Kaiser Permanente jobs by keyword 'insurance'

Contracts Specialist - Rockville, Maryland

Thu, 24 May 2012 16:00:00 GMT

To support contractual leadership & expertise to the contract administration department by taking responsibility for the coordination, implementation & administration of the Region’s contracts & benefits which include:
- Participating in cross-functional work efforts related to the clarification, interpretation, benefit administration, pricing activities & medical policy development &
- Creating written materials used to communicate w/ regulators...

Home Health RN\PHN Riverside - Riverside, California

Wed, 23 May 2012 16:00:00 GMT

As the leader of the health care team, provides professional nursing care, utilizing the nursing process in accordance with established standards of care, policies, and procedures. Demonstrates performance consistent with the Medical Center Vision, Mission, and Strategic Plan of the organization. Remains flexible to changing systems; is expected to demonstrate quality and effectiveness in work habits and clinical practice; and treats co-workers, patients, families, and all members of the health ...

Admitting Rep Grade 5 - San Francisco, California

Wed, 23 May 2012 16:00:00 GMT

Under the direct supervision of the Admitting Manager/Supervisor/Designee, the Admitting Representative is a patient service professional responsible for coordinating & completing every phase of the admission function including: admissions, pre-admissions, interviews for financial & demographic information, obtains & processes advance directives, obtains patient/agent signatures, may initiate valuables collection & distribution, document preparation for all elective, direct and/o...

Admitting Rep Grade 5 - San Francisco, California

Wed, 23 May 2012 16:00:00 GMT

Pharmacist - Portland, Oregon

Wed, 23 May 2012 16:00:00 GMT

Information will be added based on hiring manager submission.

Essential Functions:
- Consults w/ health care practitioners to establish high quality patient drug therapy plans & outcomes.
- Monitors patient's to insure therapeutic outcomes & minimize adverse drug effects.
- Consults patients in a professional & efficient manner to ensure patient understanding of drug therapy plans & outcomes.
- Contacts & confers w/...

Pharmacist - Portland, Oregon

Wed, 23 May 2012 16:00:00 GMT

Pharmacist - Portland, Oregon

Wed, 23 May 2012 16:00:00 GMT

Pharmacist - Salem, Oregon

Wed, 23 May 2012 16:00:00 GMT

Health Information Correspondence Technician - McLean, Virginia

Wed, 23 May 2012 16:00:00 GMT

This position is based in the Tyson's Corner Medical Center.

To insure that all technical aspects w/ regard to release of protected health information are carried out in accordance w/ established standards & in compliance w/ federal, state, local, regulatory agencies, & Kaiser Permanente policies. This function includes, but is not limited to, copying records, abstracting information from records & releasing records to authorized parties.
Essential Func...

Licensed Cluster Supervisor FT - McLean, Virginia

Wed, 23 May 2012 16:00:00 GMT

To supervise & coordinate the day-to-day operations of certified opticians, optician apprentices, & vision services assistants to ensure high quality service to members & staff.
Essential Functions:
- Supervises assigned staff including interviewing, hiring, training, disciplining, evaluating, counseling, & terminating w/ approval of the Service Area Optical Manager of Vision Services, & in conformance w/ EEO/AA goals, personnel policies, & performance...

Claims & Referral Manager - Denver, Colorado

Tue, 22 May 2012 16:00:00 GMT

Manages the Claims & Referral Department located in Denver, including referral processing, claims adjudication, claims research & resolution , & medical review of member & provider claims for outside referred & emergency medical services for Colorado Springs Commercial HMO, POS & PPO members. Partners w/ Insurance Systems to resolve Provider Issues. Accountable for creating a culture of compliance, ethics & integrity. Maintains knowledge of & assures departmental ...

Sales Executive Large and Small Group (Sacramento CA) - Sacramento, California

Tue, 22 May 2012 16:00:00 GMT

Kaiser Permanente
Sales Executive
Sacramento, CA

The Sales Executive is accountable for managing a sales territory to achieve sales goals and strategic objectives. These jobs have two levels. The functions, tasks, and competencies are the same. It is expected that staff placed in senior jobs will have demonstrated competencies at a significantly higher level and will be expected to work with more complex accounts or books of business. Please refer to the ...

Materials Cost Specialist (MCS 042512) - Fresno, California

Tue, 22 May 2012 16:00:00 GMT

Assists with the management of non-perioperative materials cost containment. Maintains the inventory control system and database. Ensures compliance with Group Purchasing Organization (GPO) agreements. Responsible for contributing to achieving all Service Area and National Contracting and Purchasing (NCAP) cost savings goals. Works with the local Labor Management Partnership representative to identify and achieve cost savings and implement safety products.

Essential Function...

National Sales Executive East Coast Territory - Norwalk, Connecticut

Tue, 22 May 2012 16:00:00 GMT

National Sales Executive - East Coast Territory
Kaiser Permanente, This role can be based in any of the following locations:
Ohio, Connecticut, Maryland, Georgia, Virginia and the District of Columbia.

Summary:
The National SalesExecutive is accountable for qualifying, developing, and executing new strategic business plans that drive successful partnerships with national employers (generally 1,000+ employees) and top-tier consultants to meet bot...

Senior Perl Programmer MEDICARE BUSINESS ENGINE PRODUCTION SUPPORT - Pasadena, California

Tue, 22 May 2012 16:00:00 GMT

Kaiser Permanente's HP BIO/ Membership Systems & Contact Centers are the organization's center of excellence for the integration, development, maintenance, and support of local, regional, and national software solutions that support Kaiser Permanente's mission to provide quality, affordable care. It's all part of an immense and on-going migration to a national IT systems strategy to better serve our millions of members across the country. Thousands of professionals are committed to keeping b...

Director of Employer Healthworks and Wellness - Portland, Oregon

Tue, 22 May 2012 16:00:00 GMT

Provides oversight &/or leads HealthWorks Sales/Client Support & Healthworks infrastructure team to grow Wellness & HealthWorks market strategies essential to KP's revenue, membership & margin goals.
Provides direct customer facing consultation as well as manages other customer facing Healthworks consultants. Provide analytical/strategic-thinking & leadership skills that enable teams to: 1) isolate customer business issues; 2) design & execute analytics for stud...

