Care Review Processor I (TEMP) | |
Location: | OH-Columbus (MHO COLUMBUS) |
ID: | 5769 |
# of Openings: | 4 |
Description | |
JOB SUMMARY
Works within the Care Access and Monitoring (CAM) team to provide clerical and data entry support for Molina Members that require hospitalization and/or utilization review for other healthcare services including Behavioral Health and Long Term Care. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate Health Care Services staff to ensure the delivery of integrated high quality, cost-effective healthcare services according to State and Federal requirements to achieve optimal outcomes for Molina Members.
DUTIES AND RESPONSIBILITIES
• Provide computer entries of authorization request/provider inquiries by phone, mail, or fax. Including:
• Meet department productivity standards.
• Respond to requests for authorization of services submitted to CAM via phone, fax and mail according to Molina operational timeframes.
• Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director.
• Provide excellent customer service for internal and external customers.
• Meet department quality standards, including inter-rater reliability (IRR) testing and quality review audit scores.
• Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member status.
• Maintain confidentiality and comply with Health Insurance Portability and Accountability Act (HIPAA)
• Participate in Care Access and Monitoring meetings as an active member of the team.
• Meet attendance guidelines per Molina Healthcare policy.
• Follow “Standards of Conduct” guidelines as described in Molina Healthcare HR policy.
• Comply with required workplace safety standards.
STATE PLAN/DEPARTMENT SPECIFIC DUTIES AND RESPONSIBILITIES
Responsible for eligibility and benefit verification and collection of medical data needed to create authorizations and approve designated services. Coordinates the review and approval process for inpatient and outpatient hospital services, ambulatory medical imaging, diagnostic testing, durable medical equipment, home health care, and high cost injectable drugs. Functions as a resource for other licensed and non-licensed UM staff. Assists the Care Coordination team in delivery of high quality, cost effective health care services for Molina members. Cross- trained to support the other functions performed by the Welcome Team – incoming phone queue, fax triage (UMK2), and handling of incoming and outgoing mail.
KNOWLEDGE, SKILLS AND ABILITIES
• Demonstrated ability to communicate, problem solve, and work effectively with people.
• Working knowledge of medical terminology and abbreviations.
• Ability to think analytically and to problem solve.
• Good communication and interpersonal/team skills.
• Must have a high regard for confidential information.
• Ability to work in a fast paced environment.
• Able to work independently and as part of a team.
• Computer skills and experienced user of Microsoft Office software.
• Accurate data entry at 40 WPM minimum.
QUALIFICATIONS
Required Education
• High School Diploma/GED
Preferred Education
• Associates in Arts degree or other degree
Required Experience
• Previous Hospital or Healthcare clerical or billing experience
Preferred Experience
• One year or more in a Managed Care Environment
• Hospital billing or coding
Preferred Licensure/Certification
• Certified Clinical Coder
To all current Molina employees if you are interested in applying for this position please fill out an Employee Transfer Request Form (ETR) and attach it to your profile when applying online. Be sure to let us know you are a current employee by selecting “Molina Employee (current) in the source section of the online application.
