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Jul 02, 2022

Quality Improvement Specialist *HEDIS and CMS - Partially Remote*

ApolloMed is looking for a Quality Improvement Specialist who will work at our Alhambra office at 1668 South Garfield Avenue. This position will have the ability to work remotely some days! This position will also require some travel to provider sites dependent on projects. The shift will typically be M-F from 8am to 4:30pm. You will be responsible for working with our network providers in improving quality of care through quality improvement activities that will encompass HEDIS, CMS Star Rating, and health plan quality performance reporting. ESSENTIAL DUTIES AND RESPONSIBILITIES: Other duties may be assigned Comply with department policy and procedures Collect and collate appropriate data from IPA network providers for HEDIS measures Collect medical records, conduct reviews and ensure accuracy of documentation for reporting Collect, summarize and trend provider performance data to include provider education Participate in ongoing discussions concerning data collections and...

ApolloMed Remote * (Alhambra, CA, USA)

Jul 02, 2022

Customer Experience Associate (Overnight) - Work From Home

[Customer Service / Remote] - Anywhere in U.S. / Competitive Pay / 12a-8a EST - As a Customer Experience Associate you'll: Work directly with customers to answer questions and resolve problems; Utilize email and phone calls to provide white-glove service in a timely manner; Ensure that Customer Success operations, procedures, and systems are adhered to; Work with the product team to identify improvement opportunities and develop best practices...Hiring Fast >>

Sharebite Remote * (Lancaster, CA, USA)

Jul 02, 2022

Electrical Engineer - REMOTE

I have a client looking for an Electrical Engineer for a client based in northern California, but this position will be fully remote. This person will be responsible for designing and laying out lighting systems for commercial facilities as well as performing all calculations This position is a direct hire role. Candidates can work remotely but must be located within 2 hours of San Francisco. -BSEE, required -PE, required -Minimum of 7 years experience in lighting design and calculations -AutoCAD proficient, required -Strong background in commercial facilities -Strong knowledge of NEC codes #VIS

TechniPower Remote * (Moraga, CA, USA)

Jul 02, 2022

Senior Growth Marketing Associate (Local or Remote)

(Local or Remote) ROLE OVERVIEW We're seeking a Senior Growth Marketing Associate to join our fast-growing marketing team. You'll be instrumental in accelerating our growth trajectory by helping us scale our marketing efforts. You'll help manage online and offline marketing channels as well as optimize our conversion funnel. In this role, you'll have an opportunity to grow quickly and to be part of building a best-in-class team over time. RESPONSIBILITIES Collaborate with channel managers to grow marketing channels against specific objectives while maintaining ROAS targets. Perform in-depth analyses in order to assess campaign performance and identify new opportunities. Build models to facilitate campaign management, experiment measurement, and channel forecasting. Develop and execute experiments to test and optimize new marketing channels, strategies, ad creative, etc. Manage key relationships with partners, data providers, and other vendors. Work cross-functionally with...

Point Digital Finance Remote * (Palo Alto, CA, USA)

Jul 02, 2022

Work Remotely! Director of Sales Needed!

Insurance Education Association is a leading provider of professional training. Come join an excellent team of professionals and work remotely! Essential Job Duties: Respond to current and prospective customer inquiries via email, phone, and social media, regarding educational offerings, program selection, and certification and designation career benefits Counsel current and prospective customers by learning about their career requirements or objectives and suggesting IEA educational offerings to meet those needs Use a CRM system (SalesForce) to record and manage leads, opportunities, and the tracking of all relationships and interactions. Develop and maintain dashboards, reports, and metrics to demonstrate the success of partnerships, collaborations, and engagement. Cultivate long term relationships with existing and new customers and ensure retention while increasing lifetime value. Conduct market and competitive analyses, needs assessment and work across departments to develop...

