
co or us nationaldenverhybrid remote work
Title: Manager, Payor Strategy
Location: Denver, CO or Remote
Job Description:
About SonderMind
At SonderMind, we believe everyone deserves one personalized, connected, and effective mental health destination to take care of their mental health and well-being at any stage of life. SonderMind care encompasses everything from therapy and medication management to meditation and mindfulness exercises. Our clinicians leverage our digital tools and research to deliver increasingly high-quality care and to develop thriving practices. Combining technology and human connection, SonderMind drives better outcomes through our comprehensive approach. Learn more about SonderMind at sondermind.com or download the mobile app, available on iOS and Android. To follow the latest SonderMind news, get to know our clients, and learn about what it’s like to work at SonderMind, you can follow us on Instagram & Linkedin
About the Role
The Manager, Payor Strategy is responsible for negotiating net new and renegotiated payor contracts within an assigned scope, supporting SonderMind’s growth and strategic objectives. Reporting to the Director of Payor Contracting, this role leads end-to-end contracting efforts while working cross-functionally to ensure contracts are operationally sound and deliver a high-quality experience for clients, providers, and internal teams.
This role requires strong negotiation skills, a deep understanding of payor contracting, and the ability to translate contractual terms into scalable, operationally viable solutions. The ideal candidate is relationship-driven, analytically strong, and motivated by improving access and outcomes in mental health.
What you’ll do
- Lead negotiations for new and existing payor agreements, including reimbursement rates, financial terms, and contract language, in alignment with SonderMind’s financial and strategic goals
- Own the full contracting lifecycle: from initiating new agreements and amendments through execution, implementation, and operational readiness
- Develop negotiation strategies informed by market dynamics, data analysis, and organizational priorities
- Review and analyze contract language and reimbursement methodologies; recommend modifications that support business objectives and mitigate risk
- Track and report contract status, renewal timelines, negotiated terms, and key performance metrics
- Build and maintain strong relationships with payor partners; prepare and deliver materials for payor presentations and recurring business reviews
- Collaborate closely with cross-functional partners including Revenue Cycle, Credentialing, Finance, Legal, Product, and Customer Service to ensure contracts can be operationalized effectively and meet service standards
- Support additional projects and initiatives as needed based on business prioritie
What does success look like?
- Successful execution of new and renegotiated contracts that meet financial, operational, and client experience goals
- Strong, productive relationships with payor partners and internal stakeholders
- Clear, timely communication of contract status, risks, and outcomes
- Proactive identification and resolution of complex contracting or operational challenges
- Ability to independently manage priorities while contributing meaningfully to team-wide objectives in a fast-paced environment
Who You Are
- BA/BS in Business Administration, Healthcare Administration or related degree
- Minimum five years experience negotiating payor and/or provider agreements
- Knowledge of managed care regulations and laws related to health care, preferably in behavioral health
- Experience with alternative payment models, such as Value Based Programs, Risk Arrangements, and Case Rates
- Ability to work remotely and to travel to the corporate office and to payor visits or conferences.
- Strong negotiation and interpersonal skills: written, verbal, analytical
- Motivated and influential – proactive with the ability to adhere to deadlines; work to “get the job done” in a fast-paced environment.
- Self-starter with the ability to multitask.
Our Benefits
The base salary range for this role is $120,000 - $130,000. Final compensation will be determined based on a variety of factors, including relevant experience, skills, education, and past performance. In addition to base salary, this position may also be eligible for a variable bonus and equity.
As leaders in redesigning behavioral health, we walk the walk with our employees' benefits. We want the experience of working at SonderMind to accelerate people’s careers and enrich their lives, so we focus on meeting SonderMinders wherever they are and supporting them in all facets of their lives and work.
Our benefits include:
- A commitment to fostering flexible hybrid work
- A generous PTO policy with a minimum of three weeks off per year
- Free therapy coverage benefits to ensure our employees have access to the care they need (must be enrolled in our medical plans to participate)
- Competitive Medical, Dental, and Vision coverage with plans to meet every need, including HSA ($1,100 company contribution) and FSA options
- Employer-paid short-term, long-term disability, life & AD&D to cover life's unexpected events. Not only that, we also cover the difference in salary for up to seven (7) weeks of short-term disability leave (after the required waiting period) should you need to use it.
- Eight weeks of paid Parental Leave (if the parent also qualifies for STD, this benefit is in addition, which allows between 8-16 weeks of paid leave)
- 401K retirement plan with 100% matching which immediately vests on up to 4% of base salary
- Travel to Denver 1x a year for annual Shift gathering
- Fourteen (14) company holidays
- Company Shutdown between Christmas and New Years
- Supplemental life insurance, pet insurance coverage, commuter benefits and more!
Application Deadline
This position will be an ongoing recruitment process and will be open until filled.
Equal Opportunity
SonderMind does not discriminate in employment opportunities or practices based on race, color, creed, sex, gender, gender identity or expression, pregnancy, childbirth or related medical conditions, religion, veteran and military status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition (including genetic information or characteristics), sexual orientation, or any other characteristic protected by applicable federal, state, or local laws.
Title: Senior Manager, Software Engineering - Agentic AI Solutions
Location: New York, NY
Category: Engineering
Job Description:
Who we are:
Founded in 2016, K Health's mission is to deliver accessible, high-quality healthcare at scale. As a leading clinical AI company in primary care, K Health has developed a suite of clinical AI agents that enhance provider efficiency and improve patient outcomes. K Health's virtual primary care platform is enhanced by an AI copilot to complete the initial patient intake, summarizing relevant history from the EMR, and generating “the perfect note” to reduce the time providers spend on basic data collection and non-clinical tasks. Unlike other virtual medicine companies, K Health delivers comprehensive, longitudinal primary care in a virtual setting, enabling our clinicians to be true primary care providers without sacrificing scope of practice or continuity of care.
As a venture-backed startup trusted with nearly $400 million in funding and a $900 million valuation as of July 2024, K Health is well-positioned for sustained future growth. We are expanding our partnerships with major health systems (Cedars-Sinai, Hackensack Meridian Health, Hartford HealthCare), enhancing accessibility and quality of care by pairing people with technology. Our providers are credentialed at these renowned academic health systems and adhere to their clinical guidelines, ensuring patient-first, evidence-based care. Fully integrated into Epic, our AI platform enables K Health to operate as an extension of existing healthcare systems, benefiting from a built-in network of specialists and social services to seamlessly serve patients within those communities. Our unique care delivery model enables our providers to deliver the same high-quality, accessible care to a mixed-payer population, including those with commercial insurance, Medicare, and Medicaid.
Join us in our mission to deliver smarter, simpler healthcare of the future - today!
About the role
We are seeking an engineering leader who will drive K's AI-driven core Provider and Ops platform into the future of Primary Care. This critical role sits at the intersection of deep integrations and cutting-edge Generative AI, focusing on creating intelligent automation that radically simplifies complex workflows. You will own the technical strategy, development, and execution of a mission-critical product portfolio, designing transformative AI co-pilots and ambient automation solutions that fundamentally improve provider efficiency and ultimately elevate patient care, all while enabling deep integrations with foundational EMR systems like Epic.
This role requires in-office presence in our New York office four days per week.
What you will do
- Provide decisive technical and organizational leadership, guiding the team through the strategic development and delivery of the entire provider and ops product portfolio.
- Drive the engineering roadmap for advanced AI co-pilot features and provider-facing productivity tools that integrate seamlessly into daily practice.
- Oversee the creation and successful embedding of ambient AI capabilities and deep automations within core Electronic Medical Record (EMR) systems, specifically Epic.
- Lead the development of agentic voice and text based AI systems designed to autonomously execute complex operational and administrative workflows, leveraging technologies such as Google ADT, LangFuse, LangGraph, and LangChain, and orchestrating a hybrid model stack that includes OpenAI and Google Gemini alongside self-hosted and fine-tuned smaller LLMs like Gemma and Llama.
- Ensure robust, compliant, and deep integration strategies with EMR platforms (e.g., Epic) to deliver seamless and reliable experiences for both providers and patients. This includes a combination of HL7, Smart on FHIR, Open FHIR APIs and proprietary Epic APIs where relevant.
- Foster a culture of technical excellence, focusing on highly scalable architecture, security, and velocity to deliver transformative results.
What we're looking for
- 3+ years of experience in Engineering Management, successfully leading and scaling high-performing teams.
- 7+ years of experience in hands-on Software Engineering roles, preferably with experience building complex, distributed systems.
- Strong architectural, design, and security acumen, ideally within the highly regulated landscape of healthcare or a healthcare-adjacent field.
- Proven ability to evaluate and synthesize multiple architectural approaches to stitch together integrated solutions that are performant, compliant, scalable, and highly reliable.
- Deep experience building, evolving, and operating distributed microservices architectures in TypeScript and Kotlin, including API design, service orchestration, and production-grade observability and resilience.
- Exceptional ability to lead complex discussions across erse technical and non-technical, internal and external audiences to achieve common goals.
- Demonstrated expertise in communicating highly complex ideas and influencing stakeholders to achieve optimal business and technical outcomes.
Benefits & Perks: #LI-Hybrid
- Hybrid work schedule with weekly lunches and stocked fridges
- Monthly social committees for company events
- 18 vacation days, 9 company holidays, 5 sick days, and 2 personal days
- Stock options for every full-time employee
- Paid parental leave
- 401k benefit
- Commuter Benefits
- Competitive health, dental, and vision insurance options
Compensation:
$215,000 - $275,000 USD
We offer competitive compensation packages based on industry benchmarks for function, level, and geographic location. Offer amounts are determined by multiple factors such as a candidate's experience and expertise.
We are proud to be an Equal Opportunity Employer and consider applicants for employment regardless of race, ethnicity, religion, color, national origin, ancestry, disability, medical condition, genetic information, marital status, sex, gender, gender identity, gender expression, sexual orientation, pregnancy, childbirth and breastfeeding, age, citizenship, military or veteran status, or any other class protected by applicable federal, state, and local laws. We’re deeply committed to building teams as erse as the patients we serve and strive to cultivate an environment where everyone can bring their most authentic self to work. We depend on our differences to make our team stronger, our workplace more dynamic, and our product accessible to all of our users.
We are committed to maintaining the integrity of our hiring process and ensuring a safe environment for all candidates. All communication for job offers from K Health will come from email addresses ending in @khealth.com. K Health will never ask you to provide financial information about yourself during the recruitment process. We will never use personal email accounts or other domains for official correspondence. Our official job postings are only listed on our official website and reputable job boards. Be cautious of job offers from sources other than these platforms.

hong konghybrid remote worksingapore
Title: Commercial Account Executive (APAC)
Location:
Singapore, Singapore, Singapore
Hong Kong, Hong Kong, Hong Kong
Workplace: Hybrid remote
Job Description:
Reports to: Head of Sales, APAC
Location: Singapore (Hybrid) or Hong Kong (Remote)
Experience Level: 2–4 Years
The Opportunity
You will join Intellect’s Revenue team as a key closer for the Mid-Enterprise segment. This is a high-growth role designed for a sales professional ready to graduate from transactional selling to consultative solution design. You will own the full sales cycle for mid-sized organizations while supporting the Head of Sales on complex, strategic enterprise accounts.
What You Will Do
Full Cycle Execution: Own the end-to-end sales process for mid-market and emerging enterprise accounts. You are responsible for discovery, solution mapping, and commercial negotiation.
Consultative Discovery: Move beyond "feature selling." You will conduct deep discovery sessions with HR and Business Leaders to diagnose organizational mental health challenges and prescribe the right Intellect solution.
Disciplined Pipeline Management: Maintain a clean 3× pipeline coverage. You will use HubSpot to forecast accurately, keeping deal stages up-to-date to ensure "No Surprises" for leadership.
Stakeholder Multi-threading: Build relationships beyond a single point of contact. You will learn to navigate organizations, engaging HR Managers, Benefits Admins, and Wellbeing Champions to build consensus.
Market Intelligence: Act as the "eyes and ears" on the ground. Feedback objections, competitor movements, and local nuance to Product and Marketing teams.
Requirements
Experience: 2–4 years of B2B sales experience (SaaS or Professional Services preferred). You have a track record of closing deals and hitting quotas.
The "Consultant" Mindset: You are naturally curious. You ask "why" before you pitch "what." You understand that listening is more powerful than talking.
Coachability: You are eager to learn formal enterprise methodologies (e.g., MEDDICC). You take feedback well and iterate quickly.
Polish & Presence: You can hold your own in a room (or Zoom) with senior professionals. You write clear, professional emails and communicate with precision.
Grit: You understand that outbound prospecting and territory building are part of the job, not just waiting for inbound leads.
Your Career Trajectory This role is designed as a launchpad for high-performers. You will sharpen your commercial acumen by working alongside seasoned leadership, gaining direct exposure to complex deal structuring and regional strategy. We are committed to developing our internal talent, offering a clear path to Senior Enterprise roles as we scale across APAC.
Benefits
Why You’ll Love Working With Us:
- Global company – work in a erse environment with people from nearly 20 countries
- Generous leave policy – time off to rest and recharge
- Christmas week off – company-wide break during Christmas, separate from annual leave
- Birthday leave – enjoy a day off on your birthday
- Quarterly mental health days – one day off every quarter to focus on your wellbeing
- Flexible work arrangements – work in a way that suits your lifestyle and goals
- Work-life balance – a culture that values personal time and long-term wellness
- Medical coverage – comprehensive insurance for peace of mind
- Performance bonus – high performance is recognised and rewarded
- Development budget - annual allowance to support your professional development
- Mental health support – premium coaching access to our mental health app and resources & dedicated budget for clinical and psychiatric care
- Socials and communities – regular non-work events/activities to connect and have fun together

100% remote workma
Title: Solutions Consultant (m/f/d)
Location: Massachusetts, United States
Workplace: Fully remote
Job Description:
As a Solutions Consultant at SkyCell, you will work closely with Sales and Product teams as a technical subject matter expert, supporting pharma customers throughout the pre-sales process. You will engage with prospective clients to deeply understand their technical, operational, and regulatory challenges and translate these into tailored solution designs and demonstrations. With a strong hands-on approach, you will showcase how SkyCell’s integrated hardware and software solutions address complex pharma supply chain, quality, and compliance needs.
At SkyCell, our mission is to transform the global supply chain and make a positive impact on the world. We offer innovative supply chain solutions for pharma cold chain and asset management for air cargo, with sustainability at the core of everything we do.
We’re a fast-growing, purpose-driven scale-up where you’ll make an impact, feel empowered, and thrive in a erse, innovative environment.
Why Top Talent Joins SkyCell?
· The "Green" Advantage: We are the sustainability leader. You will help your customers hit their Scope 3 Net-Zero goals by moving them away from heavy active containers and single-use waste.
· The Product Wins: We have a <0.1% excursion rate which is audited by a reputable third party since 2017. When you promise a customer safety, the hardware actually delivers.
· Uncapped Potential: We offer a competitive base salary with an aggressive, uncapped commission structure designed for high performers.
· Autonomy: You are the CEO of your territory. We provide the world-class project team (Zurich HQ + US Ops), but you drive the strategy.
Here's what you'll do::
- Act as the technical lead during the pre-sales phase, partnering with Sales to understand customer requirements and shape technically sound, value-driven solutions
- Develop a deep understanding of SkyCell’s end-to-end solutions, including hardware, software, data, and integrations, and how they apply within regulated pharma environments
- Prepare, configure, and deliver tailored technical presentations, product demonstrations, and workshops for prospective customers
- Lead in-depth technical discussions with customer stakeholders, addressing architecture, integrations, data flows, validation, and compliance-related questions
- Configure and manage demonstration environments and support the creation of proofs of concept or prototypes to validate solution fit
- Translate customer requirements into solution concepts, supporting proposal creation, RFP responses, and technical documentation
- Collaborate closely with Product, Engineering, and Operations to ensure proposed solutions are feasible, scalable, and production-ready
- Provide technical input into pricing, scope, and risk considerations during the sales process
- Stay informed on industry trends, pharma regulations, and competitor solutions to effectively position SkyCell’s offering
- Capture and relay structured feedback from the field to Product and Engineering teams to influence roadmap and solution improvements
- Support customer meetings, pilots, and industry events as a technical representative
Requirements
This is what you'll need::
- Bachelor’s degree or higher in Engineering, Supply Chain, Computer Science, Life Sciences, or a related technical field (or equivalent experience)
- Several years of experience in technical pre-sales, solution consulting, or sales engineering, ideally within pharma or other highly regulated industries
- Strong technical understanding of supply chain visibility solutions, data-driven platforms, and integrated hardware–software systems
- Experience working with enterprise or regulated software environments and complex customer landscapes
- Ability to explain complex technical concepts clearly to both technical and non-technical audiences
- Proven experience collaborating cross-functionally in fast-paced, scale-up or enterprise environments
- Comfortable managing multiple opportunities and technical workstreams in parallel
- Experience using CRM and sales tools to support structured pre-sales activities
- Willingness to travel as required to support customer engagements
Benefits
What's In It For You?
· Flexibility & Balance: Flexible working hours and work-life balance allow you to tailor work to fit your life.
· Recognition & Growth: Opportunities for career advancement in a company that values your contributions.
· Hybrid Workplace: Modern workspaces (in Zurich, Zug and Hyderabad as well as our Skyhub in Basel) and a remote-friendly culture to inspire collaboration amongst a globally erse team.
· Company-wide Events: Join us for company events to celebrate successes, build teams, and share our vision. Plus, new joiners experience SkyWeek, our immersive onboarding program.
· Generous Maternity & Paternity Leave: Support for new parents with competitive maternity and paternity leave.
· Annual Leave & Bank Holidays: Enjoy a generous annual leave package, plus local bank holidays to recharge and unwind
Ready to Make an Impact?
We’re not just offering a job; we’re offering a chance to be part of something bigger. At SkyCell, you’ll help build a future where pharmaceutical delivery is efficient, sustainable, and transformative.
Stay Connected with SkyCell
Visit and explore #WeAreSkyCell on LinkedIn
How to Apply
Simply click ‘apply for this job’ below! We can’t wait to meet you and discuss how you can contribute to our mission! Please note, we are unable to consider applications sent to us via email.
If you have any questions, you can contact our Talent Team ().
SkyCell AG is an equal opportunity employer that values ersity and is committed to creating an inclusive environment for all. We do not discriminate based on race, religion, colour, national origin, gender, sexual orientation, gender identity, age, disability, or any other legally protected characteristic.
For this position, if you are not located in, or able to relocate (without sponsorship) to one of the above locations, your application cannot be considered.

