
hybrid remote worksterlingva
Principal RF Engineer
Location: Sterling, Virginia, United States
Hybrid
Join Axon and be a Force for Good.
At Axon, we’re on a mission to Protect Life. We’re explorers, pursuing society’s most critical safety and justice issues with our ecosystem of devices and cloud software. Like our products, we work better together. We connect with candor and care, seeking out erse perspectives from our customers, communities and each other.
Life at Axon is fast-paced, challenging and meaningful. Here, you’ll take ownership and drive real change. Constantly grow as you work hard for a mission that matters at a company where you matter.
Your Impact
We are seeking a Principal RF Engineer with advanced expertise in RF front-end systems and antenna design to spear-head the development of high-performance Software Defined Radio (SDR) platforms. You will be instrumental in architecting and implementing RF front ends, with an emphasis on high-power amplifiers (>50dBm), LNAs, and antennas capable of operating across broad and dynamic frequency ranges.
This role demands both technical leadership and hands-on design excellence, supporting next-generation RF systems critical to our airspace security solutions.
What You’ll Do
Location: Onsite (hybrid) in Sterling, Virginia
- Architect and develop RF front ends including PAs, LNAs, and filters.
- Specify and integrate antennas for SDR platforms, ensuring optimized performance across frequency bands and dynamic environments.
- Lead RF validation, characterization, and environmental qualification for field deployments.
- Collaborate with other RF engineers, antenna experts, hardware, software, and systems teams to optimize performance in real-world scenarios.
- Serve as a technical leader and mentor, supporting the long-term roadmap and cross-functional integration
What You Bring
- M.S. in Electrical Engineering, Physics, or a related field (Ph.D. preferred).
- 8+ years of experience in advanced RF system development, particularly in SDR, wireless, or sensing domains.
- Demonstrated expertise in High-power RF amplifier and LNA design, Multiband and wideband RF front-end architecture, Antenna design, simulation, and validation
- Proficient in RF simulation and test tools (ADS, HFSS, CST, MATLAB/Python, VNA, spectrum analyzer, etc.).
- Deep understanding of propagation physics, impedance matching, linearity, and thermal effects in RF systems.
- Experience with counter-UAS, radar, SIGINT, or defense-oriented RF systems.
- Familiarity with SDR platforms such as USRP, GNURadio, or custom FPGA-based solutions.
- Experience with beamforming, MIMO, direction-finding, or geolocation technologies.
- Proven record of patents, publications, or fielded RF systems.
Work Location
This role is based out of our Sterling Office and follows a hybrid schedule. We rely on in-person collaboration and ask that team members work onsite Tuesdays through Fridays, with the flexibility to work remotely on Mondays, unless there is an approved workplace accommodation. We believe that connection fuels innovation, and our in-office culture is designed to foster meaningful teamwork, mentorship, and shared success.
Benefits that Benefit You
Competitive salary and 401k with employer match
Discretionary paid time off
Paid parental leave for all
Medical, Dental, Vision plans
Fitness Programs
Emotional & Mental Wellness support
Learning & Development programs
And yes, we have snacks in our offices
Benefits listed herein may vary depending on the nature of your employment and the location where you work
Don’t meet every single requirement? That's ok. At Axon, we Aim Far. We think big with a long-term view because we want to reinvent the world to be a safer, better place. We are also committed to building erse teams that reflect the communities we serve.
Studies have shown that women and people of color are less likely to apply to jobs unless they check every box in the job description. If you’re excited about this role and our mission to Protect Life but your experience doesn’t align perfectly with every qualification listed here, we encourage you to apply anyways. You may be just the right candidate for this or other roles.
Important Notes
The above job description is not intended as, nor should it be construed as, exhaustive of all duties, responsibilities, skills, efforts, or working conditions associated with this job. The job description may change or be supplemented at any time in accordance with business needs and conditions.
Some roles may also require legal eligibility to work in a firearms environment.
We collect personal information from applicants to evaluate candidates for employment. You may request access, deletion, or exercise other CCPA rights at [email protected] or via our Axon Privacy Web Form. For more information, please see the Your California Privacy Rights section of our Applicant and Candidate Privacy Notice.
Axon’s mission is to Protect Life and is committed to the well-being and safety of its employees as well as Axon’s impact on the environment. All Axon employees must be aware of and committed to the appropriate environmental, health, and safety regulations, policies, and procedures. Axon employees are empowered to report safety concerns as they arise and activities potentially impacting the environment.
We are an equal opportunity employer that promotes justice, advances equity, values ersity and fosters inclusion. We’re committed to hiring the best talent — regardless of race, creed, color, ancestry, religion, sex (including pregnancy), national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, genetic information, veteran status, or any other characteristic protected by applicable laws, regulations and ordinances — and empowering all of our employees so they can do their best work. If you have a disability or special need that requires assistance or accommodation during the application or the recruiting process, please email [email protected]. Please note that this email address is for accommodation purposes only. Axon will not respond to inquiries for other purposes.
Clinical Psychologist / Counsellor (Luxembourg)
Location: Luxembourg (Remote)Type: Part Time – FreelanceDescription
Are you passionate about making a difference in mental health?
Join Intellect as a Clinical Provider, where you’ll play a vital role in supporting clients on their journeys toward better mental health and personal growth through our cutting-edge telehealth platform.
This freelance, remote role offers complete flexibility, allowing you to set your own business hours. It’s a perfect opportunity to complement your current job or private practice. While we prefer local candidates, we’re open to professionals from erse locations who are aligned with our mission.
Why Join Us?
Become part of a collaborative network of Clinical Psychologists and Counsellors dedicated to expanding access to quality mental health care. At Intellect, you’ll find a supportive community focused on enhancing lives and helping clients overcome personal challenges.
What You'll Do
- Provide 1-on-1 telehealth/or onsite mental health support for Intellect’s clients
- Address a range of clinical cases, including depression, anxiety, trauma, schizophrenia, eating disorders, addiction, and more
- Partner with our internal clinical team to improve the platform and client programs
Requirements
- Qualifications: Master’s degree in Counseling or Clinical Psychology
- Expertise: Skilled in Cognitive Behavioral Therapy or other evidence-based approaches (e.g., Motivational Interviewing, DBT, SFBT)
- Experience: A minimum of 300 clinical hours post-master’s degree
- Experience: with trauma-related cases in psychiatric hospitals, mental health clinics, or similar settings
- Languages: Proficiency in English and your local language
- Preferred Background: Prior experience with EAP, adult counseling, or coaching managerial roles
- Flexibility: Openness to occasional onsite work, if necessary, is a plus
If you’re ready to make a meaningful impact and be part of a mission-driven team, we’d love to hear from you. Apply today and join us in transforming mental health care!

100% remote workcanada
Patient Flow Nurse
Remote - Canada
Full time
JR19693
Teladoc Health is the global virtual care leader, offering comprehensive virtual care solutions spanning virtual care including primary, mental health, expert medical, devices and licensed platform services. Teladoc Health serves the world's leading insurers, employers, and health systems and helps millions of people around the world resolve their healthcare needs with confidence. Serving over 9 million Canadians, Teladoc Health has been in Canada for more than 20 years and operates in 175 countries world-wide.
Summary of Position
The Patient Flow Nurse (Registered Nurse role) for Virtual Care is responsible for facilitating the seamless and efficient flow of patients through virtual healthcare services. This role involves coordinating and managing the scheduling, triaging, and any follow-up processes to ensure patients receive timely and high-quality virtual care services. This role will collaborate with healthcare providers, patients, and administrative staff to optimize the virtual care experience and contribute to overall patient satisfaction. Patient flow coordination requires strong clinical judgment, excellent communication skills, and the ability to work effectively under pressure to ensure that patients receive appropriate and timely care based on their medical needs.
Essential Duties and Responsibilities
- Scheduling and Visit Triage:
- Coordinate / oversee the scheduling of virtual appointments, ensuring alignment with healthcare providers' availability and patients' preferences.
- Co – ordinate flow of patients to determine the urgency of their healthcare needs and appropriately prioritize appointments / visits.
- Prioritize patients between sites making informed decisions regarding appropriate level of care
- Provider Collaboration:
- Collaborate with healthcare providers to optimize their virtual care schedules and prioritize appointments / visits ensuring efficient utilization of their time and skills.
- Communicate patient-specific information and instructions to providers before virtual booked appointments.
- Documentation and Data Entry:
- Oversight of accurate and up-to-date medical records ensures relevant patient information, appointment details, and outcomes of virtual visits.
- Generate and share virtual care reports with relevant stakeholders as needed.
- Follow-up and Coordination of lab results
- Ensure that patients results are communicated as per relevant processes
- Follow process for communicating critical lab results
- Collaborate with other healthcare team members to ensure continuity of care for patients transitioning between virtual and in-person services
Supervisory Responsibilities
No
Qualifications Expected for Position
- Bachelor's degree in nursing or equivalent work experience, and in good standing with governing College
- Must have current practicing registration and in good standing as a Registered Nurse with the British Columbia College of Nurses & Midwives (BCCNM), Nurses Association of New Brunswick (NANB) is a plus.
- Competence in CTAS (Canadian Triage and Acuity Scale) in a fast paced environment.
- Adherence to the Emergency Nursing Scope and Standards of Canadian Practice (National Emergency Nurses Association, 2018).
- Experience in healthcare coordination, scheduling, and administration.
- Current CTAS certification with +5 years’ experience.
- Familiarity with electronic health record (EHR) systems.
- Previous exposure to telemedicine or virtual care services.
- Additional certifications: ACLS, Telephone Triage Nursing Certification preferred
- Strong organizational and time-management skills to manage virtual appointment schedules effectively.
- Excellent communication skills for interacting with patients, healthcare providers, and administrative staff.
- Familiarity with virtual care platforms and basic technical troubleshooting.
- Knowledge of medical terminology and basic understanding of healthcare processes.
- Ability to work independently and as part of a healthcare team.
- Attention to detail and accuracy in maintaining patient records and documentation.
- Empathy and compassion when dealing with patients' health concerns and needs.
- Understanding of healthcare compliance and patient privacy regulations.
- Multiple provincial nursing licenses are an asset.
- Excellent written, verbal, and documentation skills.
- Strong organizational skills and the ability to multitask with ease.
- Standout colleague with strong interpersonal skills.
- Quality driven with a focus on flawless customer service.
- This role requires full flexibility for availability between Monday to Sunday, with all types of shifts (hours will vary) including day shifts, evening shifts, night shifts, and weekend shifts, as per the scheduling completed by management.
Preferred:
- Experience in healthcare coordination, scheduling, and administration.
- Current CTAS certification with +3-5 years’ experience.
- Familiarity with electronic health record (EHR) systems.
- Previous exposure to telemedicine or virtual care services.
- Additional certifications: ACLS, Telephone Triage Nursing Certification,
Required license or credential needed to perform job: N/A
For roles that require a particular license/credential, those qualifications must be listed as mandatory, and the below line can be removed. If role does not require license/credential, the below line must remain.
Job Description Acknowledgment
This job description is a general overview of nature and level of work performed by employees with this job designation It is not intended to be a comprehensive list of all duties, responsibilities and qualifications required of this position.
At Teladoc Health we thrive on difference and iniduality. Teladoc Health is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
We are committed to fostering an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the ersity of our customers and communities in which we live and serve. If you require an accommodation for any stage of the recruitment process / interview process (including alternate formats of materials, or accessible meeting rooms or other accommodation), please reach out to us at: [email protected].
Why Join Teladoc Health?
Impactful, Connected Healthcare: Support millions of Canadians across the country with accessible care within rural regions & provincial health systems, at no cost to patients.
Focus on Quality & Safety: Upholding the highest excellence of clinical quality standards is paramount to Teladoc Health.
Collaborative, Supportive Network: Our erse community is dedicated to transforming healthcare in Canada. Be a part of a growing team across Canada, that thrives on engagement, learning and growth.
Our Work Truly Matters: Recognized as the world leader in whole-person virtual care, Teladoc Health uses innovative platforms to provide accessible care across the full continuum of care, at every stage in a person’s health journey.
Growth and Innovation: We are growing rapidly - Come grow with us and support our expanding mission to make healthcare more accessible.
Diversity and Inclusion: At Teladoc Health we believe that personal and professional ersity is the key to innovation. We hire based solely on your strengths and qualifications, and the way in which those strengths can directly contribute to your success in your new position.
At Teladoc Health we thrive on difference and iniduality. Teladoc Health is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.
We are committed to fostering an inclusive, accessible environment, where all employees and customers feel valued, respected and supported. We are dedicated to building a workforce that reflects the ersity of our customers and communities in which we live and serve. If you require an accommodation for any stage of the recruitment process / interview process (including alternate formats of materials, or accessible meeting rooms or other accommodation), please reach out to us at [email protected]

100% remote workus national
Senior Product Manager, Member Experience
Remote - USA
Full time
JR18896
Join the team leading the next evolution of virtual care.
At Teladoc Health, you are empowered to bring your true self to work while helping millions of people live their healthiest lives.
Here you will be part of a high-performance culture where colleagues embrace challenges, drive transformative solutions, and create opportunities for growth. Together, we’re transforming how better health happens.
Summary of Position
At Teladoc Health, we’re transforming the heath care experience and empowering people everywhere to live their healthiest lives.
In this role, you’ll have the unique opportunity to drive the strategy for one of the fastest-growing therapeutic areas in digital health by shaping how millions of members access and adhere to GLP-1 therapy through a clinically rigorous, digitally supported program. You will work closely with commercial stakeholders to understand client and market needs, develop product strategies, and represent the future direction of this rapidly evolving space.
If you’re our ideal candidate, you have a 5+ year track record of hands-on product management experience developing mobile and web products that delight users and drive measurable user outcomes. Your products have directly contributed revenue to the B2C or B2B2C businesses where you’ve worked. You have experience with PBMs (Pharmacy Benefit Managers), Prior Authorization and complex regulatory health environments. You are skilled at managing large groups of stakeholders, including interfacing with executive leadership. You have built and launched new products from scratch and thrive on the challenge of finding product-market fit and building out a long-term strategy, vision, and roadmap.
Essential Duties and Responsibilities
This is a highly collaborative, extremely fast-paced, innovative environment where you’ll find your excitement building products that impact the lives of millions of users.
Own product management on a cross-functional team consisting of Product, Engineering, Design, Data Science, Clinicians, Operations, and Marketing operating in a hybrid of strategic and tactical functions.
Build GLP-1 clinical + digital product strategy (e.g., prior authorization workflows, coverage navigation, compound vs. branded therapy, adherence support). Establish product vision and roadmap, conduct competitive analysis and collaborate with commercial teams to identify market needs, create effective product briefs, build alignment across product lines and functions, define success metrics.
Partner with pharmacy, payers, and providers to drive GLP-1 access and outcomes.
Drive delivery for complex initiatives. Support the Scrum team, write comprehensive features, drive cross-product prioritization, manage dependencies and risks to launch high-quality, on time features that drive intended outcomes.
Manage business, clinical, operational, commercial, and technical stakeholders, including presenting to executive leadership on the progress and outcomes of your initiatives.
Participate in a culture of learning and growing, foster an environment that enables your team to innovate, ask questions, learn quickly, and deliver extraordinary results for the ultimate benefit of our members.
The time spent on each responsibility reflects an estimate and is subject to change dependent on business needs.
Supervisory Responsibilities
No
Qualifications Expected for Position
5+ years Product Management experience in cross-functional, Agile product team.
Experience in the digital health and/or health tech industry required. Experience with GLP-1 drugs, weight loss products, or metabolic health, along with specialty pharmacy, PBMs, or payer environments highly preferred.
Mastery with overseeing the entire product development lifecycle, from ideation to launch and post-launch optimization.
Demonstrated experience driving product vision, design discussions, and developing new products & technologies at scale.
Proven experience leading complex initiatives in a fast-paced environment, balancing big picture approach with day-to-day product direction.
Demonstrated ability to prioritize and negotiate trade-offs for optimal value delivery.
Excellent written, presentation, and verbal communication skills – highly skilled at articulating the “what, why, and how.” Strong executive presence.
Bonus Qualifications
Believer in collaboration and transparency
Passionate about improving consumer experience in healthcare, B2C/B2B2C experience preferred.
Independent self-starter, with a can-do attitude and flexibility to quickly adapt and produce in a rapidly changing environment.
Comfort with clinical + regulatory product requirements (prior auth, HIPAA, FDA-regulated experiences).
The base salary range for this position is $120,000 - $155,000. In addition to a base salary, this position is eligible for a performance bonus and benefits (subject to eligibility requirements) listed here: Teladoc Health Benefits 2026. Total compensation is based on several factors including, but not limited to, type of position, location, education level, work experience, and certifications. This information is applicable for all full-time positions.
#LI-SS2 #LI-Remote
As part of our hiring process, we verify identity and credentials, conduct interviews (live or video), and screen for fraud or misrepresentation. Applicants who falsify information will be disqualified.
Teladoc Health will not sponsor or transfer employment work visas for this position. Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future.
Why join Teladoc Health?
Teladoc Health is transforming how better health happens. Learn how when you join us in pursuit of our impactful mission.
Chart your career path with meaningful opportunities that empower you to grow, lead, and make a difference.
Join a multi-faceted community that celebrates each colleague’s unique perspective and is focused on continually improving, each and every day.
Contribute to an innovative culture where fresh ideas are valued as we increase access to care in new ways.
Enjoy an inclusive benefits program centered around you and your family, with tailored programs that address your unique needs.
Explore candidate resources with tips and tricks from Teladoc Health recruiters and learn more about our company culture by exploring #TeamTeladocHealth on LinkedIn.
As an Equal Opportunity Employer, we never have and never will discriminate against any job candidate or employee due to age, race, religion, color, ethnicity, national origin, gender, gender identity/expression, sexual orientation, membership in an employee organization, medical condition, family history, genetic information, veteran status, marital status, parental status, or pregnancy). In our innovative and inclusive workplace, we prohibit discrimination and harassment of any kind.
Teladoc Health respects your privacy and is committed to maintaining the confidentiality and security of your personal information. In furtherance of your employment relationship with Teladoc Health, we collect personal information responsibly and in accordance with applicable data privacy laws, including but not limited to, the California Consumer Privacy Act (CCPA). Personal information is defined as: Any information or set of information relating to you, including (a) all information that identifies you or could reasonably be used to identify you, and (b) all information that any applicable law treats as personal information. Teladoc Health’s Notice of Privacy Practices for U.S. Employees’ Personal information is available at this link.

