Jobs in San Mateo Remote

2,642 positions found — Page 127

Payroll Director (Non-Profit)
🏢 Jobot
Salary not disclosed
South San Francisco 2 weeks ago
Take the lead on payroll operations for a mission-driven organization impacting lives across California! This Jobot Job is hosted by: Emily Klopfenstein Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $120,000
- $140,000 per year A bit about us: Our client is a statewide nonprofit dedicated to transforming the lives of children, youth, and families through trauma-informed care, community-based programs, and a culture of compassion.

With a legacy of service and innovation, they’re committed to creating lasting change through collaboration, equity, and purpose-driven leadership.

Why join us? Competitive salary with comprehensive benefits and 403(b) with employer match Hybrid work schedule supporting flexibility and work-life balance Generous PTO: vacation, sick time, paid holidays, diversity days, and birthday leave Exclusive employee perks and wellness programs, including EAP and professional development opportunities Job Details The Payroll Director oversees a team responsible for processing semi-monthly payroll for approximately 1,000 employees in a complex, compliance-driven environment.

This role ensures accurate payroll operations, tax reporting, auditing, and system functionality, while partnering cross-functionally with HR, finance, and organizational leadership.

The ideal candidate brings deep knowledge of California and multi-state payroll laws, is experienced in system implementations, and thrives in high-volume, process improvement-focused settings.

Key Responsibilities Payroll Operations & Compliance Lead accurate and compliant payroll processes within a grant-funded, regulated environment Ensure adherence to all federal, state, and local payroll and tax regulations Approve payroll submissions and deliverables; act as backup for processing when needed Carry out additional payroll-related responsibilities as required Audit & Risk Management Manage audits tied to payroll, retirement plans, government compliance, workers’ compensation, and wage and hour laws Conduct internal audits to validate payroll accuracy, tax filings, accruals, and rate structures Process Improvement & Documentation Develop and maintain standard operating procedures for payroll functions Drive ongoing system and process enhancements to optimize accuracy and efficiency Team Leadership & Cross-Functional Collaboration Supervise, mentor, and support payroll team members to achieve strong performance Foster collaborative partnerships across departments to ensure alignment and accountability Qualifications Bachelor’s degree in accounting, finance, or a related field REQUIRED; Certified Payroll Professional preferred Minimum 5 years of experience in a high-volume, audit-intensive payroll setting Expertise in California and multi-state payroll regulations Proficient in Microsoft Office and enterprise-level payroll/timekeeping systems (UKG preferred) Proven experience with payroll system implementations Strong communication skills for training and cross-functional guidance Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at /legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Frequency varies for text messages.

Message and data rates may apply.

Carriers are not liable for delayed or undelivered messages.

You can reply STOP to cancel and HELP for help.

You can access our privacy policy here: /privacy-policy
Not Specified
Principal Software Engineer
🏢 Jobot
Salary not disclosed
San Mateo 2 weeks ago
Join a Bay Area Company Where Cutting-Edge AI Meets Life-Saving Medicine! This Jobot Job is hosted by: Chris Gorman Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $235,000
- $245,000 per year A bit about us: We are a global leader in AI-driven imaging and care coordination software that empowers clinical teams to accelerate diagnosis, streamline workflows, and improve patient outcomes.

Our cloud-based solutions are trusted by hospitals worldwide, supporting the majority of the Nation's stroke cases and many more across countries around the world.

Why join us? What We Offer: Competitive base pay and overall compensation package Full benefits: Medical, Dental, Vision Generous PTO, vacation, sick, and holidays Life Insurance coverage 401K Job Details Job Details: We are seeking a dynamic and innovative Principal Software Engineer to join our team.

The candidate will play a crucial role in the development and deployment of cutting-edge software solutions for the healthcare industry.

This role requires a unique blend of technical expertise, strategic thinking, and a hands-on approach to problem-solving.

