Jobs in Buena Park

The Opportunity:

The Account Executive, Prestige, Orange County is a key partner within their territory, consistently meeting and exceeding seasonal sales goals across major retailers. This role is about more than just driving numbers- it’s about building strong, lasting relationships and identifying opportunities to grow the business in thoughtful, strategic ways. You’ll work closely with store teams, internal partners, and retail staff, bringing strong product knowledge, clear communication, and a collaborative mindset. With natural energy and enthusiasm for the work, you’ll help ensure Puig Prestige brands (Carolina Herrera, Rabanne, and Jean Paul Gaultier) are represented with purpose and impact, motivating teams and elevating the customer experience.

What You’ll Get to Do:

Sales & Strategy:

• Lead your territory by developing and executing thoughtful sales strategies that not only meet but exceed financial targets across key accounts
• Regularly analyze sales trends and customer behavior to uncover actionable insights and drive sustained business growth
• Oversee performance across doors by ensuring each location has the right mix of staffing, merchandising, and activations to reach full potential
• Manage budgets and allocate spend strategically for each account, ensuring alignment with Puig’s financial and operational guidelines
• Build momentum at retail through in-store events and tailored promotions that excite both teams and customers

Education & Team Development:

• Design and implement local training initiatives in partnership with the Education team that support both sales goals and brand standards
• Provide hands-on coaching to Beauty Advisors and Makeup Artists, helping them build product knowledge, selling confidence, and customer connection
• Motivate teams by fostering accountability, recognizing strong performance, and leading through brand storytelling and example

Relationship Building & Retail Partnerships:

• Serve as a key point of contact and trusted partner for store managers, corporate retail stakeholders, and internal cross-functional teams
• Collaborate closely with Visual Merchandising and Store Design to ensure brand presentation is impactful, consistent, and aligned with current campaigns
• Proactively identify and address business needs, from promotional planning to team resourcing, to keep performance on track
• Lead recruiting, onboarding, and development of in-store talent to strengthen retail teams, improve rankings, and grow Puig’s brand presence

We’d love to meet you if you have:

• 5+ years of sales experience in beauty, fashion, or luxury retail, including ownership of key accounts
• Proven success developing and executing sales strategies across major retail partners
• Strong knowledge of fragrance and makeup categories, paired with compelling brand storytelling skills
• A track record of exceeding sales targets and driving measurable growth
• Experience leading in-store teams, delivering impactful trainings, and developing talent
• Solid business acumen, including comfort with data analysis, budgeting, and planning
• Clear communication and strong project management skills, with a collaborative approach
• Natural leadership ability- you coach, influence, and inspire retail partners to perform at their best
• High emotional intelligence and professionalism, with the ability to build lasting relationships
• A genuine passion for luxury beauty and delivering elevated retail experiences
• Flexibility to work weekends and key holidays as needed
• Proficiency in Microsoft Office (Excel and PowerPoint)
• A valid driver’s license, reliable transportation, and willingness to travel up to 75% including overnight travel

Compensation:

As required by California State’s salary transparency law, effective November 2022, the expected base salary for this position ranges from $110,000.00 - $115,000.00. Various factors are considered when extending offers, such as relevant skillset, training, years of experience related to the current job description, education, and our organizational structure. In addition to the base salary, PUIG offers a competitive benefits package that includes health and dental insurance, life insurance, disability insurance, 401K, paid holidays, a generous paid time-off policy, hybrid work environment, and career opportunities within a dynamic team.

EEOC:

Puig is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity, sexual orientation, national origin, ethnicity, age, disability, marital status, veteran status, or any other characteristic protected by law.

Diversity, Equity, and Inclusion Commitment:

At Puig, we are continually looking for enthusiastic and committed individuals from a broad range of backgrounds and experiences to join our team.We believe that creating an inclusive environment in which you feel welcomed, valued, engaged, and empowered strengthens our business and fosters a culture where we are inspired to work hard, challenge ourselves, and be innovative in our thinking. Additionally, we believe that the diversity of our employees makes us a stronger company and better able to serve our customers around the world.

About Puig:

Puig creates unique and highly desirable beauty and fashion brands that empower people to reinforce their self-esteem and find their own expression in a family-owned company that aims to leave a better world for the next generation.