denjnyoption for remote workpa
Title: Behavioral Health Care Manager
Job Description:
Role Overview
The Care Manager facilitates access to behavioral health, substance use, and intellectual/developmental disabilities therapeutic services, ensuring that every youth receives the right services at the right time as part of an integrated service plan. The Manager makes the timely intensity of service determinations based on the urgency of need, including the management of emergencies, which includes access to mobile response services.
Work Arrangement
- Remote - DE, NJ, NY, PA must live within 3 hours of Robbinsville NJ
- Monday through Friday, 11:00am-7:30pm
- Will rotate holidays and weekends
Responsibilities
- Makes timely intensity of services determinations or refers to higher-level review when indicated
- Provides linkage to community services as needed
- Adheres to customer service level agreements and expected productivity measures
- Adheres to documentation requirements
- Identifies a wide range of community resources to the caller
- Demonstrates respectful communication and excellent customer service
- Adheres to recognized ethical standards
- Assists with projects as assigned
Education and Experience
- Graduate degree from an accredited educational program in Social Work, Clinical/Counseling Psychology
- Minimum of two (2) years experience in children's mental health, DCPP, juvenile justice, and/or a related public sector human services or behavioral healthcare field, providing community-based services to children, youth, and young adults, and their families/caregivers
- Background and experience in family systems, community systems and resources, case management, child and family counseling/therapy, child protection, and/or child development
- Clinical and cultural competency with the training and experience necessary to manage complex cases in the community across child-serving systems
- Ability to screen and assess crisis and emergency calls and assess the caller's degree of acuity/severity and the clinical necessity for treatment based on DCF/CSOC-approved criteria
Licensure
- Active NJ clinical licensure as a Licensed Clinical Social Worker (LCSW), a Licensed Marriage and Family Therapist (LMFT), a Licensed Professional Counselor (LPC), or a Licensed Psychologist required.
- Must be licensed in New Jersey for contractual requirements
Skills & Abilities
- Must be computer savvy
- Ability to multi-task
- Demonstrate knowledge of a variety of approaches to intervention and support
- Bilingual (Spanish) is helpful
The range displayed in this job posting reflects the minimum and maximum for new hire salaries for the position in the Robbinsville, NJ area.
Within the range, inidual pay is determined by additional factors, including, without limitation, job-related skills, experience, and relevant education, certifications, or training. AmeriHealth Caritas associates are eligible to participate in our annual incentive program and will also receive our benefits package, consisting of medical, vision, dental, life insurance, disability insurance, 401(k), paid time off and more.
The targeted hiring range for this role is expected to be between $63,700.00 and $85,900.00.
Your career starts now. We are looking for the next generation of healthcare leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate iniduals to join our team. Together, we can build healthier communities. If you want to make a difference, we would like to hear from you.
Headquartered in Newtown Square, Pennsylvania, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
Our Comprehensive Benefits Package
Flexible work solutions include remote options, hybrid work schedules, competitive pay, Paid Time Off (PTO) including holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k), tuition reimbursement, and more.
Title: Remote BCBA - Board Certified Behavior Analyst - Orange County
Location: CA-ANAHEIM
Job Description:
ID: 2025-179256
Line of Business: SpringHealth Behavioral Health and Integrated Care
Position Type: Full-Time
Pay Min: USD $85,000.00/Yr.
Pay Max: USD $85,000.00/Yr.
Intellectual and Developmental Disabilities reach their highest level of independence!
Our therapy team executes customized treatment plans that deliver real results and exceed patients' expectations.
If you're motivated to give our clients a more positive quality of life we encourage you to apply today!
Qualifications: Must be a Board Certified Behavior Analyst (BCBA).
Must have experience implementing Applied Behavior Analysis programming with behavioral intervention.
At SpringHealth, we provide services for children and adults, using positive programming and non-aversive strategies to deliver the best quality support. Our services are tailored to meet the unique needs of iniduals with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), or mental illness to help them achieve their best overall health and well-being.
Our evidence-based programs and therapies are designed to give youth and adults more positive, active, and social lives. We conduct appointments in various locations. These include residential homes, schools, family homes, workplaces, and other community-based settings.
Some of the things our clinicians love about working for SpringHealth are:
- Remote and Hybrid schedule oportunities
- The ability to work from home when not in session.
- Flexible Work Schedule
- Opportunity for Advancement
- Great work/life balance
- Opportunity to work with multiple populations including adults and youth.
Responsibilities
- Conducts ongoing assessments to meet the needs of patients served.
- Communicates between supervisors, direct care staff members, family members, guardians, and collateral iniduals regarding an inidual's progress.
- Provides a monthly schedule to supervisors of appointments, home visits, and observations to monitor work advancement.
- Coordinates home, work and/or community-based visits to meet the requirements of observations, chart reviews, staff interviews, and data analysis.
- Ensures the Behavior Intervention plan is implemented effectively and properly.
- Participates in Interdisciplinary Team Meetings and other pertinent meetings as required.
- Completes monthly and/or quarterly progress notes.
- Organizes training to certify staff and other team members are competent in the implementation of the Behavior Intervention Plan and/or documentation sheets.
- Provides follow-up interviews, home visits, and observations for continued support of an inidual's needs.
- Maintains strong clinical records to guarantee information is readily available to interested parties.
- Acts as liaison with the public and mental health community to support development of ongoing goals.
- Assists in creating procedures for training materials to improve programs for iniduals served.
- Complete continued education on behaviorally based interventions & techniques to stay competitive in the field.
Qualifications
Must have experience with behavioral intervention and/or strong educational emphasis on learning and developmental psychology.
Two or more years of experience working with iniduals with developmental disabilities or behaviorally challenged population.
Must have reliable transportation.
Ability to perform physical tasks, including standing for extended periods, bending, move from seated to standing regularly.
State Specific Requirements:
- Illinois: Board Certified Behavior Analysts (BCBA), Licensed Clinical Psychologist, Board Certified Associate Behavior Analyst (BCaBA), or a minimum of a bachelor’s degree with 1500 hours of supervised experience performed by a Licensed Psychologist or BCBA.
- Indiana: A master’s degree in a human related field (this includes but is not limited to BCBA, Licensed Psychologist, Licensed Counselor)
- Kentucky: A master’s degree in a human related field and 2 years of experience (this includes but is not limited to BCBA, Licensed Psychologist, Licensed Counselor)
- Georgia: Master’s degree in psychology, special education, counseling, social work, or related field OR BCBA, Licensed Professional Counselor, Licensed Clinical Social Worker, or Licensed Psychologist/Psychiatrist. All applicants MUST have at least 2 years of experience providing positive behavioral supports (writing BSP, functional assessment; plan development, training, and implementation) to people with intellectual and/or developmental disabilities. Must have documented coursework in Applied Behavior Analysis reflected on resume or transcript.
- California: Must be a BCBA or BCaBA.
- Virginia: BCBA, BCaBA, Licensed Psychologist or Positive Behavior Support Specialist Facilitator (PBSF), LPC, LSW or LCSW with training and experience and/or documented coursework in Applied Behavior Analysis reflected on resume or transcript.
- Texas: Licensed Psychologist, Licensed Psychological Associate, Licensed Clinical Social Worker, Licensed Professional Counselor, or BCBA
About our Line of Business
SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives.
Salary Range: USD $85,000.00 / Year
Title: Clinical Informatics Analyst - Senior
Location: UT-West Valley City
Full time
Hybrid
Job Description:
The Clinical & Health Informaticist - Senior challenges the status quo of the healthcare experience through the Science of Informatics. This is an exciting field where experts innovate, design, simplify and translate technology to equitably support the Intermountain Health mission and vision. The role is responsible to independently perform workflow and system analysis and functional design for software development / configuration activities associated with the EHR and other Health Information Technology (HIT)-related initiatives. Caregivers in this role are also responsible to participate in the implementation, training, adoption and process improvement of the EHR and other clinical applications.
The Informaticist functions as a liaison with business and clinical users and the software development / application teams to ensure solutions are designed with safety, the clinician experience, and clinical best practices in mind. This position utilizes an advanced informatics skillset, to support and periodically lead complex projects independently.
Position Details:
This role is primarily remote, with occasional onsite travel required. Incumbent will work Monday-Friday during regular business hours.Essential Functions- Utilize knowledge of workflows in an integrated healthcare system to positively impact the use of technology by caregivers
- Form relationships with members of the care team with erse backgrounds
- Work flex hours based on project requirements
- Effectively use change management, organizational skills and continuous improvement in projects and day to day work
- Independently prioritize and organize work with attention to detail and limited supervision or revision
- Use word processing, spreadsheet, database, internet and e-mail, virtual meeting applications, and scheduling applications
- Engage providers, nurses, and other clinicians through effective presentation and communication
- Use functional design methodologies, tools, techniques, and HIT fundamentals within assigned work
- Analyze workflow data, literature, new technology, best practice, and standards to meaningfully impact workflow design and training
- Knowledge of the functional architecture, security, and compliance requirements relevant to HIT to meaningfully impact system design
- Round in facilities across the system to observe workflows, meet with key stakeholders, assist with implementations, and other targeted functions
Skills
- Informatics
- Information Systems
- Information Technology (IT)
- Clinical Informatics
- Process Improvements
- Clinical Systems
- Clinical Information Systems
- Business Information Systems
- Clinical Workflows
Qualifications
- Demonstrated informatics experience performing gap analysis, usability assessments, problem definition, HIT optimization, clinical workflow analysis, and other core informatics skills
- Experience influencing clinical leaders, providers, nurses, and other clinicians in decision making and conflict resolution
- Experience applying informatics fundamentals (People, Process, Technology) to impact quality and safety
- Experience successfully leading complex projects or initiatives, small project teams, and achieving the desired budget, outcomes and goals
- Experience working with Epic is strongly preferred
- Experience or training in the use of Continuous Improvement
- Experience cultivating productive relationships with executive clinical and business leaders
- Experience managing complex informatics portfolios across multiple healthcare domains
- Registered Nurse and other licensed clinical incumbents must hold and maintain current state licensure.
Physical Requirements:
- Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
- Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
- Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
- Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
- For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles.
Location:
Lake Park Building
Work City:
West Valley City
Work State:
Utah
Scheduled Weekly Hours:
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$39.57 - $62.29
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

100% remote workcopenhagendenmarkstockholmsweden
Title: Government Affairs, Medtronic Nordics
Remote
Copenhagen, Hovedstaden, Denmark
Stockholm, Stockholm, Sweden
Full time
Job Description:
At Medtronic you can begin a life-long career of exploration and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, compassionate world.
A Day in the Life
Our Integrated Health Solutions (IHS) team supports our customers beyond products and devices to create more value for patients. IHS builds on Medtronic 's combination on process optimization expertise, therapy knowledge and capital resources. The team members are seasoned professionals with in-depth knowledge of the healthcare value chain. IHS partners with hospitals and clinics in long term partnerships, offering solutions that help care providers optimize costs and outcomes while driving higher value and patient satisfaction.
The Government Affairs role in Medtronic Nordics is responsible for shaping and advancing the company's public policy agenda across Sweden, Denmark, Norway and Finland. This includes proactively engaging in dialogue with policymakers, health authorities, industry associations, and key stakeholders to advocate for policies that foster patient access to innovations and public-private partnerships for ensuring resilient healthcare. This is a remote role with willingness to travel typically in the Nordics area.
Responsibilities may include the following and other duties may be assigned:
- Develop and maintain strong relationships with policymakers, decision makers, and health authorities in the Nordics, while monitoring and analyzing legislative and regulatory developments that may impact MedTech and Medtronic's operations, and representing Medtronic in discussions with government bodies, trade associations, and other stakeholders
- Advocate for policies that foster implementation of MedTech innovations, healthcare transformation, and patient access - including Health Technology Assessment (HTA) for MedTech and reforms supporting healthcare digitalization
- Advocate for partnership with the healthcare sector to support the transformation of healthcare and ensure a resilient healthcare system
- Collaborate with internal teams to develop policy positions and key messages aligned with Medtronic's strategic objectives
- Build and manage relationships with healthcare organizations, trade associations, patient advocacy groups, and other external stakeholders, and actively participate in industry forums, conferences, and working groups to represent Medtronic's interests
- Develop and execute a government affairs strategy for the Nordics, providing strategic advice to senior leadership on political and regulatory risks and opportunities, and managing Medtronic arrangements at the Nordic political summit weeks
- Work closely with operating units and enterprise accounts/integrated health solutions teams in the Nordics, preparing briefing materials, position papers, and reports, communicating policy updates and advocacy outcomes internally, and collaborating with the global government affairs team as a member of the Western Europe government affairs council
Required Knowledge and Experience:
- Extensive professional experience in driving policy issues and opportunities, supported by a relevant academic degree
- Established networks with politicians, authorities, and other decision-makers and organizations within healthcare, as well as a good ability to continuously create new contacts
- Strong understanding of the Nordic political and regulatory landscape and healthcare policies
- Strong ability to build relationships with government officials, health authorities and industry associations.
- English and at least one Scandinavian languages, preferably Swedish and basic skills in the other Scandinavian languages
- Strong analytical skills and the ability to assess the impact of policy changes on the Medtech sector and Medtronic
- Strategic mindset with an initiative-taking and results-driven approach
Physical Job Requirements
The above statements are intended to describe the general nature and level of work being performed by employees assigned to this position, but they are not an exhaustive list of all the required responsibilities and skills of this position.
Benefits & Compensation
Medtronic offers a competitive Salary and flexible Benefits Package
A commitment to our employees lives at the core of our values. We recognize their contributions. They share in the success they help to create. We offer a wide range of benefits, resources, and competitive compensation plans designed to support you at every career and life stage.
This position is eligible for a short-term incentive called the Medtronic Incentive Plan (MIP).
About Medtronic
We lead global healthcare technology and boldly attack the most challenging health problems facing humanity by searching out and finding solutions.
Our Mission - to alleviate pain, restore health, and extend life - unites a global team of 95,000+ passionate people.
We are engineers at heart- putting ambitious ideas to work to generate real solutions for real people. From the R&D lab, to the factory floor, to the conference room, every one of us experiments, creates, builds, improves and solves. We have the talent, erse perspectives, and guts to engineer the extraordinary.
Learn more about our business, mission, and our commitment to ersity here
Title: Remote BCBA - Board Certified Behavior Analyst - High Desert
Location: CA-HESPERIA
Job Description:
US-CA-HESPERIA
ID
2025-179257
Line of Business
SpringHealth Behavioral Health and Integrated Care
Position Type
Part-Time
Pay Min
USD $60.00/Hr.
Pay Max
USD $65.00/Hr.
Our Company
SpringHealth Behavioral Health and Integrated Care
Overview
At SpringHealth, we provide services for children and adults, using positive programming and non-aversive strategies to deliver the best quality support. Our services are tailored to meet the unique needs of iniduals with autism spectrum disorder (ASD), intellectual and developmental disabilities (IDD), or mental illness to help them achieve their best overall health and well-being.
Our evidence-based programs and therapies are designed to give youth and adults more positive, active, and social lives. We conduct appointments in various locations. These include residential homes, schools, family homes, workplaces, and other community-based settings.
Some of the things our clinicians love about working for SpringHealth are:
- Remote and Hybrid schedule oportunities
- The ability to work from home when not in session.
- Flexible Work Schedule
- Opportunity for Advancement
- Great work/life balance
- Opportunity to work with multiple populations including adults and youth.
Responsibilities
- Conducts ongoing assessments to meet the needs of patients served.
- Communicates between supervisors, direct care staff members, family members, guardians, and collateral iniduals regarding an inidual's progress.
- Provides a monthly schedule to supervisors of appointments, home visits, and observations to monitor work advancement.
- Coordinates home, work and/or community-based visits to meet the requirements of observations, chart reviews, staff interviews, and data analysis.
- Ensures the Behavior Intervention plan is implemented effectively and properly.
- Participates in Interdisciplinary Team Meetings and other pertinent meetings as required.
- Completes monthly and/or quarterly progress notes.
- Organizes training to certify staff and other team members are competent in the implementation of the Behavior Intervention Plan and/or documentation sheets.
- Provides follow-up interviews, home visits, and observations for continued support of an inidual's needs.
- Maintains strong clinical records to guarantee information is readily available to interested parties.
- Acts as liaison with the public and mental health community to support development of ongoing goals.
- Assists in creating procedures for training materials to improve programs for iniduals served.
- Complete continued education on behaviorally based interventions & techniques to stay competitive in the field.
Qualifications
Must have experience with behavioral intervention and/or strong educational emphasis on learning and developmental psychology.
Two or more years of experience working with iniduals with developmental disabilities or behaviorally challenged population.
Must have reliable transportation.
Ability to perform physical tasks, including standing for extended periods, bending, move from seated to standing regularly.
State Specific Requirements:
- Illinois: Board Certified Behavior Analysts (BCBA), Licensed Clinical Psychologist, Board Certified Associate Behavior Analyst (BCaBA), or a minimum of a bachelor’s degree with 1500 hours of supervised experience performed by a Licensed Psychologist or BCBA.
- Indiana: A master’s degree in a human related field (this includes but is not limited to BCBA, Licensed Psychologist, Licensed Counselor)
- Kentucky: A master’s degree in a human related field and 2 years of experience (this includes but is not limited to BCBA, Licensed Psychologist, Licensed Counselor)
- Georgia: Master’s degree in psychology, special education, counseling, social work, or related field OR BCBA, Licensed Professional Counselor, Licensed Clinical Social Worker, or Licensed Psychologist/Psychiatrist. All applicants MUST have at least 2 years of experience providing positive behavioral supports (writing BSP, functional assessment; plan development, training, and implementation) to people with intellectual and/or developmental disabilities. Must have documented coursework in Applied Behavior Analysis reflected on resume or transcript.
- California: Must be a BCBA or BCaBA.
- Virginia: BCBA, BCaBA, Licensed Psychologist or Positive Behavior Support Specialist Facilitator (PBSF), LPC, LSW or LCSW with training and experience and/or documented coursework in Applied Behavior Analysis reflected on resume or transcript.
- Texas: Licensed Psychologist, Licensed Psychological Associate, Licensed Clinical Social Worker, Licensed Professional Counselor, or BCBA
About our Line of Business
SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives.
Salary Range
USD $60.00 - $65.00 / Hour

