Kaiser Permanente jobs in Riverside, CA - 615 jobs

SCPMG is a physician-led partnership organization with a patient-centered and evidence-based approach to high quality medicine, is actively seeking Outpatient Internal Medicine Physicians or Outpatient Family Medicine Physicians to join our clinics. Apply below for consideration for either one of these roles. Salary Range: $375,275.00 to $419,123.00 Potential Premium Earnings: $25,704.00 Highlights: • Flexible scheduling and work-life balance • 1/2 day paid education time weekly • No overnight call, and vacation coverage includes in-box and lab results • A fulfilling practice free from the hassles of running an office, developing a patient base, prior authorizations, and insurance billing Requirements: • Board Certified or Board Eligible in Internal Medicine or Family Medicine Overview: Competitive Compensation and Benefit Package The comprehensive benefits and longevity-based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best - provide their patients with exceptional care. • Medical/dental/vision coverage • Supplemental medical coverage • Special dependent coverage • Vacation/holiday/sick/education time and leave (prorated to work schedule) • Retirement and savings plans • Relocation package • Professional liability coverage • Public Service Loan Forgiveness (PSLF) eligible Partnership of SCPMG • Transition to a Partner/Owner of SCPMG • Eligible after three consecutive years of full-time employment (six consecutive years of part-time employment) • Increased benefits (e.g., compensation, retirement, life insurance) • Voting rights on organizational decisions About the Area SCPMG San Bernardino County Service area serves a population in the northeastern section of the LA Basin that's as diverse topographically as culturally. With relatively easy access to both mountain and beach outdoor activities including hiking, skiing at Big Bear and Mt. Baldy, water-skiing on Lake Arrowhead, mountain biking, apple picking in Yucaipa or a drive to the coast, there is something for everyone. The communities within the area have excellent schools and neighborhood parks and affordable options for home-buying - a great for families. With easy access to all the culture and activities of Los Angeles, without the traffic and hassle, Physicians and staff members enjoy the seasons, with fall colors and prominent views of snow-capped mountains. Our communities offer a variety of dining, entertainment, and cultural options in close proximity to the Medical Centers. Working Here Cultivated over a 70-year history - the region's first Medical Center in Southern California - San Bernardino County (SBC) Service Area's culture is one of teamwork, respect, integrity, and diversity. Located in the Inland Empire and known to be the “go to” Medical Centers in San Bernardino County. Our area is characterized by its tremendous growth and innovation: with over 1000 physicians who have trained and previously worked across the country the service area is infused with youthful energy as well as diverse and innovative ideas. San Bernardino County Service Area is the largest area in the Southern California region, with 2 hospitals (in Fontana and Ontario) and over 19 medical office buildings. San Bernardino County Service Area offers a wide range of tertiary and specialty services, as well as numerous academic opportunities. SBC is home to 9 residency and fellowship programs, is a clinical rotation site for the Bernard J Tyson Kaiser Permanente School of Medicine as well as a host for medical students and residents from other nearby institutions. It's breadth and depth offer physicians a myriad of opportunities for leadership, teaching, academic pursuits, specialization, and social activities. Wellness and life balance are actively promoted; the area's nurturing, family environment fosters good health-mental and physical-further enabling its team to contribute to the diverse communities we serve within the San Bernardino County. Our small but mighty regional group focus on gender dysphoria, reproductive health, transitional care of complex populations, and eating disorders. Our region has a strong specialty footprint, aligning with some regional programs of potential interest such as pediatric pain, palliative care amongst others, and offer many opportunities to grow interests.

**Candidates must reside in SCAL Market** This senior individual contributor is primarily responsible for serving as a liaison between HR Centers of Excellence and business stakeholders to influence the development and deployment of strategies, programs, policies, and procedures, conducting company human resources support activities, and driving and/or partnering on the development and implementation of organizational change efforts. This position collaborates with HR and business partners to deliver solutions on employee and/or labor relations issues, leads and/or partners on HR investigations based on standard KP or negotiated labor practices, conducts reporting of Company employee information and external benchmarks, and supports and provides consultation to ensure HR compliance. Essential Responsibilities: 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 develop weaknesses; and adapting to and learning from change, difficulties, and feedback. 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; and evaluating recommendations made by others. Serves as first point of contact between HR Centers of Excellence and business stakeholders to influence the development and deployment of strategies, programs, policies, and procedures by partnering with business leaders on strategies and business objectives; assessing HR impact in consideration of changing business strategies; researching and analyzing organizational data and processes to identify trends, root causes, and potential solutions to HR issues; delivering data driven recommendations on HR efforts; coaching and serving as a strategic partner with executive/senior leaders; and aligning and providing solutions in consideration of both HR and business objectives. Conducts company human resources support activities by providing guidance and subject matter expertise to internal and external stakeholders on diverse HR specialties (e.g., equal opportunity/affirmative action, disability management, recruitment and hiring options, compensation, employee benefits, training); identifying and leveraging additional resources and expertise; performing human resources activities; ensuring human resources align with KP standards; and ensuring human resources activities are fully documented. Drives and/or partners on the development and implementation of organizational change efforts by identifying requirements; assessing information to identify solutions to obstacles and mitigating risks; consulting with internal and external stakeholders on change management strategy; providing input in the creation or revision of change management plans; developing communications; communicating regional differences at a national level; and monitoring ongoing impact of organizational changes or efforts on employees. Collaborates with HR and business partners to deliver solutions on employee and/or labor relations issues by providing consultation on employee relations matters (e.g., performance management, employee discipline issues); conducting research and providing advice and assistance on employment related regulations at the State and Federal level; influencing leadership regarding employee relations policies, procedures, and documentation; researching, identifying, and analyzing employee relations concerns; attending arbitration and negotiations; coordinating problem resolution; and escalating issues based on supporting data. Leads and/or partners on HR investigations based on standard KP or negotiated labor practices by coordinating the collection and analysis of quantitative and qualitative data; leading interviews; researching key business issues; identifying potential action steps; creating appropriate documentation; and evaluating and recommending corrective action plans for substantiated allegations. Conducts reporting of Company employee information and external benchmarks by compiling, completing, reviewing, and interpreting reports and analyses; identifying key insights to develop solutions for diverse HR issues; and partnering in the design and implementation of new metrics or reports. Supports and provides consultation to ensure HR compliance by staying abreast of current compliance regulations; providing support and expertise to business partners regarding regulatory changes; and driving the implementation of designated changes. Minimum Qualifications: Minimum three (3) years experience in a leadership role with or without direct reports. Bachelors degree in Human Resources, Business, Social Science, Public Administration or related field and Minimum eight (8) years experience in human resources or business operations. Additional equivalent work experience in a directly related field may be substituted for the degree requirement. Additional Requirements: Preferred Qualifications: Four (4) years health care experience. Four (4) years experience working cross-functionally across departments, functions, or business lines. Primary Location: California,Pasadena,Walnut Center - Regional Offices Scheduled Weekly Hours: 40 Shift: Day Workdays: Mon, Tue, Wed, Thu, Fri Working Hours Start: 08:00 AM Working Hours End: 05:00 PM Job Schedule: Full-time Job Type: Standard Worker Location: Onsite Employee Status: Regular Employee Group/Union Affiliation: NUE-SCAL-01|NUE|Non Union Employee Job Level: Individual Contributor Department: Regional Offices - Pasadena - Medical Office Admin Services - 0806 Pay Range: $144400 - $186780 / year Kaiser Permanente is committed to pay equity and transparency. The posted pay range is based on possible base salaries for the role and does not include the value of our total rewards package. Actual pay determined at offer will be based on years of relevant work experience, education, certifications, skills and geographic location along with a review of current employees in similar roles to ensure that pay equity is achieved and maintained across Kaiser Permanente. Travel: Yes, 20 % of the Time Kaiser Permanente is an equal opportunity employer committed to fair, respectful, and inclusive workplaces. Applicants will be considered for employment without regard to race, religion, sex, age, national origin, disability, veteran status, or any other protected characteristic or status.