Business Process Solution Consultant (Oakland or Burbank CA) - Oakland, California

Tue, 22 May 2012 16:00:00 GMT

Kaiser Permanente
Business Process Solution Consultant
Oakland or Burbank, CA

Kaiser Permanente (KP) is looking for a Business Process Solution Consultant in Oakland or Burbank. KP is heavily investing in new capabilities to support Health Plan Membership. The Medicare Line of Business Solution Consultant will be responsible for all aspects of managing the intake, assessment and prioritization of selected Medicare initiatives that have a Sales ...

Lead Programmer Java MEDICARE BUSINESS ENGINE PRODUCTION SUPPORT - Pasadena, California

Tue, 22 May 2012 16:00:00 GMT

MEDICAL SOCIAL WORKER II - San Rafael, California

Tue, 22 May 2012 16:00:00 GMT

The primary role of the MSW II is to assist patients & families/caregivers to cope w/ the social/emotional issues & practical arrangements related to the patient's illness. Under general direction of Social Work Manager/LCSW, delivers age-appropriate care to patients/caregivers in accordance w/ agency policy & procedure & state/federal regulations. The MSW II is a member of the healthcare team providing assessments, coordination, treatment planning, information & referral to ...

MEDICAL SOCIAL WORKER II - San Rafael, California

Tue, 22 May 2012 16:00:00 GMT

Product Management Coordinator - Cleveland, Ohio

Tue, 22 May 2012 16:00:00 GMT

Provide overall support for maintenance, implementation and administration of products for all segment lines. Support the Product Development department with emphasis on product maintenance, product implementation, product administration, marketing, systems, and website maintenance.

Essential Functions:
- Perform product maintenance, implementation, and administration for all segment lines including but not limited to new group and subgroup setup, renewals, group t...

Director Product Innovation - Honolulu, Hawaii

Tue, 22 May 2012 16:00:00 GMT

Accountable for establishing a credible product strategy, aligned with the business strategy & feasible w/ investment targets & operational capabilities. The individual will create & manage the organization that sets the strategic direction for each new product within the portfolio & have sole ownership & accountability of the resultant new product innovation. Responsibilities will include the development of an overall product, as well as managing the growth, maturity,& d...

Clinical Technology Manager Kaiser Permanente\Clinical Technology Pasadena CA - Pasadena, California

Mon, 21 May 2012 16:00:00 GMT

Clinical Technology Manager
Kaiser Permanente/Clinical Technology
Pasadena, CA

Kaiser Permanente is seeking a Clinical Technology Manager to be accountable to the Service Areas through the department managers for the comprehensive medical equipment service program by providing effective management of staff to ensure that the services provided are competitive & streamlined to maximize the efficiency of the services without interfering with/ patient car...

Medical Technologist I Float Pool PRN - Atlanta, Georgia

Mon, 21 May 2012 16:00:00 GMT

The Medical Technologist I performs routine and complex laboratory procedures under the technical guidance of the Laboratory Supervisor/Manager, Assistant Laboratory Supervisor or Medical Technologist II. This position assists with workload recording, inventory control, research and development of new procedures. This position exercises independent judgment in work performance and interpersonal relations. Major responsibilities may be assigned as a direct or indirect function of the position.<...

Acctnt General Staff - Georgia

Mon, 21 May 2012 16:00:00 GMT

The purpose of this position is assist in the preparation of accurate and timely reporting of the financial position and results of operations of Kaiser Foundation Health Plan of Georgia on a monthly, quarterly and annual basis for internal and external (regulatory) purposes. This position also supports ensuring appropriate internal controls are in place in the Accounting Department to meet the requirements of Section 404 of the Sarbanes Oxley Act (SOX).
Essential Functions:
...

Medical Technologist I Float Pool PRN (2nd and 3rd Shift) Townpark CMC (Kennesaw GA) - Atlanta, Georgia

Mon, 21 May 2012 16:00:00 GMT

Candidates with experience working with body fluids cell counts, rudimentary blood banking (ABO/RH typing) and reading Gram stain preparations, along with Generalist skill sets are strongly encouraged to apply.

The Medical Technologist I performs routine and complex laboratory procedures under the technical guidance of the Laboratory Supervisor/Manager, Assistant Laboratory Supervisor or Medical Technologist II. This position assists with workload recording, inventory contr...

Executive Director Availability Solutions KPIT - Oakland, California

Mon, 21 May 2012 16:00:00 GMT

This is an executive leadership position within the IT Infrastructure Program, a multi-year, multi-billion dollar initiative to remediate and transform Kaiser Permanente's aging technology infrastructure to one that is flexible, resilient and supportive of the future delivery demands for real time, personalized health care.
Under the direction of the Infrastructure Program VP, and in functional alignment with the VP for Service Design and Integration and the IT Executive Committee, thi...

Business Process Consultant - Burbank, California

Mon, 21 May 2012 16:00:00 GMT

Business Process Cons
Burbank,CA

The Business Process Consultant for Kaiser Permanente's Process Management & Analysis department will be responsible for a range of process improvement and process management activities. The primary business partners served will be the Kaiser Permanente Individual & Family Plan line of business, Membership Administration and Broker Compensation Services. Additional business partners may be served depending upon organizationa...

MEDICAL SOCIAL WORKER II - Santa Clara, California

Mon, 21 May 2012 16:00:00 GMT

MEDICAL SOCIAL WORKER II - Cupertino, California

Mon, 21 May 2012 16:00:00 GMT

LVN Outpatient - Corona, California

Mon, 21 May 2012 16:00:00 GMT

Provides nursing care to patients under the direction of a RN, utilizes observational skills to assess nursing intervention & assists medical staff to insure optimal patient care within established policies, procedures & standards.
Essential Functions:
- Upholds KP's Policies & Procedures, Principles of Responsibilities & applicable state, federal & local laws
- Exhibits excellent customer relations to patients, visitors, physicians, & co-wor...