The Principal Software Engineer will be part of a fast-paced, startup environment where they will work on a diverse range of projects, from developing advanced medical devices to implementing AI-driven solutions.

This position offers an exciting opportunity to make a significant impact on the future of healthcare technology.

Responsibilities: Design complex, scalable software systems and architectures.

Evaluate existing architectures and propose improvements.

Ensure technical decisions align with product roadmap.

Plan technical projects and milestone deliverables in alignment with product managers.

Coordinate engineers and their tasks and monitor overall progress.

Design and build impactful technical solutions and own them through the entire development lifecycle.

Develop complex features and components.

Review code and designs developed by other engineers.

Debug difficult issues across the codebase.

Research the latest technologies and propose ways to integrate them to improve the product.

Come up with solutions for technical challenges and improvements.

Provide technical guidance and mentorship to other engineers.

Establish engineering best practices and standards.

Clearly communicate complex technical concepts and designs to both technical and non-technical audiences.

Collaborate cross functionally across product, program management and other teams.

Establish quality standards, design review checklists, code review processes etc.

Monitor system performance and ensure quality goals are met.

Drive continuous improvement.

Qualifications: Bachelor’s Degree or equivalent 15+ years of experience in software development and demonstrated engineering leadership 8+ years of experience in backend development 3+ years in using Typescript and AWS High level of skill in at least one general-purpose backend language and one frontend language, but willingness to work with other languages High level of distributed system design skill Creating platforms, reusable libraries, and utilities wherever applicable Writing high-quality code that is modular, functional, and testable Troubleshoot issues effectively in a distributed architecture Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at /legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Frequency varies for text messages.

Message and data rates may apply.

Carriers are not liable for delayed or undelivered messages.

You can reply STOP to cancel and HELP for help.

You can access our privacy policy here: /privacy-policy
Not Specified
Automotive Service Advisor/Writer/Consultant
Salary not disclosed
San Mateo 2 weeks ago
Stewart Chrysler Dodge Jeep Ramis looking for experienced Service Advisors to join our industry leading service team! Service Advisors / Automotive Service Consultants interpret customer needs for the mechanics.

Start your career with Chrysler today! Job Duties: Serve as the primary point of contact for all automotive service and repair matters.

Understand customers’ problems and arrange for appropriate service.

Prioritize required services, and offer options Set and manage the expectations of the service delivery for both the customers and mechanics.

Continuously keep the customer updated on repair needs and completion times.

Exemplary customer service skills are a must Verifiable customer service performance record required Previous Service Advisor experience a plus ADP or Reynolds and Reynolds experience highly preferred Valid driver's license Start your career as a Service Advisor with Chrysler today.

Apply Now!
Not Specified
Family Law Associate Attorney
🏢 Jobot
Salary not disclosed
San Mateo 2 weeks ago
Family Law Associate Attorney
- Remote Option/Profit-Sharing/401(k) Match! This Jobot Job is hosted by: Jacob Vane Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume.

Salary: $130,000
- $200,000 per year A bit about us: Based near Foster City, we are a Top Ranked Family Law Firm by BCG! Our core values are centered around our people and our clients.

We believe that putting your employees first is not only the right thing to do, but it also gives us the competitive edge to ensure our clients have an excellent experience! Over the years, our reputation for providing our people with the very best has caught the eye of some reputable clients who have chosen to use us as their primary firm to support their family! If you are an experienced Family Law Associate Attorney, then please apply! Why join us? Do you want to work with some of the nation’s best Clients AND enjoy time at home w/ family? We do too! Meaningful Work! Best in Class Firm! Competitive Compensation Package! Complete Benefits Package! Flexible Work Schedules! Accelerated Career Growth! Fun Company Activities! Many More! Job Details Is your background a fit? Apply if you meet this criterion: 2-6+ Years of experience as a Family Law Associate Attorney Juris Doctor Good standing with the CA Bar We can offer you the opportunity to work with State-of-the-Art Clients making a meaningful impact on today's society and the next generation! Help us revolutionize the way companies treat their employees! Join us and enjoy accelerated career growth with exciting life balance at a premium best-in-class organization! Interested in hearing more? Easy Apply now by clicking the "Apply Now" button.

