Sharp HealthCare jobs - 3,199 jobs

**Facility:** **City** San Diego **Department** **Job Status** Regular **Shift** Variable **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree; Master's Degree; CDR Registered Dietitian (RD) - Commission on Dietetic Registration (CDR); California Respiratory Care Practitioners (RCP) - Respiratory Care Board of CA **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:** 10/40 - 10 Hour Shift **Additional Shift Information:** **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $34.170 - $44.090 - $49.370 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **Please note:** As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams. **What You Will Do** Provide condition specific health education and create health management strategies for patients based on medical conditions and physician orders. Utilize evidence-based health education and behavioral coaching techniques to engage patients in chronic disease self-management strategies. Deliver patient education programs in the classroom, telephonically and as webinars. Act as a resource to the department and for media events in area of clinical expertise. As part of the SRS Continuum of Care, develop and deliver data driven health education and disease-management programs. **Required Qualifications** + Bachelor's Degree in a health-related field. + 2 Years experience in patient education, skilled behavioral coaching or chronic disease self-management education. + CDR Registered Dietitian (RD) - Commission on Dietetic Registration (CDR) **OR** California Respiratory Care Practitioners (RCP) - Respiratory Care Board of CA **Preferred Qualifications** + Master's Degree in a health-related field. + Experience in a health care system. **Essential Functions** + Clinical leadership Develops, implements, and monitors patient care plans to meet the unique clinical needs (ie nutrition, asthma management, tobacco cessation) of the patient and provides appropriate follow up and education as needed.Acts as a clinical expert within the department and maintains current knowledge of evidence-based practices to serve as a resource to colleagues, physicians, patients, and the community.Supports entity and system objectives by using expertise to lead clinical projects as needed. + Data management Manages timely, accurate, and thorough record of patient assessment, plan, intervention, and evaluation in case management software and other appropriate databases using established guidelines.Changes patient status to assure accuracy of data.Coordinates an interdisciplinary approach to care management to provide continuity of care and documents appropriately. + Health education Teaches health education classes at multiple locations as needed including web-based programs.Actively seeks opportunities to serve as a health and wellness expert and spokesperson for topics within scope of practice.Suggests and implements strategies to promote department programs in order to increase referrals both within the managed care network and externally.Acts as an expert resource for media opportunities including television, radio, newspaper and as a speaker for events such as the Sharp Women's Symposium and Sharp Obesity Conference. + Patient information Access patient biometric information using uploadable devices, tracking systems, text messaging program correspondence and data dashboards to monitor patient progress.Recruits patients into tele-health programs by promoting, supporting, soliciting feedback and trouble-shooting problems. + QualityEnsures internal and external stakeholder satisfaction through patient satisfaction surveys, direct feedback, and other methods as appropriate.Supports quality improvement initiatives by contributing ideas and solutions to enhance excellent patient care and further department goals.Utilizes behavioral and patient satisfaction data to evaluate program quality and effectiveness and makes appropriate program changes when deemed necessary.Communicates effectively and meets all established project timelines.Manages a caseload consistent with productivity standards and demonstrates flexibility and a team-approach to meet department objectives.Continually enhances professional and technical knowledge (i.e., attends seminars, workshops and conferences). + Disease Self-Management ProgrammingUtilizes patient-centered communication skills and evidence-based behavioral coaching practices to provide quality individualized care.Assists the patient with self-management goal setting to create positive outcomes.When necessary, assists with coordination of healthcare services and community resources to meet specific health needs.Communicates with healthcare provider as needed to support continuity of care.Works with medically supervised weight management program physicians and nurses to assure program safety and compliance.Incorporates current evidence-based practice guidelines and self-management tools in creating and delivering all patient education. **Knowledge, Skills, and Abilities** + Excellent verbal presentation and written communication skills. + Demonstrated ability to fulfill the duties and responsibilities described herein. + Demonstrated expertise and training area of clinical specialty such as Dietetics, Asthma Management, Tobacco Cessation. + Thorough knowledge and advanced understanding of behavior change methodologies, disease self-management strategies, and evidence-based health education research. + Ability to communicate effectively with patients and providers in an interdisciplinary healthcare environment to provide coordinated medical care. + Demonstrated ability to develop and lead outcomes-driven health education programs to meet department goals and objectives. + Strong organizational, critical thinking, conflict management, and problem-solving skills. + Ability to work independently, practice strong time management, set priorities, and demonstrate high productivity in a fast-paced, dynamic healthcare setting. + Proficient at MS Word, Outlook and Power point. + Ability to work flexible hours. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

A premier health care system in San Diego is seeking an experienced medical litigation attorney to serve as Corporate Counsel. This role involves managing professional negligence claims, providing legal analysis on clinical matters, and collaborating with risk management teams. The ideal candidate has a Juris Doctor (JD) and significant experience in healthcare law. Join a collegial legal department that values professional growth and aims to make a meaningful impact in health care. #J-18808-Ljbffr

SEARCHING FOR A CRITICAL CARE PHYSICIAN Scripps Clinic Medical Group (SCMG) is a multi-specialty group with just over 1000 physicians and advanced practice clinicians serving San Diego and the surrounding region. Established more than 50 years ago, it is recognized as one of the premier medical groups in the country and boasts an excellent reputation in over 60 medical and surgical specialties.

Gould Medical Group is looking for a board-certified Internal Medicine Physician Assistant in Modesto, CA. Gould Medical Group is a growing, 450+ clinician multi-specialty group located about two hours east of San Francisco, California. Our communities offer quick access to the bay area as well as other hot spots such as Napa Valley, Yosemite, and Lake Tahoe. Position Details: Starting base salary: $150,000 Established primary care practice Outpatient position Experience required Supportive/collaborative APC/physician team environment valuing top of licensure practice Support consists of receptionists and CMA?s Lab and imaging on site Stable and growing group EHR: Epic Standard Benefits: Annual 12.0% 401(k) gift Annual CME / business expense allowance Full health, dental, vision, life, disability insurance Group paid malpractice and tail coverage Individual Performance Bonus Relocation assistance Competitive total compensation package Area Details: Close proximity to the Bay Area but dramatically lower cost of living Short driving distance to Yosemite, wine country, Lake Tahoe, Monterey Centrally located with quick access to skiing, hiking, surfing, and entertainment venues of various types Rapidly growing communities Excellent school options Average of 260 days of sunshine annually We look forward to hearing from you: If you are interested in discussing this opportunity, please let me know. Thanks, Leslie Lozano, Physician Recruiter Sutter Gould Medical Foundation ******************************