LVN Outpatient - Chino, California

Mon, 21 May 2012 16:00:00 GMT

OHS Claims Case Coordinator - Pasadena, California

Mon, 21 May 2012 16:00:00 GMT

The Occupational Health Services, Claims Case Manager guides, facilitates and expedites the care and optimal recovery of patients and or employees having complex workers' compensations issues related to work injuries and illness.

Essential Functions:
- Initiates case management for complex workers' compensation cases including the development and monitoring of a case management plan
- Acts as a liaison between employees, employers and medical staff to coo...

Home Health RN\PHN San Diego Hospice - San Diego, California

Sun, 20 May 2012 16:00:00 GMT

Business Process Manager Benefits & Membership Administration - Atlanta, Georgia

Sun, 20 May 2012 16:00:00 GMT

The Business Process Manager, Benefits and Membership Admin is responsible for business process definition, measurement, controls, documentation, reporting and improvement within the Benefits and Membership Administration Department. Process Management will include analyses, recommendations development, managing and monitoring implementation activities, working with consultants, and/or Department staff involving any activity within the department. His or her primary focus will be on projects to ...

Home Health RN\PHN Fontana Temp 5 months - Fontana, California

Sun, 20 May 2012 16:00:00 GMT

Staff Nurse II Inpatient Nursing (1461) - Martinez, California

Sun, 20 May 2012 16:00:00 GMT

The Staff Nurse (SN) II is a professional caregiver who assumes responsibility and accountability for a group of patients for a designated time frame. The SN II provides care to patients via the therapeutic use of self, the nursing process, the environment and instrumentation, and other health care team members.
Essential Functions:
- Performs assessment/data collection in an on-going systematic manner, focusing on physiologic, psychosocial, cultural, spiritual and cognitive ...

Certified Cancer Reg Abstract Clerk - Pasadena, California

Thu, 17 May 2012 16:00:00 GMT

Under direct supervision and the functional direction of the department manager, performs case finding, accessioning, and coding of reportable cancer cases according to Cancer Reporting in California: Abstracting and Coding Procedures for Hospitals, Volume 1.

Mission:
To assure cancer registry staff has a high level of competence required to provide accurate information for cancer surveillance and research activities.
Essential Functions:
- Acc...

Regional Eyecare Support Specialist - Portland, Oregon

Thu, 17 May 2012 16:00:00 GMT

Provide clerical support and administrative services to dispensing opticians, optometrists, ophthalmologists and contact lens technicians in arranging for and providing ophthalmic care to members in a manner that supports organizational goals and establishes quality of care and service behavior standards and projects a professional image of Eye Care Services to Kaiser Permanente Health Plan members.

Essential Functions:
- Collect, secure and account for fees and mo...

Regional Eyecare Support Specialist - Orchards, Washington

Thu, 17 May 2012 16:00:00 GMT

Regional Eyecare Support Specialist - Orchards, Washington

Thu, 17 May 2012 16:00:00 GMT

Home Health RN\PHN Fontana Per Diem 2pm 10pm - Fontana, California

Thu, 17 May 2012 16:00:00 GMT

Medical Social Worker II (1471) - Antioch, California

Thu, 17 May 2012 16:00:00 GMT

Registered Dietitian I Grade 30 (1355) - Walnut Creek, California

Thu, 17 May 2012 16:00:00 GMT

Responsible for providing clinical nutrition care & services to patients/clients in response to protocol & physician's orders to include the following: assessment of Patient's nutritional risks/status, development of care plans to meet nutritional needs of patients, counseling of patients & family members, and education of patients, family members & caregivers. In addition, hospital Based RD work w/ the Food Service staff to coordinate the food w/ the diet orders, & work to e...

Statistical Research Analyst II - Portland, Oregon

Thu, 17 May 2012 16:00:00 GMT

To assist and collaborate with CHR investigators in conducting research by providing high level technical and statistical expertise and support in data collection, management, analysis, interpretation, and reporting.

Essential Functions:
- With general guidance of the Principal Investigator or designee: 1) write computer programs to create analysis datasets and to conduct ongoing trial monitoring; 2) carry out data cleaning activities as needed and 3) assist in the...

LVN Outpatient - PALM DESERT, California

Thu, 17 May 2012 16:00:00 GMT

CLAIMS PROCESSOR Grade 6 - Oakland, California

Wed, 16 May 2012 16:00:00 GMT

Essential Functions:
- Review, evaluate and screen Health Plan claims for completeness, accuracy and conformity to established policies and procedures.
- Make payment or denial decisions in accordance with policy and procedures of Health plan Claims Department.
- Authorize payments of claims in an amount based on authorization level guidelines.
- Review and evaluate complex claims involving Medicare, contracts, other insurance, workers' compensation, forei...

Claims & Referral Supervisor - Denver, Colorado

Wed, 16 May 2012 16:00:00 GMT

Supervises, coordinates & evaluates the activities of personnel engaged in processing Claims & Referrals. Insures claims are accurately adjudicated & approved in accordance w/ departmental policies for the Rocky Mountain Region & Local Markets. Accountable for creating a culture of compliance, ethics & integrity. Maintains knowledge of & assures departmental compliance w/ KP's Principles of Responsibility & policies & procedures, & applicable regulatory requir...

Lead OE Consultant (Oakland CA) - Oakland, California

Wed, 16 May 2012 16:00:00 GMT

Provides consulting services for a broad array of organizational areas. Develops organizational strategies and designs to meet current and future demands on the business. Leads and directs large-scale organization change efforts impacting multiple levels of stakeholders throughout the organization. Provides systemic solutions to implement, sustain, and optimize changes across the Program. Utilizes and provides leadership to a network of Organization Effectiveness, Organization Development, and/o...

Account Manager - Honolulu, Hawaii

Wed, 16 May 2012 16:00:00 GMT

Continuously improves business relationships with customers to optimize growth potential in each account. Achieves and sustains optimal business position in a group. Optimizes potential for sustainable growth and achieving margin requirements.
Essential Functions:
- Analyzes and improves risk position in a group
- Renews group at the right rate. Renews group with the right product and benefit mix
- Expands opportunities for strategic growth with all Kaiser...

