Hybrid Government Sector Medicaid Project Manager

Location: Eden Prairie, Minnesota, 55344

Contract, Perm Possible

Category: Project Manager

Pay Rate:  $40 - $50 (hourly estimate)

Job Description

An employer is looking for a highly-skilled Unified Preferred Drug List (PDL) Project Manager to join one of our largest national healthcare clients for a hybrid contract-to-hire opportunity. In t his role you'll join a growing team of 12 between the client, stakeholders and other vendors. The team is made up of Pharmacists and business resources from the client, the State and multiple supporting vendors. In this role you'll manage the implementation of a single PDL on behalf of the Georgia Department of Community Health (DCH) from the perspective of the client as the Single PDL vendor, supporting DCH’s efforts to align the PDL between the Fee-for-Service (FFS) program and the newly contracted Care Management Organizations (CMOs).The Unified PDL Project Manager reports to the Account Director and works closely with the DCH Pharmacy team, Northstar Healthcare Consulting (NHC), Prime Therapeutics, CMO vendors, and other DCH resources to execute DCH’s desired approach for aligning stakeholder notifications, Utilization Management (UM), system messaging, system editing, and pricing. You also will manage the overall unified PDL project plan including Project Schedule, Risk Management Plan, Communication Plan, Status Reporting, Project Roles, and Responsibilities. In order to be successful on this team you must have prior experience working cross functionally, and at least 5 years of experience leading Medicaid Implementations, Medicaid Pharmacy initiatives or similar projects. Prior experience specifically with the Georgia Medicaid Program is necessary in order to be successful on this team. This role is a 1 year contract to hire based on performance and success of the project.

Responsibilities:

We are a company committed to creating erse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to HR@insightglobal.com.To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/.

Required Skills & Experience

-5+ year history of leading Medicaid implementations, managing Medicaid pharmacy initiatives or similar projects.

Nice to Have Skills & Experience

-Project Management Professional (PMP) Certification

Benefit packages for this role will start on the 1st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Title: Senior Director of Health Services - Behavioral Health

Location: MN-Eagan

Job Description: ### Job Duties

Blue Cross and Blue Shield of Minnesota

Position Title: Senior Director of Health Services - Behavioral Health

Location: Hybrid | Eagan, Minnesota

Career Area: Health Services

About Blue Cross and Blue Shield of Minnesota

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. We are looking for dedicated and motivated iniduals who share our vision of transforming healthcare. As a Blue Cross associate, you are joining a culture that is built on values of succeeding together, finding a better way, and doing the right thing. If you are ready to make a difference, join us.

The Impact You Will Have

The Senior Director of Health Services is responsible for design, strategic planning, evolution, and value delivery of specific Health Services programs and products. The position is accountable for delivering high value programs and products to BCBSMN customers and for assuring members receive high quality and appropriate clinical care in a timely and cost-effective manner. This role will collaborate closely with leaders across all lines of business and across multiple business units to ensure programs and products meet the needs of customers and members we serve. This role will also partner closely with operational leaders to ensure accountability for efficient and effective execution of programs and products.

Your Responsibilities

• Leads, either directly or via their team, the ideation, design, implementation, measurement, and ongoing evaluation of specific programs and products.
• Manages and maintains accountability for the delivery of overall value of specific programs and products.
• In partnership with Operations, ensures programs and products are achieving desired outcomes and meet all applicable regulatory and compliance standards as well as accreditation requirements.
• Partners closely with the internal stakeholders and product leaders to ensure strategies are aligned to achieve and maximize value.
• Works with Commercial, Medicare, and Medicaid leadership to ensure programs and products meet the unique needs of their specific member populations and positions BCBSMN as a leader in the market.
• Establishes department goals and performance metrics that support isional and enterprise strategic plans. Ensures that the right systems, processes, and measurement/reporting are in place to demonstrate the value and effectiveness of programs and products to customers.
• Manage relationships with and ensures the accountability of external partners / vendors that provide key services that enable program / product outcomes.
• Partners with operations to enhance operational efficiency to optimize and maximize staff and external partner productivity and value.
• Educates internal staff and contracted providers on the general and unique needs of populations being served, to ensure adherence to BCBSMNs benefits, medical, and reimbursement policies.
• Supports enterprise initiatives to enhance the member experience and improve both the quality of care delivered and total cost of care.
• Represents BCBS to a variety of external stakeholders including provider organizations, customers, advocacy groups and government entities as needed.
• Other duties as assigned

Behavioral Health

• Accountabilities include the overall value of behavioral health products and services as well as oversight of mental health parity.
• This role will partner closely with operations leadership to ensure efficient execution of CM product and with P&L leaders to ensure products and programs meet the needs of our clients to support growth.
• This role will also partner closely with network leadership to ensure products and programs work in synergy with the network strategy to drive maximal value.

Staff Development

• Establishes rigorous performance measurement and management to maximize value and ensure staff is optimally deployed, and that products and programs achieve their intended outcomes and customer commitments.
• Ensures talent is in place to improve affordability and member health.
• Serves as a role model and coach/mentor for ongoing leadership and staff development.
• Build a culture of engagement, teamwork, psychological safety, and collaboration across the enterprise.

Required Skills and Experience

• Accepting this position at BCBSMN requires signing an Employee Confidentiality, Intellectual Property Assignment, and Restrictive Covenants Agreement as a condition of employment.
• 8+ years of related professional experience, with 5+ years of management experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 5+ years in an applicable leadership position in a health plan or health care delivery serving customers, members, or patients.
• Ability to establish a comprehensive strategic plan for programs and products.
• Demonstrated ability to lead people, create high performing teams and develop talent.
• Ability to organize and manage multiple priorities and budgets.
• Excellent communication and presentation skills to internal and external audiences.
• Excellent relationship skills to partner on shared goals with other Blue Cross teams and colleagues as well as with external key influencers.
• Seasoned judgment, root cause analysis and conflict resolution skills.
• Proficiency with data and analysis used to monitor products and programs.
• Demonstrated ability to work with other leaders to create solutions that meet the unique needs of their segments and customers.
• Candidates must possess high ethical standards and share the organization's commitment to key values.
• Proficiency with Microsoft Office suite of programs.
• Able to travel 10 to 20%.
• High School diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experience

• Post graduate education in Health Care Administration, Public Health, or an MBA or experiential equivalent.
• Experience within care delivery organizations
• Active applicable Minnesota license without restriction in field applicable to role.

Compensation and Benefits:

Pay Range: $149,400.00 - $205,400.00 - $261,400.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected inidual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

Medical, dental, and vision insurance

Life insurance

401k

Paid Time Off (PTO)

Volunteer Paid Time Off (VPTO)

And more

To discover more about what we have to offer, please review our benefits page(https://tbcdn.talentbrew.com/company/42354/gst\_v1\_0/pdf/BCBSMN\_Benefits\_2025.pdf).

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Equal Employment Opportunity Statement

Iniduals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

Apply Here: https://www.click2apply.net/4GgJRksY4g7OOS5X1uYmYy

PI280445223

### Minimum Education Required

### Minimum Experience Required

### Shift

### Number of Openings

### Compensation

### Postal Code

### Place of Work

Hybrid

### Requisition ID

4011

### Job Type

Full Time

### Job Benefits

Health Insurance

### Application Link

https://www.click2apply.net/4GgJRksY4g7OOS5X1uYmYy

Title: Territory Manager, CardioMEMS - Salt Lake City, UT

Location: United States - Utah - Salt Lake City

Full time

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year
• An excellent retirement savings plan with high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

Heart Failure

Leading an active lifestyle is important to the many people we serve. In Abbott’s Heart Failure ision, we’re advancing the treatment of heart and vascular disease through breakthrough medical technologies in electrophysiology and heart failure, allowing people to restore their health and get on with their lives.

The Territory Manager position is a sales opportunity in the CardioMEMS business responsible for achieving assigned revenue and implant goals.  This role will focus on developing sales revenue in previously untapped or under developed accounts.

WHAT YOU’LL DO

• Develops and maintains relationships with new and existing territory customers.
• Develops and maintains an understanding of CardioMEMS in a competitive environment.
• Provides engineering, sales, and technical support in response to field inquiries on an on-call basis.
• Provides regional procedural case coverage.
• Provides support as needed in the following areas:  sales support, heart failure clinic support, training & education, clinical studies/data collection, new product in-service training, etc.
• Develops and adheres to actionable business plan.
• Performs required administrative sales duties, e.g., filing expense account reports, scheduling appointments, and making travel plans.
• Complies with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, company policies, operating procedures, processes, and task assignments.
• Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors.
• Interacts with customers and assigned institutions, physicians and technicians, customer purchasing and administration.
• Interacts with all levels of sales and sales management staff
• Ability to interface and interact with patients
• Performs other related duties and responsibilities, as assigned

EDUCATION AND EXPERIENCE YOU’LL BRING

Required

• Bachelor’s Degree or four years of relevant work experience in lieu of a Bachelor’s Degree
• 3+ years of successful sales or related business experience, preferably within the medical device industry
• Well organized, capable of juggling multiple projects and accustomed to tight deadlines.
• Excellent personal computer skills including MS Excel, Word, Outlook and Power Point.
• Ability to work in a highly matrixed and geographically erse business environment.
• Ability to work within a team and as an inidual contributor in a fast-paced, changing environment.
• Ability to leverage and/or engage others to accomplish projects.
• Strong verbal and written communications with ability to effectively communicate at multiple levels in the organization.
• Multitasks, prioritizes and meets deadlines in timely manner.
• Strong organizational and follow-up skills, as well as attention to detail.
• Excellent interpersonal, verbal, written and presentation skills
• Schedule flexibility for case coverage and client meetings after hours and on weekends.
• Ability to travel approximately, dependent on territory geography.

Preferred

• Experience with direct quota attainment and performance metrics

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

The base pay for this position is

$41,400.00 – $102,900.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Sales Force

DIVISION:

HF Heart Failure

LOCATION:

United States of America: Remote

WORK SHIFT:

Standard

TRAVEL:

Yes, 25 % of the Time

MEDICAL SURVEILLANCE:

Not Applicable

SIGNIFICANT WORK ACTIVITIES:

Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous walking for prolonged periods (more than 2 hours at a time in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pd

Title: Senior Processing Engineer

Location:

• Titusville, New Jersey, United States of America
• Guaynabo, Puerto Rico, United States of America

Hybrid Work

Full time

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:

Supply Chain Engineering

Job SubFunction:

Process Engineering

Job Category:

Scientific/Technology

All Job Posting Locations:

Guaynabo, Puerto Rico, United States of America, Titusville, New Jersey, United States of America

Job Description:

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine.

We are searching for the best talent, **Senior Processing Engineer.**​ This Hybrid position can be based in Titusville, New Jersey, Springhouse Pa, or Guaynabo, Puerto Rico.

#LI-Hybrid

MSAT (Manufacturing Science and Technology) is a ision of the Innovative Medicine Supply Chain (IMSC) of Johnson & Johnson. MSAT is a worldwide organization with members located across the geography in close vicinity to the Internal Manufacturing Network (MTO) and External Manufacturers, providing Technical Competence and Manufacturing Excellence to Johnson and Johnson’s pharmaceutical environment and product portfolio.

The MSAT Synthetics DP External Site Senior Processing Engineer is responsible for providing technical oversight to external manufacturing (EM) sites. They will also be responsible for site ownership in performing due diligence, auditing, and site onboarding. The Scientist will conduct technical/risk assessment, execution, and/or oversight of New Product Introduction (NPI), technical transfers, and Product Life Cycle (LCM) management. They will be involved with standards and new technology deployment, Multi-Variate Analysis (MVA) & statistical analysis, Proactive assessments and de-risking of products and process through collaboration with various other MSAT teams, different functions, and partners.

Key Responsibilities:

• Handle execution of drug product technology transfer, product life cycle activities, material qualification, and cleaning validation.

• Support NPI using applicable tools and standards in collaboration with Virtual Management Team (VMT), key supply chain functions, Technical launch integrators / owners, and EM site.

• Act as Technical coordinator for CMO process technology proficiency assessment, technology standards, and implementation of MSAT Technology Roadmaps.

• Serve as primary contact and site owner for technical issues related to EM and represent in VMT by being a single technical voice including EM, thus supporting decision / actions.

• Maintain and develop good understanding of the status regarding ongoing and future planned technical activities at site.

• Engage in Site Lifecycle processes (due diligence / selection, onboarding, engage, ongoing monitoring, disengage) including support to localization; also be involved in technical assessment / due diligence of product portfolio / in- licensing.

• Support working models and tools in handling EM from technical perspective which includes Technical risk metrics & Switching Effort / Complexity metric for fit-for-purpose segmentation model, and account planning/adherence.

• Conduct technical assessment of change controls and other quality related activities by associating with Quality for audits and inspections.

• Provide technical support on site for investigations and resolution of deviation / OOS (process, cleaning, troubleshooting) by collaborating with engineering, product launch, and technical owners.

Qualifications:

Education:

• Minimum of a Bachelor's/University or equivalent degree required; Master's or PhD and/or focused degree specialization in Engineering, Pharmaceutical Science, or equivalent technical subject is preferred.