azhybrid remote workphoenix
Title: Education Program Coordinator
Location: Phoenix, AZ, United States
Full-time
Hybrid
Job Description:
Why Mayo Clinic
Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.
Benefits Highlights
- Medical: Multiple plan options.
- Dental: Delta Dental or reimbursement account for flexible coverage.
- Vision: Affordable plan with national network.
- Pre-Tax Savings: HSA and FSAs for eligible expenses.
- Retirement: Competitive retirement package to secure your future.
Responsibilities
Manages the day to day operations of one or more residency/fellowship training programs. Is a key member of the education leadership team. Assists in supervision and gives direction to trainees in accordance with the MSGME, accrediting organizations such as Accreditation Council for Graduate Medical Education (ACGME), specialty boards, and subspecialty boards to ensure program compliance.
Performs duties independently and initiates judgment in handling a variety of program management issues and communications. Oversees the coordination of the recruitment, orientation and graduation processes; facilitates the evaluation process; prepares and maintains documentation for program accreditation. Provides ongoing information concerning changes (and opportunities) in both internal and external educational initiatives. Supports ongoing program quality assurance initiatives.
The positions will primarily support the Emergency Medicine Residency, with cross-coverage for additional ACGME-accredited programs for one of the two positions.
This position is a combination of remote and on-site work; inidual must live within a 50 mile driving distance to Phoenix Mayo Clinic campus.
Visa sponsorship is not available for this position. Also, Mayo Clinic DOES NOT participate in the F-1 STEM OPT extension program.
Qualifications
Associates degree with a minimum of 2 years' experience in an academic and/or healthcare field required OR a bachelor's degree.
Prior experience at Mayo Clinic providing academic program management preferred; experience working in a health care setting demonstrating strong leadership, team building and problem solving skills as well as the ability to work collaboratively with multiple internal and external disciplines required. Must have proven organizational and documentation skills with strong attention to detail. Ability to interpret and analyze information to ensure compliance with accreditation requirements. Ability to provide budget oversight and management. Requires demonstrated interpersonal, verbal and written communication skills. Requires strong independent decision making and judgment skills. Must have excellent time management skills with proven ability to develop timelines, shift priorities, multitask and work independently. Must be a self-starter with ability to take initiative to solve problems and improve processes.
A Broad-based knowledge and proficiency in computer software applications including word processing, spreadsheet/database, electronic calendaring/scheduling systems, and web-based applications. Knowledge of medical terminology.
TAGME (Training Administrators of Graduate Medical Education) Certification or working knowledge of certification requirements is beneficial but not required.
Exemption Status
Nonexempt
Compensation Detail
$24.07- $34.95/ hour
Benefits Eligible
Yes
Schedule
Full Time
Hours/Pay Period
80
Schedule Details
Monday - Friday 7:30 a.m. - 4:00 p.m. First 90 days must be on-site. After a 90-day period, the employee is eligible to work from home 2-3 days a week.
Weekend Schedule
Occasional flexibility may be needed for time-sensitive trainee or accreditation activities, but this is not the norm.
International Assignment
No
Site Description
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is.
Equal Opportunity
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the 'EOE is the Law'. Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.
Recruiter
Pam Sivly

hybrid remote workwa
Title: DSHS ESA Virtual Case Management Center Administrator
Location: Multiple Locations, Statewide, Washington, United States
Full Time - Permanent
Hybrid
Salary: $88,740.00 - $118,056.00 Annually
Job Description:
We are seeking a confident, collaborative, and culturally humble leader with strong management experience to support the Community Services Division, (CSD) within Economic Services Administration (ESA). As a leader joining in this unified goal, you will use innovative problem-solving and cultivate a team with a ersity of identity, thought, and lived experience. This is an exciting opportunity for a meaningful career where you have the ability to stretch and grow, stay busy, enjoy the challenges of the work you do by making a difference in people's lives
In this role, as a Statewide Virtual Case Management Center (VCMC) Administrator, you will directly report to the appointing authority, and you'll ensure the delivery of services of approximately $5.6 billion dollars of critical public assistance programs that adheres to agency policies, federal regulations, and state law funded are issued legally, accurately, and timely in the assigned service area. You will be responsible for the VCMC and will have the oversight of programmatic supervision and as a partner team to 6 other CSCC call center teams as we continuously improve service delivery across our Call Center operations. You will be working with erse internal and external partners, the public, legislature, customers, and stakeholders. You will strengthen our relationships in the communities we serve using innovative ways, working with an agency that holds the values of equity, ersity, and inclusion.
This position allows you to work remotely in a hybrid capacity. There will be times when you will need to be physically present in an office.
Some of what you'll be doing:
- Plan, lead, prioritize, organize and direct the activities and performance of the VCMC Team staff.
- Manages delivery of public assistance programs and is accountable for program results.
- Provides leadership and oversight for new initiatives and creates major changes in operations and service delivery methods that enhance CSD's ability to serve the public while ensuring the fiscal integrity of programs administered.
- Effectively communicate with the public, staff, agency hierarchy, legislature, the media, and throughout the organization to ensure effective program delivery.
- Exercises fiscal management authority for budget development and expenditures including staffing or FTE's and direct client benefit expenditures.
Who should apply?
Required education, knowledge, and experience
- Bachelor's degree from an accredited university in social work, health or social science, public administration, or a related field AND at least 5 years of managerial experience in the service delivery field, either in program or line management.
- Equivalent experience may substitute year-for-year for the required education.
- Experience working within a political environment and a history of working collaboratively with a broad spectrum of stakeholders, including state and local elected officials, other state agencies, local governments, tribal leaders, community-based organizations, and advocacy groups
- Working knowledge of union-management basic agreements, laws, rules, and regulations governing public welfare, affirmative action, and equal opportunity.
Preferred / Desired Education, Experience, and Competencies:
- Understanding of the DSHS Mission, Values, and Strategic plan.
- Knowledge of the legislative and rule-making process. Interpret statutes, rules, regulations, and statewide operational policies.
- Knowledge of project management principles and practices, including experience developing and managing a project plan.
- Knowledge of federal, state, and department regulations governing statewide public assistance services and operations.
- Knowledge of management principles, strategic planning, budget development, and fiscal accountability.
- Knowledge of collective bargaining principles and contracts for represented staff and teammates.
- Knowledge of call center technology and phone management, as well as, virtual supervision of staff and managers.
Interested?
Please attach the following to your application:
- A current resume that includes dates of employment
- A letter of interest (not to exceed 2 pages)
- Three professional references with current contact information
Questions? Please email [email protected] and reference 00114.
To learn more about DSHS, go to www.dshs.wa.gov.
The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ iniduals, immigrants and refugees, and families building financial security.
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384. E-Verify is a registered trademark of the U.S. Department of Homeland Security

flhybrid remote workmiami
Title: Software Engineer III, Digital Pathology Image Management System development C#
Location: Miami, FL, USA
Full-time
Hybrid
Job Description:
Be a part of a global team where what we do matters!At Epredia, we recognize that our talented employees are vital to our success. Our team is dedicated, our work is rewarding – both personally and professionally – because what we do matters.
We seek talented iniduals who will contribute to and thrive in our collaborative, erse, fast-paced environment while demonstrating a commitment to our core values, People, Customer, Results, Continuous Learning, and Innovation.
People– We win as a team.
Customer – We deliver customer-centric solutions.
Continuous Learning – We learn and always aim to be better.
Innovation – We innovate every day.
Results – Results matter for all of us.
We are growing our Digital Pathology Image Management System development team and are looking for passionate innovators to help shape the future of diagnostic medicine. As a Software Engineer III, Digital Pathology Image Management System Development C# you will contribute to the evolution of our FDA-cleared platform by integrating AI-driven capabilities, advancing digital slide management, and enhancing diagnostic workflows. You’ll work at the intersection of software, healthcare, and cloud technology, collaborating in a regulated environment to deliver solutions that support laboratories, pathologists, and ultimately improve patient outcomes.
Location: Hybrid - Miami
What you will be doing:
Work in a regulated environment on integrating AI into the image management system.
Advancing digital slide management, and enhancing diagnostic workflows.
Collaborate with cross functional teams and other stakeholders to understand requirements, provide efficient solutions to meet their needs, and build robust shared services.
Conduct thorough code reviews to maintain code quality.
What skills you will need:
5+ years of professional software development experience.
Bachelor's degree in a relevant scientific or engineering discipline (or equivalent experience); advanced degrees are a plus
C# .NET framework 4.8 and .NET Core 2.0 and above
CSS, JavaScript, WPF and Winforms and MVC
ASP.NET, REST API, PostgreSQL and SQLite
JIRA, Bitbucket, Git
C++
Node.js, React, API integration
Experience with digital slide formats: DICOM, TIFF, SVS, MRXS, iSyntax and NDPI
Experience with HL7 and SNOMED
Experience in regulated industries, especially medical
Knowledge of IEC 62304, ISO 14971, FDA Requirements, ISO 13485
TO ALL RECRUITMENT AGENCIES: Epredia does not accept unsolicited third-party resumes.
Building an Inclusive Culture: We are a company that brings the best people together and leverages their varying backgrounds, ideas, and points of view to invent on behalf of all customers. We are committed to equal employment opportunity for all iniduals, without regard to race, color, national origin, ancestry, sex, age, religion, physical or mental disability, medical condition, veteran status, marital status, pregnancy, sexual orientation, gender identity, genetic information or any other protected classes which may exist under applicable federal, state or local law.

cahybrid remote worklos angeles
Title: Clinical Case Manager
Location: Los Angeles, CA
Full-time
Hybrid
Compensation
- LCSW/LMFT/LPCC$35 – $40 per hour
We offer competitive compensation based on factors such as experience, skills, location, company needs, and market demands.
Job Description:
Great humans deserve great benefits! At Vynca, full time employees are eligible for benefits such as: medical, dental, and vision insurance, income protection benefits, flexible PTO, company holidays, 401k, and access to other wellness benefits.
For field roles, mileage reimbursement will be provided per IRS guidelines.
Department: Enhanced Care Management
Job Description:
Join the dynamic journey at Vynca, where we're passionate about transforming care for iniduals with complex needs.
We’re more than just a team; we're a close-knit community. Our shared commitment to caring for each other and those we serve is what sets us apart. Guided by our unwavering core values: Excellence, Compassion, Curiosity, and Integrity, we forge paths of success together. Join us in this transformative movement where you can contribute to making a profound difference every day.At Vynca, our mission is to provide comprehensive care for more quality days at home._A_bout the job
Internal Title: Clinical Lead Care Manager
We're seeking an exceptional Clinical Lead Care Manager (CLCM) to join our team. Under the direction of the ECM Clinical Manager, the CLCM serves as the client’s primary point of contact and works with all their providers such as doctors, specialists, pharmacists, social services providers, and others to make sure everyone is in agreement about the client’s needs and care. The CLCM manages client cases, coordinates health care benefits, provides education and facilitates member access to care in a timely and cost-effective manner. The CLCM collaborates and communicates with the client’s caregivers/family support persons, other providers, and others in the Care Team to promote wellness, recovery, independence, resilience, and member empowerment, while ensuring access to appropriate services and maximizing member benefit.
This is a hybrid position that requires traveling throughout the Los Angeles County area up to 5 days per week. Candidates wishing to be considered must reside within 25-miles of the assigned territory due to frequency of travel.
This is a critical role and we're looking to fill it as soon as possible.
What you’ll do
Hybrid (in-person and remote) care management duties as described below:
Assess member needs in the areas of physical health, mental health, SUD, oral health, palliative care, memory care, trauma-informed care, social supports, housing, and referral and linkage to community-based services and supports
Oversees the development of the client care plans and goal settings
Offer services where the member resides, seeks care, or finds most easily accessible, including office-based, telehealth, or field-based services
Connect clients to other social services and supports that are needed
Advocate on behalf of the client with health care professionals (e.g. PCP, etc.)
Utilize evidence-based practices, such as Motivational Interviewing, Harm Reduction, and Trauma-Informed Care principles
Conduct outreach and engagement activities in order to facilitate linkage to the ECM program and log activity in the Client Relationship Management (CRM) system
Evaluate client’s progress and update SMART goals
Provide mental health promotion
Arrange transportation (e.g., ACCESS)
Complete all documentation, including outcome measures within the timeframes established by the inidual care plans
Maintain up-to-date patient health records in the Electronic Medical Record (EMR) system and other business systems
Complete monthly reporting to ensure program compliance
Attend training as assigned
Your experience & qualifications
LPCC, LCSW, or LMFT license in California required
1+ year of experience as a care manager, care navigator, or community health worker supporting vulnerable populations. 2 or more years preferred.
Willing and able to work Monday-Friday 8:30am-5:00pm, both in the field and remotely, with flexibility for potential evenings and weekends.
Working knowledge of government and community resources related to social determinants of health
Excellent oral and written communication skills
Positive interpersonal skills required
Clean driving record, valid driver's license, and reliable transportation
Must have general computer skills and a working knowledge of Google Workspace, MS Office, and the internet
Bilingual (English/Spanish) preferred
Additional Information
The hiring process for this role may consist of applying, followed by a phone screen, online assessment(s), interview(s), an offer, and background/reference checks.
Background Screening: A background check, which may include a drug test or other health screenings depending on the role, will be required prior to employment.
Job Description Scope: This job description is not exhaustive and may include additional activities, duties, and responsibilities not listed herein.
Vaccination Requirement: Employees in patient, client, or customer-facing roles must be vaccinated against influenza. Requests for religious or medical accommodations will be considered but may not always be approved.
Employment Eligibility: Compliance with federal law requires identity and work eligibility verification using E-Verify upon hire.
Equal Opportunity Employer: At Vynca Inc., we embrace ersity and are committed to fostering an inclusive workplace. We value all applicants regardless of race, color, religion, age, national origin, ancestry, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, veteran status, disability, genetic information, citizenship status, or membership in any other protected group under federal, state, or local law.

cahybrid remote workpalo altosan diego
Title: Intellectual Property Counsel
Location:
- Palo Alto, CA
- San Diego, CA
Full-time
Hybrid
Job Description:
Company Description
Guardant Health is a leading precision oncology company focused on guarding wellness and giving every person more time free from cancer. Founded in 2012, Guardant is transforming patient care and accelerating new cancer therapies by providing critical insights into what drives disease through its advanced blood and tissue tests, real-world data and AI analytics. Guardant tests help improve outcomes across all stages of care, including screening to find cancer early, monitoring for recurrence in early-stage cancer, and treatment selection for patients with advanced cancer. For more information, visit guardanthealth.com and follow the company on LinkedIn, X (Twitter) and Facebook.
Job Description
Guardant Health, Inc. is seeking an experienced and motivated Intellectual Property Counsel to join its IP Team. This role will be directly report to a Director, Intellectual Property. As a member of the IP Team, you will be responsible for providing guidance on a wide range of IP legal matters related to the cancer diagnostics field. You will combine your legal and technical knowledge to implement and execute the company’s IP strategy for Guardant’s growing patent portfolio. The technology you will be exposed to is critical to Guardant’s mission of improving the lives of cancer patients.
Essential Duties and Responsibilities:
Continue to build and manage a global patent portfolio, including preparing and prosecuting patent applications, identifying strategic areas for patenting, harvesting patentable inventions, and evaluating the patentability of invention submissions;
Collaborate with other members of the IP Team to develop and advise on global patent and IP strategy;
Perform infringement and validity analyses and evaluate risk mitigation strategies;
Develop relationships with, counsel and educate scientists and other employees on patent-related matters;
Partner with relevant stakeholders across the company to provide strategic IP counseling with respect to research and product development;
Oversee and coordinate with outside counsel as necessary with respect to IP protection;
Qualifications:
Juris Doctorate from a nationally accredited law school;
Registration with the USPTO and a member of a state bar;
Advanced degree in Molecular Biology, Bioinformatics, Computational Biology; Cancer Genomics, Genetics, Statistics or similar field preferred;
5+ years of relevant patent prosecution experience at a law firm or in-house position;
Experience with drafting, prosecuting, and reviewing invention disclosures and patent applications focused on methods for analyzing genomic data from diagnostic next-generation sequencing (NGS) assays;
Familiarity with library preparation methods used to generate NGS data, including targeted sequencing, whole-genome sequencing, methylation sequencing, or RNA-seq;
Understanding of algorithms and tools used in cancer genomics (e.g., sequence alignment, variant calling);
Excellent communicator, project manager, and team player
Familiar with AI patent tools for searching, drafting, and landscape analysis;
Strong interpersonal skills and be willing to work closely with scientists, managers, and employee teams;
Adaptable, flexible, and creative in a rapidly changing environment.
Hybrid Work Model: This section is applicable to onsite employees who are eligible for hybrid work location as specified by management and related policies. Guardant has defined days for in-person/onsite collaboration and work-from-home days for inidual-focused time. All U.S. employees who live within 50 miles of a Guardant facility will be required to be onsite on Mondays, Tuesdays, and Thursdays. We have found aligning our scheduled in-office days allows our teams to do the best work and creates the focused thinking time our innovative work requires. At Guardant, our work model has created flexibility for better work-life balance while keeping teams connected to advance our science for our patients.
The annualized base salary ranges for the primary location and any additional locations are listed below. This range does not include benefits or, if applicable, bonus, commission, or equity. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, education, job-related skills, job duties, and business need. Primary Location: Palo Alto, CA Primary Location Base Pay Range: $189,700 - $260,850 Other US Location(s) Base Pay Range: $161,245 - $221,723 If the role is performed in Colorado, the pay range for this job is: $170,730 - $234,765
Employee may be required to lift routine office supplies and use office equipment. Majority of the work is performed in a desk/office environment; however, there may be exposure to high noise levels, fumes, and biohazard material in the laboratory environment. Ability to sit for extended periods of time.
Guardant Health is committed to providing reasonable accommodations in our hiring processes for candidates with disabilities, long-term conditions, mental health conditions, or sincerely held religious beliefs. If you need support, please reach out to [email protected]
A background screening including criminal history is required for this role. GH will consider qualified applicants with criminal arrest or conviction histories in a manner consistent with applicable law including but not limited to the LA County Fair Chance Policies and the Fair Chance Act (Gov. Code Section 12952).
Guardant Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
All your information will be kept confidential according to EEO guidelines.
Please visit our career page at: http://www.guardanthealth.com/jobs/