canadano remote workreginask
Title: Pharm D Degree
Location: Regina Canada
Job Description:
Position #: V41593
Expected Start Date: December 05, 2025
Union: HSAS
Facility: Regina Service Area
City/Town: Regina
Department: Clinical Pharmacy
Type: Part-time regular
FTE: 0.5
Shift Information: Days, Evenings, Weekends, Stats
Hours of Work: 56 HR/3 WK; 8 HR
Relief: No
Float: No
Field Hours: No
Salary or Pay Band: Pay Band Pharmacist - Degree $51.369 to $59.751
Travel Required: No
Job Description: The Pharmacist- PharmD- Degree is accountable for performing those duties that enable pharmacy services to be provided to the staff and patients of the Saskatchewan Health Authority. The Pharmacist- PharmD- Degree reports to the Manager. "Preference for this position will be given to HSAS members in accordance with the terms and conditions of the SAHO/HSAS Collective Agreement"
Human Resources Exemption: No
Education
- Bachelor of Science in Pharmacy (BSP)Entry-level Degree
Licenses
- Valid Class 5 driver's license
Memberships
- Saskatchewan College of Pharmacy Professionals (SCPP)
Other Education and Training
- Entry level PharmD is acceptable
Competencies
- Advanced - Writing skills
- Advanced - Communication skills
- Basic - Variety of computer programs
Knowledge and Abilities
- Ability to work flexible hours
Other Information
- Scheduled hours of work may be reduced (if applicable) during the rotation stipulated when a statutory holiday is recognized during that period.
- Registered/eligible with the Saskatchewan College of Pharmacy Professionals
- May be eligible for Recruitment and/or Retention Incentives

no remote workpeunited kingdomwalesby
Title: Respiratory Consultant
Location: Haverfordwest United Kingdom
Main area
Respiratory
Grade
NHS Medical & Dental: Consultant
Contract
Permanent
Hours
Part time - 18.75 hours per week (5 sessions)
Job ref
100-MED-WGH-200-C
Site
Withybush General Hospital
Town
Haverfordwest
Salary
£110,240 - £160,951 per annum pro rata
Salary period
Yearly
onsite
Part time
Job Description:
Main area Respiratory Grade NHS Medical & Dental: Consultant Contract Permanent Hours Part time - 18.75 hours per week (5 sessions) Job ref 100-MED-WGH-200-C
Site Withybush General Hospital Town Haverfordwest Salary £110,240 - £160,951 per annum pro rata Salary period Yearly Closing 14/12/2025 23:59
Our Hywel Dda values reflect who we are and how we behave. We continuously work together to be the best we can be as we strive to develop and deliver excellent services, putting people at the heart of everything we do. Throughout our recruitment process you will be asked to think about how you would demonstrate these values in the way that you work with us.
If you are registered Health Care professional considering relocating to the Hywel Dda area in West Wales please don't hesitate to contact our recruitment campaigns team directly via [email protected]
To keep up to date with our latest recruitment activity follow us on Facebook (Swyddi Hywel Dda Jobs), LinkedIn or on Twitter @SwyddiHDdaJobs
Hywel Dda University Health Board reserve the right to close vacancies after 24 hours if a large number of suitable applications are received. We encourage early applications to ensure consideration for a post.
Job overview
The Health Board is fully committed to:
- Work-life balance, job-sharing and flexibility
- Training & Education including a successful Consultant Development & Mentoring scheme
- Medical Appraisal & Revalidation for over 800 doctors
We are looking to recruit a motivated Consultant in Respiratory to join colleagues in a dynamic general medicine service within the Health Board in delivering and supporting the Welsh Government's vision for NHS Wales. This new appointment will join the team of established medical consultants working across Pembrokeshire and will have support to develop/maintain a specialist interest.
Main duties of the job
To provide, with consultant colleagues (as appropriate) a service in General Medicine and support the development of sub-speciality interest to the hospital and community, so designated with responsibility for the prevention, diagnosis and treatment of illness.
All clinical staff are accountable and responsible for their own clinical competence and should limit their actions to those for which they are deemed competent. Clinical staff are also required to comply with the requirements of their professional organisation regarding supervision.
As a senior employee of the Health Board the post holder will work in close co-operation with, and support other clinical, medical professional and managerial colleagues in providing high quality healthcare to the Health Board's patients.
If you are a senior doctor wishing, looking for a change of scene, or if you think life in a rural general hospital in one of the most beautiful parts of the UK might suit you, we would like to hear from you for a non-obligation chat.
Information on the Health Board is provided with a full job description of this post. The health Board operates a No Smoking Policy and promotes equal opportunities.
Working for our organisation
Hywel Dda University Health Board is the planner and provider of NHS healthcare services for people in Carmarthenshire, Ceredigion, Pembrokeshire and its bordering counties. Our 11,000 members of staff provide primary, community, in-hospital, mental health and learning disabilities services for around 384,000 people across a quarter of the landmass of Wales. We do this in partnership with our three local authorities and public, private and third sector colleagues, including our volunteers, through:
- Four main hospitals: Bronglais General in Aberystwyth, Glangwili General in Carmarthen, Prince Philip in Llanelli and Withybush General in Haverfordwest;
- Seven community hospitals: Amman Valley and Llandovery in Carmarthenshire; Tregaron, Aberaeron and Cardigan in Ceredigion; and Tenby and South Pembrokeshire Hospital Health and Social Care Resource Centre in Pembrokeshire;
- 48 general practices (four of which are managed practices), 47 dental practices (including three orthodontic), 99 community pharmacies, 44 general ophthalmic practices (43 providing Eye Health Examination Wales and 34 low vision services) and 17 domiciliary only providers and 11 health centres;
- Numerous locations providing mental health and learning disabilities services;
- Highly specialised and tertiary services commissioned by the Welsh Health Specialised Services Committee, a joint committee representing seven health boards across Wales.
Detailed job description and main responsibilities
For full details of the role requirements please see attached Job Description and Person Specification for this vacancy.
Discussions around working pattern will take place during initial job planning, where preferences, requirements and options can be discussed and explored in full.
Person specification
Qualifications
Essential criteria
- Full GMC Registration and Licence to Practice
- On Specialist Register with GMC or CCT due within 6 months of interview date
- Or CESR or equivalent European Qualifications for Specialist Registration
- MRCP
Desirable criteria
- Appropriate Higher Degree e.g. MD, PhD or MSc or equivalent
Clinical Experience
Essential criteria
- Broad based experience in General Internal Medicine and respiratory
- Knowledge of UK hospital systems (or equivalent)
- Knowledge and participation in CPD
- Expertise in General Internal Medicine
Desirable criteria
- Experience of NHS
- Wider experience, research and training in providing sub specialty service
- Evidence of above average performance
- Additional clinical qualification(s)
Clinical Governance
Essential criteria
- Evidence of participation in clinical audit and understanding role of audit in improving medical practice
Desirable criteria
- Knowledge of risk management
- Knowledge of annual job planning/appraisal review process
Research
Essential criteria
- Experience and knowledge of critical appraisal of evidence so as to improve clinical outcomes
Desirable criteria
- Evidence of initiating, progressing and concluding research projects with publication
- Research Degree
Teaching
Essential criteria
- Evidence of organising programmes and teaching medical students and resident doctors
Desirable criteria
- Organisation of further teaching programmes in medical education
- "Training the Trainers" experience
Management
Essential criteria
- Knowledge of the management and structure of the NHS
Desirable criteria
- Evidence of management training

canadano remote workreginask
Title: Pharm D Degree
Location: Regina Canada
Job Description:
- Job Identification89704
- Job CategoryPharmacy Services
- Locations Pasqua Hospital
- Job SchedulePart time
Job Description
Position #: 9007857 (V49837)
Expected Start Date: December 05, 2025
Union: HSAS
Facility: Regina Service Area
City/Town: Regina
Department: Clinical Pharmacy
Type: Part-time regular
FTE: 0.5
Shift Information: Days, Evenings, Weekends, Stats
Hours of Work: 56 HR/3 WK; 8 HR Shifts
Relief: No
Float: No
Field Hours: No
Salary or Pay Band: Pay Band Pharmacist - Degree $51.369 to $59.751
Travel Required: No
Job Description: The Pharmacist- PharmD- Degree is accountable for performing those duties that enable pharmacy services to be provided to the staff and patients of the Saskatchewan Health Authority. The Pharmacist- PharmD- Degree reports to the Manager. "Preference for this position will be given to HSAS members in accordance with the terms and conditions of the SAHO/HSAS Collective Agreement"
Human Resources Exemption: No
Education
- Bachelor of Science in Pharmacy (BSP)Entry-level Degree
Licenses
- Valid Class 5 driver's license
Memberships
- Saskatchewan College of Pharmacy Professionals (SCPP)
Other Education and Training
- Entry level PharmD is acceptable
Competencies
- Advanced - Writing skills
- Advanced - Communication skills
- Basic - Variety of computer programs
Knowledge and Abilities
- Ability to work flexible hours
Other Information
- Scheduled hours of work may be reduced (if applicable) during the rotation stipulated when a statutory holiday is recognized during that period.
- Registered/eligible with the Saskatchewan College of Pharmacy Professionals
- For more information on the city of Regina please visit https://www.regina.ca/
- May be eligible for Recruitment and/or Retention Incentives
About Us
The Saskatchewan Health Authority (SHA) is the largest employer in Saskatchewan, employing more than 45,000 staff in a dynamic healthcare environment. The Saskatchewan Health Authority (SHA) is committed to providing coordinated quality services that are seamless, safe and patient-centred.
Additional Information
Applicants must upload all relevant documents (ex: certificates, diplomas, proof of enrollment, licenses and/or memberships) relating to the qualifications of the position. By submitting your application, you consent to your application history and talent profile being shared with Human Resources and the applicable hiring team.
Only applicants selected for an interview will be contacted. Those being interviewed are required to bring a valid Criminal Record Check (CRC) to the interview; it must be dated within six (6) months and include a vulnerable sector search.
We work together to improve our health and well-being. Every day. For everyone.
We are committed to building a representative, erse, inclusive, and culturally responsive workforce.
We are committed to the Truth and Reconciliation Commissions Calls to Action.
We work in the spirit of truth and reconciliation, acknowledging Saskatchewan as the traditional territory of First Nations and Métis People.
Please note: Only applications that include all required documentation will be considered.

livingstonnjno remote work
Title: Unit Representative, Pediatric Unit
Category: Clerical / Administrative
Status: Part-TimeShift: EveningFacility: Cooperman Barnabas Medical CenterDepartment: Pediatrics UnitPay Range: $20.28 - $21.35 per hourJob Description:
Job Title: Unit Representative
Location: Cooperman Barnabas Medical Ctr
Department Name: Pediatrics Unit
Req #: 0000223530
Status: Hourly
Shift: Evening
Pay Range: $20.28 - $21.35 per hour
Pay Transparency:
The above reflects the anticipated hourly wage range for this position if hired to work in New Jersey.
The compensation offered to the candidate selected for the position will depend on several factors, including the candidate's educational background, skills and professional experience.
Job Overview:
Assumes responsibility for all clerical functions on a nursing unit, including the transcription of all physician orders.
Qualifications:
Required:
- High School Diploma or General Education Degree (GED)
Preferred:
- Some College
- Previous healthcare experience
- Bilingual
Scheduling Requirements:
- Shift- 3:00pm-11:00pm
- Monday -Friday with every other weekend/holiday
- Part Time/Evening
Other Duties:
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
RWJBarnabas Health!
RWJBarnabas Health is the premier health care destination providing patient-centered, high-quality academic medicine in a compassionate and equitable manner, while delivering a best-in-class work experience to every member of the team. We honor and appreciate the privilege of creating and sustaining healthier communities, one person and one community at a time. As the leading academic health system in New Jersey, we advance innovative strategies in high-quality patient care, education, and research to address both the clinical and social determinants of health.
RWJBarnabas Health aims to truly make a unique impact in local communities throughout New Jersey. From vastly improving the health of local residents to creating educational and career opportunities, this combination greatly benefits the state. We understand the growing and evolving needs of residents in New Jersey-whether that be enhancing the coordination for treating complex health conditions or improving community health through local programs and education.
RWJBarnabas Health is an Equal Opportunity Employer

adelaideaustraliabrisbanehybrid remote workmelbourne
Title: Advisor - Client Practice
Location: Melbourne VIC, Australia Sydney NSW, Australia• Perth WA, Australia• Brisbane QLD, Australia• Adelaide SA, Australia
Job Description:
Job Type: Permanent position, Full time hours
Department: Migration Support ProgramsReports to: Senior manager- Migration Support Programs- Modern Slavery ResponseMake a Real Impact Where It Matters Most Are you passionate about driving best practice, ensuring exceptional quality, trauma informed and survivor centred supports for people who have experienced modern slavery? Join Australian Red Cross and lead change, influence policy, and make a tangible difference in people's lives across Australia.
About Red Cross Australian Red Cross is part of the world's largest humanitarian movement. We support and empower people and communities in times of vulnerability. We act for humanity. Migration Support Programs provides help and support to refugees, people seeking asylum, people in immigration detention and other people who are vulnerable as a result of migration. We also provide support to people who have experienced modern slavery through the Support for Trafficked People Program.
About the Role As Advisor - Client Practice, you will provide practice guidance and technical support to a nationwide team of Complex Caseworkers. Your role ensures consistent, high-quality casework through the implementation of the Red Cross Casework Core Model, governed by our Client Practice Framework and contractual requirements. You will lead best practice initiatives, support training and capacity building, and an ongoing improvement of a trauma informed service that keep the voices of people who have experienced modern slavery at the centre. This role will be focused on the Support for Trafficked People Program (STPP), working collaborative with the Practice Team and the Senior manager- casework.
Key Responsibilities
Drive and lead, in collaboration with the Senior manager-casework, best practice, quality casework aligned with Red Cross standards and program requirements. Identify training needs and build capacity across teams. Provide technical advice and support to caseworkers and team leaders on complex client matters (e.g., mental health, family violence, child protection, drug and alcohol misuse, and system distrust). Implement continuous improvement processes informed by survivor feedback and outcome/impact data. Act as central contact for STPP-related critical incidents. Develop evidence-based technical position papers, briefings and thought pieces to inform policy and practice and effectively influence outcomes. Support representation of Australian Red Cross in key Movement and sector working groups and networks. Ensure systematic documentation of client issues and trends to inform advocacy and policy. Contribute to a positive and collaborative work culture.
What You Bring
Extensive experience in complex casework and case management, particularly in cross-cultural settings. Demonstrated experience addressing drug and alcohol issues, complex mental health needs, and working with clients who distrust systems. Expertise in culturally responsive, trauma-informed practice and commitment to centring lived experience in ongoing service improvement. Application of sound technical expertise in the delivery of migration and people facing vulnerability related programs Proven ability to design, implement, and monitor quality assurance systems, conduct audits, and drive service excellence. Proven ability to coach, mentor, and lead high performing social services teams. Relevant tertiary qualification is mandatory. A degree on social work is highly desirable. Mandatory Working with Children Check, police check. Ability to travel domestically occasionally.
Benefits that act for you, while you act for humanity Financial wellbeing: In addition to your salary, you can take advantage of salary packaging that could provide you with a great way to reduce the amount of tax you pay - and get more from your salary. You can salary package up to $15,900 for living expenses (such as rent, groceries, utility bills); up to $2,650 for holiday accommodation and meals when dining out; Novated car leases; superannuation and purchase additional annual leave. Health & Wellbeing: You can tap into specialist advice for nutrition, sleep, resilience and mindfulness. And access guided meditation and other wellbeing programs. Work/Life Flexibility: You can access a paid 'Me' day just for you and a wide range of other paid leave options. Hybrid working with flexibility to support family and wellbeing. Career development: Access to ongoing learning, training, and development courses.
Further information This role is covered by the Social, Community, Home Care and Disability Services Award - Level 5. Competitive salary + superannuation + access to salary packaging.
While we appreciate all interest in our organisation, we won't engage with or accept candidates from agencies or consulting firms on this occasion Thank you for considering a career at Red Cross. We also have great opportunities to volunteer. Click here to find out more.
Job Ref# 13130