Experience and Skills:

Required:

• Minimum 6 years of relevant work experience.

• Demonstrated experience/expertise with various dosage forms, including experience with solids manufacturing technology, process, and transfer.

• Experience working with external manufacturing network (EM.

• Basic knowledge of Small Molecule Supply chain (products, customers, suppliers, plants).

• Strong communication and teamwork/networking skills with the ability to interact at different levels of the organization/sector.

• Ability to lead activities under general direction, and demonstrate a good sense of prioritization of assigned tasks & goals and handle time accordingly.

• Strong understanding and knowledge of Q&C (Quality & Compliance) and the regulatory requirements (e.g., GMP, EHSS, etc.) related to pharmaceutical manufacturing environment.

Preferred:

• Experience in new pharmaceutical manufacturing technology especially OROS technology, continuous manufacturing, or related technology.

• Understanding and application knowledge in statistics and process excellence / investigation tools.

Other:

• May require up to 25% travel, domestic and/or international depending on business needs.

• Requires the ability, through our flexible work policy, to work on-site a minimum of three days each week, with the option for two remote workdays each week and depending on business needs.

• The anticipated pay range for this position is 94,000-170,000.

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and iniduals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs.  If you are an inidual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

Agile Decision Making, Coaching, Corrective and Preventive Action (CAPA), Critical Thinking, Emerging Technologies, Issue Escalation, Lean Supply Chain Management, Problem Solving, Process Control, Process Engineering, Product Costing, Product Improvements, Science, Technology, Engineering, and Math (STEM) Application, Situational Awareness, Technical Research, Technologically Savvy, Validation Testing, Vendor Selection

The anticipated base pay range for this position is :

94,000-144,500

Additional Description for Pay Transparency:

Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company’s long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation –120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year Holiday pay, including Floating Holidays –13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave – 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave – 10 days Volunteer Leave – 4 days Military Spouse Time-Off – 80 hours  Additional information can be found through the link below.  https://www.careers.jnj.com/employee-benefits

Title: Clinical Specialist

Location: United States - New York - New York

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.  

JOB DESCRIPTION:

Clinical Specialist

About Abbott

Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with a high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as the best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

In Abbott’s Electrophysiology (EP) business, we’re advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore their health and get on with their lives.

What You’ll Work On

Working under general direction, provides engineering, sales, educational and technical support in response to field inquiries from physicians, health care professionals, patients, and field sales staff, involving EP products.  Performs work that involves a high degree of independence.  Identifies and routinely uses the most effective, cost efficient and best business practices to execute processes; continually evaluates their effectiveness and appropriateness.  Exercises independent judgment in planning, organizing and performing work; monitors performance and reports status to manager. 

• Acts as a clinical interface between the medical community and the business.              
• Demonstrates ability to build and sustain credible business relationships with customers and shares product expertise accordingly.
• Provides engineering, sales, education and clinical support in response to field inquiries on as-needed basis.  Demonstrates a thorough command of all EP products, related product and technical knowledge, trends and players.
• Develops, leads and/or facilitates trainings and other programs on EP products to healthcare professionals.
• Provides insight, guidance, and feedback to management on market feedback and components of next generation of products.
• Provides regional EP procedural case coverage.
• Provides additional back-up support to EP Sales Representatives in the following areas:
  • Sales support;
  • Regional training seminars;
  • Clinical studies/data collection;
  • Trouble Shooting; and,
  • New product in-service training to physicians, nurses and sales representatives.

   
• Continuously develops engineering, sales and technical skills relative to the overall Arrhythmia Management strategy, including learning opportunities via Sr. Sales personnel and management.
• Assists Training and Education departments with advanced educational seminars, and the preparation of educational materials.
• Assists Sales with advanced product demonstrations to visiting physicians and sales personnel.
• Remains current on developments in field(s) of expertise, regulatory requirements, and a good working knowledge of company and competitor products, markets, and objectives as well as industry trends.
• Resolves and/or facilitates resolution of problems including identifying causes to prevent re-occurrence.
• Performs related functions and responsibilities, on occasion, as assigned.

Required Qualifications

• Bachelor’s degree in Bio-Medical Engineering, related field or equivalent healthcare experience required. 
• Requires ability to become certified on EP products.
• A minimum of two years increasingly responsible experience in the cardiac pacing and related industries. 
• Demonstrated knowledge of cardiology, electro-physiology, or cardiac electro-physiology procedures. 
• Familiarity with cath lab and operating room procedures and protocol.
• Demonstrated advanced knowledge of cardiac pacing systems is also necessary. 
• Must apply engineering skills and abilities to interpret and solve complex clinical problems.
• Must have comprehensive written and verbal communication, interpersonal, presentation, analytical, organizational skills, and the ability to meet deadlines.
• Must have the ability to concentrate on detail and work independently. 
• Must be able to work effectively with engineers, technical specialists, vendors, and customers to achieve assigned goals; must be capable of coordinating multiple assignments simultaneously and effectively.
• Must possess comprehensive personal computer skills (experience with Microsoft Office or equivalent required) in graphics, word-processing, databases, authoring programs, etc., to develop presentation materials.
• Verification that you will satisfy all vendor credentialing requirements, which may include vaccination for COVID-19.  If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s).

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.  

The base pay for this position is

$60,000.00 – $120,000.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Support Services

DIVISION:

EP Electrophysiology

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 50 % of the Time

MEDICAL SURVEILLANCE:

Yes

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Senior Clinical Specialist

Coronary - Grand Rapids, MI

Location: United States - Michigan - Grand Rapids

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.An excellent retirement savings plan with high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

This is a field-based position, supporting Abbott’s Vascular ision. Abbott Vascular provides innovative, minimally invasive and cost-effective products for treatment of vascular disease. Our extensive portfolio includes drug-eluting stents, bare metal stents, guide wires, balloon dilatation catheters, imaging catheters and software, vessel closure devices, peripheral stents, thrombectomy catheters and atherectomy devices.

We currently have an opportunity for a Sr C*linical Specialist, Coronary, in Grand Rapids, MI*. The Clinical Specialist will primarily be responsible for case planning, case support coverage, and product pull- through throughout the designated territory, and throughout the Region as needed. The Clinical Specialist will promote Vascular products through education, service and training of customers in the hospital setting. The Clinical Specialist will provide clinical education and sales support in order to assist in achieving projected sales goals, increasing sales revenues within assigned product lines, and increasing market share. This position will report to the Regional Sales Director.

What You’ll Work On

• Serves as the technical procedure and product expert in support of case coverage in the hospital setting.
• Focuses on Interventional Cardiologists and hospital staff to support the complete Coronary portfolio including atherectomy, carotid, PCIO, DES and base coronary and future product releases.
• Meet with existing and potential customers (e.g., physicians, physician office groups at hospitals) to identify their clinical needs, goals, and constraints related to patient care and to discuss and demonstrate how Vascular products can help them to achieve their goals.
• Develop relationships with hospital personnel; make new contacts in hospital departments; identify key decision makers.
• Serve as primary resource for clinical support in case coverage, troubleshooting and in-service education for company products.
• Educate customers on the merits and proper clinical usage of company products by giving presentations and demonstrations using a wide variety of formats and platforms (e.g., slides, transparencies, manuals) to keep all customers abreast of the latest product, therapy, and technology developments and current items of interest in the industry.
• Attend clinical procedures in the Cardiac Cath Lab, Interventional Radiology Lab, and Operating Room to ensure customer and patient success with Vascular products.
• Respond to customer needs and complaints regarding products and service by developing creative and feasible solutions or working with other related personnel (e.g., sales, clinical research, marketing, product development) to develop optimal solutions.
• Support the broader Region as needed with case support in addition to defined territory.

Required Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• 5+ years of related work experience
• Ability to travel 50% within assigned region

Preferred Qualifications

• Patient interaction experience within a lab/operating room environment
• Relevant Technical Certification

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews.  

The base pay for this position is

$66,700.00 – $133,300.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Sales Force    

DIVISION:

AVD Vascular

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 50 % of the Time

MEDICAL SURVEILLANCE:

Not Applicable

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment, Keyboard use (greater or equal to 50% of the workday)

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Medical Coding & Reimbursement Analyst

Location: Work At Home - Kansas

Job Description:

Guided by our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a best-in-class employee experience.  Some of our offerings include:

• Highly competitive total rewards package, including comprehensive medical, dental and vision benefits as well as a 401(k) plan that both the employee and employer contribute

• Annual incentive bonus plan based on company achievement of goals

• Time away from work including paid holidays, paid time off and volunteer time off

• Professional development courses, mentorship opportunities, and tuition reimbursement program

• Paid parental leave and adoption leave with adoption financial assistance

• Employee discount program

Job Description Summary:

The Medical Coding and Reimbursement Analyst researches, coordinates, analyzes, and provides coding expertise in the application of medical and reimbursement contracting, configuration, and benefit mapping. Follows company guidelines and refers issues to appropriate coding, billing, and coverage requirements, as necessary. Acts as a coding subject matter expert resource to internal customers. Able to perform all duties with limited supervision.

Job Description

• Provides analysis and recommendations to Contracting, Provider Payment, Provider Solutions, and Medical Policy team as it relates to coding, bundling, modifiers, clinical edits, benefits, and enforcements
• Participates in provider / client / network meetings, which may include provider education through written communication.
• Reviews complex operative reports and provider information regarding procedures, clinical edits, and fee schedules. Reviews appropriate use of modifiers and codes being submitted by providers to ensure appropriate reimbursement and billing practices.
• Interprets state and federal mandates, applicable benefit language, medical & reimbursement policies, coding requirements and consideration of relevant clinical information to develop coding recommendations and payment policies.
• Timely and accurate publishing of Payment Policies to Blue KC website
• Evaluates process outcomes, provides recommendations from a code perspective for improvements across multiple lines of business.  
• Educates, investigates and assists internal customers regarding correct procedural coding for benefit, claim and system questions.
• Requests and reviews claims/analytical reports; provide utilization summaries on coding/provider billing practices that may result in an enforcement, benefit, or payment policy change(s).
• Develop proactive and positive working relationships with other departments within Blue KC to successfully drive accurate and timely initiatives related to medical codes, contracting, and reimbursement.
• Communicates effectively with team members, team leadership, and other management.

Minimum Qualifications

• Bachelor’s degree from an accredited university or college in Healthcare Administration, Business, Information Systems or a related academic field; OR five (5) years of relevant experience providing the types and levels of knowledge, skills, and abilities required by the job. 
• Certified Coder with AHIMA or AAPC
• 3 years of professional experience working with operational and/or analytical processes, preferably within the healthcare industry or managed care payer.
• Must be task oriented and able to meet designated deadlines; productivity standards and able to work independently.
• Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures, operative reports or governmental regulations.
• Ability to write reports, business correspondence and business manuals.
• Ability to effectively present information in one-on-one and small group situations to customers, clients and other employees of the organization.
• Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, and percentages.
• Ability to define problems, collect data, establish facts and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions and deal with several abstract and concrete variables.
• Intermediate knowledge of medical claims processing.
• Intermediate level knowledge of Microsoft Office Word, Excel, and Access, or similar PC-based programs.

Preferred Qualifications

• 5 years of professional experience working with operational and/or analytic processes, preferably within the healthcare industry or managed care payer.
• Strong understanding of Blue KC core systems (including Facets, Claims Xten, and NetworX)
• Strong understanding of Blue KC claims, reimbursement, and benefit structures.

Blue Cross and Blue Shield of Kansas City is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, color, religion, sex, sexual orientation, gender identity, national origin, age, status as a protected veteran, or disability.

Title: Principal Clinical Specialist

Location: United States - Arizona - Flagstaff

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Principal Clinical Specialist

About Abbott

Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with high employer contribution.
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

In Abbott’s Electrophysiology (EP) business, we’re advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore their health and get on with their lives.

What You’ll Work On

Working under limited supervision, provides advanced engineering, sales, educational and technical support in response to more complex field inquiries from physicians, health care professionals, patients, and field sales staff, involving EP products. Performs work that involves a high degree of independence and will be perceived as a proven leader/mentor in the region. Identifies and routinely uses the most effective, cost efficient and best business practices to execute processes; continually evaluates their effectiveness and appropriateness. Exercises independent judgment in planning, organizing and performing work; monitors performance and reports status to manager. Technical proficiencies and performance are at the highest level of all Clinical Specialists in the region.

• Acts as the most senior clinical interface between the medical community and business.
• Demonstrates ability to build and sustain credible business relationships with customers and shares product expertise accordingly.
• Identifies reports and advises of customer needs, product performance and potential sales opportunities to sales representatives / directors and/or management to influence sales growth and service of accounts.
• Provides engineering, sales, education and clinical support in response to the most complex field inquiries on a 24-hour, on-call basis.  Demonstrates a thorough command of all EP products, related product and technical knowledge, trends and players.
• Develops, leads and/or facilitates trainings and other programs on EP products to healthcare professionals
• Provides insight, guidance, and feedback to management on market feedback and components of next generation of products
• Provides regional EP implant case coverage to defined accounts, and the accounts typically have EP share higher than national average.
• Provides additional back-up support to EP Sales Representatives in the following areas:
  • Sales support;
  • Regional training seminars;
  • Clinical studies/data collection;
  • Trouble Shooting; and,
  • New product in-service training to physicians, nurses and sales representatives.

