Jobs in Gotha Orange County Fl Remote
2,592 positions found — Page 134
A
Part-Time Focus Group Participant $300-$750 (multi-session studies)
Salary not disclosed
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Customer Service Representative Agent experience needed.
Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
- $75-$150 (per 1 hour session)
- $300-$750 (multi-session studies)
Job Requirements:
- Show up at least 10 mins before discussion start time.
- Participate by completing written and oral instructions.
- Complete written survey provided for each panel.
- MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
- Must have either a smartphone with working camera or desktop/laptop with webcam
- Must have access to high speed internet connection
- Desire to fully participate in one or several of the above topics
- Ability to read, understand, and follow oral and written instructions.
- Customer service representative agent experience is not necessary.
Job Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed should you choose to work from home remotely.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
temporary
A
Customer Service Representative Agent Work From Home - Part Time Focus Group Panelists
🏢 ApexFocusGroup
Salary not disclosed
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Customer Service Representative Agent experience needed.
Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
- $75-$150 (per 1 hour session)
- $300-$750 (multi-session studies)
Job Requirements:
- Show up at least 10 mins before discussion start time.
- Participate by completing written and oral instructions.
- Complete written survey provided for each panel.
- MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
- Must have either a smartphone with working camera or desktop/laptop with webcam
- Must have access to high speed internet connection
- Desire to fully participate in one or several of the above topics
- Ability to read, understand, and follow oral and written instructions.
- Customer service representative agent experience is not necessary.
Job Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed should you choose to work from home remotely.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
Remote working/work at home options are available for this role.
temporary
A
Part-Time Focus Group Participant - Entertainment
🏢 ApexFocusGroup
Salary not disclosed
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Customer Service Representative Agent experience needed.
Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
- $75-$150 (per 1 hour session)
- $300-$750 (multi-session studies)
Job Requirements:
- Show up at least 10 mins before discussion start time.
- Participate by completing written and oral instructions.
- Complete written survey provided for each panel.
- MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
- Must have either a smartphone with working camera or desktop/laptop with webcam
- Must have access to high speed internet connection
- Desire to fully participate in one or several of the above topics
- Ability to read, understand, and follow oral and written instructions.
- Customer service representative agent experience is not necessary.
Job Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed should you choose to work from home remotely.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
temporary
A
Full-Time Focus Group Participant $300-$750 (multi-session studies)
🏢 ApexFocusGroup
Salary not disclosed
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Customer Service Representative Agent experience needed.
Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
- $75-$150 (per 1 hour session)
- $300-$750 (multi-session studies)
Job Requirements:
- Show up at least 10 mins before discussion start time.
- Participate by completing written and oral instructions.
- Complete written survey provided for each panel.
- MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
- Must have either a smartphone with working camera or desktop/laptop with webcam
- Must have access to high speed internet connection
- Desire to fully participate in one or several of the above topics
- Ability to read, understand, and follow oral and written instructions.
- Customer service representative agent experience is not necessary.
Job Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed should you choose to work from home remotely.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
permanent
A
Entry Level Remote Part Time Focus Group Participant - $300-$750 (multi-session studies)
🏢 ApexFocusGroup
Salary not disclosed
Now accepting applicants for Focus Group studies. Earn up to $750 per week part-time working from home. Must register to see if you qualify. No Customer Service Representative Agent experience needed.
Customer Service Representative Agent Work From Home - Part Time Remote Focus Group Panelists
Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Market Research assignments.
With most of our paid focus group studies, you have the option to participate remotely online or in-person. This is a great way to earn additional income from the comfort of your home.
Compensation:
- $75-$150 (per 1 hour session)
- $300-$750 (multi-session studies)
Job Requirements:
- Show up at least 10 mins before discussion start time.
- Participate by completing written and oral instructions.
- Complete written survey provided for each panel.
- MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date.
Qualifications:
- Must have either a smartphone with working camera or desktop/laptop with webcam
- Must have access to high speed internet connection
- Desire to fully participate in one or several of the above topics
- Ability to read, understand, and follow oral and written instructions.
- Customer service representative agent experience is not necessary.
Job Benefits:
- Flexibility to take part in discussions online or in-person.
- No commute needed should you choose to work from home remotely.
- No minimum hours. You can do this part-time or full-time
- Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
- You get to review and use new products or services before they are released to the public.
You must apply on our website and complete a set of questionnaire to see if you qualify.
This position is perfect for anyone looking for temporary, part-time or full-time work. The hours are flexible and no previous experience is required. If you are a customer service representative agent or someone just looking for a flexible part time remote work from home job, this is a great way to supplement your income.
Remote working/work at home options are available for this role.
temporary
Flexible Pa
Salary not disclosed
Description:
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.
MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.
Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.
Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
~ Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
.
Remote working/work at home options are available for this role.
Located in Hershey, PA, Milton Hershey School (MHS) is a top-notch home and school where over 2,200 pre-K through 12th grade students from disadvantaged backgrounds are provided an extraordinary, cost-free, career-focused education. This is made possible by the generosity of Milton and Catherine Hershey, who established the school in 1909 and ensured it was fully endowed. Thanks to their foresight and generosity, the school has over 12,000 graduates and continues to expand to serve more students.
MHS is hiring married couples to serve as Full-time Flex Houseparents. In this unique and life-changing career, couples reside in on-campus student homes and provide care, guidance, supervision, and support for a group of approximately 8–13 students living in the home. Flex Houseparents play a vital role in creating a structured, family-like environment that fosters students’ academic, emotional, and social development so they can reach their full potential.