Minimum Qualifications: Bachelors degree from an accredited college or university and Minimum five (5) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business, Public Health, or a directly related field and Minimum three (3) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Business Acumen; Change Management; Negotiation; Creativity; Applied Data Analysis; Financial Acumen; Conflict Resolution; Managing Diverse Relationships; Process Validation; Project Management; Risk Assessment; Service Focus; Requirements Elicitation & Analysis Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit. Overview: This is a non-clinical position. Customer and Channel Partner Experience (CCPE) is a multimillion-dollar initiative led by the National Health Plan in partnership with KPIT to improve the experience and make it easy for our business employers, brokers, general agents and consultants to do business with KP. We do this by deploying next generation digital experiences, improving our service and support models to be simple, fast, and personalized, and developing capabilities to show up as a single national health plan. As a result, this work improves brokers' willingness to sell KP and drives growth and retention for KP.Job Summary: Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives. Manages complex projects or project components, participates in and may lead change management activities, and performs data analyses in support of business initiatives. Supports 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 proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Serves as a consultant to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects across one or more functional tracks or workstreams by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management; working with stakeholders to develop goals and set the prioritization of deliverables; discussing involvement of business processes (e.g. project change management, communication) and facilitating decisions necessary for the delivery of business initiatives; communicating tough issues to stakeholders while maintaining an independent perspective; and making formal presentations and providing reports to various senior level audiences. Develops requirements for complex business, process, or system solutions within assigned business domain(s) by interfacing stakeholders and cross-functional teams as appropriate; leveraging multiple business requirements gathering methodologies to identify business, functional, and non-functional requirements; developing and documenting comprehensive business cases to assess the costs, benefits, and ROI of proposed solutions; and leading team members in the development process as appropriate. Provides insight and supports 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; identifying the operational impact of requirements on upstream and downstream solution components; providing options and recommendations to management and business stakeholders on how to integrate solutions and deliverables with current systems and business processes across regions or domains; and identifying and validating value gaps and opportunities for process enhancements or efficiencies. Contributes to business strategy and supports organizational alignment and prioritization of business initiatives by defining, developing, and evaluating performance metrics, standards, and methods to establish business success; collaborating with multiple stakeholders, often with competing/conflicting objectives, to ensure cohesive and reachable metrics; refining strategic plans and performance metrics as appropriate; and managing assigned initiatives or portfolio to ensure delivery of measurable results and alignment with strategic objectives. Serves as a advocate of continuous learning and professional development by keeping abreast of industry practices, standards, and benchmarks; attending and participating in roadshows, conferences, and speaking events; contributing to 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. Manages complex projects or project components by coordinating stakeholder contacts; recommending or assigning team resources based on project needs and team member strengths; consulting in the development, analysis, and management of project plans; coordinating project schedules and resource forecasts; proactively monitoring and identifying project or business initiative risks, issues, and trigger events; developing mitigation plans and strategies; and resolving or escalating risks or issues as appropriate. Participates in and may lead change management activities associated with business initiatives by engaging stakeholders to obtain support and buy in for changes; partnering with management, project 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. Performs data analyses to support business initiatives by 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 analyses and performing experimental tests to evaluate the effectiveness of business solutions; and identifying and alleviating risks through data-driven analysis. Supports vendor management as required by assisting with reviews of 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.

Provides support for coordination of benefits review activities that directly impact medical expenses and premium reimbursement. Responsible for primarily coordinating benefits with other carriers responsible for payment. Facilitates administrative support, data entry, and accurate maintenance of other insurance records. Job Duties Provides telephone, administrative and data entry support for the coordination of benefits (COB) team. Phones or utilizes other insurance company portals to validate state, vendor, and internal COB leads. Updates the other insurance table on the claims transactional system and COB tracking database. Review of claims identified for overpayment recovery. Job Qualifications REQUIRED QUALIFICATIONS: At least 1 year of administrative support experience, or equivalent combination of relevant education and experience. Strong organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. Strong verbal and written communication skills. Ability to work cross-collaboratively across a highly matrixed organization and establish and maintain effective relationships with internal and external stakeholders. Microsoft Office suite proficiency. PREFERRED QUALIFICATIONS: Health 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.

