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Kaiser Permanente jobs in Riverside, CA

- 636 jobs
  • CT Technologist - Part Time up to 39 Hours -San Bernadino County

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Fontana, CA

    Under general supervision, operates CT scanners and other radiographic equipment to produce images of structures in the human body that are utilized by physicians for the diagnosis of diseases, pathology and/or trauma. Utilizes technical judgment and skills to ensure that produced images are of the highest diagnostic quality, and, demonstrate the area(s) of interest. Essential Responsibilities: Performs Computed Tomographic (CT) imaging. Assist physician during minor surgical procedures, and in developing new techniques and procedures. Assist in obtaining tissue specimens. Follow infection control procedures, and employ safe radiation protection practices. Modify imaging techniques which do not require change in physician orders. Observes, monitor and take appropriate response to patient condition during and after procedures. Shave and apply antiseptic solutions to patient skin areas. Transport patients to/from procedure area. Assist physician with fluoroscopic examinations. Process digital or film images and makes prints, if applicable. Perform radiation safety monitoring. Records pertinent patient Information. Reviews patient chart to identify significant patient conditions. Compile pertinent Quality Assurance data. Operate radiographic, fluoroscopic, and portable x-ray equipment. Arrange for repair of imaging equipment. Assume other activities and responsibilities from time to time as directed. Performs other duties as required. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences. Utilizes proper Body Mechanics. Documents clinical activities and required image information in a timely, comprehensive, and accurate manner. Observes all organizational, regional, medical service area and Diagnostic Imaging Department policies and procedures. Maintains standards of professional behavior established to enhance quality of service. Demonstrates effective communication skills. Demonstrates professional behavior in all interactions with patients and staff. Maintains equipment, supplies and work area in accordance with department guidelines. Basic Qualifications: Experience Three (3) years recent experience (within the last 12 months) as a CT Technologist. May substitute three (3) year CT experience with successful completion of the departments formal CT training program. Additional Requirements: Ability to demonstrate knowledge of and to utilize theories, principles, practices and techniques of Radiologic Technology. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to members, customers, contracted providers and vendors. License,Certification, Registration or Designation section. Education N/A License, Certification, Registration Certified Radiologic Technologist - Diagnostic Radiologic Technology Certificate (California) OR Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Radiologic Technologist Certification from American Registry of Radiologic Technologists Basic Life Support Additional Requirements: N/A Preferred Qualifications: Advance Certificate in CT (ARRT). Notes: • 10 Hour shift schedule with rotational weekends. • Work schedule varies. • Will work at all SBC area locations. • May work up to 39 hours per week.
    $107k-157k yearly est. 3d ago
  • CT Technologist, Riverside, 24 hours, Part-time

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Riverside, CA

    Under general supervision, operates CT scanners and other radiographic equipment to produce images of structures in the human body that are utilized by physicians for the diagnosis of diseases, pathology and/or trauma. Utilizes technical judgment and skills to ensure that produced images are of the highest diagnostic quality, and, demonstrate the area(s) of interest. Essential Responsibilities: Performs Computed Tomographic (CT) imaging. Assist physician during minor surgical procedures, and in developing new techniques and procedures. Assist in obtaining tissue specimens. Follow infection control procedures, and employ safe radiation protection practices. Modify imaging techniques which do not require change in physician orders. Observes, monitor and take appropriate response to patient condition during and after procedures. Shave and apply antiseptic solutions to patient skin areas. Transport patients to/from procedure area. Assist physician with fluoroscopic examinations. Process digital or film images and makes prints, if applicable. Perform radiation safety monitoring. Records pertinent patient Information. Reviews patient chart to identify significant patient conditions. Compile pertinent Quality Assurance data. Operate radiographic, fluoroscopic, and portable x-ray equipment. Arrange for repair of imaging equipment. Assume other activities and responsibilities from time to time as directed. Performs other duties as required. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences. Utilizes proper Body Mechanics. Documents clinical activities and required image information in a timely, comprehensive, and accurate manner. Observes all organizational, regional, medical service area and Diagnostic Imaging Department policies and procedures. Maintains standards of professional behavior established to enhance quality of service. Demonstrates effective communication skills. Demonstrates professional behavior in all interactions with patients and staff. Maintains equipment, supplies and work area in accordance with department guidelines. Basic Qualifications: Experience Three (3) years recent experience (within the last 12 months) as a CT Technologist. May substitute three (3) year CT experience with successful completion of the departments formal CT training program. Education N/A License, Certification, Registration Certified Radiologic Technologist - Diagnostic Radiologic Technology Certificate (California) OR Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Venipuncture Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) Radiologic Technologist Certification from American Registry of Radiologic Technologists Basic Life Support Additional Requirements: Ability to demonstrate knowledge of and to utilize theories, principles, practices and techniques of Radiologic Technology. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to members, customers, contracted providers and vendors. Preferred Qualifications: Advance Certificate in CT (ARRT). Notes: This is a variable position no set shift.
    $106k-157k yearly est. 1d ago
  • Radiological Technologist II, Fontana, 20 Hours, Part-time