   
• Mentors and provides leadership to EP clinical support roles.
• Continuously develops engineering, sales and technical skills relative to the overall Arrhythmia Management strategy, including learning opportunities via Sr. Sales personnel and management.
• Assists Training and Education departments with advanced educational seminars, and the preparation of educational materials.
• Assists Sales with advanced product demonstrations to visiting physicians and sales personnel.
• Remains current on developments in field(s) of expertise, regulatory requirements, and a good working knowledge of company and competitor products, markets, and objectives as well as industry trends.
• Resolves and/or facilitates resolution of problems including identifying causes to prevent re-occurrence.
• Performs related functions and responsibilities, on occasion, as assigned.

Required Qualifications

• Minimum of 6 years of clinical experience (internal or external).
• Prior industry/competitive experience, if external.
• Solely dedicated to EP.
• Must be in Sr. EP CS role for 2 years.
• 1 of last 2 performance ratings must be exceeds expectations.
• IBHRE EP certified.
• Ability to perform the most complex EP cases solo.
• Ability to mentor and train EP CS roles and CA CS roles on complex mapping cases.
• Ability to conduct complex customer education events to sell the value proposition of the full ABT portfolio.
• Revenue/case higher than national average.
• Performs in top 1/2 of number of cases completed across clinical group at time of promotion in defined Region/Area.
• Verification that you will satisfy all vendor credentialing requirements, which may include vaccination for COVID-19.  If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.

The base pay for this position is

$85,300.00 – $170,700.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Support Services

DIVISION:

EP Electrophysiology

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 50 % of the Time

MEDICAL SURVEILLANCE:

Yes

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Acute Care Specialist

- Brooklyn/Manhattan, NYC

Location: United States of America : Remote

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Acute Care Specialist – Brooklyn/Manhattan, NYC

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.

• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.

• An excellent retirement savings plan with a high employer contribution.

• Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.

• A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune.

• A company that is recognized as one of the best big companies to work for as well as the best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

Our nutrition business develops science-based nutrition products for people of all ages, from helping babies and children grow, to keeping adult bodies strong and active. Millions of people around the world count on our leading brands – including Similac®, PediaSure®, Pedialyte®, Ensure®, Glucerna®, Juven® – to help get the nutrients they need to live their healthiest life.

Our location in Brooklyn/Manhattan, NYC currently has an opportunity for a Therapeutic Nutrition Sales Specialist in our Therapeutic Nutrition space. The primary responsibility of this role is to drive sales by securing commitments for recommendations from Healthcare Professionals in the hospital setting – such as Internal Medicine, Primary Care, and Oncology accounts.  Typical call points within these offices include bariatric and wound care, oncology, Physicians, Nurses, Medical Assistants, Administration, and Nutrition Services.  Responsible for creating and maintaining relationships within these offices to effectively elevate the importance of nutrition by identifying and providing win-win solutions for using Abbott products.  In addition to obtaining commitments for recommendations, it is also vital in this role to hold customers accountable and ensure compliance.

What You’ll Work On

• Executing sales initiatives designed to exceed established sales goals

• Work closely with District Manager and cross-functional / interdisciplinary teams to execute the sales direction

• Identify customer needs and deliver on sales opportunities accordingly

• Utilize Abbott Nutrition promotional materials to targeted healthcare professionals

• Prioritize the utilization of resources to drive return on investment

• Plan and organize to maximize focus on top priorities

Required Qualifications

• Bachelor's Degree

• Persuasiveness

• Persistence

• Strong initiative

• Results-Oriented / Will to win

• Strategic planning and execution

• Identify and prioritize call points

• Adaptability and coachability

• Sales and learning agility

• Integrity

​Preferred Qualifications

• 2-3 years of sales experience

• Clinical background in nursing and/or nutrition

• B2B selling experience

• Cold-Calling experience

• Experience building own book of business

• Strong business acumen

MISC

• Territory: Brooklyn, Manhattan, NYC

• Customer Base: Hospital Setting (75%), Wound (15%), Oncology (10%).

• Travel: Some travel - annually about 20% - regional meetings, annual sales meeting, district meetings.

• Relocation: No relocation offered for this role. Local candidates only.

Apply Now

Participants who complete a short wellness assessment qualify for FREE coverage in our HIP PPO medical plan. Free coverage applies in the next calendar year.

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.  

The base pay for this position is

$60,000.00 – $120,000.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Sales Force

DIVISION:

ANPD Nutrition Products

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 20 % of the Time

MEDICAL SURVEILLANCE:

No

SIGNIFICANT WORK ACTIVITIES:

Driving a personal auto or company car or truck, or a powered piece of material handling equipment, Keyboard use (greater or equal to 50% of the workday) 

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Territory Manager, CPT - Corpus Christi, TX

Location: United States - Texas - Corpus Christi

Remote

Full-time

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year
• An excellent retirement savings plan with high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

Neuromodulation

Our Neuromodulation business includes implantable devices compatible with mobile technology to help people who suffer from chronic pain and movement disorders. These non-opioid therapies allow us to provide interventional pain therapy to patients throughout the pain continuum.

The Opportunity

As a member of the regional sales team, the Territory Manager will be responsible leading the strategy within an assigned territory to accomplish planned objectives as to sales volume, market penetration, and profitability while ensuring alignment and collaboration across the team and with sales leadership. The incumbent will work in a highly matrixed, geographically erse environment under general direction with clinical and sales teammates to identify and capitalize on sales opportunities by creating competency, comfort, and expertise with Abbott therapies among physicians, support staff and customers. The incumbent will perform work that involves a high degree of independence and will exercise sound judgment in planning, organizing, and performing work while continually seeking to improve territory efficiency.

What You’ll Work On

• Identifies strategies to increase referrals of Abbott therapies and overcome barriers that are restricting the national growth and adoption of the therapies
• Integrates into accounts, builds trust, and establishes strong rapport with with new and existing customers, key opinion leaders (KOLs), and industry leaders
• Generate additional sales revenue in assigned region by running initiatives targeted at increasing referrals of eligible patients
• Exercises considerable latitude in determining the technical objective of work assignments
• Trains and mentors new Territory Mangers
• Collects and studies information about new and existing products and monitors competitor sales, prices and products
• Ensures prompt follow-up of sales leads, investigation of complaints, and timely completion and filing of standard reports
• Fosters high trust relationships with colleagues including the regional teams and area leadership
• Conducts evaluations and develops sales strategies for capital equipment opportunities within accounts
• Coordinates implanting schedules of aligned Territory Managers and Clinical Specialists
• Interfaces and interacts with patients up to 50% of the time
• Demonstrates fiscal responsibility by effectively managing consigned inventory used in the territory
• Analyzes sales statistics, prepares reports, and performs required administrative sales duties such as filing expense account reports, scheduling appointments, and making travel plans
• Exercises authority to make sales commitments for assigned efforts and is accountable for results
• Attends trade shows where new products and technologies are showcased; meet other sales representatives and clients to discuss new product developments
• Complies with U.S. Food and Drug Administration (FDA) regulations, other regulatory requirements, company policies, operating procedures, processes, and task assignments
• Maintains positive and cooperative communications and collaboration with all levels of employees, customers, contractors, and vendors
• Performs other related duties and responsibilities, on occasion, as assigned

Required Qualifications

• Bachelor’s degree in a related field - an equivalent combination of education and work experience
• 8+ years of sales experience in medical devices
• 4+ years of work experience in Neuromodulation
• Ability and willingness to travel within assigned area on a regular basis (% of travel varies by area)
• Capable and willing to work an unpredictable schedule that may change on short notice
• Excellent verbal, written and presentation skills with the ability to effectively communicate at multiple levels and to large groups within and outside the organization
• Capable of managing multiple projects and accustomed to tight deadlines

Preferred Qualifications

• Prefer bachelor’s degree in biomedical engineering or related field
• Prefer candidates with demonstrated leadership capabilities

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott, and on Twitter @AbbottNews.

The base pay for this position is

$41,400.00 – $102,900.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Sales Force

DIVISION:

NM Neuromodulation

LOCATION:

United States of America: Remote

WORK SHIFT:

Standard

TRAVEL:

Yes, 25 % of the Time

MEDICAL SURVEILLANCE:

No

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf     

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Principal Clinical Specialist

Location: United States - Texas - San Antonio

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Principal Clinical Specialist

About Abbott

Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology.

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with high employer contribution.
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

In Abbott’s Electrophysiology (EP) business, we’re advancing the treatment of heart disease through breakthrough medical technologies in atrial fibrillation, allowing people to restore their health and get on with their lives.

What You’ll Work On

Working under limited supervision, provides advanced engineering, sales, educational and technical support in response to more complex field inquiries from physicians, health care professionals, patients, and field sales staff, involving EP products. Performs work that involves a high degree of independence and will be perceived as a proven leader/mentor in the region. Identifies and routinely uses the most effective, cost efficient and best business practices to execute processes; continually evaluates their effectiveness and appropriateness. Exercises independent judgment in planning, organizing and performing work; monitors performance and reports status to manager. Technical proficiencies and performance are at the highest level of all Clinical Specialists in the region.

• Acts as the most senior clinical interface between the medical community and business.
• Demonstrates ability to build and sustain credible business relationships with customers and shares product expertise accordingly.
• Identifies reports and advises of customer needs, product performance and potential sales opportunities to sales representatives / directors and/or management to influence sales growth and service of accounts.
• Provides engineering, sales, education and clinical support in response to the most complex field inquiries on a 24-hour, on-call basis.  Demonstrates a thorough command of all EP products, related product and technical knowledge, trends and players.
• Develops, leads and/or facilitates trainings and other programs on EP products to healthcare professionals
• Provides insight, guidance, and feedback to management on market feedback and components of next generation of products
• Provides regional EP implant case coverage to defined accounts, and the accounts typically have EP share higher than national average.
• Provides additional back-up support to EP Sales Representatives in the following areas:
  • Sales support;
  • Regional training seminars;
  • Clinical studies/data collection;
  • Trouble Shooting; and,
  • New product in-service training to physicians, nurses and sales representatives.

   
• Mentors and provides leadership to EP clinical support roles.
• Continuously develops engineering, sales and technical skills relative to the overall Arrhythmia Management strategy, including learning opportunities via Sr. Sales personnel and management.
• Assists Training and Education departments with advanced educational seminars, and the preparation of educational materials.
• Assists Sales with advanced product demonstrations to visiting physicians and sales personnel.
• Remains current on developments in field(s) of expertise, regulatory requirements, and a good working knowledge of company and competitor products, markets, and objectives as well as industry trends.
• Resolves and/or facilitates resolution of problems including identifying causes to prevent re-occurrence.
• Performs related functions and responsibilities, on occasion, as assigned.

Required Qualifications

• Minimum of 6 years of clinical experience (internal or external).
• Prior industry/competitive experience, if external.
• Solely dedicated to EP.
• Must be in Sr. EP CS role for 2 years.
• 1 of last 2 performance ratings must be exceeds expectations.
• IBHRE EP certified.
• Ability to perform the most complex EP cases solo.
• Ability to mentor and train EP CS roles and CA CS roles on complex mapping cases.
• Ability to conduct complex customer education events to sell the value proposition of the full ABT portfolio.
• Revenue/case higher than national average.
• Performs in top 1/2 of number of cases completed across clinical group at time of promotion in defined Region/Area.
• Verification that you will satisfy all vendor credentialing requirements, which may include vaccination for COVID-19.  If you require a medical or religious accommodation from these requirements or if you would like to understand more about these requirements, please advise HR so that we can provide additional information and if needed, we can explore any needed accommodation(s).

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.  

The base pay for this position is

$85,300.00 – $170,700.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Support Services

DIVISION:

EP Electrophysiology

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 50 % of the Time

MEDICAL SURVEILLANCE:

Yes

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day), Driving a personal auto or company car or truck, or a powered piece of material handling equipment

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Senior Administrative Assistant

Location: 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:

Business Support

Job SubFunction:

Administration & Secretarial

Job Category:

Business Enablement/Support

All Job Posting Locations:

Raritan, New Jersey, United States of America

Job Description:

We are searching for the best talent for an Sr. Administrative Assistant to support our Patient Advocacy and Global Medical Affairs Leadership Team in Raritan, New Jersey.

Per our J&J Flex Policy, the expectation for this position is to work in office 3-4 days per week and work from home 1-2 days per week.

About Innovative Medicine

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine

The Sr. Administrative Assistant will report to the Global Head, Patient Advocacy, and will provide support to three additional GMAF Oncology leadership team members and their respective teams, as needed.   