100% remote workaurorachicagoil
Title: Senior Oncology Account Manager – Chicago North, IL
Location:
- Chicago, Illinois
- Aurora, Illinois
Remote
Job Description:
Territory Geography: Chicago/Aurora
Revolution Medicines is a clinical-stage precision oncology company focused on developing novel targeted therapies to inhibit frontier targets in RAS-addicted cancers. The company’s R&D pipeline comprises RAS(ON) Inhibitors designed to suppress erse oncogenic variants of RAS proteins, and RAS Companion Inhibitors for use in combination treatment strategies. As a new member of the Revolution Medicines team, you will join other outstanding Revolutionaries in a tireless commitment to patients with cancers harboring mutations in the RAS signaling pathway.
The Opportunity:
The Senior Oncology Account Manager is responsible for the direct promotion of Revolution Medicines’ products and for building strong professional relationships with key customers and stakeholders, including private practices, medical group practices, hospitals/academic medical centers, and office ancillary staff involved in the care of cancer patients. The Senior Oncology Account Manager will act as both a clinical and business leader who exemplifies the values of Revolution Medicines by providing approved disease and product information, as well as resources, to key decision-makers and stakeholders within their assigned territory. This position reports directly to the Area Business Director.
Effectively markets Revolution Medicines’ product portfolio in the designated territory.
Responsible for exceeding assigned performance goals for the territory by effectively positioning the benefits and use of RevMed’s products for appropriate patients.
Exhibits effective time management by directing efforts towards engagements that drive brand value and prioritizing activities that positively impact patients.
Partners with key internal stakeholders to remove barriers to care, ensuring every eligible patient receives timely access to RevMed products.
Demonstrates the ability to flex between virtual and in-person engagements and develop business plan considering account communication preferences.
Ability to analyze key market data points and action insights into effective business planning and implements these plans by engaging key targets via call optimization and resource utilization.
Develops deep, sustained customer relationships across assigned accounts and proactively challenges customers through innovative, value-driven solutions.
Represent RevMed’s brands in a professional, compliant, ethical, and effective manner.
Exhibits a thorough understanding of disease states, Revolution Medicine’s products, and relevant competitor offerings and effectively articulates value across all communication channels (i.e. digital, live, etc.).
Possess comprehensive understanding of the reimbursement process and fulfillment pathways for oral oncolytics.
Demonstrates highly effective territory management and superior selling competencies.
Illustrates the ability to creatively gain “access” to customers in the modern landscape.
Drives team effectiveness and accomplishment of shared goals by leveraging and sharing expertise and information.
Effective management of territory resources and budget.
Complies with all laws, regulations and policies that govern the conduct of Revolution Medicines staff.
Visibly embodies corporate Core Values while cultivating an energized team culture focused on patient impact.
Required Skills, Experience, and Education:
MA/MS/BA/BS degree and 20 years of biopharma industry experience.
15+ years prior experience in oncology product sales.
Proven track record of product launch success in the oncology therapeutic space.
Oral Oncolytic product launch experience.
Experience launching oncology products with companion diagnostics.
Proven performer in highly competitive marketplaces.
Proven performer in solo-representative selling environments.
Demonstrated success operating in small/midsize biotechnology environments.
Ability to meet territorial travel requirements.
Ability to travel to meetings/training/programs, as necessary.
Proven effectiveness in highly collaborative & cross-functional working environments.
Valid driver's license.
Must permanently reside in the territory for which they are accountable.
~50% travel required.
Preferred Skills:
Experience in the GI and/or NSCLC oncology space.
Advanced degree (MBA, PharmD, PhD).
Strong organization, planning, project management, technical and analytical skills.
Other relevant experience (e.g., sales operations, market research, market access, etc.)
Ability to work independently to execute strategic and tactical plans under tight timelines.
Delivers compelling presentations to iniduals and groups, adapting messaging to maximize audience engagement.
Highly proficient in Microsoft suite including Powerpoint, Excel, Word.
#LI-Remote #LI-VN1
The base pay salary range for this full-time position is listed below. Please note that base pay salary is one part of the overall total rewards program at RevMed, which includes competitive cash compensation, robust equity awards, strong benefits, and significant learning and development opportunities. In addition, some positions may include eligibility to earn commissions/bonus based on company and/or inidual performance.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, field kit benefits, or any other form of compensation and field kit benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company’s sole and absolute discretion, consistent with applicable law.
Revolution Medicines is an equal opportunity employer and prohibits unlawful discrimination based on race, color, religion, gender, sexual orientation, gender identity/expression, national origin/ancestry, age, disability, marital status, medical condition, and veteran status.
Revolution Medicines takes protection and security of personal data very seriously and respects your right to privacy while using our website and when contacting us by email or phone. We will only collect, process and use any personal data that you provide to us in accordance with our CCPA Notice and Privacy Policy. For additional information, please contact [email protected].
Base Pay Salary Range: $150,000—$230,000 USD

cocolumbusfrankforthybrid remote workin
Medical Director - Commercial
Location:
- CO-DENVER, 700 BROADWAY
- WI-Waukesha, N17W24222 Riverwood Dr., Ste 300
- OH-COLUMBUS, 8940 LYRA DR, STE 300
- KY-LOUISVILLE, 3195 TERRA CROSSINGS BLVD STE 203-204 & 300
- OH-MASON, 4361 IRWIN SIMPSON RD
- OH-CINCINNATI, 3075 VANDERCAR WAY
- MO-ST. LOUIS, 100 S 4TH ST
- OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200
Candidates must reside near a location in the following states: CO, OH, IN, KY, MO, and WI.
Full-time
Remote
This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: Monday through Friday 8am-5pm CST or EST (If candidate is living in Colorado MST is fine). Weekend rotation coverage 5-6 weekends a year.
Job Description
The Medical Director- Commercial will be part of the Central Region team responsible for utilization review case management for local Commercial business in the CO, OH, IN, KY, MO, and WI markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.
How you will make an impact:
Supports clinicians to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
Serves as a resource and consultant to other areas of the company.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
May chair company committees.
Interprets medical policies and clinical guidelines.
May develop and propose new medical policies based on changes in healthcare.
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
- General Surgeon or Primary Care specialties preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $238,320 to $393,228
Locations: Colorado, and Columbus, OH
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Physician/Doctor/Dentist
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

cahybrid remote workirvine
Title: Medical Director, Cardiac Imaging
Location: Irvine United States
Job Description:
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com
Job Function:
Medical Affairs Group
Job Sub Function:
Medical Affairs
Job Category:
People Leader
All Job Posting Locations:
Irvine, California, United States of America
Job Description:
About MedTech
Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments.
Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that's reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech.
This is a [hybrid] role available in Irvine, CA. We invite candidates from any location to apply.
We are searching for the best talent for Medical Director, Cardiac Imaging.
Role Purpose
The Director will have medical affairs responsibility in providing therapeutic and clinical expertise in support of the development of cardiac imaging for the treatment of structural heart diseases. This position will play a pivotal role in shaping the medical direction of our NuVision 4D ICE Technology, ensuring compliance with regulatory standards and driving innovation in medical technology development. This role will provide strong strategic input on long term product opportunities and portfolio strategies related to cardiac imaging, work closely with the Clinical Research team in support of evidence generation and dissemination activities that support product approvals, claims development, and product adoption and lifecycle management, and work closely with the R&D teams during product development and with marketing and commercial teams during product launches to provide training and education. The Director will help shape the industry and build strong relationships externally with key customers and stakeholders (Key Opinion Leaders, Echocardiographers, Interventional Cardiologists, Electrophysiologists, Regulatory Agencies, Professional Societies, etc.) to anticipate industry trends, understand clinical/medical insights, unmet medical needs and global standards of care to deliver quality products/solutions.
What you will be doing:
Clinical Leadership
Lead the support for all clinical studies - both for regulatory purposes as well as physician initiated collaborative studies. They will be responsible and accountable for case support plan and execution, physician training, internal field training, training materials, data analysis, publication support and collection of data for supporting platform claims.
Contribute to the development and execution of product and/or procedural evidence generation and dissemination strategies for company sponsored and investigator initiated research.
Collaborate with evidence generation colleagues from Preclinical Research and Clinical Research teams in the USA and internationally to develop global strategies for evidence generation for new and existing products in order to support regulatory approval/clearance, health technology assessment, customer access and post-marketing support
Provide scientific expertise, oversight and approval for clinical trial concept, design, analysis and reporting of clinical research in assigned areas
Provide oversight for the development of materials to be used for study execution (investigator brochures, training materials, etc.)
Work closely with Medical Safety team to ensure adverse events from clinical research studies are reviewed, trended and escalated as needed
Provide scientific input and expertise in the analysis of study results
Work with Regulatory and Clinical partners to prepare report on clinical investigations in preparation for submission to regulatory agencies and/or for publication, to meet evidence requirements
Account for the medical content of internal product documentation and regulatory submissions for new products and for renewals.
Safeguard patient safety.
Approve Design History Files, Technical Guides and Clinical Evaluation Reports (CERs) as part of the creation of product-specific design dossiers/technical files
Review and approve educational, promotional and reporting materials for use by internal stakeholders.
Strategize and prioritize publication proposals in collaboration with Clinical Science.
Cross Function Collaborations
Work with business partners including but not limited to R&D, Clinical Research, Business Development, Regulatory Affairs, Quality & Compliance, Health Economics & Market Access, and Professional Medical Education to influence overall regulatory and commercial strategy, as well as support product development, pre- and post-approval clinical studies, downstream claims, safety assessments, and product launch and training.
Have a leadership role in governance forums including Business Unit leadership teams, cross-functional product core teams, EGS teams, portfolio/strategy management teams, and Safety and Quality Review Boards.
Support the commercial launch of the platform by activating sites, providing physician training, and collect regular feedback on product performance and improvements.
Provide support to Marketing, R&D, Communications, Legal, Quality Assurance/Risk Management/Product Safety and Commercial teams by providing medical and scientific insights to drive optimal business strategic direction and tactical business activities
External Engagements
Engage Key Opinion leaders, Professional Societies, Payers and Providers to understand trends in care and uncover critical insights to support product innovation
Develop relationships with top academic leaders who are investigating Cardiac Imaging
Collaborate with other functions interacting with Cardiac Imaging customers / physicians
Ability and willingness to travel up to 35% of the time
Program Oversight and Team Development
Align strategy, budget and resource allocation in close partnership with the cross-functional partners.
Recruit, mentor, and support the professional growth of the Cardiac Imaging Medical Affairs team
Responsible for ensuring subordinates follow all Company guidelines related to Health, Safety and Environmental practices and that all resources needed to do so are available and in good condition
Responsible for ensuring personal and Company compliance with all Federal, State, local and Company regulations, policies, and procedures
Qualifications
Education
- A doctorate degree in medicine or medical science (MD, DO, PhD, etc.) is required.
Experience and Skills:
Minimum 10 years relevant experience in related studies such as: Cardiac Imaging, Echocardiography, Structural Heart Imaging is required.
Relevant business experience in product development for Cardiac imaging. Experience with Structural Heart imaging is highly desired.
Cardiovascular industry and cardiac imaging knowledge strongly preferred with proven ability to learn complex technology/clinical applications.
Significant experience with clinical research is required.
Strong leadership skills and demonstrated ability to build successful relationships with internal and external partners globally is required.
Prior people management experience is required.
Demonstrated capability, expertise and success in building teams to meet the needs of a global set of businesses is desirable.
Strong communication and negotiation skills to successfully influence and implement policy with key customers and partners is essential.
Must be able to collaborate well with multiple partners and work effectively in a matrix environment.
Previous industry experience leading Medical/Clinical teams in a regulated, commercial biomedical or medical device business is strongly preferred
Experience in product risk evaluation and mitigation is preferred.
Demonstrated success in medical data generation, interpretation and publications is highly preferred.
A willingness and ability to travel approximately 35% domestic and international is required.
The anticipated base pay range for this position is $160,000 - $276,000.
At Johnson & Johnson, we're on a mission to change the trajectory of health for humanity. That starts by creating the world's healthiest workforce. Through innovative programs and policies, we empower the physical, mental, emotional and financial health of our employees and the ones they love! At Johnson & Johnson, we offer a variety of outstanding health and financial benefits, including competitive compensation, 401k, pension, medical, dental, and vision insurance, exercise reimbursement, flexible time off, paid volunteer and parental leave, and more!
Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
This position is eligible to participate in the Company's long-term incentive program.
Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits:
- Vacation -120 hours per calendar year
- Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado -48 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year
- Holiday pay, including Floating Holidays -13 days per calendar year
- Work, Personal and Family Time - up to 40 hours per calendar year
- Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child
- Bereavement Leave - 240 hours for an immediate family member: 40 hours for an extended family member per calendar year
- Caregiver Leave - 80 hours in a 52-week rolling period10 days
- Volunteer Leave - 32 hours per calendar year
- Military Spouse Time-Off - 80 hours per calendar year
For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit www.careers.jnj.com.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and iniduals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an inidual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers . internal employees contact AskGS to be directed to your accommodation resource.
Required Skills:
Preferred Skills:
Analytical Reasoning, Business Requirements Analysis, Clinical Research and Regulations, Clinical Trials Operations, Communication, Developing Others, Digital Culture, Digital Literacy, Healthcare Trends, Inclusive Leadership, Leadership, Medical Affairs, Medical Communications, Medical Compliance, Product Strategies, Stakeholder Analysis, Strategic Thinking, Workflow Analysis
The anticipated base pay range for this position is :
$164,000.00 - $282,900.00
Additional Description for Pay Transparency:
Title: Licensed Clinical Care Advisor - Transition of Care (DSS Regions 1 & 2)
Location:
- NC-ASHEVILLE, 830 HENDERSONVILLE RD STE 102
- North Carolina - Brevard
- North Carolina - Hendersonville
- North Carolina - Shelby
Hybrid
Job Description:
$3,500 SIGN ON BONUS
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision a North Carolina where all children and families thrive in safe, stable, and nurturing homes.
North Carolina residency is required!
Location: We are currently seeking people throughout the State of North Carolina in the following DSS Regions:
- Region 1 counties: Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Madison, Polk, Swain, Transylvania, Yancey, Macon, Jackson, Mitchell.
- Region 2 counties: Alexander, Alleghany, Ashe, Avery, Burke, Caldwell, Catawba, Cleveland, Gaston, Iredell, Lincoln, McDowell, Rutherford, Watauga, Wilkes.
Travel within your assigned DSS Region is required. When you are not in the field, you will work virtually from your home. These roles are statewide field-based and requires you to interact with patients, members, or providers in person four to five days per week.
This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Clinical Care Advisor - Transition of Care is responsible for coordinating operations and workflows related to case management activities in support of specialty programs, such as Foster Care. Serves as a coach. Performs case management telephonically and/or by home visits within the scope of licensure. Manages overall healthcare costs for the designated population via integrated (physical health/behavioral health) case management and whole person health. Manages the most complex cases and provides support to Special Programs case managers
How you will make an impact:
- Engage collaboratively with key stakeholders including families, foster parents, and service teams to craft and sustain inidualized treatment plans.
- Facilitate effective transitions of care for children and families moving between treatment settings.
- Conducts assessments to identify inidual needs. Develops comprehensive care plan to address objectives and goals as identified during assessment.
- Supports member access to appropriate quality and cost-effective care and modifies plan(s) as needed.
- Coordinates with internal and external resources to meet identified needs of the member in terms of integrated (physical and behavioral) whole person care.
- Coordinates social determinants of health to meet the needs of the member and incorporates that into care planning.
- Works closely with various state agencies.
- Maintains knowledge of the system of care philosophy; a spectrum of effective, community-based services and supports for those with or at risk for mental health or other challenges and their families, that is organized into a coordinated network.
- Builds meaningful partnerships with designated populations and their families, and addresses cultural and linguistic needs, in order to help them function better at home, in the community, and throughout life.
- Evaluates health needs and identifies applicable services and resources in conjunction with members and their families.
- Provides important information including patient education, medication reconciliation, and identification of community resources and assists with arrangement of follow-up care.
For the State of North Carolina, in accordance with federal/state law, scope of practice regulations or contract, the requirements are:
- Requires MS/MA in social work, counseling, or a related behavioral health field or a degree in nursing and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience, which would provide an equivalent background.
- Requires an active, current and valid license as an RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC (as allowed by applicable state laws), LMFT, or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
Preferred Skills, Capabilities, and Experiences:
- Travels to worksite and other locations as necessary.
- Experience with transitions of care working in agencies or organizations serving children, youth and family involved in Department of Social Services and Juvenile Justice, with a deep understanding of the therapeutic residential and facility-based services within North Carolina, including the utilization of crisis and transition homes, Psychiatric Residential Treatment Facilities (PRTF), High Fidelity Wraparound and Assertive Community Treatment is strongly preferred.
- Experience working with transitional age youth and young adults preferred.
- Experience working with Children, Youth, and Families who are being served by Local Departments of Social Services through Foster Care and Adoptive Assistance programs is strongly preferred.
- Experience serving the children and youth involved in Foster Care and Social Services.
- Knowledge of resources, supports, services and opportunities required for safe community living for populations receiving in-reach and transition services, including LTSS, Behavioral Health, therapeutic, and physical health services.
- Service delivery coordination, discharge planning or behavioral health experience in a managed care setting preferred.
We are unable to accommodate LCSW-A, LCMHC-A, or any other associate-level licenses.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified Behavioral Health Role
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