Molina Healthcare offers competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
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Saturday, January 5, 2013
Care Review Processor
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Housing Coordinator
Housing Coordinator | |
Location: | Lynn, MA |
Benefits: | Comprehensive Benefits Package |
Employment Type: | Full Time |
Department: | Consumer Services |
Description: | Greater
Lynn Senior Services provides a wide range of social services for
elders and people with disabilities -- information, transportation,
meals, advocacy, homecare, housing, and more--for one reason: to help
those 60 and older in Lynn, Lynnfield, Nahant, Saugus and Swampscott
live fuller, more independent lives, safely and with dignity. Position Overview: The Supportive housing Coordinator is responsible for the coordination of services to the residents supportive housing programs. This position assists all residents in obtaining appropriate services, community benefits and resources. Create a feeling of “Community” within the buildings and work cooperatively with the Lynn Housing Authority. May also carry a small number of cases outside of the supportive housing sites. Knowledge of the basic medical and social services delivery systems and funding sources are essential and should be able to make proper judgments, demonstrate leadership qualities, possess good written and verbal skills, and maintain effective interpersonal relationships with staff members and elderly residents. Qualifications: B.A. in Human Services or related field plus two years experience in dealing with the elder population. Proficiency with Microsoft Office Software, intermediate computer skills and administrative skills required. Licensed Social Worker preferred. Bilingual a plus. Hours: Full Time, 40 Hours per week. apply here EOE/AA |
Project Manager I
Job Code | 13-0031 |
Title | Project Manager I |
City | Framingham |
State | MA |
Are you ready to explore the corporate side of retail? The TJX Companies, Inc. is the leading off-price apparel and home fashions retailer in the U.S. and worldwide, operating four major divisions -- Marmaxx (T.J. Maxx and Marshalls) and HomeGoods in the United States; TJX Canada (Winners, HomeSense and Marshalls); and TJX Europe (T.K. Maxx and HomeSense). With over $23 billion in revenues in 2011, more than 2,900 stores, and approximately 168,000 Associates, success is always in style at TJX. We at TJX understand that both our customers and the talent pool from which our Associates come are increasingly diverse. Our core values of respect, integrity and fairness are inherent in the relationships we build with each other, our vendors and our customers. We are committed to leveraging the differences among our Associates and customers to create both a diversified mix of talent within TJX and a diversified mix of merchandise within our stores. We consider the unique views and opinions of our Associates to be key to our growth and success in the future. |
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Description | Project Manager I Overview Participates in special projects and performs other duties as assigned. |
Qualifications apply here |
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Ticket Taker
Facility Operations/Security: Usher/Ticket Taker
Ticket Takers - Cincinnati Reds (Cincinnati, OH)
Posted: 01/03/2013
Expires: 02/12/2013
Full/Part: Seasonal
Base Salary: Per Game
Total Compensation: Per Game
Category: Ballpark Operations, Ticket Takers
Department: Ballpark Operations
Job Title: Ticket Taker
Reports To: Ticket Taker Supervisor
Essential Duties and Responsibilities:
• Take tickets as fans enter Great American Ball Park for Cincinnati Reds home games
• Ensure fans have valid tickets to enter the Ballpark
• Develop a working knowledge of Great American Ball Park
Ideal candidate will possess the following:
• Ability to work nights and weekends
• Strong customer service skills
• Outgoing, attentive and communicate in a professional manner
• Ability to handle large crowds while remaining friendly and professional
• Experience doing customer service work is preferred and as is the use of a hand-held scanning device
Expectations:
• Adhere to Cincinnati Reds Organization Policies and Procedures
• Act as a role model within and outside the Cincinnati Reds Organization
• Performs duties as workload necessitates
• Demonstrate flexible and efficient time management and ability to prioritize workload
• Meet Department productivity standards
Please Note:
• This is a seasonal opportunity and no benefits will be provided
• Ticket Takers are paid a game rate of $42.50 as a 5 inning person or $37.50 as a 3 inning person
• This position is outdoors and subject to weather conditions and requires standing on concrete for long periods of time
• Ticket Takers are members of the Theater Employees Local Number B-38 International Alliance of Theatrical Stage Employees and Moving Picture Technicians, Artists and Allied Crafts of the United States, Its Territories, and Canada
Important things to know BEFORE you apply:
Any offer of employment is contingent upon satisfactory completion of a background investigation. Accordingly, you may be required to complete the Cincinnati Reds application forms and other such documentation as may be necessary to comply with the Fair Credit Reporting Act. Pursuant to Major League Baseball, and in accordance with applicable law, you may be required to submit to a drug screen prior to and during your employment.
To be considered for employment for the above position applicants must meet the following minimum requirements:
• Must be at least 18 years of age.
• Must have a High school Diploma or GED.
Disclaimer:
The statements herein are intended to describe the general nature and level of work being performed by the employee in this position. The above description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks, and duties. Additional duties, as assigned, may become part of the job function. The duties listed above is, therefore, a partial representation not intended to be an exhaustive list of all responsibilities, duties, and skills required of a person in this position.
Equal Employment Opportunity Policy Statement
The Company is an Equal Opportunity Employer. Equal opportunity for employment and/or promotion is open to any person who possesses the requisite qualifications for an open position. The Company policy is that there should be no discrimination on the basis of age, gender, race, color, religion, national origin, disability, veteran status, or any other legally protected status, with regard to employment, job assignment, and promotion or other terms or conditions of employment.
