who is curious, collaborative, and eager to learn. This team values hands-on problem solving, clear communication, and continuous improvement - and plays an important part in helping new products reach the market and deliver value to members, customers, and partners. Job Summary: Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams. Drives business strategy, organizational alignment, and prioritization of business initiatives. Leads the work of project/program team members. Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages complex, cross-functional projects/programs, and serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks. Designs, leads, and serves as an expert for change management plans associated with business initiatives. Leads assessment of strategic performance metrics to support business initiatives. Participates in vendor management as required. Monitors compliance of work activities by ensuring business plans and team members adhere to relevant policies and procedures. Essential Responsibilities: * Promotes learning in others by communicating information and providing advice to drive projects forward; builds relationships with cross-functional stakeholders. Listens, responds to, seeks, and addresses performance feedback; provides actionable feedback to others, including upward feedback to leadership and mentors junior team members. Practices self-leadership; creates and executes plans to capitalize on strengths and improve opportunity areas; influences team members within assigned team or unit. Adapts to competing demands and new responsibilities; adapts to and learns from change, challenges, and feedback. Models team collaboration within and across teams. * Conducts or oversees business-specific projects by applying deep expertise in subject area; promotes adherence to all procedures and policies. Partners internally and externally to make effective business decisions; determines and carries out processes and methodologies; solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Develops work plans to meet business priorities and deadlines; coordinates and delegates resources to accomplish organizational goals. Recognizes and capitalizes on improvement opportunities; evaluates recommendations made; influences the completion of project tasks by others. * Serves as a lead consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of strategic business initiatives and projects/programs across multiple functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with key stakeholder teams, third party vendors, and executive management; working with stakeholders to develop goals and set the prioritization of deliverables; developing a menu of solutions for complex, competing, or ambiguous requests; discussing involvement of business processes (e.g. change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating and resolving tough issues with stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to executive level audiences. * Drives business strategy, organizational alignment, and prioritization of business initiatives by working closely with senior executives to facilitate the development, refinement, and articulation of the business strategy; defining, developing, and evaluating performance metrics, standards, and methods to establish business success; leading the development of strategic roadmaps for solution development and deployment; collaborating with senior cross-functional stakeholders, often with competing/conflicting objectives to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing complex initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. * Leads the work of project/program team members by requesting and coordinating internal and/ or external resources based on the alignment of team member skills and project/program demands; delivering and promoting strategic vision and objectives to team members; and delivering performance feedback to team members supervisors and leadership as appropriate. * Develops requirements, or leads a team of consultants in the development of requirements for large-scale, complex, or specialized business, process, or system solutions across business domain(s) by partnering with stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; and leading and overseeing the development and documentation of comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions. * Provides expertise and drives the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a comprehensive understanding of how current processes impact business operations across multiple domains; mapping current state against future state processes; leveraging stakeholder partnerships to identify the operational needs and impact of requirements on upstream and downstream solution components; providing options and recommendations to executive management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions and domains; identifying and validating value gaps and opportunities for process enhancements or efficiencies; and leading the establishment of appropriate governance and workgroup infrastructures to accomplish strategic outcomes. * Manages complex, cross-functional projects and/or programs by coordinating stakeholders; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project/program plans; collaborating on the coordination of project/program scope, schedules, and resource forecasts; proactively monitoring and identifying project/program/business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Serves as an expert in the proactive monitoring and identification of client, project, program, and/or business risks, issues, and trigger events by leading the development of mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. * Designs, leads, and serves as an expert for change management plans associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with executive management, project/program champions, and business owners to communicate and align improvement initiatives with business objectives; identifying appropriate change management method and approach; and ensuring stakeholders embrace a change management mindset, understand intent and purpose, and foster a culture of change. * Leads the assessment of strategic performance metrics to support business initiatives by building partnerships with data analytic teams to ensure the translation of business requirements into analytic specifications; identifying appropriate data analysis tools and approach to assess business performance; determining suitable data gathering and analysis methods (e.g., process observation, hard data, etc.); defining data requirements and obtaining customer agreements, including customer requirements as appropriate; conducting advanced statistical analyses and/or testing to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. * Serves as a lead advocate for continuous learning and professional development by keeping abreast of cutting edge industry practices, standards, and benchmarks; attending and presenting at roadshows, conferences, training seminars, and/or speaking events as appropriate; leading the ongoing enhancement and innovation of consulting practices, standards, and methods across KP; serving as an advocate to ensure continuous learning and improvement is championed as a people strategy; providing training and guidance to stakeholders as appropriate; and providing ongoing coaching to build a continuous improvement mindset and build capabilities that drive results. * Participates in vendor management as required by reviewing vendor performance levels; ensuring service level agreements are met; managing vendor invoices; and partnering with Procurement and/or Legal to develop service level and/or scope of work agreements as appropriate. * Monitors compliance of work activities by ensuring business plans and team members adhere to KP, departmental, and/or business line policies and procedures.

