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As Beauty Lead Advisor, you will drive sales through an authentic passion for beauty and engage clients by identifying their needs with a consultative approach. You will maintain expert knowledge of top beauty brands, execute merchandise sets, replenishment and visual standards according to Sephora at Kohl's standards and ensure an excellent overall client experience.
What You'll Do
- Build strong client loyalty and influence clients by identifying their needs and suggesting products to drive sales, including the opportunity to upsell products
- Develop and expand knowledge of the beauty industry
- Provide credibility to the client through knowledge of products and beauty trends
- Inspire clients through demonstrating products and application of products
- Understand and execute the sales plans to support and meet goals
- Execute and maintain all Sephora visual merchandising and operational standards, including merchandise sets, tester maintenance and department cleanliness and hygiene standards
- Ensure timely and consistent sales floor replenishment to drive sales and enhance the customer experience
- Actively engage and complete all required training to expand knowledge
- Support omni-processing within the department
- Support inventory management from receipt to sale, including freight processing, back stocking, inventory counts and price changes
All associates are responsible for:
- Acting with integrity and honesty and fostering teamwork in an engaged and inclusive culture
- Exercising good judgment and discernment when making decisions; taking appropriate partners as needed
- Supporting and executing safety and shortage reduction programs following company guidelines
- Accomplishing multiple tasks within established timeframes
- Following company policies, procedures, standards and guidelines
- Maintaining adherence to company safety policies for the safety of all associates and customers
- Receiving, understanding and proactively responding to direction from leaders and other company personnel
- Other responsibilities as assigned
What Skills You Have
- Authentic passion for beauty
- Client-facing retail or service industry experience
- Excellent written and verbal communication skills with the ability to influence in a clear and concise manner
- Availability to work days, nights, weekends and holidays
Essential Functions
- Ability to perform the accountabilities listed in the \"What You'll Do\" Section.
- Ability to satisfactorily complete company training programs.
- Ability to comply with dress code requirements.
- Basic math and reading skills, legible handwriting, and basic computer operation.
- Ability to operate and communicate on multiple frequency devices, handheld scanners, and other technology equipment as directed.
- Ability to maintain prompt and regular attendance and meet scheduling requirements as set by the company.
- Perform work in accordance with the Physical Requirements section.
Physical Requirements
- Must be able to lift up to 50 lbs. frequently and occasionally over 50 lbs. with a two person lift.
- Ability to climb, squat, stoop, kneel, crouch, bend, twist, reach, lift, grasp, push and pull on a frequent basis.
- Ability to stand/walk for the duration of a scheduled shift (at least 8 hours).
- Ability to visually verify information and locate and inspect merchandise.
- Ability to comply with health and safety standards.
Pay Range: $19.60 - $27.45
Kohl's offers a variety of benefits to associates depending on full-time/part-time status and work hours, including: WORK LIFE BALANCE (PTO, Vacation Buy Program, Parental Leave), HEALTH & WELLNESS (Medical, Dental, Vision and other short and long term disability programs, Emergency health and wellness programs such as Accident Protection Plans, Critical Illness Plans and more), SAVINGS & RETIREMENT BENEFITS (401k, Flexible Spending Accounts and associate discount programs with Kohl's partners), INSURANCE PROGRAMS (Life Insurance for you, your family or your pet, as well as other protection programs), and LIFE EVENTS (Legal and adoption assistance benefits).
Job descriptionJoin a well-established and reputable medical group in Greater San Diego, CA, offering a full-time, employed opportunity for a Family Medicine Physician.
This role provides an excellent work-life balance, competitive compensation, and a supportive team environment.Position Highlights:100% Outpatient No inpatient responsibilitiesMondayFriday 8 AM 5 PMManage 1520 patients per dayTelemedicine availableNew graduates welcomeNo Ob or procedures requiredLocum to Perm option availableResponsibilitiesProvide compassionate care to patients in need.QualificationsBoard certification in Family Medicine / Internal MedicineMD/DOActive / unrestricted CA License (willingness to obtain)Compensation & Benefits:Competitive salary WITH PRODUCTIVITY BONUSESMalpractice insurance fully coveredGenerous PTO for work-life balance401(k) retirement plan with employer contributionsSupportive work environment with growth opportunities and mentorship.This is an excellent opportunity to join a patient-focused team in a highly desirable location!Ready to apply? Click below to take the next step!Job Type: Full-timePay: From $260,000.00 per year plus production incentives Benefits:401(k)Dental insuranceHealth insuranceMalpractice insurancePaid time offSchedule:8 hour shiftDay shiftMonday to FridayNo nightsNo weekendsWork Location: In person
*Employment Type:
* Full time
*Shift:
* 12 Hour Night Shift
*Description:
* This position is responsible for the entire admission process for a designated patient population.