ashevillebrysonhybrid remote workncsylvia
Managed Care Coordinator
Location:
NC-ASHEVILLE, 830 HENDERSONVILLE RD STE 102
North Carolina - Bryson City
North Carolina - Sylva
Job Description:
Anticipated End Date:
2026-02-20
Position Title:
CFSP Managed Care Coordinator - Jackson / Swain County
Job Description:
CFSP Managed Care Coordinator
Sign-on Bonus: $2500
We are currently seeking people in the following counties and look forward to speaking with you! (Alleghany, Buncombe, Catawba, Cherokee, Clay, Cleveland, Graham, Haywood, Henderson, Jackson, Macon, Madison, Polk, Swain, Transylvania)
Location: Field: This field-based role in Jackson / Swain County (Sylva/ Bryson City), enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. These roles are county field-based and require you to interact with patients, members, or providers in person four to five days per week.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless accommodation is granted as required by law.
We are partnering with North Carolina DHHS to operationalize a statewide Medicaid Plan designed to support Medicaid-enrolled infants, children, youth, young adults, and families served by the child welfare system so that they receive seamless, integrated, and coordinated health care. Within the Children and Families Specialty Plan (CFSP), and regardless of where a member lives, they will have access to the same basic benefits and services, including Physical health, Behavioral health, Pharmacy, Intellectual/Developmental Disabilities (I/DD) services, long term services and supports, Unmet health-related resource needs, and Integrated care management. We envision North Carolina where all children and families thrive in safe, stable, and nurturing homes.
The CFSP Managed Care Coordinator is responsible for the overall management of the members' inidual service plan within the scope of position in the NC CFSP Program, as required by applicable state law and contract.
How you will make an impact:
- Provide integrated whole-person Care Management under the CFSP Care Management model, including coordination across physical health, behavioral health, I/DD, LTSS, pharmacy, and unmet health-related needs.
- Offer Trauma-Informed Care by recognizing the role of ACEs in the CFSP population and coordinating cross-agency care to support children's erse needs, including physical, behavioral, social, educational, and legal aspects.
- Collaborate closely with each Member's County Child Welfare Worker to align health care needs with permanency planning goals.
- Work with a multidisciplinary care team, including primary health care and behavioral health professionals, specialty providers, and stakeholders in the child welfare system, to coordinate care (e.g., coordination involving juvenile justice awareness).
- Conduct telephonic or face-to-face assessments using predefined questions to identify, evaluate, coordinate, and manage member program needs.
- Identify members with potential clinical health care needs using predefined tools, coordinating their cases with clinical healthcare management and an interdisciplinary team for care coordination support.
- Oversee non-clinical needs of members with chronic illnesses, co-morbidities, or disabilities for cost-effective and efficient service utilization.
- Set short- and long-term goals in collaboration with members, caregivers, families, natural supports, and physicians.
- Identify members who would benefit from expanded services.
Minimum Requirements
- Requires BA/BS degree and a minimum of 1 year of experience working directly with people related to the specific program population or other related community-based organizations; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- Must reside in North Carolina.
- BA/BS degree preferred in a field related to health, psychology, sociology, social work, nursing or another relevant human services area.
- Two (2) years of experience working directly with iniduals served by the child welfare system is preferred.
- Travels to worksite and other locations as necessary.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Care Coord & Care Mgmt (Non-Licensed)
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

apexcarydurhamfuquay-varinaholly springs
Title: Clinical Assessor
(RN - Hybrid)
Location:
- Raleigh, North Carolina; Durham, North Carolina; Morrisville, North Carolina; Cary, North Carolina; Apex, North Carolina; Fuquay-Varina, North Carolina; Holly Springs, North Carolina; Zebulon, North Carolina; Wendell, North Carolina; Rolesville, North Carolina; Knightdale, North Carolina; Morrisville, North Carolina
Job Description:
Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate iniduals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for a Clinical Assessor to join our growing team.
Job Summary:
Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.
Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.
The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted iniduals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.
Position is hybrid. Candidates should be based within Wake County of North Carolina to be able to cover the field work involved.
Responsibilities:
- Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
- Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for PCS is maintained at the highest standards.
- Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
- Conduct service plan reviews as needed.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
- Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for CAP participation is maintained at the highest standards.
- Consult, when necessary, with the Beneficiary's selected case management entity to generate an approvable service plan.
- Ensure that the randomly selected Service Plan completed by the Beneficiary's assigned case management entity is appropriate to the Beneficiary's unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Required Qualifications
- Registered Nurse or LCSW license by the applicable state.
- Minimum of two years of nursing experience.
- This position requires travel up to a 60 mile radius.
Preferred Qualifications
- Experience with community-based iniduals needing personal assistance with ADL and IADL tasks is highly preferred.
- Experience conducting PCS assessments highly preferred.
- 2+ years of home healthcare experience preferred.
- 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred.
- Experience conducting HCBS waiver assessments highly preferred.
- Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
- Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
- Knowledge and understanding of public sector services and supports.
- Computer proficiency in Microsoft Excel, Word and Outlook.
- Ability to utilize computer equipment and web-based software to conduct work.
- Ability to interact with various office staff as needed to support necessary workflows.
- Ability to interact with healthcare professionals, patients, their families and other supports.
- Ability to communicate effectively to iniduals and groups through spoken, written and electronic media.
- Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
- Ability to work independently without a high degree of supervision.
- Develops level of care recommendations based upon clinical evaluations.
- Participates in training of PCS stakeholders as needed.
- Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.
- Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
- Knowledge of eligibility criteria for LOC and Waiver Participation.
- Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
- Participates in training of CAP stakeholders as needed.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at https://careers.acentra.com/jobs
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay range for this position is listed below.
"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Pay Range
USD $77,000.00 - USD $80,000.00 /Yr.

hybrid remote worknjpararitanspring house
Title: Director, Global Regulatory Leader
Location:
Spring House, Pennsylvania, United States of America
Raritan, New Jersey, United States of America
Titusville, New Jersey, United States of America
Job Description:
At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com
Job Function:
Regulatory Affairs Group
Job Sub Function:
Regulatory Affairs
Job Category:
Professional
All Job Posting Locations:
Raritan, New Jersey, United States of America, Spring House, Pennsylvania, United States of America, Titusville, New Jersey, United States of America
Job Description:
About Innovative Medicine
Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.
Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.
Learn more at https://www.jnj.com/innovative-medicine
Johnson & Johnson Innovative Medicine R&D is recruiting for a Director, Global Regulatory Leader. This position is a hybrid role and can be located in Spring House, PA; Titusville, NJ; or Raritan, NJ.
Remote work options may be considered on a case-by-case basis and if approved by the Company and will be available in all states within the United States. While specific cities are listed in the Locations section for reference, please note that they are examples only and do not limit your application. We invite candidates from any location to apply.
The Director, Global Regulatory Leader in Global Regulatory Affairs will be responsible for the development, implementation, and maintenance of global regulatory strategies for investigational rare disease and advanced cell therapy products supporting programs in the Immunology Therapeutic Area.
Principal Responsibilities:
As the global regulatory lead for assigned projects, develop and implement integrated regulatory strategies and operational plans for investigational rare disease and advanced cell therapy products within the Immunology Therapeutic Area. Ensure strategies are aligned with portfolio objectives, regional regulatory requirements, CMC considerations, commercial goals, and market access plans.
Serve as the key regulatory point of contact, providing leadership and guidance across cross-functional teams to support successful development and commercialization, including providing input on implications of regulatory strategy through participation in product-related teams.
Lead the project Global Regulatory Team (GRT) and participate in the Compound Development Team (CDT) as needed.
Lead and/or participate in meetings with regulatory agencies as appropriate and prepare company personnel for interactions with Health Authorities (HAs). Ensure that responses to FDA questions are handled in a timely manner and in line with the approved product strategy.
Lead and oversee key health authority documents (e.g., IND/CTA, meeting requests, briefing packages, responses, marketing applications) according to the strategic plan for the region and health authority commitments. Perform critical review of submission documents to ensure compliance with regulatory requirements.
Negotiate and manage regional post-approval commitments and global label expansion strategies.
Maintain an understanding of the competitive landscape (e.g., views of HAs, regulatory precedents, labeling differences and disease area-specific issues) and provide proactive strategic regulatory advice to project teams and global regulatory teams.
Maintain working knowledge of laws, guidances and requirements related to autoimmune diseases, in addition to general regulatory knowledge and provide strategic regulatory input into clinical trial designs, labeling, risk management, and development programs to meet global and regional requirements.
Support due diligence and business development assessments.
Identify and resolve regulatory issues that may affect projects or organizational objectives.
Qualifications:
A minimum of a Bachelor's degree is required, preferably in a scientific or technical discipline. Advanced degree (Master's, PharmD or PhD) preferred.
A minimum of 10 years of global health regulated industry is required.
Global regulatory experience with deep expertise in U.S. FDA, EMA, and international regulations within scientific and commercial contexts is required.
Knowledge of the drug product lifecycle from discovery to clinical trials to marketing is required.
An understanding of FDA and International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use (ICH) regulatory requirements and guidelines specific to the areas of clinical research, product development, and labeling is required.
An understanding of the regulatory submission and approval process is required.
Experience critically reviewing and compiling regulatory documents is required.
Knowledge of the Immunology and Oncology therapeutic areas is strongly preferred.
Knowledge of advanced therapies, such as CAR-T, is strongly preferred.
Demonstrated ability to interpret and apply regulatory requirements and precedents is required.
A proven track record in shaping global regulatory strategies, ensuring compliance, and leading direct interactions with Health Authorities is required.
Must have excellent oral and written communication skills.
Must have strong organization and multi-tasking skills.
A proven track record of working successfully within a collaborative team environment and building positive relationships as an inidual contributor is preferred.
The ability to effectively prioritize assignments for multiple products and projects simultaneously is preferred.
The ability to exercise independent judgment and execution in anticipating, evaluating and resolving complex functional and/or complex organizational issues with novel and practical solutions is required.
This position may require up to 10% domestic and international travel.
The anticipated base pay range for this position in the San Francisco Bay Area, CA is $189,000 to $325,450.
The anticipated base pay range for this position in U.S. locations is $164,000 to $282,900.
The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for inidual and the corporation's performance over a calendar/ performance year. Bonuses are awarded at the Company's discretion on an inidual basis.
Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance.
Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
Employees are eligible for the following time off benefits:
Vacation - up to 120 hours per calendar year
Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year
Holiday pay, including Floating Holidays - up to 13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year
For additional general information on company benefits, please go to: https://www.careers.jnj.com/employee-benefits
The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market.
This job posting is anticipated to close on December 16, 2025. The Company may however extend this time-period, in which case the posting will remain available on https://www.careers.jnj.com to accept additional applications.
Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and iniduals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.
Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an inidual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource.
#LI-Hybrid
Required Skills:
Preferred Skills:
Analytical Reasoning, Business Writing, Fact-Based Decision Making, Industry Analysis, Legal Support, Mentorship, Product Licensing, Public Policies, Regulatory Affairs Management, Regulatory Compliance, Regulatory Development, Regulatory Environment, Risk Assessments, Risk Compliance, Strategic Thinking, Tactical Planning, Technical Credibility
The anticipated base pay range for this position is :
$164,000.00 - $282,900.00
Additional Description for Pay Transparency:
Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)).
This position is eligible to participate in the Company's long-term incentive program.
Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits:
Vacation -120 hours per calendar year
Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado -48 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year
Holiday pay, including Floating Holidays -13 days per calendar year
Work, Personal and Family Time - up to 40 hours per calendar year
Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child
Bereavement Leave - 240 hours for an immediate family member: 40 hours for an extended family member per calendar year
Caregiver Leave - 80 hours in a 52-week rolling period10 days
Volunteer Leave - 32 hours per calendar year
Military Spouse Time-Off - 80 hours per calendar year
For additional general information on Company benefits, please go to: - https://www.careers.jnj.com/employee-benefits

chesapeakehamptonhybrid remote worknewport newsnorfolk
LTSS Service Coordinator - RN Clinician
Location: Portsmouth United States
Job Description:
Anticipated End Date:
2026-03-31
Position Title:
LTSS Service Coordinator - RN Clinician
Job Description:
Location: This is a field position and the candidate should reside in
Hampton, Newport News, Williamsburg, Hampton, Norfolk, Chesapeake, Virginia Beach, or James City County locations.
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The LTSS Service Coordinator RN Clinician is responsible for overall management of member's case within the scope of licensure; provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Responsible for performing face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
How you will make an impact:
Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team.
Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits.
Obtains a thorough and accurate member history to develop an inidual care plan.
Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.
May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.
May also assist in problem solving with providers, claims or service issues.
Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these iniduals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.
Minimum Requirements:
Requires an RN and minimum of 3 years of experience in working with iniduals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required.
May require state-specified certification based on state law and/or contract.
Preferred Skills, Knowledge, and Experience:
MA/MS in Health/Nursing preferred.
Travels to worksite and other locations as necessary.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

no remote worknorwoodoh
Registered Nurse (PRN)- Paragon Infusion Centers
time type Part time
Job Description:
Registered Nurse (PRN)- Paragon Infusion Centers
Location: 4803 Montgomery RD STE 100, Norwood, OH
Shift: Days. Clinic is open Monday- Friday, PRN RN will cover Sick Call-offs, PTO coverage, and higher Census days as needed.
Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Be Part of an Extraordinary Team
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
The Registered Nurse (PRN)- Paragon Infusion Centers is responsible for the administration of all ordered therapies.
How you will make an impact:
Performs duties within the Nurse's scope of practice, the facility's policies/procedures, INS Standards of practice, and approved facility protocols.
Administers ordered therapies according to prescriber order, facility protocols, INS standards and company policy and procedures.
Completes admission process as directed by Center Director.
Performs physical assessment on each patient as warranted and for new consults as warranted by the patient diagnosis.
Refer to the NP on duty for complete physical assessment as needed.
Documents all pertinent data in the patient's medical record.
Reports all significant changes or observations to the Center Director and is responsible for the follow up on any problem which is identified.
Evaluates the patient's response to therapy and documents this finding in the medical record.
Educates patients and/or family members regarding therapy plan.
Ensures that all medication orders are complete, appropriate, accurate and up to date prior to treatment.
Understands and adheres to all applicable state, local and Federal laws and / or regulations including maintaining patient confidentiality through abiding by HIPAA laws/regulations.
Minimum Requirements:
Requires an ASN or ADN and a minimum of 2 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Requires a current unrestricted RN license in applicable state.
Multi-state licensure is required if this inidual is providing services in multiple states.
Satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or signed waiver.
Preferred Skills, Capabilities and Experiences:
2+ years of experience with IV preferred.
Port, PICC & Peripheral Line experienced preferred.
Medication Mixing experience preferred.
Titration experience preferred.
BSN preferred.
Multi-state license a plus.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

hybrid remote workinkymooh
Medical Director - Commercial
Location: Mason United States
Job Description:
Anticipated End Date:
2026-02-13
Position Title:
Medical Director - Commercial
Job Description:
Medical Director- Commercial
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Candidates must reside near a location in the following states: CO, OH, IN, KY, MO, and WI.
Schedule: Monday through Friday 8am-5pm CST or EST (If candidate is living in Colorado MST is fine). Weekend rotation coverage 5-6 weekends a year.
The Medical Director- Commercial will be part of the Central Region team responsible for utilization review case management for local Commercial business in the CO, OH, IN, KY, MO, and WI markets. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.
How you will make an impact:
Supports clinicians to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
Serves as a resource and consultant to other areas of the company.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
May chair company committees.
Interprets medical policies and clinical guidelines.
May develop and propose new medical policies based on changes in healthcare.
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
- General Surgeon or Primary Care specialties preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $238,320 to $393,228
Locations: Colorado, and Columbus, OH
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Physician/Doctor/Dentist
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Job Title: Associate Director, Marketing - Care Pathway Education T1D
Location:
- Morristown, NJ
- Cambridge, MA
time type Full time
Job Description:
Location: Remote/Field
About the Job
The Associate Director, Marketing - Care Pathway Education T1D plays a critical role in shaping the ecosystem for Type 1 Diabetes (T1D) early detection and intervention. As a key member of the U.S. TZIELD marketing team, this role bridges local market needs with national brand strategy to accelerate the identification and engagement of at-risk patients through care pathway initiatives.
This inidual serves as the strategic marketing lead supporting the Care Pathway Educator (CPE) team - a newly formed, field-based organization dedicated to improving care coordination and education across endocrinology, primary care, and health system settings. The Associate Director will translate brand vision into scalable field enablement resources and programs designed to drive earlier diagnosis, care standardization, and readiness for brand adoption when appropriate.
This position partners closely with the Strategic Account Marketer to ensure alignment with strategically important account development. It also works cross-functionally with Sales, Medical, Training, Payer Access & Public Affairs (PA&PA), Patient Support Services (PSS), and the broader marketing organization to maintain strong alignment with the overall key account strategy.
We are an innovative global healthcare company with a focus on immunology that extends to innovation in diabetes and transplant medicine. Across different countries, our talented teams are determined to deliver a best-in-class customer experience using the best of digital, artificial intelligence and personal know-how. With a focus on immunology that extends to innovation in diabetes and transplant medicines, we pursue progress to make a real impact on millions of patients around the world.
Main Responsibilities
Serve as the marketing lead for early detection initiatives, aligning unbranded ecosystem efforts with long-term brand objectives and the patient journey strategy
Partner with the Sr. Director, Site of Care Marketing, to evolve the early detection strategy as a critical lever for TZIELD market development and access expansion
Shape the positioning, narrative, and value proposition of the Care Pathway Educator (CPE) team to ensure consistent, compliant, and compelling external engagement
Translate insights from field teams and health systems into actionable marketing strategies that remove barriers to early testing and diagnosis
Identify and activate opportunities within key accounts to build screening pathways, referral networks, and multidisciplinary engagement models
Provide strategic and tactical support to the CPE team, including the development of unbranded materials, pathway tools, and educational resources
Partner closely with the Strategic Account Marketing and Field Account Teams (SAM/CPE) to ensure early detection priorities are integrated into key account strategies
Collaborate across marketing, medical, training, payer access & public affairs, patient support services, and analytics to ensure seamless execution and measurable impact
Develop metrics, dashboards, and feedback loops to track field engagement effectiveness and inform future resource development
Ensure unbranded initiatives remain credible, compliant, and grounded in scientific integrity while advancing ecosystem readiness for TZIELD
Travel within regions to support meetings, events, and field engagements (estimated 10-20%)
About You
Qualifications
Bachelor's degree required; advanced degree (MBA, PharmD, etc.) preferred
8+ years of pharmaceutical or biopharmaceutical industry experience in marketing, sales or related roles with 3+ years of marketing experience preferred
Ability to analyze complex market data and translate insights into actionable strategies
Strong clinical knowledge and understanding of relevant therapeutic areas
Experience working within a cross-functional, matrixed environment with the ability to influence, mobilize and manage a complex set of internal stakeholders and processes.
Excellent communication, organizational, and project management, budget management & presentation skills
Experience with MLR (Medical, Legal, Regulatory) review process a plus
Willingness and ability to travel within Commercial regions
Why Choose Us?
Bring the miracles of science to life alongside a supportive, future-focused team. Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or lateral move, at home or internationally.
Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks' gender-neutral parental leave.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
#GD-SA
#LI-SA
#LI-Onsite
#vhd
Pursue progress, discover extraordinary
Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.
At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.
Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com!
US and Puerto Rico Residents Only
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
North America Applicants Only
The salary range for this position is:
$148,500.00 - $214,500.00
All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