Expert on assigned application. Acts independently to lead cross functional, integrated team to create performance improvements across multiple domains. Translates business requirements into operational solutions. Proactively evaluate technical enhancements and consults with business to provide solutions to technical or process issues, guiding to best practices. Provides guidance, trains and develops the skills of less experienced IT staff. This position is based in La Jolla, CA, and is offered as a remote opportunity. Candidates must reside within the San Diego metropolitan area or in one of the approved out-of-area (OOA) states listed below under Work Location Eligibility. This role is supported through Scripps Health's partnership with Superlanet, a professional employer organization (PEO). Required Education/Experience/Specialized Skills\: Five years related experience. Excellent critical and analytical thinking and excellent customer service skills. Exhibit excellent written and verbal communication skills. Expert knowledge of relevant application workflows. Excellent organizational and project management skills. Business acumen in multiple functional areas. Required Certification/Registration\: Specific to applications supported. Must currently hold an active Epic Beaker AP or CP certification Preferred Education/Experience/Specialized Skills/Certification\: Certification\: Bachelor's degree. 7 years of related experience Work Location Eligibility This position is remote, but only open to candidates who reside in\: San Diego Metropolitan Area or one of the following U.S. states: AL, AR, AZ, DE, FL, GA, IA, ID, IN, KS, KY, LA, ME, MI, MO, MS, MT, NC, ND, NE, NH, NM, NV, OH, OK, RI, SC, SD, TN, TX, UT, VA, VT, WI, WV, WY Applicants outside these locations will not be considered at this time. Candidates who reside in the approved U.S. states would be considered Out of Area (OOA) and Scripps Health partners with professional employer organization (PEO) Superlanet.

We are so glad you are interested in joining Sutter Health! Organization: ABSMC-Summit Campus Provides administrative leadership to Food Production operations, which may include one or more teams performing related work. Establishes and implements goals, standards and practices that guide and support initiatives while ensuring the delivery of quality service or exceptional customer/employee experiences. Develops and fosters a solid partnership with leaders, work teams and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes. Works with senior leadership to develop and establish short- and long-term strategic plans that complement system, operating unit or affiliate goals and initiatives, including business, operations, and/or organizational priorities. Sets priorities and allocates resources to align with business objectives and annual plan. Develops and establishes the direction of policies and procedures, and sets a structure for providing a safe and productive work environment. Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely. : OPERATIONS. • Provides administrative leadership for Food Production department or program, which may include one or more teams performing related work. • Establishes and implements goals, standards and practices that guide and support initiatives while ensuring the delivery of quality service or exceptional customer/employee experiences. • Develops and fosters a solid partnership with leaders, work teams and other employees to facilitate and collaborate on initiatives, to resolve operational challenges and/or to improve processes. • Develops and establishes the direction of Food Production Services including policies and procedures and sets a structure for providing a safe and productive work environment. • Ensures protocols are in place to comply with affiliate and operating unit policies and procedures, and regulatory requirements. • Takes a strategic approach in identifying best practices and standardizing workflows/processes and developing plans of action to implement changes. • Establishes and communicates priorities and operational objectives to ensure business results are achieved. • Makes rounds with staff and customers, listening to concerns and issues, conducting service recovery, and ensuring deficiencies are addressed. • Develops, implements and/or ensures corrective action plans are implemented to address or minimize operational risk. • Reviews complaints and incidents, responding as appropriate and ensuring improvement plan, if needed, is developed and implemented. • Directs or leads continuous improvement efforts using Lean or other process improvement methods and concepts. • Promotes efficient and effective communications between departments and/or business teams to improve and standardize work flows • Identifies and works to remove barriers that may hinder delivery of services or the achievement of process/productivity improvement and efficiency. • Develops and maintains a working relationships external peers and/or local/state/federal agencies to facilitate and collaborate on issues resolution. • Negotiates with external partners, vendors or agencies relating to contracts, services and audits, ensuring terms and conditions follow operating unit and/or system protocols. • Provides guidance and/or direct intervention in resolving operating challenging or complex situations. • Keeps leadership informed of operations that may impact the community at-large or require proactive intervention. STRATEGY/PLANNING. • Works with senior leadership to develop and establish short- and long-term strategic plans that complement system, operating unit or affiliate goals, including business, operations, and/or organizational priorities. • Communicates strategic plans to department managers to ensure alignment of goals. • Sets priorities and allocates resources to align with business objectives and annual plan. • Leads departmental goal setting process, and provides roadmap for accomplishing goals. Monitors progress, developing action plans to address issues and challenges. • Communicates affiliate, operating unit and system goals to staff, helping staff understand impact on patients, operations and resources. • Develops/approves plan of action to address current and future resource needs in order to meet service and/or operational demands and objectives. • Identifies process improvement opportunities, and ensures action plans short/long term operational objectives. • Monitors operational trends and recurrent issues, ensuring managers implement appropriate actions to address issues. • Actively includes other leaders in the development of new or existing programs. • May participate in and/or facilitate ad-hoc committees and task forces to collaborate on or support new or ongoing initiatives. FINANCIAL MANAGEMENT. • Establishes overall operating and capital budget with input from management team, ensuring financial targets are achieved and variances are addressed timely. • Approves department operating budgets, and capital requests. • Works with department managers to ensure achievement of financial targets via effective utilization of personnel, resources and supplies. • Monitors department productivity, ensuring operational challenges are addressed timely. • Reviews financial reports, and develops and implements corrective action plans to address unfavorable variances. • Reviews and approves employee expense reimbursements, and billing statements from vendors according to established protocol. PEOPLE. • Provides and fosters an inclusive work environment that encourages staff engagement and collaboration, establishing a culture of teamwork • Manages assigned staff, makes hiring and termination decisions, and reviews and approves timekeeping records. • Establishes expectations with all direct reports, holds individuals and work teams accountable, and ensures job descriptions accurately reflect job responsibilities and expectations. • Evaluates staff performance and determines/approves merit increase. Provides constructive feedback, coaching and counseling. Implements disciplinary actions and/or performance improvement plans to achieve desired performance. May work with leadership when major disciplinary action is necessary or in consultation with Human Resources. • Provides opportunities for career development, role expansion, and cross-training. • Conducts staff meetings for informative and educational purposes. • Responds timely to alleged violations of policies, procedures, regulations and standards of conduct by evaluating or initiating investigative procedures. May consult with Human Resources or Compliance to determine appropriate course of action. • Ensures staff maintains current and appropriate professional credentials. • During peak periods or emergencies, may perform tasks to assist team in achieving business results. • May assume responsibilities of one-up leader role during his/her absence. EDUCATION: Equivalent experience will be accepted in lieu of the required degree or diploma. Bachelor's: Bachelor's degree in food and/or nutrition science, food service management, or related field CERTIFICATION & LICENSURE: SS-Serve Save Certified Certified Dietary Manager TYPICAL EXPERIENCE: 12 years recent relevant experience. Job Shift: Days Schedule: Full Time Days of the Week: Monday - Friday Weekend Requirements: As Needed Benefits: Yes Unions: No Position Status: Exempt Weekly Hours: 40 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $75.88 to $113.82 / hour The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.