Note:
When you apply for this job online, you will be required to answer the following questions:
Seasonal Ticket Taker - Cincinnati Reds (Cincinnati, OH)
Ticket Takers - Cincinnati Reds (Cincinnati, OH)
Posted: 01/03/2013
Expires: 02/12/2013
Full/Part: Seasonal
Base Salary: Per Game
Total Compensation: Per Game
Category: Ballpark Operations, Ticket Takers
Department: Ballpark Operations
Job Title: Ticket Taker
Reports To: Ticket Taker Supervisor
Essential Duties and Responsibilities:
• Take tickets as fans enter Great American Ball Park for Cincinnati Reds home games
• Ensure fans have valid tickets to enter the Ballpark
• Develop a working knowledge of Great American Ball Park
Ideal candidate will possess the following:
• Ability to work nights and weekends
• Strong customer service skills
• Outgoing, attentive and communicate in a professional manner
• Ability to handle large crowds while remaining friendly and professional
• Experience doing customer service work is preferred and as is the use of a hand-held scanning device
Expectations:
• Adhere to Cincinnati Reds Organization Policies and Procedures
• Act as a role model within and outside the Cincinnati Reds Organization
• Performs duties as workload necessitates
• Demonstrate flexible and efficient time management and ability to prioritize workload
• Meet Department productivity standards
Please Note:
• This is a seasonal opportunity and no benefits will be provided
• Ticket Takers are paid a game rate of $42.50 as a 5 inning person or $37.50 as a 3 inning person
• This position is outdoors and subject to weather conditions and requires standing on concrete for long periods of time
• Ticket Takers are members of the Theater Employees Local Number B-38 International Alliance of Theatrical Stage Employees and Moving Picture Technicians, Artists and Allied Crafts of the United States, Its Territories, and Canada
Important things to know BEFORE you apply:
Any offer of employment is contingent upon satisfactory completion of a background investigation. Accordingly, you may be required to complete the Cincinnati Reds application forms and other such documentation as may be necessary to comply with the Fair Credit Reporting Act. Pursuant to Major League Baseball, and in accordance with applicable law, you may be required to submit to a drug screen prior to and during your employment.
To be considered for employment for the above position applicants must meet the following minimum requirements:
• Must be at least 18 years of age.
• Must have a High school Diploma or GED.
Disclaimer:
The statements herein are intended to describe the general nature and level of work being performed by the employee in this position. The above description is only a summary of the typical functions of the job, not an exhaustive or comprehensive list of all possible job responsibilities, tasks, and duties. Additional duties, as assigned, may become part of the job function. The duties listed above is, therefore, a partial representation not intended to be an exhaustive list of all responsibilities, duties, and skills required of a person in this position.
Equal Employment Opportunity Policy Statement
The Company is an Equal Opportunity Employer. Equal opportunity for employment and/or promotion is open to any person who possesses the requisite qualifications for an open position. The Company policy is that there should be no discrimination on the basis of age, gender, race, color, religion, national origin, disability, veteran status, or any other legally protected status, with regard to employment, job assignment, and promotion or other terms or conditions of employment.
1. Do you have an avaliable schedule that would allow you to work nights, weekends and holidays? A 2013 schedule is posted at reds.com