fairfaxhybrid remote workva
Title: Nurse Practitioner (Hybrid), Full-Time- Fairfax, VA
Location: Fairfax United States
Job Description:
Nurse Practitioner
Full-Time, Monday-Friday
Hybrid Schedule: Ability to work remotely from your home office via telehealth 1-2 days and on-site from the Fairfax, VA infusion center.
Must be willing to travel to other Northern VA clinics as needed and hands-on nursing experience is a plus
Vivo Infusion Nurse Practitioner:
We are seeking a licensed Nurse Practitioner or Physician’s Assistant to join our team of dynamic healthcare professionals in the greater Fairfax, VA! This hybrid role offers a flexible work environment, working on-site on patient treatment days and the opportunity to work from home providing telehealth support to local Vivo Infusion locations.
In this position, you will play a key role in overseeing infusion care provided by nurses in our ambulatory infusion centers in Fairfax, VA, and via telehealth as needed. You will create and maintain inidualized care plans for all patients referred to the center, ensuring safe and effective care during infusion procedures. You will also serve as the primary clinical liaison between the referring physician’s office and the infusion center, providing critical support to the team and evaluating patients’ needs throughout the treatment process.
Your expertise will be crucial in delivering compassionate care in accordance with State and Federal regulations, as well as company policies and guidelines, all within your scope of practice.
This is an exciting opportunity for an Advanced Practitioner looking for a flexible, dynamic role where you can make a significant impact on the care of your patients!
Job Title: Advanced Practitioner: Nurse Practitioner or Physician Assistant
Compensation:
Pay Range: $64.00 - $68.00 / hr.
Bonus Plan Target: 5% Annually, paid quarterly in 4 installments.
Private Equity for the Greater Good - Company-wide Employee Ownership Program
Benefits Offered:
Medical, Dental, Life, Vision
Option for HSA w/ Employer Contribution
401K with Match up to 4%
PTO: Accrual 4+ weeks/YR, buy-back program (get paid for unused PTO), and PTO donation program to allow Vivo team members to donate to others in need.
Wellness Reimbursement Program - $360 Annually, paid in 4 installments quarterly.
Employee Referral Bonus - Uncapped
Tuition Assistance Program
Employee Assistance Program (Employer-provided)
Short & long-term disability (Employer-provided)
Life Insurance (Employer-Provided)
Identity theft protection
Pet Insurance
Employment Type & Schedule, FLSA Status:
Full-Time
Monday - Friday | 8:00 am- 5:00 pm
Non-Exempt
Reports to: Clinical Operations Manager
Location: Hybrid - Work from home and Fairfax, VA clinic.
Fairfax, VA 11725 Lee Hwy, Suite 13 Fairfax, VA 22030
Must be willing to travel to other Northern VA clinics as needed
This position will provide additional support to the local infusion centers via telehealth.
Primary duties and responsibilities:
- Reviews and evaluates clinical information provided by referring physician offices and admits appropriate patients for infusion.
- Evaluates newly referred patients and develops initial plans of care.
- Monitors plans of care and makes necessary changes
- Performs pertinent physical exams with assessment of normal and abnormal findings on new patients and confirms suitability for infusion.
- Reviews all lab reports provided by the referring physician.
- Requests diagnostic and lab studies of the referring physician upon evaluation of the patient as needed.
- Recognizes situations which require the immediate attention of a physician and initiates life-saving procedures when necessary.
- Consults with the supervising Medical Director as is necessary.
- Documents infusion orders in the electronic medical record.
- Dictates or documents notes in the electronic medical record.
Additional duties and responsibilities:
- Promotes company quality outcome initiatives.
- Delegates responsibilities to staff nurses on duty.
- Follows company policies and CDC guidelines for infection control.
- Carries out all duties in a professional and courteous manner.
- Provides patient education and answers questions from prospective patients and referring physicians.
- Enforces all HIPAA compliance guidelines.
Qualifications:
- Must have a current license to practice as a Nurse Practitioner or Physician’s Assistant in the state in which service is provided.
- Must have current DEA license.
- Infusion, rheumatology, oncology, or neurology experience, preferred.
- Minimum of 2 years working in a clinical setting, required.
- Must be Family Nurse Practitioner to be able to work with patients under 18 years old.
- Must possess outstanding communication and interpersonal skills.
- Strong customer service skills and a commitment to prioritizing the comfort and needs of patients.
- Intermediate computer skills, MS Office, and EMR experience - preferably additional experience working with telehealth systems.
- Strong time management skills and ability to work independently.
- Demonstrated ability to work collaboratively, a high degree of professional ethics, and knowledge of confidential and regulatory compliance practices.
- Prior experience working within The Joint Commission compliance requirements, a plus!
- Active BLS Certification, required prior to start date.
To perform this job successfully, an inidual must be able to perform each essential duty satisfactorily. The requirements listed above are representative of the knowledge, skill, and ability needed. Reasonable accommodations may be made to enable iniduals with disabilities to perform essential functions.
Who We Are:
The Vivo Infusion team is focused on providing patients with the highest quality of care in a comfortable, safe, and convenient setting! Vivo is a national company with locations in 15 states, providing opportunities for growth and advancement as well as competitive benefits that support what matters most to you.
Our highly trained medical professionals are dedicated to delivering a safe, comfortable, and affordable solution for our patients. We offer an array of advanced therapeutics and provide personalized, care for every patient.
We are passionate about providing high-quality patient care, relationships with our referring Providers, and nurturing our company culture!
Vivo Infusion has received The Gold Seal of Approval® from The Joint Commission.
The Joint Commission Gold Seal of Approval is a nationally recognized distinction voluntarily earned by a select set of healthcare providers.
An organization that achieves The Gold Seal of Approval® shows its commitment to holding itself accountable to a high bar for quality and safety for those they serve.
Work environment and physical demands:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. The physical demands described below are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to sit, talk and/or hear. The employee is frequently required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand; walk; climb or balance; stoop, kneel, crouch, or crawl and/or smell. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
The employee must regularly lift and /or move up to 50 pounds and occasionally lift and/or move up to 50 pounds.
The work environment is indoors in a medical office and is generally quiet, including sounds of medical equipment.
RECRUITMENT PRIVACY STATEMENT | Notice to All Applicants:
Applicants will never be asked to provide personal identification information (e.g., SSN, Driver’s License, Passport) or financial information (e.g., Banking Information) during the application and Interviewing process.
We may request:
- Contact details such as name, address, email address, and phone number.
- Employment history including previous employers and job titles/positions.
- Background information including academic/professional qualifications, job qualifications, education, certifications or licenses, details included in your CV/resume, transcripts, and employment references.
- Nominated references including their name, contact details, employer, and job role.
- Proof of your eligibility to work in the US.
- Desired salary.
Title: Associate Medical Director, Orthopedic Surgery
Location: United States Remote
Job Description:
Opportunity Overview:
We are looking for physicians who have expertise in Orthopedic Surgery to deliver on Cohere's musculoskeletal and orthopedic programs by determining the medical appropriateness of services by reviewing clinical information and applying evidence-based guidelines.
Reporting to the Medical Director MSK Orthopedics and Spine for Cohere Health, and part of the review team that includes non-clinical intake specialists and nurses, this is a critical role in a Series B company that is rapidly scaling to impact millions of patients. This is a fast-paced environment that favors people who are able to learn quickly, be hands-on, handle ambiguity, and communicate effectively with people of different backgrounds and perspectives.
What you'll do:
- Provide timely medical reviews that meet Cohere's stringent quality parameters
- Provide clinical determinations based on evidence-based criteria while utilizing clinical acumen
- Clearly and accurately document all communication and decision-making in Cohere workflow tools, ensuring a member and provider can easily reference and understand your decision
- Use correct templates for documenting decisions during case review
- Meet the appropriate turn-around times for clinical reviews
- Conduct timely peer-to-peer discussions with treating providers to clarify clinical information and to explain review outcome decisions, including feedback on alternate treatment based on medical necessity criteria and evidence-based research
- Demonstrate the highest level of professionalism, accountability, and service in your interactions with Cohere teammates and providers
- Support projects specific to building the team's clinical expertise and efficiency, as delegated
- Support the team on operational improvements and member/provider experience involving clinical review tasks, as delegated
What you'll need:
Must Haves:
- Completed US-based residency program in Orthopedic Surgery
- Board certification by appropriate specialty board as an MD or DO with a current unrestricted state license to practice medicine - reviewers must maintain necessary credentials to retain the position
- 5+ years of clinical practice beyond residency/fellowship
- 1+ years of managed care utilization review experience
- Membership in national and/or regional specialty societies
- Licensure in AZ, FL, MN, ND, OR, or TX is highly desirable - you should be willing to obtain additional state licenses with Cohere's support
Pay & Perks:
Fully remote opportunity with about 5% travel
Medical, dental, vision, life, disability insurance, and Employee Assistance Program
401K retirement plan with company match; flexible spending and health savings account
️ Up to 184 hours (23 days) of PTO per year + company holidays
Up to 14 weeks of paid parental leave
Pet insurance
The salary range for this position is $250,000 to $270,000 annually; as part of a total benefits package which includes health insurance, 401k and bonus. In accordance with state applicable laws, Cohere is required to provide a reasonable estimate of the compensation range for this role. Inidual pay decisions are ultimately based on a number of factors, including but not limited to qualifications for the role, experience level, skillset, and internal alignment.
Interview Process*:
- Connect with Talent Acquisition for a Preliminary Phone Screening
- Meet your Hiring Manager!
- Behavioral Interview(s) with Peers
- Subject to change
Equal Opportunity Statement:
Cohere Health is an Equal Opportunity Employer. We are committed to fostering an environment of mutual respect where equal employment opportunities are available to all. To us, it's personal.
#LI-Remote
#BI-Remote

azno remote worksun city
Title: Registered Nurse RN PCU Oncology Registry
locations
Banner Boswell Med Ctr (10401 W Thunderbird Blvd)
time type
Part time
job requisition id
R4425163
Primary City/State:
Sun City, Arizona
Department Name:
Banner Staffing Services-AZ
Work Shift:
Job Category:
Nursing
Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.
As a valued and respected Banner Health team member, you will enjoy:
Competitive wages
Paid orientation
Flexible Schedules (select positions)
Fewer Shifts Cancelled
Weekly pay
403(b) Pre-tax retirement
Employee Assistance Program
Employee wellness program
Discount Entertainment tickets
Restaurant/Shopping discounts
Auto Purchase Plan
Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes employment, criminal and education) is required.
Nurses play a critical role in patient care. They’re the smiling faces patients see when they’re sick; they’re advocates for the patients and their families; and they are experts in providing nursing care. Truly, they are the heartbeat of a hospital. We care about you, your nursing career today and your future. Great options and great opportunities.
At Banner there will be exciting opportunities to be a part of the health care transformation. We are known nationally as an innovative leader in new health care models, and are on the cutting edge of medical advances. You will work alongside a group of dedicated physicians and staff that perform some of the most state-of-the-art procedures that exist anywhere in the country.
Unit Description
The Banner Boswell MS PCU Oncology Unit consists of 22 private rooms with the ability to flex up to 42 semi-private rooms with the capability of utilizing up to 16 remote cardiac monitors which are centrally monitored from a centralized monitor room viewing station. Eleven of our 22 private rooms are designated for Medical Oncology patients with cancer and related diagnoses and the administration of chemotherapy. Eleven additional rooms are designated for general surgeries which can consist of urology, plastics, gynecological and abdominal cases. On our unit we can also see overflow medical patients with simple pneumonias, diabetes, renal disease, GI issues, and skin disorders.
As a nurse on our MS PCU Oncology unit you will have the opportunity to work with a highly efficient and engaged team culture working together to meet positive patient outcomes and demonstrate a Customer Obsessed work culture. Our team focus is on creating a healthy work environment through collaboration, hourly rounding, prompt answering of call lights, culture of clean and quiet, and acknowledging a “one team” mentality.
This is a unique assignment-based PRN position, meaning that this RN will be dedicated to only one specific unit at this facility. They will not float to any other unit or facility. Hours are 7PM - 7:30AM with a 2 shift per month minimum, specific to this unit This position offers an additional flat rate weekend differential of $3/hour when applicable.
POSITION SUMMARY
This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing services delivered by self or others who are under their direction. This position utilizes specialized knowledge, judgment, and nursing skills necessary to assess data and plan, provide and evaluate care appropriate to the physical and developmental age of assigned patients.CORE FUNCTIONS
1. Assesses patient physical, psychological, social, spiritual, educational, developmental, cultural and discharge planning needs. Reviews patient history and physical with patient/family and assures completion within appropriate timeframe. Reviews available information obtained by other health care team members. Reviews diagnostics and laboratory data and reports abnormal results to the physician(s) and other appropriate caregivers. Completes assessment and reassessments according to patient need and as outlined in policy.2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.
3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.
4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.
5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.
6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.
7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.
8. In some roles, this position may supervise staff and work flow of the department.
9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.
MINIMUM QUALIFICATIONS
Must possess a current, valid RN license in state of practice, temporary/interim RN license in state of practice, or compact RN licensure for current state of practice. BLS certification is required. Additional certification or continuing education may be required based on area of practice.Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting.
In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained.
Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.
PREFERRED QUALIFICATIONS
Bachelor's degree preferred. Professional certification preferred.Additional related education and/or experience preferred.
Title: Manager, Formulary & Medical Pharmacy Operations
Location: Florida United States
Remote
Job Description:
Hi, we're Oscar. We're hiring a Manager, Formulary & Medical Pharmacy Operations to join our Pharmacy team.
Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.
About the role:
You will oversee and manage clinical pharmacy initiatives driving affordability savings including core formulary management operations. You will partner across Pharmacy, Medical Economics, and the Office of Clinical Affairs to operationalize pharmacy related workflows and monitor existing savings initiatives for drugs on both the pharmacy and medical benefits.
You will report to the Senior Manager, Formulary Operations and Pharmacy Utilization Management.
Work Location: This is a remote position, open to candidates who reside in: Florida. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote
Pay Transparency: The base pay for this role is: $144,000 - $189,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.
Responsibilities:
- Provide insights and recommendations for trend management and clinical effectiveness, including serving as a key contributor in the enterprise affordability process for pharmacy
- Manage the pipeline of enterprise affordability projects across the pharmacy department (program operations and clinical) and oversee the performance of active initiatives
- Partner with leads across the organization as necessary in order to communicate, understand and identify upstream and downstream impacts to the business
- Contribute to the design and implementation of clinical programs focused on improving patient outcomes and reducing costs.
- These programs may include medication adherence initiatives, chronic disease management programs, and patient education efforts
- Operationalize, develop and maintain a clinically appropriate and cost-effective formulary by operating and managing Oscar's P&T committee, which includes evaluating new developments in the drug treatment landscape and providing recommendations on how to manage new to market drugs and new drug indications.
- Oversee and optimize medical pharmacy preferred drug lists and strategies to supports utilization of lowest unit cost infusion products
- Provide written recommendations with responses and corresponding documentation for regulatory inquiries, feedback on future legislation, and other business questions that probe at formulary operations.
- Accountable and responsible for maintaining mental health parity NQTL responses and working cross-functionally for future filings and responding to ongoing objections during the audit process.
- Compliance with all applicable laws and regulations
- Other duties as assigned
Requirements:
- Doctor of Pharmacy degree (PharmD)
- 4+ years working for PBM or Payer in clinical pharmacy operations
- 4+ years leading cross-functional teams/projects and change management
- 3+ years supporting formulary management (P&T Committee, clinical policy development, formulary run operations)
Bonus points:
- Residency Training
- Experience with Marketplace Exchange
This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.
At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.
Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.
Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.
Title: BCBA Remote
**Location:**US-VA-FRONT ROYAL
Job Description:
Work Type: Hybrid, Contractor
Job ID: 2025-179238
Pay Min:USD $60.00/Hr.
Pay Max: USD $75.00/Hr.
REMOTE and HYBRID Opportunities - Must obtain VA licensuret
plans that deliver real results and exceed patients' expectations. If you're motivated to give our clients a more positive quality of life we encourage you to apply today!
Responsibilities
- Models and trains staff in the principles and practice of Positive Behavior Support methodology.• Serves as a member of Interdisciplinary Teams (IDTs) providing expertise re: behavioral issues.• Responsible for Behavior Plan assessment, design, training, monitoring, and reporting.• Conducts descriptive and systematic (e.g., analogue) behavioral assessments, including functional analyses, and provides behavior analytic interpretations of the results.• Provides direct behavioral treatment to clients via replacement skills training, social skills training, crisis de-escalation, group behavioral treatment, inidual behavioral treatment, and/or skills coaching in all applicable settings• Monitors restraint use and provides training to reduce.• Monitors challenging behavior.• Participates in Behavior Intervention Committee, Human Rights Committee and other relevant committees, as assigned• Shall provide inidualized services to meet the treatment needs of each of the specialty intermediate care (IC) clinic patients for services in field of care. Shall meet requirements of 902 KAR 20:410 Specialty Intermediate Care Clinics as warranted.•
Qualifications
- Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos; Ability to write simple correspondence; Ability to effectively present information in one-on-one and small group situations to iniduals and other employees of the organization.
- Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions; Ability to deal with problems involving a few concrete variables in standardized situations. Ability to make independent decisions with good judgment and attention to detail.
- Physical Demands: Refer to Essential Demands. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions. The employee must be able to participate and demonstrate their knowledge of approved crisis management procedures.
- Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential function of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.
- Education: Doctoral or Master's Degree in Psychology, Counseling, or related discipline. Board Certified Behavior Analyst (BCBA) certification is required.
- Computer Skills/Data Entry: Must be able to record/enter data neatly, accurately, and objectively; consistent with Oakwood requirements.
About our Line of Business
SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives
USD $60.00 - $75.00 / Hour

chapel hilldurhamhybrid remote workncraleigh
Title: Pricing Analyst
Location: Raleigh United States
Job Description:
Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.
Location: Hybrid - Based in our RTP office
Work Arrangement: This role offers a hybrid schedule, with a mix of remote work and in-office collaboration. Candidates should be in the Raleigh, Durham, Chapel Hill, NC area.
Support the procurement pricing functions, setting the fees for our plasma donation centers and giving support to promotional efforts as well as analyzing market dynamics and trends.
- Develop and maintain pricing models and tools to support business decisions.
- Analyze pricing trends, market data, and competitive intelligence to identify opportunities and risks.
- Collaborate with regional and global teams to support pricing setting strategies
- Monitor and report on pricing performance, KPIs, and compliance.
- Provide insights and recommendations to senior leadership based on data-driven analysis.
- Support ad hoc pricing projects and initiatives as needed.
This job description is intended to present the general content and requirements for the performance of this job. The description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Managers and supervisors may assign other duties as needed.
EDUCATION & EXPERIENCE
- Bachelor's degree in Economics, Business, Finance, Engineering Math, or a related field; Master's degree is a plus.
- Minimum 5 years.
Knowledge | Skills | Abilities
- Strong analytical skills and proficiency in Excel, Power BI, and data visualization tools.
- SQL, Python and other programming skills are highly valued.
- Excellent communication and stakeholder management skills.
#biomatusa #app
- #LI-Hybrid
- #LI-KS1
Third Party Agency and Recruiter Notice:
Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.
Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.
Location: NORTH AMERICA : USA : NC-RTP:USNC0001 - RTP NC-Headquarters

100% remote workil
Title: HIM Clin Doc Integrity Specialist-RN - CFH
Location: IL, United States
Job Description:
- Nursing
- Full-Time
- Yes
- Day
- M-F 40hrs/wk
- Department rotation
- 13843
Job Description
Overview
REMOTE RN POSITION
Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG. Performs second level review of specific DRGs as assigned. Presents education related to CDI topics to peers and providers we needed or requested. Reviews DRG denials and provides information to the denials team related to appealing the encounter
Qualifications
Certifications: Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Associate's Degree: Related Field, Work Experience: CDI; Clinical bedside
ResponsibilitiesConducts the initial concurrent review process for all selected admissions.Clarifies documentation in the medical record as appropriate through communication with the physicians, nurses, and ancillary staff. Assures documentation in chart represents a true clinical picture of the patient diagnoses and supports care that was given and DRG assigned.Documents findings within Carle CDI software and updates software as required to reflect status of the encounter and any follow up.Coordinates with the physicians, nurses, ancillary hospital staff, and Health Information Management Department's coding staff to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG.Follows query process and escalates as necessary.Conducts education related to CDI topics to peers and providers as needed or requested.Performs second level review on selected inpatient encounters.Reviews denials for accurate and complete documentation and develops appeal letter when needed.Attends mandatory and regular education sessions as needed. Follows appropriate workflow in EPIC and CDI software and notifies one up leader of any issues. May serve as an "expert" and participate in testing for upgrades as needed.
About UsFind it here.
Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.
Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.
We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health 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.
Compensation and Benefits
The compensation range for this position is $34.31per hour - $59.01per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers.