Job description: 

• Provide full administrative support and project coordination to the Global Head, Patient Advocacy; the Global Head, Medical Affairs Evidence Generation and Study Execution; the Global Head, GMAF Study Innovation and the Oncology External Scientific Engagement Leader in Global Medical Affairs, Oncology and senior leaders and other department personnel.
• Manage multiple complex calendars, booking all domestic and international travel, and managing congress registrations as needed.   
• Maintain flexibility, anticipation, and advanced organizational skills which are essential in this very fast-paced environment – often needing to arrange and adjust to changing daily schedules.
• Schedule and prioritize all logistics for internal and external meetings -- including drafting agendas, attendee lists, invitations, and acting as point of contact for attendees and venues. 
• Utilize technology to optimize all business interactions to include all virtual meetings, including Zoom and Teams.
• Manage catering, room set-up and all site management to include external attendees, technical support and equipment as needed.
• Proactively seek out opportunities to make team management and oversight more efficient and effective. 
• Aid in developing project communications, including but not limited to PowerPoint decks, Word, Excel spreadsheets, SharePoint and Teams administration, etc.
• Respond to complex inquiries from all levels of employees or external sources regarding a variety of questions across multiple time zones and cultures.
• Facilitate and manage interview scheduling and Totality/HCC administration when needed.
• Prepare monthly expense reports through Concur and ensure all expenses are done on time. 
• Partner with the Executive Operations Coordinator and all other team administrative assistants in maintaining team distribution lists and ad hoc requests across the GMAF Oncology team, providing seamless support.

Qualifications

• High School diploma is required
• Minimum of 6 years of administrative experience is required (previous Pharma experience supporting larger teams/supporting Sr. executives preferred)
• Ability to maintain confidentiality, establish secure filing procedures and safeguard materials and information is required.
• Must have a keen sense of prioritization, organization, and time management to ensure maximum effectiveness for the benefit of the team.
• Advanced proficiency with Microsoft office programs (Word, Excel, PowerPoint, Outlook, Teams, etc.) is required.
• Advanced proficiency with productivity tools and portal technology is required (Our Source, Zoom, Teams Meetings, eMarketplace, Concur, Our Source, Workday, Totality, ASK GS, SharePoint)
• This position is required to be based in Raritan, NJ.

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, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

The anticipated base pay range for this position is :

$51,450 - $82,000

Additional Description for Pay Transparency:

This position is eligible for overtime. Subject to the terms of their respective plans, employees and/or eligible dependents are 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. Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation –120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year Holiday pay, including Floating Holidays –13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave – 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave – 10 days Volunteer Leave – 4 days Military Spouse Time-Off – 80 hours Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits

Title: Senior Field Clinical Specialist

Location: United States of America : Remote

Job Description:

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 114,000 colleagues serve people in more than 160 countries.

JOB DESCRIPTION:

Job Title

Senior Field Clinical Specialist

Working at Abbott

At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to:

• Career development with an international company where you can grow the career you dream of.
• Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year.
• An excellent retirement savings plan with high employer contribution
• Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree.
• A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune.
• A company that is recognized as one of the best big companies to work for as well as a best place to work for ersity, working mothers, female executives, and scientists.

The Opportunity

We currently have an opportunity available for a Senior Field Clinical Specialist to join our Vascular ision. This is a fully remote role for a candidate living in any region of the United States.

Abbott Vascular provides innovative, minimally invasive, and cost-effective products for treatment of vascular disease. 

As the Specialist in Global Clinical Affairs, considered as highly experienced and knowledgeable resource within the organization in overseeing the direction, planning, execution, clinical trials/research and the data collection activities.

WHAT YOU’LL DO:

• Contributes to implementation of clinical protocols and facilitates completion of final reports.
• Recruits clinical investigators and negotiates study design and costs.
• Responsible for directing human clinical trials, phases III & IV for company products under development.
• Participates in adverse event reporting and safety responsibilities monitoring.
• Coordinates and provides reporting information for reports submitted to the regulatory agencies.
• Monitors adherence to protocols and determines study completion.
• Coordinates and oversees investigator initiations and group studies.
• May participate in adverse event reporting and safety responsibilities monitoring.
• May act as consultant/liaison with other corporations when working under licensing agreements.
• Travel up to 80%.

EDUCATION AND EXPERIENCE YOU’LL BRING:

Required Experience

• Associate's degree required
• 7 years of Cath Lab and/or Medical Device experience

Preferred Experience

• Bachelor's Degree highly preferred.
• Coronary and peripheral technologies
• Clinical Trial Support experience
• Product Development
• Cath Lab Tech or Surgical Tech
• Medical Device experience
• OCT experience

Learn more about our health and wellness benefits, which provide the security to help you and your family live full lives:  www.abbottbenefits.com

Follow your career aspirations to Abbott for erse opportunities with a company that can help you build your future and live your best life. Abbott is an Equal Opportunity Employer, committed to employee ersity.

Connect with us at www.abbott.com, on Facebook at www.facebook.com/Abbott and on Twitter @AbbottNews and @AbbottGlobal.  

The base pay for this position is

$75,300.00 – $150,700.00

In specific locations, the pay range may vary from the range posted.

JOB FAMILY:

Medical & Scientific Affairs

DIVISION:

AVD Vascular

LOCATION:

United States of America : Remote

ADDITIONAL LOCATIONS:

WORK SHIFT:

Standard

TRAVEL:

Yes, 75 % of the Time

MEDICAL SURVEILLANCE:

No

SIGNIFICANT WORK ACTIVITIES:

Continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day), Continuous standing for prolonged periods (more than 2 consecutive hours in an 8 hour day) 

Abbott is an Equal Opportunity Employer of Minorities/Women/Iniduals with Disabilities/Protected Veterans.

EEO is the Law link - English: http://webstorage.abbott.com/common/External/EEO\_English.pdf

EEO is the Law link - Espanol: http://webstorage.abbott.com/common/External/EEO\_Spanish.pdf

Title: Senior Administrative Assistant

Location: 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:

Business Support

Job SubFunction:

Administration & Secretarial

Job Category:

Business Enablement/Support

All Job Posting Locations:

Raritan, New Jersey, United States of America

Job Description:

We are searching for the best talent for an Sr. Administrative Assistant to support our Patient Advocacy and Global Medical Affairs Leadership Team in Raritan, New Jersey.

Per our J&J Flex Policy, the expectation for this position is to work in office 3-4 days per week and work from home 1-2 days per week.

About Innovative Medicine

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine

The Sr. Administrative Assistant will report to the Global Head, Patient Advocacy, and will provide support to three additional GMAF Oncology leadership team members and their respective teams, as needed.   

Job description: 

• Provide full administrative support and project coordination to the Global Head, Patient Advocacy; the Global Head, Medical Affairs Evidence Generation and Study Execution; the Global Head, GMAF Study Innovation and the Oncology External Scientific Engagement Leader in Global Medical Affairs, Oncology and senior leaders and other department personnel.
• Manage multiple complex calendars, booking all domestic and international travel, and managing congress registrations as needed.   
• Maintain flexibility, anticipation, and advanced organizational skills which are essential in this very fast-paced environment – often needing to arrange and adjust to changing daily schedules.
• Schedule and prioritize all logistics for internal and external meetings -- including drafting agendas, attendee lists, invitations, and acting as point of contact for attendees and venues. 
• Utilize technology to optimize all business interactions to include all virtual meetings, including Zoom and Teams.
• Manage catering, room set-up and all site management to include external attendees, technical support and equipment as needed.
• Proactively seek out opportunities to make team management and oversight more efficient and effective. 
• Aid in developing project communications, including but not limited to PowerPoint decks, Word, Excel spreadsheets, SharePoint and Teams administration, etc.
• Respond to complex inquiries from all levels of employees or external sources regarding a variety of questions across multiple time zones and cultures.
• Facilitate and manage interview scheduling and Totality/HCC administration when needed.
• Prepare monthly expense reports through Concur and ensure all expenses are done on time. 
• Partner with the Executive Operations Coordinator and all other team administrative assistants in maintaining team distribution lists and ad hoc requests across the GMAF Oncology team, providing seamless support.

Qualifications

• High School diploma is required
• Minimum of 6 years of administrative experience is required (previous Pharma experience supporting larger teams/supporting Sr. executives preferred)
• Ability to maintain confidentiality, establish secure filing procedures and safeguard materials and information is required.
• Must have a keen sense of prioritization, organization, and time management to ensure maximum effectiveness for the benefit of the team.
• Advanced proficiency with Microsoft office programs (Word, Excel, PowerPoint, Outlook, Teams, etc.) is required.
• Advanced proficiency with productivity tools and portal technology is required (Our Source, Zoom, Teams Meetings, eMarketplace, Concur, Our Source, Workday, Totality, ASK GS, SharePoint)
• This position is required to be based in Raritan, NJ.

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, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

The anticipated base pay range for this position is :

$51,450 - $82,000

Additional Description for Pay Transparency:

This position is eligible for overtime. Subject to the terms of their respective plans, employees and/or eligible dependents are 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. Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation –120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year Holiday pay, including Floating Holidays –13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave – 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave – 10 days Volunteer Leave – 4 days Military Spouse Time-Off – 80 hours Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits

Behavioral Health - Case Manager I

Location: VA-NORFOLK, 5800 NORTHAMPTON BLVD

Remote

Job Description:

Location: Virtual: This role enables associate to work virtually full-time, however the candidate must live in the Tidewater Region of Virginia. This is a virtual position 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.

The Behavioral Health - Case Manager I is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs.

How you will make an impact:

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.
• Conducts assessments to identify inidual needs and develops care plan to address objectives and goals as identified during assessment.
• Monitors and evaluates effectiveness of care plan and modifies plan as needed.
• Supports member access to appropriate quality and cost effective care.
• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

Minimum Requirements:

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.
• Current active unrestricted license such as RN LCSW (as applicable by state law and scope of practice) LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

Preferred Skills, Capabilities, and Experiences:

• Experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders preferred.
• For Government business only LAPC LAMFT (as allowed by applicable state laws) is also acceptable in addition to other licensure referenced above; and any other state or federal requirements that may apply. For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

Title: Tele Neurologist

Location: Brookfield, Wisconsin, 53005

Job type: Part-time

Work model: Remote

Location requirement: Wisconsin medical license (work from home)

Remote

Job Description:

Details

• Specialty: Neurology
• Subspecialty Interest: Vascular Neurology and Telemedicine
• Schedule: .5 FTE / 20 hours a week. Primarily overnights.
• Rotating weekends and holidays.
• Call Schedule: Cover inpatient teleneurology consults
• Practice Detail: Join a group of other employed teleneurologists providing acute stroke and neurohospitalist care remotely via telemedicine
• EMR System: EPIC / AmplifyMD / Cerner
• Facility: Ascension Acute Care Hospitals
• Location: Fully Remote

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Ascension is looking for a Vascular Neurologist to join our national Teleneurology program.

This is a great opportunity for the right candidate to partner with Ascension to provide medical services to hospital patients via telemedicine.

Position Highlights:

• Competitive compensation package
• Generous benefits, including CME allowance, PTO, 403(b)
• Parental leave and fully paid malpractice coverage

Responsibilities:

• Evaluates and treats patients with appropriate medical diagnostic and treatment skills.
• Recommends, participates in, and works to ensure the success of efforts to improve cost effectiveness and quality of care provided to patients.
• Acts as consulting physician for patients who require hospitalization for primary medical diagnoses, depending on the needs of patients, medical staff, and hospital.
• Provides appropriate documentation that meets insurance company requirements; appeal all denials in a timely manner.
• Participates in inpatient consultation for specialty, which may include on-call schedules.

Requirements

Licensure / Certification / Registration:

• Physician MD/DO credentialed from the Wisconsin Medical Examining Board obtained prior to hire date or job transfer date required.
• Advanced Life Support preferred.

Education:

• Doctor of Medicine (MD) or Doctor of Osteopathy (DO) required.

Additional Preferences

No additional preferences

Why Join Our Team

Ascension Wisconsin has been providing rewarding careers to healthcare professionals since 1848. Operating 17 hospital campuses and over 100 related healthcare facilities from Racine to Appleton, you will find opportunities that allow you to create a career path you love, all while delivering compassionate, personalized care to the communities we serve.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to iniduals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

Title: Mental Health Therapist - California

Location: California, United States

Remote

Job Description:

Two Chairs is building a new kind of mental health system based on the idea that the status quo isn't good enough. Industry-best clinician experiences, better client outcomes, groundbreaking innovation, and access to the highest quality care are how we'll raise the bar for the entire industry. With that, we're excited and honored to have been recognized as a 2025 Great Place to Work, 2025 Fortune's Best Workplaces in Healthcare, and 2024 Inc.'s Best in Business

One of our company values is "Embrace Differences" and ersity, equity, inclusion, and belonging are the principles guiding how we build our business and teams. We encourage interested candidates from all backgrounds to apply even if they don't think they meet some expectations of the role.

Why Choose Two Chairs?