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

Provides lead level analyst support for configuration information management activities. Responsible for accurate and timely implementation and maintenance of critical information on claims databases, synchronizing operational and claims systems data and application of business rules as they apply to each database, validating data to be housed on databases, and ensuing adherence to business and system requirements of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. Essential Job Duties • Analyzes and interprets data to determine appropriate configuration changes. • Accurately interprets specific state and/or federal benefits, in addition to other business requirements, and converts terms to configuration parameters. • Manages coding, updating and maintaining benefit plans, provider contracts, fee schedules and various system tables in the user interface. • Applies experience and knowledge to research and resolve claim/encounter issues and pended claims, and updates system(s) as necessary. • Loads and maintains contracts, benefit and/or reference table information into the claims payment system and other applicable systems. • Participates in defect resolution for assigned component(s). • Participates in the implementation and conversion of new and existing health plans. • Assists in planning and coordination of application upgrades and releases, including development and execution of some test plans. • Assists with development of configuration standards and best practices, and suggests improvement processes to ensure systems are working efficiently and enhance quality. • Creates reporting tools to enhance communication on configuration updates and initiatives. • Negotiates expected configuration information management completion dates with health plans. • Collaborates with internal and external stakeholders to understand business objectives and processes. • Solutions with health plans and corporate functions to ensure all end-to-end business requirements have been documented. • Assists leadership in establishing standards, guidelines, and best practices for the configuration information management team. • Represents as a departmental configuration information management subject matter expert. • Supports various department-wide configuration information management projects. • Provides training and support to new and existing configuration information management team members, including configuration functionality, enhancements and updates • Manages fluctuating volumes of work, and prioritizes work to meet deadlines and needs of the configuration department and user community. Required Qualifications • At least 5 years of configuration information management experience maintaining databases, and/or analyst experience within a health care operations setting in a managed care organization supporting Medicaid, Medicare, and/or Marketplace programs, or equivalent combination of relevant education and experience. • Advanced experience using a claims processing system. • Advanced experienced verifying documentation related to updates/changes within a claims processing system. • Advanced experience validating and confirming information related to provider contracting, network management, credentialing, benefits, prior authorizations, fee schedules, and other business requirements. • Analytical and critical-thinking skills. • Flexibility to meet changing business requirements, and commitment to high-quality/on-time delivery • High attention to detail. • Effective verbal and written communication skills. • Microsoft Office suite proficiency, including intermediate to advanced Excel abilities (VLOOKUP/Pivot Tables, etc.), and applicable software programs proficiency. #PJCore 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

Job Summary: Leverages advanced knowledge to train internal and external stakeholders using adult learning theory and other relevant guidelines. Develops specialized system content and training materials. Facilitates effective working relationships with inter/intraorganizational and external stakeholders in the organization. Measures the accuracy, comprehension, and effectiveness of training sessions by leveraging reporting tools and other training metrics. Verifies that all processes and content are following all legal, regulatory, and accreditation requirements. Participates in continuous improvement work by refining processes, analyzing metrics, and advocating for improvements in training. Essential Responsibilities: Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. Supports the review of training programs by\: measuring the accuracy, comprehension, and effectiveness of training sessions; monitoring test scores and working with management to analyze results; leveraging survey and status reporting tools and other training metrics, to determine the effectiveness of training programs and the next steps to supporting the resolution of survey/data issues, and troubleshooting moderately complex issues; and creating the needs and/or knowledge assessment, administer, and review diagnostic/needs assessments for clinicians and staff for immediate or short-term departmental learning success. Verifies certain standards are implemented and met by\: verifying that all processes are in compliance with all legal, regulatory, and accreditation requirements; reviews others work and ensures that information provided is accurate, consistent, and delivered within prescribed protocols; and developing and implementing policies and procedures, operations, and automated systems providing information to staff and providers. Participates in the creation of training content by\: developing specialized system content and training materials (e.g., handouts, review activities, and visual aids) and implementing moderately complex training programs; and writing business cases/proposals to create projects that can address training needs. Participates in continuous improvement by\: analyzing moderately complex feedback and monitoring training needs to identify procedural deficiencies and participate in providing refresher training; applying advanced knowledge of industry practices, standards, and benchmarks to contribute to the refinement of processes across the department; and acting as an advocate to ensure continuous learning within their team by identifying and implementing improvements in training. Creates meaningful relationships with stakeholders by\: developing effective working relationships with inter/intraorganizational and external stakeholders to the organization; and developing and maintaining contact with internal customers and various parties (e.g., union representatives) to ensure training needs are met. Trains all internal and external stakeholders by\: leveraging advanced knowledge to deliver training by fostering a continuous learning environment using adult learning theory, addressing concerns leveraging various forms of media, current industry practices, regulatory requirements, and supporting business operations; and providing training to end users and addressing concerns leveraging various forms of media (e.g., in-person, classroom, on-site, just-in-time support, web sessions, and conference calls). Click here for Important Additional Job Requirements. Share this job with a friend You may also share this job description with a friend by email or social media. All the relevant details will be included in the message. Click the button labeled that is next to Submit. Minimum Qualifications: Bachelors Degree in Instructional Design, Instructional Technology, Communication, Education, or related field AND minimum three (3) years of experience in designing and delivering training and curriculum development with a focus on instructor led training, or a directly related field, OR Minimum six (6) years of experience in designing and delivering training and curriculum development with a focus on instructor led training OR a directly related field. Additional Requirements: Knowledge, Skills, and Abilities (KSAs)\: Internal Communications; Storytelling; Written Communication; Content Development; Knowledge Management; Learning Measurement; Employee Training; Business Relationship Management; Conflict Resolution; Research and Development (R&D); Computer Literacy; Microsoft Office; Curriculum Development; Adult Learning Theory; Presentation Skills; Consulting; Relationship Building; Coordination

Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). Essential Job Duties • Enters denials and requests for appeals into information system and prepares documentation for further review. • Researches claims issues utilizing systems and other available resources. • Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. • Requests and obtains medical records, notes, and/or detailed bills as appropriate to assist with research. • Determines appropriate language for letters and prepares responses to member appeals and grievances. • Elevates appropriate appeals to the next level for review. • Generates and mails denial letters. • Provides support for interdepartmental issues to help coordinate problem-solving in an efficient and timely manner. • Creates and/or maintains appeals and grievances related statistics and reporting. • Collaborates with provider and member services to resolve balance bill issues and other member/provider complaints. Required Qualifications • At least 1 year of experience in claims, and/or 1 year of customer/provider service experience in a health care setting, or equivalent combination of relevant education and experience. • Customer service experience. • Organizational and time management skills; ability to manage simultaneous projects and tasks to meet internal deadlines. • Effective verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Customer/provider experience in a managed care organization (Medicaid, Medicare, Marketplace and/or other government-sponsored program), or medical office/hospital setting experience. • Completion of a health care related vocational program (i.e., certified coder, billing, or medical assistant). 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.