Our brand portfolio is structured in three divisions: Beauty and Fashion, with the owned brands Carolina Herrera, Nina Ricci, Paco Rabanne, Jean Paul Gaultier, Dries Van Noten, Penhaligon’s, Byredo, Dr. Barbara Sturm, and L’Artisan Parfumeur; the licenses of Christian Louboutin and Comme des Garçons perfumes; and Lifestyle fragrances, among them Adolfo Dominguez, Antonio Banderas, Shakira, and Benetton. The Charlotte Tilbury division, which includes the luxury makeup brand and the Derma division, with the Apivita, Uriage and Isdin brands. We sell products in 150 countries and operate 26 subsidiaries.

At Puig we honor the values and principles put in place by three generations of family leadership. Today we continue to build on that legacy, through conscious commitments in our ESG agenda (environmental, social, and governance) aligned with the UN Sustainable Development Goals.

SUMMARY: The Contract Coordinator is responsible for assisting the Contracting and Legal Department for the coordination and review of all contracts. The Contract Coordinator is also responsible for implementing, organizing, and maintaining contract related documents. This is a collaborative role requiring critical thinking skills, independence, a strategic mindset, and attention to detail.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.

• Manage and maintain Astiva’s contracts, including all day-to-day data entry, permissions/access and reporting, in an efficient, accurate and exceptionally organized manner.
• Review a wide range of commercial contracts and distill key pieces of data (e.g., expiration date and type, restrictive provisions, and assignability).
• Understand the contracting process, policies and procedures, requirements, fee schedule, including contracting support for ancillary services contracts, contract implementation and other duties as required.
• Manage reporting process for communicating and tracking contract expirations/renewals and additional reporting obligations to all areas of the business.
• Serve as liaison between the Contracting/Legal Department and other departments including, fielding and responding to various requests from the business and external parties.
• Manage electronic signature processes and contract workflows for the Contracting/Legal Department.
• Assist in developing the direct network of providers.
• Make recommendations to department leadership for improvement of any and all procedures and systems at Astiva Health.
• Other duties may be assigned.

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily, including regular and consistent attendance. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION and/or EXPERIENCE:

• Bachelor’s degree from an accredited college or university with a focus on Business Administration, Healthcare Administration or Finance or equivalent combination of education and experience.
• Be able to work effectively with all levels of employees and management.
• Excellent written and verbal communication skills with experience presenting to various audiences.
• Have a practical, business-oriented approach to problem-solving and be able to effectively work with teams to meet business needs.
• Able to manage multiple priorities in a fast-paced environment.

Preferred but not required

• Minimum of one (1) year of experience in Medical Group/IPA, Managed Care, and HMO.
• Minimum of one (1) year of experience in provider network development and/or provider network management capacity, account management, or provider relations experience in a managed care organization.
• In-depth knowledge of contracting, reimbursement, credentialing, and operations, and must be proficient with MS Office Suite and other database software.
• Knowledge of Medicare regulations, NCQA, HIPPA compliance

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Catered lunches

SCPMG is a physician-led partnership organization with a patient-centered and evidence-based approach to high quality medicine, is actively seeking Urgent Care Physician to join our clinic in Downey, California.

Schedule: Full-Time

Salary Range: $413,275.00 to $429,419.00

Potential Premium Earnings: $46,944.00

Highlights:

• Flexible Schedules including as little as 3 shifts per week. 8,10, and12 hours shifts available.
• Opportunities for internal moonlighting and premium pay
• 1/2 day paid non clinical education time weekly
• No overnight call
• No panel and no in-box
• A fulfilling practice free from the hassles of running an office that focuses on patient care in a nonprofit setting

Requirements:

• Board Certified or Board Eligible in Family Medicine or Emergency Medicine

Overview:

Competitive Compensation and Benefit Package

The comprehensive benefits and longevity-based compensation package offered by Southern California Permanente Medical Group (SCPMG) enables physicians to focus on what they do best – provide their patients with exceptional care.

• Medical/dental/vision coverage

• Supplemental medical coverage

• Special dependent coverage

• Vacation/holiday/sick/education time and leave (prorated to work schedule)

• Retirement and savings plans

• Relocation package

• Professional liability coverage

• Public Service Loan Forgiveness (PSLF) eligible

Partnership of SCPMG

• Transition to a Partner/Owner of SCPMG

• Eligible after three consecutive years of full-time employment (six consecutive years of part-time employment)

• Increased benefits (e.g., compensation, retirement, life insurance)

• Voting rights on organizational decisions

About the area

The city of Downey is rooted in culture, history, and community. As one of Los Angeles' gateway cities between Los Angeles and Orange Counties and bordered by multiple major freeways, residents enjoy Downey's quiet, family-friendly environment as well as convenient access to attractions and social scenes in both counties.