The Surgical Scrub Tech II works under the supervision of the Clinical Supervisor and is responsible for helping to prepare the OR, scrubbing with Surgeon and assisting with surgical procedures and GI. Essential Responsibilities: + Preceptor of all new technicians, providing training on new equipment and patient care services. Assists in the ongoing process of healthcare delivery to patients incorporating age related and developmental specific requirements. + Provides technical skills assisting surgeon and operating surgical equipment in a safe efficient manner. This assistance includes but is not limited to the following: + Pre-Surgery: Set up surgical equipment, instruments and sterile supplies and make sure the equipment works properly. Prepares patient for surgery by shaving, washing and disinfecting incision areas. Assists in transfer of patients to the operating room and helps to position them on the operating table. + Intraoperatively: Pass instruments and sterile supplies to the surgeon and surgical assistant. Helps to keep track of needles, sponges, instruments and supplies. Cuts sutures and holds retractors. Manage specimens taken for analysis. + Postop: Help transport patients to recovery area. Prepares instruments for sterilization. Clean the operating room and restock it with supplies. Prepares for operating room for next case. + Perform at least one training in-service each year. + Other duties as assigned. Basic Qualifications: Experience + Minimum five (5) years of experience scrubbing in an OR setting. Education + High School Diploma or General Education Development (GED) required. + Graduation from a recognized Surgical Technologist Program required. License, Certification, Registration + Surgical Technologist Certificate within 12 months of hire + Basic Life Support required at hire from American Heart Association Additional Requirements: + N/A. Preferred Qualifications: + N/A. COMPANY: KAISER TITLE: Technologist II, Surgical Scrub LOCATION: Atlanta, Georgia REQNUMBER: 1353697 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

**Become a part of our caring community and help us put health first** With over 10 million sales interactions annually, Humana understands that while great products are important, it's the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. Are you passionate about the Medicare population, looking for a role in management with the ability to directly impact your own income potential? If so, we are looking for licensed, highly motivated and self-driven individuals to join our team. Our Senior Manager, Medicare Sales, motivates and drives a team of Medicare Sales Field Agents who sell individual health plan products and educate beneficiaries on our services in a field setting. Our teams also sell Life, Annuity, Indemnity, Dental, Vision, Prescription plans, and more. Humana has an inclusive and diverse culture welcoming candidates with multilingual skill sets to service our consumers. **This role is** **field** **based, and you will be out and about in the field in the Raleigh** **Durham, NC.** **area working with your team and meeting members face to face. You must reside in Raleigh** **Durham, NC.** **area or be willing to relocate to the area.** In this **field** position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana's customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. **Use your skills to make an impact** **Required Qualifications** + **Must reside in the** **Raleigh** **Durham, NC.** **area or be willing to relocate** + **Active Health & Life Insurance Licenses** + 2 or more years of sales leadership experience + 6 or more years of experience working in the insurance industry + Must be able to travel up to 50% of the time + Ability to lead a team of sales associates and train them in successful sales techniques, educational presentation skills, utilizing technology tools as well as building relationships with communities and medical providers + Strong aptitude for technology with proficiency in MS Office products, various CRM platforms, and various iPhone app capabilities + Must be a strong leader, strong producer + Strong organizational, interpersonal, communication and presentation skills + Ability to adapt and overcome when necessary + Community Engagement/Grassroots experience in marketing Medicare plans in the community + Must be passionate about contributing to an organization focused on continuously improving consumer experiences + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance with at least 100/300/100 limits **Preferred Qualifications** + Bachelor's Degree + Prior experience working in Medicare and the health solutions industry + Engaged with