Pharmacist - Portland, Oregon

Wed, 16 May 2012 16:00:00 GMT

Manager Sales Operations - Honolulu, Hawaii

Wed, 16 May 2012 16:00:00 GMT

Responsible for the effective day to day sales support activities of the Sales Operations Department. Oversees MSBD compliance requirements, administers Sales Incentive Plan, serves as training lead for MSBD division; serves as key liaison with health plan administration, serves as 'in-house' expert for workflow, desktop and system support, oversees broker assignment and compensation administration. Directs support activities of Sales and Account Management CRM tool; supports regional membership...

Health Information Specialist - Honolulu, Hawaii

Wed, 16 May 2012 16:00:00 GMT

Under indirect supervision, maintains confidentiality of health information. Reviews requests for health information. Abstracts case histories. Releases information as authorized by patient. Prepares medical records for use in legal proceedings. Supports compliance and Principles of Responsibility. Maintains confidentiality. Protects organizational assets. Exhibits ethics and integrity. Adheres to applicable federal and state laws and regulations, accreditation and licensing requirements, polici...

Health Information Specialist - Honolulu, Hawaii

Wed, 16 May 2012 16:00:00 GMT

Clinical Specialist I - PANORAMA CITY, California

Wed, 16 May 2012 16:00:00 GMT

Under indirect supervision, the CSI provides direct patient care which may include assessment, design of treatment programs, & implementation of treatment programs. Additionally, the CSI acts as a resource in their area of clinical specialty to staff & students. The CSI may arrange for, plan & deliver educational opportunities for internal & external customers both locally & regionally. The CSI reports directly to the Department Administrator or Assistant Department Administr...

Business Consultant\Analyst Healthcare Claims Auditor (Downey CA or Oakland CA) - Downey, California

Tue, 15 May 2012 16:00:00 GMT

Business Consultant/Analyst-Healthcare Claims Auditor
Kaiser Permanente
Oakland, CA or Downey, CA

Subject matter expert representing Statewide Claims Operations for all aspects required to defend cases referred to the department by Legal.Support legal complaints and litigations by providing financial data and Claims analysis on open and closed cases.

- Partner with Kaiser Legal team on claim related court cases, litigations and intent...

Product Manager (Healthworks Product Operations) - Oakland, California

Tue, 15 May 2012 16:00:00 GMT

The Kaiser Permanente product development and management work within HealthWorks and Product Innovation requires staffing that functions to ensure the daily product operations work is completed, and managed to high quality standards. This person must possess skills that allow him/her to adequately:

Essential Functions:
- Focus on problem-solving, versus problem identification, in the daily operations of HealthWorks product.
- Partner with the product ma...

Administrative Service Consultant Self Funding - San Diego, California

Tue, 15 May 2012 16:00:00 GMT

Administrative Service Consultant

This position is responsible for the following:

- Provide on-going account services to self-funding plan sponsors
- Provide on-going financial and claims utilization reports to plan sponsors within the service level agreed
timeframes
- Identify and escalate claim funding defaults and billing delinquencies that require executive involvement
Marketing, Sales & Retention

Engineer 1 FT - Falls Church, Virginia

Mon, 14 May 2012 16:00:00 GMT

Oversees &/or performs routine, preventive, & special maintenance on bldg systems at KP facilities & provides an environment that is attractive & safe for members & staff.
Essential Functions:
- Performs routine maintenance & repair in facilities including HVAC, electrical, plumbing, & mechanical systems in accordance w/ Regional Facility Standards, State, & Federal life safety codes.
- Performs preventive maintenance at facilities &a...

Business Systems Analyst II Contract Administration - Portland, Oregon

Mon, 14 May 2012 16:00:00 GMT

The Business Systems Analyst plays a critical role in the contract and benefit administration processes supported by this department. The BSA II is responsible for group and member contract production and several medical and dental benefits tools for sales support. Scope includes ensuring integrity of process and data, quality of output, timeliness as measured by regulatory requirements and business needs; vendor management; and providing great customer service to the internal user co...

Compliance Consultant IV Executive Consultant (Oakland CA) - Oakland, California

Mon, 14 May 2012 16:00:00 GMT

Compliance Consultant IV-Executive Consultant Kaiser Permanente
Oakland, CA

The Compliance Consultant IV is responsible for overseeing Kaiser Permanente's compliance with federal and state insurance laws, regulations and sub-regulatory guidance through the planning and implementation of compliance systems and initiatives. On an on-going basis, Will be responsible for leading compliance's national engagement for several health plan and health care reform initiatives...

Senior Materials Cost Specialist (BRK) - Berkeley, California

Mon, 14 May 2012 16:00:00 GMT

Functioning more independently than the journey level Materials Cost Specialist, assists with the management of non-perioperative materials cost containment. Maintains the inventory control system and database. Ensures compliance with Group Purchasing Organization (GPO) agreements. Responsible for contributing to achieving all Service Area and National Contracting and Purchasing (NCAP) cost savings goals. Works with the local Labor Management Partnership representative to identify and achieve co...

Manager III Behavioral Health - Oakland, California

Mon, 14 May 2012 16:00:00 GMT

Large scale oversight for programs and staff within a large medical center or across a service area, with both administrative and client caseload responsibilities.

Essential Functions:
- Responsible for budget planning/development/monitoring.
- Various managerial levels report into this position; responsible for all managerial functions for direct reports and ultimate responsibility for all personnel management within unit.
- Large scale oversig...

Pharmacy Inventory Analyst (MT 1368) - Downey, California

Mon, 14 May 2012 16:00:00 GMT

Schedules, coordinates and oversees the pharmacy physical inventory process, including reconciliation w/ finance system. Responsible for automated systems, personnel and processes employed to track and record the transfer of pharmaceutical assets within the organization. Identifies, investigates, analyzes and reports on all aspects of inventory performance, including on-going balances, variances, turns, returns, re-charges, and other key parameters. Designs or recommends new systems or system ch...

