24 Administration jobs in Riverside

Administration OpportunityRiverside, CA more information on this Administration opening and others like it through Metropolis, a Provider Engagement Platform that connects you with organizations in the top 100 Metropolitan areas. Metropolis sources physicians according to each organization's search parameters in a secure, hands-off environment where you can passively or actively evaluate available openings. Metropolis is designed to be user friendly, as it requires very little oversight, offers 24/7 updates on openings without being bombarded by recruiters, and can be easily accessed via laptop, smart phone, or smart device. Unlike traditional job boards, Metropolis offers a confidential experience for both the healthcare facilities and the candidatesMetropolis does not allow recruiting firms on the platform and only shares your information if an organization matches your specific preferences. Additionally, you have the ability to omit facilities you dont want to match with. Lastly, Metropolis operates off sincerity and integrity; job postings will never claim a job is located in the city when it is actually over an hour away.Im already set to interview! I really like Metropolis and love the direct connection to the organization! Jacksonville CandidateGo to the link below to get connected with Administration openings!

Work from Home Office, Data Entry Remote Part-Time/Full-time Job

About the Job Position:

This remote entry-level role comes with training for qualified candidates. Depending on your expertise and desired area of interest, the remote duties may include work at home computer data entry, participating in market research activities such as survey design, focus group participation, product testing, social media and more. You may also be asked to assist with data analysis or providing feedback to support our clients in evaluating product potential. The position offers flexible work hours (part-time to full-time) with the opportunity to work from home and influence strategies across various industries, including automotive, healthcare, entertainment and more.

About Us:

Top Level Promotions specializes in market research, partnering with leading global brands to help businesses connect with customers and achieve sustainable growth. We are expanding our remote team and are looking for professionals to contribute valuable insights in a competitive environment.

Some of the Industries in Which We Work.

* Administration

* Aerospace – Aviation & Atmosphere Science

* Air Travelers & Airlines – International & Domestic Carriers

* Amazon

* Apparel/Accessories/Textiles – Online/Retail/Remote

* Automotive – Design, Development, Manufacturing

* Beverage Industry – Trends, Formulations & Technology

* Candy/Confectionery – Chocolate, Sugar, Gum Products

* Computers – Information and Online Communication Technology

* Customer Service

* Data Entry & Analytics

* Education – Instruction and Training - Work from Home Programs

* Film/Movie – Production, Film festivals, Distribution

* Health Care – Public & Home Care

* Manufacturing – Raw Materials & Machinery

* Marketing & Study Design

* Outdoor Gear – Outdoor Gear & Equipment

* Pet Foods/Supplies/Pet Owners

* Restaurants/Food Service

* Travel/Tourism – Local/International

* Toys – Industry Trends/Changes

Qualifications:

* Applicants are required to have access to home high-speed internet with a stable connection.

* A functional home desktop or laptop computer with both camera and microphone capabilities.

* It is imperative to have a designated quiet workspace available for work purposes.

Skills:

* Exceptional communication and interpersonal skills.

* Strong organizational abilities while working independently.

* Proficiency in fundamental computer applications and typing, encompassing email correspondence and data input.

* Capacity to manage confidential information in a home office environment.

* Attentive to detail and adept at delivering error-free work.

Job Perks:

* Enjoy the convenience of working from your home office, eliminating the need for a daily commute.

* No prior experience necessary – all positions include comprehensive training.

* Flexible options available for both in-person group meetings and online participation.

* Customize your work schedule, whether you prefer part-time or full-time hours.

* Contribute to market innovations and assist companies in enhancing their products and services.

* Opportunities for career growth within companies based on active participation and seniority.

Salary:

This work from home position pays between 18.50 and 36.00 per hour depending your field of interest.

Experience:

This is an introductory position and training is provided to successful candidates.

Application:

We look forward to reviewing your completed application. If you have any questions or need assistance, please feel free to reach out.

Important Note: We are currently only accepting applications from candidates located in Canada, USA, United Kingdom and Australia. Please only apply if you reside in one of these countries.

Sincerely,

Physician / Administration / California / Permanent / Health Plan Medical Director Job at IEHP summary:

The Health Plan Medical Director develops and implements medical policies and utilization management programs to ensure healthcare quality and compliance within the plan. They oversee medical personnel adherence to protocols, provide clinical oversight, and collaborate with various departments to maintain network adequacy and regulatory compliance. The role also involves managing reviews, grievances, and quality improvement initiatives to enhance patient care and organizational performance.