the community through service, organizations, activities and volunteerism + Project management background or certification a plus + Bilingual with the ability to speak, read and write without limitations or assistance **Humana Perks:** Full time associates enjoy: + Base salary with a competitive commission structure + Medical, Dental, Vision and a variety of other supplemental insurances + Paid time off (PTO) & Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children. + And much more! **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. \#MedicareSalesManager \#MedicareSalesReps Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $77,000 - $105,100 per year This job is eligible for a commission incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

A Laboratory Assistant is responsible for the proper collection and processing of laboratory specimens under the task direction of the Laboratory Manager, Laboratory Supervisor, Assistant Supervisor, Medical Technologist II, Medical Technologist/Technician and/or Lead Lab Assistant. He/she is expected to be competent in the use of the laboratory information system, and KP HealthConnect/EPIC to assist in the handling of test orders, reports (i.e., filing, distributing, faxing) and to maintain supplies associated with assigned duties. A laboratory assistant is also expected to demonstrate excellent customer service skills, teamwork, professionalism, good judgment/critical thinking, and organizational skills. Essential Responsibilities: + Collect laboratory specimens: Perform venipuncture proficiently on all age groups. Escort members for urine specimen collection to the rest room and explain collection procedure. Follow department policies/procedures for specimen collection, including Standard Precautions. Maintain a professional demeanor/appearance per regional policy while collecting specimens. Research and collect appropriate specimen for the test requested. Address members properly, collecting specimens efficiently with compassion. Clearly explain, ensure understanding of collection/storage instructions for patients with take home tests. Promptly respond to requests for venipunctures to be performed in areas outside of the lab. Be familiar with emergency codes and be able to execute appropriate emergency procedures. Protect PHI per HIPAA, including shred or properly dispose of all unused labels. Keep work area/ phlebotomy room clean/stocked with in date supplies, stations wiped/sanitized in between patients, and complete checklist. + Deliver great customer service: Show care and respect for members at all times, resolving issues or finding someone who can. Establish and maintain effective relationships with internal and external customers. Prioritize work to meet member/customer needs: e.g., update members of any delays or extended wait times and verify check-in /walk-in for labs. Consistently displays good communication skills. Greet members promptly using good customer service skills (make eye contact, smile). Exhibit competency in Cerner, the laboratory information system. Exhibit competency in HealthConnect/EPIC. Maintain a professional demeanor/appearance per regional policy at all times. Use good telephone etiquette (give name, location). No eating, drinking, chewing gum, no cell phone usage in patient care and testing areas, or applying makeup. Process all orders accurately. Monitor the waiting area for members waiting, using the Caution List. Protect PHI per HIPAA. Keep lab area neat, clean and stocked with in date supplies & patient instructions. + Process specimens: Process STATS, coagulation, and other time sensitive specimens immediately. Notify the technologist when stats are brought into the technical area. Follow through with add-on requests. Follow department policies/procedures for processing specimens. Monitor pending functions/list daily to ensure all collected specimens have been processed. Keep accessioning work area clean/stocked with in date necessary and appropriate supplies, complete checklist. + Be informed/provide information: Complete all mandatory training, policy/procedure review and competency requirements. Assist with preparation of facility lab, participate in internal DHR inspections, being prepared to answer inspectors questions. Attend department and facility meetings as well as applicable in-service education programs. Responsible for reading and complying with information communicated in weekly laboratory newsletters and Cerner pop-ups. Document quality issues and communicate to supervisor. Basic Qualifications: Experience + One (1) year of phlebotomy experience with children and adults. Education + High School diploma or GED. License, Certification, Registration + Basic Life Support Additional Requirements: + N/A Preferred Qualifications: + Completion of a phlebotomy training program. + Must demonstrate good customer service skills + Must be able to work indepenently + Must have a history of punctuality + Must have a history of good attendance COMPANY: KAISER TITLE: Assistant, Laboratory LOCATION: Atlanta, Georgia REQNUMBER: 1389641 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