• Consistent Pay: Get paid semi-monthly, with an annual salary ranging between $59,500 and $125,000.
• Balanced Caseloads and Tailored Schedules: Work a 45-hour week (including a daily lunch break), with an average caseload of 25 attended sessions (a mix of ongoing therapy and consult sessions) and support for cancellations and documentation time. Hours are Monday through Friday, with the work week spread across five days. Session hours are available from 8:00 a.m. to 9:00 p.m. PST.
• Support for Wellness & Professional Growth: We provide a wellness and productivity stipend ($1,000 annually), a one-time $200 remote work stipend, free CE credits through monthly APA-accredited courses, consultation opportunities, Psych Hub membership, and wellness events to support your growth.

About the Role

• Deliver remote, evidence-based therapy to adult clients (18+), practicing modalities like CBT, DBT, ACT, MBCT, TLDP, IPT, EFT, and MI
• Maintain a caseload of ~25 attended ongoing therapy and consult sessions per week (schedule approx. 29 to account for cancellations)
• Facilitate client consult appointments as needed
• Maintain progress notes and documentation in compliance with HIPAA and state regulations
• Use data to drive effective treatment and adjust your approach based on client progress
• Participate in weekly case consultation, monthly wellness groups and professional development
• Collaborate with other mental health providers as needed and refer clients when appropriate
• Maintain progress notes and documentation in compliance with HIPAA and state regulations

Requirements

• Licensed in California as a Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Counselor (LPC), Licensed Psychologist (PhD or PsyD)
• Minimum of two years of clinical experience with adults (18+)
• At least six months of teletherapy experience
• Available for session hours from 8am to 9pm PST, Monday through Friday
• Proficient with clinical assessments (e.g., PHQ-9) for tracking client progress
• Experience with electronic health record (EHR) systems
• Must be licensed and in good standing with your governing licensing board

Compensation The salary range for this full-time, exempt role is between $59,500 and $113,735 based on place of residence, years of licensure, and level (Clinician, Clinician II) as assessed during interviews. Your total compensation also includes quarterly incentive opportunities, giving you the chance to grow your earnings while making an impact.

Additional earning opportunities in support of higher caseloads are available.

• Zone 1 / New York City and San Francisco | $78,795 - $113,735

New hires can reasonably expect an offer between $78,795 and $98,900

• Zone 2 / Portland, Boston, Chicago, Washington DC, New Jersey, Washington, all other CA locations | $72,675 - $104,190

New hires can reasonably expect an offer between $72,675 and $90,600

• Zone 3 / Miami, Philadelphia, Denver, Austin, Dallas, Houston | $62,135 - $92,345

New hires can reasonably expect an offer between $62,135 and $80,300

• Zone 4 / All other locations | $59,500 - $88,895

New hires can reasonably expect an offer between $59,500 and $77,300

Perks and benefits:

• Paid time off, including nine paid holidays and an additional Winter Office Closure from Christmas Day (Observed) through New Year's Day
• Comprehensive medical, dental, and vision coverage
• 401(k) Retirement savings options
• One-time $200 Work from Home reimbursement
• Annual $1,000 Productivity & Wellness Stipend to support your personal and professional goals
• Free CE credits through monthly APA-accredited courses and a Psych Hub membership
• Annual $500 subsidized company contribution to your healthcare FSA or HSA
• Paid parental leave
• Dedicated Clinical Care team for client requests, tech support, and on-the-job learning
• Full malpractice insurance coverage and licensure fee reimbursement

What to Expect: Our Interview Process

• Application Review: We'll promptly review your application to ensure you meet the minimum qualifications
• Recruiter Interview: 45-minute phone interview with one of our Clinical Recruiters
• Clinical Interview: 45-minute video interview with one of our Clinical Leaders
• Offer: If all goes well, you'll receive an offer to join our team!
• Expected Interview Timeline: The entire process typically takes 2 weeks

Important Notes:

• Pre-licensed Clinicians: We would be happy to speak with you if you are within 60 days of your licensing exam. However, we only hire Associates within 30 days of their exam date.
• Please stay alert for job scams: All communication will come from official Two Chairs email domains (@twochairs.com or @twochairscareers.com). See tips from the FTC to avoid job scams: https://www.consumeraffairs.com/news/ftc-offers-tips-on-avoiding-job-scams-041321.html

#LI-REMOTE

Title: Engagement & Licensing Specialist

Location: North Charleston United States

Job Description:

SAFY of South Carolina is seeking a full-time Engagement & Licensing Specialist who will be responsible for the recruitment, licensing, engagement and retention of foster parents, as defined by annual goals in Charleston and surrounding areas.

This position is hybrid with Mondays spent in the office and weekly travel expectations to provide services in the community.

Who We Are

At SAFY, our mission is Preserving Families & Securing Futures. For 40 years, our work has rested on a single, radical idea - children belong in families. We believe that every child and family deserve the opportunity to reach their full potential. We are a team of 500 employees across seven states providing services such as Family Preservation & Reunification, Behavioral Health, Therapeutic Foster Care, Adoption Services and Older Youth Services so the families and children we serve can build resilience and thrive.

What You'll Do

Licensing/Recruiting:

• Works inidually and in conjunction with other staff, foster parents, and community-based volunteers to develop and implement on-going recruitment activities to attract caring adults interested in becoming foster and/or respite parents using a variety of creative tactics.
• Consistently follows-up with prospective adults interested in becoming foster parents using phone, email, face-to-face contact, and mail. Will provide ongoing engagement with prospective foster parents as they go through licensure process.
• Serves as key liaison with the community and with other organizations, attending events, and regular participation at community meetings. This includes relationship building with prospective foster and respite parents, current foster and respite parents, local business, news media, churches, community volunteers and leaders.
• Coordinate, plan, schedule, facilitate or oversee speaking engagements at community/civic organizations as needed. Coordinate exhibits and special events. Identify, coordinate and participate in recruitment opportunities such as foster parent/child welfare conferences, trainings, and community events.
• Manage budget with guidelines.
• Monitor competitors' foster parent recruitment and advertising activities.
• Perform home study of prospective foster/adoptive parent(s) and their home environment according to SAFY policy and specific requirements of the state.
• Organize and schedule the foster/adoptive parent(s) Pre-service training program. Organization of Preservice training includes arranging presenters, locating/scheduling meeting sites, notifyingattendees.
• Conducts training sessions and assures that the content and required number of training hours is provided according to SAFY policy and state regulations.
• Complete all elements of the licensing process for each parent/home that successfully completes all phases of training within 90 days.

Compliance/Reporting:

• Timely data entry and case notes entered into tracking system weekly.
• Compliance with monthly and quarterly requirements as defined annually by QI plan.
• Submit reports needed for corrective action to Treatment Director.
• Complete process for the recertification of assigned foster homes on a timely basis as specified in the applicable licensing regulations.

Other:

• Establish and maintain a positive working relationship, sensitive and responsive to the cultural differences with all levels of SAFY staff, clients, families and vendors.
• Ability to work flexible hours daily/weekly to fulfill position duties; may include evenings and/or weekends.
• Ability to maintain confidential and sensitive information.
• Other duties or special projects as assigned.

What You Bring

We are looking for people from erse backgrounds and experiences who are inspired by our noble mission to make a difference in the lives of the children and families in our care. You'll be right at home if you are willing to learn from successes as well as setbacks, persevere in challenges and adversity, cultivate collaborative relationships, understand and leverage ersity, advocate for equity, aspire to work inclusively, and partner to drive your work and that of your team to the next level.

Qualifications

• Bachelor's degree in social work or a human services field.
• Two years of relevant experience in client and/or community engagement.
• Excellent communication skills (oral and written) as well comfort with public speaking and facilitation of groups.
• Strong interpersonal and relationship building skills.
• Self-motivated, tenacious and driven to accomplish goals.
• Proven team player with a willingness to help others as needed.
• Resolution focused.
• Strong organizational skills to prioritize workload.
• Attention to detail and accuracy and ability to multitask.
• Ability to operate a computer with Microsoft Office, other software, agency databases and online systems.
• Acceptable driving record and auto insurance coverage to meet travel requirements.
• Previous experience in child welfare.

What We Offer

• Targeted hiring range: $45,000.00 to $62,000.00

• Compensation is commensurate with transferrable experience, education and licensure of candidate, location of the position, along with internal equity and budgeted amount for the role.

• Comprehensive benefit plan options including Medical, Dental, Vision, Disability, Life Insurance, Flexible Spending and Health Savings account options to meet your needs

• 401(k) Retirement plan with company match

• 12 paid holidays per year, generous sick & vacation time and an additional day off for your birthday

• All regular full and part time staff are eligible for quarterly and/or annual bonuses

• Tuition Reimbursement up to $5,000 each year

• CEU Reimbursement up to $1,000 each year

• On demand access to earned wages through Zayzoon

• Gain leadership skills, develop your clinical expertise, or earn CEUs with access to over 1,000 courses on our learning platform or through our talented in-house training department

• Clinical Supervision Reimbursement up to $300 per month

• Employee Assistance Program with 6 free visits per year

• Free Financial Advisor Services

• Support Services for alternative Health Insurance and benefit credit reimbursement options

• Employee and Foster Parent Referral bonus program

• Leave donation program

• Adoption Assistance

• Mileage reimbursement

• Your choice of company paid cell phone or phone stipend

SAFY is proud to be an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment. SAFY does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, gender, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, gender expression, arrest record, conviction record, or any other personal characteristic protected by applicable law. This policy covers all programs, services, policies, and procedures of SAFY, including recruiting, hiring, training, promotion, and administering all personnel actions, such as compensation, benefits, transfers, layoffs or terminations.

Title: Assistant Professor, Clinical Faculty Appointment

- Colon & Rectal Surgery

Location: Houston United States

Job Description:

The University of Texas MD Anderson Cancer Center, Department of Colon and Rectal Surgery is seeking to recruit an academic surgeon to join our team. The major criteria for appointment are excellence in the overall mix of clinical care, clinical teaching, scholarly activity that advances clinical medicine, and institutional service. We are actively recruiting faculty positions with eligibility for term tenure track or clinical faculty track appointments dependent upon the candidate's interests and qualifications.

Prerequisites include board-certification or board-eligibility in Colon and Rectal Surgery or in Complex General Surgical Oncology with a focused experience in the multidisciplinary treatment of patients with Colon, Rectal, and Anal Cancer. The desired candidate will have a strong commitment to clinical excellence, mentorship, scholarship and teamwork.

Responsibilities will include providing clinical expertise in colon and rectal surgical care in a multidisciplinary setting, maintaining the programmatic excellence of our comprehensive colon and rectal cancer program, educating the trainees in our Advanced Colon and Rectal Surgical Oncology, Complex General Surgery Oncology, or affiliated residency and fellowship programs, and developing a robust clinical, health services, data and informatics, or translational science research program. The ideal candidate will have substantial scholarly activity and a high likelihood of obtaining extramural funding to support their scholarly activity.

Salary is competitive, with excellent compensation and benefits package provided.

The University of Texas MD Anderson Cancer Center offers excellent benefits, including medical, dental, paid time off, retirement, tuition benefits, educational opportunities, and inidual and team recognition.

This position may be responsible for maintaining the security and integrity of critical infrastructure, as defined in Section 113.001(2) of the Texas Business and Commerce Code and therefore may require routine reviews and screening. The ability to satisfy and maintain all requirements necessary to ensure the continued security and integrity of such infrastructure is a condition of hire and continued employment.

It is the policy of The University of Texas MD Anderson Cancer Center to provide equal employment opportunity without regard to race, color, religion, age, national origin, sex, gender, sexual orientation, gender identity/expression, disability, protected veteran status, genetic information, or any other basis protected by institutional policy or by federal, state, or local laws unless such distinction is required by law.http://www.mdanderson.org/about-us/legal-and-policy/legal-statements/eeo-affirmative-action.html

Additional Information

• Requisition ID: 177783
• Employee Status: Regular
• Minimum Salary: US Dollar (USD) 0
• Midpoint Salary: US Dollar (USD) 0
• Maximum Salary : US Dollar (USD) 0
• FLSA: exempt and not eligible for overtime pay
• Work Location: Hybrid Onsite/Remote

#LI-Hybrid

**Title:**Director of Provider Initiatives and Experience

Job Description:

VillageCare MAX

112 Charles Street, New York, NY 10014

Must reside in NY, NJ or CT

Salary: $153,978.55 - $173,225.87

Join VillageCare as the Full-Time Director of Provider Initiatives and Experience and play a pivotal role in transforming healthcare in New York City. This position offers the unique opportunity to lead innovative projects and initiatives that enhance provider relationships and elevate patient experiences. Working remotely provides you with the flexibility to balance your professional and personal life while making a meaningful impact. You will thrive in a high-performance, energetic culture that values problem-solving and customer-centricity. The competitive salary for this role ranges from $153,978.55 to $173,225.87, reflecting our commitment to excellence and integrity.

You will have benefits such as PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. If you are ready to take your career to the next level and join a forward-thinking organization, apply today to be part of a team that is shaping the future of healthcare.

VillageCare: Who We Are

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and iniduals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to iniduals residing within New York City for over 45 years.