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Fontana, CA

    Under general supervision, operates radiographic equipment, to produce images of structures in the human body that are utilized by physicians for the diagnosis of disease processes, pathology and/or trauma. Utilizes technical judgment and skills to ensure that produced images are of the highest diagnostic quality, and, demonstrate the area(s) of interest. Essential Responsibilities: Operates various x-ray control consoles, portable units, tube assemblies, lock systems, collimators, filters and tables in order to perform diagnostic radiographic procedures and examinations. Ensures that correct and required patient identification and left or right marker appears on all films. Centers area of interest to film and tube Utilizes appropriate use of phototiming, milliamperes (MA), kilovoltage (KVP), seconds, distance, collimation, intensifying screens, film speed and grids in order to produce diagnostic quality image(s) which demonstrate the area(s) of interest and exhibit acceptable contrast, density and detail. Explains the exam /procedure to the patient in order to solicit cooperation Assesses the patients history and overall condition and makes the necessary modifications in technique and/or positioning to compensate for pathology or other considerations Utilizes a knowledge of proper patient positioning and department protocols to obtain routine and other views required for standard projections. Observes all required radiation safety/protection regulations and standards in order to minimize dose and avoid repeat images. Uses lead shielding and collimation as appropriate. Critiques images for diagnostic quality and other properties and appropriately consults with supervisor and/or radiologist to clarify any areas of uncertainty. Completes requisition with all required and pertinent information. Loads and unloads radiographic film, if applicable. Complies with all required continuing education standards. Demonstrates an understanding of the cognitive, physical, emotional and chronological maturation process in delivery of services to patients of the age group served. Identifies the impact of cultural diversity and lifestyle choices on patient condition and makes accommodations for such differences. Utilizes proper Body Mechanics. Documents clinical activities and required image information in a timely, comprehensive, and accurate manner. Observes all organizational, regional, medical service area and Diagnostic Imaging Department policies and procedures. Maintains standards of professional behavior established to enhance quality of service. Demonstrates effective communication skills. Demonstrates professional behavior in all interactions with patients and staff. Maintains equipment, supplies and work area in accordance with department guidelines. May perform other duties as required and assigned. Basic Qualifications: Experience Ability to demonstrate knowledge of and to utilize theories, principles, practices and techniques of Radiologic Technology. Consistently demonstrates the knowledge, skills, abilities, and behaviors necessary to provide superior and culturally sensitive service to each other, to members, customers, contracted providers and vendors. Education No information available at this time. License, Certification, Registration Radiologic Technologist Certificate (California) Certified Radiologic Technologist - Fluoroscopy Certificate (California) within 4 months of hire Radiologic Technologist Certification from American Registry of Radiologic Technologists Basic Life Support Additional Requirements: Preferred Qualifications: One year of clinical experience as a Certified Radiologic Technologist (CRT). One year of clinical experience as a Certified Radiologic Technologist (CRT). Notes: Variable schedule which includes working every weekend. Will work at all SBC service area locations. Will be scheduled between 20-39 hours per week.
    $66k-98k yearly est. 1d ago
  • Interventional Radiologic Technologist (Temporary)

