Medi-Cal Provider & Member Services Research Lead
Gainwell Technologies
Gainwell Technologies in the United States is seeking an experienced Research Manager to apply analytical rigor and strategic insight to long-range planning, policy evaluation, and operational improvement. You will lead Provider and Member Services back-office operations, manage cross-functional collaboration with executives and clients, monitor performance, ensure HIPAA and Medicaid compliance, and drive data-driven improvements across the organization. #J-18808-Ljbffr Gainwell Technologies
$81k - $115.7k
...flexibility, learning, and career development. Summary The Medi-Cal Provider/Member Services Organization Research Manager role requires a forward-thinking leader who... ...with executive leadership and key stakeholders. Lead Provider and Member Services back-office operations,...SuggestedFull timeWork at officeFlexible hours- Kalaya’s Destiny is seeking an ECM Services Supervisor to oversee the ECM Services Unit within Medi-Cal managed care, directing supervision of ECM Lead Care Managers and ensuring whole-person, culturally competent care. This role offers a part-time starting schedule with...SuggestedFull timePart time
- World Wide Technology is seeking an AI Sales Leader - VP for the Global Service Provider portfolio. This senior role involves shaping and scaling WWT’s AI business, owning sales strategy and execution, and building executive relationships to drive strategic AI opportunities...Suggested
$75k
...environment as well. Like our members, our employees know how to... ...responsible for overseeing the Service team as well as day-to-day tasks... .... Position Purpose: Lead, coach, and train the Service... ...their needs and concerns, and providing clear and helpful responses....SuggestedDaily paidFull timePart timeFlexible hours$102.9k - $154.3k
Your Role The Provider Dispute Resolution (PDR) Operations... ...the Commercial, Medi-Cal and Medicare lines of... ...expectations for team members; celebrating team achievements... ...supervisors/team leads Establish operational... ...; Altais, a clinical services company; and Stellarus...SuggestedFull timePart timeWork at officeLocal areaImmediate startWork from homeHome office2 days per week$142k - $213k
...Applications and Analytics leads claims-related services, including processing, auditing, research, resolution,... ...accurate payments, and provider satisfaction. Reports... ...issues with providers and members promptly and... ...health care delivery, Medi‑Cal eligibility, benefits...Full timeContract work- ...). The center connects members from both Blue Shield Promise... ...and personalized services that foster community connections... ...to the IRC. You will provide leadership and... ...subordinate supervisors/team leads Provide developmental... ...at least 5 years of Medi-Cal managed care experience...Full timePart timeWork at officeLocal areaRemote workWork from homeHome office1 day per week
$157.3k - $262.7k
...creating and applying leading-edge solutions to its... ...health care, and social services and supports - are met... ...FUNCTIONS * Provides strategic and operational... ...adjustments and reprocessing, member reimbursements,... ...ABILITIES * Commercial, Medi-Cal, Medicare, and managed...Work experience placementRemote work$120k - $180k
...creating and applying leading-edge solutions to its... ...health care, and social services and supports - are met... ...& Responsibilities Provide direct supervision, coaching... ...experience. Medi-Cal/Medicaid managed care... ...environment where every team member can thrive. Whether you...Work experience placementWork at officeRemote work$193.71k - $213.61k
...: VP of Human Resources (Administrative Services Lead) Position Type: Full time Requisition... ...College's chief human resources officer and provides strategic leadership and management... ...College's human resources function. As a member of the Executive Leadership Team, the Vice...Full timeContract workWork at officeLocal areaRemote workFlexible hours$28 per hour
...0 Hourly POSITION SUMMARY The Service Leader holds the responsibility... ...team spirit among staff members. This entails promoting team growth... ...of food service and courses; provides necessary feedback to appropriate... ...event duties to FOH staff. Lead and manage all steps of service...Hourly payFull timeShift workNight shiftWeekday work- ...County of San Mateo Human Services Agency (HSA) is... ...including CalFresh, CalWORKs, Medi-Cal, and General... ...customer service experience. Provide leadership and... ...and training to staff members. The ideal candidate... ...administrative and programmatic research and analysis....Contract workFor subcontractorWork at officeLocal areaAfternoon shift
$147.9k - $205k
## Director, Provider Data OperationsApplylocations: Home Office - Californiatime... ...Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare... ...expectations, and a culture of service, innovation, continuous improvement...Work experience placementRemote workHome office$120k
Netflix is one of the world’s leading entertainment services with 278 million paid memberships in over 19... ...wide variety of genres and languages. Members can play, pause and resume watching... ...role is $120,000 - $515,000. Netflix provides comprehensive benefits including Health...Hourly payFull timeWork at officeImmediate startRemote workFlexible hours$30.34 - $35.69 per hour