The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process.
The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing.
The criteria and specific job duties of the three levels are defined by each department area specific criteria.
*Our Commitment
* Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings.
By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care.
We are an Equal Opportunity Employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.5c143e31-5e48-4549-b638-05792d185386
This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
This position is responsible for the entire admission process for a designated patient population. The Registered Nurse (Level I, II, III or IV) is responsible for coordinating and delivering patient care utilizing the nursing process. The Registered Nurse, after appropriate educational preparation, is capable of expanding the scope of practice in general or specialty areas of nursing. The criteria and specific job duties of the three levels are defined by each department area specific criteria.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Border Patrol Agent (BPA) – in the Federal Security and Public Safety Sector (Entry Level)But, if you're looking for a long-term federal law enforcement career, one that makes a difference every day to our country and its citizens, then the U.Border Patrol (USBP) would like you to take the first step to becoming an entry level Border Patrol Agent.USBP is hiring immediately to fill full-time, entry-level, career positions in federal law enforcement where your prior experience in public safety, security, military police or law enforcement may qualify.
Border Patrol Agents are eligible to select from an array of federal employment benefits that include health, dental and other insurance plans, a generous annual and sick leave program, and participation in the Thrift Savings Plan, a retirement plan akin to a traditional ROTH 401(k) offering.
*Recruitment Incentive
* Newly appointed Border Patrol Agents (as defined in ) will be eligible for up to $20,000 in incentives.
The first $10,000 will be paid upon successful completion of the Border Patrol Academy, with the remaining $10,000 awarded for accepting a prioritized location such as Sierra Blanca, Presidio, Sanderson, Comstock, Freer or Hebbronville, TX; Retention Incentive
*Newly appointed Border Patrol Agents may also qualify for up to $40,000 in additional incentives distributed over their first four years.Border Patrol determines duty assignments at the time of offer based on operational needs, which may or may not align with candidates' first-choice preferences.
Relocation may be required .Big Bend Sector Stations
-
*Presidio, Van Horn,
*Sanderson, Alpine,
*Sierra Blanca, MarfaHoulton Sector Stations
- Calais, Fort Fairfield, Jackman, Rangeley, Van BurenDetecting and questioning people suspected of violating immigration and custom laws and inspecting documents and possessions to determine citizenship or violationsPreventing and apprehending undocumented noncitizens and smugglers of noncitizens at or near the borders by maintaining surveillance from covert positions to include using infrared scopes during night operationsPerforming farm checks, building checks, traffic checks, city patrols, and transportation checksPatrolling the international boundary and coastal waterways using a variety of government assets such as vehicles, horses, vessels, watercraft, off-road vehicles, ATVs, snowmobiles, and motorcycles for the accomplishment of the USBP Mission.Experience: One (1) year of general work experience that demonstrates the ability to take charge, make sound decisions, and maintain composure in stressful situations; to learn regulations, methods, and techniques through classroom training and/or on-the-job instruction; and the ability to gather concise information through questioning, observation, and examination of documents and records; A bachelor's degree or successful completion of a full four-year course of study in any field leading to a bachelor's degree from an accredited college or university; A combination of general work experience AND successfully completed college education.
This will be calculated using your resume and official or unofficial transcripts submitted with your application.Experience: One year of specialized work experience that shows you have the skills necessary to:Make sound judgments and decisions in the use of firearms.Analyze information rapidly and make prompt decisions where you will be expected to make arrests after the completion of required training and apply these skills in a law enforcement capacity such as criminal code enforcement, determining violations of laws, correctional or rehabilitation work involving criminal offenders, security, military, etc.Make arrests and exercise sound judgment in the use of firearms; or develop and maintain contact with a network of informants.A bachelor's degree with superior academic achievement, which is based on (1) class standing, (2) grade-point average (i.e., Or will receive a bachelor's degree with Superior Academic Achievement.
Or one full year of graduate-level education in a field of study related to law enforcement (e.g., criminal justice, homeland security, justice studies, law enforcement, courts and judicial systems, forensic technology, forensic psychology, or corrections and rehabilitation) from an accredited college or university; A Combination of Experience and Education: This will be calculated using your resume and official or unofficial transcripts submitted with your application.Citizen to apply for this position.S.
residency (includes protectorates as declared under international law) for at least three of the last five years.In accordance with Public Law 100-238, this position is covered under law enforcement retirement provisions.
Candidates must be referred for selection to the Border Patrol Agent position before reaching their 40th birthday in accordance with Department of Homeland Security Directive 251-03.
The age restriction may not apply if you are currently serving or have previously served in a federal civilian law enforcement (non-military) position covered by Title 5 U.Veterans' Preference : You may also be eligible for an excepted service Veterans Recruitment Appointment (VRA).