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Downey, CA

    Under general supervision, perform routine and highly specialized diagnostic and therapeutic interventional radiology procedures on patients following established parameters/protocols for use by physicians in diagnosis and treatment of pathologies. Assist in maintaining a smooth operational flow and maximum patient volume. The cardiovascular-interventional technologist assumes many roles within an interventional procedure. Cardiovascular-interventional technologists: Scrub in and assist the physician in the surgical procedure. Circulate within the procedure room and procure all equipment needed for any given procedure. Position the patient, select radiation exposure parameters and image the patient. Maintain a high degree of accuracy and an awareness of all radiation and patient safety issues involved with any invasive procedure. Demonstrate a thorough understanding and working knowledge of normal anatomy, abnormal anatomy and physiology, radiation safety, interventional supplies and equipment operation. Recognize and resolve equipment operations. Recognize and resolve equipment problems and discrepancies anticipate patient needs and concerns and determine the appropriate care needed. Use professional judgment and critical thinking when performing procedures. Will be required to take standby. Essential Responsibilities: The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Clinical Practice/Patient Care Operates extremely technical imaging equipment and applies ionizing radiation to the patient in accordance with standard operating procedures, according to departmental policies, procedures/protocols and as appropriate for the particular patient. Greets and receives patients. Checks patients ID. Explains procedure to patient. Positions patients according to departments procedure manual. Moves and or assists patients onto table in accordance with departmental procedures. Provides for the patients comfort during the procedures. Performs diagnostic & therapeutic procedures, utilizing image-guided surgical procedures, sterile technique and radiographic technique. Operates laser imagers, and Radiographic / Fluoroscopic equipment to obtain radiographic images. Critiques radiographs for quality and accuracy. Selects and films images for permanent patient record. Provides radiation protection in accordance with regulations. Selects accurate technical factors on an individual patient basis. Reviews history and pertinent images with designated Interventional Radiologist to assure appropriate application of procedure. Discusses plan and equipment necessary for the procedure. Assists physicians with specialized diagnostic and interventional procedures by handling equipment, preparing procedure and instrument trays, prepping and explaining procedures to patients and other related tasks under the supervision of an Interventional Radiologist. May include the insertion of Peripherally Inserted Central Catheters (PICCs) with certification and documented training. Responds effectively to patient care emergencies. Utilizes universal precautions at all times when working with patients. Sets up and maintains a sterile field by using sterile technique; opens sterile procedures trays where applicable. In conjunction with the IR nurses and radiologists, monitors patient condition throughout the procedure. Uses EKG equipment, Intravenous pumps, Blood Pressure equipment, pulse oximeter and related routine equipment to maintain continuous patient care while patient is undergoing procedure. Prepares radiopaque materials for administration by Radiologist. Opens contrast material, maintaining integrity of the sterile syringes, needles, and draws-up contrast for injection in accordance with departmental procedures. Cleans and disinfects equipment and procedure room. Troubleshoots technical and mechanical problems, and performs minor maintenance on equipment, i.e. Laser imagers and film processors, in accordance with departmental procedures. Records and accumulates patient statistics in daily logbooks, enters data into the Radiology Information (RIS) and supply inventory systems. Completes records accurately, including the physician-billing sheet, when applicable. Records appropriate ICD-9 and CPT codes. Responds to urgent and emergent imaging procedures by being available on a rotating call-in basis. Demonstrates basic competencies in processing images and troubleshooting. Unit Management Reviews requests daily for Interventional procedures and assists in prioritizing for a smooth workflow. Addresses any issues impeding the workforce. Performs minor trouble shooting operations. Initiates calls for equipment problems. Documents equipment problems in accordance to Kaiser Permanente department policy and procedures manual. Communicates effectively with patients, nurses, and physicians, particularly regarding information on angiography procedures requiring specialized patient preparation. Communicates with clinicians regarding patient preparation for angiography/interventional procedures, procedure results and to assist in resolving problems as needed Communicates, and assists the Interventional Radiologist in developing and modifying angiography/interventional practices/procedures Acts as a role model for Radiologic Technologists, by respecting the workplace and the other healthcare professionals in the area. Acts as an integral member of the IR team, promoting efficient workflow processes and maximum patient safety. Handles telephone inquiries regarding physician and/or patient information relative to angiography procedures in an effective and appropriate manner. Performs miscellaneous clerical functions, as needed. Participates in the scheduling, assignment and review of work performed by Interventional Radiographers. Ensures the maintenance of adequate levels of interventional supplies and materials by placing orders in the ordering system (i.e., One link) and communicating orders with Material Management Department. Assists in maintaining perpetual inventory count and scans product not in inventory systems. Meets with vendors on new products. Arranges in-services on new products. Communicates new product information to the staff in a timely manner. Preceptor Provides technical guidance to Interventional staff to help resolve difficult problems or questions, which arises in the execution of angiography/intervention procedures. May provide input for staff Interventional Radiographers performance evaluations and disciplinary process as requested. Provides feedback on daily work performance, correcting procedure errors and recommending alternate work methods. Provides in-service training and teaching to other Interventional staff, nurses, and physicians. Assist in department training and orientation of new IR techs. Professional Development Attends in-service training programs and other relevant training sessions for professional growth and development. Has Advanced Certification in Cardiovascular Interventional Radiology or Vascular Interventional Radiology, or Cardiac Interventional Radiology. Pay Grade: 15 Basic Qualifications: Experience Recent (within the last 12 months) minimum three year's experience as a Radiologic Technologist, including one (1) year recent experience in Interventional Radiology (IR). May substitute one (1) year IR experience with successful completion of the Regional IR cross training program. Education Graduation from an accredited, ARRT eligible educational program in Radiologic Technology. License, Certification, Registration American Registry of Radiologic Technologists Certificate - Cardiovascular Interventional Radiography from American Registry of Radiologic Technologists OR American Registry of Radiologic Technologists Certificate - Vascular Interventional Radiography from American Registry of Radiologic Technologists OR American Registry of Radiologic Technologists Certificate - Cardiac Interventional Radiography from American Registry of Radiologic Technologists Certified Radiologic Technologist - Fluoroscopy Certificate (California) Radiologic Technologist Certificate (California) Basic Life Support Additional Requirements: Comprehensive knowledge of radiology principles and practices including anatomy and physiology, radiation protection and physics, radiographic positioning, surgical and nursing procedures. Ability to operate all radiology equipment, such as, radiographic machines, radiographic/fluoroscopic machines, Interventional Radiology associated equipment, associated surgical equipment, and image processors. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit. The individual must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's requirements relative to his or her age-specific needs, and to provide the care needed as described in the unit/area/department policies and procedures. Ability to use computer systems to manage patient information. Effective verbal and written communication skills are required in order to work with patients, medical and nursing personnel. 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. Notes: This is a temporary position for approximately three (3) months.
    $66k-99k yearly est. 3d ago
  • Senior Employee Relations Business Partner, Physician Group

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Pasadena, CA

    **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.
    $144.4k-186.8k yearly 1d ago
  • Director, Clinical Data Acquisition