no remote worknorwoodoh
Family Nurse Practitioner
Location: 4803 Montgomery RD, STE 100, Norwood, OH
Part-time
On-site
Job Description:
Shift: Days. The clinic is open Monday- Friday.
On-site: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
The Family Nurse Practitioner (FNP) is responsible for patient care within his/her scope of practice in the clinical setting.
How you will make an impact:
Administers ordered therapies according to prescriber order, facility protocols, INS standards and company policy and procedures.
Completes admission process as directed by Center Director.
Performs physical assessment on each patient as warranted and for new consults as warranted by the patient diagnosis.
Refer to the NP on duty for complete physical assessment as needed.
Documents all pertinent data in the patient's medical record.
Reports all significant changes or observations to the Center Director and is responsible for the follow up on any problem which is identified.
Communicates effectively with other members of the IV team on patient status and observations.
Maintains patient confidentiality at all times by abiding by HIPAA laws and regulations.
Evaluates the patient's response to therapy and documents this finding in the medical record.
Educates patients and/or family members regarding therapy plan.
Participates in the Quality Improvement program.
Ensures that all medication orders are complete, appropriate, accurate and up to date prior to treatment.
Participates in On-Call program, which may include after-hours, weekend and holiday calls and visitations.
Provides clinical coverage for nurse practitioners on PTO/LOA and may also support new market launches.
May Travel to worksite and other locations as necessary.
Minimum Requirements:
Requires an MS in Nursing and minimum of 2 years of nursing experience; or any combination of education and experience, which would provide an equivalent background.
Experience with IVs required.
Current, active, and valid unrestricted NP license to practice as a healthcare professional with scope of license in applicable state required in applicable state required.
Requires active, current, and valid Family Nurse Practitioner Certification.
Multi-state licensure is required if this inidual is providing services in multiple states.
Satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or signed waiver.
Preferred Skills, Capabilities and Experiences:
Healthcare experience with IV's strongly preferred.
2+ years of experience with IV preferred.
Port, PICC & Peripheral Line experienced preferred.
Medication Mixing experience is preferred.
Titration experience preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

clemmonsgreensborohybrid remote worklewisvillenc
Title: Clinical Assessor (RN - Hybrid)
Location:
- Winston-Salem, North Carolina; Clemmons, North Carolina; Lewisville, North Carolina; Walkertown, North Carolina; Greensboro, North Carolina; Summerfield, North Carolina; Oak Ridge, North Carolina; Pleasant Garden, North Carolina
Full-time
Hybrid
Regular
Job Description:
Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate iniduals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for a Clinical Assessor to join our growing team.
Job Summary:
Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.
Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.
The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted iniduals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.
Position is hybrid. Candidates should be based within Forsyth and Guilford County of North Carolina to be able to cover the field work involved.
Responsibilities:
- Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
- Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for PCS is maintained at the highest standards.
- Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
- Conduct service plan reviews as needed.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
- Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for CAP participation is maintained at the highest standards.
- Consult, when necessary, with the Beneficiary's selected case management entity to generate an approvable service plan.
- Ensure that the randomly selected Service Plan completed by the Beneficiary's assigned case management entity is appropriate to the Beneficiary's unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Required Qualifications
- Registered Nurse or LCSW license by the applicable state.
- Minimum of two years of nursing experience.
- This position requires travel up to a 60 mile radius.
Preferred Qualifications
- Experience with community-based iniduals needing personal assistance with ADL and IADL tasks is highly preferred.
- Experience conducting PCS assessments highly preferred.
- 2+ years of home healthcare experience preferred.
- 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred.
- Experience conducting HCBS waiver assessments highly preferred.
- Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
- Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
- Knowledge and understanding of public sector services and supports.
- Computer proficiency in Microsoft Excel, Word and Outlook.
- Ability to utilize computer equipment and web-based software to conduct work.
- Ability to interact with various office staff as needed to support necessary workflows.
- Ability to interact with healthcare professionals, patients, their families and other supports.
- Ability to communicate effectively to iniduals and groups through spoken, written and electronic media.
- Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
- Ability to work independently without a high degree of supervision.
- Develops level of care recommendations based upon clinical evaluations.
- Participates in training of PCS stakeholders as needed.
- Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.
- Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
- Knowledge of eligibility criteria for LOC and Waiver Participation.
- Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
- Participates in training of CAP stakeholders as needed.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at https://careers.acentra.com/jobs
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay for this position is listed below. After 90 days, the salary will increase to $80,000.
"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Pay Range
USD $77,000.00 - USD $80,000.00 /Yr.
Business Information Consultant- Health System Reimbursement
Location:
- GA-ATLANTA, 740 W PEACHTREE ST NW
- OH-MASON, 4241 IRWIN SIMPSON RD
- CT-WALLINGFORD, 108 LEIGUS RD
- VA-RICHMOND, 2025 STAPLES MILL RD
- IN-INDIANAPOLIS, 220 VIRGINIA AVE
Hybrid
Full time
Business Information Consultant- Health System Reimbursement
Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Atlanta, GA, Richmond, VA, Indianapolis, IN, Wallingford, CT or Mason, OH. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Business Information Consultant- Health System Reimbursement is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts.
How you will make an impact:
Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.
Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.
Analyzes and designs solutions to address varied and highly complex business needs.
Collaborates with businesses and technical areas to implement new or enhanced products.
Coordinates with external audits as appropriate.
Acts as the central contact with internal departments and external auditors.
Creates and maintains databases to track business performance.
Analyzes data and summarizes performance using summary statistical procedures.
Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.
Creates and publishes periodic reports, as well as any necessary ad hoc reports.
Makes recommendations based upon data analysis.
Provides analytic consultation to other business areas, leadership or external customers.
Minimum Requirements:
Requires a BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.
Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.
Excel, SQL, and SAS experience highly preferred.
Strong knowledge of products as well as our internal business models and data systems highly preferred.
Experience providing leadership in evaluating financial performance of complex organizations highly preferred.
Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.
Ability to work independently and draw up plans to address issues/concerns highly preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
RDA > Business/Health Info
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

100% remote workcacodenver
Behavioral Health Care Manager
Location:
- Denver, CO, United States
- Virtual Colorado
Full-time
Job Description:
This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Behavioral Health Care Manager I is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.
How you will make an impact:
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract.
Refers cases to Peer Reviewers as appropriate.
Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.
Minimum Requirements:
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted Colorado license, such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in Colorado is required.
Colorado Licensure is a requirement for this position.
Preferred Skills, Capabilities and Experiences:
Experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.
Experience with substance abuse treatment and ASAM levels of care knowledge as well as in-home intensive therapy modalities is strongly preferred.
Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills are strongly preferred.
For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $62,640 to $ 103,356
Location: Colorado
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors
set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified Behavioral Health Role
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

chicagohybrid remote workillas vegasnv
Nurse Reviewer I
locations
- IL-CHICAGO, 8600 W BRYN MAWR AVE, 10th & 11th FL
- Nevada
- NV-LAS VEGAS, 3634 S MARYLAND PKWY
Job Description:
Nurse Reviewer I
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Schedule: Monday to Friday, 9:30 AM - 6:00 PM CST/PST.
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
The Nurse Reviewer I is responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.
Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits.
Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management.
Partners with more senior colleagues to complete non-routine reviews.
Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization requests to assess the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment.
How you will make an impact:
Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.
Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network.
Notifies ordering physician or rendering service provider office of the preauthorization determination decision.
Follows-up to obtain additional clinical information.
Ensure proper documentation, provider communication, and telephone service per department standards and performance metrics.
Minimum Requirements:
Requires AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background.
A current unrestricted RN license in applicable state(s) required.
Preferred Experience, Skills, and Capabilities:
Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PPO and POS plans strongly preferred.
BA/BS degree preferred.
Previous utilization and/or quality management and/or call center experience preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12 to $ 54.41.
Locations: Illinois; Nevada
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Associate General Counsel - Commercial Vendor Transactions
Location:
- IN-INDIANAPOLIS, 220 VIRGINIA AVE
- GA-ATLANTA, 740 W PEACHTREE ST NW
- MN-MENDOTA HEIGHTS, 1285 NORTHLAND DR
- NY-NEW YORK, ONE PENN PLAZA, 35TH AND 36TH FL
time type Full time
Job Description:
Associate General Counsel - Commercial Vendor Transactions
Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ideal candidate will reside in Indianapolis, IN, Atlanta, GA, New York, or Minnesota.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Associate General Counsel - Commercial Vendor Transactions is responsible for supporting complex enterprise-wide sourcing and supply agreements with a focus on managed care procurement vendor agreements (Medicare, Medicaid) and related technology transactions such as Cloud, SaaS, and Software.
How you will make an impact:
Developing and negotiating a broad spectrum of complex vendor and supply technology transaction types, with experience in health care technology or managed care a plus.
Advising on complex legal issues related to managed care contracting, including cloud computing, artificial intelligence, data rights, Health IT, and compliance with evolving privacy and information security laws and regulations as they pertain to vendor transactions.
Working successfully with core partners in Procurement, Health Plan, and other business organizations, as well as liaising with business unit legal colleagues and groups such as Information Security, Privacy, Tax, Finance, and Corporate Development and providing advice and assistance to management and executives.
Handling complex projects with broad organizational impact and moderate to high level of risk.
Supervising outside counsel and managing associated budgets.
Light travel may be required.
Minimum Requirements:
Requires a JD, current license to practice law, and a minimum of 9 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
10 years or more of legal experience with managed care vendor transactions including as the primary attorney on major transactions preferred.
Excellent written and oral communication skills, particularly contract drafting and negotiation skills, and the ability to effectively present information to, and advise, senior management preferred.
Ability to work well both independently and as part of a team with a manager preferred.
Ability to thrive in a complex corporate environment preferred.
Knowledge of managed care industry strongly preferred.
Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred.
Strong critical thinking, problem-solving, time management, and attention to detail skills preferred.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $187,616 to $307,008.
Locations: Minnesota; New York.
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
LEG > Attorneys
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Title: DSHS HCLA Adult Protective Services Intake Specialist
Salary $5,666.00 - $7,622.00 Monthly
Location Thurston County – Lacey, WA
Job Type Full Time - Permanent
Job Number 2026-00215
Department Dept. of Social and Health Services
Division HCLA
Salary Information The high end of the salary range, Step M is typically a longevity step
Job Description:
DSHS HCLA - Adult Protective Service Intake Specialist ( Social Services Specialist 3)
Join us today and be part of our hard-working team of professionals that provide social services to vulnerable adult populations. Adult Protective Services (APS) is seeking a Social Service Intake Specialist to join our team in Lacey, WA.
As part of a statewide APS Intake Unit located in Home and Community Living Administration Headquarters in Lacey, you will receive allegations from community members and professionals related to abandonment, abuse, financial exploitation, neglect, and self-neglect of vulnerable adults.
This role a near fulltime remote (teleworking) with the duty station as HQ. In-person travel may be required for in-person meetings, business needs, trainings, and as needed.
Opportunities in this job classification that perform unannounced visits in unregulated environments, such as private residences, to conduct investigations for allegations of abuse and/or neglect of vulnerable adult iniduals, may be eligible for an additional 10% assignment pay in addition to the advertised salary.
Some of what you'll be doing:
- Receive reports of allegations from community members and professionals related to abandonment, abuse, financial exploitation, neglect, and self-neglect of vulnerable adults
- Receives, collects, analyzes, and evaluates information, creates reports, conducts data entry input, processes and screens information, makes referrals, and independently assigns reports for investigation based on risk priority
- Educate vulnerable adults, the community and professionals about vulnerable adult mistreatment and appropriate services
- Conduct thorough, timely and objective investigations of alleged abandonment, abuse, financial exploitation, neglect, or self-neglect and may provide protective services and legal remedies to protect vulnerable adults
- Answer live calls, receive, collect, screen, process and input data into automated systems, research, and complete and assign reports (i.e., fax, telephone, in person, electronic and written correspondence)
- Make follow-up phone calls to interview collateral contacts, reporters, and others to gather additional information
- Coordinate with law enforcement, judicial entities, families, facilities, local office staff, other regional offices, and community agencies/partners regarding the needs of clients served
- Identify situations presenting a risk to vulnerable children and/or adults and refer to the appropriate agency
- Educate vulnerable adults, the community, and professionals about appropriate services as provided by rules and regulations, policy guidelines, and client consent
What we're looking for:
- Proven ability to assess complex situations and develop effective, practical solutions
- Strong time management and organizational skills
- Proficiency in Microsoft Office, accurate data entry, and effective documentation practices
- Knowledge of Medicaid terminology, regulations, and policies
- Understanding of Long-Term Care programs and policy
- Flexibility and adaptability in response to changing policies and organizational priorities
- Strong critical thinking skills with the ability to maintain focus under pressure
- Excellent verbal and written communication skills
- Ability to work autonomously making decisions, sometimes in immediate safety situations
- Experience assessing risk and safety to vulnerable adults or children
Who should apply?
- Professionals with one year of experience as a Social Service Specialist 2, and completion of the agency's Social Service Specialist training program.
OR
- A Master's degree in social services, human services, behavioral sciences, criminal law/justice or an allied field, and one year as a Social Service Specialist 2 or equivalent paid social service experience.
OR
- A Bachelor's degree in social services, human services, behavioral sciences, criminal law/justice or an allied field, and two years of paid social service experience performing functions equivalent to a Social Service Specialist 2.
Equivalent combination of education and/or work experience in social services, human services, criminal law/justice, or an allied field totaling 6 years will substitute in lieu of degree requirement. Practicum work will be substituted for one year of paid social service experience.
A two-year master's degree in one of the above fields that included a practicum will be substituted for one year of paid social service experience.
Additional information:
- These positions require travel to meet business needs
- A hybrid telework or flexible work schedule may be considered upon successful completion of the training period
- Employees must successfully complete the formal training course sponsored by their ision within one year of their appointment
Bring your compassion, dedication, and professionalism to a role where you'll be partnering with people to provide support, care, and resources.
Questions? Email the recruiter and reference job number 00215.
The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ iniduals, immigrants and refugees, and families building financial security. Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter. Applicants who are deaf or hard of hearing may call through Washington Relay Service.
E-Verify is a registered trademark of the U.S. Department of Homeland Security

hybrid remote workmorristownnj
Job title: GRA CMC Lead
- Location: Morristown, NJ
Hybrid
Full-time
About the Job
As GRA CMC Lead within our GRA CMC & GRA Device Organization, you'll drive global regulatory strategies for pharmaceutical and vaccine products, collaborate with cross-functional teams to navigate complex regulatory landscapes, optimize product development and manufacturing processes, and directly influence the success of drug approvals through strategic negotiations with health authorities worldwide. Ready to get started?
Within Sanofi's Global Regulatory Affairs (GRA) CMC organization, the CMC Lead role offers the opportunity to drive regulatory strategy for pharmaceutical products and vaccines across their lifecycle. Working at the intersection of science and compliance, you'll develop CMC strategies, conduct risk assessments, and serve as the primary liaison with regulatory authorities including FDA and EMA. You'll collaborate across R&D, Manufacturing, and Quality teams while preparing high-quality regulatory submissions, managing compliance, and anticipating regulatory trends-all contributing directly to bringing innovative therapies to patients worldwide.
Join the engine of Sanofi's mission - where deep immunoscience meets bold, AI-powered research. In R&D, you'll drive breakthroughs that could turn the impossible into possible for millions.
About Sanofi:
We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline - enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people's lives.
Main responsibilities:
Shape the Future of Medicine: Guide products from early development to market by creating smart regulatory strategies and working directly with health authorities like FDA and EMA.
Be a Problem Solver: Use your expertise to spot potential challenges early, develop practical solutions, and help teams navigate complex regulatory requirements.
Build Strong Relationships: Work closely with erse teams across R&D, Manufacturing, and Quality, fostering partnerships that drive success.
Make Smart Decisions: Assess risks and opportunities for pharmaceutical products, helping teams make informed choices that balance innovation with compliance.
Drive Quality: Ensure regulatory submissions meet high standards by reviewing technical documents and providing strategic guidance to teams.
Stay Ahead of Changes: Keep up with evolving regulations and industry trends, helping Sanofi anticipate and adapt to new requirements.
Lead with Impact: Use your voice to influence product development strategies, while growing your expertise in a supportive, inclusive environment.
About You
Experience: Minimum 4+ years of CMC regulatory experience with contributions to regulatory filings and implementation of regulatory strategies; experience responding to Health Authority questions.
Education: Bachelor's degree in a scientific discipline (Chemistry, Biology, Pharmacy, or related field).
Regulatory Expertise: Experience preparing regulatory documentation and familiarity with standard submission processes
Technical Knowledge: Understanding of pharmaceutical development, manufacturing processes, and regulatory requirements in major markets.
Collaboration Skills: Ability to work effectively in a matrix environment, engaging cross-functionally with R&D, Manufacturing, and Quality teams.
Communication: Strong written and verbal communication skills, with fluency in English.
Adaptability: Capability to manage multiple projects in a fast-paced, hybrid work environment (60% on-site), with openness to learning and growth.
Why Choose Us
Bring the miracles of science to life alongside a supportive, future-focused team.
Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or lateral move, at home or internationally.
Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks' gender-neutral parental leave.
Be part of a pioneering biopharma company that engages patients early in drug development and uses their insights to design studies that reflect real-world needs.
Help improve the lives of millions of people globally by making drug development quicker and more effective.
Work at the forefront of drug discovery, harnessing cutting-edge AI, data, and digital platforms to push the boundaries of science.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
Pursue progress, discover extraordinary
Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.
At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.
US and Puerto Rico Residents Only
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
North America Applicants Only
The salary range for this position is:
$122.250,00 - $176.583,33
All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs.