The age restriction does not apply if you are Veterans' Preference eligible.Formal Training : After you are hired, you will be detailed to the U.Border Patrol Academy in Artesia, New Mexico, for approximately six (6) months of intensive instruction in immigration and nationality laws, law enforcement and USBP-specific operations, driver training, physical techniques, firearms, and other courses.
Border Patrol work requires the ability to speak and read Spanish, as well as English.
Border Patrol Agents will be provided training to become proficient with the Spanish language at the Academy.Click the Apply button on this site.
You will be linked to the CBP Talent Network registration page.
For Position of Interest, select Border Patrol Agent, then complete the pre-screening questions.You'll then receive a link(s) to the BPA Job Opening Announcements (JOAs) on USAJOBS, the federal government's official employment site, to complete your application.
Be certain to review ALL details of the job opportunity announcement and follow all instructions in the application process, including items (resume, transcripts, etc.) You will be evaluated based on your resume, supporting documents, and the BPA Entrance Exam .If you have questions about the application process, contact a recruiter through the U.Border Patrol page: /s/usbp .As a subscriber to the CBP Talent Network, you'll receive monthly emails with information about webinars, career expos, and future opportunities with CBP.
You will act as the Staff Mechanical Engineering Owner’s Representative with technical expertise for mechanical engineering issues, design management of in-house and outside resources, code compliance, Disney design standards, documentation, specifications, and life cycle cost analysis for best value. This role also involves close collaboration with other engineering disciplines and multiple Disney project teams including FAM, WDI, Entertainment, and Operations.
You will report to the Senior Manager for MEP Engineering with DLR Architecture & Facilities Engineering.
Act as Owner’s Representative on projects from concept through construction at the Disneyland Resort. Project types will include shops, rides, hotels, shows, maintenance facilities, and nearly any built facility and area development found on our property.
Manage the design and development of contract documents of projects with in-house and outside resources to meet project scopes, schedules and budgets.
Attend, participate, and problem solve during site visits from concept through construction.
Review drawings and specifications and ensure that all projects are designed and executed to applicable codes and statutes
Work with stakeholders to provide civil engineering resources to develop project scope including design, planning and code compliance for estimation and feasibility.
Develop clear technical analyses and recommend frameworks to inform executive review and approval.
Liaison with City officials and external agencies to ensure project scope and implementation is coordinated and compliant with external requirements.
Perform field work to investigate and assess mechanical related infrastructure in the Resort.
Review shop drawing submittals and respond to vendor requests for information per Resort standards.
Coordinate design activities and monitor field installations and demolition work that comply with specifications and code requirements.
Serve as Engineer of Record on assigned projects, including signing and sealing construction documents when required.
Assist Project and Design Managers to resolve design compliance issues relating to Projects requirements. Support Executive Design Reviews by contributing technical content, analysis, and coordination as requested by Project or Design Management.
10+ years of experience in mechanical engineering design, HVAC/DX/VRF/CHW applications, central plant development and operational guidance, hydraulics, hydronics, compressed air, overall kitchen designs and implementation.
~ Ability to support project partners in procurement and construction.
~ Experience with AutoCAD, Revit, ACC, and other engineering-based software.
~ Working knowledge of both National and Local Standards and Codes.
BS Mechanical Engineering or related field from an ABET accredited university.
Current registration as a Professional Engineer in the State of California in good standing.
#Benefits and Perks: Disney offers a rewards package to help you live your best life. The base pay actually offered will take into account internal equity and also may vary depending on the candidate’s geographical region, job-related knowledge, skills, and experience among other factors. A bonus and/or long-term incentive units may be provided as part of the compensation package, in addition to the full range of medical, financial, and/or other benefits, dependent on the level and position offered.
TRAVEL: At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact peoples lives around the world today, and for generations to come. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work — and we have an insatiable drive to do what others think is impossible. In rapidly changing global security environments, Northrop Grumman brings informed insights and software-secure technology to enable strategic planning. We’re looking for innovators who can help us keep building on our wide portfolio of secure, affordable, integrated, and multi-domain systems and technologies that fuel those missions. By joining in our shared mission, we’ll support yours of expanding your personal network and developing skills, whether you are new to the field or an industry thought-leader. Northrop Grumman Mission Systems Navigation, Intelligence and Connectivity Division, Engineering and Sciences is seeking an Engineering Director. This position will be onsite in Woodland Hills, CA and will lead the Business Execution Engineering organization, for the Navigation and Cockpit Systems Business Unit, reporting to the Senior Director of the Engineering organization. As the Engineering Director, you will be responsible for leading a highly dynamic, growing multi-discipline engineering team of approximately 60 senior technical leaders and be the primary E&S POC for the respective Business Unit leadership team.