no remote workpayork
Title: Vascular Surgeon
Location: York United States
Schedule: Part Time
Job Description:
At WellSpan Health, our community of 23,000 employees, including more than 2,700 physicians and advanced practice providers, shares a common vision and mission. We're cultivating medicine's next generation of innovators and leaders as we transform the health of the communities we serve in South Central Pennsylvania and Northern Maryland.
Not only do we reinvest in the communities we serve, but we also invest in our physicians and providers, keeping your well-being at the forefront to encourage personal and professional growth. We are currently seeking an experienced board-certified vascular surgeon to join our team in York, PA.
What you can expect at your practice:
- Vascular surgery provider team consist of 5 surgeons and 5 advanced practice providers
- The practice is affiliated with York Hospital, a 579-bed teaching hospital and Level I trauma center with eight residency programs including Internal Medicine and Family Practice
- Conducting open vascular surgery, endovascular surgery, and hybrid procedures.
- Collaborating with multidisciplinary teams to provide comprehensive care.
- Participating in research and educational activities to stay at the forefront of the field.
- Maintain a healthy balance between professional and personal life.
Our Total Rewards package includes:
- Physician-Designed Compensation Model
- Competitive Signing Bonus and Increased Educational Loan Repayment
- Five weeks scheduled time off (STO)
- Retirement savings plan
- $5,500 CME Allowance
- Comprehensive health benefits with spending and savings account options
- Employer paid benefits that include relocation expenses, malpractice coverage including tail and dedicated help for caregivers via Wellthy.
A place to call home:
You'll feel at home in our sophisticated medical community in the heart of Central Pennsylvania. The WellSpan service area offers picturesque countryside, engaging historical attractions, excellent schools and low cost of living-all within reach of Philadelphia, Baltimore and Washington, D.C.
For confidential and immediate consideration contact:
Tammie Chute, Physician and APP Recruitment at WellSpan Health

hybrid remote workwawashington
Title: Dialysis Coordinator - Seattle, WA
Location: Algona United States
Job Description:
3201 S 323rd St, Federal Way, Washington, 98001-5023, United States of America
LOCATION:
Virginia Mason Medical Center
1100 9th Avenue
Seattle, WA 98101
SCHEDULE:
Hybrid - M/W/F on-site
T/TH remote
8:00-5:00 Pacific
The Dialysis Coordinator position is responsible for the development and implementation of DaVita's Patient Pathways Program through facilitating patient education, processing of timely dialysis placement referrals, and building relationships. This position enhances relationships with local hospitals, doctors, and other kidney care providers by enabling patients to make informed decisions regarding their dialysis provider. This position is responsible for improving the patient education process by analyzing and sharing best practices with other members of the department.
Patient Education
Communicate with and treat patients with empathy at all times. Meet inidually with patients requiring outpatient dialysis placement, depending on program scope, within the assigned region to provide educational materials on: Outpatient dialysis, Modality options, Vascular Access options, insurance which includes an assessment of patients insurance, out-of-pocket costs and grant program options. Provide education on options for patient to select an out-patient dialysis center of their choosing.
Identify, resolve, or escalate patient issues and/or barriers to placement to appropriate teammates for prompt and effective resolution.
Outpatient Dialysis Placement Referral
Work with hospital Case Managers, Social Workers, and Physicians to place patients in outpatient dialysis clinics. Arrange out-patient kidney dialysis placement for patients by contacting local clinics within an appropriate proximity as determined by patient preference and providing all required medical documentation to the outpatient dialysis center. Assist with patient transitions from hospitals to dialysis facilities, including transfer of paperwork and, as much as possible, ensure patient satisfaction. Place patients and document referral in accordance with Patient Pathways Policy and Procedures.
Relationship Building
Work closely with both internal and external kidney care professionals to enhance current relationships or develop new relationships. Partner with Regional Operations Directors and Facility Administrators to identify and implement best practices for accepting patients from inpatient acute care settings into an outpatient dialysis provider. Attend operational team meetings with multi-affiliate providers in assigned region.
Reporting
Conduct operating reviews with management to review reports at a minimum of one time per month. Record patient data in electronic tracking system according to Patient Pathways Policy and Procedures. Immediately inform Regional Operations Manager/Supervisor of any reporting requests from the hospital. Assist Regional Operations Manager/Supervisor in gathering patient details as needed for reporting purposes. Attend hospital meetings to review reporting as needed. Adhere to all audit, compliance, and reporting requirements according to Patient Pathways Policy and Procedures.
Innovation
Learn, develop, and implement new ways for Patient Pathways to differentiate itself in the marketplace. Ensure Patient Pathways leadership is apprised of customer needs and any deviations from current practices. Participate in special projects as needed or requested. Act as a liaison or subject-matter expert for the Business Development team on special initiatives. Educate team local markets on Patient Pathways program and initiatives. Mentor team members, as deemed appropriate by Patient Pathways leadership.
Qualifications:
Associate degree is required, Bachelor's Degree in social work, nursing, or related feed strongly preferred
Knowledge of health systems and community resources required.
Strong communication skills with the ability to work collaboratively with healthcare providers and community resources required.
Strong organizational and time management skills with the ability to prioritize tasks and manage multiple projects simultaneously, required.
Knowledge of Medical terminology and the ability to read and interpret medical records is required.
Proficiency in the use of electronic medical records and other technology preferred.
At least one year of discharge planning and/or case management support role/experience, or experience working with dialysis patients preferred.
At least one year of working with physicians preferred.
Current certification in case management/social work, or willingness to obtain certification is preferred.
Strong work ethic and desire
to serve our patients
Valid driver's license and ability to travel locally is required
What We'll Provide:
More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.
Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more
Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.
#LI-TS2
At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Iniduals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.
This position will be open for a minimum of three days.
The Wage Range for the role is $25.00 - $31.00 per hour.
If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.
Washington Exempt: $77,968.80/year Washington Non-exempt: Bellingham: $17.66/hour, Burien: $21.16/hour, Unincorporated King County: $20.29/hour, Renton: $20.90/hour, Seattle: $20.76/hour, Tukwila: $21.10/hour, Remainder of Washington state: $16.66/hour
Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

100% remote workbiloxims
Title: Primary Care Physician
Location: Biloxi, MS
Work Type: Remote, Full Time
Job Description:
About Us
One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.
In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a erse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.
The Opportunity
As we continue to expand and transform the primary care experience, we're looking for providers to deliver virtual primary care. This provider will care for One Medical patients directly through scheduled and on demand visits utilizing video as well as asynchronous channels. All remote primary providers demonstrate proficiency in practicing evidence based primary care and shared decision making with patients.
The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients. Through advanced technology and a team-based approach, we care for patients 24 hours a day, 365 days a year. Our team is united by intellectual curiosity, inclusiveness, and a powerful mission: transforming healthcare and bringing world-class primary care to everyone.
Employment type:
- Full time (32 hours minimum including some evenings and weekends)
- Location: Remote in Mississippi
What you'll work on:
- Treat patients via telehealth visits, including telephonic triage calls, video visit appointments, and message-based care
- Manage patients with a broad array of patient needs virtually; conducting a mix of acute, chronic, and well visits
- Adopt standard work and clinical protocols for evidence-based clinical care
- Attend continuous learning during weekly Clinical Rounds and through other modalities
- Collaborate with teammates and leadership via daily huddles
- Supervise NP or PA colleagues
Requirements
Education, licenses, and experiences required for this role:
- Completed an accredited Family Medicine residency program
- Practiced at least 2 of the last 5 years in a primary care or virtual primary care setting
- Experience with virtual care and/or virtual primary care preferred
- Board certified in Family Medicine
- Minimum of 25 state licenses, and willingness to obtain and maintain additional licenses with the support of our One Medical Credentials Team
- Medicare credentialed or eligible
One Medical providers also demonstrate:
- A passion for human-centered primary care
- The ability to successfully communicate with and provide care to iniduals of all backgrounds
- The ability to effectively use technology to deliver high quality care
- Clinical proficiency in evidence-based primary care
- The desire to be an integral part of a team dedicated to changing healthcare delivery
- An openness to feedback and reflection to gain productive insight into strengths and weaknesses
- The ability to confidently navigate uncertain situations with both patients and colleagues
- Readiness to adapt personal and interpersonal behavior to meet the needs of our patients
- Adaptability and flexibility to deliver care and evolve models of virtual care delivery within a growth-phase clinical organization
One Medical is committed to fair and equitable compensation practices.
The base salary range for this role is $200,000 to $260,000 based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. The total compensation package for this position may also include annual performance bonus, benefits and/or other applicable incentive compensation plans
One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.
One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire:
Taking care of you today
- Paid sabbatical for every five years of service
- Free One Medical memberships for yourself, your friends and family
- Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
- Competitive Medical, Dental and Vision plans
- Pre-Tax commuter benefits
- PTO cash outs - Option to cash out up to 40 accrued hours per year
Protecting your future for you and your family
- 401K match
- Credit towards emergency childcare
- Company paid maternity and paternity leave
- Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
- Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance
In addition to the comprehensive benefits package outlined above, practicing clinicians also receive
- Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
- UpToDate Subscription - An evidence-based clinical research tool
- Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
- Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
- Discounted rate to attend One Medical's Annual REAL primary care conference
One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.
One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.
Title: Pharmacy Billing Specialist
Location: Monaca United States
Pharmacy
USD $18.00/Hr.
USD $21.00/Hr.
6027
Job Description:
Company Overview
Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.
SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.
About the Role
The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies.
This role is Hybrid, based out of our Monaca, PA location. The shift time is M-F 9am-5:30pm EST.
Supervisory Responsibilities:
- This position has no direct supervisory responsibilities.
Essential Duties and Responsibilities:
- Preparing and submitting clean claims to various insurance companies either electronically or by paper
- Answering questions from patients clerical staff and insurance companies
- Identifying and resolving patient billing complaints
- Preparing reviewing and sending patient statements
- Evaluating patient's financial status and establishing budget payment plans; following and reporting the status of delinquent accounts
- Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
- Prepares information for the collection agency
- Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
- Participating in educational activities and attending monthly staff meetings
- Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations
Skills/Abilities:
- Detail-oriented and accurate
- Ability to operate a computer computer software and basic office equipment
- Ability to operate a multi-line telephone system
- Skilled in answering a telephone in a pleasant and helpful manner
- Ability to read understand and follow oral and written instructions
- Ability to establish and maintain effective working relationship with patients associates and the public
- Proficiency in reading writing and speaking English in required
Education and Experience:
- 1 year of medical billing and collections practice experience preferred
- Knowledge of basic medical coding and third-party operating procedures and practices preferred
- Knowledge of business office procedures
Certificates/Licenses/Registration:
- Pharmacy Technician Certification (PTCB) license required for all new hires.
- Must be a fully licensed technician in the State of Pennsylvania or willing to earn license upon employment.
- Must be willing to obtain a non-resident license in the State of Indiana within 90 days of employment.
Physical Requirements:
- Work is performed indoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites. The noise level in the work environment is usually moderate.
- Prolonged periods of sitting at a desk and working on a computer.
SelectQuote Core Values:
Service: We create positive customer experiences.
Entrepreneurship: We create innovate & take risks.
Leadership: We build & invest in high-performing teams.
Empowerment: We embrace a changing environment.
Courage: We challenge the status quo & drive continuous improvement.
Teamwork: We help support & celebrate each other.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required.
Responsibilities
Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.
SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.
Qualifications
The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies.
This role is Hybrid, based out of our Monaca, PA location. The shift time is M-F 9am-5:30pm EST.
Supervisory Responsibilities:
- This position has no direct supervisory responsibilities.
Essential Duties and Responsibilities:
- Preparing and submitting clean claims to various insurance companies either electronically or by paper
- Answering questions from patients clerical staff and insurance companies
- Identifying and resolving patient billing complaints
- Preparing reviewing and sending patient statements
- Evaluating patient's financial status and establishing budget payment plans; following and reporting the status of delinquent accounts
- Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
- Prepares information for the collection agency
- Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
- Participating in educational activities and attending monthly staff meetings
- Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations
Skills/Abilities:
- Detail-oriented and accurate
- Ability to operate a computer computer software and basic office equipment
- Ability to operate a multi-line telephone system
- Skilled in answering a telephone in a pleasant and helpful manner
- Ability to read understand and follow oral and written instructions
- Ability to establish and maintain effective working relationship with patients associates and the public
- Proficiency in reading writing and speaking English in required
Education and Experience:
- 1 year of medical billing and collections practice experience preferred
- Knowledge of basic medical coding and third-party operating procedures and practices preferred
- Knowledge of business office procedures
Certificates/Licenses/Registration:
- Pharmacy Technician Certification (PTCB) license required for all new hires.
- Must be a fully licensed technician in the State of Pennsylvania or willing to earn license upon employment.
- Must be willing to obtain a non-resident license in the State of Indiana within 90 days of employment.
Physical Requirements:
- Work is performed indoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites. The noise level in the work environment is usually moderate.
- Prolonged periods of sitting at a desk and working on a computer.
SelectQuote Core Values:
Service: We create positive customer experiences.
Entrepreneurship: We create innovate & take risks.
Leadership: We build & invest in high-performing teams.
Empowerment: We embrace a changing environment.
Courage: We challenge the status quo & drive continuous improvement.
Teamwork: We help support & celebrate each other.
Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required.

cahybrid remote workoaklandrichmond
Title: Hybrid Support Counselor
Location:
Hybrid
Oakland, CA 94605, USA
Richmond, CA, USA
Pay or shift range: $26.22 USD to $28.72 USD
Department: Direct Care
Job Description:
We are seeking a dedicated mental health professional to join our team as a Support Counselor, delivering inidualized services to youth and their families.
This role emphasizes flexibility and responsiveness, allowing you to meet clients where they are—whether at home, in school, or within the broader community in Richmond/Oakland, CA. As a key contributor to an interdisciplinary team, you'll collaborate with fellow therapists, counselors, family partners, educators, and local organizations to support client well-being. Your work as a Support Counselor will focus on promoting stability, building resilience, and connecting iniduals to essential resources, all within a framework that values cultural awareness and trauma-informed care.
ABOUT KAISER WRAPAROUND
This Kaiser Wraparound Program is a partnership between Kaiser Permanente and Seneca Family of Agencies, providing behaviorally focused mental health services to children and families. The program aims to provide children and their families with the support and services they need for children to maintain the lowest level of care possible and avoid out of home placements (group homes, juvenile hall, and hospitalization). Services for families will take place in-person within the community (Richmond & Oakland) while other work can be completed remotely.
RESPONSIBILITIES
Provide counseling and case management services to enrolled youth and families
Connect clients and families to community resources and natural supports
Offer crisis intervention and mental health services in various settings (home, school, community)
Participate in treatment reviews, staff meetings, and IEP meetings as needed
Complete mental health notes, service tracking, and required documentation
Assist with transportation arrangements for school, therapy, and court appointments
Provide on-call coverage to the program as scheduled
Participate in all program staff meetings, and other treatment meetings when necessary
Participate in weekly supervision with the Lead Clinician and/or Program Supervisor
Apply crisis communication and de-escalation techniques, including physical intervention if necessary, following Seneca’s training protocols
QUALIFICATIONS
REQUIRED
Bachelor’s degree in Counseling/Psychology/Social Work or related field
Flexible schedule with the ability to work some evening hours as needed
Be part of a rotating emergency on-call system, scheduled with supervisor ahead of time
Must be at least 21 years of age
Valid driver's license, clean driving record, and insurability through Seneca Family of Agencies’ insurance policy
TB test clearance, fingerprinting clearance, and any other state/federal licensing or certification requirements
PREFERRED
Bilingual Spanish skill set
Experience providing strong behavioral interventions with youth in community-based setting
Skilled in de-escalation techniques and managing urgent mental health situationsSCHEDULE
Full-time; Monday - Friday, 9am - 5:30pm
Hybrid; provide in-person services & complete documentation remotely
On-call; scheduled with supervisor ahead of time, 2 shifts per month
BENEFITS
Starting at $26.22 - $28.72 per hour, commensurate with experience
Additional compensation provided upon passing bilingual language proficiency exam
Salary increases each year
Mileage reimbursement
Stipends provided to staff members participating in the emergency on-call shifts
5 weeks of Paid Time off and 11 Paid Holidays
Comprehensive benefits package:
Medical, dental, vision, chiropractic, acupuncture, fertility coverage
Long-term disability, family leave, and life insurance
50% paid premiums for dependents
403b Retirement Plan
Employer-paid Employee Assistance Plan
Seneca is a Public Service Loan Forgiveness certified employer
Scholarship opportunities, ongoing training, and professional development opportunities
Promotional opportunities across the agency in California and Washington
#LI-MA1
Title: Clinical Program Manager – CMS Medical Review (RVC)
Location: United States - Remote
Job Description:
At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.
Location: Remote (U.S.)
Schedule: Monday–Friday, 8:00 AM–4:30 PM ETEmployment Type: Full-TimePosition Overview
We are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. This role serves as the primary point of contact to the CMS RVC COR and is responsible for ensuring all contract, operational, and medical review requirements are executed in accordance with CMS guidelines.
The ideal candidate brings a strong clinical background (RN), extensive Medicare program knowledge, and proven leadership experience managing large, complex healthcare projects.
Key Responsibilities
Serve as the contractor’s authorized representative on all daily operational matters.
Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables.
Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements.
Lead cross-functional teams and manage staff required to support RVC operations.
Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards.
Monitor project progress, performance measures, and quality assurance outputs.
Prepare operational updates, reports, and data summaries for CMS and internal leadership.
Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms.
Provide clinical oversight and guidance across medical review tasks and methodologies.
Required Qualifications
5+ years of Program Management experience overseeing large or complex healthcare projects.
Experience in medical review, healthcare auditing, or clinical review operations.
Extensive knowledge of the Medicare program, including CMS regulatory and operational requirements.
Working knowledge of the CMS FFS RAC Program.
Strong leadership abilities with experience managing multidisciplinary teams.
Education & Licensure
Master’s degree in Business, Healthcare Administration, Nursing, Management, or a related healthcare field from an accredited institution.
Current, active U.S. Nursing License (RN); must be maintained throughout employment.
Preferred Skills
Excellent written and verbal communication skills.
Strong analytical, organizational, and problem-solving abilities.
Experience working with government contracts or federal healthcare programs.
Ability to manage multiple projects and deadlines in a fast-paced environment.
Why Join Us
Opportunity to lead mission-critical work that supports the integrity of the Medicare program.
Collaborative team environment with impactful clinical and operational responsibilities.
Competitive compensation and benefits package.
How to Apply
Submit your resume detailing your program management experience, clinical background, and Medicare/CMS expertise.
What to Expect Next:
After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.
Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

100% remote workus national
Title: BH Clinician (Virtual)
Location: Wash, 213 Washington St., Newark, NJ
Job Description:
Job Classification:
Operations - Insurance Operations
For over 100 years, Prudential’s erse and talented employees have been committed to helping customers and their families grow and protect their wealth through a variety of products and services, including Group Insurance. We are known for delivering on our promises and are recognized as a trusted brand and one of the world’s most admired companies.
The Business:
Prudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the globe. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do.
The current EWA for this position is Fully Virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office.
What you’ll need to succeed:
Current licensed RN, Social Worker, Professional Counselor, Psychologist
2+ years of acute/outpatient psychiatric care experience
Clinical Case Management experience
Excellent time management and organizational skills
Applies clinical training and knowledge to form an assessment of mental capacity and how that impacts function and return to work
Identifies restrictions and limitations based on psychological and social factors to assist claim management staff in their claim handling activities.
Possess excellent analytical and critical thinking skills to assist in strategy development
Effective written and verbal communication skills to document clinical assessments
Collaborates with other resources including but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources
Assists disability claimants with recovery, overcoming barriers, and a successful transition back to work.
Work closely with claimants via phone, email and texting, building rapport and creating a unique rehabilitation plan that addresses their specific needs for recovery and return to work.
Includes collaboration with claimants in STD and/LTD and their treating providers to clarify work capacity.
Partners with employers to coordinate return to work which could include full time work, accommodations, or a transitional return to work plan.
Capable of managing a case load between 35-50 (specific to BH Case Management)
It’d be a plus if you have:
Prior insurance industry experience
Experience with STD/LTD products/claims
Experience with motivational interviewing techniques
#LI-MG
What we offer you:
Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $78,700.00 to $117,300.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.
Market competitive base salaries, with a yearly bonus potential at every level.
Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.
401(k) plan with company match (up to 4%).
Company-funded pension plan.
Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.
Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.
Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.
Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, inidual and organizational performance.To find out more about our Total Rewards package, visitWork Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.
Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.
Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law.
If you need an accommodation to complete the application process, please [email protected].
If you are experiencing a technical issue with your application or an assessment, please [email protected] request assistance.