Working here

Infused with a spirit of teamwork and collaboration, SCPMG Downey has a strong culture of safety—emphasizing both patient safety as well as caregivers’ ability to raise concerns and have a voice. Our leadership is dedicated to accessibility and a flat hierarchy, building trust between physicians and ancillary staff. There is a significant focus on innovation—Downey was the region’s first medical center to perform same-day total joint surgery—and on efficiency, improving workflows across the medical center and ancillary offices. At the same time, wellness—both physical and mental—is emphasized, with regular opportunities to dine out, socialize, and exercise together. With a high level of tertiary care, one of the region’s largest NICU’s, and an OB and anesthesia staff comprised of full physicians, Downey delivers exemplary service to its diverse, high-risk-profile patient population.

Equal Employment Opportunity

External hires must pass a background check/drug screen. Qualified applicants with arrest and/or conviction records will be considered for employment in a manner consistent with Federal, state and local laws, including but not limited to the San Francisco Fair Chance Ordinance. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran, or disability status.

Job: Pediatrician & Pediatrics Supervisor

Pay: $240,000.00 - $283,875.00 per year

Job description:

We are seeking a compassionate, engaging Pediatrician and Pediatrics Supervisor to join our primary care clinics on a full-time basis. You are likely to be a good fit for this role if you have a passion for increasing health care access and outcomes for underserved communities.

This role requires a confident pediatrician to serve as a direct patient care pediatrician and supervisor for our pediatric team (currently includes 1 pediatrician and 2 nurse practitioners).

Key Responsibilities & Details:

• Committed to providing high-quality care to underserved patients in central Orange County, California.
• Delivery high-quality pediatric care, including Well-Baby/Child Checks and Sick Visits primarily in Orange and Anaheim, California.
• This position reports to our Chief Medical Officer and leads our pediatric team.
• St. Jude Neighborhood Health utilizes EPIC for our Electronic Medical Records (EMR) system.
• Ambulatory (outpatient) care environment
• Daytime work schedule, with after-hours call for critical labs. Requires working in-clinic one Saturday per month (Saturday is swapped for a weekday).
• Preferably bilingual (English/Spanish).

Who We Are.

We are a collaborative community practice, with locations in Fullerton, Anaheim, Orange, and San Bernadino County's High Desert. We believe that everyone should have access to high quality comprehensive medical care, regardless of their ability to pay. Our health centers use a team-based model of care that includes family medicine, obstetrics, women’s health, oral and vision care, preventative and educational health, mental health, patient advocacy, case management, and community health. Most of our patients live below 200% of the Federal Poverty Level and are best served in Spanish. Through our origins with Providence St. Joseph Health, we have provided care to low-income families since the 1980s, maintaining a commitment to serving our most vulnerable neighbors with high-quality, nationally recognized care. Our work is rooted in our values of Justice, Excellence, Dignity, and Compassion.

Your Working Environment & Team.

Clinic hours are Monday through Saturday, 8AM – 5PM. You would be joining a team of family physicians, nurse practitioners, RNs, pediatricians, OB-GYNs, dentists, specialists (optometrist, podiatrist, infectious disease), licensed clinical social workers, mental health professionals, case managers, health educators, and promotoras. This position is assigned to two locations; these locations are approximately 5 miles apart (Orange location is near to St. Joseph Hospital / Anaheim location is near the Ponderosa Park neighborhood).

You'd be a great fit here if the following applies to you:

• You are mission-centered – you are committed to improving the health of underserved individuals
• You are patient-centered – you exhibit warmth, friendliness, calm, and take initiative to solve problems
• You treat others with dignity and respect
• You have a high regard for ethical practices, care, and patience
• You are collaborative, adaptive, and diligent
• You know the balance of being light-hearted, professional, and can prioritize competing tasks
• You can use computers (Microsoft Word, Excel, Outlook) and are open to learning what you do not know
• You are reliable
• You strive toward excellence

About the position:

The position requires a general, broad-scope Pediatrician, that will care for children of all ages (Birth to 18) and perform office-based procedures. The provider will partner with our CMO, COO, and Medical Services Manager to develop and achieve a robust pediatric practice across our growing organization that has an established reputation for delivering high quality, culturally sensitive patient care. Our ideal candidate will be interested and excited to work collaboratively with Family physicians, OB/GYN physicians, nurse practitioners, dentists and clinical social workers. Position expectations:

• Provide direct preventive and acute patient care, within approved scope of practice, to children from birth through adolescence, from all backgrounds and with diverse medical conditions.
• Ensure timely and complete documentation of patient care, review and act upon reports, results and electronic tasks. Submit correct billing codes for each patient encounter.
• Lead the development, maintenance and implementation of standardized pediatric procedures, scope of care, pediatric clinical policies and new pediatric clinical initiatives and services ensuring a high-quality, safe patient care.
• Supervise, develop and hold accountable pediatric providers.
• Build and maintain a robust pediatric practice that is both productive and a quality leader.
• Complies with regulatory agencies and third-party payor sources (for example: Child Health Disability Program (CHDP), Medi-Cal/Comprehensive Perinatal Services Program (CPSP), NCQA-PCMH, and DHCS).
• Using a team-based model of care, collaborates with and support other providers and caregivers in the wide network to effectively improve the overall health of our communities.

Salary: $240,000.00 - $283,875 yearly, based on a 5-Day Work Week

Professional Development & Continuing Education

• Professional Development Days
• Reimbursement for CME costs

Paid Time Off:

• Approximately 3 weeks based on a 5-day work week

Healthcare & Childcare Benefits: available first of the month following start date

• Medical (BlueShield Trio HMO & PPO)
• Dental (Guardian)
• Vision (Guardian)
• FSA - Pre-tax benefit for health care expenses
• FSA Dependent Care - Pre-tax benefit to put toward childcare or other dependent expenses
• Mental Health - Employee Assistance Program & access to meditation resources through Calm

Financial Wellness - Retirement & Investment:

• 401(k) (Vanguard) - eligible first of the month following 30 days, with company match after 1 year of service.
• Profit-sharing

Other Benefits:

• Pet Insurance
• Student Loan Forgiveness through National Health Service Corps (If applicable.)

Requirements:

Education: Doctorate in Medicine from accredited institution

License / Certifications:

• California State MD/DO license in good standing (Preferred)
• Board Certified Pediatrician
• DEA Certified
• DEA License (Preferred)
• Provider level basic life support (BLS) from AHA approved program

Experience:

• Pediatric: 3 years (Preferred)
• Leadership: 2 years (Preferred)
• Experience providing direct patient care, preferably in an outpatient or community-based setting preferred.
• Experience supervising medical providers preferred.

Training:

• Completion of an accredited residency program in Pediatrics.

Knowledge/Skills/Abilities:

• Proficiency in EMR Systems, with EPIC experience preferred
• Demonstrated ability to read, write and speak English fluently
• Willingness to use a translator or translation services to best serve patient treatment needs
• Proficient in computer programs and systems, including email, internet, and Microsoft Office suite
• Expertise in applying evidence-based medicine to treat and diagnosis. Demonstrated ability in applying methods of scientific inquiry and exercising clinical judgment in challenging situations.
• Exemplar communication and leadership skills, including active listening, taking initiative, following guidance, and setting examples for excellent care of patients.
• Commitment to continuous learning and professional development, remaining current on medical practices and professional credentialing and licensure necessary for continuous employment with St. Jude Neighborhood Health Centers.
• Ability to interface effectively with all caregivers across all levels and departments.
• Demonstrated commitment to interpersonal and cultural sensitivity, valuing diversity, equity, inclusion and belonging, promoting high quality care to diverse populations.
• Demonstrates the ability to read, write and speak English and Spanish without an interpreter, preferred.

St. Jude Neighborhood Health Centers is an equal opportunity employer. We are committed to developing a diverse workforce and cultivating an inclusive environment. We value diversity and believe that we are strengthened by the differences in our experiences, thinking, culture, and background. We strongly encourage applications from candidates who demonstrate that they can contribute to this goal. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, disability status or any protected basis.

St. Jude Neighborhood Health Centers follows the Religious and Ethical Directives for Catholic Healthcare. We do not participate in activities that would end or diminish life. We do not provide non-medically indicated contraception, abortions, or assist in life-ending procedures.

Benefits Summary:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Health savings account
• Malpractice insurance
• Paid time off
• Professional development assistance
• Retirement plan
• Vision insurance

Application Question(s):

• Are you currently Board Certified in Pediatrics?