Michael Sullivan & Assoc Remote * (El Segundo, CA 90245, USA)

Jul 02, 2022

Sr. Employment Practices Liability Claims Director | Remote

Job Description: Our client, a leading P&C Insurance Carrier, is seeking to add a (2) Senior Employment Practices Liability Claims Directors. This person would be responsible for handling complex Employment Practices claims, including but not limited to, discrimination, sexual harassment, retaliation, and wrongful termination losses throughout the United States. This includes analyzing and resolving claims, litigation management, reinsurance reporting, and claim disposition. This person would also be able to work remotely! Coverage analysis and letter writing; investigation; evaluation; reserve adequacy and timeliness; diary maintenance; management of defense and coverage counsel. Identifying and evaluating coverage issues, preparing coverage letters and analysis, retaining and managing coverage counsel through trial, and developing and managing strategy for complex coverage litigation. Claim presentations, both written and oral; obtain authority and/or formulate appropriate...

Jonus Group Remote * (Los Angeles, CA, USA)

Jul 02, 2022

Specialist Design Applications I - Remote Job

We Light the Way! Acuity Brands, Inc. (NYSE: AYI) is a market-leading industrial technology company. We use technology to solve problems in spaces and light. Through our two business segments, Acuity Brands Lighting and Lighting Controls ( ABL ) and the Intelligent Spaces Group ( ISG ), we design, manufacture, and bring to market products and services that make the world more brilliant, productive, and connected. We achieve growth through the development of innovative new products and services, including lighting, lighting controls, building management systems, and location-aware applications. About this Location About This Team A successful Design Applications Specialist understands the requirements of a project by reviewing construction documents and specifications. The DAS effectively communicates with our sales agents/customers in order to design factory drawing layouts that meet the projects application. Requested deliverables range from factory submittal drawings,...

Acuity Brands Remote * (Ontario, CA, USA)

Jul 02, 2022

Scheduler II, Home Health, Work From Home

Organization:SCAH-Sutter Care at Home - BayPosition Overview:Maintains scheduling for specialized procedures for an assigned department. Coordinates services with physicians' offices, and other related departments, verifying room and equipment availability if necessary. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance and effective communication. Adheres to all local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.Job Description:EDUCATIONHS Diploma or equivalent education/experienceEXPERIENCE1 year as typically acquired in a similar environment.SKILLS AND KNOWLEDGEKnowledge of medical terminology including a variety of diagnostic tests, surgeries, consultations and procedures.Ability to interpret a variety of data...

Sutter Health Remote * (San Francisco, CA, USA)

Jul 02, 2022

Remote Digital Seller, Full Time: Century City

Day-1 Medical, Dental, Vision Benefits for eligible colleagues Competitive Pay Paid Time Off Flexible Holiday Time-Off & Flexible Scheduling Fully Funded Education Benefits (100% tuition coverage including books and fees) Instant access to earned wages with PayActiv Enhanced benefits: pet, home & auto insurance & more 401(k) plan options available Bonus earning opportunities Growth potential opportunities Employee Discount at Bloomingdale s & Macy s Stores About: Bloomingdale s makes fashion personal and fun, aspirational yet approachable. Our mission is to guide and inspire our customers to make style a source of creative energy in their lives. We will always strive to make Bloomingdale s like no other store in the world. Everyone plays a critical role to bring our mission to life. Regardless of position, we believe all colleagues have a voice and access to share their thoughts with every level of leadership. Our colleagues are passionate, driven, entrepreneurial...

Bloomingdale s Remote * (Los Angeles, CA, USA)

Jul 02, 2022

Worker's Compensation Claims Examiner - Remote

Job Description: Our client, a leading Insurance Company, is seeking to add a Remote Workers Compensation Claims Examiner to their California Operations. This role will consist of handling mid to complex California Workers Compensation Lost Time claims from inception to close. Qualified candidates must be well-versed in California Workers Compensation Law and have the ability to work remotely! Handle moderate to complex workers compensation claims with minimal supervision and guidance from the manager. Investigate lost time claims by contacting injured workers, medical providers, and employer representatives; determine compensability under applicable state statutes. Communicate with medical providers to develop and authorize appropriate treatment plans. Review and analyze medical bills to confirm charges and treatments are injury-related and in accordance with the treatment plan. Negotiate settlements with injured workers and attorneys. Requirements: 3 - 8+ years of Workers...