This is a Full Time (80 hours every pay period) benefited position, Monday-Friday for day shift. Over time additional hours when needed. Join the Scripps Health team and work alongside passionate caregivers and provide patient-centered healthcare. Receive endless appreciation while you build a rewarding career with one of the most respected healthcare organizations nationwide. As a Patient Account Specialist, you will be supporting the Billing Services department at our 4S Ranch Business Services location. This role is essential in managing a high volume of hospital Government Insurance/Billing documents, while also performing follow up actions to gather accurate information needed from patients, payers and providers. The ideal candidate is one who thrives in a fast-paced environment and has a passion for insurance and medical claims. As a Patient Account Specialist, you will be responsible for the following: Responsible for working aged reports and credit balances on a regular basis set by department guidelines. Follows-up with insurance carriers timely on unpaid claims until claims are paid or only self-pay balance remains. Does not have claims written off for timely filing. Processes rejections by either making accounts self-pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers. Keeps updated on all billing requirements and changes for all insurance types. Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances. Works with HIM staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required. Working directly with the insurance company, healthcare provider, liable third parties, and patient to get a claim processed and paid Works to help maintain Accounts Receivable (AR) days at or near target level set by the Hospital Senior Team. Supporting continuous improvement of organization processes and personal knowledge and skills, and maintaining and protecting confidential information Providing excellent customer service through cooperative working relationships, and meeting productivity and quality standards. #LI-JS1 Required Education/Experience/Specialized Skills: Strong working knowledge of managed care plans, insurance carriers, government Payers and payer requirements. Knowledge of Medical Terminology and Medicare Compliance. Familiarity with HIPAA privacy requirements for patient information. Basic understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes. Ability to multitask and stay organized. Good verbal and written communication skills. Detail oriented and ability to prioritize work. Requires a moderate level of interpersonal, problem solving, and analytic skills. Knowledgeable on insurance and reimbursement process. Ability to establish/maintain cooperative working relationships with staff, Medical Staff and providers. Preferred Education/Experience/Specialized Skills: Two years of patient accounts experience in a healthcare setting. Working knowledge of healthcare EPIC software preferred. Minimum two year experience billing Medicare, Medicaid, Blue Cross and Commercial insurance preferred, three or more years desired. Knowledge in Excel, Word and basic computer functions such as saving documents, sharing documents Demonstrate strong computer skills required. (Education may be substituted for experience in some areas.) Demonstrate knowledge of accounts receivable practices, payer billing and reimbursement procedures and practices. Working knowledge of hospital UB04, CPT-4, HCPCS, ICD-10 and Revenue codes. Proficient in institutional insurance billing guidelines using 837I X12 Version 005010X279A1 transactions.

Hours: Shift Start Time: Variable Shift End Time: Variable AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information: Weekend Requirements: No Weekends On-Call Required: No Hourly Pay Range (Minimum - Midpoint - Maximum): $26.130 - $32.670 - $36.590 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. What You Will Do The Transplant Assistant assists the transplant team in patient care and assumes a leadership role to ensure the provision of quality transplant services and treatment. This position is responsible for assisting patients and Transplant Specialists in the pre and post-transplant process, including coordination of patient testing and scheduling, reviewing clinical correspondence, transplant database entry, and maintenance of the medical record for compliance and regulatory requirements. This position also provides administrative, clerical, and receptionist services for the department. Required Qualifications H.S. Diploma or Equivalent 1 Year in a clerical capacity in an outpatient healthcare setting. Proven successful customer service experience. AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED Preferred Qualifications Prior clinical experience and/or transplant experience. Certified Medical Assistant (CMA) - California Certifying Board for Medical Assistants -PREFERRED Essential Functions Clinical responsibilities Vital signs and rooming of clinic patients. Retrieving and recording labs and medical records for chart preparation. Triage of patient phone calls and general assistance to Transplant Specialists. Confidentiality Maintains confidentiality in regards to records, files, conversations, or other sources of confidential information. Department improvement Participates in organizational performance improvement initiatives as a team member and one knowledgeable in data definitions, inclusion/exclusion criteria, data submission frequency, etc. Medical records management Maintains organized medical records to ensure efficient retrieval of documents. Preparation of correspondence, meeting minutes, and other documents and ensuring their accuracy. Preparation of regulatory correspondence and bulk mailings within designated time frames. Completes department specific forms/record/data management per guidelines. Completes data entry per regulatory and department standards. Meeting management Schedules meetings, prepares the necessary agendas and materials, and takes minutes. Patient scheduling and evaluation Assists Transplant Specialists in pre- and post-transplant evaluations by verifying patient demographics, compiling educational material, and chart preparation. Scheduling of studies and consults, retrieval of studies and other pertinent documentation, tracking of required updates, organizing information, and transplant database maintenance through data entry and management. Confirms evaluation and re-evaluation appointments in advance. Communicates and collaborates with peers, co-workers, physicians, referral sources, transplant leadership, and collaborating departments to organize, prioritize, and coordinate completion of work by established deadlines. Responds to changes in priorities and interruptions by reassessing priorities and communicating any changes in deadlines or outcomes. Triage of patient phone calls and general assistance to Transplant Specialists. Arranges transportation, accommodations, or other special services as needed. Follow up with patients with outstanding evaluation components to facilitate completion of work-up. Perform general clerical duties Perform clerical duties such as assisting in answering phones, duplication and collation of written materials, assembly of booklets/reports, and chart retrieval. Maintains department calendar. Referral management Admits patients into tracking databases at the time of initial referral and updates patient status as necessary. Contacts all patients within specified timeframes upon receipt of referral. Assigns patient to the appropriate Transplant Specialist. Assembles medical record by requesting all necessary referral documentation, insurance information, evaluations, diagnostic studies, consults, and other reports to complete the medical record. Knowledge, Skills, and Abilities Proven competence in the performance of basic office functions (answering incoming calls, filing, copying, faxing, word processing, etc). Bilingual English/Spanish preferred. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