Work Location: In person

Job Title: Quality Improvement Coordinator

Target Compensation Range: $23.00-$25.00/hour, depending on relevant qualifications and experience

About Us:

Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

Summary:

The Quality Improvement Coordinator will be responsible for coordinating and implementing quality improvement initiatives related to HEDIS measures and risk adjustments/HCC. This individual will work with internal and external stakeholders to ensure compliance with HEDIS specifications, data collection, reporting, and improvement strategies.

ESSENTIAL DUTIES AND RESPONSIBILITIES: include the following. Other duties may be assigned.

• Regular and consistent attendance. In office attendance is requested 5 days a week.
• Coordinate and partner with IPA/MSO delegates for HEDIS and risk adjustment data reporting
• Identify gaps and opportunities for improvement
• Collaborate with internal departments to review and implement projects and interventions to improve delivery of services and quality of care.
• Assist with audits and reviews to ensure data accuracy and validity
• Review and summarize collected data with trend analysis for additional provider educational opportunities.
• Attend health plan meetings as requested by department leadership.
• Stay updated on HEDIS and risk adjustment specifications, guidelines, and industry trends

EDUATION and/or EXPERIENCE:

• 3+ years of quality improvement or healthcare related experience
• Familiarity of HEDIS measures, specifications, and reporting requirements
• Proficient in data analysis, Excel, and quality improvement methodologies
• Excellent communication, presentation, and interpersonal skills
• Ability to work independently and collaboratively in a fast-paced environment.
• Detail-orientated, organized, and problem-solving skills.

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance
• Free lunches on site

URGENT CARE PEDIATRICIANS

Full-Time

CHOC Medical Group (CMG) is seeking dynamic pediatricians for our growing Urgent Care division at Children’s Hospital of Orange County (CHOC), a premier healthcare system based in Southern California. CHOC is exclusively committed to the health and well-being of children through clinical expertise and advocacy to pediatric patients at eight locations and growing!

For Urgent Care we currently have 3 locations in Whittier, Irvine and Orange although we are primarily looking for someone to work, mostly, in Whittier.

The Urgent Care Pediatrician serves the acute care needs of the children and families in our community and provides advanced access to care when the primary care physician for the child is unavailable. This role is a vital component of the CHOC Children’s Primary Care Network and serves to facilitate high quality, efficient care, enhanced communication with primary and specialty physicians, and improved after-hours access to pediatric-specific care.

Minimum Requirements: Current California Medical License, DEA Registration, PALS, BLS, Board Certified or eligible in Pediatrics. Prefer 3 years of clinical pediatric care experience. Recent Residency Graduates are encouraged to apply.

Compensation:

Full & Part Time* Salary Based on Experience: Min: $187,250.00 Max: $233,800.00

These positions are eligible for an annual incentive bonus of 10%

Position Summary

The Area Manager is responsible for the operations and performance of multiple clinics within a defined region (typically 2–5 locations). This role ensures each clinic delivers high-quality patient care, achieves financial and operational goals, and maintains a positive work culture. The Area Manager provides leadership to Clinic Managers, partners with other functional teams, and serves as the key liaison between field operations and corporate/clinic leadership.

Schedule: Monday through Friday, with flexibility based on operational needs

Compensation: Starting compensation range is $95,000.00-$105,000.00 annually. Exact compensation may vary based on skills, experience, and location.

*Must be flexible to travel to Santa Fe Springs and La Mirada.

Responsibilities

• Oversee daily operations of multiple clinics to ensure service quality, compliance, and patient satisfaction.
• Provide leadership, coaching, and performance management to Clinic Managers and staff.
• Partner with Medical Directors to ensure quality of care and compliance with regulatory requirements.
• Monitor operational performance, staffing levels, productivity, and patient volume across assigned clinics.
• Manage budgets, financial performance, and operational efficiency at each site.
• Oversee inventory management at assigned clinics, including supplies, durable medical equipment (DME), and in-house medication dispensing.
• Ensure consistency of workflows, processes, and policies across assigned clinics.
• Resolve escalated patient, client, or staff issues while maintaining professionalism and confidentiality.
• Support recruiting, onboarding, and development of clinic staff to foster a strong talent pipeline.
• Collaborate with sales/marketing to support growth initiatives and referral relationships.
• Maintain effective communication with employers, payors, and referral sources to ensure timely updates, issue resolution, and strong client relationships.
• Monitor employer account entry into the system and ensure new accounts are set up within 24 hours.
• Drive employee engagement, patient satisfaction, and client retention within the assigned region.
• Track performance metrics (financial, quality, patient experience, compliance, etc.) and provide regular reporting to leadership.
• Run reports to ensure claims on hold and unprocessed claims are addressed in a timely manner.
• Participate in regional and corporate planning sessions; recommend improvements in processes, staffing, or facilities.
• Ensure all clinics comply with federal, state, and local laws, as well as payor and accreditation requirements.
• Travel regularly between clinics to provide direct oversight and support.
• Performs other job-related duties as assigned.