What it's like to be a Director of Provider Initiatives and Experience at Director of Provider Initiatives and Experience

The Director of Provider Initiatives and Experience at VillageCare is a crucial role that oversees every aspect of the provider journey, ensuring an exceptional experience for all stakeholders. This position involves cultivating meaningful relationships with providers, maintaining compliance with industry standards, and managing special initiatives that promote efficiency and innovation. Additionally, the director will oversee the management of provider complaints, ensuring timely resolutions that uphold our commitment to customer-centricity. Reporting to the AVP of Network Management and Network Operations, this role operates with a high degree of independence to create a seamless provider experience, embodying the organization's core values of excellence and integrity.

If you are passionate about enhancing provider relations in the healthcare sector, this is the opportunity for you.

Are you a good fit for this Director of Provider Initiatives and Experience job?

To excel as the Director of Provider Initiatives and Experience at VillageCare, candidates should possess a minimum of five years of progressive experience within healthcare and provider networks, demonstrating increasing levels of accountability. Strong oral, written, and interpersonal communication skills are essential for effectively engaging with providers and fostering collaboration. Additionally, problem-solving, facilitation, and analytical skills will be critical in navigating complex challenges and driving initiatives forward.

A Bachelor's Degree is required, alongside previous management or leadership experience, showcasing the ability to oversee projects and teams successfully. Proficiency in relevant software and tools will enhance your performance in this role. The ability to travel between New York boroughs to attend provider events is also necessary, ensuring a strong presence within the community and a commitment to provider engagement.

Knowledge and skills required for the position are:

Experience: 5 or more years of progressive health care and provider experience including increasing accountability within the network management space. Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills a must. Ability to travel between New York boroughs is required including attending provider events as required

Education and certification: Requires a Bachelor's Degree. Previous Management / Leadership experience or progressive project oversight

Join our team today!

If you think this job is a fit for what you are looking for, great! We're excited to meet you!

VillageCare is an Equal Opportunity Employer.

Clinical Operations Manager

Location: San Antonio United States

Job Description:

SUMMARY: The Clinical Operations Manager provides clinical leadership for Allegiance Mobile Health, focusing on developing and overseeing quality improvement, education, and credentialing programs. The position ensures compliance with regulatory standards, manages process improvement initiatives, supports staff development, and collaborates with both internal leaders and external partners. Field presence for real-time assessment and feedback is also a key responsibility. The ideal candidate has EMS field and leadership experience, strong organizational skills, and relevant certifications.

ESSENTIAL DUTIES AND RESPONSIBILITIES: (Responsibilities include, but are not limited to)

• Collaborates with the Chief Medical Officer (CMO), Regional Operating Officers, District Managers, and Shift Supervisors to establish and maintain a clinically focused program that inspects, measures, and evaluates current practices. Identifies areas for improvement and designs targeted training and education to address these needs efficiently. Serves as a clinical liaison to ensure compliance with clinical and regulatory standards, enabling operations to concentrate on staffing, response readiness, supplies, and contract compliance.
• Develop and manage programs within the guidelines established by the Chief Medical Officer, the Company's Vision, Goals, and Policies, as well as those of the Texas Department of State Health Services (DSHS).
• Plans, executes, and tracks Clinical Quality Improvement activities in partnership with the CMO to ensure timely reviews and the implementation of effective remediation plans.
• Coordinates and manages initial and ongoing credentialing activities.
• Assists the EMS Academy by identifying and coordinating regional lecturers for continuing education, specialized training educators, certification instructors, and initial education instructors.
• Collaborates with and supervises Field Training Officers to design, implement, and maintain comprehensive New Hire Orientation and Process Improvement Plan programs. Ensures effective education and preparation of new employees and those on remediation plans. Oversees Field Training Officers in credentialing staff and evaluating clinical competencies.
• Stays current with evidence-based practices and research to guide patient care and protocol development. Contributes to the creation and implementation of clinical operating guidelines and coordinates research or quality improvement projects as needed.
• Engages in ongoing professional development, seeking opportunities to advance the clinical department positively and progressively.
• Responds to EMS scene calls to assess the skills and abilities of EMS personnel, providing immediate feedback and using collected data to inform process improvements.
• Works with the Quality Assurance Department to provide field input and share process improvement strategies with staff. Ensures clinical Key Performance Indicators (KPIs) are met and leads projects to drive progress when necessary.
• Oversees regional compliance with documentation standards, ensuring completion of patient care reports, adherence to clinical documentation requirements, and validation of data collection.
• Collaborates with local hospital systems and Regional Advisory Councils to gather patient outcome data, identify process improvement opportunities, and facilitate educational initiatives.
• Conducts regular inspections of personnel and equipment to ensure compliance with state regulations, safety standards, and departmental clinical standards. Prepares responses to Texas DSHS inquiries regarding complaints, inspections, and regulatory requirements.
• Leads regional clinical coordination activities under the direction of the Chief Medical Officer to ensure collaboration and compliance with clinical standards, resolving any conflicts constructively.
• Serves as the Infection Control Officer for the organization.
• Attend all regularly scheduled clinical management and staff meetings.

KNOWLEDGE & SKILLS:

• Experience leading and managing both full-time and part-time employees is preferred.
• Ability to think creatively and apply innovative leadership and management techniques is required.
• Strong computer skills, including Microsoft Outlook, Word, Excel, and PowerPoint, are required.
• Strong customer service skills and the ability to communicate effectively with erse groups of people are required.
• Excellent organizational skills.
• Attention to detail and accuracy are required.

PHYSICAL REQUIREMENTS:

• Ability to communicate clearly via phone, online, and text as regularly required to talk and hear
• Lift, carry, balance and push up to 125 pounds (250 pounds with assistance).
• Demonstrate flexibility and physical coordination by bending from the waist and touching toes, squat with legs parallel to the ground, and kneeling with both knees firmly on the ground.
• Repetitive lifting, squatting, stooping and kneeling.
• Climb 20 sets of stairs without rest within 60 seconds.
• Demonstrate fine manual dexterity by performing job-related clinical skills (starting IV's, intubating, etc.).
• Have correctable vision adequate to read street signs, see in low light and read the small print.
• Ability to operate standard office software and equipment such as computer, phone, copier/printer, online fax, Microsoft Office and applicant tracking system.

MINIMUM QUALIFICATIONS:

• Minimum of three (3) years EMS field experience and two (2) years EMS leadership experience required.
• Current certification as a Texas Paramedic is required; licensure is preferred.
• ACLS, PHTLS/ITLS, PALS/PEPP, TECC, and CPR certifications are preferred.
• State of Texas EMS Instructor certification is preferred.
• State of Texas Administrator on Record.
• NIMS 300, 400
• A valid Texas Class "C" Driver's License, and insurable driver record, is required.
• While this position is remote, Texas residency is required.

Allegiance is an EEO employer as defined by the EEOC.

Specialist, Market Growth and Retention

Bilingual Spanish Required (Remote in New York)

Molina Healthcare

NY, United States; New York; New York, New York; Syracuse, New York; Buffalo, New York; Rochester, New York; Albany, New York; Yonkers, New York

Job Description

Job Summary

Provide prospective and existing members with assistance (telephonically inbound and outbound) completing state required applications, for the purpose of obtaining and maintaining healthcare coverage, and accurate information for eligibility for Medicaid, CHP and Essential Plan. Provide non-clinical reminders (i.e.; product overviews, premiums, gaps in care, care management, member engagement events etc..) and assist as needed with resolving issues, scheduling appointments, conducting outreach to appropriate State entities and resources to ensure member satisfaction, retention initiatives and quality metrics are met. 

Job Duties

•Pro-actively facilitate outreach (and handle inbound calls) to Molina members regarding their upcoming recertification with the state and healthplan. Educating members on process, qualifications, necessary documentation needed etc; while completeing the required applications and submissions to the State.

Job Qualifications

REQUIRED EDUCATION:

High School Diploma or equivalent

REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:

• 2-4 years customer service experience, preferably in a call center environment 

REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:

Must have NYS Certified Application Counselor Certification and/or be able to obtain certification within 60 days of hire date

PREFERRED EDUCATION:

Associate’s Degree or equivalent combination of education and experience

PREFERRED EXPERIENCE:

3-5 years customer service experience in a call center environment

To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Pay Range: $16.5 - $38.37 / HOURLY

About Us

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.

Job Type  Full TimePosting Date 11/24/2025

Principal Actuary - REMOTE

locations

Home

time type

Full time

job requisition id

R-15875

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Principal Actuary - REMOTE

Job Description

The Principal Actuary is responsible for supporting the development of actuarial concepts and providing thought leadership for Prime’s existing and potential owners and clients. This position will collaborate with the Senior Principal Actuary to provide strategic consulting support, manage the development of innovative actuarial modeling concepts, and provide pricing support for all lines of business. This position will also lead complex projects that are highly visible to executives and across the organization.

Responsibilities

• Collaborate as a subject matter expert (SME) with underwriters, other areas of Prime, and senior management on pricing initiatives, data analyses, and the Request For Proposal (RFP) process
• Lead, manage, and review data analyses, reporting, and projections
• Lead, manage, and review ad hoc complex pharmacy data mining and analyses to help investigate and answer challenging questions regarding actuarial data and concepts
• Provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling
• Present results and analyses to key stakeholders, senior management, and clients; answer detailed and challenging questions regarding actuarial data
• Lead and mentor Actuarial team members to enhance actuarial knowledge
• Monitor the Health Policy environment considering the implication of organization pricing policies, law, and political changes that may impact client programs
• Ensure all work is consistent with federal regulations and actuarial standards, as applicable
• Other duties as assigned

Minimum Qualifications

• Bachelor’s degree in Math, Actuarial Science, Economics or Finance
• 7 years of actuarial work experience to include 6 years in a healthcare organization or PBM
• Actuarial designation (ASA or FSA)
• Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Advanced level of proficiency in Excel; intermediate level of proficiency in SAS, SQL, or VBA
• Excellent quantitative, problem solving, and analytical skills
• Strong project management and organizational skills
• Excellent verbal and written communication skills
• Strong client consulting presence
• Excellent presentation and facilitation skills

Preferred Qualifications

• 8 years of actuarial work experience in a healthcare organization or PBM
• Previous experience pricing Commercial, Medicare or Medicaid lines of businesses
• 5 years of experience in SAS, SQL, or VBA
• Previous experience in model building and underwriting or risk adjusted rate setting, or model development
• Previous experience in identifying, designing, recommending, and implementing efficient, innovative business solutions to clients’ complex pharmacy benefit challenges

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage erse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Clinical Pharmacy Technician Sr - Remote

locations

Home

time type

Full time

job requisition id

R-15352

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Clinical Pharmacy Technician Sr - Remote

Job Description

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.

Responsibilities

• Determines appropriateness for medications. Communicates decision to physicians, physician`s office staff, medical management staff and/or pharmacists. Researches, resolves and documents prior authorization outcomes in pharmacy system.
• Communicates selected prior authorization criteria, pharmacy benefit coverage and formulary alternatives to physicians, physician`s office staff, medical management staff and/or pharmacists.
• Escalates requests to Pharmacist when request requires extensive clinical review or denial.
• Monitors telephone system to ensure adequate staffing to maintain client services levels.
• Assesses training needs within the team. Serves as a training resource, mentor and coach to others. Identifies and shares best practices.
• Demonstrates, advocates and reinforces a positive team environment.
• Other duties as assigned.

Minimum Qualifications

• Education Level

  • GED
  • High School

• Required CPT/ExCPT/LPT/PTCB/RPT, Pharmacy Technician, State Requirements - Pharmacy

• 2+ years Pharmacy

Must be eligible to work in the United States without the need for work visa or residency sponsorship

Additional Qualifications

• Must have an active pharmacy technician licensure or registration in accordance with state requirements.
• If state does not require an exam for licensure/registration, must possess both active pharmacy technician licensure or registration in accordance with state requirements AND an active national certification (e.g., PTCB or ExCPT).
• In states that do not require licensure or registration, must have an active national certification (e.g., PTCB or ExCPT).
• Specialty or retail pharmacy industry experience, previous reimbursement experience, and/or working in a health plan/health care setting.
• In-depth knowledge of specialty injectable prescription drugs, disease states, health plan formulary management techniques, medical terminology and current diagnostic and reimbursement coding (J/Q codes, ICD-9, CMS 1500, etc.).
• Proficiency in Pharmacy computerized systems and software applications, as well as MS Office Product Suite.
• Excellent written and verbal communication skills.
• Ability to follow clinical criteria and instructions to approve prior authorization requests.
• Minimum of 2 years dispensing or retail experience required, or equivalent internal training will be substituted.
• Ability to identify and trouble-shoot problematic issues.

Preferred Qualifications

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures

Every employee must be able to perform the essential functions of the job and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job.