**Facility:** Grossmont Hospital **City** La Mesa **Department** **Job Status** Per Diem **Shift** Day **FTE** 0 **Shift Start Time** **Shift End Time** AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association; California Licensed Clinical Psychologist (LCP) - CA Board of Psychology; Doctor of Philosophy (Ph.D.); Doctor of Psychology (PsyD) **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $68.450 - $88.330 - $98.920 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** Administers comprehensive outpatient neuropsychological assessments or brief inpatient assessments. Delivers feedback to patient, family, and care team and treatment to patients as appropriate. Assists with differential diagnosis, clinical recommendations, treatment planning, and behavioral plans. Participates in operational aspects of the department, maintains performance improvement activities within the department, and participates in Continuous Quality Improvement activities. Participates in operational aspects of the department, maintains performance improvement activities within the department, and participates in Continuous Quality Improvement activities. **Required Qualifications** + Doctor of Psychology (PsyD) APA accredited graduate program in Clinical Psychology. Or + Doctor of Philosophy (Ph.D.) + 2 Years Formal rehabilitation psychology and/or neuropsychology post-doctoral training. Post doctoral clinical training to include didactic and supervised clinical experience. + 5 Years Previous experience to include clinical psychology and /or neuropsychological assessments. + California Licensed Clinical Psychologist (LCP) - CA Board of Psychology -REQUIRED + AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED **Preferred Qualifications** + APA accredited internship program. + Clinical experience in the assessment and behavioral management of TBI, stroke or other related neurological conditions. **Essential Functions** + DocumentationDocuments and enters all elements of patient management.Documentation is completed in a timely, complete, legible, concise and accurate manner.Documentation follows Sharp HealthCare guidelines, professional guidelines, and meets third party payor and regulatory requirements.Maintains records pertinent to departmental operations.Completes all documentation elements as appropriate (i.e., Comprehensive Neuropsychological Reports, Electronic Medical Record notes, billing, etc.) + Patient CarePerforms an appropriate assessment on all patients as related to the referral question and provides feedback to patient, family, and care team.Assesses patient behavior that interferes with optimal level of function or participation in rehabilitation; develops behavior plan to assist with intervention.Serves as clinical resource and contributes to professional development/education of staff members, students, other professionals and/or general public and provides training for staff in area(s) of expertise.Is consulted as a representative of his/her profession.Identifies pertinent clinical issues requiring education and participates in implementation of educational plan.Shares ideas based on therapeutic principles.Provides in-service/education program or training.Supervises the student program.Presents/publishes clinical information. + Treatment PlansEvaluates and treats patients within the scope of care in a manner that is cost-effective and appropriate to the patient's diagnosis, age and culture.Designs, implements an appropriate treatment plan and evaluates treatment effect, recommending changes to physician as needed.Assesses patient pain that interferes with optimal level of function or participation in rehabilitation; and provides intervention.Performs an appropriate assessment on all patients as related to the therapy requested and provides information and feedback and reassesses as per policy.Performs all aspects of patient care in an environment that optimizes patient safety and reduces the likelihood of medical/health care errors.Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning; family is included in teaching as appropriate.Demonstrates knowledge and safe use of modalities, equipment and therapeutic procedures.Coordinates and directs patient care to ensure patients' needs are met and hospital policy is followed.Completes development plan and performance is satisfactory. **Knowledge, Skills, and Abilities** + Ability to collaborate with attending physicians and rehab staff to plan and modify patient treatment programs preferred. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

**Facility:** Sharp Memorial Hospital **City** San Diego **Department** **Job Status** Per Diem **Shift** Evening **FTE** 0 **Shift Start Time** **Shift End Time** Certified Sterile Processing and Distribution Technician (CSPDT) - The Certification Board for Sterile Processing & Distribution; H.S. Diploma or Equivalent **Hours** **:** **Shift Start Time:** 2 PM **Shift End Time:** 10:30 PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** Per Diem **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $28.740 - $35.930 - $40.240 This position is covered by a Collective Bargaining Agreement (CBA) with SEIU-UHW. As part of the terms of employment, employees in this role are required to join the union within 31 days of hire and remain a member (e.g. dues paying, fee paying, religious exception contributor) for the duration of the collective bargaining agreement. This position was originally posted to ratified SEIU members from 12/05/25 12/13/25. The position is now available to be filled by internal candidates that are not members of the ratified Bargaining Unit or External candidates to Sharp. **Please Note:** As part of our recruitment process, you may receive communication from Dawn, our virtual recruiting assistant. Dawn helps coordinate scheduling for screening calls and interviews to ensure a smooth and timely experience. Rest assured, all candidate evaluations and hiring decisions are made by our recruitment and hiring teams. **What You Will Do** To ensure proper maintenance and distribution of disposable supplies and durable medical equipment for patient care. **Required Qualifications** + H.S. Diploma or Equivalent + 1 Year experience in an acute care hospital, sterile processing, or surgery department or completion of a program for sterile processing/central supply technician **Preferred Qualifications** + Certified Sterile Processing and Distribution Technician (CSPDT) - The Certification Board for Sterile Processing & Distribution -PREFERRED **Essential Functions** + CommunicationPerformance Criteria:Reports any malfunctions or questionable loads to the Lead Technician or Supervisor.Provides appropriate information to facilitate receipt of MSDS.Maintains necessary verbal communication via clear shift reports and communication logs.Notifies SPD lead/Nursing units of positive biologicals/wet loads, equipment malfunctions.Obtains approval from resource/charge nurse to process incomplete sets.Evaluation Method(s) Observation, Demonstration, Documentation Review, Staff Feedback. + Department competency Performance Criteria:Completing all initial competencies.Consistently demonstrating competency as identified in the on-going assessment and evaluation.Implementing and adapting the comprehensive, age/culturally appropriate plans using patient care interventions with patient and family.Evaluation Method(s):O, D, QM, T, DR, TD, Other________________ + DocumentationPerformance Criteria:Documents sterilizer load contents/applies load labels to items Using charts and printouts to track sterilizer loads, including biological and vacuum testing Documents results of biologic and vacuum testing Documents actions in the event of load recall Labels all implantables for quick identification for quarantine Assures accurate labeling of instruments/sets.Evaluation Method(s):Demonstration, Documentation Review, Quality Monitoring. + Instrument processing Performance Criteria:Disassembles multipart instruments Separates heavy and delicate instruments Properly cares for powered, lensed and special instruments/ equipment Inspects instruments/instrument trays for broken, damaged or missing instruments Reassembles trays, protecting sharp/delicate/heavy instruments, checks for cleanliness Labels trays according to type, includes count sheets with trays Properly loads and operates washer sterilizer, sonic cleaners, steam, plasma, parasitic acid and other sterilizing equipment'Demonstrates knowledge of SPD equipment, assists users with concerns or questions.Properly quarantine implantables until biological monitors are reviewed.Evaluation Method(s):Observation, Quality Monitoring Documentation Review. + Professional development Performance Criteria:Establishing mutually derived annual goals and meets goals.Maintaining individual in-service/performance records.Demonstrating process of self-discovery including knowledge of strengths and weaknesses and view deficiencies as opportunities for growth.Evaluation Method(s):O, D, QM, T, DR, TD, Other________________ + SuppliesPerformance Criteria:Restocks carts as assigned Prepares case carts for surgery according to pick lists/preference cards as assigned.Reports low stock/overstock, outages Requests/orders non stock items/supplies as needed/assigned Requests/orders sterilization supplies, including charts, testing materials, wraps, case filters/locks, tape + Time and resource management Performance Criteria:Uses resources in a cost-effective manner Anticipates surgical needs and prepares instrumentation accordingly.Willingly accepts additional assignments and remains flexible with work practices.Completes delegated duties within time frames or reports to supervisor when unable.Evaluation Method(s):Observation, Demonstration, Documentation Review. **Knowledge, Skills, and Abilities** + Thorough knowledge of surgical instrumentation, sterile techniques, general hospital supplies and equipment Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Gould Medical Group is looking for a BE/BC Maternal-Fetal Medicine physician for their new Women???s Health Center in Modesto, CA. Gould Medical Group is a growing, 525 clinician multi-specialty group located about two hours east of San Francisco, California. Our communities offer quick access to the bay area as well as other hot spots such as Napa Valley, Yosemite, and Lake Tahoe.