• Bachelor’s degree in Healthcare Administration, Business, or related field preferred.
• Clinical certification (RN, LVN, Medical Assistant, X-Ray Tech) a plus but not required.
• Valid driver’s license and ability to travel between clinics up to 50%.

Benefits

• Comprehensive benefits package, including medical, dental, vision, life, and disability insurance
• 401(k) plan with employer match
• Paid time off and company-paid holidays
• Excellent work-life balance with no required nights, weekends, or holidays
• Training provided to enhance occupational medicine knowledge and skills

Why You Should Join Our Team

Agile Occupational Medicine is a leading occupational medicine group with a network of 4 centers dedicated to providing comprehensive healthcare services to businesses and their employees across California and Yuma, Arizona. We specialize in ensuring the health and well-being of workers through a range of medical services, including injury care (workers’ compensation), physical examinations (employer services), and commercial (urgent care).

We are a rapidly growing company with a fun and collaborative work environment. We are passionate about disrupting the world of occupational medicine, and we are committed to providing our customers and patients with the best possible experience. We offer our employees competitive salaries, commission, and benefits, and we give them the opportunity to make a real impact on the business.

Agile Occupational Medicine is an Equal Opportunity Employer. Agile does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided upon qualifications, merit, and business need

Please find below the details:

Position: Registered Nurse/RN

Department: BHI - BH Utilization Management

Location: Onsite – Orange, CA 92868

Duration: 6 months (Possibilities of extensions/conversion)

Shift: Day 5x8-Hour (40-hours)

Schedule : Monday to Friday, 7:00 a.m. - 3:30 p.m

Work Arrangement: Full Office

Position Summary:

This role focuses primarily on Utilization Management Services (85%), with additional administrative and project responsibilities. The Medical Case Manager will review medical requests for appropriateness and medical necessity using established clinical protocols while ensuring compliance, accuracy, and timely communication.

Key Responsibilities:

Utilization Management (85%)

• Review requests for medical necessity using established clinical guidelines.
• Screen inpatient and outpatient cases for Medical Director review.
• Gather pertinent medical documentation and communicate determinations.
• Mail rendered decision notifications to providers and members.
• Document all activity in the utilization management system.
• Complete authorization updates and required data entry.
• Review ICD-10, CPT-4, and HCPCS codes for accuracy and coverage.
• Participate in Transition Care Management (TCM) activities.
• Identify and report complaints or utilization concerns.
• Collaborate with internal teams to support departmental goals.

Administrative Support (10%)

• Assist with staff training needs.
• Maintain current data resources.
• Comply with tracking and reporting protocols.

Other Duties (5%)

• Complete additional projects and assignments as needed.

Minimum Qualifications:

• Current unrestricted California license (LCSW, LPCC, LMFT, or RN).
• Minimum 3 years of clinical experience.
• Utilization Management reviewer experience required.
• Equivalent combination of education and experience may be considered.

Preferred Qualifications:

• Managed care experience.
• Behavioral health clinical experience.

Required Skills & Abilities:

• Strong clinical judgment and independent decision-making skills.
• Excellent verbal and written communication skills.
• Ability to work in a fast-paced environment and manage multiple priorities.
• Analytical and problem-solving skills.
• Proficiency in Microsoft Office (Word, Excel, Outlook, PowerPoint) and relevant systems.
• Ability to build rapport with diverse internal and external stakeholders.

About Us: Astiva Health, Inc., located in Orange, CA is a premier healthcare provider specializing in Medicare and HMO services. With a focus on delivering comprehensive care tailored to the needs of our diverse community, we prioritize accessibility, affordability, and quality in all aspects of our services. Join us in our mission to transform healthcare delivery and make a meaningful difference in the lives of our members.