charlottehybrid remote worknc
Title: Clinical Assessor (RN - Hybrid)
Location: Charlotte, NC, United States
Hybrid
Job Description:
Company Overview
Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate iniduals dedicated to being a vital partner for health solutions in the public sector.
Job Summary and Responsibilities
Acentra Health is looking for a Clinical Assessor to join our growing team.
Job Summary:
Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.
Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.
The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted iniduals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.
Position is hybrid. Candidates should be based within Mecklenburg County of North Carolina to be able to cover the field work involved.
Responsibilities:
- Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
- Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for PCS is maintained at the highest standards.
- Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
- Conduct service plan reviews as needed.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
- Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Ensures that the privacy and dignity of iniduals receiving assessment for CAP participation is maintained at the highest standards.
- Consult, when necessary, with the Beneficiary's selected case management entity to generate an approvable service plan.
- Ensure that the randomly selected Service Plan completed by the Beneficiary's assigned case management entity is appropriate to the Beneficiary's unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
- Include an interview with family members and informal caregivers who are present at the time of the assessment.
- Submit the completed assessments using state-approved interface
- Participate in the Beneficiary's mediation and appeal processes.
- Respond to state inquiries regarding assessments conducted.
- Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
- Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.
The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.
Qualifications
Required Qualifications
- Registered Nurse license by the applicable state or compact license.
- Minimum of two years of nursing experience.
- This position requires travel up to a 60 mile radius.
Preferred Qualifications
- Experience with community-based iniduals needing personal assistance with ADL and IADL tasks is highly preferred.
- Experience conducting PCS assessments highly preferred.
- 2+ years of home healthcare experience preferred.
- 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred.
- Experience conducting HCBS waiver assessments highly preferred.
- Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
- Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
- Knowledge and understanding of public sector services and supports.
- Computer proficiency in Microsoft Excel, Word and Outlook.
- Ability to utilize computer equipment and web-based software to conduct work.
- Ability to interact with various office staff as needed to support necessary workflows.
- Ability to interact with healthcare professionals, patients, their families and other supports.
- Ability to communicate effectively to iniduals and groups through spoken, written and electronic media.
- Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
- Ability to work independently without a high degree of supervision.
- Develops level of care recommendations based upon clinical evaluations.
- Participates in training of PCS stakeholders as needed.
- Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.
- Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
- Knowledge of eligibility criteria for LOC and Waiver Participation.
- Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
- Participates in training of CAP stakeholders as needed.
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Thank You!
We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra.com/careers/
EEO AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.
Compensation
The pay for this position is listed below. After 90 days, the salary will increase to $80,000.
"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."
Pay Range
USD $77,000.00 - USD $80,000.00 /Yr.

kansas citymono remote work
Family Nurse Practitioner (PRN) - Paragon Infusion Centers
Location: Kansas City, MO, United States
Onsite
Part-time
Shift: Days. Clinic is open Monday- Friday.
Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.
The Family Nurse Practitioner (FNP) is responsible for patient care within his/her scope of practice in the clinical setting.
How you will make an impact:
Administers ordered therapies according to prescriber order, facility protocols, INS standards and company policy and procedures.
Completes admission process as directed by Center Director.
Performs physical assessment on each patient as warranted and for new consults as warranted by the patient diagnosis.
Refer to the NP on duty for complete physical assessment as needed.
Documents all pertinent data in the patient's medical record.
Reports all significant changes or observations to the Center Director and is responsible for the follow up on any problem which is identified.
Communicates effectively with other members of the IV team on patient status and observations.
Maintains patient confidentiality at all times by abiding by HIPAA laws and regulations.
Evaluates the patient's response to therapy and documents this finding in the medical record.
Educates patients and/or family members regarding therapy plan.
Participates in the Quality Improvement program.
Ensures that all medication orders are complete, appropriate, accurate and up to date prior to treatment.
Participates in On-Call program, which may include after-hours, weekend and holiday calls and visitations.
Provides clinical coverage for nurse practitioners on PTO/LOA and may also support new market launches.
May Travel to worksite and other locations as necessary.
Minimum Requirements:
Requires an MS in Nursing and minimum of 2 years of nursing experience; or any combination of education and experience, which would provide an equivalent background.
Experience with IVs required.
Current, active, and valid unrestricted NP license to practice as a healthcare professional with scope of license in applicable state required in applicable state required.
Requires active, current, and valid Family Nurse Practitioner Certification.
Multi-state licensure is required if this inidual is providing services in multiple states.
Satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or signed waiver.
Preferred Skills, Capabilities and Experiences:
Healthcare experience with IV's strongly preferred.
2+ years of experience with IV preferred.
Port, PICC & Peripheral Line experienced preferred.
Medication Mixing experience is preferred.
Titration experience preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

flgahybrid remote workinmo
Nutritional Consultant
Location:
- Indiana
- North Carolina
- Texas
- Virginia
- Missouri
- Florida
- Georgia
Remote
Full time
Job Description:
Location: Any of the following states: Indiana, Missouri, North Carolina, Texas, Florida, Georgia, Virginia.
Alternate locations may be considered if candidates reside within a commuting distance from an office
This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Shift: Monday - Friday; 8:00am - 4:30pm ET with occasional evening availability
- Candidate must have Bachelors degree or higher for this role*
The Nutritional Consultant is responsible for providing nutritional/dietary consultations to participants in the patient management programs.
How you will make an impact:
Ensures patient understanding of nutritional goals and objectives; provides nutritional counseling and patient education for patients diagnosed with chronic conditions.
Motivates patients to make changes or enhancements to their current nutritional plan.
Collaborates with physicians or other health professionals to ensure adherence to prescribed plan of care.
Develops training modules for nurse consultants providing care management services for participants.
Minimum Requirements:
Requires current valid active and unrestricted RD license.
Requires a HS diploma or equivalent and a minimum of 3 years of experience counseling iniduals regarding nutritional/dietary management issues related to chronic disease; or any combination of education and experience, which would provide an equivalent background.
For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.
Job Level:
Non-Management Exempt
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed/Certified Allied Health Professional
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

100% remote workkansas citymo or work from anywhere
PK Scientist- Full-Time, Remote
Location: This position can be done remotely worldwide or in Kansas City, based in the office.
Full-time
Job Description:
ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development.
At ICON, it's our people that set us apart. Our erse teams enable us to become a better partner to our customers and help us to fulfil our mission to advance and improve patients' lives.
Our 'Own It' culture is driven by four key values that bring us together as iniduals and set us apart as an organisation: Accountability & Delivery, Collaboration, Partnership and Integrity. We want to be the Clinical Research Organisation that delivers excellence to our clients and to patients at every touch-point. In short, to be the partner of choice in drug development.
That's our vision. We're driven by it. And we need talented people who share it.
If you're as driven as we are, join us. You'll be working in a dynamic and supportive environment, with some of the brightest and the friendliest people in the sector, and you'll be helping shape an industry.
What will you be doing?
This position can be done remotely worldwide, or Kansas City based in the office.
Prepare model-based strategies to support clinical development programs
Design, conduct, interpret and prepare appropriate study and regulatory summaries of quantitative pharmacology and pharmacometric activities
Build and sustain great relationships with clients
Prepare and present scientific publications; Excellent understanding of the integration of quantitative pharmacology and pharmacometrics into clinical drug development
Excellent written and verbal communications skills.
Qualifications
Pharm.D. or Ph.D. preferred, but not required.
Clinical Pharmacology Experience
Candidate should have ideally at least 3-5 years of experience in Quantitative Pharmacology and Pharmacometrics.
Excellent organizational and communication skills.
Working knowledge in WinNonlin, NONMEM (or equivalent software) and R,.
Benefits of Working in ICON:
Our success depends on the quality of our people. That's why we've made it a priority to build a culture that rewards high performance and nurtures talent.
We offer very competitive salary packages. And to keep them competitive, we regularly benchmark them against our competitors. Our annual bonuses reflect delivery of performance goals - both ours and yours.
We also provide a range of health-related benefits to employees and their families and offer competitive retirement plans - and related benefits such as life assurance - so you can save and plan with confidence for the years ahead.
But beyond the competitive salaries and comprehensive benefits, you'll benefit from an environment where you are encouraged to fulfil your sense of purpose and drive lasting change.
ICON is an equal opportunity and inclusive employer and is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know through the form below.
#LI- REMOTE
What ICON can offer you:
Our success depends on the quality of our people. That's why we've made it a priority to build a erse culture that rewards high performance and nurtures talent.
In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family.
Our benefits examples include:
- Various annual leave entitlements
- A range of health insurance offerings to suit you and your family's needs.
- Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead.
- Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being.
- Life assurance
- Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others.
At ICON, inclusion & belonging are fundamental to our culture and values. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here
Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless - there's every chance you're exactly what we're looking for here at ICON whether it is for this or other roles.

hybrid remote worklaceywa
Title: DSHS HCLA Contracts Administrator
Location:
- Multiple Locations, Washington Statewide, United States
- Lacey, Washington
Hybrid
Salary $7,109.08 - $9,479.00 Monthly
Job Description:
HRSN Contracts Administrator
The Home and Community Living Administration (HCLA) is seeking a skilled and strategic Contracts Administrator to lead and coordinate high-impact projects that shape how long-term care services are delivered across the state.
This is a project job opportunity that is expected to last through June 30, 2028. The project is known as Health Related Social Needs (HRSN) and will impact multiple isions within the HCLA. As part of the Home and Community Living Administration (HCLA), the State Unit on Aging (SUA) is a Home and Community Services (HCS) headquarters unit charged with administering supportive programs for older adults and persons with disabilities. Your work will be essential to provide structure to ensure uniformity in program evaluation and promote successful outcomes for the clients HCLA serves.
This opportunity is eligible to be remote and the official duty station is in Lacey WA.
What you'll do
- Provide subject matter expertise, advice, consultation, information, guidance, interpretation and technical support related to the HRSN project
- Ensure contracting and monitoring policies and principles are implemented
- Review all program contracts to ensure they are being monitored
- Determine if monitoring plans are appropriate
- Ensure all contract monitoring is documented
- Coordinate with the Management Services Division and develop a strong partnership
- Provide consultation in the development of effective contract monitoring plans
- Determine potential risk of liability and report issues
- Provide education and training across isions working on HRSN
- Create tools to assist staff with contract managing
- Work with other program leaders
- Terms & Conditions, which includes but is not limited to contractor requirements, statement of work, performance measures, deliverables, and billing
Who should apply
A Bachelor's degree in Social Work, Health or Social Science, Public Administration, or related field, and five years of experience in the field of long-term care services for vulnerable adults in a professional capacity
Additional qualifying professional experience will substitute year-for-year for the required education.
- Experience may be gained concurrently.
What we are looking for
- Working knowledge of contract monitoring compliance
- Ability to work effectively and collaboratively
- Ability to interpret pertinent contract language, internal policies, as well as WAC and RCW
- Strong organizational and time management skills
- Ability to work in an environment that is continuously changing and evolving
Ready to apply?
We encourage interested candidates to apply early.
Your completed application should include:
A letter of interest detailing your background and what draws you to this role
A current resume
Three professional references
Please be prepared to provide a copy of your college transcripts to verify degree information. Applicants may provide transcripts with the application or they may be requested by the hiring team at a later date.
The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ iniduals, immigrants and refugees, and families building financial security.
Questions? Please contact [email protected] and reference #00109.
Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.
Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384. E-Verify is a registered trademark of the U.S. Department of Homeland Security

dchybrid remote workwashington
Nurse Case Mgr SR
Location: 609 H ST NE, STE 200, Washington, DC
Full time
Hybrid
Job Description:
Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Nurse Case Manager Sr will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.
How you will make an impact:
Ensures member access to services appropriate to their health needs.
Conducts assessments to identify inidual needs and a specific care management plan to address objectives and goals as identified during assessment.
Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.
Coordinates internal and external resources to meet identified needs.
Monitors and evaluates effectiveness of the care management plan and modifies as necessary.
Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.
Negotiates rates of reimbursement, as applicable.
Assists in problem solving with providers, claims or service issues.
Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.
May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injury and functions as preceptor for new care management staff.
Participates in department audit activities.
Minimum Requirements:
Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted RN license in applicable state(s) required.
Multi-state licensure is required if this inidual is providing services in multiple states.
Preferred Skills, Capabilities and Experiences:
- Certification as a Case Manager is preferred.
For candidates working in person or virtual in the below location(s), the salary* range for this specific position is $89,608- $134,412
Locations: District of Columbia (Washington, DC)
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Behavioral Health Medical Director - Psychiatrist - National Medicare (Part-time)
Location:
IN-INDIANAPOLIS, 220 VIRGINIA AVE
Part time
Remote
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Alternate locations may be considered.
Schedule: Part-time 20 hours a week. West coast hours in the afternoons are preferred.
Job Description:
The Behavioral Health Medical Director is responsible for reviewing cases for Medicare members including child and substance use disorders, and all levels of care. Responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.
How you make an impact:
Supports clinicians to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
Serves as a resource and consultant to other areas of the company.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
May chair company committees.
Interprets medical policies and clinical guidelines.
May develop and propose new medical policies based on changes in healthcare.
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession.
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
Geriatrics or addiction medicine experience preferred.
Utilization Review Management experience preferred.
Knowledge of Medicare/Medicaid preferred.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Physician/Doctor/Dentist
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

100% remote workseattlewa
Behavioral Health Case Manager II - Washington
Locations: 705 5TH AVE S, STE 300, Seattle, Washington
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Up to one day a week this position will be required to visit members in person in care facilities throughout Washington state.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Work Shift Hours: Monday through Friday. 8AM-5PM (Pacific Standard Time). No holidays, or Sundays. May have to work 2 hours on a Saturday to meet member needs.
The Behavioral Health Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc.
How you will make an impact:
Responds to more complex cases and account specific requests.
Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
Conducts assessments to identify inidual needs and develops specific care plan to address objectives and goals as identified during assessment.
Monitors and evaluates effectiveness of care plan and modifies plan as needed.
Supports member access to appropriate quality and cost effective care.
Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.
Serves as a resource to other Behavioral Health Case Managers.
Participates in cross-functional teams projects and initiatives.
Minimum Requirements:
Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.
Managed care experience required.
Preferred Skills, Capabilities and Experiences:
Domiciles are preferred.
Experience in health coaching and motivational interviewing techniques preferred.
For candidates working in person or virtually in the below location, the hourly* range for this specific position is $78,660 to $117,990.
Location: Washington
In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
MED > Licensed/Certified Behavioral Health Role
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Behavioral Health Medical Director - Psychiatrist - California (Part-time)
Location:
- CA-COSTA MESA, 3080 BRISTOL ST, STE 200
- CA-WOODLAND HILLS, 21215 BURBANK BLVD
- CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD
Part-time
Remote
Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Schedule: Part-time 20 hours a week. West coast hours.
Job Description:
The Behavioral Health Medical Director is responsible for reviewing cases for California Medicaid members including child and substance use disorders, and all levels of care. Responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.
How you make an impact:
Supports clinicians to ensure timely and consistent responses to members and providers.
Provides guidance for clinical operational aspects of a program.
Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.
May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.
Serves as a resource and consultant to other areas of the company.
May be required to represent the company to external entities and/or serve on internal and/or external committees.
May chair company committees.
Interprets medical policies and clinical guidelines.
May develop and propose new medical policies based on changes in healthcare.
Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.
Identifies and develops opportunities for innovation to increase effectiveness and quality.
Minimum Requirements:
Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).
Must possess an active unrestricted medical license to practice medicine or a health profession in the state of California.
Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.
Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.
For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.
Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.
Preferred Qualifications:
- Utilization Review Management experience preferred.
For candidates working in person or virtually in the below locations, the salary* range for this specific position is $137,034 - $214,488.
Location: California.
In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.
- The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Job Level:
Director Equivalent
Workshift:
1st Shift (United States of America)
Job Family:
MED > Licensed Physician/Doctor/Dentist
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