2. Do you have the ability to handle large crowds while remaining friendly and professional?
3. Do you have at least 3 years of customer service experience?
4. Have you ever used a hand held ticket scanner?
apply here
Instructional Assistant
Classified Position Opening | ||
Instructional Assistant(s) 2012-13 TEMPORARY, Cherry Crest Elementary | ||
Opening Date:
1/3/2013 Closing Date: Open Until Filled Location: Cherry Crest | ||
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Under supervision of a certificated staff member, the instructional assistant may: perform routine tasks in monitoring and assisting student progress within a variety of subject areas; work with small groups (may be multi-graded) or individual students, including special needs students, to improve academic skills (i.e., math/reading); proctor tests, quizzes, drills, and other exercises; score objective tests and record grades; aid students with special learning needs by administering remedial work; assist teachers in the development and preparation of relevant educational tools, materials, and strategies to meet individual needs; meet with students individually, or in small groups, to assist them with lesson assignments and subject matter; reinforce listening, and verbal skills; may reinforce math or reading skills (increase comprehension, vocabulary development, reading for information and enjoyment); assist certificated staff to encourage the integration of students into instructional and social activities offered by the school; may accompany groups of students on field trips and other outings; attend relevant in-service training sessions and workshops; attend appropriate staff meetings to coordinate instruction and to understand building goals; observe and record students’ individual progress on instructional objectives; maintain appropriate data and reports; adjust objectives as indicated by monitoring of student progress; participate in conferences with students and parents; help students to develop a positive attitude about self, academic achievement, and school; perform related duties as required. | ||
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Reports to Principal. | ||
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School diploma or equivalent and an Associates (AA) Degree or higher, two years of college, or pass a formal state or local academic assessment that meet specific criteria. Specialized training in math and/or reading preferred. Experience working with computers. Experience working with classroom teachers. Experience working with linguistically and culturally diverse students. Experience working individually with students of diverse aptitudes and levels of achievement. Knowledge of : child development; a variety of reading and/or math methods. Skills in : effective oral and written communication; communication that represents good modeling for students. Ability to: perform all duties in accordance with applicable Board policies and district and legal requirements; meet and maintain punctuality and attendance expectations; organize and complete tasks; observe confidentiality; relate to students of different cultures; maintain effective relations with students, staff, and the public. | ||
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This posting is considered 'temporary' for the remainder of the 2012-13 school year only. Applicants hired under this position have no guarantee of continued employment after the end of the 2012-13 school year.AISP salary classification 4 ($ 14.41 per hour) 5-15 hours per week. This position is covered by a collective bargaining agreement that requires a membership or representation fee as an ongoing condition of continued employment after an individual is hired. | ||
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If interested and qualified please go to the Bellevue School District web site at www.bsd405.org and follow the link to apply for a position. For assistance with the online application process please contact hr.info@bsd405.org or call 425-456-4040 . Note: Verification of identity and United States work authorization must be completed. The successful candidate for this position must be fingerprinted. Employment is contingent upon clearance by Washington State Patrol and Federal Bureau of Investigation |
COFFEE BAR ATTENDANT-PART TIME
COFFEE BAR ATTENDANT-PART TIME
Job ID: | 2012-11989 | Casino Property: | Hollywood Casino at Kansas Speedway |
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Location: | US-KS-Kansas City | Posted Date: | 1/4/2013 |
Position Type: | Regular Part-Time |
apply here
Overview: |
Penn
National Gaming has thrilled and entertained guests since 1971 when it
all began as a horse racing venue. From a single race track, we have
grown to be one of the nation’s largest gaming companies, operating
properties that offer broad and diverse gaming and pari-mutuel wagering
experiences. PENN is dedicated to becoming the undisputed leader in
guest service by offering a Red Carpet experience for each and every
guest.
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Your daily responsibilities include: |
Hollywood Casino at Kansas Speedway is currently looking for Coffee Bar Attendants to join the team.
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To be successful in this position it will require the following skill set: |
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DL (Hourly) Customer Service Representative ll-Hurst and Surrounding Areas
TEXAS DEPARTMENT OF PUBLIC SAFETY
invites applications for the position of:
DL (Hourly) Customer Service Representative ll-Hurst and Surrounding Areas
invites applications for the position of:
DL (Hourly) Customer Service Representative ll-Hurst and Surrounding Areas
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Business Operations/Admin/IT
Requisition Number: FS75135
Interest Category: Business Operations/Admin/IT
Interest Sub Category: Information Technology
Job Title : Admin Support III
Employment Category/Status: full-time
Type of Position: Regular Hire
Country: U.S.
State: Maryland
City: Fort Meade
Minimum Requirements: • Must have either: (1) An associate degree (or its equivalent as evidenced by two years of applicable college courses or (2) a High School Diploma (or GED) and four years of applicable experience.
• Must have hands on experience and knowledge of working and providing support within a telecommunications environment
• Must be eligible to obtain and hold a secret level security clearance.
Job Description: URS is looking for a Project Support Assistant to join our team! This position will be located at Fort Meade in Maryland and Falls Church, Virginia.