Primary E&S POC for Business Unit leadership
Lead the team with primary accountability for executing engineering scope of work within allocated cost and schedule. Ensure consistent rigor in planning, earned value reporting, metrics generation, and issue resolution as related to engineering execution.
Collaborate with program office and engineering functional organization on resourcing programs and meeting competing demands of a diverse business base.
Collaborate closely with business development, PMO, and functional engineering on architecting new systems and proposal planning to grow our business base.
Lead strategic actions to improve the business of engineering
Collaborate with discipline engineering team members across the Sector to share best practices and accelerate implementation of Sector standards
Hold technical leaders accountable to execute per defined engineering processes and best practices
Collaborate with other functional partners to resolve complex issues in a timely manner to help meet program commitments
Travel up to 25% of the time
This position will be onsite in Woodland Hills, CA.
Bachelor’s degree in Science, Technology, Engineering or Mathematics or related technical fields with 12 years of experience; PhD with 8 years of experience
• 5 years demonstrated success managing multiple technical teams across multiple geographic sites
• Demonstrated knowledge of engineering process and tailoring
• Candidate must currently have and be able to maintain an Active Secret clearance
• Advanced degrees in Science, Technology, Engineering, Mathematics, or related technical fields
• Active DoD Top Secret/SCI Clearance or higher.
• Knowledge of navigation systems engineering
Health Plan, Savings Plan, Paid Time Off and Additional Benefits including: Education Assistance, Training and Development, 9/80 Work Schedule (where available), and much more!
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
TRAVEL: At Northrop Grumman, our employees have incredible opportunities to work on revolutionary systems that impact peoples lives around the world today, and for generations to come. Our culture thrives on intellectual curiosity, cognitive diversity and bringing your whole self to work — and we have an insatiable drive to do what others think is impossible. In rapidly changing global security environments, Northrop Grumman brings informed insights and software-secure technology to enable strategic planning. We’re looking for innovators who can help us keep building on our wide portfolio of secure, affordable, integrated, and multi-domain systems and technologies that fuel those missions. By joining in our shared mission, we’ll support yours of expanding your personal network and developing skills, whether you are new to the field or an industry thought-leader. Northrop Grumman Mission Systems Navigation, Intelligence and Connectivity Division, Engineering and Sciences is seeking an Engineering Director. This position will be onsite in Woodland Hills, CA and will lead the Business Execution Engineering organization, for the Navigation and Cockpit Systems Business Unit, reporting to the Senior Director of the Engineering organization. As the Engineering Director, you will be responsible for leading a highly dynamic, growing multi-discipline engineering team of approximately 60 senior technical leaders and be the primary E&S POC for the respective Business Unit leadership team.
Primary E&S POC for Business Unit leadership
Lead the team with primary accountability for executing engineering scope of work within allocated cost and schedule. Ensure consistent rigor in planning, earned value reporting, metrics generation, and issue resolution as related to engineering execution.
Collaborate with program office and engineering functional organization on resourcing programs and meeting competing demands of a diverse business base.
Collaborate closely with business development, PMO, and functional engineering on architecting new systems and proposal planning to grow our business base.
Lead strategic actions to improve the business of engineering
Collaborate with discipline engineering team members across the Sector to share best practices and accelerate implementation of Sector standards
Hold technical leaders accountable to execute per defined engineering processes and best practices
Collaborate with other functional partners to resolve complex issues in a timely manner to help meet program commitments
Travel up to 25% of the time
This position will be onsite in Woodland Hills, CA.
Bachelor’s degree in Science, Technology, Engineering or Mathematics or related technical fields with 12 years of experience; PhD with 8 years of experience
• 5 years demonstrated success managing multiple technical teams across multiple geographic sites
• Demonstrated knowledge of engineering process and tailoring
• Candidate must currently have and be able to maintain an Active Secret clearance
• Advanced degrees in Science, Technology, Engineering, Mathematics, or related technical fields
• Active DoD Top Secret/SCI Clearance or higher.
• Knowledge of navigation systems engineering
Health Plan, Savings Plan, Paid Time Off and Additional Benefits including: Education Assistance, Training and Development, 9/80 Work Schedule (where available), and much more!
Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay. Annual bonuses are designed to reward individual contributions as well as allow employees to share in company results. In addition, Northrop Grumman provides a variety of benefits including health insurance coverage, life and disability insurance, savings plan, Company paid holidays and paid time off (PTO) for vacation and/or personal business.
The application period for the job is estimated to be 20 days from the job posting date. Northrop Grumman is an Equal Opportunity Employer, making decisions without regard to race, color, religion, creed, sex, sexual orientation, gender identity, marital status, national origin, age, veteran status, disability, or any other protected class.
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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Remote working/work at home options are available for this role.