Under the Supervision and Control of a Physician Pathologists, assists in the performance of anatomic pathology practice by: Preparation and examination of surgical pathology specimens. Performance of postmortem dissection with written description and preparation of tissue sections. Performance of other procedures related to Pathologists duties. Performance of other technical, supervisory and/or functional direction duties within the scope of practice as directed by the pathologists of Chief Pathologist. Essential Responsibilities: * Perform postmortem examinations and descriptions. * Process surgical Pathology specimens including dissection, description and embedding for Pathologists diagnosis. * Preparation of fine needle aspiration specimens. * Preparation of frozen sections for pathologists interpretation. * Quality control and management of equipment and supplies in the surgical Pathology laboratory and autopsy suite. * Quality improvement activities and projects for the Pathology Department. * Uphold standards of practice, policies and procedures as contained in the Departments Policy and Procedure Manuals in the surgical pathology and Autopsy service. * Continued education and skills assessment concurrent with established and new practices and techniques as applicable in surgical and autopsy pathology.

The role of the CNS is highly varied. On a typical day, they round with physicians to consult on complex patient cases, provide advanced clinical expertise, and help guide evidence-based practice at the bedside. They act as a resource to staff nurses, answering clinical questions and assisting with the management of challenging patient situations. The Clinical Nurse Specialist role at Kaiser Permanente Southern California Region is a clinical manager who partners with the operational manager to ensure that nursing staff delivers safe and effective care. The role is built around the five role subcomponents as regulated by the California Board of Registered Nursing: Leadership, Consultation, Research, Education, and Clinical Practice. Essential Responsibilities: + Develops area of specialty competency criteria for outcome monitoring of the staff. + Assists in interviewing staff and provides input into evaluations regarding clinical competence, participating in the creation, implementation, and follow up of action plans for professional, competency development and recommending terminations when appropriate. + Conducts cost/benefit analysis of new clinical technologies resulting in recommendations for implementation and budgets. + Provides coaching and counseling to the nursing staff and other health care providers. + Participates as a part of management in providing 24 hour clinical leadership by developing standards of practice, policies and procedures for a specialty patient population that are consistent with professional practice standards. + Partners with fellow clinical and operational managers in implementing methods and processes in specialty area to support change in nursing practice, care programs and clinical innovation achieving improved patient/family outcomes. + Evaluates clinical practice in areas of specialty to ensure community/professional standards are met. + Manages high risk patients in the area of specialty in order to achieve safe, high quality, cost effective outcomes for the system. + Rounds with the multi-disciplinary team in specialty area (any setting & includes community needs assessments). + Evaluates policies and procedures for clinical nursing practice in specialty area integrating the evidence from systematic reviews. + Facilitates multidisciplinary collaboration based on clinical needs of patient/family related to specialty area. + Participates in outcomes research/evidence based practice projects. + Identifies clinical quality indicators for specialty populations. + Conducts systematic reviews in a specialty area. Implements methods & processes in area of specialty to sustain change in nursing practice, programs of care, and clinical innovation. + Active involvement with specialty specific professional organizations as evidenced by participation on the professional organization leadership and operational groups (such as Committees) and/or participation at professional conferences. + Develops, implements/coordinates, and evaluates specialty education programs for patient and families. + Develops, implements/coordinates, and evaluates specialty training programs for nursing staff, including nurses in the communities. + Leads multi-disciplinary project teams. + Develops, implements and evaluates successful projects using scientific operations management principles and methodologies. + Investigates and resolves patient/family/member concerns regarding the delivery of nursing care. + Develops, monitors, and supervises policies that integrate business and organization plans in operations. + Ensures that patient care and quality standards meet and comply with federal, state, and local regulatory requirements and established departmental policy and procedures, utilization, and clinical performance standards and measures. + Specific for Comprehensive Strokes Centers: + Support delivery of evidence-based acute stroke assessment and management + Provide expert nursing consultation and practice oversight + Develop and deliver acute stroke continuing education programs + Participate in performance improvement (PI) processes + Participate in comprehensive stroke center research Basic Qualifications: Experience + Minimum three (3) years of experience in area of specialty required. Education + Clinical masters degree in nursing, in area of specialization. + Graduate of accredited school of nursing. License, Certification, Registration + Clinical Nurse Specialist Certificate (California) + Registered Nurse License (California) + Basic Life Support Additional Requirements: + Demonstrated clinical expertise in area of specialty. + Recent project management experience. + Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to our members, and to customers, contracted providers, and vendors. + Must be able to work in a Labor/Management Partnership environment. Preferred Qualifications: + Clinical Nurse Specialist experience preferred. + Cardiac and Neuro specialty knowledge preferred + ICU experience. COMPANY: KAISER TITLE: Clinical Nurse Specialist RN, ICU/Neuro LOCATION: Anaheim, California REQNUMBER: 1382848 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.

Essential Responsibilities: * Operates an Ophthalmic fundus camera (e.g., Zeiss Fundus Flash III) to photograph portions of the eye, such as anterior segment, the ocular adnexa and the ocular fundus. * Explain test procedures and purpose. * Monitor and evaluate test readings during procedures. * Perform fluorescing angiography and ultrasound diagnostic procedures. * Prepare exam results for interpretation by physician. * Consult with physician concerning test results and alert physicians to positive test results or test abnormalities. * Fill request for equipment and supplies. * Assume other activities and responsibilities from time to time as directed.