...donation for transplantation and research. At Donor Network West, we'... ...of collaboration and service. POSITION SUMMARY The Hospital... ...Hospital Services Coordinator (HSC) provides administrative support... ...and packaging up for each team member. DPCs/IHCs will still distribute...Work at officeRemote workHome officeMonday to Friday$62k - $65k
Careerteam is seeking a Team Lead in Merced, CA, to manage Career Advisors and oversee integrated service delivery. You will develop strategies for performance objectives... ..., ensure compliance with program metrics, and provide staff development and coaching. The ideal...Full time$26.86 - $37.96 per hour
...contracted with the State of California, Department of Developmental Services, to provide services to individuals with intellectual and developmental... ...interdisciplinary meetings with individuals served, family members, service providers, advocates, etc. Identify barriers to...Bi-weekly payHourly payPart timeWork at officeRemote workFlexible hours- ...seeking a Library Consortium Program Manager to oversee the Library Services Platform program. This remote role requires a dynamic... ...community college library. Join a dedicated team committed to providing vital resources to libraries across California and make a significant...Remote job
- ...Casino Floor Attendant in California, Missouri, responsible for assisting the Casino Shift Supervisor with Guest Services operations. The role involves providing exemplary customer service and ensuring operations are conducted efficiently. Candidates should demonstrate...Shift work
- A leading automotive service provider is seeking an Automotive Service Assistant Manager to direct service department activities. Responsibilities include managing technicians, ensuring customer satisfaction, and overseeing complete vehicle inspections. Candidates should...
- ...Field Service Coordinator / Administrator 4 days ago Be among the... ...25 applicants This range is provided by Anaergia. Your actual pay... ...inquiries from clients, team members, and external partners in a timely... ...managers and technical leads to prioritize urgent or time‑...Full timeFor contractorsWork at office
- A leading automotive service provider located in California, MO, is seeking a dedicated Service Manager to oversee service orders and ensure top-notch customer service. The ideal candidate will possess excellent communication skills, a strong record of customer satisfaction...
- Advance Auto Parts is seeking a Store Manager to lead daily store operations, supervise team members, and ensure excellent customer service. You will oversee safety, training, inventory control and compliance with company policies while driving sales and profitability....Night shiftWeekend work
- ...seeks a Vice President of Human Resources (Administrative Services Lead) to provide executive HR leadership across all HR functions, reporting... ...occasional in-person meetings and travel across California. As a member of the Executive Leadership Team, you will set strategy,...Remote job
$18.5 - $19.5 per hour
...work environment as well. Like our members, our employees know how to rise... ...twelve years. Essential Purpose Lead, coach, and train the Kids Club team to provide a safe, fun, and active environment... .... Provide exceptional customer service to parents and guardians,...Hourly payDaily paidFull timePart timeShift workWeekend workAfternoon shift- ...dedicated to giving exemplary guest service. Assist in casino promotions... ...and telephone. Ability to lead, motivate, and direct staff of... ...programs. Ensure all slot club team members are competent in interacting... ...offer its guest and readily provide this information to both team...
$75k - $160k
...health optimization on a global scale. The Provider Market Account Executive is the key... ...where appropriate, will work with team members across Optum Insight, Optum Health, Optum... ...potentially on-site or virtually. Ensure service and delivery commitments to the client are...Minimum wageFull timeWork experience placementLocal areaRemote work$72k - $120k
...distinct intake systems: county Medi‑Cal (behavioral health contracts... ...individuals and families for services. Intake Specialists are... ...accountable for the scheduling team. Provides oversight of the scheduling... ...to all Specialists. Lead ongoing process improvement efforts...Full timeWork at officeTrial period- ...business model transformation to Software/Services/SaaS Contribute to long‑term planning (... ...in software and SaaS financial practices Lead complex financial analyses, demonstrating... ...processes Report and analyze KPIs by providing key inputs, producing reporting outputs,...
$17.75 - $23.1 per hour
...Major Activities*** Assist Store Manager in leading and managing adherence to Standard... ...coaching, observing and training of new Team members; support with Talent Development activities... ...customers, help locate product and provide solutions* Assist with Omni channel processes...Local areaNight shiftEarly shift
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