bostonhybrid remote workma
Title: Digital Commerce Product Owner, GBS
Location: Marlborough, MA, United States
Hybrid
Job Description:
Additional Location(s): US-MA-Marlborough
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance
At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing - whatever your ambitions.
About the role:
Digital Commerce (including eCommerce) is a strategic focus area at Boston Scientific that aims to make our company easier to do business with and to realize internal efficiencies that accelerate innovation. The company continues to expand its investment in Digital Commerce based on strong results and the growing impact of our online and self-service capabilities.
As we advance our global Digital Commerce strategy, the team is seeking a strong Product Owner to drive the ongoing enhancement and expansion of our eCommerce and self-service platforms-enabling scalable, customer-centric digital experiences. This role will focus on Boston Scientific's SAP Commerce Cloud platform, supporting our U.S. eCommerce site and the rollout of global self-service solutions.
The Product Owner will work closely with cross-functional stakeholders-including the Program Manager, Project Manager, Product Manager, and IT Architects-to define requirements, manage the product backlog, and ensure delivery of high-quality releases that align with business priorities.
Work model, sponsorship, relocation:
At Boston Scientific, we value collaboration and synergy. This role follows a hybrid work model requiring employees to be in our local office at least three days per week. Boston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position at this time. Relocation assistance is not available for this position at this time.
Your responsibilities will include:
● Set and communicate a clear and ambitious product vision aligned with Digital Commerce strategy and business goals
● Own and manage the product backlog and roadmap, ensuring alignment with customer needs and strategic priorities
● Lead discovery sessions to gather business requirements and translate them into detailed user stories and acceptance criteria
● Partner cross-functionally with Commercial, IT, Customer Care, Marketing, and regional teams to ensure seamless execution
● Serve as the primary liaison between business and development teams, ensuring clarity on priorities, dependencies, and trade-offs
● Collaborate with Program and Project Managers to align on sprint planning, resource prioritization, and release schedules
● Facilitate agile ceremonies, including backlog refinement, sprint reviews, and release planning
● Work closely with development and QA teams to ensure efficient, high-quality testing and release execution
● Collaborate with customer support and operations teams to triage, prioritize, and resolve issues or enhancement requests
● Monitor performance and adoption metrics to identify opportunities for continuous improvement and innovation
● Maintain awareness of regulatory and compliance requirements (e.g., privacy, accessibility) that impact digital commerce
Qualifications:
Required qualifications:
● Bachelor's degree in Business, Marketing, Management, Information Systems, or a related field
● Minimum of 5 years' experience in eCommerce or Digital Product Ownership, ideally in B2B or B2C enterprise environments
● Experience with SAP Commerce Cloud (Hybris) or comparable enterprise eCommerce platforms
● Experience working within Agile development frameworks and collaborating with global, cross-functional teams
● Strong analytical and problem-solving skills with the ability to translate business needs into actionable technical requirements
● Excellent communication skills with proven ability to influence across functional and technical teams
● Ability to manage multiple priorities in a fast-paced, dynamic environment
Preferred qualifications:
● Experience in the medical device or healthcare industry or other highly regulated environments
● Certified Scrum Product Owner (CSPO) or equivalent Agile certification
● Familiarity with complementary digital platforms such as Salesforce, Adobe Experience Cloud, or SAP integration tools
● Experience supporting global product rollouts and multi-region deployments
● Passion for digital commerce innovation and a strong understanding of industry best practices and trends
Minimum Salary: $106800
Maximum Salary: $202900
The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) - see www.bscbenefitsconnect.com-will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.
Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).
Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).
For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!
At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.
Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.
Nearest Major Market: Boston
Job Segment: Compliance, QA, Quality Assurance, SAP, ERP, Legal, Quality, Technology

100% remote workus national
Title: Immune-Hematology Manager, Blue Ridge
Job Title: Transplant Manager
Location: US, Remote/Field
About the Job
Join the team transforming how healthcare is delivered for chronic and specialty conditions worldwide. In General Medicines, you'll help drive meaningful outcomes in diabetes, transplant, and immunology - with the scale and urgency patients deserve.
The Immune Hematology Manager (IHM) is responsible for effectively applying promotional and selling strategies while growing the product base for Sanofi Pharmaceuticals in their specified geography. Specifically, the IHM will be responsible for selling belumosudil in their assigned geography, if approved. The IHM will provide on-label product information to designated key opinion leaders, health care providers/accounts, and will be responsible for establishing and maintaining relationships within the cGVHD community.
About Sanofi:
We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline - enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people's lives.
Main Responsibilities:
Sanofi IHM will appropriately promote belumosdil to meet/exceed territory sales goals through their approved promotional efforts, focused execution and commitment to positively impacting the lives of patients.
Effectively communicate and provide on-label information for Sanofi Pharmaceuticals' products to designated targets/accounts.
Exceptional business acumen leading to the creation of clear, comprehensive business plans is fundamental to this role.
Developing broad knowledge and understanding of key customer's goals and desired clinical outcomes in treating patience to cultivate a partnership that anticipates, then serves both customer and patient needs.
Develop and maintain strategic relationships with key personnel, HCPs/non-HCPs, at targeted accounts.
Manage and develop territory budgets for customer contacts, promotional programs and other miscellaneous external expenditures.
Analyze sales, and market trends to effectively identify current and potential future business opportunities, in addition to being able to implement an effective and strategic POA as a result.
IHSS must demonstrate product & disease state expertise; and product access/reimbursement expertise.
Develop and maintain strong working relationships with various members of the Sanofi Pharmaceuticals Team including Marketing, Managed Care, Analytics, Accounting, Compliance, Legal and other team members.
Maintain extensive knowledge of the Managed Care, GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and reimbursement environment for their assigned geography.
Daily activities include one-on-one, group, and or non-personal on-label sales presentations to targeted providers, in addition to preparing, and analyzing market data to effectively identify customer and market trends.
Expected to deliver promotional messages in support of the product-approved indication(s) via approved channels of delivery, I.e face-to-face and virtual platforms.
Utilize current computer systems in planning, forecasting and reviewing sales activities to optimize resources for effective coverage to meet sales goals/objectives.
Provide timely, accurate and competent administrative management of work hours, sales call data, customer objectives, communication responses, synchronization, sample (if applicable) and expense reporting.
Comply with all applicable laws, rules and regulations governing the marketing and promotion of pharmaceutical products and Sanofi.
About You
Additional Attributes
A passion for proactive, continuous learning on disease state, treatment of cGVHD; and the oral oncolytic access & reimbursement environment impacting our customers
Business planning mindset is innovative. Demonstrates agility and resourcefulness in responding to customers' needs
Listening; with an approach of "first seeks to understand" with all members of the patient care team to identify and understand their needs and appropriately respond
An unwavering commitment to teamwork; sharing what is learned from customer dialogues with Sanofi cross-functional teammates enabling us to be an agile, valued partner in serving our customers and their patients
Utilize resources, adhering to budget needs and delivering strong results in a collaborative and compliant manner with integrity and passion
Qualifications:
Bachelor's degree is required.
A minimum of 5 years of pharmaceutical sales experience.
Proven/successful performer in generating and driving sales results.
Proven proficiency in delivering virtual engagements to HCPs and staff.
Strong oral and written communication skills.
Strong time management and organizational skills.
Proficient in Microsoft Office applications.
Willingness to travel 60% of the time or greater.
Why Choose Us?
Bring the miracles of science to life alongside a supportive, future-focused team.
Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or a lateral move, at home or internationally.
Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.
Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs, and at least 14 weeks' gender-neutral parental leave.
This position is eligible for a company car through the Company's FLEET program.
Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
#LI-Remote
Pursue progress, discover extraordinary
Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.
At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.
US and Puerto Rico Residents Only
Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.
North America Applicants Only
The salary range for this position is:
$146,250.00 - $211,250.00
All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

100% remote workcanadamississaugaon
Title: Principal AI Engineer (Autonomous Agent)
Location: Remote or Mississauga
Type: Full-Time
Workplace: remote
Category: Engineering
Job Description:
At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare.
With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work.
At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaningful and lasting change. Employees harness AI as a catalyst for creativity, productivity, and thoughtful decision-making. By integrating AI tools into our daily workflows, collaboration is enhanced, outcomes are improved, and every team member has the proficiency to maximize their impact. It all starts with our hiring practices where we uncover AI expertise that complements our mission, and we continue to invest in training and development to nurture innovation throughout the employee journey.
Join us in redefining healthcare — so it doesn’t just survive, it thrives. To learn more about PointClickCare, check out Life at PointClickCare and connect with us on Glassdoor and LinkedIn.
**Travel to Office expectations**
For Remote Roles: If this role is remote, there will be in-office events that will require travel to and from the Mississauga and/or Salt Lake City office. These will include, but not limited to, onboarding, team events, semi-annual and annual team meetings.
For Hybrid Roles: If this role is Hybrid, there will be an expectation to reside within commutable distance to the office/location specified in the job listing. This will include, but not limited to, weekly/bi-weekly/monthly events in the office with your specific team. This is a requirement for this role.
Team Summary
This team will serve as the product owner for GenAI capabilities within PointClickCare, working closely with other engineering teams across the organization to identify, build and support generative AI solutions. This centralized team with deep specialization, closely integrated with key horizontal partners to ensure delivery of safe, scalable and high-impact
AI products.
Job Summary
The AI Engineer – Autonomous Agent will work closely with the Product and Engineering teams to design and implement agent-based solutions that align with product goals. The AI Engineer – Autonomous Agent will also build new agent data types and pipelines and enable frameworks and workflows for agent reasoning, function calling, and action coordination.
Key Responsibilities
- Collaborate with product and engineering teams to translate product objectives into autonomous agent-based solutions.
- Design and build new agent data types, and pipelines that enable agents frameworks, and workflows to coordinate reasoning, function calling, actions
- Develop and optimize autonomous agents leveraging LLMs, planning algorithms, and multi-step reasoning approaches.
- Implement comprehensive security mechanisms for autonomous agents, including authentication, role-based access control, audit logging, and compliance monitoring
- Integrate agents securely with existing systems, APIs, and data sources with secure communication protocols
Qualifications & Skills
- Expert level in Python, frameworks, and functional programming principles
- Experience designing and implementing LLM agent workflows, and familiarity with frameworks such as LangChain, LlamaIndex, LangGraph, CrewAI, and AutoGen.
Preferred
- Master’s degree or higher in Artificial Intelligence.
- Experience implementing security at scale including role-based access control, multi-factor authentication, network security best practices, and compliance monitoring.
#LI-remote
At PointClickCare, base salary is one of the many components that make up our total rewards package. The CAD base salary range for this position is $169,000-188,000 (not overtime eligible) + bonus + benefits. Our salary ranges are determined by job and level. The range displayed on each job posting reflects the target for new hire salaries for the position across all CAD locations. Within the range, inidual compensation is determined by job-related skills and knowledge, relevant experience including professional and lived experience, and/or work location. Your recruiter can share more information about our total rewards package during the hiring process.
PointClickCare Benefits & Perks:
Benefits starting from Day 1!
Retirement Plan Matching
Flexible Paid Time Off
Wellness Support Programs and Resources
Parental & Caregiver Leaves
Fertility & Adoption Support
Continuous Development Support Program
Employee Assistance Program
Allyship and Inclusion Communities
Employee Recognition … and more!
It is the policy of PointClickCare to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, national origin, status, age, sex, sexual orientation, gender identity or expression, marital or domestic/civil partnership status, disability, veteran status, genetic information, or any other basis protected by law. PointClickCare welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please contact [email protected] should you require any accommodations. As part of our commitment to a streamlined and equitable hiring experience, PointClickCare uses AI tools to assist with candidate screening and assessment.
When you apply for a position, your information is processed and stored with Lever, in accordance with Lever’s Privacy Policy. We use this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given your background. When we have no ongoing legitimate business need to process your information, we will either delete or anonymize it. If you have any questions about how PointClickCare uses or processes your information, or if you would like to ask to access, correct, or delete your information, please contact PointClickCare’s human resources team: [email protected]
PointClickCare is committed to Information Security. By applying to this position, if hired, you commit to following our information security policies and procedures and making every effort to secure confidential and/or sensitive information.

100% remote workus national
Title: Principal AI Engineer (Autonomous Agent)
Location: Remote, USA
Type: Full-Time
Workplace: remote
Category: Engineering
Job Description:
At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare.
With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work.
At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaningful and lasting change. Employees harness AI as a catalyst for creativity, productivity, and thoughtful decision-making. By integrating AI tools into our daily workflows, collaboration is enhanced, outcomes are improved, and every team member has the proficiency to maximize their impact. It all starts with our hiring practices where we uncover AI expertise that complements our mission, and we continue to invest in training and development to nurture innovation throughout the employee journey.
Join us in redefining healthcare — so it doesn’t just survive, it thrives. To learn more about PointClickCare, check out Life at PointClickCare and connect with us on Glassdoor and LinkedIn.
**Travel to Office expectations**
For Remote Roles: If this role is remote, there will be in-office events that will require travel to and from the Mississauga and/or Salt Lake City office. These will include, but not limited to, onboarding, team events, semi-annual and annual team meetings.
For Hybrid Roles: If this role is Hybrid, there will be an expectation to reside within commutable distance to the office/location specified in the job listing. This will include, but not limited to, weekly/bi-weekly/monthly events in the office with your specific team. This is a requirement for this role.
Team Summary
This team will serve as the product owner for GenAI capabilities within PointClickCare, working closely with other engineering teams across the organization to identify, build and support generative AI solutions. This centralized team with deep specialization, closely integrated with key horizontal partners to ensure delivery of safe, scalable and high-impact
AI products.
Job Summary
The AI Engineer – Autonomous Agent will work closely with the Product and Engineering teams to design and implement agent-based solutions that align with product goals. The AI Engineer – Autonomous Agent will also build new agent data types and pipelines and enable frameworks and workflows for agent reasoning, function calling, and action coordination.
Key Responsibilities
- Collaborate with product and engineering teams to translate product objectives into autonomous agent-based solutions.
- Design and build new agent data types, and pipelines that enable agents frameworks, and workflows to coordinate reasoning, function calling, actions
- Develop and optimize autonomous agents leveraging LLMs, planning algorithms, and multi-step reasoning approaches.
- Implement comprehensive security mechanisms for autonomous agents, including authentication, role-based access control, audit logging, and compliance monitoring
- Integrate agents securely with existing systems, APIs, and data sources with secure communication protocols
Qualifications & Skills
- Expert level in Python, frameworks, and functional programming principles
- Experience designing and implementing LLM agent workflows, and familiarity with frameworks such as LangChain, LlamaIndex, LangGraph, CrewAI, and AutoGen.
Preferred
- Master’s degree or higher in Artificial Intelligence.
- Experience implementing security at scale including role-based access control, multi-factor authentication, network security best practices, and compliance monitoring.
#LI-remote
At PointClickCare, base salary is one of the many components that make up our total rewards package. The US base salary range for this position is $179,000-199,000 (not overtime eligible) + bonus + benefits. Our salary ranges are determined by job and level. The range displayed on each job posting reflects the target for new hire salaries for the position across all US locations. Within the range, inidual compensation is determined by job-related skills and knowledge, relevant experience including professional and lived experience, and/or work location. Your recruiter can share more information about our total rewards package during the hiring process.
PointClickCare Benefits & Perks:
Benefits starting from Day 1!
Retirement Plan Matching
Flexible Paid Time Off
Wellness Support Programs and Resources
Parental & Caregiver Leaves
Fertility & Adoption Support
Continuous Development Support Program
Employee Assistance Program
Allyship and Inclusion Communities
Employee Recognition … and more!
It is the policy of PointClickCare to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, national origin, status, age, sex, sexual orientation, gender identity or expression, marital or domestic/civil partnership status, disability, veteran status, genetic information, or any other basis protected by law. PointClickCare welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please contact [email protected] should you require any accommodations. As part of our commitment to a streamlined and equitable hiring experience, PointClickCare uses AI tools to assist with candidate screening and assessment.
When you apply for a position, your information is processed and stored with Lever, in accordance with Lever’s Privacy Policy. We use this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given your background. When we have no ongoing legitimate business need to process your information, we will either delete or anonymize it. If you have any questions about how PointClickCare uses or processes your information, or if you would like to ask to access, correct, or delete your information, please contact PointClickCare’s human resources team: [email protected]
PointClickCare is committed to Information Security. By applying to this position, if hired, you commit to following our information security policies and procedures and making every effort to secure confidential and/or sensitive information.

arden hillshybrid remote workmn
Title: Regulatory Affairs Specialist III
Location: Arden Hills, MN, US, 55112
Hybrid
Department: Legal and Regulatory
Job Description:
Additional Location(s): US-MN-Arden Hills
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance
At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.
About the role:
With adequate supervision, the Regulatory Affairs Specialist III is responsible for planning, managing, and implementing regulatory submissions to the U.S. FDA and EU notified bodies, while also supporting worldwide product approvals and registrations. This position ensures continued compliance with regulatory agency approvals, including change impact reviews.Work model, sponsorship, relocation:
At Boston Scientific, we value collaboration and synergy. This role follows a hybrid work model requiring employees to be in our local office at least three days per week. Boston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position at this time.Your responsibilities will include:
● Support the development of global strategies for regulatory approval of all medical device classifications
● Coordinate, compile, and submit U.S. and EU regulatory filings for new and modified products, including PMAs, PMA Supplements, pre-submissions, 510(k)s, Annual Reports, CE Mark submissions under MDR, and U.S. clinical investigation submissions
● Support requests from Boston Scientific international regulatory personnel related to submissions, registrations, and change assessments
● Review technical and labeling documentation for inclusion in regulatory filings or as part of design changes
● Review product and manufacturing changes for compliance with applicable regulations and impact to regulatory filings
● Represent Regulatory Affairs on cross-functional projects including product development, sustaining changes, and continuous improvement efforts
● Support regulatory audits as required
● Demonstrate a primary commitment to patient safety and product quality by maintaining compliance with the Quality Policy and all other documented quality processes and procedures
Qualifications:
Required qualifications:
● Bachelor’s degree
● Minimum of 3 years' experience in Regulatory Affairs or a related field
● Demonstrated experience supporting a variety of regulatory submissions for U.S. and EU
● Proficiency in Microsoft Word, Excel, PowerPoint, and Adobe Acrobat
Preferred qualifications:
● Previous experience in the medical device industry with Class II or III device submissions
● Working knowledge of FDA, EU notified bodies, and international health authorities
● Effective technical, research, and problem-solving skills
● Team player with excellent interpersonal and communication skills
● Demonstrated ability to effectively manage multiple projects and priorities
● Thrives in a fast-paced, cross-functional team environment
Minimum Salary: $78300
Maximum Salary: $148800
The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.
Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).
Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).
For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!
At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.
Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.