***Employee for this role must reside in Massachusetts or surrounding state*** Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. In partnership with Director, manages and coordinates the Provider Services activities for the state health plan. Works with direct management, corporate, and staff to develop and implement standardized provider servicing and relationship management plans. Job Duties Manages the Plan's Provider Relations functions and team members. Responsible for the daily operations of the department working collaboratively with other operational departments and functional business unit stakeholders to lead or support various Provider Services functions with an emphasis on contracting, education, outreach and resolving provider inquiries. • In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. • Oversees and leads the functions of the external provider representatives, including developing and/or presenting policies and procedures, training materials, and reports to meet internal/external standards. • Manages and directs the Provider Service staff including hiring, training and evaluating performance. • Assists with ongoing provider network development and the education of contracted network providers regarding plan procedures and claim payment policies. • Develops and implements tracking tools to ensure timely issue resolution and compliance with all applicable standards. • Oversees appropriate and timely intervention/communication when providers have issues or complaints (e.g., problems with claims and encounter data, eligibility, reimbursement, and provider website). • Serves as a resource to support Plan's initiatives and help ensure regulatory requirements and strategic goals are realized. • Ensures appropriate cross-departmental communication of Provider Service's initiatives and contracted network provider issues. • Designs and implements programs to build and nurture positive relationships between contracted providers, ancillary providers, hospital facilities and Plan. • Develops and implements strategies to increase provider engagement in HEDIS and quality initiatives. • Engages contracted network providers regarding cost control initiatives, Medical Care Ratio (MCR), non-emergent utilization, and CAHPS to positively influence future trends. • Develops and implements strategies to reduce member access grievances with contracted providers. • Oversees the IHH program and ensures IHH program alignment with department requirements, provider education and oversight, and general management of the IHH program • 15-30% travel, mostly daytime, throughout Massachusetts. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in Health or Business related field or equivalent experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 5-7 years experience servicing individual and groups of physicians, hospitals, integrated delivery systems, and ancillary providers with Medicaid and/or Medicare products • 5+ years previous managed healthcare experience. • Previous experience with community agencies and providers. • Experience demonstrating working familiarity with various managed healthcare provider compensation methodologies, primarily across Medicare or Medicaid lines of business, including but not limited to: fee-for service, value-based contracts, capitation and delegation models, and various forms of risk, ASO, agreements, etc. • Experience with preparing and presenting formal presentations. • 2+ years in a direct or matrix leadership position • Min. 2 years experience managing/supervising employees. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: • 5-7 years managed healthcare administration experience. • Specific experience in provider services, operations, and/or contract negotiations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). 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.

Overview: The Change Management Consultant serves as a strategic catalyst for transformation within Marketing, shaping and executing a holistic, multi-channel change management and engagement strategy that accelerates adoption, fosters resilience, and strengthens organizational culture. This role orchestrates experiences that inspire alignment, empower employees, and embed change as a driver of growth. By leveraging data-driven insights and innovative engagement approaches, the consultant ensures that every initiative is not only implemented but embraced, creating a seamless transition from current state to future vision. Through compelling narratives, transparent communication, and targeted interventions, this role transforms disruption into opportunity, enabling teams to thrive in dynamic environments and positioning Marketing as a model for agility and collaboration 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.

2026 Summer Intern Internship Projects: Update of renewal and prospect pricing factors, large group benefit pricing support, strategic underwriting support. Target Majors: Math & Statistics Target Skillset: Works in a team, strong communication skills, programming skills, proficient in Excel, Word, Access, PowerPoint. We are looking for an individual interested in pursuing the Actuarial profession. We prefer candidates with 1 or more Actuarial exams passed. While not limited to, we are looking for students with strong quantitative skills and strong oral/written skills. We are interested in a candidate who is enthusiastic, open-minded and willing to work in a fast-paced environment. Quantitative focused, good communication. Job Summary: Lay the groundwork for a dynamic future with an industry leader. At Kaiser Permanente, you'll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. Our interns have worked on everything from analyzing financial software and developing new marketing strategies, to designing mobile apps and helping clinicians improve care delivery. We want you to get the most out of your time here and will give you projects that challenge you to think freely, question thoroughly, and explore deeply. Essential Responsibilities: * Contributing to a designated project or initiative to meet a KP business objective. * Report development and analytics. * Project management - planning, execution, and measurement. * Learning new applications needed to complete assignments or support the execution of business objectives. * Job shadowing in other functional areas. * Performing additional duties as required.