**Facility:** Medical Plaza **City** La Mesa **Department** **Job Status** Regular **Shift** Day **FTE** 0.5 **Shift Start Time** **Shift End Time** AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association **Hours** **:** **Shift Start Time:** Variable **Shift End Time:** Variable **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** No Weekends **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $32.730 - $40.910 - $45.810 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** Assists patients, staff and physicians as needed to maintain a high level of efficiency of operations and customer service while providing quality care to a designated patient population. **Required Qualifications** + Completion of orthopedic technology program or other equivalent program (such as military training program). + AHA Basic Life Support for Healthcare Professional (AHA BLS Healthcare) - American Heart Association -REQUIRED **Other Qualification Requirements** + National Certification with NBCOT. **Essential Functions** + Clinical skills Demonstrates technical expertise and competency within scope of practice.Fully successful in performing/assisting with all tests and procedures in assigned department.Able to prepare patient for examination or procedure. Obtains complete and accurate consent for procedures/surgery. Prepares and labels biopsies in a thorough and accurate manner.Accurately documents patient care per protocol.Listens to patients, collects pertinent information, recognizes the urgency of the patient's problem and routes to physicians.Returns phone calls according to physician instruction. May schedule patient appointments.In partnership with physician, provides specific educational material and individual teaching.Uses universal precautions and demonstrates knowledge of infection control policies and procedures.Provides assistance to PSRs in resolving issues related to front desk responsibilities including scheduling and telephone management. Acts as a positive role model and ensures appropriate service delivery.Participates in clinical projects as directed by the physician or manager.Partners with physicians to continuously learn and expand clinical knowledge base.Maintains current knowledge of cast techniques and braces.Continuously updates skills and knowledge of Orthopedic Technician techniques to meet needs of physicians.Competently supports physician during clinic hours when a medical assistant is not assigned.Utilizes proper casting techniques, instructing patients in cast care and danger signs.Utilizes proper aseptic techniques, equipment set-ups, patient transfers and proper patient positioning.Assists with general office/patient functions: 1.) Assist with patient phone calls; 2.) Assists with surgery scheduling; 3.) Assists with ordering. + Department efficiency and effectiveness Organizes and completes daily requirements and responsibilities.Telephone Message Management - Ensures prompt and efficient return of messages according to established policy. Troubleshoots and resolves problem calls.Daily Organization - Monitors patient flow, physician schedules and completes daily tasks to ensure quality and meet service standards. Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to respond to changing circumstances and prioritize patient needs.Responds to urgent and emergent situations in a calm and capable manner. Utilizes good judgment and problem solving ability.Ensures readiness of reports and information to maximize patient visit.Maintains appropriate supply levels. Cost conscious in usage.Participates in and prepares for site inspections and inventories.Completes department inventories per guidelines.Assists in other departments as assigned to meet staffing needs. + Quality initiatives Completes Quality Assurance (QA) assignments and ensures overall department compliance with requirements. QA scores: 96- 100% = Great; 90-95% = Good; 90% and below = Needs Improvement. + Skills competencies Successfully completes Skills Competencies with a score of 90% or greater in each section = Great.Successfully completes Skills Competencies with a score of 90% or greater on all but one section. Passed on retesting = Good.Unsuccessful in passing more than one section of Skills Competency Testing and/or failed to pass testing on second attempt = Needs Improvement. + Technical skills Demonstrates knowledge of equipment and Information Systems applications.Able to activate emergency procedure per protocol - code, fire, etc.Documents patient care events in a thorough and accurate manner. Manages and completes AEHR tasks per prescribed time lines.Support and knowledge of new applications and policies: AEHR, Abbreviations, etc.Demonstrate typing skills proficiency by: Using a keyboard, required to type proficiently and accurately; Have the ability to type a minimum of 30 words per minute with 0-2 errors; Have the ability to proof work.Knowledge of scheduling requirements and support of front desk responsibilities.Able to operate and maintain department equipment. **Knowledge, Skills, and Abilities** + Demonstrated proficiency in application of casts, splints and braces. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Department: 13241 Enterprise Revenue Cycle - Professional Coding Academy Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Full time, flexible schedule. This is a remote opportunity. Pay Range $30.15 - $45.25 Working in collaboration with Coding Leadership, IT leadership, Org development, Revenue Cycle leadership, Compliance leadership etc. Presents coding and documentation education, which may include in-person classes and virtual offerings, for initial training and continuing education purposes to both coders and clinicians. Supports the development of coding educational presentations, tools and documents. Identifies, trends and reports coder educational needs to ensure appropriate coding and documentation educational opportunities are met. Collaborates with Professional Coding department leadership and applicable team members to enhance coding educational programs by identifying, developing and providing one-on-one, follow-up and refresher sessions. Stays current with trends in adult learning concepts and applies those concepts to education and training. Maintains education/training schedules. Utilizes Learning Connection, ATMS, Skype or Teams to schedule presentations throughout the organization. Communicates educational offerings in a standardized fashion. Develops and maintains web-based coding education programs. Assigns lessons to coders, reports results, tracks progress and identifies need for further education. Continually evaluates the success of educational offerings, training programs and modifies as appropriate. Defines new and existing educational needs. Presents and makes recommendations regarding course content, technology, and appropriate instructional delivery options (i.e. classroom course, e-learning, virtual conference, desk- side, etc.) Creates educational programs with the established objectives. Supports e-learning development and other technology-based learning initiatives. Ensures that all educational programs have defined learning objectives, accurate and complete content, and are documented according to standards. Completes all research, writing and instructions associated with each educational program, including learner manuals and facilitator guides for instructor-led classes. Provides comprehensive "train the trainer" sessions for all trainers (Coding Supervisors and Coding Leads) who will be presenting the material, and provides updates as they arise, including new "train the trainer" sessions, as needed. Licensure, Registration, and/or Certification Required: Coding Associate (CCA) certification issued by the American Health Information Management Association (AHIMA), or Coding Specialist - Physician (CCS-P) certification issued by the American Health Information Management Association (AHIMA), or Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or Professional Coder (CPC) certification issued by the American Academy of Professional Coders (AAPC), or Specialty Coding Professional (SCP) certification issued by the Board of Medical Specialty Coding and Compliance (BMSC), or Professional Medical Coding Instructor (CPC-I) certification issued by the American Academy of Professional Coders (AAPC), and Specialty Medical Coding Certification issued by the American Academy of Professional Coders (AAPC). Education Required: Advanced training beyond High School that includes the completion of an accredited or approved program in Medical Coding Specialist. Experience Required: Typically requires 5 years of experience in medical coding that includes experiences in physician revenue cycle processes, health information workflows. Knowledge, Skills & Abilities Required: Expert knowledge of ICD-10-CM, CPT and HCPCS coding guidelines. Advanced knowledge of medical terminology, anatomy and physiology. Expert knowledge in principles of adult learning concepts and capable of planning, coordinating, facilitating coding educational programs. Highly proficient at incorporating adult learning principles, online and in person teaching methods to maximize learning and the application of that learning. Advanced and highly developed computer skills including experience in using Microsoft Office or similar products, email and electronic calendars. Superior organization, communication (verbal and written), interpersonal and oral engaging presentation skills. Ability to comfortably speak to small/large groups, network, and build effective relationships. Demonstrated adaptability/flexibility and the ability to coordinate multiple tasks. Ability to work independently and exercise independent judgment and decision making. Ability to work in multiple work environments (ie virtual, office, clinic/hospital, other). Must have functional speech, hearing, and senses to allow effective communication. Must be able to continuously concentrate. May require travel and may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. Physical Requirements and Working Conditions: Generally exposed to a normal office environment. Must have functional speech, hearing, and senses to allow effective communication. Must be able to continuously concentrate. Position requires travel and may be exposed to road and weather hazards. Operates all equipment necessary to perform the job. This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties. # Remote #LI-Remote Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more - so you can live fully at and away from work, including: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits and more Paid Time Off programs Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability Flexible Spending Accounts for eligible health care and dependent care expenses Family benefits such as adoption assistance and paid parental leave Defined contribution retirement plans with employer match and other financial wellness programs Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation's largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Scripps Memorial Hospital La Jolla has served the greater San Diego community since 1924. For more than a century, we continue to provide distinguished care, including several nationally ranked specialty programs. Scripps La Jolla was the first in San Diego to be designated a Magnet Hospital by the American Nursing Association. Scripps La Jolla shares a campus with the Barbey Family Emergency and Trauma Center, a Level I Trauma Center, and the renowned Prebys Cardiovascular Institute. We're also home to notable specialty programs, including cancer care, heart surgery, orthopedic surgery, labor and delivery services (including a Level III neonatal intensive care unit) and a nationally designated Comprehensive Stroke Center. This is a full time, benefited position Monday- Friday. Located at Scripps Memorial Hospital in La Jolla. This is an exempt and salaried position eligible for the Management Incentive Compensation Plan (MICP) at the Director level. Why Scripps Memorial La Jolla Surgical Services? * Join a dynamic team with exceptional leadership across all departments, including Endoscopy, Pre-op, PACU, PSE, and OR. * Experience outstanding collaboration and communication among dedicated team members. * Be part of an engaged staff that is continuously seeking opportunities for improvement and growth. 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. What you'll do: * Responsible for the provision of the overall administration, operation, direction, design, financial performance, human resource management, regulatory compliance, quality, utilization management, marketing, integration and evaluation of Surgical Services at assigned site. #LI-JS1 Required Education/Experience/Specialized Skills: * Bachelor's degree plus 8 years of related OR clinical experience, 3 of which in a leadership role. Required Certification/Registration: * Current California RN license Preferred Education/Experience/Specialized Skills/Certification: * Master's degree * CNOR certificate * Knowledge & proficiency in Microsoft Excel & Word * Knowledge & proficiency in financial reporting systems, specifically Axiom 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: $84.15-$122.01/hour

Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record. This is a full-time (64 hours/2 weeks) 8 hour varied day shift position. Join the Scripps Health team to work with dedicated caregivers and deliver patient-centered care, while building a rewarding career with one of the nation's most respected healthcare organizations. Why join Scripps Health? AWARD-WINNING WORKPLACE: 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. * Beckers 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. . Join Our Team at the Shiley Fitness Center! We are looking for an enthusiastic and experienced individual to join our dynamic team of 10 at the Shiley Fitness Center. Our team does it all, from teaching fitness classes for various skill levels to assisting with front desk administrative duties. Key Responsibilities: * Lead safe and engaging group exercise classes, including for senior populations. * Orient clients to the fitness equipment, ensuring safe and effective use. * Assist with front desk administrative duties and customer service as needed. Ideal Candidate: * Experience leading group exercise classes, particularly with senior populations. * Comfortable with fitness equipment orientation. * Knowledge of industry guidelines and certifications, including but not limited to ACSM, ACE, IFPA, NASM, NCSF, NESTA, NETA, NFPT, or NSCA. Required: * 1 year in the fitness industry, * Strong background in fitness instruction/personal training, * Computer skills and phone etiquette. * American Heart Assoc. BLS Preferred: * BS in Physical Education, Exercise Science or related field 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: $25.00-$29.29/hour