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    The Director, Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of all chart collection for Risk Adjustment, RADV, or Risk Adjustment-like projects, and other state specific audit projects and deliverables related to accurate billing and coding. This role also works with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all CDA team members as well as company Risk Adjustment retrieval and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data, and chart collection research. Job Duties Plans and/or implements operational processes for Risk Adjustment operations that meet state and federal reporting requirements/rules and are aligned with effective practices as identified in the healthcare quality improvement literature and within Molina plans. Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member and provider outreach. Serves as operations subject matter expert and lead for Molina Risk Adjustment, using a defined roadmap, timeline and key performance indicators. Collaborates with the national intervention collaborative analytics and strategic teams to deliver value for both prospective and retrospective risk programs. Communicates with the Molina Plan Senior Leadership Team, including the Plan President, Chief Medical Officer, national Risk Adjustment teams and strategic teams about key deliverables, timelines, barriers and escalated issues that need immediate attention. Presents concise summaries, key takeaways and action steps about Molina Risk Adjustment processes, strategy and progress to national, regional and plan meetings. Demonstrates ability to lead and influence cross-functional teams that oversee implementation of Risk Adjustment projects. Possesses a strong knowledge in Risk Adjustment and RADV to implement effective operations that drive change. Functions as key lead for clinical chart review/abstraction and team management. This includes qualitative analysis, reporting and development of program materials, templates or policies. Maintains productivity reporting, management and coaching. Maintains advanced ability to collaborate and Manage production vendor relationships, including oversight, data driven KPI measurement and performance mitigation strategies. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a clinical field, Public Health, Healthcare, or equivalent. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 8+ years' experience in managed healthcare, including at least 4 years in health plan Risk Adjustment or clinical data acquisition/chart retrieval roles • Operational knowledge and experience with Excel and Visio (flow chart equivalent). PREFERRED EXPERIENCE: • 10+ years' experience with member/ provider (Risk Adjustment) outreach and/or clinical intervention or improvement studies (development, implementation, evaluation) • 3-5 years Supervisory experience. • Project management and team building experience. • Experience developing performance measures that support business objectives. PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: • Certified Professional in Health Quality (CPHQ) • Nursing License (RN may be preferred for specific roles) • Certified Risk Adjustment Coder (CRC) To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $136k-175k yearly est. Auto-Apply 45d ago
  • AI Agentic Engineer

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    We are seeking a Senior AI Developer/Engineer to lead the design and deployment of intelligent conversational agents across IT, HR, and enterprise platforms. Develop and implement AI-driven virtual assistants using Moveworks, Oracle GenAI Agents, and Microsoft Azure AI Copilot. Design conversational flows, intents, and memory for multi-turn interactions. Integrate AI agents with enterprise systems like ServiceNow, Oracle HCM, and Microsoft Teams. Create custom agent workflows and automation using APIs and low-code tools. Apply prompt engineering and fine-tune LLMs to ensure accuracy and tone alignment. Implement testing frameworks, QA processes, and user acceptance validation. Manage deployments, monitor performance, and ensure secure data handling. Continuously enhance AI agent capabilities using platform updates and analytics insights. Document architectures, workflows, and operational procedures. Ensure compliance with AI governance, data privacy, and responsible AI principles. Collaborate with cross-functional teams across IT, HR, and AI governance committees. Mentor developers and promote best practices in AI development. Stay current with new Moveworks and Azure AI features for enterprise automation. Strong skills in Python, REST APIs, OAuth 2.0, and enterprise integrations required. Ideal candidate has experience with LLMs, chatbots, and secure cloud AI deployment. JOB QUALIFICATIONS REQUIRED EDUCATION: Bachelor's Degree in Business Administration or Information Technology or equivalent combination of education and experience REQUIRED EXPERIENCE: 5-7 years related experience in a combination of applicable business and business systems REQUIRED LICENSE, CERTIFICATION, ASSOCIATION: PREFERRED EDUCATION: PREFERRED EXPERIENCE: PREFERRED LICENSE, CERTIFICATION, ASSOCIATION: STATE SPECIFIC REQUIREMENTS: 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.
    $57k-107k yearly est. Auto-Apply 60d+ ago
  • Supervisor, Healthcare Services Operations Support

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    JOB DESCRIPTION Job SummaryLeads and supervises a team supporting non-clinical healthcare services activities for care management, care review, utilization management, transitions of care, behavioral health, long-term services and supports (LTSS), and/or other program specific service support - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties • Supervises healthcare services operations support team members within Molina's clinical/healthcare services function, which may include care review, care management, and/or correspondence processing, etc. • Researches and analyzes the workflow of the department, and offers suggestions for improvement and/or changes to leadership; assists with the implementation of changes. • Conducts employee and team productivity/quality assurance checks and documents results for accuracy and time compliance. • Provides regular verbal and written feedback to staff regarding performance and opportunities for improvement. • Assists in the development and implementation of internal desktop processes and procedures. • Establishes and maintains positive and effective work relationships with coworkers, clients, members, providers, and customers. Required Qualifications• At least 5 years of operations or administrative experience in health care, preferably within a managed care setting, or equivalent combination of relevant education and experience. • Strong analytic and problem-solving abilities. • Strong organizational and time-management skills. • Ability to multi-task and meet project deadlines. • Attention to detail. • Ability to build relationships and collaborate cross-functionally. • Excellent verbal and written communication skills. • Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications • Supervisory/leadership experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
    $57k-96k yearly est. Auto-Apply 27d ago
  • Associate Specialist, Appeals & Grievances (Provider Medicaid/Marketplace)

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    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.
    $32k-62k yearly est. Auto-Apply 2d ago
  • Cyber Risk Defense Consultant III