Senior Sales Executive - Portland, Oregon

Mon, 14 May 2012 16:00:00 GMT

The Sr. Sales Executive is accountable for initiating mutually beneficial business relationships by prospecting and qualifying new business opportunities that optimize potential for sustainable growth as well as contributing to margin requirements. Gaining commitment to do business with KP and establishing the right business position with our customers; ensuring a high quality customer experience.

Essential Functions:
- Developing and managing a book of prospects, ...

DIR EMERGENCY DEPT - Hillsboro, Oregon

Sun, 13 May 2012 16:00:00 GMT

Under the general direction of the Assistant Administrator of Clinical Services, Chief Nursing Officer, develops, implements, leads, and evaluates all aspects of management and ensures the provision of quality patient/family centered care for the Emergency Services patient population. Provides leadership development, development and implementation of policies and procedures, and insures staff has the necessary skills and competencies to perform their essential job functions.Coordinates meetings ...

Registered Dietitian I Grade 30 (120229) - Santa Clara, California

Sun, 13 May 2012 16:00:00 GMT

Sales Representatitve - Wailuku, Hawaii

Fri, 11 May 2012 16:00:00 GMT

The Sales Representative is accountable for managing a sales territory to achieve sales goals and strategic objectives. Develop a culture of collaboration and accountability between sales, account management, pricing and other key internal partners.

Essential Functions:
- Sell large, mid and/or small commercial group business
- Achieves sales goals by business line
- Develops and manages a pipeline of prospects through various sales channels<...

Senior Learning & Organizational Effectiveness Consultant - Rockville, Maryland

Thu, 10 May 2012 16:00:00 GMT

*Required travel is all local travel within the DC and Baltimore metro areas.*

Provides direction & coaches leaders, implementation teams, & LOE consultants to develop, implement, & sustain large scale change initiatives & strategic activities in the region.
Essential Functions:
- Direct & coordinate the work of LOE team members assigned to regional projects.
- Utilize organizational effectiveness tools to identify & impl...

Sr Workers' Compensation Examiner - Oakland, California

Thu, 10 May 2012 16:00:00 GMT

Manages complex and litigated workers compensation indemnity claims requiring considerable judgment, independent analysis, and detailed knowledge. Acts in lead capacity in claims unit.
Essential Functions:
- Supervises administrative clerks and claims assistant, including the distribution of work, coaching, and performance evaluations.
- Acts as claims manager in the claims managers' absence.
- Reviews and approves work of examiners based on authority leve...

Information Analyst I Dental - Portland, Oregon

Thu, 10 May 2012 16:00:00 GMT

This position enables strategic data-related decisions by designing and executing quantitative and qualitative analysis for business areas and providing recommendations for decision making under uncertainty. Becomes an 'expert' in an operational area and utilizes both operational and technical knowledge to clearly define business problems and definitions. Provides analytical expertise to identifying opportunities for sustained business improvement.

Essential Functions:

Executive Director Actuarial Services National Accounts - Oakland, California

Thu, 10 May 2012 16:00:00 GMT

This position is responsible for making sure that appropriate methodology is in place in all regions so that we deliver the required revenue to the organization. In his/her FEHBP role, he/she is responsible for minimizing audit findings on the $2.25 billion FEHBP line of business. In his/her national accounts role, he/she is influential in making sure that appropriate investments are made in major accounts so that membership/margin targets are met. In the SBU/KPIF role, he/she is influential in ...

Product Manager - Rockville, Maryland

Thu, 10 May 2012 16:00:00 GMT

Leads the ongoing analysis, planning & management of a product or products w/in a product line or product family & facilitates corrective actions to improve product financial (membership, revenue, margin) & administrative (health plan & delivery system operations) performance.

Essential Functions:
- Responsible for managing the performance of the assigned product or products to support regional profitability & membership goals. Managing entails ...

Supervisor Health Information Sup Svs - PANORAMA CITY, California

Wed, 09 May 2012 16:00:00 GMT

Under the direction of a Health Information Management Director, supervises the day-to-day operations of in-patient and/or out-patient medical records management, storage, filing, retrieval, maintenance and distribution - AND- two or more health information support/ancillary services such as but not limited to medical transcription/dictation, release of medical information, medical correspondence/secretarial services, legal documents and vital records, legal support services. Plans, prioritizes,...

Financial Counselor - PANORAMA CITY, California

Wed, 09 May 2012 16:00:00 GMT

Under indirect supervision, at the point of service provides financial counseling to patients in a personal interview to create a payer source for Inpatient & Outpatient self-pay accounts. Identifies potential third party liability, Workers Compensation, Commercial, COB, Medicare & Medi-Cal. Provides functional direction to Business Service Representatives & Receptionists. Determines & approves Medical Financial Assistance & payment arrangements.
Essential Functions...

Medical Technologist I Float Pool PRN - Atlanta, Georgia

Tue, 08 May 2012 16:00:00 GMT

Compliance Consultant III PharmacyCompliance Analyst(Oakland or Pasadena CA or any KP Region) - Oakland, California

Tue, 08 May 2012 16:00:00 GMT

Compliance Consultant III - Pharmacy Compliance Analyst
Kaiser Permanente
Oakland or Pasadena, CA or any KP Region

This Position is responsible for partnering with regional Pharmacy personnel, Pharmacy Fraud Control, Pharmacy Compliance, , Enterprise Governance, Risk and Compliance (eGRC) initiatives and National Compliance's various departments (management and analysts) to conduct and document complex Pharmacy-related analyses identified from analytic to...

Worker's Compensation Examiner - Oakland, California

Mon, 07 May 2012 16:00:00 GMT

Manages workers compensation indemnity claims from inception to closure or reassignment which do not exceed specified aggregate reserves per claim.

Essential Functions:
- Makes determination to accept, delay, or deny claims based upon valid medical, factual, or statutory reasons.
- Determines probable monetary value of case and assigns appropriate reserves; reviews reserves regularly to ensure adequacy.
- Assigns claims for investigation as nece...