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Health Center Co-Manager in Mission Viejo, CA. The Health Center Co-Manager, in partnership with and support of the Senior Health Center Co-Manager and Area Director, assumes overall responsibility for the center's operations in the absence of either. The Co-Manager will be primarily responsible to monitor patient flow. The Co-Manager will also monitor patient satisfaction and address patient concerns as they arise. The Co-Manager will coordinate with the health center staff to ensure outstanding customer service and efficiency in clinical service delivery to all patients. The Co-Manager will also direct the delivery of the full range of the reproductive health care services and primary care services we offer. At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family. We are proud to offer a range of plans that help protect you in the case of illness or injury including: A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. Benefits coverage starts after one full month of employment! Generous vacation, sick, and holiday benefits! Generous 401(k) matching contributions and more! To view our detailed benefits guide, please visit our career site at ********************* Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Strong commitment to quality healthcare and excellent customer service. Ability to delegate to and empower staff effectively. Team builder and ability to utilize team skills effectively. Excellent written and verbal communication skills. Accuracy and attention to detail. Ability to relate to diverse communities. Maintain professional demeanor at all times. Computer skills. Ability and willingness to travel to and visit other health centers and attend meetings. Availability to work flexible hours and weekends. Minimum Work Experience: BS/BA degree preferred or two (2) years+ experience in a health, medical or social service setting. Reproductive, managed/primary health care and/or abortion services experience may be required. Supervisory Experience: Demonstrated ability as an effective leader, including coaching and team-building skills. Strong written, verbal and interpersonal skills. Must be self-motivated and have the ability to work without direct supervision. Minimum of one (1) year demonstrated supervisory experience required. Agency Standard Requirements: Strong commitment to quality healthcare and excellent customer service is required. Must thrive in a fast-paced, rigorous environment with changing priorities. Ability to meet deadlines and work under pressure. Must demonstrate high level computer skills including; Microsoft Word, Excel and Outlook. Electronic medical records experience required. This position requires travel to other sites and locations; if using a personal vehicle to meet this requirement, a valid CA driver's license and current auto insurance in compliance with the minimum requirements of CA vehicle code are required. Abortion patients are cared for at each of our health centers and in part through the administrative, support, and other non-clinical services provided at all PPOSBC locations and by all PPOSBC employees, and supporting these critical services is an essential job duty and fundamental responsibility of all employees. Responsibilities Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists. Act as a “Flow Facilitator” and continually monitor schedules to improve patient wait-times and customer service. Hold staff accountable to specific measurable customer service standards (e.g. through annual performance monitoring and implementing corrective action plans when customer service expectations are not being met). Will ensure appropriate health center coverage with management in conjunction with the Health Center Senior Co-Manager and Area Director. Responsible for building and updating health center schedules to ensure optimal patient access to care Lead health center efforts to achieve established goals for volume and wait times. Communicate any changes, new processes and weekly updates information in a daily morning huddle. Notes are to be completed daily and sent out to all health center staff. Review and manage discrepancies with documentation and billing as they negatively impact health center reimbursements for services rendered. Responsible for management and non-direct patient care related services in the health center. Oversee a full range of services including but not limited to reproductive health care, primary care, managed care, abortion and prenatal services. Participate as an active member of the clinical and patient services management team, which may include education programs, committees, conferences and meetings as required. Work cooperatively with the Health Center Senior Co-Manager, Area Director and center staff to maintain maximum communication and support between health center staff, patients and administration. Work in conjunction with the Health Center Senior Co-Manager, Area Director, Patient Services Administration and staff to implement new services, policies and protocols. Assure health center's compliance with the Organization's State and Federal Regulations by monitoring protocol compliance and service delivery. Will report any compliance deficiencies to Senior Co-Manager. Monitor staff training and deploy staff in the scheduling of appointments for family planning, primary care and abortion services. Assist the Health Center Co-Manager with scheduling staff to ensure appropriate staff coverage due to unscheduled absences. Will be responsible for the Administrative Medical Assistant schedule. Orient and monitor new staff training during their three (3) month orientation period. Will complete the Administrative Medical Assistant chart audits as scheduled & discuss performance and review audit results with the employee. Coaches, develops, educate and holds accountable direct reports. Completes One on One quarterly meetings with the Administrative Medical Assistant. Available to travel to other health centers for coverage as needed Non-Essential Functions: Other duties as assigned. PHYSICAL REQUIREMENTS: The physical requirements of this position are identified below. Reasonable accommodations may be made for individuals with disabilities to perform the essential functions of this position. CORE COMPETENCIES - WE CARE: Welcoming: Anticipates customer requirements and gives high priority to customer satisfaction and service. Handles problems quickly and efficiently. Maintains a pleasant, positive and professional approach. Embraces opportunities to help team members, stakeholders, and other departments. Equitable: Creating equitable access and opportunity for all through education, practicing inclusive behavior, elevating others' voices, creating spaces for honest conversation, and listening without judgment. Values and uplifts our collective diversity within in our agency. Confidential: Respects the information shared by our patients, employees, and vendors and maintains appropriate confidentiality. Follows all policies and laws that protect private & privileged information. Accessible: Is available and approachable to others, open-minded, fair and non-defensive. Appreciates constructive feedback and is a team player. Demonstrates good listening skills. Respectful: Values diversity and treats everyone with dignity and courtesy. Dependable and courteous of other people's time and commitments. Empathetic: Demonstrates interest and understanding in other people's feelings, attitudes and reasoning. Maintains an open and non-judgmental demeanor that is patient, flexible, and understanding. Disclosures Planned Parenthood/Orange and San Bernardino Counties is an equal opportunity employer. Applicants will receive consideration for employment without regard to race, color, ancestry, national origin, religion, creed, equal pay, age, disability, sex, gender, sexual orientation, gender identity, gender expression, medical condition, genetic information, marital status, military, veteran status or any other federal or state protected class. We are committed to building and maintaining an inclusive workplace that values diversity, equity, and inclusion. Minimum Salary Range USD $70,304.00/Yr. Maximum Salary Range USD $86,437.00/Yr. Don't see what you're looking for? Let us help you find the right job! Connect with us today!

2026 Summer Intern Department Details: Brand Stewardship, Creative, and Content brings together content strategy, editorial expertise, and visual design to create industry-leading, compelling content and engaging brand experiences that achieve the goals of our organization - while ensuring everything we produce is aligned, high-quality, and effective for all audiences across all channels. Key focus areas include: * Content Strategy & Management: Developing and optimizing content for campaigns, digital platforms, and audience engagement * Creative Services: Producing high-quality creative assets for marketing, advertising, and internal communications. * Creative Governance: Ensuring clarity, confidence, and consistency in our brand expression and protecting brand integrity through structured review processes. * Innovation & Enablement: Leveraging tools like Wrike, AEM, and emerging technology for efficiency and scalability. Internship Projects: This internship provides hands-on experience in assessing and shaping creative technology strategies, with exposure to enterprise-level operations and workflow optimization. The role involves researching industry standards and emerging tools, collaborating with creative teams, and presenting actionable recommendations to leadership - offering a unique opportunity to influence future innovation and process enhancements. Responsibilities * Research, document, and analyze all the creative workflows currently used across departments/regions. This may include conducting qualitative and quantitative research across teams to understand current creative workflows, tools, and approval processes. * Document and visualize existing workflows, noting variations, pain points, and areas of overlap. This may include a pros and cons table, allowing for identification and adoption of best practices. * Analyze workflow efficiency, collaboration patterns, and dependencies. * Synthesize findings into a comprehensive presentation and case study, providing insights and recommendations. (Summarizes findings from all teams, Identifies gaps, redundancies, and opportunities for alignment, Provides actionable recommendations for process unification.) Target Majors: Business Administration, Marketing Target Skillset: * Strong analytical, organizational, and presentation skills * Excellent written and verbal communication skills * Strong ability to synthesize complex information * Inquisitive - approach situations with a learner-s mindset * Strategic problem solver * Interest in Creative Operations Job Summary: Lay the groundwork for a dynamic future with an industry leader. At Kaiser Permanente, youll forge lasting relationships with colleagues across the organization while enjoying the opportunity to grow your experience and hone your expertise on assignments that have real impact. Our interns have worked on everything from analyzing financial software and developing new marketing strategies, to designing mobile apps and helping clinicians improve care delivery. We want you to get the most out of your time here and will give you projects that challenge you to think freely, question thoroughly, and explore deeply. Essential Responsibilities: * Contributing to a designated project or initiative to meet a KP business objective. * Report development and analytics. * Project management - planning, execution, and measurement. * Learning new applications needed to complete assignments or support the execution of business objectives. * Job shadowing in other functional areas. * Performing additional duties as required.