Responsibilities:
• Provide basic project support to DISA, which may consist of tracking schedules, helping to document requirement, communication with customers, logistics management, requirements integration, and knowledge management.
• Although working individually, team members may share responsibility in order to most effectively utilize time and meet deadlines.
URS Corporation - a FORTUNE 500 Company - is a fully integrated engineering and technical services organization with the capabilities to support every stage of the project life cycle. URS provides these services for the U.S. federal government, national governments of other countries, state and local government agencies in the United States, FORTUNE 500 companies and other multinational corporations. We have approximately 50,000 employees in a network of offices in more than 30 countries. The Company’s business is focused on four key market sectors: Federal, Infrastructure, Power, and Industrial & Commercial.
apply now
Business Office Clerk/Receptionist
Business Office Clerk/Receptionist |
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Location: | Provo | |||
Job Code: | 472 | |||
# of Openings: | 1 | |||
Description | ||||
FT-Business office clerk/receptionist sorts incoming mail, inputs data
received from the insurance update list into Group Cast and merges all
duplicate accounts. Sorts HCFAs, attaching the necessary documentation
and then delivers/mails these documents, redirects incoming faxes and
any other duties requested by the Patient Services Supervisor and
Director of Business Office. Qualifications: High School diploma, minimum 2 years customer service experience with demonstrated excellent skills in customer service. Critical thinking and problem solving skills, follow through skills and the ability to see the big picture. High level of comfort learning and operating a variety of complicated computer programs. Intermediate level of experience using MS Office, particularly Excel or must pass Excel Training Module within 90 days in order to apply visit this link http://ch.tbe.taleo.net/CH05/ats/careers/apply.jsp?org=CENTRALUTAHCLINIC&cws=1 Preferred: Understanding of Medical Billing and Insurance Services. | ||||
Product Sales Specialist - Seattle, Washington
Job Description - Product Sales Specialist - Seattle, Washington (130000520)
Job Description
Product Sales Specialist - Seattle, Washington-130000520
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Food Preparer- West Valley Hospital
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Unscheduled,
non-benefits eligible position. There is no set schedule or guarantee
of hours worked for this position. Unscheduled staff are mostly utilized
to provide vacation and sick coverage as well as filling in when
additional staff are needed.
Work days/hours: Monday – Sunday; variable hours
Don’t miss this opportunity to join our West Valley Hospital team in Dallas, Oregon!
West
Valley Hospital’s Nutrition Services Department is seeking a dynamic,
experienced, team-oriented and quality focused nutrition services
professional to assume the role of Food Preparer. The
Food Preparer is responsible for preparing fresh, flavorful, and
aesthetically pleasing foods for patients, visitors, and staff, while
following proper portioning, service techniques, and leftover
utilization to insure cost effectiveness.
General Responsibilities:
Working Conditions:
-Ability to read, understand, and process food orders as outlined by diet standards.
-Must have the ability to work efficiently and responsibly in an environment with multiple work demands and short time frames.
-Handle very fast paced high demand environment.
-Tolerate hot and cold temperatures.
Special Skills, Knowledge or Abilities:
-Must demonstrate excellent communication & time management skills.
-Able to understand and demonstrate exceptional sanitation practices.
-Strong
“people skills” (must be able to comfortably work with others in a team
environment, provide customer service in the café, and serve patients).
-Must adhere to proper food handling techniques.
West Valley Hospital is seeking candidates who demonstrate the following strengths, as defined by the Gallup Organization.