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Corona, CA

    * Provides proactive monitoring and/or response to known or emerging threats against the KP network. * Effectively communicates investigative findings to non-technical audiences. * Participates in regular operations meeting with Cyber Risk Defense Center (CRDC) teams. * Identifies opportunities for cyber security improvements within assigned cyber defense domain. * Works with the CRDC Policy Engineers and Remediation teams to contain identified issues and determine the best approach for improving security posture. * Participates in follow-up remediation design and review. * Conducts investigation and triage of security events within assigned domain. * Performs data analysis in support of security event management processes, including root cause analysis This individual contributor is primarily responsible for supporting the protection and maintenance of integrity and reliability of the security of data, systems and networks, while resolving problems with tools, systems and procedures. Essential Responsibilities: * Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; following procedures and policies, and applying data and resources to support projects or initiatives; collaborating with others, often cross-functionally, to solve business problems; supporting the completion of priorities, deadlines, and expectations; communicating progress and information; identifying and recommending ways to address improvement opportunities when possible; and escalating issues or risks as appropriate. * Pursues self-development and effective relationships with others by sharing resources, information, and knowledge with coworkers and customers; listening, responding to, and seeking performance feedback; acknowledging strengths and weaknesses; assessing and responding to the needs of others; and adapting to and learning from change, difficulties, and feedback. * Provides proactive monitoring and/or response to known or emerging threats against the KP network. * Effectively communicates investigative findings to non-technical audiences. * Participates in regular operations meeting with Cyber Risk Defense Center (CRDC) teams. * Identifies opportunities for cyber security improvements within assigned cyber defense domain. * Works with the CRDC Policy Engineers and Remediation teams to contain identified issues and determine the best approach for improving security posture. * Participates in follow-up remediation design and review. * Conducts investigation and triage of security events within assigned domain. * Performs data analysis in support of security event management processes, including root cause analysis. * Provides on-call duties and after hours support of incident management as required. * Supports incident response plans which may include after-hours support and coordination among responsible teams. * Assists in the execution of incident handling processes which may include containment, protection, and remediation activities.
    $77k-125k yearly est. 15d ago
  • Medical Assistant - HealthExpress - Jefferson (Oceanside)

    Scripps Health 4.3company rating

    Oceanside, CA job

    Scripps Coastal Medical Center makes it easy and convenient for our community to receive exceptional health care in San Diego. Our primary care physicians and their teams provide annual exams, preventive health screenings, wellness information and diagnostic services for you and your family. With offices throughout San Diego County, our doctors specialize in family medicine, internal medicine, pediatrics, and obstetrics and gynecology. Some locations also provide rheumatology and orthopedics care. When further specialty care is needed, you have access to an extensive network of medical experts throughout the region. Scripps also provides health education resources, including weight management programs, nutrition and fitness classes, and programs for chronic conditions, such as diabetes. This is a benefited, full time position (64 hours every 2 weeks) working 6-8 hour shifts sometime between 6:45am-8pm on weekdays and 7:45-5:30pm on weekends and holidays. Shift times will vary based on need. Every other weekend (both Saturdays and Sundays) and holiday flexibility is required. Located at Scripps Coastal Medical Center - Jefferson (in Oceanside) but required to float to other sites as needed. Why join Scripps Health? At Scripps Health, your ambition is empowered and your abilities are appreciated: * Nearly a quarter of our employees have been with Scripps Health for over 10 years. * Scripps is a Great Place to Work Certified company for 2025. * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications. * Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care. * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career. * Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology. Why HealthExpress? * Provides room for growth & flexibility. * Provides concierge service to our patients by offering same day appointments. * Committed to timely & accessible care. * Dedicated to putting patients first. * Emphasize quality, patient safety & compassionate care. What you'll do: * Provides care for patients aged 6 months and older * Basic wound care, dressing change * Maintain a clean, organized, and safe environment * Perform patient care services that support the providers and clinic * Front Office responsibilities such as registration, scheduling, patient check-ins, collecting co-pays and check-outs * Clinical support by checking patient vitals, rooming patients, stocking exam rooms, point of care duties, immunizations, Covid swabbing, and providing patient education * Wide variety of acute care patients * Patient volumes of 25 and up per day (sometimes as high as 75) #LI-EE1 Required Qualifications: * Completion of a formal Medical Assistant Program OR hold a Medical Assistant Certification OR have a minimum of two years of experience as a military corpsman * BLS certification for the Healthcare Provider by the American Heart Association (AHA) At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work. You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential. Position Pay Range: $24.91-$31.45/hour
    $24.9-31.5 hourly 3d ago
  • Kitchen Worker

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Baldwin Park, CA

    Under direct supervision, performs routine food preparation, tray assembly, serving duties & delivery according to prescribed production schedules & established procedures. Responsible for maintaining sanitation of food service work areas and/or food service stations. Essential Responsibilities: This description is for recruitment posting purposes only. It has not received full HR review and approval. - Upholds KPs Policies & Procedures, Principles of Responsibilities, & applicable state, federal & local laws. - Assembles all food & non-food items for patient trays, cafeteria and/or catering services. - Delivers food carts w/patient meals/catered meals & nourishment to appropriate pantries & meeting rooms. - Collects soiled meal dishes after meal services & returns them to dish room. - Ensures quality & appearance of all food & non-food items, ensures proper storage of food & non- food items following Hazard Analysis Critical Control Policy (HACCP) guidelines. - Cleans, sanitizes & maintains all dishes, food delivery carts, equipment, work areas, & pantry food stations. - Maintains proper stock levels in own work area including taking & filing of inventory & disposal of outdated foods. - Utilizes effective communications including telephone conversations w/ patients, doctors, & members, vendors, staff, & co-workers. - Collects & maintains written information including logs, menus, slips, charts, forms, requisitions, filing & scheduling activities. - May provide training & orientation. Basic Qualifications: Experience N/A Education + - HS Diploma/GED and/or equivalent experience. License, Certification, Registration + N/A Additional Requirements: + - Demonstrated ability to read, write, and follow written and oral instructions in English. + - Ability to lift or move by other means items weighing up to 50lbs, carry items weighing 25lbs or more and push/pull carts weighing 100lbs or more. Preferred Qualifications: + - Two (2) years in a food service establishment (hospital, school cafeteria, nursing home restaurant), preferred. + - Ability to demonstrate knowledge of hospital food service operations preferred. + Previous food service experience preferred. Notes: + This is an on call position, days and hours may vary. + Must be able to work at least every other weekend COMPANY: KAISER TITLE: Kitchen Worker LOCATION: Baldwin Park, California REQNUMBER: 1392998 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.
    $35k-40k yearly est. 14d ago
  • Technology & Audio-Visual Project Manager II