In addition to the responsibilities listed below, the position is responsible for serving as a compliance subject matter expert related to coding functions within assigned settings of care, maintaining compliance with national coding policies and procedures, assisting with coding questions and related topics, and assisting with auditing assigned lines of business for coding. Additionally, this position is responsible for assisting with the development of audit result reports and supporting compliance and the Principles of Responsibility (KPs code of conduct). Essential Responsibilities: + Pursues self-development and effective relationships with others by proactively providing resources, information, advice, and expertise with coworkers and customers; influencing others through technical explanations and examples; providing occasional mentoring to team members; listening and responding to, seeking, and addressing performance feedback; creating plans to capitalize on strengths and develop weaknesses; anticipating and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. + Completes work assignments by applying up-to-date expertise in subject area to generate creative solutions; ensuring all procedures and policies are followed; leveraging an understanding of data, and resources to support projects or initiatives; collaborating cross-functionally to solve business problems; identifying and monitoring priorities, deadlines, and expectations; communicating progress and information; identifying, recommending, and implementing ways to address improvement opportunities; and escalating issues or risks as appropriate. + Conducts company compliance activities under the guidance of more senior employees by providing support to internal and external stakeholders; applying established regulations and standards to compliance efforts; and documenting compliance activities. + Assists with compliance reporting efforts by monitoring, and compiling compliance data and information to identify potential risks and remedies; researching, analyzing, and summarizing data; and reporting to senior team members on key compliance drivers, liabilities, and performance indicators (for example, adherence to standards, incorporation of new regulations). + Assists with compliance investigation efforts by collecting and analyzing data; identifying misalignment with desired compliance actions; conducting interviews as appropriate; determining action steps for resolution; and providing input on corrective action plans. + Provides support on projects by coordinating stakeholder contacts; assisting in the development, analysis, and coordination of project plans for compliance specific deliverables; and coordinating project schedules and resource forecasts. + Assists with ensuring regulatory compliance by monitoring regulatory changes; acting on regulatory updates; and supporting the implementation of designated changes. + Assists in the implementation of compliance efforts by identifying compliance requirements; supporting the assessment of current state compliance to identify gaps and corrective actions; supporting the creation or revision of basic compliance standards, policies and procedures, and training; and monitoring ongoing compliance adherence. Minimum Qualifications: + Minimum two (2) years medical coding experience. + Bachelors degree in Health Care Administration, Clinical, Law, Public Health, Business or related field and Minimum three (3) years experience in health care compliance, health care operations (quality, risk, etc.), audit, finance, regulatory or public policy development, investigations, information security, or insurance/health plan governance or a directly related field. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. + Certified Professional Coder from American Academy of Professional Coders OR Certified Coding Specialist from American Health Information Management Association Additional Requirements: Preferred Qualifications: + Two (2) years hospital coding experience. + Two (2) years coding audit experience. COMPANY: KAISER TITLE: Compliance Consultant III, Risk Adjustment Medical Coding LOCATION: Duluth, Georgia REQNUMBER: 1390269 External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.