Jobot is an Equal Opportunity Employer.

We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws.

Jobot also prohibits harassment of applicants or employees based on any of these protected categories.

It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions.

Sometimes Jobot is required to perform background checks with your authorization.

Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance.

Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at /legal.

By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners.

Frequency varies for text messages.

Message and data rates may apply.

Carriers are not liable for delayed or undelivered messages.

You can reply STOP to cancel and HELP for help.

You can access our privacy policy here: /privacy-policy
Not Specified
PE/M&A Associate [Mid-level] @ Leading Global Law Firm
Salary not disclosed
San Francisco Bay 2 weeks ago

Overview

Our client is seeking a talented and driven attorneys to join our Corporate and Private Equity / Mergers & Acquisitions (M&A) team. The ideal candidates will have 4–6 years of experience advising corporate clients and private equity sponsors on complex domestic and cross-border transactions.


This is an opportunity to join a dynamic, nationally recognized practice that represents leading private equity firms and strategic buyers across industries. Our team advises on acquisitions, dispositions, leveraged buyouts, rollups, minority investments, “going private” transactions, and other sophisticated corporate matters.


Key Responsibilities

  • Lead and manage all aspects of M&A and private equity transactions, including due diligence, drafting and negotiating definitive and ancillary agreements, and overseeing the transaction process from inception to closing.
  • Advise private equity funds and corporate clients on structuring and executing acquisitions, dispositions, and investments.
  • Manage client relationships and supervise junior associates and staff to ensure smooth deal execution and excellent client service.
  • Coordinate cross-office and cross-practice teams to handle complex transactions efficiently and effectively.
  • Contribute to business development and client outreach initiatives, including cultivating relationships with emerging managers and institutional investors.


Qualifications

  • 4–6 years of experience in M&A and/or private equity transactions from a top-tier law firm.
  • Strong academic credentials from a nationally recognized law school.
  • Demonstrated ability to lead deals and handle significant responsibilities with a high degree of autonomy.
  • Excellent drafting, negotiation, analytical, and communication skills.
  • Entrepreneurial and client-service oriented mindset, with an interest in developing long-term client relationships.
  • Bar admission in at least one U.S. jurisdiction; Must be admitted in the location where you will practice.


Our Practice

Our Corporate and Private Equity department includes attorneys nationwide, focusing on all aspects of private equity and corporate transactional work. We are consistently ranked among the top firms in M&A and private equity league tables (PitchBook, Bloomberg) and represent some of the world’s leading private equity sponsors.


Culture and Career Development

We are proud of our collegial, inclusive, and growth-oriented culture. Our team blends lateral and organically developed talent, fostering mentorship, collaboration, and professional advancement. Associates are entrusted with client-facing responsibilities early in their careers, gaining exposure to top-tier deals and sophisticated clients.


Our firm is regularly recognized for its commitment to diversity, empathy in leadership, and positive workplace culture, including certification as a “Great Place to Work.”


Locations

Associates may sit in New York, Los Angeles, San Francisco, Chicago, Dallas, Pittsburgh, or Charlotte.


About Whistler Partners

Matchmakers, Not Headhunters


Whistler Partners is a boutique matchmaking firm focused on counseling the best and the brightest attorneys over the course of their careers. We believe that the right move comes from working closely with talent to curate their long-term career paths. When it comes to career advice, what matters is not the size of the agency but the strength of your individual recruiter.


We readily admit that we are elite and only work with the best – after all, a little elitism is okay when it comes to your career. Employers love us because we are picky about whom we represent, and attorneys love us because we get them their dream jobs.