Potential pay for this position ranges from $19.23 - $28.85 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage erse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Location:

IN-INDIANAPOLIS, 220 VIRGINIA AVE

GA-ATLANTA, 740 W PEACHTREE ST NW

WV-CHARLESTON, 200 ASSOCIATION DR, STE 200

OH-MASON, 4361 IRWIN SIMPSON RD

OH-CINCINNATI, 3075 VANDERCAR WAY

IA-W DES MOINES, 4800 WESTOWN PKWY, STE200

NV-LAS VEGAS, 3634 S MARYLAND PKWY

MN-MENDOTA HEIGHTS, 1285 NORTHLAND DR

WA-SEATTLE, 705 5TH AVE S, STE 300

TX-GRAND PRAIRIE, 2505 N HWY 360, STE 300

IL-CHICAGO, 233 S WACKER DR, STE 3700

Job Description:

Anticipated End Date:

2025-12-19

Position Title:

Director Pharmacy Account - Medicaid

Job Description:

Director Pharmacy Account - Medicaid

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered 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.

A proud member of the Elevance Health family of companies, CarelonRx (formerly IngenioRx) leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care

CarelonRx's Medicaid Sales and Account Management organization is looking to hire a Director of Pharmacy Account. This people leader will be responsible leading a team who manages contracts and relationships with Medicaid health plan accounts across the US. They will develop relationships with clients and internal stakeholders.

How you will make an impact:

• Executing CarelonRx strategies to maximize value from PBM contracts and creating, implementing policy and procedures to ensure compliance with PBM contracts.

• Manage a team to support rebate analysis, network pricing compliance and other financial aspects of the contract.

• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Minimum Requirements:

Requires a BA/BS and a minimum of 5 years of Pharmacy/PBM experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities, and Experience:

• Pharmacy License or equivalent service in specialty Rx field preferred.

• Medicaid health plan and pharmacy benefit management expertise preferred.

• Expertise in relationship management preferred.

• Experience as a liaison between pharmacy and medical health plan leaderships preferred.

• Experience leading account management team preferred.

• Pricing and analytics expertise preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $153,720 to $252,540.

Locations: Illinois, Minnesota, Nevada, Washington State

In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the company. The company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

Job Level:

Director

Workshift:

1st Shift (United States of America)

Job Family:

SLS > Sales Operations

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.

Senior Compliance Analyst (Risk Assessment and Oversight) - Remote

locations

Home

time type

Full time

job requisition id

R-15192

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us.

Job Posting Title

Senior Compliance Analyst (Risk Assessment and Oversight) - Remote

Job Description

The Senior Compliance Analyst assists in the implementation of Prime’s compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to execute assigned Compliance Oversight activities, which may include validating compliance gap closures throughout the business, partnering to facilitate company-wide Compliance Risk Assessment, and conducting new and ongoing compliance oversight activities to ensure alignment with regulatory expectations.

Responsibilities

• Conduct Compliance Oversight activities in effort to prevent, detect, and correct compliance concerns.
• Lead project management efforts for highly sensitive Compliance initiatives
• Represents the Compliance Department on complex contracts or cross-functional projects; identifies key stakeholders from across the enterprise and establishes effective collaboration techniques to maintain ongoing partnership between functions
• May collect, prepare and maintain records and related documentation for reporting to the Chief Compliance Officer, Prime’s senior leadership team, executives, Corporate Compliance Committee members and the Board of Directors; collaborates across the compliance organization to collect and organize information into clear, accurate and effective executive reports
• Serves as subject matter expert within Compliance and develops solutions to highly complex compliance problems by referring to precedence, policies and standard operating procedures; escalate issues to Compliance leadership as appropriate and enhance or develop new supporting documentation as necessary
• May execute and enhance Prime’s compliance programs by developing, maintaining and delivering compliance documentation and training, administering the annual conflict of interest or other cyclical compliance processes, or implementing a regular review cadence for standard operating procedures (SOP) and policies
• Research and interpret laws, industry guidance and regulatory issues that impact Prime’s compliance programs document requirements or disciplinary actions and escalate findings as appropriate
• Respond to requests for information and proposals, develop/revise/maintain departmental SOPs and other supporting documentation
• Other duties as assigned

Education & Experience

• Bachelor’s degree in business, healthcare, or related area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required

• 5 years of progressive work experience in legal or compliance related roles for a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare, Medicaid, and the Affordable Care Act (ACA)

• Must be eligible to work in the United States without need for work visa or residency sponsorship

Additional Qualifications

• Exceptional written and oral communication skills
• Demonstrated ability to apply critical thinking skills and problem solve through highly complex situations
• Complete understanding of effective compliance program principles, concepts, practices and standards; full breadth of knowledge around industry best practices and challenges; experience developing new concepts, techniques, standards and programs to support an organization’s compliance priorities
• Ability to effectively present complex information to a wide variety of audiences
• Ability to establish rapport and effectively influence at all levels within an organization
• Enhanced organizational skills with the ability to effectively work on multiple projects simultaneously
• Strong analytical skills

Preferred Qualifications

• PBM/health care experience related to Medicare, Medicaid, Commercial, HIM
• Certified Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC)
• Certified Project Management Professional (PMP)
• Advanced degree in related area of study, such as Juris Doctor

Physical Demands

• Ability to travel up to 10% of the time
• Constantly required to sit, use hands to handle or feel, talk and hear
• Frequently required to reach with hands and arms
• Occasionally required to stand, walk and stoop, kneel, and crouch
• Occasionally required to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds
• Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus

Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their job, and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Potential pay for this position ranges from $74,000.00 - $118,000.00 based on experience and skills.

To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" button for more detail.

Prime Therapeutics LLC is proud to be an equal opportunity and affirmative action employer. We encourage erse candidates to apply, and all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national origin, disability, age, veteran status, or any other legally protected class under federal, state, or local law.  

We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law.

Prime Therapeutics LLC is a Tobacco-Free Workplace employer.

Positions will be posted for a minimum of five consecutive workdays.

Mobile Veterinarian

Remote           Veterinarians         Full time

Newark, New Jersey, United States

Overview

Description

Life is HAPPIER at Lap of Love Veterinary Hospice! Join Lap of Love as an In-Home, Associate Veterinarian in Newark

Can you imagine working for a company that truly values its veterinarians and prioritizes your professional fulfillment and personal well-being? Established and owned by veterinarians, Lap of Love offers unparalleled professional freedom and a refreshing change of pace from in-clinic practice. Our doctors feel a profound sense of purpose in providing peaceful hospice and euthanasia services to pets in the comfort of their homes.

Join a compassionate and supportive community of over 350 veterinarians and support staff, where collaboration and encouragement are always just a call away. If you’re seeking greater career satisfaction and overall happiness, consider becoming a mobile veterinarian with Lap of Love. We’d love to have you!

Why Life is HAPPIER at Lap of Love:

Quality of Life: Enjoy a relaxing, balanced schedule that allows you to go home each day knowing you've made a profound impact.

Quality of Time: With an average of 2-4 appointments daily, you'll have time to provide compassionate and unrushed care to every pet and pet family.

Quality of Work: Families welcome you into their homes with gratitude, recognizing the vital role you play in providing comfort and peace.  

Benefits:

•  Customized medical, dental, and vision insurance plans to meet the needs of you and your family
• 401k with 3% company match
•  Guaranteed base salary with no negative accrual
•  Generous paid time off that grows with tenure
•  Up to $2,000 in annual CE allowance and additional PTO days to support professional development (Allowance and PTO days based on DVM schedule)
•  Comprehensive onboarding and ongoing mentorship
•  Total wellness program which includes mental, physical, and financial support services
•  Company-paid life insurance
•  Paid parental and bereavement leave
•  Dependent care FSA
•  Short- and long-term disability insurance
•  Pet insurance

Requirements:

•  Doctor of Veterinary Medicine (DVM/VMD/BVMS)
•  Must possess a valid U.S. driver's license
•  Able to lift up to 50 lbs unassisted and up to 100 lbs with assistance
•  Candidates will be subject to a background and motor vehicle record check, post-hire and before their associated start date.

Veterinarian Salary Range: $85,000 - $140,000

Provider Contract/Cost of Care Consultant

VA-NORFOLK, 5800 NORTHAMPTON BLVD

GA-ATLANTA, 740 W PEACHTREE ST NW

OH-MASON, 4241 IRWIN SIMPSON RD

VA-RICHMOND, 2015 STAPLES MILL RD,

IN-INDIANAPOLIS, 220 VIRGINIA AVE

Job Description:

Provider Contract/Cost of Care Consultant

Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA or Norfolk, VA. Alternate locations may be considered if candidates reside within a commuting distance from an office.

Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

The Provider Contract/Cost of Care Consultant provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large scale initiatives with high dollar cost savings opportunities. Works on complex enterprise-wide initiatives and acts as project lead.

How you will make an impact:

• Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process.

• Performs sophisticated retrospective data analytics.

• Builds new and modifies existing complex models to create predictive impact decision making tools.

• Performs healthcare cost analysis to identify strategies to control costs.

• Projects cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis.

• Performs modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic.

• Researches the financial profitability/stability and competitive environment of providers to determine impact of proposed rates.

• Projects different cost of savings targets based upon various analytics.

• Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures.

• Recommends policy changes and claims system changes to pursue cost savings.

• Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable.

• Recommends standardized practices to optimize cost of care.

• Educates provider contractors on contracting analytics from a financial impact perspective.

• Recommends alternative contract language and may go on-site to provider premises during contract negotiations.

• Participates on project team involved with enterprise-wide initiatives.

• Acts as a source of direction, training and guidance for less experienced staff.

Minimum Requirements:

Requires BS/BA degree in Mathematics, Statistics, or related field; minimum of 5 years of experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Duals experience highly preferred.

• Proficiency in data manipulation tools such as SQL, SAS, or similar highly preferred.

• Exceptional analytical, organizational, presentation, and problem-solving skills preferred.

• Cost of care analysis knowledge preferred.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

RDA > Health Economics & Cost of Care

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.

Title: Senior Processing Engineer

Location: Guaynabo PR or Titusville United States

Job Description:

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at https://www.jnj.com

Job Function:

Supply Chain Engineering

Job Sub Function:

Process Engineering

Job Category:

Scientific/Technology

All Job Posting Locations:

Guaynabo, Puerto Rico, United States of America, Titusville, New Jersey, United States of America

Job Description:

Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow.

Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way.

Learn more at https://www.jnj.com/innovative-medicine.

We are searching for the best talent, Senior Processing Engineer. This Hybrid position can be based in Titusville, New Jersey, Springhouse Pa, or Guaynabo, Puerto Rico.

#LI-Hybrid

MSAT (Manufacturing Science and Technology) is a ision of the Innovative Medicine Supply Chain (IMSC) of Johnson & Johnson. MSAT is a worldwide organization with members located across the geography in close vicinity to the Internal Manufacturing Network (MTO) and External Manufacturers, providing Technical Competence and Manufacturing Excellence to Johnson and Johnson's pharmaceutical environment and product portfolio.

The MSAT Synthetics DP External Site Senior Processing Engineer is responsible for providing technical oversight to external manufacturing (EM) sites. They will also be responsible for site ownership in performing due diligence, auditing, and site onboarding. The Scientist will conduct technical/risk assessment, execution, and/or oversight of New Product Introduction (NPI), technical transfers, and Product Life Cycle (LCM) management. They will be involved with standards and new technology deployment, Multi-Variate Analysis (MVA) & statistical analysis, Proactive assessments and de-risking of products and process through collaboration with various other MSAT teams, different functions, and partners.

Key Responsibilities:

• Handle execution of drug product technology transfer, product life cycle activities, material qualification, and cleaning validation.

• Support NPI using applicable tools and standards in collaboration with Virtual Management Team (VMT), key supply chain functions, Technical launch integrators / owners, and EM site.

• Act as Technical coordinator for CMO process technology proficiency assessment, technology standards, and implementation of MSAT Technology Roadmaps.

• Serve as primary contact and site owner for technical issues related to EM and represent in VMT by being a single technical voice including EM, thus supporting decision / actions.

• Maintain and develop good understanding of the status regarding ongoing and future planned technical activities at site.

• Engage in Site Lifecycle processes (due diligence / selection, onboarding, engage, ongoing monitoring, disengage) including support to localization; also be involved in technical assessment / due diligence of product portfolio / in- licensing.

• Support working models and tools in handling EM from technical perspective which includes Technical risk metrics & Switching Effort / Complexity metric for fit-for-purpose segmentation model, and account planning/adherence.

• Conduct technical assessment of change controls and other quality related activities by associating with Quality for audits and inspections.

• Provide technical support on site for investigations and resolution of deviation / OOS (process, cleaning, troubleshooting) by collaborating with engineering, product launch, and technical owners.

Qualifications:

Education:

• Minimum of a Bachelor's/University or equivalent degree required; Master's or PhD and/or focused degree specialization in Engineering, Pharmaceutical Science, or equivalent technical subject is preferred.

Experience and Skills:

Required:

• Minimum 6 years of relevant work experience.

• Demonstrated experience/expertise with various dosage forms, including experience with solids manufacturing technology, process, and transfer.

• Experience working with external manufacturing network (EM.

• Basic knowledge of Small Molecule Supply chain (products, customers, suppliers, plants).

• Strong communication and teamwork/networking skills with the ability to interact at different levels of the organization/sector.

• Ability to lead activities under general direction, and demonstrate a good sense of prioritization of assigned tasks & goals and handle time accordingly.