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Baldwin Park, CA

    The Project Manager II - Multimedia/Technical Systems is a key member of the medical group administration project management and consulting team that leads and supports high-impact initiatives that drive measurable improvements in clinical quality, operational efficiency, care experience, and people and culture initiatives. This project manager will utilize technical expertise in multimedia services to oversee the development and implementation of multimedia projects. The successful candidate will leverage their knowledge of Kaiser Permanente software platforms and data to enhance, develop, communicate, and track medical center strategies/projects oversight, outcomes, and efficiency. Job Summary: Manages small projects or components of larger projects with oversight from more senior project managers. Leads the work of project team members with guidance from more senior project members by requesting internal and/or external resources. Supports the management and proactive mitigation of project risks by assisting in the analysis/resolution of trigger events. Provides support to project personnel by regularly communicating with project team members and working closely with key stakeholders. Essential Responsibilities: + Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome. + Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities. + Manages small projects or components of larger projects with oversight from more senior project managers. Develop and executes project plans independently or under the direction of others. Assists with project financials by monitoring financial aspects for assigned project initiatives. Monitors project performance (e.g., on time, on budget, within scope, and with quality) against plan under the guidance of from more senior project managers. Assists with project activities related to organizational change management (e.g., development and execution of user adoption, implementation, and training plans) as defined by the project. Allocates resources, establishes schedules, and makes task assignments. + Leads the work of project team members with guidance from more senior project managers. Requests internal or external resources to support completion of project activities and changes in schedule, scope, and budget. Promotes project vision and objectives with project team. + Supports the management and proactive mitigation of project issues and risks by assisting in the analysis and resolution of trigger events. + Supports policy and procedure adherence of project plans by following KP, departmental, and/or business line policies and procedures. + Provides ongoing support to project personnel by regularly communicating with project team members to ensure schedule data and changes are accurately interpreted and accounted for. Works closely with key stakeholders. Provides real-time updates to project managers regarding scheduling conflicts and budget disparities. Minimum Qualifications: + Bachelors degree from an accredited college or university OR Minimum three (3) years experience in project management or a directly related field. Additional Requirements: + Knowledge, Skills, and Abilities (KSAs): Applied Data Analysis; Financial Acumen; Quality Assurance Process; Service Focus COMPANY: KAISER TITLE: Technology & Audio-Visual Project Manager II LOCATION: Baldwin Park, California REQNUMBER: 1376039 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.
    $67k-95k yearly est. 11d ago
  • Health Educator II (Bilingual) and CCS Paneled Required

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Downey, CA

    Assesses, designs, implements, presents, and evaluates health education programs and services. Essential Responsibilities: + Conducts needs assessments, establishes priorities, designs, implements, and evaluates basic health education programs, protocols, and standards + Coordinates a wide range of health education services, including establishing effective referral and publicity systems, monitoring quality and documentation, providing scheduling and logistical support, and facilitating use of community services to promote the delivery of cost effective health education services. + Provides direct group or one-on-one health education services to members and the public. + Reviews, develops, and recommends high quality, culturally appropriate written and audio visual health education materials. + Consults with physicians and staff regarding related health education services. + Coordinates health information projects such as program catalogs, newsletter, informational displays and community health events. + Specializes in a specific area of health education (e.g. HIV nutrition, chronic disease, health promotion) as required. + Prepares reports, grants, proposals, and documentation as assigned. + Participates in establishing department strategic goals and priorities. + + Other duties as assigned. Basic Qualifications: Experience + Previous experience in providing and coordinating health education services (usually 1 year). Education + Masters degree in a field related to the position or one of the following certifications: Certified Diabetes Educator (CDE), Certified Nutrition Support Dietitian (CNSD), Board Certified Specialist in Renal Nutrition (CSR), Board Certified Specialist in Pediatric Nutrition (CSP), Fellow of the American Dietetic Association (FADA), or International Board Certified Lactation Consultant (IBCLC). License, Certification, Registration + N/A Additional Requirements: + Previous experience in curriculum development. + Demonstrated knowledge of behavior change, adult learning theory, group process theory and application. + Strong interpersonal and written communication skills. + Knowledge of PC applications required + Demonstrates working knowledge of mainframe and personal computing systems. + Demonstrates highly effective interpersonal, written and verbal communications. + Must be able to work in a Labor Management Partnership Environment + Bilingual (English/Spanish) Level II required. Preferred Qualifications: + Two (2) years of recent teaching/program planning. + Previous experience in providing and coordinating health education services. + Knowledge of behavior change, adult learning theory. + Curriculum and materials development. + Demonstrated ability to use effective verbal and written communication skills. + Bilingual English/Spanish preferred. + PC skills Previous individual, small group and large group/classroom training/teaching experience. + Must be CCS Paneled Notes: + Must successfully pass or have passed the bilingual test (within the last 12 months), or be active in the QBS program COMPANY: KAISER TITLE: Health Educator II (Bilingual) and CCS Paneled Required LOCATION: Downey, California REQNUMBER: 1394115 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.
    $47k-58k yearly est. 9d ago
  • Healthcare Services Intern (Ohio Health Plan)