Regulatory Consultant III (Oakland or Pasadena CA) - Oakland, California

Mon, 07 May 2012 16:00:00 GMT

Regulatory Consultant III
Kaiser Permanente
Oakland or Pasadena, Ca

Health Plan Regulatory Services (HPRS) is responsible for leading CA state regulatory initiative across all functions statewide, as well as managing relationships and maintaining communication with stakeholders at all levels, both internally and externally.

Essential Functions:
- Researches, plans, implements, and monitors a broad portfolio of regulatory sys...

Home Health RN\PHN Panorama City Palliative Care PT - GRANADA HILLS, California

Mon, 07 May 2012 16:00:00 GMT

Supv Clms Admin Supv - Bakersfield, California

Sun, 06 May 2012 16:00:00 GMT

Provides guidance and support, serves as mentor and coach to team members in order to ensure operational efficiency and effectiveness. Develops goals, objectives, and career paths for team members. Assists in maintaining customer satisfaction by ensuring timely responses to inquiries and quick resolution of claims issues and concerns.

Essential Functions:
- Supervises assigned team members.
- Assists in hiring, training, and evaluating team members in ass...

Coord Surgery Scheduling Town Park Comprehensive Medical Center FT(40) - Kennesaw, Georgia

Sun, 06 May 2012 16:00:00 GMT

The Surgery Scheduling Coordinator ensures that the surgical encounter (outpatient vs. inpatient) is coordinated properly & is scheduled accurately and efficiently. They are responsible for providing the highest quality customer service to our members, TSPMG practitioners, external practitioners, and external surgical sites through coordination of multidisciplinary facets of care, both internal and external.
Essential Functions:
- Schedules inpatient and outpatient surgic...

Hm Hlth Physical Therapist - San Diego, California

Sun, 06 May 2012 16:00:00 GMT

In accordance with agency policy and state/federal regulations, provide independent, age-appropriate physical therapy to patients in their place of residence. Teach patient/family and care-givers preventative and rehabilitative procedures. Develop and coordinate the plan of care and provide case management.
Essential Functions:
- Evaluate patients and interpret evaluation findings to determine the nature and extent of dysfunction.
- Establish treatment goals and pla...

National Nursing Research Program Manager National Patient Care Services Oakland CA - Oakland, California

Sat, 05 May 2012 16:00:00 GMT

This is a 24 month Duration position
Part time flexible - 24 hours per week.

National Nursing Research Program Manager
Kaiser Permanente/National Patient Care Services
Oakland, CA

Provide leadership in the establishment and direction of a national nursing research capability and agenda across the care continuum within Kaiser Permanente to enable the delivery of extraordinary nursing care, every patient, every time. Provide d...

Policy Writer - San Diego, California

Thu, 03 May 2012 16:00:00 GMT

Edit, write, standardize, research, and authenticate policies and procedures, training manuals, handbooks, and supporting documentation for print and online media.Rewrite and edit technical staff documentation in a clear and concise style.Make editorial and aesthetic improvements to documents and recommend new designs, layouts, and procedures.Map business processes.Contribute to development and implementation of annual work plan.Actively participate on Policy and Procedures Governance Team.

Occupational Therapist Home Health - Portland, Oregon

Thu, 03 May 2012 16:00:00 GMT

The occupational therapist provides home care services to Kaiser Permanente patients in community based and facility settings. This position may provide therapy services to patients in the home health, hospice, home infusion, palliative care, or other programs under the direction of the patients physician(s) to provide quality health care outcomes and facilitate the achievement of maximum independence of the patient utilizing health care resources within Kaiser Permanente and the community. This...

Sarbanes Oxley Business Consulting Senior - LAKE OSWEGO, Oregon

Wed, 02 May 2012 16:00:00 GMT

Located in Pasadena, CA, Kaiser Permanente IT group is looking for a seasoned Sr. SOX Analyst to ensure the accurate and timely compliance of SOX controls for the Health Plan portfolio. This position will be working in collaboration with a team of Business Analysts creating and monitoring all SOX (Sarbanes Oxley) controls. Key activities will include tracking and monitoring compliance and tracking and reporting progress against metrics. Candidate will work with other team members, Business partn...

Psychosocial Clinician II\Couns II Per Diem - San Diego, California

Wed, 02 May 2012 16:00:00 GMT

Essential Functions:
Qualifications:Basic Qualifications:
- LCSW or LMFT license required
- Master's degree in Social Work required
- Current and valid CA Driver's license and proof of current auto insurance as required by law.
- Current CPR card required.
- Provide counceling and emotional support to hospice and palliative patients and their families related to end of life issues.
- Demonstrate knowledge of individual and gro...

Psychosocial Clinician II\Couns II Per Diem - San Diego, California

Wed, 02 May 2012 16:00:00 GMT

Essential Functions:
Consistently supports compliance and the Principles of Responsibility (Kaiser Permanente's Code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and licenser requirements (if applicable), and Kaiser Permanente's policies and procedures.Qualifications:B...

Spec Member Retention - Atlanta, Georgia

Wed, 02 May 2012 16:00:00 GMT

The Member Retention Specialist, as part of the Member Services Retention Unit, will handle complaints and administrative appeals reported to the Member Services department. The objectives of the Retention Unit include: 1) enhancing customer satisfaction through service recovery, 2) meeting regulatory and departmental guidelines for complaint and administrative appeals, 3) auditing and providing feedback on departmental complaint and administrative appeals management performance, 4) serving as c...

Business Process Consultant - Oakland, California

Wed, 02 May 2012 16:00:00 GMT

Business Process Cons
Oakland, CA or Burbank, CA

Responsible for a range of process improvement and process management activities. Activities include planning, performing, and implementing process improvement initiatives, in addition to ownership of operational processes. These initiatives may represent one portion of a larger project, or may represent a stand alone initiative or function within a work group or department. Process management functions ma...