**Facility:** Tech Way **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Other **Hours** **:** **Shift Start Time:** 8 AM **Shift End Time:** 5 PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** Start time can vary. **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $55.390 - $71.470 - $87.550 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** This position is responsible for managing, coaching and developing the Benefits Administration team across multiple lines of business (Medicare Commercial, Government, etc.) to ensure benefit plans are designed appropriately and consistently and performance guarantees, service level agreements and operational goals are met. Ensures benefit information is clear, accurate, consistent, and delivered timely to internal and external partners. This individual will serve as a subject matter expert on benefits, with responsibility for translating plan designs and policies (i.e., Certificates of Coverage) into detailed business requirements, ensuring benefits are implemented accurately and timely, investigating and responding to internal and external benefit inquiries, and supporting claims testing activities. Provides training to new and less experienced Benefit Administration team members. Assumes additional responsibilities in the absence of the Director. **Required Qualifications** + 5 Years in HMO or Health Insurance Management. + 2 Years leadership experience working collaboratively across multiple functional areas (e.g., operations, configuration, clinical, IT, plan design) and fostering teamwork. + Experience with spreadsheets, data reporting, and word processing applications. **Preferred Qualifications** + Other Course work or prior experience in education and training. + 3 Years in a health insurance product implementation, benefit/coverage policy development, benefit configuration, or claims role. **Other Qualification Requirements** + Bachelor's degree in business, health services, or related field; or 4 years of relevant experience may substitute for degree. - Required **Essential Functions** + LeadershipDisplay professionalism and teamwork in promoting the Mission, Goals and Objectives of Sharp Health Plan.Recruit, hire, motivates staff to perform at a level that consistently meets expectations.Develop, train, counsel staff, and conduct performance appraisals.Maintains a positive work environment that supports self-directed teams; provides a structure to optimize the experience, skill, knowledge and capability of the team; facilitates collaboration among team members. + Benefit DevelopmentOversees all translation of plan design strategy and policies (i.e., Certificates of Coverage) into detailed requirements for benefit configuration.Develops and documents workflows, systems requirements, process analysis and testing (including reasonableness checks). Providing efficient and cost-effective solutions as required.Oversees all claims testing and quality assurance activities and defect resolution.Identifies impact of solutions on existing and future systems. Identifies reporting needs based on system programming and workflows and oversees documents reporting requirements and testing of new reporting development prior to implementation to Production. + Benefit ManagementPartner with Product Development, operational, clinical, and configuration teams to achieve benefit design solutions that align with plan design strategy and business requirements.Oversee development and documentation of policies and relevant background information for other departments to better understand plan designs and benefit intent. Manage all plans and benefits hand-offs to internal and external partners; develop and manage change control processes.Provide subject matter expertise to address escalated benefit inquiries and complex benefit-related issues. Identify opportunities to improve processes and build best practices for efficient and effective translation of product strategy/plan designs into configuration requirements leveraging new system capabilities or the integration of data/other applications into existing systems.Creates and maintains the necessary functionality in the benefit landscape, and workflows. Conducts root cause analysis, gathering data to pinpoint problem areas on which to focus. Recommends and implements solutions and evaluates results and implements controls to monitor consistent use of the solution. + TrainingCoordinate continuing staff training to ensure Benefit Administrator education is sufficient to meet benefit compliance and establish quality and productivity standards to be reported monthly.Develop and maintain benefit administration policy and procedure manuals. Effectively communicate departmental policies to staff and other affected areas including updates to Knowledge articles used by Sharp Health Plan Customer Care staff. + Data ValidationOversees the technical and administrative functions to lead the Benefit Administration team in organizational data validation projects to support major system enhancements, or release updates. Supports data validation activities when deploying changes to a large number of clients. Leads design of data validation processes to ensure data checks fall within an acceptable range to ensure compliance standards are met. Activities should automate data validation, improve quality, and reduce costs. + Internal and External Customer ServiceInterface with Health Plans, Providers, Members, Medical Groups and Internal Sharp Health Plan departments to resolve issues in a professional manner that maintains consistently positive relationships. Demonstrates a positive, professional and contributory posture in all matters requiring interface with customers, both internal and external. + AuditsManages responses to both external and internal audits. Ensures workflows support compliance and identifies when audit protocols need to be refreshed to more accurately capture day-to-day procedures. Evaluates audit findings and implements new processes to bring Plan Administration into compliance. **Knowledge, Skills, and Abilities** + Knowledge of health insurance or HMO operations with emphasis in the development or application of benefit interpretation guidelines, coverage policies, and/or reimbursement policies. + Working knowledge and experience with medical coding (HCPCS, CPT, ICD-10) + Excellent organizational and interpersonal skills. + Ability to work effectively as a member of a creative management team. + Knowledge of Federal and State regulations as related to benefit and claims adjudication. + Adept at being an initiator of positive change to support the Mission, Values, and Goals of Sharp Health Plan. + Ability to use data and analytical thinking to make fact-based decisions and/or recommendations. + Solid problem-solving skills and ability to derive structure and clarity from ambiguous or open-ended inputs. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