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    The Molina Healthcare Internship Program shares an objective to create a stepping stone for students who aim to be professionals and future leaders in the healthcare business profession. Interns are assigned special projects and various other duties that are intended to provide them with valuable professional work experience and industry insight. The purpose of an internship is to develop talent by providing students with experiential learning, formal training and opportunities to interact with healthcare professionals and community leaders. Interns will perform meaningful work alongside talented professionals, gaining insight to Molina's culture, Mission and Values. KNOWLEDGE/SKILLS/ABILITIES Healthcare Services (HCS) - Ohio Medicaid Learn Molina HCS Medicaid business and the customers we serve in Ohio Learn our HCS platforms, SharePoint, and the corresponding business processes the platform supports Work closely with a team of Care Coordination, Population Health and Utilization management SMEs and leaders Assist with SharePoint review, editing, organizing, and page development Assist with review and updating of training materials, research new topics - all HCS areas Support and assist with cost-of-care initiatives Preferred Experience Must possess clear and professional written, verbal and interpersonal communication skills Strong work ethic, self-motivated and ability to develop relationships Good time management, organizational and interpersonal skills required Computer experience including MS Word, Excel, Outlook and PowerPoint and experience with internet research. Excellent critical thinking/problem solving skills Ability to handle confidential information Ability to maintain confidentiality and to comply with Health Insurance Portability and Accountability Act (HIPAA) JOB QUALIFICATIONS REQUIRED EDUCATION: Must be currently enrolled in an undergraduate program as a freshman, sophomore, or junior Minimum GPA of 3.0 or higher Pursuing a degree in Healthcare Administration, Public Health, or a related field Must have unrestricted authorization to work in the United States Able to commit to the full-time, 10-week internship program from June 1st - August 7, 2026 To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $35k-43k yearly est. Auto-Apply 50d ago
  • Provider Relations Manager (SNF & Ancillary)

    Molina Healthcare 4.4company rating

    Long Beach, CA job

    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. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service. Job Duties This role serves as the primary point of contact between Molina Health plan and the Plan's Complex Provider Community that services Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts. It is an external-facing, field-based position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership. • Under general supervision, works directly with the Plan's external complex providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service. • Resolves complex provider issues that may cross departmental lines including Contracting, Finance, Quality, Operations, and involve Senior Leadership. • Responsible for Provider Satisfaction survey results. • Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. • Facilitates strategic planning and documentation of network management standards and processes. Effectiveness is tied to financial and quality indicators. • Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an emphasis on developing and implementing standards and best practices sharing across the organization. • MCST matrix team environmental support including, but not limited to: New Markets Provider/Contract Support Services, PCRP & CSST resolution support, and National Contract Management support services. • Serves as a subject matter expert for other departments. • Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. • Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship. • Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters. • Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. For example, such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. • Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's). • Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include: administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.). • Trains other Provider Relations Representatives as appropriate. • Role requires 40%+ same-day or overnight travel. (Extent of same-day or overnight travel will depend on the specific Health Plan and its service area.) Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: • 4-6 years provider contract network relations and management experience in a managed healthcare setting. • Working experience servicing complex providers with various managed healthcare provider compensation methodologies, including but not limited to: fee-for service, value-based contracts, capitation and various forms of risk, ASO, etc. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: • 5 years experience in managed healthcare administration. • 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.
    $44k-76k yearly est. Auto-Apply 23d ago
  • GI Technologist - Riverside Med Center - Gastroenterology-Specl Proced - Per Diem