Not Specified
Physician / Administration / Oklahoma / Permanent / Medical Director - Medicaid (remote)
🏢 Humana
Salary not disclosed

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims.

The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.


Remote working/work at home options are available for this role.
permanent
Physician / Emergency Medicine / Connecticut / Locum Tenens / Medical Director - Post-Acute Care - Evicore - Remote
Salary not disclosed

Summary:

  • The Medical Director provides timely expert medical review of medical necessity requests for clinical services that do not meet utilization review criteria and renders a clinical opinion about the medical service under review while located in a state or territory of the United States.

Responsibilities include:

  • Provide timely expert medical review of medical necessity requests for clinical services related to post-acute care and render a clinical opinion about the medical service under review, including post-decision reviews.
  • Provide timely and collegial peer-to-peer discussions with treating physicians to clarify clinical information and to explain review outcome decisions.
  • Participate in proactive peer to peers to assist with appropriate and timely discharge planning.
  • Document all actions related to clinical review sessions and attest to review qualifications as required.
  • Conduct weekly Case Conferences with nursing and social worker teams; discussing every assigned member receiving care in a post-acute care facility, focusing on discharge planning, complex medical care management, quality of care, appropriate level of care, and appropriate length of stay.
  • Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications.
  • Support the review of eviCore clinical guidelines.
  • Support and communicate eviCore policies and procedures to the provider community.
  • Testify at ALJ Hearings when your cases are being appealed
  • Assist with staff educational training and in-service programs and serve as a clinical resource for eviCore staff.
  • Serve as a Subject Matter Expert when Medical Directors and/or Senior Medical Directors are unavailable.
  • Available for scheduled weekend call from home based on business needs.
  • Participate in Joint Operating Committee (JOC) meetings, including the collection and review of data relevant to the client, and other virtual events with the provider engagement team in your specified territory.
  • Participate in all required educational and quality improvement activities and maintain passing scores in all assessments.
  • Assist in reviewing case determinations from clients responding to a provider or member complaint
  • Maintain necessary credentials and immediately inform eviCore of any adverse actions relating to medical licenses and/or board certifications
  • Other duties as assigned

Minimum Education, Licensure and Professional Certification requirement:

  • M.D or D.O with active board certification in primary care specialties (Family Medicine, Internal Medicine or Emergency Medicine) OR board certification in Physical Medicine and Rehabilitation required (recognized by the American Board of Medical Specialties or American Osteopathic Association) ?
  • Three (3) or more years of relevant clinical practice post residency/fellowship required
  • Active unrestricted license to practice medicine in a state or territory of the United States as a utilization review Doctor of Medicine or Doctor of Osteopathic Medicine.
  • Knowledge of applicable state and federal laws, URAC and NCQA standards, and utilization management
  • Ability to commit to a set, weekly work schedule (Monday through Friday)
  • Strong computer skills: ability to work autonomously with automated processes, computer applications, and systems
  • Meet physical demands of the role including, but not limited to, typing, speaking, and listening 100% of the time
  • In accordance with our HITECH Security Accreditation, company provided encrypted-workstation is required to be hard-wire connected to a modem or router. Wireless connection is not permitted.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 203,200 - 338,600 USD / yearly, depending on relevant factors, including experience and geographic location.

This role is also anticipated to be eligible to participate in an annual bonus plan.

We want you to be healthy, balanced, and feel secure. That?s why you?ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you?ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group.

About Evernorth Health Services

Evernorth Health Services, a division of The Cigna Group, creates pharmacy, care and benefit solutions to improve health and increase vitality. We relentlessly innovate to make the prediction, prevention and treatment of illness and disease more accessible to millions of people. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: for support. Do not email for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.


Remote working/work at home options are available for this role.
Not Specified
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.
Not Specified
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.
permanent
LMHC (Remote)
🏢 Headway
Salary not disclosed
LMHC (Remote) at Headway summary:

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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.

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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.
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