Jonus Group Remote * (Long Beach, CA, USA)

Jul 02, 2022

Product Marketing Lead (Remote)

**Description**Humana's Primary Care Organization (PCO) is looking for an experienced and passionate Product Marketing Lead who is hyper customer focused with an ability to understand complex business models, and develop marketing strategies that drive desired business outcomes. This role will be supporting the Centerwell brand. Within the Primary Care Organization, we want to help people everywhere, including our associates, lead their best lives. We support our associates to be happier, healthier, and more productive in their professional and personal lives, and encourage our people to build relationships that inspire, support, and challenge them. We promote lifelong well-being by giving our associates fresh perspective, new insights, and exciting opportunities to grow their careers. As part of PCO, you will lead the development and implementation of marketing strategies, campaigns and programs.**Responsibilities**As the Product Marketing Lead, you will serve as one of the key...

Humana Remote * (Brentwood, CA 94513, USA)

Jul 02, 2022

Senior Technical Sourcer (Local or Remote)

(Local or Remote) ROLE OVERVIEW Point is adding a Senior Technical Sourcer to our team. The Senior Technical Sourcer is responsible for providing high-level technical candidates to increase the top of the funnel pipeline. RESPONSIBILITIES You will provide support to all technical roles at Point by providing high proficient candidates to fill the top of the recruiting funnel You will schedule an initial screening call with the candidate and the talent acquisition, partner network, communicate and engage with technical candidates on various sites websites like LinkedIn, Github etc ABOUT YOU 3+ years of technical sourcing experience Excellent communication skills - you enjoy cultivating relationships, can build trust quickly, and articulate a compelling company vision to any audience An entrepreneurial spirit - you don't hesitate to roll up your sleeves and get things done, you're innately results-oriented, humble, and collaborative Flexible and adaptable - you can pivot quickly...

Point Digital Finance Remote * (Palo Alto, CA, USA)

Jul 02, 2022

Insurance Defense Attorney Remote

This is a work from home position. Candidate must reside in the Greater Ontario area as court appearances may be required. At Liberty Mutual, we're committed to delivering exceptional legal services to our customers around the world, working to uphold and protect our policyholders' rights and positively impacting our business. As an Insurance Defense Attorney at Liberty Mutual, you'll join a diverse team that values a healthy work/life balance and enjoy benefits that include eligible performance bonuses, 20 days of flexible time off each year, personal holidays, a pension plan and a 401(k) plan with matching contributions. If you're looking for a place to build a long-term career while making a positive difference, consider joining our legal team where you'll represent Liberty Mutual and our policyholders in moderately complex civil litigation and workers' compensation matters involving claims for monetary damages or compensation for personal injuries or property damage of a...

Liberty Mutual Insurance Remote * (Ontario, CA, USA)

Jul 02, 2022

Quality Audit Professional 2 (Grievance & Appeals) -(FULLY BILINGUAL English/Spanish) Remote, anywhe

**Description**The Quality (Non-Calls) Professional 2 ensures that products meet specific Centers for Medicaid and Medicare Services standards of quality. The Quality (Non-Calls) Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.**Responsibilities**The Quality Audit Professional 2 audits quality of letter, keyed entries from billing and enrollment data.+ **Must be bilingual English/Spanish with ability to speak read and write in both languages without limitations or assistance.**+ Analyze Grievance/Appeals case information to ensure compliance of all CMS regulations and contractual guidelines.+ Responsible for the review of written communication provided to members+ Reviews case documentation to assess appropriate system entries have been thoroughly completed to mitigate risk associated with external audit reviews.+ Responsible for driving accuracy and quality assurance, compliance to...

Humana Remote * (Brentwood, CA 94513, USA)

Jul 02, 2022

Application Administrator - REMOTE POSITION

Description: The Application Administrator will be expected to provide technical expertise to support delivery and maintenance of IT solutions to meet the business needs of the organization. Must have the ability to evaluate IT infrastructure and application solutions and make recommendations for supporting applications. Demonstrate skills for basic monitoring, configuration, and maintenance of the business core systems. Requirements: Duties and Responsibilities: 1. Provide technical expertise and manage the set-up and configuration of core business applications. 2. Maintain, and troubleshoot core business applications including associated databases. 3. Position interacts with all levels of employees, including executives, vendors, involved in performance, maintenance, review, approval, testing and communication of business plans and services. 4. Develop and implement maintenance procedures, monitor systems health, gather system statistics, and troubleshoot reported errors...