Sr. Health Data Analyst - Portland, Oregon

Wed, 02 May 2012 16:00:00 GMT

The Senior Health Data Analyst is responsible for working with Central Decision Support Systems (DSS) staff and our customers to transform financial and clinical data into relevant information for operational, tactical and strategic decision making. The Senior Health Data Analyst understands source data in the MedAssets cost accounting system, DSS Data Marts, and other operational data stores, works with Regional (Northwest, Hawaii, Colorado, Georgia, Mid-Atlantic States, Ohio) and Program Offic...

Home Health RN\PHN San Diego Palliative Care PT - San Diego, California

Tue, 01 May 2012 16:00:00 GMT

Business Development Executive Large Group - Georgia

Tue, 01 May 2012 16:00:00 GMT

The Large Group Business Development Executive has broad responsibility for developing, planning, and managing a strategic community, large employer and local government relations program to generate positive awareness and support for Kaiser Permanente and to further position the organization as a corporate leader in the community with the goal of obtaining a request for proposal. As a member of a Large group Sales team this position has major responsibility for facilitating strategic relationsh...

Product Manager Benefits Portfolio - Oakland, California

Tue, 01 May 2012 16:00:00 GMT

Product Manager, Benefits Portfolio

We are seeking an experienced Product Manager with executive level sklls and a focus on the business and customer needs.Responsible for the design and maintenance of Kaiser Permanente's benefit policies and portfolio of health benefits available for sale. Role includes both National policy development and application to the California benefits portfolio.This position requires a proactive, creative, and critical thinker who is constantly as...

Account Manager OHS (Oakland CA) - Oakland, California

Tue, 01 May 2012 16:00:00 GMT

Kaiser Permanente
Account Manager - OHS
Oakland, CA

Accountable for managing and growing an assigned Book of Business and to achieve sales growth goals and strategic objectives for KOJ business line. This position involves collecting, aggregating and reporting competitive developments and trends for organizational strategic planning, identifying and engaging key KP personnel who can enhance the business relationship, close teamwork with the KOJ Regional O...

Home Health RN\PHN San Diego Palliative Care - San Diego, California

Mon, 30 Apr 2012 16:00:00 GMT

Qual & Util Consultant - Los Angeles, California

Mon, 30 Apr 2012 16:00:00 GMT

Communicates, consults, educates, & works collaboratively in the areas of quality assessment performance improvement, demonstration, & utilization management. Prepares appropriate quality information for various external organizations in collaboration w/ KFH/HP staff. Participates in projects independently w/ minimal direction from supervisor.
Essential Functions:
- Serves as a consultant in all areas of quality assessment, improvement, demonstration, & utilizatio...

ClaimsConnect Lead Java Developer - LAKE OSWEGO, Oregon

Sat, 28 Apr 2012 16:00:00 GMT

Kaiser Permanente is heavily investing in new capabilities to support Health Plan claims processing. These capabilities are supported by large complex multi-year IT projects. The KPIT HP Claims Sub-Portfolio seeks a Lead Java Developer to work with our business clients and application vendor to ensure the successful delivery of these IT solutions. You will be joining a high performing motivated team of business and IT professionals eager to deliver outstanding solutions against aggressive timeta...

Manager Medicaid\Charitable Operations & Contract Administration - Portland, Oregon

Thu, 26 Apr 2012 16:00:00 GMT

Accountable for building and strengthening the internal operational infrastructure for Medicaid programs while ensuring 100% compliance with state/federal/payer expectations. This leadership position within KPNW is accountable for implementing the organization's commitment to and adequate participation in Medicaid and Charitable Programs. Strives to achieve the goal of KPNW serving as a leading provider of health care to low income individuals and families.
Essential Functions:

Account Management Coordinator - Honolulu, Hawaii

Thu, 26 Apr 2012 16:00:00 GMT

Provides support to account managers in growth and retention efforts, including but not limited to, customer service, open enrollment and marketing activities, for existing Kaiser employer groups. Participates in team approach to provide superior service to internal and external customers.

Essential Functions:
- First line of contact for existing groups on billing and member enrollment inquires. Addresses and triages inquires when necessary. If inquiry is referred ...

QA & Testing Senior - Aurora, Colorado

Thu, 26 Apr 2012 16:00:00 GMT

JOB DESCRIPTION:
Kaiser Permanente Enterprise Testing Services (ETS) group provides world class testing and quality assurance services to the regional and national technology projects. The ETS team has an immediate opening for a dynamic and best in class Senior Test Engineer who likes to work in an exciting, challenging and fast-paced environment.

The Sr. Test Engineer, as member of ETS group, will conduct all testing and quality assurance activities for the local ...

Executive Director ROC ClaimsConnect KPIT - Denver, Colorado

Thu, 26 Apr 2012 16:00:00 GMT

The Executive Director, ROC ClaimsConnect is responsible for leading the IT strategy and implementation associated with ROC Claims program within the Health Plan Business Information Office. Key to success is the ability to communicate complex technical subjects clearly and simply, and to collaborate with business and IT peers to implement technology solutions. This Executive Director will manage a team of approximately 20 staff, 50+ contractors and matrixed staff from the IT supplier teams and ...

Executive Director CA ClaimsConnect KPIT - Pasadena, California

Thu, 26 Apr 2012 16:00:00 GMT

The Executive Director, CA ClaimsConnect is responsible for leading the IT strategy and implementation associated with Ca Claims Encounter and Strategy program within the Health Plan Business Information Office.Key to success is the ability to communicate complex technical subjects clearly and simply, and to collaborate with business and IT peers to implement technology solutions.This Executive Director will manage a team of approximately 30 staff, 50+ contractors and matrixed staff from the IT ...

CONTACT LENS FITTER [BR 14(12)] - Petaluma, California

Thu, 26 Apr 2012 16:00:00 GMT

Under the Branch manager's direct supervision with technical review by the ordering Optometrist, is responsible for fitting both rigid and soft contact lenses using an approved spectacle prescription.
Essential Functions:
- Measurement of corneal curvature by use of a keratometer; selection of lens size; inspection of fit through the introduction of fluroscein and the use of a Burton Lamp and/or slit lamp.
- Training patients, individually or in groups, in the prope...