SUMMARY: The Junior Quality Improvement Coder is responsible for providing director support to all departmental QI initiatives. In this role, the Junior QI Coder will partner with the Director to collaborate with network providers and IPA’s to improve the quality of care through quality improvement activities that will include RAF, HEDIS, CMS Star Ratings and other health plan reporting.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following:

• Analyze data from contracted IPA network providers that allows for proper review of data to evaluate HEDIS and Risk Adjustment Factor.
• Conduct internal reviews of documentation and billing on a timely basis.
• Identify coding and billing risk areas, conduct focused reviews. Ensure accurate coding by utilizing official coding resources, Medicare manual and policies.
• Collaborate and educate provider practices on CMS guidelines for Star Measures (Part C & D). Review and advise on appropriate documentation and coding for HEDIS and RAF reporting.
• Prepare summary reporting of the coding review results as requested.
• Participate in ongoing discussions concerning data collection and analysis for HEDIS gaps in care. Re-educate providers as needed.
• Apply official CPT/HCPCS and ICD10 coding guidelines, internal guidelines, and state specific Medicare/Medicaid coding instructions to review and analyze professionally coded services and coding queries.
• Collaborate with internal departments and external partners to review and implement projects to improve delivery of services and quality of care.
• Participate in provider and interdepartmental conference calls and meetings that support exceptional customer service.
• Attend health plan meetings as requested by department leadership.
• Regular and consistent attendance.
• Other duties as assigned.

EDUCATION and/or EXPERIENCE:

• 0 - 1 year of prior experience as a coder in a quality improvement role within a health plan, IPA or medical group.
• Certified Coding certificate required.
• Strong understanding of coding principals including, HEDIS, Medicare Star ratings and Risk Adjustment.
• Strong understanding of the principals of HIPAA and able to maintain confidentiality.
• Able to build rapport with external providers and partners and internal teams.
• Professionally present data and findings that support internal goals and objectives.

BENEFITS:

• 401(k)
• Dental Insurance
• Health Insurance
• Life Insurance
• Vision Insurance
• Paid Time Off
• Free catered lunches

At Makita USA, we believe our employees are the driving force behind our success. That’s why we offer a competitive and comprehensive benefits package to support your health, financial well-being, and professional growth. When you join Makita, you become part of a dynamic, innovative, and team-oriented culture that values hard work and dedication.

Makita is a worldwide leader in the professional power tool industry. Over the past 100 years, we have built a reputation for using the finest raw materials, the most advanced manufacturing equipment, and the most rigorous quality testing in the industry. Headquartered in La Mirada, CA, Makita U.S.A., with offices in Reno, NV, Wilmer, TX, and Flowery Branch, GA, has brought Makita's best-in-class engineering advantage to professional power tool users in America since 1970.

Salary $85,000 - $100,000 annually

Job Summary

Makita is the innovation leader in power tools, equipment, and accessories – so join the team at our U.S.A. headquarters in Southern California and help us make the Makita Advantage come alive at trade shows and events across the U.S.A.

As the Trade Show Manager, you will take a leading role in planning, coordinating, and executing trade shows and events to reach our target audiences, including pro-contractors, hardware dealers/distributors, and the media. You will help communicate the Makita Advantage to these audiences by creating and executing event plans that include compelling signage and graphics, hands-on product demonstrations, dynamic display structures, efficient lighting, effective lead collection, and more.

Areas of focus will range from budget and calendar planning to asset co-design and sourcing, inventory management, and hands-on activity, including booth set-up and on-site management at select events.

Across categories, Makita products have leading power and performance but with lower noise, less vibration, reduced weight, and superior ergonomics. This combination of performance and comfort is unique in the category, giving users of all types – from pro contractors to DIYers – a complete solution that helps get work done faster and more efficiently. Join our team and be a part of this exciting innovation story.

Essential Job Duties

• Work with the senior communications manager as well as product management, channel marketing, brand marketing, operations, and senior management on a full range of trade show activities. This will include live trade shows in major convention venues.
• Build the annual Makita U.S.A. trade show calendar and budget.
• Work with our off-site logistics partner to manage and track asset inventory and display tool inventory for use at trade shows. This includes inspection and inventory reconciliation as well as routine maintenance and repairs.
• Collaborate with in-house marketing staff and vendors to build booth assets, including structures and signage.
• Work with the in-house product management team (and occasionally outside vendors) to create demonstrations of key Makita products.
• Create effective lead collection tactics at trade shows.
• Coordinate show orders and shipping for select events.
• Coordinate on-site details for select events, including shipping and receiving, staffing, and set-up.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