Under direct supervision of a Registered Physical Therapist, the Physical Therapy Aide assists in implementing pre-determined portions of a Physical Therapy treatment plan/program such as - but not limited to - the preparation and application of prescribed therapeutic modalities and procedures related to activities of daily living. As instructed, the PT Aide will also perform a variety of non-clinical services to assist in the daily operation of the rehabilitation department. Physical Therapy Aides do not assist in evaluating/assessing a patients physical capacities/functioning nor do they plan or initiate treatment. Essential Responsibilities: + Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibilities, and applicable state, federal and local laws. + Transports patients to required locations observing established procedures and safety precautions. + Performs clerical functions such as posting treatment given, completing CPRs, filing progress sheets, maintaining statistics, ordering supplies, making copies of files/exercise programs etc. + Observes all regional, medical center and department polices and procedures: a. Adhere to all department standards of attendance and dress. b. Maintain privacy and confidentiality of medical information. c. Observe universal precautions and all infection control safety policies. + Maintains standards of professional behavior established to enhance quality of service: a. Use appropriate titles and greetings for patients, families, physicians, and staff. b. Treat all patients in accordance with Patient Bill of Rights. + Communicates clearly, effectively and appropriately at all times: a. Written communication must meet established standards. + Maintains a courteous professional relationship with patients, families, other members of the department, and health care team. + Maintains equipment, supplies, and work area in accordance with departmental guidelines: a. Follows all department guidelines related to equipment safety and maintenance. b. Assists in maintaining clean and safe work areas. + In accordance with established protocols, policies and procedures: Demonstrates competence in providing patient care tasks as instructed and delegated by a licensed physical therapist. a. Implements portions of treatment plans. b. Reports unusual signs, symptoms, or responses to treatments to the Physical Therapist. c. Observes rules of safety and body mechanics when assisting patients in transfer and/or ambulation. d. Positions the patient properly and use the appropriate draping techniques assuring the patient privacy. e. Within established protocols, respond to patients questions and refers other questions to Physical Therapist and/or M.D. + Utilizes skills in performance of Physical Therapy modalities and procedures including: a. Use of assistive devices/adaptive equipment b. Use of physical therapy modalities. c. Administration of passive, active, resistive or range of motion exercises which are part of an established exercise/therapy program. d. Activities of daily living. e. Wound care and dressing techniques. + Utilizes and applies an understanding of the cognitive, physical, emotional, and chronological maturation process in delivery of services to patients of the age group served - pediatric, adolescent, adult, geriatric. + Based on structures/established guidelines, protocols and standards: may documents clinical activities and patient response to treatment/modalities. Basic Qualifications: Experience + N/A Education + High School Graduate or GED License, Certification, Registration + Basic Life Support Additional Requirements: + Completion of annual skills competency assessment. + Ability to demonstrate competence in basic safety and infection control procedures i.e. proper body mechanics, universal precautions. + Completion of Pre-employment and annual physicals. Preferred Qualifications: + Prior experience working in a physical therapy department. Prior experience working as a Nursing Aide, Rehabilitation Therapy Aide or Physical therapy Aide in a acute medical center or out-patient rehabilitation center. Notes: + This is a variable position, start times may vary within the specific shift. COMPANY: KAISER TITLE: Physical Therapy Aide II, Full Time Irvine LOCATION: Irvine, California REQNUMBER: 1399029 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.