Core Strengths:
Job-specific strengths:
Minimum Qualifications:
In order to be considered for this position, your resume must reflect all relevant licenses, certifications, education, and experience noted in the requirements and minimum qualification sections of this job posting. Without this information, candidates cannot be considered for positions to which they may be qualified. |
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Buyer
Location: | Salt Lake City, UT | |
Salary Range: | DOE | |
Exempt/Non-Exempt: | Exempt | |
Employment Type: | Full Time | |
Department: | Customer Service | |
Description: | Company Summary: 1-800 CONTACTS is the largest ($600 million-plus) direct-Marketer of replacement contact lenses in the United States. Through its toll-free telephone number, 1 800 CONTACTS, and through its multiple Internet addresses—which include 1800contacts.com, contacts.com and contactlenses.com— and through its affiliate with over 4000 Wal-Mart stores, the Company offers essentially all of the soft and hard contact lenses produced by major contact lens manufacturers, including Johnson & Johnson, CIBA Vision, Bausch & Lomb, Ocular Sciences and Cooper Vision. The Company stocks the largest inventory of contact lenses in the world (20 million) from which it can ship approximately 98% of its orders within one business day of receipt. | |
Duties: | The
person will be the senior most buyer on the procurement team. They will
be responsible for managing and developing Buyers and overseeing the
day-to-day activities of the Purchasing Department. The Senior Buyer
manages all replenishment on contact lens, frames, eyeglass lenses, and
consumables, in addition to all corporate procurement items. This
position will assist in hiring, goal setting, and review process for the
department. Shift Requirements: • Typically Monday – Friday, 8:00 a.m. – 5:00 p.m. • Must be able to work other hours outside of normal shift and Saturdays based on business needs Responsibilities: • Assist in traditional management responsibilities including: interviewing, training, performance reviews, employee development, conflict resolution, innovation, mentoring and coaching. • Ability to prioritize workflow and communicate priorities effectively while managing, coaching and developing Purchasing Agents on contact lenses, glasses, and procurement. • Ensure the department is providing exceptional service to both internal and external customers. • Be able to lead effective group meetings, prepare for department staff meetings, analyze and interpret data and written instructions, and be able to effectively communicate and provide feedback. • Must have a flexible schedule to work within all shifts, overtime, and weekends as needed. • Effectively communicate Distribution Center policy and procedures to associates. Also share the cultural concepts including situational leadership and facilitate those applications. • Assist in software development, enhancements and testing. • Provide accurate, timely and complete daily performance analyses. Be proactive in looking for ways to improve the department and make recommendations and implementations. • Be able to effectively communicate with other departments and understand each department’s role. • Able to complete projects as assigned accurately, within budget, and on time. • Ability to define problems, collect data, establish facts, and draw valid conclusions. Ability to interpret an extensive variety of instructions, both verbal and written. • Monitor Purchasing Agents ability to achieve productivity, efficiency and accuracy of all processes. • Must be able to recognize sensitive business and personnel issues and maintain those issues with the utmost confidence. • Implement, support, and maintain operational, financial, and control procedures. • Process weekly payroll approvals; ensure records are accurate and aligned with company policies regarding overtime, sick time and vacation time. • Passion to develop self and department to stay current on leadership, management and operational best practices. Leverage that development and implement through continuous improvement. • Performs other duties as assigned. | |
Qualifications: | •Required Experience and Skills: • Three to Five years in related Purchasing, Supply Chain, or Finance experience required. • High School degree or equivalent required. • Bachelor’s Degree or equivalent experience preferred. • Proficient with Microsoft office suite of products • Prior supervisor or management experience with proven leadership and mentoring abilities. • Communicate effectively and clearly in one-on-one, group situations, written & verbal. Must be able to interact and communicate with all levels of staff and upper management. • Have a high level of leadership abilities, passion to succeed, clear expectations, critical thinking, accountability, and strong customer focus. • Excellent organization, problem solving and time management skills with great attention to detail. • Able to work in a fast paced environment with large volume and critical timely parameters. • Must have a flexible schedule to work within all shifts, overtime, and weekends as needed. Benefits available: • Eligible for Medical & Dental the day of hire! • Free yearly eye exam for employee & immediate family • Eligible for Flexible Spending the day of hire! • 401K with company match • Holiday, Vacation and Personal time pay • Huge discounts on contact lenses and glasses for friends and family • Free on-site fitness center with access to certified trainers • On-site restaurant with highly discounted meals • Company paid Life, AD&D • Supplemental Life available • Long Term Disability • Free 24 hour Nurse Line • Extensive Wellness program • Free soda, coffee, and drinks all day every day • Free breakfast, fruit and bread all day every day • Much, much more Apply by emailing a resume to: recruiting@1800contacts.com | Please list the position title in the subject line and specify how you learned of the opportunity. |
Animal Keeper - Primates
Animal Keeper - Primates
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