Skills Required

• Familiarity with best practices in trade show booth construction, including lighting and graphics.
• Basic inventory management of trade show assets.
• Building and managing a budget.
• Post-event actions, including reviewing and approving show invoices.
• Strong ability to proactively coordinate numerous projects while maintaining follow-up and follow-through skills.
• Strong attention to detail.
• Ability to calculate figures and amounts such as discounts, percentages, and area. .
• Ability to read, analyze, and interpret general business periodicals, technical procedures, or trade show regulations.
• Ability to write reports, business correspondence, and procedure manuals (e.g., booth set-up instructions).
• Ability to effectively present information and respond to questions from groups of managers and vendors.
• Ability to learn: Obtain knowledge and understanding of our power tools, competition, target professional users, the product applications, and the types of dealers that support the users.
• Presentation skills: Organize information and present to both internal and external audiences.
• The ability to work under pressure and with constantly changing priorities
• Experience in executing a trade show booth “from the ground up”, including arranging shipping and on-site booth set-up, as well as ordering and tracking on-site show services.

Supervisory Responsibility

This position does not have supervisory responsibilities.

Work Environment

This position is based full-time in the Makita U.S.A. Home Office in La Mirada, CA.

EVENTS: This position will include indoor and outdoor events. The work environmental characteristics for these events include the following:

• The employee may be exposed to moving mechanical parts and outside weather conditions.
• In rare instances, activity goes into the night and proceeds until completion, rain or shine.
• The employee is occasionally exposed to fumes or airborne particles, as well as risk of electrical shock and vibration. Personal protective equipment is provided, and professional labor is on hand to manage advanced electrical applications.
• The noise level in the work environment is usually moderate. At select trade shows, noise levels are similar to a construction job site. Hearing protection is provided.

Education and/or Experience Desired

• Five to ten years of related trade show and event experience in venues including convention halls.
• Experience in executing a trade show booth “from the ground up”, including arranging shipping and on-site booth set-up, as well as ordering and tracking on-site show services.

Travel: The expected travel for this role is up to 15%.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• The employee is regularly required to stand, walk, use hands to handle or feel, reach with hands and arms, and talk or hear. The employee is frequently required to sit and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance.
• The employee must regularly lift and /or move up to 20 pounds, frequently lift and/or move up to 40 pounds, and occasionally lift and/or move up to 50 pounds.
• Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and the ability to adjust focus.
• The employee must be able to safely operate a moving vehicle per our company policy.
• Occasional extended hours are expected to complete assembly or take-down activities on-site during trade shows and events, as well as in the office.

Our Benefits Include:

Health & Wellness

• Medical, Dental, and Vision insurance options after 30 days of employment
• Flexible spending accounts (FSA) & Health Savings Accounts (HSA)
• Employee assistance program (EAP) for mental health and well-being
• Paid subscription to Headspace and 5 other members of your choice

Financial Security

• Competitive pay & performance-based incentives
• 401(k) retirement plan with company match
• Basic Term Life insurance is 100% company paid
• Long-term Disability Coverage 100% company paid
• Disability Coverage
• Voluntary Coverage: Critical illness, accidental, hospital indemnity, whole life, and supplemental life plans.

Work-Life Balance

• Paid time off (vacation, sick leave, and 13 paid holidays)
• Employee discounts on Makita tools and accessories - because we know you love quality tools!

Join Makita USA and power up your career with a company that values innovation, teamwork, and excellence!

Explore Opportunities & Apply Today!

Disclaimer:

This description is based on management's assessment of the requirements and functions of the job as of the date this description was prepared. It is a general guideline for managers and employees, but it does not intend to be an exhaustive list of all of the elements of the job. Management reserves the right to modify the description at any time, or to vary the duties and responsibilities of the job on a temporary or indefinite basis to meet production, scheduling, or staffing needs.

Equal Opportunity Statement:

The Company is an equal opportunity employer and makes employment decisions based on merit. Company policy prohibits discrimination based on race, color, creed, sex, religion, marital status, age, gender, national origin, ancestry, physical disability (including HIV and AIDS), mental disability, veteran status, military service, pregnancy, childbirth or related medical condition, genetic information, medical (including genetic characteristics or cancer diagnosis), actual or perceived sexual orientation, or any consideration protected by federal, state or local laws. All such discrimination is prohibited. Additionally, the Company will provide registered domestic partners with all rights and benefits as required by Law. The Genetic Information Nondiscrimination Act of 2008 (GINA) prohibits employers from requesting or requiring genetic information of an individual or a family member of the individual. The Company is committed to complying with all applicable laws and providing equal employment opportunities.