Executive Director Production Support ClaimsConnect KPIT - Oakland, California

Thu, 26 Apr 2012 16:00:00 GMT

The Executive Director, Production Support is accountable for the development, integration, maintenance and delivery for the ClaimsConnect platform and the ClaimsConnect product.
The Executive Director has day-to-day contact with the CA and ROC Executive Directors, business partners, internal BIO and external BIO representatives as well as shared service organizations to plan, deliver and support on application related projects, production support, and continuous improvement initiative...

Java Integration Developer - Pleasanton, California

Thu, 26 Apr 2012 16:00:00 GMT

The Enterprise Integration Services/SOA (EIS/SOA) Team is responsible for End-to-End Management of Kaiser Permanente (KP) systems integration projects. The team manages client engagements and delivers components that provide enterprise-wide integration solutions throughout the Care Delivery, Health Plan, Business Infrastructure, and HealthConnect portfolios. Work products include direct project management and on-going relationship management for all KP Business Information Office Portfolios (BIO...

Statistical Research Analyst II - Portland, Oregon

Thu, 26 Apr 2012 16:00:00 GMT

QA & Testing Technical Lead - Aurora, Colorado

Thu, 26 Apr 2012 16:00:00 GMT

TECHNICAL LEAD JOB DESCRIPTION:
The Technical Lead of Enterprise Testing Services at Kaiser Permanente is responsible for quality assurance and testing. This includes the design, development and implementation of testing procedures; the creation of test plans, test strategy, cases and scripts to support testing objectives; and the implementation of quality assurance and testing methodologies, processes, standards and tools.

- Supervise the technical aspects of all...

Sr Research Asst - Oakland, California

Thu, 26 Apr 2012 16:00:00 GMT

Conducts telephone or in-person interviews with study participants. Recruits and consents study participants. Assists in training new study staff in study protocols and provides instruction to study participants. Uses computer software to provide basic data management and generate reports.

Essential Functions:
- Assists in training new study staff in protocols and implementation of study goals/objectives
- Provides instruction to participants to teach the...

Information Analyst II Data Information Management Enhancement - Portland, Oregon

Wed, 25 Apr 2012 16:00:00 GMT

This position will assist the organization in making strategic data-related decisions by designing and executing quantitative/qualitative analysis for business areas and providing recommendations for decision making under uncertainty. Provides analytical expertise in identifying opportunities for sustained business improvement.

Essential Functions:
- Participate in operational conceptually defined variables and translating specific business issues and questions int...

Medicare Sales Executive - Portland, Oregon

Wed, 25 Apr 2012 16:00:00 GMT

Responsible for increasing Medicare membership through closing market generated leads, converting current KP commercial members to Medicare and acting as a Trusted Advisor to close self generated leads. Conducts Medicare enrollment seminars within the market, attends open enrollment meetings and Medicare education seminars for KP commercial members and works referral tables at KP Medical Offices. Manages a pipeline of leads, meeting with prospects on personal appointments for the purpose of enro...

Med Tech I Laboratory Panola (Sat\Sun) PT - Lithonia, Georgia

Mon, 23 Apr 2012 16:00:00 GMT

Medicare Business Engine Environments Java Consutlant Specialist - Pasadena, California

Mon, 23 Apr 2012 16:00:00 GMT

Located in Pasadena, California, Kaiser Permanente's Health PlanBIO - Membership Systems group is looking for an experienced Programmer/ Analyst Consultant Specialist to lead the Medicare Business Engine Environments.

Description

Kaiser Permanente's HP BIO/ Membership Systems & Contact Centers are the organization's center of excellence for the integration, development, maintenance, and support of local, regional, and national software solutions that...

Technology and Data Management Lead - Oakland, California

Mon, 23 Apr 2012 16:00:00 GMT

The National Product Solutions Technology and Data Team is responsible for designing, implementing and maintaining the Technical capabilities and Data Interfaces that support Products within Kaiser's Marketing Sales and Service community. The Products we support are primarily Insurance related Products (Self Insured Product, HRA, HSA etc.). Under the general direction of the Senior Manager, this position will be responsible for cross functional coordination to ensure appropriate integration of t...

Staff RN Hospice LA Per Diem - Los Angeles, California

Sun, 22 Apr 2012 16:00:00 GMT

Information will be added based on hiring manager submission

Essential Functions:
Information will be added based on hiring manager submissionQualifications:Basic Qualifications:
- Current CA RN license and AHA BLS certification.
- One (1) year recent (within past three (3) years) full-time equivalent experience in a licensed Home Health and/or Hospice agency as an RN/PHN.
- Current California Driver's License and a clear driving recor...

Supervisor PBS Collections - Pasadena, California

Thu, 19 Apr 2012 16:00:00 GMT

Under the direct supervision of the PBS Collections Manager, this position is responsible for the day to day operations of the Collection Department to ensure they are in compliance with organizational and industry standards. Supervises the collection team staff activities that promote best practices for collection efficiency and maximization of revenue. Supervises daily activities of the hourly staff to ensure maximum collection of all receivable revenue and miscellaneous revenue. Identifies qu...

ClaimsConnect Development Director - LAKE OSWEGO, Oregon

Thu, 19 Apr 2012 16:00:00 GMT

Kaiser Permanente is heavily investing in new capabilities to support Health Plan claims processing. These capabilities are supported by large complex multi-year IT projects. The KPIT HP Claims Sub-Portfolio seeks a Development Manager to build a strong development unit to work with our business clients and application vendor to ensure the successful delivery of these IT solutions. You will be joining a high performing motivated team of business and IT professionals eager to deliver outstanding ...

Account Manager - Wailuku, Hawaii

Wed, 18 Apr 2012 16:00:00 GMT

Actuarial Associate - Atlanta, Georgia

Wed, 18 Apr 2012 16:00:00 GMT

Provide actuarial services to develop best-practice actuarial models and promote implementation Program-wide. Accountable for the development of the organization's rate structure, maintenance of adequate reserves, and development of new products. Provide data/analytic expertise to support actuarial services including financial reporting, trend analysis, utilization studies, rate development and claims liability estimates.
Essential Functions:
- Develops insurance rates, rat...