100% remote workcolumbusfort wayneinnorth wales
Title: Field Access Manager - Ohio Valley - Columbus, OH, Fort Wayne, IN, Toledo, OH
Location:
- USA - Ohio - Columbus
- USA - Ohio - Toledo
- USA - Indiana - Fort Wayne
- USA - Pennsylvania - North Wales (Upper Gwynedd)
Remote
Full-time
Job Description:
Field Access Manager
The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.
The FAM role is a remote/field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning inidual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. Joining this team means being a part of driving meaningful patient impact by utilizing our scientific expertise and serving as the primary contact for customers within your assigned territory: Columbus, OH, Fort Wayne, IN, Toled,o OH
The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to:
- Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats
- Analyze access trends
- Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction
- Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy
- Monitor payer trends to address access barriers
- Provide access information to HCP offices
- Provide access education to field teams upon approved direction.
- Escalate and coordinate on access issues with third parties including hub vendor
- Provide education and support on Specialty Pharmacy issues
- Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
- Answer questions about coverage, including payer-specific access questions
- Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
- Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans
- Educate and update HCPs on key private and public payer coverage and changes that impact access for patients
- Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
- Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
- Demonstrate knowledge of and communicate information about access resources and payer processes/policies
- Attend National and Regional Meetings
Minimum Requirements:
- Bachelor's Degree; 7+ years' experience in patient support, healthcare sales or operations, project management, or reimbursement support
- Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes
- Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
- Excellent interpersonal and communication skills; demonstrated ability to engage and influence erse stakeholders across teams and disciplines
- Exhibit competent understanding of hub and patient support activities
- Proven ability to manage multiple priorities in a hybrid environment with 20-25% travel; Must reside in the assigned territory/metro area
- Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
- Must be at least 21 years old with a valid driver's license and a clean driving record
Preferred Requirements:
- Pharmaceutical industry experience highly preferred
- Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred
US and Puerto Rico Residents Only:
Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.
As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and iniduals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:
We are proud to be a company that embraces the value of bringing together, talented, and committed people with erse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with erse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.
Learn more about your rights, including under California, Colorado and other US State Acts
U.S. Hybrid Work Model
Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".
The salary range for this role is
$114,700.00 - $180,500.00
This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.
The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.
We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.
You can apply for this role through https://jobs.merck.com/us/en (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.
San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance
Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance
Search Firm Representatives Please Read Carefully
Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
Employee Status:
Regular
Relocation:
No relocation
VISA Sponsorship:
No
Travel Requirements:
75%
Flexible Work Arrangements:
Remote
Shift:
Not Indicated
Valid Driving License:
Yes
Hazardous Material(s):
n/a

cahybrid remote workirvinenjraritan
Title: Medical & Technical Writer, Sci Ops - JJMT Electrophysiology
Location: Irvine, California, United States of America, Raritan, 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: R&D Operations
Job Sub Function: Clinical/Medical Operations
Job Category: Professional
Johnson & Johnson MedTech, Electrophysiology, is recruiting an Medical & Technical Writer to join our Scientific Operations team. This role can be located in Irvine, California or Raritan, NJ with a hybrid working schedule of 2-3 days per week on-site.
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/.
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
As the Medical & Technical Writer within Scientific Operations (SciOps) you will lead the authoring of Clinical Evaluations (CERs), State of the Art Assessments (SOA), Literature Reviews, Summaries of Safety and Clinical Performance (SSCP), and Periodic Safety Updates (PSUR) for the MedTech Electrophysiology business unit. You will also provide input and support to related functions ensuring the delivery of key regulatory and medical documents to gain and retain market access.
Job Responsibilities:
Write Scientific Operations medical and technical documentation including Clinical Evaluation Plan (CEP), Clinical Evaluation Report (CER), Literature Review Protocol (LRP), Literature Review Report (LRR), Summary of Safety and Clinical Performance (SSCP), Periodic Safety Updates Report (PSUR) documents, and other medical and technical assessments based on available data inputs.
Respond to inquiries from Health Authorities and Notified Body as it pertains to data and information presented in the documents written. Track and trend inquiries and responses to improve processes and increase speed to market. Translate insights into viable processes and solutions that create value.
Ensure the Scientific Operations deliverables are linked to appropriate Quality Systems and Regulatory documents (e.g. Risk Management, PMS, etc.) to make certain information is consistent and accessible where needed.
Communicate to drive alignment in strategy across different functions including Medical Affairs, Clinical Research, Quality, R&D, and Regulatory Affairs.
Participate in workshops and projects/ initiatives to help define processes improvements.
Support audits and inspections pertaining to Scientific Operations processes and reports.
Qualifications
Required:
Minimum of a Bachelor's degree (University Degree), in Life Sciences, Engineering or related subject area.
Minimum of 3 years of experience medical device, diagnostics, or pharmaceutical industry with one of those years directly involved with medical devices.
One year of experience in technical or medical writing, regulatory writing, post market surveillance, clinical research, or product risk management.
Preferred:
Knowledge of physiology and common outcomes of electrophysiology
An advanced degree, MS, PhD, RN, or MBA.
Familiarity with the EU MDR regulations as it pertains to clinical evaluations, data sufficiency requirements, and state of the art assessments.
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.
Clinical Evaluation Reports, Clinical Operations, Clinical Research and Regulations, Clinical Trial Designs, Literature Reviews, Medical Device Industry
The anticipated base pay range for this position is :
$92,000 - $148,000
Additional Description for Pay Transparency:
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)). This position is eligible to participate in the Company's long-term incentive program. 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 Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits

cafresnohybrid remote worklos angelesnorth wales
Title: Field Access Manager - Central California - San Francisco, CA, Los Angeles, CA, Fresno, CA
Location:
Remote
- USA - Pennsylvania - North Wales (Upper Gwynedd)
- USA - California - San Francisco
- USA - California - Fresno
- USA - California - Los Angeles
Full time
Job Description:
Field Access Manager
The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.
The FAM role is a remote/field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning inidual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. Joining this team means being a part of driving meaningful patient impact by utilizing our scientific expertise and serving as the primary contact for customers within your assigned territory: San Francisco CA, Los Angeles CA, Fresno CA
The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to:
- Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats
- Analyze access trends
- Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction
- Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy
- Monitor payer trends to address access barriers
- Provide access information to HCP offices
- Provide access education to field teams upon approved direction.
- Escalate and coordinate on access issues with third parties including hub vendor
- Provide education and support on Specialty Pharmacy issues
- Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
- Answer questions about coverage, including payer-specific access questions
- Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
- Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans
- Educate and update HCPs on key private and public payer coverage and changes that impact access for patients
- Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
- Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
- Demonstrate knowledge of and communicate information about access resources and payer processes/policies
- Attend National and Regional Meetings
Minimum Requirements:
- Bachelor's Degree; 7+ years' experience in patient support, healthcare sales or operations, project management, or reimbursement support
- Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes
- Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
- Excellent interpersonal and communication skills; demonstrated ability to engage and influence erse stakeholders across teams and disciplines
- Exhibit competent understanding of hub and patient support activities
- Proven ability to manage multiple priorities in a hybrid environment with 20-25% travel; Must reside in the assigned territory/metro area
- Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
- Must be at least 21 years old with a valid driver's license and a clean driving record
Preferred Requirements:
- Pharmaceutical industry experience highly preferred
- Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred
US and Puerto Rico Residents Only:
Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.
As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and iniduals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:
We are proud to be a company that embraces the value of bringing together, talented, and committed people with erse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with erse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.
Learn more about your rights, including under California, Colorado and other US State Acts
U.S. Hybrid Work Model
Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".
The salary range for this role is
$114,700.00 - $180,500.00
This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.
The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.
We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.
You can apply for this role through https://jobs.merck.com/us/en (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.
San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance
Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance
Search Firm Representatives Please Read Carefully
Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.
Employee Status: Regular
Relocation: No relocation
VISA Sponsorship: No
Travel Requirements: 75%
Flexible Work Arrangements: Remote
Shift: Not Indicated
Valid Driving License: Yes
Hazardous Material(s): n/a

atlantachicagogahybrid remote workil
Title: Staff VP - Engineering, Medical Cost Mgmt & Cost of Care
Location: May be located in any Elevance Health PulsePoint office, preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, Chicago, IL, New York, NY.
Full time
Hybrid
This role requires associates to be in-office at least 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. 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.
Job Description:
Summary
The Staff Vice President of Engineering will provide strategic and technical leadership in designing, developing, and delivering enterprise technology solutions that drive medical cost management and optimize cost of care. This executive will oversee engineering teams responsible for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance Health to reduce medical costs, improve patient outcomes, and enhance provider and member experiences.
This role requires a visionary engineering leader with deep expertise in healthcare data, large-scale system architecture, and cost-of-care technology solutions. The Staff VP will partner with business leaders in Clinical, Actuarial, Network, Finance, and Product organizations to deliver transformative capabilities.
Team Scope: 6-7 Directs
Position Responsibilities
Strategic Leadership
- Define and own the engineering strategy for medical cost management and cost of care platforms.
- Partner with C-level executives, clinical leaders, and product owners to align technology solutions with enterprise goals on affordability and care quality.
- Drive innovation through adoption of advanced analytics, AI/ML, and automation to reduce medical spend and improve utilization management.
Engineering Execution
Lead large-scale engineering teams responsible for building, scaling, and maintaining platforms for:
Medical Cost Management (claims review, payment integrity, utilization management, risk adjustment).
Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools).
Oversee end-to-end solution delivery-from architecture and development through deployment, operations, and continuous improvement.
Champion modern engineering practices including cloud-native development, DevOps, API-first architecture, and secure data integration.
Partnership & Influence
- Collaborate with Clinical Operations, Finance, and Network teams to identify high-value cost-saving opportunities.
- Work closely with Data Science and AI teams to translate predictive models into scalable production systems.
- Serve as an executive thought leader, representing technology in enterprise forums on affordability, provider collaboration, and care delivery.
Operational & Financial Management
- Develop and manage multimillion-dollar engineering budgets for cost management initiatives.
- Drive vendor strategy and oversee technology partnerships relevant to cost-of-care capabilities.
- Ensure compliance with healthcare regulations (HIPAA, CMS, state-specific requirements).
Position Requirements
- Bachelor's degree in computer science, Engineering, or related field.
- 15+ years of progressive technology leadership, with at least 8+ years at the executive level.
- Proven track record of delivering large-scale healthcare technology solutions (claims systems, care management platforms, or cost optimization tools).
- Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures.
- Experience leading large, distributed engineering organizations (500+ engineers).
Preferred Skills, Capabilities and Experiences
- Prior leadership in a payer, provider, or healthcare technology company.
- Experience in AI/ML, advanced analytics, and data platforms specific to medical cost optimization.
- Strong knowledge of value-based care models, risk-based contracting, and payment integrity.
- Executive presence with the ability to influence across C-suite, technical, and clinical audiences.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $201,760 to $368,168.
Locations:
Illinois, 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:
Staff/Regional VP
Workshift:
Job Family:
IFT > Engineering/Dev
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.

hybrid remote workus national
Title: Mental Health Program Specialist
Job Description:
Responsibilities for this Position
Location: Any Location / Remote
Full Part/Time: Full time
Job Req: RQ210816
Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None
Public Trust/Other Required:
MBI (T2)
Job Family:
Functional Experts
Job Qualifications:
Skills:
Analytical Thinking, Collaborating, Data Analysis
Certifications:
None
Experience:
5 + years of related experience
US Citizenship Required:
No
Job Description:
Position Description:
The Mental Health Program Analyst will support mental health programming and program specialist staff within the Division of Health at a federal agency.
Position Duties:
- Data Analysis
- Conduct programmatic and financial data collection for agency-funded behavioral health programs.
- Review and analyze grant recipients' programmatic reports.
- Follow up with recipients and federal staff on identified programmatic report concerns and irregularities.
- Collaborate with program specialists on data analysis for behavioral health programs.
- Technical Assistance
- Provide technical assistance to recipients on programmatic requirements and other concerns related to implementing a behavioral health project.
- Collaborate with program specialists and other staff on complex technical assistance needs of grant recipients.
- Monitoring
- Conduct and participate in on-site and desk monitoring efforts to assess recipients' performance and compliance, as required by federal regulations, policies, and guidelines.
- Collaborate with program specialists, other federal staff, and across GDIT teams on monitoring activities and initiatives.
- Partnership and Communication
- Support program specialists in program-related events such as webinars and orientations.
- Assist with support for communications (e.g., website, SharePoint, contact lists, etc.).
- Participate in meetings and conferences related to behavioral health.
- Grants and Program Management
- Develop and maintain grantee profiles.
- Assist with scheduling and planning for annual and other grantee meetings.
The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.
Education:
BS degree in a social or health science field required, MS degree in a mental health discipline is highly preferred.
Qualifications:
- At least five years of work experience in mental health programming.
- Strong organizational, problem-solving, and analytical skills.
- Strong verbal and written communication skills.
- Grant administration experience preferred.
- Mental/behavioral health credentials and/or program management experience is preferred.
- Experience working with immigrants, refugees, and/or underserved populations with limited English proficiency is preferred.
- First-person knowledge of the lived experiences of immigrant or refugee community is preferred.
Additional Requirements:
- This position requires an existing Public Trust or the ability to obtain one.
GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.
- Growth: AI-powered career tool that identifies career steps and learning opportunities
- Support: An internal mobility team focused on helping you achieve your career goals
- Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
- Flexibility: Full-flex work week to own your priorities at work and at home
- Community: Award-winning culture of innovation and a military-friendly workplace
OWN YOUR OPPORTUNITY
Explore a career at GDIT and you'll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.
The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours:
40
Travel Required:
Less than 10%
Telecommuting Options:
Hybrid
Work Location:
Any Location / Remote
Additional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.
We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.
Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc.
Equal Opportunity Employer / Iniduals with Disabilities / Protected Veterans

100% remote workus national
Title: Health Program Specialist
Job Description:
Responsibilities for this Position
Location: Any Location / Remote
Full Part/Time: Full time
Job Req: RQ210807
Type of Requisition:
Regular
Clearance Level Must Currently Possess:
None
Clearance Level Must Be Able to Obtain:
None
Public Trust/Other Required:
MBI (T2)
Job Family:
Functional Experts
Job Qualifications:
Skills:
Analytical Thinking, Collaborating, Data Analysis
Certifications:
None
Experience:
5 + years of related experience
US Citizenship Required:
No
Job Description:
Position Description:
Candidate will support the Division of Health at a federal agency.
Position Duties:
- Data Analysis
- Conduct programmatic and financial data collection for agency-funded health programs
- Review and analyze health program grantees' programmatic and financial reports
- Conduct follow-up with grantees and federal staff on identified programmatic and financial report concerns and irregularities
- Collaborate with Sr. Health Program Analysts on data analysis for agency health programs
- Technical Assistance
- Provide technical assistance to grantees on health programs' requirements and other health-related concerns
- Collaborate with Sr. Health Program Analysts on complex grantee technical assistance needs
- Monitoring
- Conduct and participate in on-site and desk monitoring efforts to assess health program grantees' performance and compliance, as required by federal regulations, policies, and guidelines
- Collaborate with Sr. Health Program Analysts, other federal staff, and the GDIT Monitoring and Evaluation Team on monitoring activities and initiatives
- Partnership and communication
- Participate in meetings and conferences related to health programs
- Engage in ongoing communication with federal staff, health grantees, and stakeholders
- Collaborate with federal staff, grantees, and stakeholders on special projects, as necessary
- Other tasks as assigned.
The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.
Education:
Bachelor of Arts (BA)/Bachelor of Science (BS) degree in a social or health science field is required. MPH degree preferred.
Experience and skills:
- At least 5 years of related work experience required with a Bachelor's degree
- Strong organizational, problem-solving, and analytical skills required
- Strong verbal and written communication skills required
- Grant administration experience preferred
- Experience working with vulnerable populations preferred
Additional Requirements:
- This positions requires an existing Public Trust, or the ability to obtain one.
GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.
- Growth: AI-powered career tool that identifies career steps and learning opportunities
- Support: An internal mobility team focused on helping you achieve your career goals
- Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
- Flexibility: Full-flex work week to own your priorities at work and at home
- Community: Award-winning culture of innovation and a military-friendly workplace
OWN YOUR OPPORTUNITY
Explore a career at GDIT and you'll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.
The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours:
40
Travel Required:
Less than 10%
Telecommuting Options:
Hybrid
Work Location:
Any Location / Remote
Additional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.
We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.
Join our Talent Community to stay up to date on our career opportunities and events at
gdit.com/tc.
Equal Opportunity Employer / Iniduals with Disabilities / Protected Veterans