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Riverside, CA

    Under direct supervision, provides functional guidance to assigned staff; incubate patients; analyzes collected specimens; and assist GI/Pulm physicians with endoscopic and bronchoscopic procedures. Essential Responsibilities: + Obtain patient specimens. Perform venipuncture and skin punctures to obtain blood samples. Perform samples and specimens for lab analysis. Perform routine diagnostic test. Anesthetize patients with topical or aerosol medication. + Assist physicians and medical staff with procedures, diagnostic examinations and treatments. Assist physician in obtaining tissue specimens and biopsies. Assist with protocological procedures (e.g., sigmoid exams). Select and pass instruments. + Record and chart patient data. Interview patients and collect patient data. Consult with physicians concerning test results and alert physicians to positive test results or test abnormalities. Report negative/positive specimens to physician. + Explain test procedures and purpose. Analyze collected specimens for volume, acidity or other standard measures. Assist in obtaining tissue specimens. Assist physician in developing new techniques and procedures. Assist provider in patient examinations and procedures. Consult with provider concerning procedures and patient condition. Follow standard infection control procedures. Lift patients. Modify treatment techniques, which do not require change in physician orders. Monitor and evaluate test readings during procedures. Observe, monitor and evaluate patient condition during and after procedures. Prepare samples and specimens for lab analysis. Prepare and position patients for diagnostic test and medical procedures. Respond to emergencies (i.e., Code Blue) and stat requests. Shave and apply antiseptic solutions to patient skin areas. Take record and monitor patient vital signs. Transport patients to/from procedure area. Assist physician with fluoroscopic examinations. Assist physician in gastroenterology/procedures (for example, endoscopies/bronchoscopies). Assist physician with holding scope during GI procedures. Monitor I.V. solutions. Other procedures may be sclerotherapy, Suctioning, X-ray - fluoroscopic, Photographic, Dilatation - balloon, bougies, blood specimen processing, cardiopulmonary resuscitation, culture preparation, cytology, Gastrointestinal/Gall Bladder Examination, Microscopic, Minor Surgical, ovum and parasite examination, polypectomy. + Prepare solutions and surgical tissue specimens. Centrifuge or filter and separate specimens. Dilute specimens. Prepare control slides, clean procedure rooms and work area. Pick up; deliver other specimens to and from laboratory. Assemble and disassemble equipment and instruments. + Ensure equipment is available for procedures and examinations. Adjust equipment in preparation for and during procedures. Check emergency equipment. Prepare procedures and exam rooms. Select and set out appropriate tubings and sterile supplies. Set up instruments and surgical trays. Maintain sterilized supplies, instruments and equipment for surgical procedures. Decontaminate equipment. Removed and inventory equipment and supplies after surgical procedures. Soak instrument. Notify coordinator/charge for repair of equipment. Equipment may include Computer, Washing and Cleaning supplies, closed circuit TV - GI video. Others are heat probe, colonoscope, photographic and related equipment. Inspect equipment and instruments for damage. Maintain equipment in good working order. Perform minor adjustments and/or repairs on equipment. Replace expendable parts on equipment. Test equipment. Notify coordinator/charge for equipment and supplies. Dispose of used syringes and contaminated materials. Inventory equipment and supplies. Replenish supplies and equipment. + Orient and train new or less experienced personnel. Attend conferences, meetings and in-service training programs. Serve as resource person to co-workers by answering procedural questions and assisting in problem solving. Answer telephones and take messages. Conduct in-service training. Assume other activities and responsibilities form time to time as directed. Upholds Kaiser Permanentes Policies and Procedures, Principles of Responsibility and applicable state, federal and local laws. Exhibits excellent customer relations to patients, visitors, physicians and coworkers; shows courtesy, compassion, and respect; conforms to the critical service standards established for the department and the medical group. + Promotes, ensures, and improves customer service to internal/external customers by demonstrating skills which are consistent with the organizations philosophy of providing extraordinary customer relations and quality service. Performs other related duties as required. + Age Related Competencies Skills assessments and validations are utilized to ensure that employees providing patient care to specific age groups (i.e. infants, adolescents, elderly, etc.) are proficient in identifying the special needs and behaviors associated with a particular patient population. Basic Qualifications: Experience + Six (6) months recent (within the past 3 years) experience in a GI/Pulmonary setting required, knowledge of GI procedures & equipment, consistently demonstrates the knowledge, skills, abilities, & behaviors necessary to provide superior & culturally sensitive service to each other, to our members, & to customers, contracted providers, & vendors. + Education + If unable to fill w/ experienced GI LVN, will consider a trainee w/ a minimum of 1 year recent LVN experience in an acute/ambulatory care setting. License, Certification, Registration + Vocational Nurse License (California) + Basic Life Support + I.V. Certification Additional Requirements: + N/A Preferred Qualifications: + GI Experience Preferred. Notes: + This position requires traveling Position will cover Riverside Medical Center and Murrieta MOB II COMPANY: KAISER TITLE: GI Technologist - Riverside Med Center - Gastroenterology-Specl Proced - Per Diem LOCATION: Riverside, California REQNUMBER: 1380354 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.
    $61k-77k yearly est. 60d+ ago
  • Training Delivery Educator IV

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Pasadena, CA

    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 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.
    $50k-71k yearly est. 60d+ ago
  • Dermatologist

    Kaiser Permanente-Southern California Permanente Medical Group Physician Careers 4.7company rating

    Kaiser Permanente-Southern California Permanente Medical Group Physician Careers job in San Bernardino, CA

    Salary Range: $624,135.00 to $769,375.00 About SCPMG: 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 * Minimum salaries are inclusive of premium pay and incentives depending on skills and competencies and geographic location. 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 *Annual Salary will be based on longevity with the Group and work schedule/effort Qualifications Board Certified or Board Eligible Equal Employment Opportunity 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.
    $227k-411k yearly est. 1d ago
  • Ophthalmic Photographer

    Kaiser Permanente 4.7company rating

    Kaiser Permanente job in Tustin, CA

    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. Pay Grade: 23 Basic Qualifications: Experience + One (1) year experience, as an ophthalmic photographer is required. Education + N/A License, Certification, Registration + N/A Additional Requirements: + N/A Preferred Qualifications: + Certification by the Joint Commission on Allied Health Personnel on Ophthalmology preferred. Notes: · This is an on call position, days and hours may vary · Days/times will vary based on operational needs. · Start and end times may vary from 7:00am-6:00pm. · Will travel to all Ophthalmology locations. · Will be cross-trained on test images · Rotating weekends. COMPANY: KAISER TITLE: Ophthalmic Photographer LOCATION: Tustin, California REQNUMBER: 1217400 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.
    $46k-60k yearly est. 60d+ ago

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