hybrid remote workmaple grovemn
Title: Data Scientist II
Location: Maple Grove, MN, US, 55311
Hybrid
Department: Engineering and Science
Job Description:
Additional Location(s): N/A
Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance
At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.
About the role:
We are seeking a motivated Data Scientist II to join our dynamic, growing team within the Process Development functional area. As a Data Scientist II, you will work to help leverage data analytics to drive insights, inform decision-making processes, derive actionable insights, and optimize performance within our medical device organization. You will collaborate closely with cross-functional teams to assist in the development and implementation of data analytics solutions that support our mission of delivering high-quality products and improving patient outcomes. The candidate must have a desire to learn quickly, communicate effectively, and solve technical/complex problems in a hands-on manner.
At Boston Scientific, we value collaboration and synergy. This role follows a hybrid work model, requiring employees to be in our local office at least three (3) days per week.
Boston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position at this time.
Your responsibilities will include:
- Collaborate with cross-functional teams to understand project requirements and objectives
- Engage and manage stakeholders to understand needs, identify opportunities, and deliver impactful analytical or AI-driven solutions
- Collect, clean, and preprocess large datasets from various sources, ensuring data quality and integrity
- Maintain and expand deployed data analytical web apps
- Develop and implement statistical models, machine learning algorithms, and data mining techniques to analyze data
- Generate and visualize insights from data analysis, creating detailed reports and presentations for stakeholders
- Apply sound software engineering practices in iterative development environments where requirements and design constraints are evolving or initially undefined
- Prepare and present technical data and recommendations at technical reviews
- Stay up-to-date with the latest advancements in data science, machine learning, and healthcare technology
Required qualifications:
- Bachelor’s degree in Computer Science, Mathematics, Statistics, Engineering, or a related field
- Minimum of 2 years of professional data science (or similar) experience; candidates with advanced degrees in relevant fields may be considered eligible, with advanced degrees being considered in lieu of industry experience
- Excellent proficiency in Python programming language as well as experience in other languages (e.g. R, Matlab, Julia, Javascript, C++, Java, etc.)
- Solid experience with data analysis and visualization tools such as Pandas, NumPy, Matplotlib, Streamlit, Plotly, Seaborn, Scipy, or similar
- Excellent familiarity with machine learning frameworks and libraries such as PyTorch, Scikit-learn, TensorFlow, or similar
- Basic understanding of statistical modeling, machine learning algorithms, and predictive analytics techniques
- Basic understanding of database management systems
- Strong problem-solving skills and attention to detail
- Excellent communication skills, with the ability to convey complex technical concepts to non-technical stakeholders
- Ability to work independently as well as collaboratively in a team environment
Preferred qualifications:
- Hands-on experience building, evaluating, and deploying Generative AI–powered applications, including model integration, prompt engineering, and production deployment
- Robust understanding of large language models (LLM) and frameworks. (e.g. LangChain, LlaMA, GPT, Bard, etc.)
- Experience with cloud platforms such as AWS or Azure
- Experience with version control systems such as Git
- Demonstrated ability to stay current with cutting-edge academic and industry research and translate emerging methods into practical solutions for novel business problems
Minimum Salary: $69500
Maximum Salary: $132000
The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.
Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).
Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).
For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.
As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.
So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!
At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.
Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.
Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.

100% remote workwa
Title: Pharmacy Coordinator
Location: Remote-WA State
Job Description:
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a ersified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
This is a remote position. Hours are 8:00 am- 5:00 pm PST. This position supports Coordinated Care Health Plan and requires current state's Pharmacy Technician license. Experience with HEDIS Pharmacy measures and medication adherence strongly preferred.Position Purpose:
Perform duties to support the efforts pharmacy department in the development, coordination and maintenance of the health plan's pharmacy program.- Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
- Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
- Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
- Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team
- Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process
- Assist with the pharmacy utilization review and reporting process
- Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
- Assist with members’ inquiries related to the formulary process
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience:
High school diploma or equivalent. 3+ years of pharmacy experience, preferably in a managed care environment. Medicare and/or Medicaid experience preferred.This is a remote position. Hours are 8:00 am- 5:00 pm PST. This position supports Coordinated Care Health Plan and requires current state's Pharmacy Technician license. Experience with HEDIS Pharmacy measures and medication adherence strongly preferred.Pay Range: $19.43 - $32.98 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

chemungnyoption for remote workschuylersteuben
Title: Senior LTSS Assessor
(RN)
Location: Remote-NY
Job Description:
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
This position is field based conducting UAS Assessments. Applicants need to reside in Steuben county to cover Steuben and surrounding counties Chemung, Schuyler and Yates counties.Position Purpose:
Performs care management duties to assess and coordinate all aspects of medical and supporting services across the continuum of care for complex/high acuity populations with primary medical/physical health needs to promote quality, cost effective care. Develops a personalized care plan / service plan for long-term care members, addresses issues, and educates members and their families/caregivers on services and benefit options available to receive appropriate high-quality care.- Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
- Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
- Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
- Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
- Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
- Reviews referrals information and intake assessments to develop appropriate care plans / service plans
- Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
- Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
- Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
- May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required
- Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
- May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
- May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
- May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success
- Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience
Bachelor's degree in Nursing preferredLicense/Certification:- RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
- NP - Nurse Practitioner - Current State's Nurse Licensure required
Pay Range: $36.21 - $65.09 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

dehybrid remote work
Title: Care Manager
(RN)
Location: Newark-750 Prides Crossing (11131)
Job Description:
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Candidate must reside in the state of Delaware. This position requires fieldwork within Delaware. Physical Health experience in nursing highly preferred.Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.
- Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
- Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
- Identifies problems/barriers to care and provide appropriate care management interventions
- Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
- Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
- Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
- Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
- May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
- Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
- Other duties or responsibilities as assigned by people leader to meet business needs
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.
License/Certification:- RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Title: Nurse Reviewer
Location: Providence, RI
Job Description:
Pay Range:
$73,500.00 - $110,300.00
Please email HR_Talent_[email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process.
At BCBSRI, our greatest resource is our people.
We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative iniduals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.
We recognize that to do your best work, you have to be your best self.
It’s why we offer flexible work arrangements that include remote and hybrid opportunities and paid time off. We provide tuition reimbursement and assist with student-loan repayment. We offer health, dental, and vision insurance as well as programs that support your mental health and well-being. We pay competitively, offer bonuses and investment plans, and are committed to growing and developing our employees.Our culture is one of belonging.
We strive to be transparent and accountable. We believe in equipping our associates with the knowledge and resources they need to be successful. No matter where you’re at in the organization, you’re an integral part of our team and your input, thoughts, and ideas are valued.Join others who value a workplace for all.
We appreciate and celebrate everything that makes us unique, from personal characteristics to past experiences. Our different perspectives strengthen us as an organization and help us better serve all Rhode Islanders.We’re dedicated to serving Rhode Islanders.
Our focus extends beyond providing access to high-quality, affordable, and equitable care. To further improve the health and well-being of our fellow Rhode Islanders, we regularly roll up our sleeves and get to work (literally) in communities all across the state—building homes, working in food pantries, revitalizing community centers, and transforming outdoor spaces for children and adults. Because we believe it is our collective responsibility to uplift our fellow Rhode Islanders when and where we can, our associates receive additional paid time to volunteer.What you will do:
- Conduct pre and post payment review of inpatient admissions, outpatient services, and other procedures to assess the appropriateness and continuity of care.
- Apply all aspects of the medical review function, including pre-authorization, concurrent review, screening for quality-of-care issues, and discharge planning. Document rationale for medical decisions made.
- Identify at-risk members who would benefit from health management programs through comprehensive health assessments.
- Monitor and evaluate patient’s plan of care and identify potential issues through telephonic outreach. Recommend appropriate interventions.
- Promote member and provider satisfaction. Provide continuity and consistency of care by building positive relationships between member and family, physicians, provider, care coordinator, and health care plan. Represent corporation in a responsible and professional manner.
- Participate in department initiatives and projects.
- Perform other duties as assigned.
What you’ll need to succeed:
- Active and unrestricted RN license issued by a state participating in the Nurse Licensure Compact (NLC)
- Three to five years acute medical or clinical experience or experience in utilization reviewed.
- Valid Driver’s License (On-site only)
- Understanding of utilization review techniques including all aspects of the medical review function, including pre-authorization, concurrent review and discharge planning
- Understanding of health care delivery system access points and services
- Correct application of health care management guidelines
- Ability to navigate the healthcare delivery system
- Advanced analytical skills, with the ability to interpret and synthesize complex data sets
- Good business acumen and political savvy
- Knowledge of business process improvement techniques and strategies
- Excellent verbal and written communications skills
- Negotiation skills
- Presentation skills
- Decision-making skills
- Good problem-solving skills
- Ability to interface with employees at all levels
- Ability to effectively navigate ambiguous situations with limited direction
- Excellent organizational skills and ability to successfully prioritize multiple tasks
- Ability to handle multiple priorities/projects
The extras:
- Bachelor’s Degree in Nursing
- Certified Case Management certification, Certified Professional Utilization Review certification
- Experience working in a managed care/health maintenance organization
Location:
BCBSRI is headquartered in downtown Providence, conveniently located near the train station and bus terminal. We actively support associate well-being and work/life balance and offer the following schedules, based on role:- In-office: onsite 5 days per week
- Hybrid: onsite 2-4 days per week
- Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, VirginiaOur culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.
The law requires an employer to post notices describing the Federal laws. Please visit www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.

flhybrid remote worklauderhill
Title: Community Resource Coordinator II
Location: Lauderhill-1341 NW 40th Ave (10958)
Job Description:
You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.
Position Purpose: Supports community connection activities including connecting members to community resources to support their care management journey and provide necessary care resources in a cost-effective manner. Provides members with known community resources and supports the care team to identify member community support and provide health education as appropriate.This is a hybrid position must reside in Broward county for field visits to members homes to complete assessments.
- Provides support to members to connect them to known community and care resources in a cost- effective manner
- Supports the coordination of community outreach resources available to members and promotes awareness of care/services
- Serves as support for members on community and care resource inquiries and opportunities available to members
- Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection
- Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
- Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support
- Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
- Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
- Conduct telephonic and/or in-person outreach to locate iniduals and families in the community who are hard to reach
- May make visits to inidual homes and/or community organizations
- Working Knowledge of Social Determinants of Health (SDOH) barriers
- Performs other duties as assigned
- Complies with all policies and standards
This is a hybrid position must reside in Broward county for field visits to members homes to complete assessments.
Education/Experience: Requires a High School diploma or GED
Requires 1 – 2 years of related experiencePay Range: $17.84 - $28.02 per hour
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
Title: Assoc Director or Director, Process Development & Manufacturing
Location: South San Francisco United States
Job Description:
Erasca is a clinical-stage precision oncology company focused on discovering, developing and commercializing medicines for the benefit of patients with cancer. Our programs take novel approaches to shutting down one of cancer's most commonly mutated signaling cascades, the RAS/MAPK pathway, which affects approximately 5.5 million lives each year worldwide. The name "Erasca" has an important embedded meaning: it is a contraction of our audacious hope to "erase cancer" that drives our mission and everything that we do on behalf of patients with cancer.
Position Summary:
Reporting to the Executive Director, Process Development and Manufacturing, the Director/ Associate Director, Process Development and Manufacturing is responsible for the design and execution of experiments to support process development and for providing technical oversight of contract development and manufacturing organizations (CDMOs) for small-molecule programs ranging from research through clinical development and eventual commercial production.
The Director/ Associate Director serves as the drug substance lead for one or more programs and independently manages projects across internal and external teams. This is a hybrid role, based in our South San Francisco, CA location.
Essential Duties and Responsibilities:
- Design, develop, and implement robust chemical synthesis processes for starting materials, intermediates, and APIs to support research and development programs
- Lead phase-appropriate process R&D activities to support early- and late-stage programs
- Support technical transfer of starting material, intermediate, and API processes between internal and external sites as needed
- Collaborate closely with medicinal chemistry teams during lead optimization and candidate selection
- Serve as drug substance lead on one or more programs, providing technical leadership and project oversight
- Conduct fate and purge studies, evaluate mutagenic impurities, and establish control strategies for drug substance processes with a long-term commercial vision
- Work cross-functionally to ensure seamless transitions between drug substance and drug product programs and vendors
- Critically review proposals from CMOs and CROs and perform appropriate technical due diligence to ensure suitability and capability
- Oversee and support PAR studies, pre-validation, and validation activities for drug substance manufacturing
- Author and review relevant CMC sections for U.S. and ex-U.S. regulatory submissions
- Travel up to 25% for scientific project management, CDMO oversight, and monitoring of critical project activities
- Perform all duties in alignment with Erasca's core values, policies, and applicable regulations
Required Education, Experience and Attributes:
- Advanced degree (PhD or MS) in organic chemistry or a related field, with extensive industry experience (typically 10+ years) in synthetic organic chemistry and small-molecule drug development
- Hands-on laboratory experience in synthetic organic chemistry and small-molecule process development
- Experience in chemical development involving synthesis and crystallization of chiral molecules preferred
- Strong understanding of synthetic and analytical techniques for polymorph screening, optimization, and patent protection
- Thorough knowledge of cGMP, ISO, and ICH guidelines and industry best practices
- Experience applying Design of Experiments (DOE) and Quality by Design (QbD) principles
- Demonstrated experience managing and overseeing development and manufacturing activities at CDMOs
- Ability to build strong, effective relationships with colleagues across erse backgrounds and areas of expertise
- Proven ability to function at a high level as a manager, technical lead, or inidual contributor in a team-based environment
- Track record of achieving high-performance goals and meeting deadlines in a fast-paced setting
- Excellent interpersonal and communication skills; collaborative, solutions-oriented, and willing to contribute where needed
- Strong learning orientation, intellectual curiosity, and commitment to science and improving patient outcomes
The anticipated salary range for this position is $200,000 to $245,000. The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and length of experience within the job, type and length of experience within the industry, education, etcetera. In addition to base salary, the hired applicant will be eligible to receive an annual bonus and an equity grant at hire and annually in the form of the option to purchase stock in the future for a specified price.
Along with our casual, collaborative, and fun work and the chance to make your mark in our mission to erase cancer, Erasca offers a comprehensive and competitive benefits package that includes: Paid Time Off, Holiday, and Sick Leave, Medical, Dental and Vision Plans, Short- and Long-Term Disability, Basic and Voluntary Life/AD&D Coverage, Flexible Spending Accounts (FSA, HSA, and Commute), Critical Illness and Accident Coverage, Pet Insurance, Employee Assistance Program, 401(k) Plan with Erasca contribution, and the opportunity to participate in an Employee Stock Purchase Program.
Erasca, Inc., is an Equal Opportunity Employer and takes pride in maintaining a erse and inclusive environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of sex , race, religion, national origin, ancestry, physical or mental disability, protected medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military and veteran status or any other basis protected by federal, state or local law or ordinance or regulation.

100% remote workus national
Pharmacy Technician, Formulary Management
Remote USA
Full time
Job Description
A bit about this role:
As a Pharmacy Technician on the Formulary Management Team, you will perform oversight of various Part D formularies and contribute to drug specific evaluations and coverage recommendations by analyzing utilization patterns, monitoring new drug releases, and conducting comprehensive regulatory research to ensure CMS compliance. You will serve as a key contributor to ensure the overall success of our formulary management ision to ensure that our members are well informed of all things related to pharmacy and formulary benefits.
Embracing technology and innovation, our dynamic team navigates Medicare rules and regulations while prioritizing exceptional member care. We’re looking for a certified pharmacy technician experienced in managed care specifically Part D/MAPD and who has had additional PBM collaboration relative to the administration of Part D and Part B pharmacy claims. Additionally, having a strong overall drug knowledge coupled with analytical skills that can help proficiently navigate data and BI tools will be highly valued in candidates.
At Devoted Health, we're dedicated to providing personalized, coordinated care to every Medicare-eligible member, aligning with the care and support we'd want for our own families.
Required skills and experience:
Nationally Certified Pharmacy Technician (CPhT) in good standing.
Familiarity with drug products, both generic and brand names.
2+ years of experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management) at a Health Plan and/or PBM.
Desired skills and experience:
Proficiency with Google Sheets or Excel, including basic to intermediate formula knowledge.
Strong analytical skills - you are confident making sense of operations through data, you can establish quantitative goals, and you can articulate a case from first principles.
Experience utilizing business intelligence tools to interpret, analyze, and visualize data with a high degree of technological aptitude, preferred.
Responsibilities & Impact will include:
Contribute to the development, implementation, maintenance, and evaluation of formularies, ensuring adherence to CMS rules and state-specific regulations.
Collaborate across departments to analyze data influencing pharmacy benefits, tier placements, and excluded drug coverage decisions.
Conduct detailed analysis of various data points alongside clinical pharmacists to assess drugs for formulary placement.
Coordinate the review of formulary and utilization management recommendations with finance and other relevant departments as needed.
Assist in preparing timely formulary submission files and CMS submissions via HPMS.
Oversee change notification processes and drug file maintenance to uphold accuracy and operational efficiency.
Provide clinical expertise and support to internal teams and members, acting as a go-to resource for formulary-related inquiries.
Effectively communicate formulary changes and updates to internal and external stakeholders.
Support the creation of the user interface and offer expertise for the online formulary search tool.
Perform quality assurance checks on formulary submissions, bid submissions, formulary documents, and other documents as assigned.
Review and validate claims testing outputs to ensure coding accurately reflects the clinical intent of formulary design as needed.
Manage and maintain accuracy in published formulary documents on the website.
Create, implement, and maintain policies and procedures for effective formulary management.
Perform regulatory plan document reviews as a pharmacy benefit Subject Matter Expert (SME) for EOC, Summary of Benefits, ANOCs, LIS Riders, etc.
Manage the clinical pharmacy inbox, responding to any inquiries from external partners and triaging emails to business owners.
Review overrides entered by the pharmacy team for accuracy and ensure they follow the internal override policy.
Develop and maintain internal knowledge resources.
Assist in various ad-hoc projects and responsibilities as needed to support the functioning of the department or organization.
Salary Range: $21-$27/hour
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the inidual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
Updated 4 months ago
RSS
More Categories