Responsibilities include:
Providing daily supervision and mentorship
Managing household routines and student schedules
Administering medications and ensuring student wellness
Driving students to activities, as well as planning and actively engaging in developmental and recreational activities with students
Leading daily devotions and accompanying students to Sunday Chapel
Overseeing budgeting and household reporting
Upon hire, Flex Houseparents initially support various student homes and follow a working schedule of nine consecutive days on duty, followed by three days off. On weekdays, houseparents have unscheduled time while students are in school. Flex Houseparents eventually transition into a Placed Houseparent role, where they live and work with the same group of students in their own student home.
Benefits include:
Salary: $44,768.00 per person (approximately $168,000 total compensation per couple, including free housing, meals while on duty, utilities, and more)
Comprehensive benefits: medical, dental, and vision insurance; health savings and flexible spending accounts; life insurance; disability options; retirement savings
Relocation assistance and paid training provided
~ Paid time off provided at designated times throughout the year
Qualifications:
Qualifications include:
Experience working or volunteering with youth
This is a two-person role for couples legally married for at least two years
Both spouses must be age 27 or older
No more than three dependent children may reside in the student home
Commitment to a smoke-free and weapon-free campus; no alcohol permitted while on duty
Pet limitations: only fish and one dog of approved breeds allowed
Valid U.S. driver’s license and ability to become certified to drive student home vans
Comfort leading students in daily devotions and accompanying them to Judeo-Christian Sunday Chapel services (proselytizing prohibited)
High school diploma or GED required
Ability to lift to 50 lbs.
Demonstrated integrity and professionalism; MHS staff serve as role models for students
This is a unique, challenging, and rewarding career and life choice that requires a high level of commitment to student success from both spouses. For consideration, both spouses must complete individual employment applications. To learn more and apply, visit
.
Remote working/work at home options are available for this role.
Not Specified
H
LMHC (Remote)
🏢 Headway
Salary not disclosed
LMHC (Remote) at Headway summary:
CVWalletExtranet.Domain.Entities.JobShortDescription
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Licensed Mental Health Counselor (LMHC)
Wage: Between $120-$131 an hour
Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.
About you
● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You’re ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.
/"
Keywords:
mental health counseling, licensed counselor, private practice, insurance credentialing, client care, telehealth, therapy, behavioral health, practice management, continuing education
Remote working/work at home options are available for this role.
CVWalletExtranet.Domain.Entities.JobShortDescription
/"
Licensed Mental Health Counselor (LMHC)
Wage: Between $120-$131 an hour
Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.
About you
● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You’re ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.
/"
Keywords:
mental health counseling, licensed counselor, private practice, insurance credentialing, client care, telehealth, therapy, behavioral health, practice management, continuing education
Remote working/work at home options are available for this role.
Not Specified
S
Medical Director - Sharp Health Plan - Hybrid / Remote - Day Shift - Full Time
Salary not disclosed
Hours:
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
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
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
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
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
Powered by SonicJobs (an advertiser on Veritone). By applying, you consent to share your data with SonicJobs and the employer. Veritone or SonicJobs does not store or use your application data beyond facilitating the application.
See Sharp HealthCare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at Category:Healthcare, Keywords:Medical Director, Location:San Diego, CA-92108
Remote working/work at home options are available for this role.
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
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
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
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
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
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See Sharp HealthCare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at Category:Healthcare, Keywords:Medical Director, Location:San Diego, CA-92108
Remote working/work at home options are available for this role.
permanent
H
Licensed Professional Counselor
🏢 Headway
Salary not disclosed
Job Description
"
Licensed Professional Counselor (LPC)
Wage: Between $120-$131 an hour
Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.
About you
● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You’re ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.
"
Remote working/work at home options are available for this role.
"
Licensed Professional Counselor (LPC)
Wage: Between $120-$131 an hour
Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.
About you
● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You’re ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.
"
Remote working/work at home options are available for this role.
Not Specified
QA Automation Engineer II - Jersey City, NJ(Hybrid)
Salary not disclosed
Job Title: QA Automation Engineer II
Location: Jersey City, NJ(Hybrid)
Duration: 9+ Months (Extendable)
("US citizens and Green Card Holders and those authorized to work in the US are encouraged to apply. We are unable to sponsor H1b candidates at this time.”)
A reasonable, good faith estimate of the minimum and maximum hourly rate on W2 for this position is $55 to $67 with limited benefits.
Job Description:
- 7+ years of proven experience in software quality assurance with a strong focus on test automation.
- 2+ years of experience in testing and validating ETL processes and data workflows, including data integrity, transformation validation, and end-to-end data pipeline testing.
- Strong experience with automation frameworks using Selenium WebDriver with Java or C#.
- Hands-on experience in API and web services testing using automation tools such as Apache JMeter and Rest Assured.
- Experience designing, developing, and maintaining automated test suites for UI, API, and integration testing.
- Experience executing and managing automated test scripts within CI/CD pipelines using tools such as Jenkins and Bamboo.
- Ability to integrate automated test execution into continuous integration and continuous delivery workflows to support automated validation during builds and deployments.
- Experience analyzing test results, troubleshooting failures, and improving reliability of automated test frameworks.
- Good understanding of test orchestration, and automated test reporting in CI/CD environments.
- Good to have: Experience testing applications deployed in cloud environments such as Amazon Web Services.
- Strong collaboration skills with development, DevOps, and QA teams to ensure high-quality software delivery.
Remote working/work at home options are available for this role.
Not Specified
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