Leverages advanced knowledge to train internal and external stakeholders using adult learning theory and other relevant guidelines. Develops specialized system content and training materials. Facilitates effective working relationships with inter/intraorganizational and external stakeholders in the organization. Measures the accuracy, comprehension, and effectiveness of training sessions by leveraging reporting tools and other training metrics. Verifies that all processes and content are following all legal, regulatory, and accreditation requirements. Participates in continuous improvement work by refining processes, analyzing metrics, and advocating for improvements in training. Essential Responsibilities: + Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome. + Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions. + Supports the review of training programs by: measuring the accuracy, comprehension, and effectiveness of training sessions; monitoring test scores and working with management to analyze results; leveraging survey and status reporting tools and other training metrics, to determine the effectiveness of training programs and the next steps to supporting the resolution of survey/data issues, and troubleshooting moderately complex issues; and creating the needs and/or knowledge assessment, administer, and review diagnostic/needs assessments for clinicians and staff for immediate or short-term departmental learning success. + Verifies certain standards are implemented and met by: verifying that all processes are in compliance with all legal, regulatory, and accreditation requirements; reviews others work and ensures that information provided is accurate, consistent, and delivered within prescribed protocols; and developing and implementing policies and procedures, operations, and automated systems providing information to staff and providers. + Participates in the creation of training content by: developing specialized system content and training materials (e.g., handouts, review activities, and visual aids) and implementing moderately complex training programs; and writing business cases/proposals to create projects that can address training needs. + Participates in continuous improvement by: analyzing moderately complex feedback and monitoring training needs to identify procedural deficiencies and participate in providing refresher training; applying advanced knowledge of industry practices, standards, and benchmarks to contribute to the refinement of processes across the department; and acting as an advocate to ensure continuous learning within their team by identifying and implementing improvements in training. + Creates meaningful relationships with stakeholders by: developing effective working relationships with inter/intraorganizational and external stakeholders to the organization; and developing and maintaining contact with internal customers and various parties (e.g., union representatives) to ensure training needs are met. + Trains all internal and external stakeholders by: leveraging advanced knowledge to deliver training by fostering a continuous learning environment using adult learning theory, addressing concerns leveraging various forms of media, current industry practices, regulatory requirements, and supporting business operations; and providing training to end users and addressing concerns leveraging various forms of media (e.g., in-person, classroom, on-site, just-in-time support, web sessions, and conference calls). Minimum Qualifications: + Bachelors Degree in Instructional Design, Instructional Technology, Communication, Education, or related field AND minimum three (3) years of experience in designing and delivering training and curriculum development with a focus on instructor led training, or a directly related field, OR Minimum six (6) years of experience in designing and delivering training and curriculum development with a focus on instructor led training OR a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Internal Communications; Storytelling; Written Communication; Content Development; Knowledge Management; Learning Measurement; Employee Training; Business Relationship Management; Conflict Resolution; Research and Development (R&D); Computer Literacy; Microsoft Office; Curriculum Development; Adult Learning Theory; Presentation Skills; Consulting; Relationship Building; Coordination Preferred Qualifications: + Two (2) years of experience in health care insurance or working in a health care contact center. + Master's Degree in Education, Instructional Design and Evaluation, Adult Learning, Human Performance, or other related field. COMPANY: KAISER TITLE: Training Delivery Educator IV LOCATION: Pasadena, California REQNUMBER: 1356896 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.

Provide leadership, overall management, strategic direction, and support to the Local Member Services professional staff, across multiple sites. Responsible for Member Services daily operations, initiatives, oversight of case processing, issue resolution, quality of information and service provided by staff to both internal and external customers. Support and represent Kaiser Foundation Health Plan Member Services, and strategize with Regional and Local leadership, facility personnel, and physicians to minimize the financial risk to the organization and ensure contract integrity for our members as well as Kaiser Permanente. Provide performance based consulting to department management and facilities throughout Northern California. Provide service recovery in order to assist in the retention of our members. Drive the mission and business results for Kaiser Permanente while meeting budgetary guidelines to ensure responsible stewardship of our members dues. Essential Responsibilities: + Provides leadership (responsibility and oversight/management) for member services at the medical center and medical offices for designated facilities, including budgetary, compliance, service and quality oversight. + Identifies member and non-member pain points, and works with area leaders to drive continuous service improvements, partnering with these local and regional leaders to reduce complaints and grievances, while increasing member satisfaction, growth and retention. + Acts as key liaison with the medical group; develops programs and service improvements in conjunction with key medical group personnel, managers, and physicians, to improve member experience and resolve member issues as quickly and effectively as possible. + Handles high risk issues by managing timely communication with medical facilities. + Provides ongoing information, reports and recommendations to facility departments and physician chiefs related to data analysis and provision of reports and information related to services and concerns that arise in specific departments. + Oversees the daily operations of the member services department, including linkage with auditing, training and analyst work to best meet the needs of staff, members, key stakeholders, and leadership. + Identifies member-system conflict in an effort to prevent professional liability, minimize financial penalties to the organization, and retain satisfied members. + Hires, supervises, coaches/trains and develops staff who handle sensitive and multi-faceted member issues and requests. + Creates a team atmosphere and structure that promotes self-directed work through the development and empowerment of staff. + Orients and educates facility departments, physicians and other professional staff regarding health plan products, benefits, regulatory guidelines, resolution of member questions, complaints and grievances. + Fosters a service oriented work environment with an emphasis on dedication to serving members, affording respect to individuals, achievement of highest standards of quality, identifying and supporting opportunities for innovation, supporting teamwork and implementing policies and practices that reflect the vision of KP. Basic Qualifications: Experience + Minimum eight (8) years of management/leadership experience in a complex healthcare (preferably HMO) or service-oriented organization + Minimum three (3) years of experience in customer service improvement and process redesign, with openness to creative and innovative approaches to providing service, including cultural sensitivity, respect and polite communication with patients and all clientele + Minimum three (3) years of experience working with accreditation and regulatory agencies and/or preparing information for regulatory audits as requested, (including, but not limited to Department of Health Services (DHS), Department of Managed Healthcare (DMHC), National Committee for Quality Assurance (NCQA), and Center for Medicare/Medicaid Services (CMS) Education + Bachelors degree in Health Care Administration, Business Management, Science or Business or four (4) years of experience in a directly related field. + High School Diploma or General Education Development (GED) required. License, Certification, Registration + N/A Additional Requirements: + Outstanding interpersonal/communication and mediation skills with ability to effectively partner with a wide group of stakeholders, including professional and medical staff + Demonstrated management and leadership skills, including working with varied levels of staff, budgeting, delegation, staff development, coaching, resource allocation planning, and performance management + Excellent presentation/public speaking skills and experience + Demonstrated ability in development of team focus, partnership, service orientation, influence and change leadership + Demonstrated expertise in results orientation, taking initiative + Demonstrated awareness of how ones emotions impact decisions, action and desired outcomes + Demonstrated awareness in emotional intelligence as modeled in day-to day leadership responsibilities + Demonstrated ability to lead, collaborate, communicate, influence and partner effectively with senior leadership and a broad base of business and functional leadership. + Strong written and verbal communication skills + Proven ability and commitment to work collaboratively in a Labor Management Partnership + Demonstrates a level of proficiency in the following tools: Word (compose executive summaries/reports), Excel (open spreadsheets, create graphs), Power Point (create executive presentations), Electronic Medical Record, Statistical Analysis Programs Preferred Qualifications: + Excellent investigation, problem solving, and documentation skills preferred + Masters degree preferred. COMPANY: KAISER TITLE: Director Operations Member Services LOCATION: Downey, California REQNUMBER: 1396080 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.