First Mutual Holding Remote * (Lakewood, CA, USA)

Jul 02, 2022

Small Business Account Executive - Telecommute in CA

UnitedHealthcare is a company that's on the rise. We're expanding in multiple directions, across borders and, most of all, in the way we think. Here, innovation isn't about another gadget, it's about transforming the health care industry. Ready to make a difference? Make yourself at home with us and start doing **your life's best work.(sm)**The primary duty of the Small Business Account Executive is to promote sales of health care products to small business (2-99 employees) customers, through brokers. This includes educating and keeping brokers up to date on UHC products and pricing; evaluating and discussing with brokers how UHC products meet the needs of the broker's customers; independently developing and delivering recommendations to brokers on which products to market against competing products; assisting brokers in developing sales proposals, including anticipating competing products and distinguishing UHC's products from those competing products.You'll enjoy the flexibility...

UnitedHealth Group Remote * (San Diego, CA, USA)

Jul 02, 2022

MDS/Collections Analyst Lead (Remote Work available)

Purpose of Job We are seeking a talented MDS/Collections Analyst (Remote Work available) for either our San Antonio, TX, Plano, TX or Phoenix, AZ facility. This person may also work remotely in a 100% Remote Work Environment. Provides risk management support for a line of business or staff agency in key risk identification, measurement, monitoring, control and reporting, and the understanding and management of risk through appropriate practices and processes. Assess and oversee enterprise and business exposures including key and emerging risks. Monitors the risk and control environment and provides effective challenge to internal and external stakeholders to ensure that exposures are kept at acceptable levels. Escalates and reports risks to the appropriate governance bodies. Leads and executes complex initiatives and cross functional teams within the Chief Risk Office and across the Enterprise that drive problem resolution. Leverages broad enterprise knowledge and/or expert...

USAA Remote * (Universal City, CA, USA)

Jul 02, 2022

Compliance Risk Manager Lead - Bank (Remote Optional)

Purpose of Job About USAA USAA knows what it means to serve. We facilitate the financial security of millions of U.S. military members and their families. This singular mission requires a dedication to innovative thinking at every level. We are seeking an experienced Compliance Risk Manager Lead-Bank for either our San Antonio, TX, Plano, TX, Phoenix, AZ, Tampa, FL, Colorado Springs, CO or Charlotte, NC facility. This person may also work remotely in a 100% Remote Work Environment. Occasional travel will be required to USAA facility for training and/or meetings. Provides second-line independent oversight and guidance regarding compliance monitoring of business products, services, and processes to ensure they are carried out in accordance with regulatory requirements. In partnership with the business and key partners, continuously drives a strong culture of compliance and demonstrates integrity and professional judgment in protecting the interests of USAA and its members. Job...

USAA Remote * (Universal City, CA, USA)

AFICS American Family Insurance Claims Services

Jul 02, 2022

Commercial Property Claim Manager (open to remote)

At American Family Insurance Claims Services, Inc. we believe people are an organization s most valuable asset, and their ideas and experiences matter. From our CEO to our agency force, we re committed to growing a diverse and inclusive culture that empowers innovation that will inspire, protect, and restore our customers dreams in ways never imagined. American Family Insurance Claims Services, Inc is driven by our customers and employees. That s why we provide more than just a job we provide opportunity. Whether you re already part of our team in search of a new challenge or new to our company and ready for what s next, you re in the right place. Every dream is a journey that starts with a single step. Start your journey right here. Join our team. Bring your dreams. Job ID: R28940 Commercial Property Claim Manager (open to remote) (Open) Compensation may vary based on the job level and your geographic work location. Compensation Minimum:$78,400...

AFICS American Family Insurance Claims Services Remote * (McFarland, CA 93250, USA)

Jul 02, 2022

Customer Experience Agent (Work From Home)

[Customer Service / Remote] - Anywhere in U.S. / $18 per hour / Medical, Dental & Vision / Employee discount - As a Customer Experience Agent you'll: Respond to guest messages promptly and personally, with the goal of establishing an open, welcoming relationship; Interact with guests via phone, email, and chat; Provide knowledgeable and accurate information regarding AvantStay properties and policies; Support field operation teams in maintaining a consistent guest experience; Keep relevant systems updated with customer information and property details...Hiring Fast >>

AvantStay Remote * (Redondo Beach, CA, USA)

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