100% remote workashburnatlantacincinnaticolumbus
Utilization Management Medical Director - NC Medicaid
Locations
- NC-DURHAM, 1960 IVY CREEK BLVD,
- GA-ATLANTA, 740 W PEACHTREE ST NW
- VA-ASHBURN, 22001 LOUDOUN COUNTY PKWY, STE E1-2
- CT-WALLINGFORD, 108 LEIGUS RD
- OH-MASON, 4361 IRWIN SIMPSON RD
- OH-CINCINNATI, 3075 VANDERCAR WAY
- GA-COLUMBUS, 6087 TECHNOLOGY PKWY
- OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200
- VA-RICHMOND, 2015 STAPLES MILL RD,
- VA-ROANOKE, 602 S JEFFERSON ST
- NC-WINSTON-SALEM, 5650 UNIVERSITY PKWY
- VA-NORFOLK, 5800 NORTHAMPTON BLVD
Full time
Position Title:
Utilization Management Medical Director - NC Medicaid
Job Description:
Utilization Management Medical Director- NC Medicaid
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. Ideal candidate will live in North Carolina but not required. Alternate locations may be considered.
The Medical Director will be responsible for utilization review case management for North Carolina Medicaid. 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 in North Carolina.
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:
- Family Medicine, Internal Medicine, or Ob/GYN board certifications 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.

hybrid remote worktumwaterwa
Staff Attorney (LE 3) – DOH8758
Location: Thurston County – Tumwater, WA
Work Model: Flexible/HybridJob Type: Full Time – PermanentSalary: $7,443.00 – $10,004.00 Monthly
Department: Dept. of Health
Division: Health Systems Quality Assurance (HSQA)Description
These positions are hybrid, full-time Legal Examiner 3 (LE 3) roles located at the Tumwater DOH office. This posting will fill one non-permanent appointment (anticipated 12 months) and one permanent appointment.
The Washington State Department of Health is seeking two Staff Attorneys to deliver high-quality legal services to Health Systems Quality Assurance (HSQA) programs and related entities. These roles directly support the agency mission to protect and improve the health of Washingtonians by applying legal expertise to manage complex discipline cases.
HSQA’s vision is to be a leader in patient safety, prevention, and health systems development. Its values include integrity, accountability, effectiveness, responsiveness, cultural competency, courage to change, and a strong commitment to serving the public.
Key Responsibilities Include
Analyzing facts and law and recommending an appropriate form of action.
Conducting legal research on state/federal legislation, case law, and administrative decisions.Drafting legal documents, pleadings, memoranda, correspondence, briefs, interpretive guidelines, rules, and proposed legislation.Negotiating settlements for disciplinary cases, including conditions and restrictions.Assisting programs with general legal issues and serving as a resource on projects, work groups, and quality improvement initiatives.These positions play a vital role in protecting public health and safety by applying knowledge of state laws, including the Uniform Disciplinary Act, Washington Administrative Procedure Act, and related case law.
Hybrid Expectation: Approximately 1–2 days per week in the Tumwater DOH office.
Required Qualifications
You must meet ONE of the following options, plus all additional criteria listed:
Option 1: Three (3) years as a Legal Examiner or attorney in a governmental agency.
Option 2: One (1) year as a Legal Examiner 2.Option 3: Three (3) years of experience as a member of an administrative tribunal issuing findings of fact and law.Option 4: Three (3) years of trial practice as an attorney (public or private) or equivalent.AND for all options:
• Admission in good standing to practice law in Washington State.• Background check required after conditional offer (results reviewed for suitability).Preferred Qualifications
Familiarity with the Uniform Disciplinary Act and Washington Administrative Procedure Act.
Working knowledge of case law related to administrative and health law.Benefits and Lifestyle
The DOH provides a highly competitive benefits package supporting work-life balance.
We Are the Washington State Department of Health (DOH)
We safeguard public health through collaboration with local, state, federal, and private partners. Our organizational priorities are Equity, Innovation, and Engagement, guided by our Transformational Plan for Washington’s health future.
Conditions of Employment
This position is covered by the Washington Federation of State Employees (WFSE).
Employees must be prepared to:
• Commit to a full-time 40-hour workweek• Communicate via MS Teams, Outlook, and phone while remote• Occasionally adjust schedules (evenings/weekends)• Work remotely or onsite as required• Lift/move up to 35 lbs• Travel within WA, including overnight travel• Legally drive or arrange transportation• Participate in emergency response assignmentsApplication Directions
• Resume
• Cover letter• At least three professional references (supervisor, peer, and someone you’ve supervised if applicable)• DD-214 (if claiming veterans preference)Document experience, skills, and abilities clearly as they relate to the listed qualifications.
Do NOT include:
• Personal photos• Transcripts• Certifications or diplomas• Portfolios or project samples• Letters of recommendationEquity, Diversity & Inclusion
DOH is an equal-opportunity employer. We prohibit discrimination based on race, color, creed, sex, pregnancy, age, religion, national origin, marital status, disability, veteran status, sexual orientation, gender identity/expression, genetic information, or any legally protected status.
We value ersity as foundational to our strength and our ability to serve Washington’s communities effectively.
Questions or Accommodation Requests
Contact: Kristina Cox – [email protected]
Reference: DOH8758For technical support: NEOGOV at 1-855-524-5627

hybrid remote worklaceywa
DSHS HCLA TBI Community Services Program Manager
Location: Thurston County – Lacey, WA
Work Model: Flexible/HybridJob Type: Full Time – PermanentSalary: $82,825.00 – $105,175.00 Annually
Department: Dept. of Social and Health Services
Division: HCLADescription
The Home and Community Living Administration (HCLA) within the Department of Social and Health Services (DSHS) is seeking a TBI Community Services Program Manager to join the Home and Community Services (HCS) Division.
This opportunity is ideal for those dedicated to raising awareness and educating the public about issues facing iniduals with traumatic brain injuries (TBI). If you would enjoy serving as a liaison between the TBI Council, state leadership, HCLA, and the public—especially iniduals with TBI and their support systems—this role will resonate deeply.
Created under HB 1848 (2025), this role serves as the administration’s designated subject matter expert, leading statewide initiatives to establish, maintain, and evaluate community integration programs, peer-to-peer support, navigation services, structured skills-building programs, and public awareness campaigns. Initiatives span all ages, including pediatric-focused efforts, and require contract and budget management tied to the 12T TBI account (RCW 74.31).
Your work will directly impact how iniduals with TBI—and their families—connect, recover, and thrive. TBIs often lead to cognitive, emotional, and physical challenges that contribute to isolation and difficulty accessing services; this role supports equitable access to resources and meaningful recovery opportunities.
Hybrid: Telework from anywhere in WA with periodic statewide travel for monitoring, training, implementation, and consultation.
Schedule: Monday–Friday, 8:00 a.m.–5:00 p.m.Some of What You Will Do
Develop and oversee structured skills-building programs promoting social integration and functional recovery for iniduals with TBI, including pediatric initiatives.
Implement community integration activities prioritizing peer engagement and meaningful connections.Lead statewide RFP development and contractor selection for integration and skills-building programs.Serve as the primary conduit for TBI Council recommendations, aligning services and funding with policy and legislation.Ensure equitable access to community integration activities across Washington, including rural and underserved areas, through distribution of TBI Account revenues and federal funds.Review consumer feedback and program data to support continuous program improvement.Collaborate closely with the TBI Support Group Program Manager to ensure cohesive implementation of HB 1848-related programs.Who Should Apply
Bachelor’s degree in planning, health or social science, public administration, or related field (equivalent experience may substitute year for year).
Five years of experience in project management and administering home and community-based supportive services for people with disabilities.Experience or knowledge of TBI communities and/or lived experience with TBI.Experience in program development and implementation.Experience in contract development and management.Experience working with erse and underserved communities.Experience facilitating meetings and convening partner groups.Strong analytic and problem-solving skills with follow-through.Preferred Knowledge, Skills, and Abilities
Experience in contract administration and familiarity with the DSHS Agency Contracts Database (ACD).
Knowledge of TBI Council operations and the Home and Community Living Administration.Knowledge of Home and Community Services programs and regulations.Experience with education support systems, outreach practices, and public communications.Ability to lead strategic planning, data analysis, and program evaluation.Excellent written and verbal communication across erse stakeholder groups.Interested? To Apply
Submit an application including:
• Current resume
• Letter of interest describing how your qualifications align• Three professional references with current contact informationDSHS’s vision requires fairness, access, and social justice. We support all Washingtonians, including Black, Indigenous, and People of Color; iniduals with physical, behavioral, and intellectual disabilities; elders; LGBTQIA+ communities; immigrants; refugees; and families building financial security.
Questions? Contact [email protected] and reference job number 08274.
Supplemental Information
A criminal background check may be conducted prior to hire. Results do not automatically disqualify candidates.
Employees driving on state business must have a valid driver’s license and liability insurance.This recruitment may be used to fill multiple vacancies.DSHS is an equal opportunity employer and does not discriminate based on age, sex, sexual orientation, gender identity, marital status, race, creed, color, national origin, religion, political affiliation, military status, veteran status, disability, equal pay, or genetic information. Accommodations: (360) 725-5810 TTY: 7-1-1 or 1-800-833-6384

100% remote workus national
Title: Senior Software Engineer\ - Remote
Location: Reston United States
Job Description:
- We are open to supporting 100% remote work anywhere within the US*
The Team
Our Health Engineering Solutions (HES) team works side by side with customers to articulate a vision for success, and then make it happen. We know success doesn't happen by accident. It takes the right team of people, working together on the right solutions for the customer.
Our team supports the vision to improve patient quality care and consumer decision-making by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data. This contract will serve to develop a human-centric reporting system that allows refinement, filtering, and data comparison, as well as the ability to view supplemental information. Leveraging modern technologies, DevOps practices, and cloud-based infrastructure, our dynamic work environment involves multiple project teams collaborating toward a common vision of delivering an integrated solution.
The Work
We are seeking a FHIR Engineer to join our dynamic team. In this role, you will be responsible for working with a team of engineers and building enterprise-level backend solutions using a variety of technologies. You will be working with implementing the FHIR standard using JavaScript, Java, Spring Boot and OpenAPI to develop robust and scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR) as we develop a next generation reporting and analytics system that directly impacts healthcare quality.
Your responsibilities will also include leveraging AWS cloud technologies to manage large datasets and create efficient data pipelines. You will be expected to design, develop, test, and deploy Java applications that meet the needs of our clients and partners.
The ideal candidate will have a strong understanding of software development principles and a proven track record in backend development. Experience with Agile software development methodologies is a must, as we value collaboration and flexibility in our approach to project management.
This is an excellent opportunity to work with a team of experienced professionals and contribute to the development of high-quality software solutions. If you are passionate about technology, eager to learn, and want your work to impact systems that collect healthcare data used by hundreds of thousands of daily users, we want to (virtually) meet you!
Key Responsibilities and Job Duties
Assist in development and implementation of a FHIR-based architecture
Work with a team of talented engineers, ensuring the successful delivery of high-quality solutions that meet business objectives
Perform code reviews and develop processes for improving code quality
Design and build microservices and serverless applications in the cloud
Work with Product Owner and UX design to understand and create solutions for erse user requirements
Work with Architects and other Engineers to help create and then implement development best practices
Work with test engineering team to assure product quality
Collaborate in a fast-paced Agile environment
Participate in team code reviews and design reviews
Help our support team triage bugs and troubleshoot production issues
Cooperating with the back-end developers in the process of building the applications
Work independently to design, develop, and document solutions, while adhering to all applicable standards (e.g., architectural, coding, security)
Work with DevOps engineers on CI, CD, and IaC
Read specs and translate them into test designs and test automation
Required Qualifications
Bachelor's degree; OR a four-year degree such as B.S., B.A., or B.Sc.; OR completion of 6+ weeks of a programming boot camp plus 1+ year of IT-related experience; OR 4 years of relevant industry experience without a formal degree
7+ years overall software engineering experience, including strong proficiency in Java, Python, and Go (Golang) for backend development or similar languages, plus familiarity with cloud platforms (AWS, Azure, or GCP).
1+ years working with FHIR standards in production environments, including implementing FHIR using HAPI FHIR or similar frameworks.
3+ years building and consuming RESTful APIs.
Candidate must be able to obtain and maintain a Federal Public Trust Clearance
Candidate must reside in the U.S., be authorized to work in the U.S., and all work must be performed in the U.S.
Candidate must have lived in the U.S. for three (3) full years out of the last five (5) years
Preferred Qualifications
Candidates with U.S. citizenship or Green Card will be prioritized due to Federal Clearance requirements
Background in EHR systems or healthcare IT.
Experience with containerization (Docker, Kubernetes).
Understanding of HIPAA and security compliance.
Experience working in the healthcare industry with PHI/PII
Federal Government contracting work experience
Job Location: Remote (USA). Travel for a conference or to another ICF location for collaboration may be required once a year. This position requires that the job be performed in the United States. If you accept this position, note that ICF monitors employee work locations, blocks access from foreign locations/foreign IP addresses, and prohibits personal VPN connections.
#DMX-HES
#Li-cc1
#Indeed
Working at ICF
ICF is a global advisory and technology services provider, but we're not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future.
We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy.
We will consider for employment qualified applicants with arrest and conviction records.
Reasonable Accommodations are available, including, but not limited to, for disabled veterans, iniduals with disabilities, and iniduals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email [email protected] and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.
Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act.
Candidate AI Usage Policy
At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.
However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at [email protected]. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.
Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position.
The pay range for this position based on full-time employment is:
$98,124.00 - $166,810.00
Nationwide Remote Office (US99)

cacincinnaticolumbuscosta mesahybrid remote work
Nurse Reviewer I
Location:
- OH-CINCINNATI, 3075 VANDERCAR WAY, United States of America
- CA-COSTA MESA, 3080 BRISTOL ST, STE 200
- CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL
- CA-WOODLAND HILLS, 21215 BURBANK BLVD
- OH-COLUMBUS, 8940 LYRA DR, STE 300
- OH-MASON, 4361 IRWIN SIMPSON RD
- OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200
Job Description:
Anticipated End Date:
2025-12-01
Position Title:
Nurse Reviewer I
Job Description:
Nurse Reviewer I
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. 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.
Schedule: 9:30am-6:00pm local time, with rotating weekends.
New Grads are encouraged to apply!
The Nurse Reviewer I will be 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 request to assess assessing 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.
Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics.
Minimum Requirements:
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.
Current unrestricted RN license in applicable state(s) required.
Preferred Skills, Capabilities, and Experiences:
Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred.
BA/BS degree preferred.
Previous utilization and/or quality management and/or call center experience preferred.
Knowledge in Microsoft office.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12/hr - $56.77/hr
Locations: New York, New Jersey, Washington, Nevada, Maryland, Massachusetts, Illinois, District of Columbia
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 [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.
DSHS HCLA Adult Protective Services Investigator
Location: Clark County – Vancouver, WA
Work Model: HybridJob Type: Full Time – PermanentSalary
$67,992.00 - $91,464.00 AnnuallyDepartment
Dept. of Social and Health ServicesDivision
HCLASalary Information
The high end of the salary range, Step M is typically a longevity stepDescription
DSHS HCLA - Adult Protective Service Investigators (Social Service Specialist 3)Adult Protective Services (APS) is looking for experienced professionals to join our team as Social Service Specialist 3s in Vancouver, WA. These rewarding careers allow you to grow within DSHS while working alongside a dedicated team committed to protecting vulnerable adults across Washington State.
We're looking for people with strong investigative, critical thinking, and problem-solving skills to independently assess reports of abandonment, abuse, financial exploitation, neglect, and self-neglect. In this role, your ability to gather evidence, conduct timely and thorough investigations, and connect iniduals with services that support their safety and dignity will be key to your success.
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 will do
Conduct face-to-face interviews with alleged victims, alleged perpetrators, and other collateral contactsCollect and evaluate relevant information to make decisions related to the investigation, services, and outcomesDocument all pertinent activity for each investigation and record electronically using computer software application systemsCollaborate with law enforcement, judicial entities, families, facilities, local office staff, other regional offices, and community agencies/partners regarding client needsIdentify and refer at-risk and vulnerable adults to appropriate service groupsProvide client advocacy, consultation, networking, family support, and crisis interventionPrepare and provide testimony at administrative hearings, court proceedings, and criminal, civil, and administrative proceedingsDesired knowledge, skills, & abilities:
Proven ability to assess complex situations and develop effective, practical solutionsStrong time management and organizational skillsProficiency in Microsoft Office, accurate data entry, and effective documentation practicesFamiliarity with Medicaid terminology, regulations, and policiesFlexibility and adaptability in response to changing policies and organizational prioritiesStrong critical thinking skills with the ability to maintain focus under pressureAbility to work independently and make sound decisions, including in urgent safety-related situationsExperience assessing risk and ensuring the safety of vulnerable adults or children is highly desirableWho should apply?
Professionals with one year of experience as a Social Service Specialist 1, and completion of the agency's Social Service Specialist training programORA 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 1 or equivalent paid social service experienceORA 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 1.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.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.Bring your compassion, dedication, and professionalism to a role where you’ll be partnering with people to provide support, care, and resources.
Interested?
Along with your application, please include:An updated resumeThree professional references with contact informationQuestions? Email Alex Baclaan at alex.baclaandshs.wa.gov and reference 08296.
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 an equity, anti-racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, 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.
Supplemental Information
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.