1. Develop and implement medical policy for utilization management activities and functions, including benefit manual statement, policies and procedures, and Utilization Management Subcommittee Guidelines. Provide training and consultation for both internal staff and medical personnel of the Plan regarding policy application.2. Provide direction and control of current medical practices ensuring that medical personnel of the Plan follow medical protocols and rules of conduct.3. Ensure assigned patients are provided healthcare services and necessary medical attention at all locations.4. Collaborates with Contracting Department to ensure full and appropriate primary, specialty, and ancillary care network adequacy for Members.5. Ensures that medical decisions are rendered by qualified medical personnel, unhindered by fiscal or administrative management. Provides clinical oversight and direction over credentialing process.6. Ensures that medical care rendered by providers meets with applicable professional standards for acceptable medical care and quality.7. Consults on written medical protocol for Plan physicians to ensure adherence to current standards and quality of medical care. Coordinates professional interactions among practitioners and lends assistance toward correcting any deviation from medical standards.8. Interacts regularly with inpatient hospitalist groups, PCP & specialists to ensure appropriate medical care is provided and utilization standards are met.9. Develops and manages a formal Utilization Management Program for the Plan and its Providers. This Program includes protocol, procedures, oversight, and training in the following areas: a. Provider Selection b. Credentialing c. Peer Review Activities d. Referral Management e. Pre-admission authorization f. Prospective, concurrent, and retrospective review g. Utilization review reporting and evaluation h. Case Management i. Provider Incentive Programs j. Chairperson/ Co-Chair of the HEDIS Improvement Committee, Quality Management Committee, Quality Improvement Committee, Credentialing Committee, Grievance Trend Committee k. Participates on the Pharmacy and Therapeutics Subcommittee l. NCQA Accreditation.10. Act as a liaison to Provider Relations as a link between IEHP and individual physician, IPAs, medical groups, and hospitals.11. Adjudicate medically related grievances and appeals that flow through the Member grievance and appeals process.12. Review State mandated benefits to ensure IEHP is in full compliance through its Providers.13. Assist Compliance on sanctioned and excluded Provider management. Responsibilities include oversight of safe transitions of care for Members and communication with regulatory agencies and impacted departments (e.g., Pharmacy, Claims, Care Management, Utilization Management, etc.).14. Provide physician level guidance on organizational improvement initiatives, including LEAN activities and Process Improvement Team projects.

Keywords:

medical policy, utilization management, health plan, clinical oversight, credentialing, quality improvement, healthcare compliance, provider network, patient care, grievance management

• $ - $ per hour

• 250 sign-on bonus after the completion of 90 days of employment at IRC with work performance in good standing.
• 500 sign-on bonus after the completion of 6 months of employment at IRC with work performance in good standing.
• Make sure to tell us if an IRC employee referred you when you get to that question on your application! Please include their full name.
• This incentive is only available for new employees. Rehires are not eligible for the sign-on bonuses.

• To view our benefits package and employee perks, please click HERE.

• Responsible for all reception duties. Effectively deal with anxious or irate persons.
• Promptly and courteously answer incoming calls for agency staff. Direct people or transfer calls to requested office or person in a businesslike manner.
• Check in appointments with Spectrasoft and Envoy. Print badges for all visitors and inform staff their appointment has arrived.
• Assist visitors who do not have appointments. Direct visitors to the appropriate person or department.
• Notify intake, early start, psychologists, neurologists, legal, and other units of their scheduled appointments.
• Take or relay messages involving consumers and staff. Keep track of phone calls and voice messages when necessary. Check and record daily general IRC voice mailbox.
• Update or verify employee list with accurate names, appropriate managers, extensions, tracks, etc.
• Coordinate long distance calls for employees.
• Responsible for the audio set-up in the waiting room.
• Provide coverage for Riverside office as needed.
• Receive and give people directions or facts in a foreign language as able.
• Announce via intercom any in-house meeting pending in auditorium.
• Assist with incoming mail/deliveries. Reception will notify employees of delivery or refer visitor to outdoor mailbox.
• Order office supplies when needed.
• Prepare reports as needed or assigned on a timely basis.
• Drive vehicle/travel to other offices/locations to pick-up, deliver documents or materials as needed or assigned.
• Work cooperatively and effectively with others. Perform as a member of the team, answer questions, share expertise and contribute to the harmony of the team.
• Use office equipment appropriately and report the need for any repairs. Keep work area neat and orderly. Observe all safety rules and comply with IRC's Injury and Illness Prevention Plan and Workplace Violence Prevention Plan.
• Must be able to work remotely at home when required to do so by your manager as a result of disruptions in the work environment at the office, e.g., loss of power or internet access; maintain work productivity and efficiency if required to work remotely; communicate via telephone calls, video conference calls, emails, and chat rooms.
• Handle change well and be flexible and adaptable in dealing with interruptions, new priorities and new assignments.
• Maintain good attendance and punctuality.
• Good verbal and written communication skills.
• Keep manager informed of pending work, work in progress and problems encountered.
• Utilize agency's IT systems as assigned, maintaining security and following agency's protocol and procedures, rules, and requirements.
• Attend training sessions as required.
• Comply with and ensure program compliance with agency's Personnel Policies and Procedures.
• Assure that consumers' rights and dignity are maintained in the provision of services.
• Perform different or additional work as assigned.

• High school diploma or equivalent.
• Bilingual preferred.
• Ability to follow oral and written direction.
• Ability to establish and maintain effective working relationships with others.
• Full use of an automobile, possession of a valid California driver's license and liability insurance for the minimum amount prescribed by law or ability to provide for independent transportation. Must have and maintain a safe driving record.

• Answers to Supplemental Questions (Note: the link for the Supplemental Questionnaire can be located on the job posting under "Links Related to this Job"). Must be completed, signed, and dated)
• Letter(s) of Recommendation (One (1) Letters of Recommendation are required and must be signed by the author. The signature block must include the author's name and title/relationship to the applicant. Letters must be dated within the last 2 years prior to the position closing date. Letters without author's signature, name and title/relationship to the applicant and letters without a date or dated more than 2 years prior to the position closing date will not be accepted. One letter from a supervisor is preferred.)
• Resume (Employment information on Resume must be consistent with the employment information on the EdJoin application/Record of Work Experience)