**Facility:** Health Plan **City** San Diego **Department** **Job Status** Regular **Shift** Day **FTE** 1 **Shift Start Time** **Shift End Time** Bachelor's Degree **Hours** **:** **Shift Start Time:** 8 AM **Shift End Time:** 5 PM **AWS Hours Requirement:** 8/40 - 8 Hour Shift **Additional Shift Information:** **Weekend Requirements:** As Needed **On-Call Required:** No **Hourly Pay Range (Minimum - Midpoint - Maximum):** $42.790 - $55.210 - $61.840 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices. **What You Will Do** Under the direction of the Manager of EDI Management, the Systems Analyst-EDI Mgmt will use technical and analytic skills to complete monitoring, reviewing, developing, triaging, scheduling and mapping inbound and outbound data files for Sharp Health Plan. The Systems Analyst-EDI Mgmt will work with general Health Plan operational data sets including, but not limited to, eligibility, claims, provider, billing, capitation, financial and structural. The Systems Analyst-EDI Mgmt will work to streamline processes, create efficiencies and complete development within the file management space. **Required Qualifications** + H.S. Diploma or Equivalent + 2 Years experience in a health care and/or health plan organization. + Experience with data communications standards, data processing, and system configurations. + Experience analyzing complex issues and/or requests to provide effective solutions with the ability to identify root cause, communicate options and propose solutions. **Preferred Qualifications** + Associate's Degree + 2 Years Direct experience in project planning and system implementation. + Experience as systems analyst within a large Health Plan. **Essential Functions** + File ManagementSystems Analyst-EDI Mgmt will be familiar with tools such as Snowflake and SQL as ways to create data files. Will need to be fluent in database tools to be able to use the data to create outbound data. (SQL queries, views, procedures) Familiar with standard file management practices and oversight tools.Will develop new files based on specifications provided by internal or external partners.Utilizes Epic Tapestry reporting toolset, inclusive of Cogito, Caboodle and Clarity, to deliver on business requirements to external partners.Provide expertise on file structure, specifications and format for a wide variety of file types. + Quality AssuranceEnsure that files created within the team are checked for quality and measured against another reliable source.Develop and implement quality checks on newly created file processes to ensure data integrity across both incoming and outgoing files. + Participates in other duties as assigned Participates in special projects and other duties as assigned. These may include, but are not limited to, work groups, proposals, audits and back-up support for other departments. + Data ExchangeConfigures, oversees and monitors SFTP routing rules Tracks file movements and patterns to be able to report on abnormalities Works with external partners on data quality concerns, specifically related to ANSI EDI file transactions.Familiar with business use of standard HealthCare file sets, including but not limited to 837s, 834s, 835s and related acknowledgements. **Knowledge, Skills, and Abilities** + Demonstration of professional level of knowledge of health plan operations, health plan software configuration, enrollment and claim file processing and trading partner management, and data processing environments. + Familiarity with data communications standards and system configuration. + Working knowledge of hospital, physician and health plan operations. + Strong analytical and problem solving skills; ability to collect and conduct interactive data analysis. + Extensive knowledge of IDX, Facets, QNXT, Healthedge, HPS, and/or other administrative systems within the health plan insurance industry. + Excellent written and verbal communication skills, including interaction with senior management. + Ability to apply independent decision-making skills and work well under tight deadlines and multiple priorities. Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

This is a full-time leadership position, eligible for Scripps Health Director Incentive Compensation Plan. is located in San Diego and does require residence in San Diego. Elevate your career with Scripps Health, where Compassion Meets Excellence. Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego. Why join Scripps Health? AWARD-WINNING WORKPLACE: 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. Beckers 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. The Director, Infrastructure Operations, also known as Director, IS Enterprise Architecture provides leadership and oversight for network services, computing platforms, IS and data center operations, and system integration activities. This role ensures regulatory compliance, timely project delivery, system readiness, reliability, and consistent service quality. As a strategic leader, this position sets the direction for the organization's technical infrastructure and upholds high performance standards that support patient care and service excellence. The Director leads change initiatives, fosters innovation, and builds enthusiasm among staff for continuous improvement. Scripps Health is seeking a strong communicator and collaborative leader who can execute the organization's strategic vision and drive creative, forward-thinking technology solutions. Key Responsibilities: · Partner with departments and leaders across the organization. · Design, build, maintain, and enhance enterprise computing infrastructure. · Provide strategic direction for computing, storage, cloud services, data centers, network servers, and information security infrastructure. · Epic infrastructure experience preferred. · Evaluate and implement emerging technologies, including cloud-based solutions suited for healthcare. #LI-EE1 Required Education/Experience/Specialized Skills: Bachelor's degree. 10 years experience, 5 of which are in a leadership position. Preferred Education/Experience/Specialized Skills/Certification: Bachelor's degree in Computer Sciences or Engineering. Master's degree preferred. Preferred Education / Experience / Specialized Skills / Certifications (Concise): 15+ years of progressive infrastructure or architecture experience in a complex environment (healthcare preferred). Experience leading major modernization efforts (cloud migration, data center consolidation, network redesign). Knowledge of enterprise architecture frameworks (e.g., TOGAF) and cloud platforms (Azure/AWS). Familiarity with automation/orchestration tools (Terraform, Ansible, etc.). Strong understanding of cybersecurity frameworks and healthcare compliance (HIPAA/HITECH). Experience supporting large EHR environments, especially Epic. Proven ability to lead cross-functional teams through organizational and technology change. Strong vendor, budget, and contract management skills.

Required Education/Experience/Specialized Skills\: Good critical thinking and analytical skills. Excellent written and verbal communication skills. Proficient with medical terminology and of computer systems. Required Certification/Registration\: Certified Phlebotomy Technician I or II. Valid certificate issued by the California Department of Public Health (CDPH). American Heart Association Basic Life Support for the Healthcare Professional (BLS) certificate. Preferred experience\: Completed Scripps externship New Grads welcome This is a benefited, full-time position working varied days on an 8-hr shift schedule. Hours will typically be 9am-6pm and 10\:15am-7\:15pm but will vary based on need; earliest shift starts at 5\:15am. Evenings, rotating weekends, and holidays required as needed. Located at the Carmel Valley Clinic but required to float to the Anderson Medical Pavilion in La Jolla and possibly other sites as needed. This position requires someone who is flexible with travelling to various sites and last minute scheduling changes. 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 Scripps Clinic Labs? Support the laboratory manager in providing excellent patient care. Serve as an ambassador for the laboratory in interactions with patients, physicians, nurses and visitors. Adhere to all safe patient handling standards including demonstration of pre-analytical safety procedures and Infection control protocols. Participate in laboratory performance improvement, which includes error identification and appropriate follow up, investigation, correction, documentation, and notification to appropriate caregiver and lab leadership. Your job duties: Respond to life critical situations such as Trauma, Stroke Codes, Code Sepsis or Code Blues. Ensure samples are collected following time-sensitive priorities (STAT, Timed and routine). Observe aseptic technique and isolation procedures whenever indicated. Clarify unclear orders, resolve any orders or patient identification discrepancies prior to sample collection and document ABN necessity whenever indicated. Identify patients according to policy prior to sample collection and label samples accurately. Perform phlebotomy through venipuncture or capillary puncture and observe age-specific techniques for all patient age groups. Preserve sample integrity by delivering samples to the laboratory within the required amount of time. Process specimens and follow critical sample handling instructions regarding centrifugation, aliquoting, transport, and storage requirements for every test performed in the laboratory or sent out to a reference laboratory. Follow HAZMAT regulations when packing samples for transport to the Core Lab or other laboratories. Perform crucial pre-analytic and analytic steps of test procedures as required, under supervision of licensed laboratory personnel. Demonstrate knowledge of standard office equipment, computers and computer software skills including laboratory and hospital electronic medical records.