dehybrid remote work
Title: Care Manager
(RN)
Location: Remote-DE
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 a hybrid role that requires fieldwork within the state of Delaware.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
Pay Range: $55,100.00 - $99,000.00 per year
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
Mental Health Program Specialist
Location: Any Location / Remote
Work Model: Remote (Hybrid option for DC metro area)Job Type: Full TimeType of Requisition:
RegularClearance Level Must Currently Possess:
NoneClearance Level Must Be Able to Obtain:
NonePublic Trust/Other Required:
MBI (T2)Job Family:
Functional ExpertsJob Qualifications:
Skills:Analytical Thinking, Collaborating, Data AnalysisCertifications:NoneExperience:5 + years of related experienceUS Citizenship Required:
NoJob Description:
Position Description:
The Mental Health Program Analyst will support mental health programming and program specialist staff within the Division of Health at a federal agency.Position Duties:
Data Analysis
Conduct programmatic and financial data collection for agency-funded behavioral health programs.Review and analyze grant recipients’ programmatic reports.Follow up with recipients and federal staff on identified programmatic report concerns and irregularities.Collaborate with program specialists on data analysis for behavioral health programs.Technical Assistance
Provide technical assistance to recipients on programmatic requirements and other concerns related to implementing a behavioral health project.Collaborate with program specialists and other staff on complex technical assistance needs of grant recipients.Monitoring
Conduct and participate in on-site and desk monitoring efforts to assess recipients’ performance and compliance, as required by federal regulations, policies, and guidelines.Collaborate with program specialists, other federal staff, and across GDIT teams on monitoring activities and initiatives.Partnership and Communication
Support program specialists in program-related events such as webinars and orientations.Assist with support for communications (e.g., website, SharePoint, contact lists, etc.).Participate in meetings and conferences related to behavioral health.Grants and Program Management
Develop and maintain grantee profiles.Assist with scheduling and planning for annual and other grantee meetings.
The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.
Education:
BS degree in a social or health science field required, MS degree in a mental health discipline is highly preferred.Qualifications:
At least five years of work experience in mental health programming.Strong organizational, problem-solving, and analytical skills.Strong verbal and written communication skills.Grant administration experience preferred.Mental/behavioral health credentials and/or program management experience is preferred.Experience working with immigrants, refugees, and/or underserved populations with limited English proficiency is preferred.First-person knowledge of the lived experiences of immigrant or refugee community is preferred.Additional Requirements:
This position requires an existing Public Trust or the ability to obtain one.GDIT IS YOUR PLACE
At GDIT, the mission is our purpose, and our people are at the center of everything we do.Growth: AI-powered career tool that identifies career steps and learning opportunities
Support: An internal mobility team focused on helping you achieve your career goalsRewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time offFlexibility: Full-flex work week to own your priorities at work and at homeCommunity: Award-winning culture of innovation and a military-friendly workplaceOWN YOUR OPPORTUNITY
Explore a career at GDIT and you’ll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.
Scheduled Weekly Hours:
40Travel Required:
Less than 10%Telecommuting Options:
HybridWork Location:
Any Location / RemoteAdditional Work Locations:
Total Rewards at GDIT:
Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee’s date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

100% remote workmi
Title: Care Manager (Social Work)
Location: Remote-MI
Full-time
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: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.
- Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
- May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
- Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
- Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
- Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
- Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
- Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
- Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
- Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
- Performs other duties as assigned.
- Complies with all policies and standards.
Candidates for this role must be based in Michigan. The position supports members in Wayne and Macomb counties and requires approximately 75% travel to member homes, with the remaining time working remotely.
Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.
License/Certification:- Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience 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
cael segundohybrid remote worklewisvillesan marcos
Title: Project Supervisor
- Hospital A/R - PFS - Revenue Cycle
Location: GH Office: El Segundo, CA
Job Description:
Job Family:
PFS General
Travel Required:
Up to 10%
Clearance Required:
None
What You Will Do
This position is classified under a Hybrid schedule consisting of two days working from any of the following offices of El Segundo, CA, San Marcos, CA or Lewisville, TX and three days working from home.
The Hospital Project Supervisor PFS is responsible for overseeing the daily operations of a project(s) and the management of the project staff inclusive of onsite Team Members when applicable. A Project Supervisor is an extension of a client’s business office staff. This position is responsible for developing, implementing, managing, and meeting or exceeding the Operational goals of our clients and Company. This may include overlapping related business activities with pre-admissions, pre-registration, admission, registration, billing, and collection. The Project Supervisor will and may work closely with Managing Consultants, Operations Managers to apply new and emerging approaches to our clients’ business processes. This position will follow and ensure that client policies and procedures are followed and will also perform any and all job-related duties as assigned.
Essential Job Functions
Strong Leadership and Management Skills
Client Contact and Interaction
Possess Interpersonal, Organizational, delegation and Analytical Skills
Monitor and ensure team member Compliance with State and Federal Laws and Guidelines
Coordinate and conduct interviewing of potential new hires and bring recommendations to Operations Manager.
Training of new Team Members.
On-going training and mentoring of Team Members.
Complete monthly account reviews for each patient account representative on the project.
Ensure Team Member and project compliance with HIPAA standards.
Receives and reviews client project reports generated from supervised Team Members.
Monitor and ensure all staff member’s compliance with Company/Client standards.
Monitor Team Member phone calls for adherence to client and Company/client expectations.
Monitor Team Member attendance and punctuality.
Communicate Team Member non-compliance with Operations Manager.
Conduct disciplinary counseling including performance improvement plans as required.
Complete annual evaluation of staff.
Take “supervisor” calls when a Team Member needs assistance with a patient or account work.
Complete all assigned projects in a timely manner.
Assist all staff members with their questions in the absence of their Project Supervisor.
Meet or exceed revenue goal for project.
Conduct weekly team meetings to ensure the on-going understanding of client and company expectations.
Monitor and ensure Team Members meet or exceed established productivity goals.
Complete, reviews and approves monthly client invoices for accuracy.
Identify and communicate trends and issues to Operations Manager & Client.
Works with management in developing policies.
Promote teamwork and a positive work environment.
Possible travel.
Client Responsibility
Verify accuracy of all correspondence prior to sending to the client.
Provide scheduled and requested reports.
Ensure aging of accounts falls within client and company guidelines.
Ensure compliance of all client policies and procedures by staff.
Research and respond to all client and patient inquiries received by telephone and mail.
Update patient demographic information and initiate account adjustments.
Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections.
Ensure daily files are being received and posted.
Ensure completion of client reconciliations to ensure account balance accuracy.
What You Will Need:
Requires a Bachelor's Degree and a minimum 5 years' of prior relevant experience or an AA Degree and a minimum of 7 years' prior relevant experience. (Relevant experience may be substituted for formal education or advanced degree).
Previous experience within a healthcare provider, insurance, professional business or outsourcing company.
What Would Be Nice To Have
Multiple systems experience
Knowledge and utilization of desktop applications to include Word and Excel is essential.
Ability to initiate and follow through on projects and work independently.
Strong written and verbal communication skills.
#IndeedSponsored
#LI-DNI
The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.
What We Offer:
Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a erse and supportive workplace.
Benefits include:
Medical, Rx, Dental & Vision Insurance
Personal and Family Sick Time & Company Paid Holidays
Position may be eligible for a discretionary variable incentive bonus
Parental Leave
401(k) Retirement Plan
Basic Life & Supplemental Life
Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
Short-Term & Long-Term Disability
Tuition Reimbursement, Personal Development & Learning Opportunities
Skills Development & Certifications
Employee Referral Program
Corporate Sponsored Events & Community Outreach
Emergency Back-Up Childcare Program
About Guidehouse
Guidehouse is an Equal Opportunity Employer–Protected Veterans, Iniduals with Disabilities or any other basis protected by law, ordinance, or regulation.
Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.
If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.
All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected]. Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse. Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.
If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.
Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

100% remote worknv
Provider Engagement Account Manager
Location: Remote – NV
Work Model: Remote (Nevada — Washoe County, Elko County, or neighboring counties)Job Type: Full TimeYou 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.
Remote position, desired candidate to reside in Nevada, specifically in Washoe County or Elko County & neighboring counties. Strong claims background, experience with issue resolution or client interaction is highly preferred.
Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.
Serve as primary contact for providers and act as a liaison between the providers and the health plan
Triages provider issues as needed for resolution to internal partnersReceive and effectively respond to external provider related issuesInvestigate, resolve and communicate provider claim issues and changesInitiate data entry of provider-related demographic information changesEducate providers regarding policies and procedures related to referrals and claims submission, web site usage, EDI solicitation and related topicsPerform provider orientations and ongoing provider education, including writing and updating orientation materialsManages Network performance for assigned territory through a consultative/account management approachEvaluates provider performance and develops strategic plan to improve performanceDrives provider performance improvement in the following areas: Risk/P4Q, Health Benefit Ratio (HBR), HEDIS/quality, cost and utilization, etc.Completes special projects as assignedAbility to travel locally 4 days a weekPerforms other duties as assignedComplies with all policies and standardsEducation/Experience:
Bachelor’s degree in related field or equivalent experience.Two years of managed care or medical group experience, provider relations, quality improvement, claims, contracting utilization management, or clinical operations.Project management experience at a medical group, IPA, or health plan setting.Proficient in HEDIS/Quality measures, cost and utilization.Pay Range: $55,100.00 – $99,000.00 per year
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
Title: Clinical Review Nurse - Prior Authorization
Location: Remote-AZ
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.
Centene is seeking a Clinical Review Nurse to join our Arizona Medicaid team in a fully remote role.Position Overview:
The ideal candidate will have experience with prior authorizations for outpatient services and be available to work Arizona hours, Monday through Friday, 8:00 AM – 5:00 PM.Qualifications:
Active RN or LPN license in Arizona or a multistate compact license.
Candidates located in New Mexico, Nevada, Washington, or Oregon will be considered if they hold an active Arizona license.
Prior authorization experience with outpatient services preferred.
Strong clinical assessment and communication skills.
Ability to work Arizona business hours remotely.
Join Centene and help us deliver high-quality care and support to our Medicaid members across Arizona.
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines
Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
Provides feedback on opportunities to improve the authorization review process for members
Performs other duties as assigned
Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.
Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.Knowledge of Medicare and Medicaid regulations preferred.Knowledge of utilization management processes preferred.License/Certification:- LPN - Licensed Practical Nurse - State Licensure required
Pay Range: $26.50 - $47.59 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: Director, Privacy & Security Risk Portfolio
Location: Remote-FL
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:Leads the development, execution, and optimization of the Enterprise Privacy & Security Risk Management (EPSRM) strategic planning lifecycle and rolling three-year roadmap. Drives the development, governance, and optimization of strategic initiatives that enhance organizational resilience and regulatory Compliance. Directs and develops a high-performing team that provides enterprise-wide visibility into privacy and security risk initiatives, ensuring alignment with WPSRM's strategic objectives. Ensures investments deliver maximum value, leverage robust operational processes and tools to monitor performance and drive continuous improvement through effective portfolio management. Collaborates with senior privacy and security leadership and cross-functional stakeholders, to provide thought leadership, define and track key performance indicators, and proactively manages risk across the portfolio.- Leads and directs the Privacy & Security Risk Portfolio team to ensure alignment with strategic goals and successful execution of EPSRM initiatives.
- Responsible for all aspects of team leadership and fosters a high-performance culture by clearly defining expectations, providing ongoing coaching and feedback, and supporting professional growth to drive inidual and team success.
- Leads and oversees the strategic planning lifecycle for Enterprise Privacy & Security Risk Management (EPSRM), ensuring the continuous development and refinement of rolling three-year roadmaps at both departmental and team levels.
- Facilitates alignment of strategic priorities and provides senior leadership with clear visibility into the progress of key initiatives and performance against defined metrics.
- Provides oversight and direction to the Privacy & Security Risk Portfolio team in managing and governing EPSRM-related procurement activities, ensuring alignment with enterprise risk objectives and compliance standards.
- Partners with Portfolio team members, cross-functional peers, and senior leadership to design, enhance, and sustain portfolio management processes, governance frameworks, and reporting standards.
- Continuously improves tools and methodologies to support effective decision-making, transparent communication, and strategic alignment across privacy and security initiatives.
- Facilitates the annual strategic review of EPSRM’s vision and rolling three-year roadmap, and leads quarterly portfolio performance reviews with senior EPSRM leadership to assess progress, recalibrate priorities, and ensure alignment with enterprise objectives.
- Partners with EPSRM leadership and the Risk & Compliance Finance team to ensure the financial health of the EPSRM portfolio remains aligned with defined performance goals.
- Provides strategic oversight and actionable recommendations on cost optimization, resource allocation, and portfolio prioritization to support both near-term deliverables and long-term strategic objectives.
- Collaborates with business units across the enterprise to promote a deep understanding of EPSRM’s strategic vision and rolling three-year roadmap.
- Drives alignment and engagement to ensure the successful execution of key privacy and security risk initiatives, fostering enterprise-wide ownership and accountability.
- Performs other duties as assigned.
- Complies with all policies and standards.
Education/Experience:
Bachelor's Degree in related field or equivalent experience requiredMaster's Degree preferred7+ years of project/portfolio management experience requiredManagement experience including hiring, training, work delegation and performance management requiredAgile software development experience preferredLicenses/Certifications:PMP, CSPO, CISM, or industry related certification preferredPay Range: $145,100.00 - $268,800.00 per year
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: National Remote Medical Director, Neonatology
Location: Remote – Missouri (MO)
RemoteFull-timeJob Description
You could be the one who changes everything for Centene’s 28 million members. As a national, ersified healthcare organization, Centene offers competitive benefits and a flexible approach to work.
Position Purpose
The National Neonatology Medical Director provides high-impact leadership to drive innovative, member-centric solutions that shape the future of neonatal care. This role collaborates with stakeholders, aligns clinical and strategic goals, and supports the Deputy Chief Health Officer in directing medical management, quality improvement, and credentialing functions within Centene’s national NICU Pod.
Key Responsibilities
Provide medical leadership across utilization management, cost containment, and medical quality improvement activities.
Perform medical review activities involving utilization review, quality assurance, and complex or experimental services; ensure timely and accurate decisions.
Support implementation of performance improvement initiatives for capitated providers.
Assist in planning and establishing goals/policies to improve care quality and cost-effectiveness.
Provide medical expertise for quality improvement and utilization management programs per regulatory and accreditation standards.
Support physician committee operations (structure, processes, membership).
Conduct regular rounds for high-risk neonatal patients and coordinate care with clinical teams.
Collaborate with care management, network providers, medical/pharmacy consultants, and appeals teams on complex cases and medical necessity reviews.
Participate in provider network development and new market expansion when appropriate.
Assist with developing physician education regarding clinical issues and policies.
Identify utilization review studies and evaluate adverse utilization trends and provider practice patterns.
Identify clinical quality improvement studies to reduce unwarranted variation and improve outcomes.
Interface with physicians/providers to implement recommendations that improve quality and utilization.
Review complex or unusual claims to determine medical necessity and appropriate payment.
Build alliances with provider communities through implementation of medical management programs.
Represent the business unit externally on medical philosophy, policy, or related issues as needed.
Represent the organization at state-level or ad hoc committees.
May work weekends or holidays as required.
Education & Experience
Medical Doctor (MD) or Doctor of Osteopathy (DO).
Utilization Management experience and knowledge of accreditation standards preferred.
Actively practicing physician.
Coursework in Health Administration, Financing, Insurance, or Personnel Management is advantageous.
Experience treating or managing care for culturally erse populations preferred.
Licensure / Certifications
Board Certification in Neonatology (ABMS or AOA-recognized).
Current, unrestricted medical license (MD or DO).
Compensation
Pay Range: $231,900 – $440,500 per year
Actual pay may vary based on skills, experience, education, job-related factors, and full/part-time status.Total compensation may include additional incentives.Benefits
Centene offers a comprehensive benefits package including:
Competitive pay
Health insurance
401(k) & stock purchase plans
Tuition reimbursement
Paid time off + holidays
Flexible remote/hybrid/field/office options
Benefits may be subject to eligibility.
Equal Opportunity Statement
Centene is committed to ersity and inclusion. All qualified applicants will be considered regardless of protected characteristics. Applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the CA Fair Chance Act.

hybrid remote workmilwaukeewi
Title: RN Care Manager (Critical Care Team)
Location: Milwaukee, Wisconsin (Greater Milwaukee Area required)
Remote Type: Remote-WI (Up to 50% field visits; remainder remote from home)Full-timeJob Description
You could be the one who changes everything for Centene’s 28 million members. As a national, ersified healthcare organization, Centene provides competitive benefits and a flexible approach to work.
$3,000 sign-on bonus included.
Must reside in the greater Milwaukee area.Schedule: Monday–Friday, 8am–5pm.Position Purpose
Develop, assess, and facilitate complex care management activities for members—primarily those with physical needs—ensuring high-quality, cost-effective healthcare outcomes through personalized care plans and member/family education.
Responsibilities
Evaluate member needs, barriers, and social determinants of health; recommend/facilitate plans based on member priorities.
Create and update ongoing care/service plans; collaborate with providers, specialists, and community resources.
Identify problems/barriers and implement appropriate interventions.
Coordinate communication between members, families/caregivers, and the provider team to ensure adequate person-centered care.
Provide ongoing follow-up, monitoring changes in condition, and revising care plans as needed.
Offer resource support for services such as housing, employment, independent living, justice/foster care (as appropriate).
Facilitate care management and ensure timely access to required care or services.
Conduct telephonic, digital, home, or other field visits to assess needs and coordinate resources.
Collect, document, and maintain all care management activities to ensure compliance with regulatory requirements.
Provide education to members and caregivers on disease processes, care gaps, referrals, provider instructions, and benefit information.
Offer feedback to leadership on improving care quality and cost-effectiveness.
Perform other duties as assigned.
Comply with all policies and standards.
Education & Experience
Degree from an accredited School of Nursing OR
Bachelor’s degree in Nursing2–4 years of related experience required
License/Certification
- RN – Registered Nurse (State Licensure and/or Compact License required)
Compensation
Pay Range: $55,100 – $99,000 per year
Actual pay may vary based on experience, education, skills, job-related factors, and employment status.Total compensation may include additional incentives.Benefits
Centene offers a comprehensive package, including:
Competitive pay
Health insurance
401(k) & stock purchase plans
Tuition reimbursement
Paid time off & holidays
Flexible schedules (remote, hybrid, field, or office)
Additional Information
Centene is an equal opportunity employer. All qualified applicants will be considered without regard to protected characteristics. Applicants with arrest or conviction records will be considered per the LA County Ordinance and the CA Fair Chance Act.
For accommodations: [email protected].
Title: Account Manager, Medical Education
Location: London, England, UK
Job Description:
Precision AQ is growing! Our International team is looking for an Account Manager to join our Medical Education team based in the UK.
Location: Remote, but with opportunity to go into London office.
Team: One of our oncology teams initially, but with scope to work across other therapy areas.
About the Role: We are seeking an experienced healthcare communications professional to join our leading oncology team. This is an exciting opportunity to work on impactful projects that make a real difference in patient outcomes and healthcare education.
Key Responsibilities:
• Develop and deliver high-quality medical communication events and materials for medical and commercial clients
• Collaborate with cross-functional teams to ensure scientific accuracy and strategic alignment
• Manage multiple projects, ensuring timelines and budgets are met
Essential Requirements:
• Minimum 2 years’ experience in healthcare communications (agency or in-house)
• Scientific educational background preferred
• Good understanding of oncology and the pharmaceutical industry / desire to work in oncology field
• Excellent written and verbal communication skills
• Ability to manage complex projects and work effectively in a fast-paced environment
• Exceptional team playing skills
Desirable Skills
• Experience in medical education
• Familiarity with compliance and regulatory requirements in healthcare
Why Join Us?
• Be part of our collaborative team and work on one of our busy oncology accounts
• Work on cutting-edge projects that shape the future of cancer care
• Enjoy a supportive environment with opportunities for growth and development
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Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice.
Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law.
If you are an inidual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at [email protected].
It has come to our attention that some iniduals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.
Updated 6 months ago
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