• Strong understanding and knowledge of Q&C (Quality & Compliance) and the regulatory requirements (e.g., GMP, EHSS, etc.) related to pharmaceutical manufacturing environment.

Preferred:

• Experience in new pharmaceutical manufacturing technology especially OROS technology, continuous manufacturing, or related technology.

• Understanding and application knowledge in statistics and process excellence / investigation tools.

Other:

• May require up to 25% travel, domestic and/or international depending on business needs.

• Requires the ability, through our flexible work policy, to work on-site a minimum of three days each week, with the option for two remote workdays each week and depending on business needs.

• The anticipated pay range for this position is 94,000-170,000.

Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and iniduals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act.

Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants' needs. If you are an inidual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers, internal employees contact AskGS to be directed to your accommodation resource.

Required Skills:

Preferred Skills:

Agile Decision Making, Coaching, Corrective and Preventive Action (CAPA), Critical Thinking, Emerging Technologies, Issue Escalation, Lean Supply Chain Management, Problem Solving, Process Control, Process Engineering, Product Costing, Product Improvements, Science, Technology, Engineering, and Math (STEM) Application, Situational Awareness, Technical Research, Technologically Savvy, Validation Testing, Vendor Selection

The anticipated base pay range for this position is :

94,000-144,500

Additional Description for Pay Transparency:

Subject to the terms of their respective plans, employees are eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Subject to the terms of their respective policies and date of hire, Employees are eligible for the following time off benefits: Vacation -120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Washington -56 hours per calendar year Holiday pay, including Floating Holidays -13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave - 480 hours within one year of the birth/adoption/foster care of a child Condolence Leave - 30 days for an immediate family member: 5 days for an extended family member Caregiver Leave - 10 days Volunteer Leave - 4 days Military Spouse Time-Off - 80 hours Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits

Title: Certified Medical Coder

Location: Wichita United States

Details

• Department: Revenue Cycle Mgmt
• Schedule: Full Time, 40 hours weekly, Flexible hours between 6am - 6pm. Monday - Friday (with some overtime possible particularly at month end)
• Clinic: Via Christi Bayley
• Location: 3720 Bayley, Wichita, KS 67218 (Open to Onsite, Partially Remote, Remote)

Via Christi associates are eligible for tuition discounts and priority placement in select healthcare programs through our academic partnership with Wichita State University.

Benefits

Paid time off (PTO)

Various health insurance options & wellness plans

Retirement benefits including employer match plans

Long-term & short-term disability

Employee assistance programs (EAP)

Parental leave & adoption assistance

Tuition reimbursement

Ways to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Responsibilities

Apply the appropriate diagnostic and procedural code to patient health records for purposes of

document retrieval, analysis and claim processing.

• Abstract pertinent information from patient records. Assigns the International Classification of

Diseases, Clinical Modification (ICD), Current Procedural Terminology (CPT) or Healthcare Common

Procedure Coding System (HCPCS) codes, creating Ambulatory Patient Classification (APC) or

Diagnosis-Related Group (DRG) assignments.

• Perform complex coding.
• Obtain acceptable productivity/quality rates as defined per coding policy.
• Query physicians when code assignments are not straightforward or documentation in the record is

inadequate, ambiguous, or unclear for coding purposes.

• Maintain knowledge of, complie with and keep abreast of coding guidelines and reimbursement reporting requirements.
• Conduct chart audits for physician documentation requirements & internal coding; provides associate/physician & education as appropriate.
• Abide by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines.

Requirements

Licensure / Certification / Registration:

• One or more of the following required:
• Certified Coding Specialist (CCS) credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Certified Professional Coder (CPC) credentialed from the American Academy of Professional Coders (AAPC) obtained prior to hire date or job transfer date.
• Coder obtained prior to hire date or job transfer date.
• Reg Health Info Admnstr credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.
• Reg Health Info Tech credentialed from the American Health Information Management Association (AHIMA) obtained prior to hire date or job transfer date.

Education:

• High School diploma equivalency OR 1 year of applicable cumulative job specific experience required.
• Note: Required professional licensure/certification can be used in lieu of education or experience, if applicable.

Additional Preferences

• Cardiology Coding Experience Highly preferred*

Why Join Our Team

Ascension Via Christi caregivers have been caring for and providing healing to Kansas communities for more than 135 years. As the largest healthcare provider in Kansas, we offer career opportunities across a number of hospitals, clinics, therapy centers and home health services.

Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.

Equal Employment Opportunity Employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.

For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

As a military friendly organization, Ascension promotes career flexibility and offers many benefits to help support the well-being of our military families, spouses, veterans and reservists. Our associates are empowered to apply their military experience and unique perspective to their civilian career with Ascension.

Pay Non-Discrimination Notice

Please note that Ascension will make an offer of employment only to iniduals who have applied for a position using our official application. Be on alert for possible fraudulent offers of employment. Ascension will not solicit money or banking information from applicants.

E-Verify Statement

This employer participates in the Electronic Employment Verification Program. Please click the E-Verify link below for more information.

E-Verify

Manager, Market Quality Improvement - Must Reside in Georgia

locations

Remote

Atlanta, GA

time type

Full time

job requisition id

R11080

Job Summary:

The Manager, Market Quality Improvement manages the day-to-day prioritization of staff activities in collaboration with Director, Quality Improvement. The Manager will be responsible for developing quality documents in compliance with state and federal requirements and work with departments outside of quality to obtain information for reports.

Essential Functions:

• Responsible for Corporate oversight of the HEDIS Medical Record Review Unit as needed for the assigned market
• Responsible for development and oversight of Quality Improvement (QI) Projects and Performance Improvement Projects related to HEDIS and pay for performance (P4P) requirements
• Ensures compliance with External Quality Review audits/studies, Performance Improvement Projects, and Quality Improvement Projects required by the state, NCQA, and other accreditation bodies
• Responsible for the review of QI issues regarding compliance with Federal, State, and Accreditation requirements
• Ensure all policies and procedures are aligned with Federal, State, and Accreditation requirements
• Responsible for the annual review, program description, program plan, and update of QI Department policies and procedures
• Provide education to internal and external customers on quality improvement functions
• Respond to questions that pertain to HEDIS and Quality Improvement from providers and internal staff members
• Foster relationships with all internal departments and represents CareSource to community-based and state programs
• Collaborate with business owners to establish, implement, and develop best practices for P4P quality directives
• Implement opportunities for process improvement that impact quality measurements in assigned market
• Monitor industry trends as it relates to healthcare and identify areas of opportunity for improvement
• Responsible for ensuring business owners successfully complete all deliverables related to performance improvement plans (PIPs) and quality improvement plans (QIPs) within defined timeframes
• Conducts analysis, including root cause analyses with support from identified business units and ensure data is presented and used efficiently to meet the quality goals
• Follows enterprise standards and procedures for all quality reporting and documentation and communicate areas of strengths as well as needs to the Quality Improvement  Committee
• Perform all facets of quality management to include the development of detail work plans, setting deadlines, assigning responsibilities and monitoring/summarizing project progress
• Establish, monitor and review mechanisms to assess and document each business units level of compliance with each measure and coordinate corrective actions
• Attends and participates in market quality committees
• Guide and direct successful completion of daily tasks and projects
• Interview, select and train new team members
• Conduct performance management activities for direct reports, to include monthly one-on-one meetings, annual performance appraisals, and discipline as appropriate
• Perform any other job related instructions, as requested

Education and Experience:

• Bachelor’s Degree or equivalent years of relevant work experience is required
• Completion of an accredited Registered Nursing degree program or Bachelor’s of Science in Nursing (BSN) is preferred
• Master’s Degree in Nursing (MSN), Public Health, or healthcare related field is preferred
• A minimum of three (3) years of experience in a healthcare or managed care organization is required
• Previous management experience is required
• Medicaid and/or Medicare experience preferred
• Experience in quality metrics preferred

Competencies, Knowledge and Skills:

• Intermediate proficiency in Microsoft Word, Excel and PowerPoint
• Solid leadership skills; able to effectively manage a high performing team, provide coaching and development
• Demonstrated ability to adjust and shift priorities, multi-task, work under pressure and meet deadlines
• Proven ability to recognize opportunity for improvement and lead change
• Data analysis and trending skills
• Effective communication skills
• Prior supervisory skills
• Ability to work independently & in a team environment
• Training/teaching skills
• Time management skills
• Critical listening and thinking skills
• Strategic management skills
• Decision making/problem solving skills
• Customer service oriented

Licensure and Certification:

• Current, unrestricted Registered Nurse (RN) licensure in the state of practice is preferred
• Certified Professional in Healthcare Quality (CPHG) is preferred

Working Conditions:

• General office environment; may be required to sit/stand for long periods of time
• Some in state travel required (approximately 20% of time)

Compensation Range:

$81,400.00 - $130,200.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and inidual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

• Fostering a Collaborative Workplace Culture

• Cultivate Partnerships

• Develop Self and Others

• Drive Execution

• Influence Others

• Pursue Personal Excellence

• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports iniduals of all backgrounds.

#LI-JM1

Title: Senior Software Developer - Booking

Location: Canada

Type: Full-time

Workplace: remote

Category: Software Development

Job Description:

Join Our Mission: Help the Helpers with Jane

Let's kick things off with a quick intro. Jane is a team that's all about fostering growth, spreading delight, and serving our healthcare community. We're on the hunt for people ready to jump in and join us while we simplify the lives of healthcare practitioners and patients daily. And guess what? Jane is a remote-first company, meaning every role at Jane, including this one, is remote - giving you the freedom to work from any corner of Canada.

Learn More About Us

We're founder-led, which means we live our values while maintaining a clear vision for the future. Our product enables the likes of physiotherapists, mental health counsellors, chiropractors, and other allied health practitioners to run their practices in a digital-first way through features such as online booking, charting, scheduling, telehealth, secure payments and billing along with an evolving library of features. You can see more of them here.

There is often a high bar set, not just for the quality of work, but for the care we show for each other and our customers. And it’s our customers raising that bar, never standing still and continually improving which keeps us on our toes. It's not just about what you've done before or how quickly you work; it's about your curiosity and drive to solve the right problems and your agility in learning new ways of thinking.

No doubt, Jane's a special place to work. There is autonomy and flexibility to help integrate work into your life in a way that makes sense for you. Need to block out time to pick up the kids? Go for it. That's normal here. And yes, we have a Slack channel for parents, but we've also got channels dedicated to plants, furry friends, food, pride, wellness - you get the idea! While we love to connect virtually, the Jane team also connects in person throughout the year. That comes in the form of departmental get-togethers, company retreats, or possibly a conference or two across North America if you’re keen to learn more about our community of healthcare providers. We're on the search for folks who are ready to e in and become part of our journey toward making healthcare professionals' lives easier every single day.

You can also learn more about Jane as a company and a product by checking out our Glassdoor reviews and our Capterra Reviews.

But we’ll also keep it real — as much as we love our work, the mountain we're climbing is always getting taller. We're a growing company, and with that comes the challenge of navigating an environment with many moving parts, often without a clear-cut path laid out in front of us. This is where you come in. If you're the kind of person who gets a kick out of being resourceful and loves solving problems, you'll fit right in.

We believe in collaboration, humility, and keeping a growth mindset. We're looking for people who can embrace our way of working, which often means being flexible and open to change. So, if after reading this, you feel excited about the opportunity — all in the name of helping those who help others — reach out to us to learn more.

In short, if you're excited by our growth, ready to contribute to a challenging yet rewarding environment, and eager to be a disruptor alongside a team of talented iniduals, we’d love to hear from you!

Your Role In Our Journey

We’re hiring a Senior Software Developer to help build and scale Jane’s Booking platform. Booking powers the end‑to‑end patient scheduling experience and directly shapes how millions of people access care each month. You’ll build and ship robust, observable services that thrive at scale., collaborating with Product, Design and other Jane functions in order to produce features that delight our customers!

At Jane, AI is part of how we build software. You don’t need to be an AI expert, but you use it intentionally and responsibly: exploring ways to remove friction, speeding up routine work, and sharing effective patterns with the team. You ensure AI‑assisted work is accurate, secure, and clearly owned, and you model practices that align with our engineering principles.

The Impact You Could Have

• • Deliver Core Features: Build and maintain functionality across a variety of different customer workflows, with full-stack exposure (React frontend + Rails or other backend tech).
  • Sustain and Continue to Improve Existing Features: Participate in tech migration, refactoring, and modernization work - ensuring stability and performance improvements in the core booking platform.
  • Integrate with Other Jane Systems: Collaborate closely with other teams including Marketplace, Mobile, and GMC teams; ensure APIs are robust and interoperable.
  • Adopt and Apply AI Tools in Development: Leverage AI for productivity, testing, or code quality and stay curious about future AI-based integrations.
  • Demonstrate Product Mindset and Customer Empathy: Think beyond code - understand scheduling’s role in user workflows and its impact on the broader Jane experience

The Experience We Feel We Need

• • A University Degree in Computer or a related STEM field plus approximately 5+ years of experience. Those with a Master's or PhD may be considered with less experience. Alternatively, candidates with 8+ years of industry experience gained through non-traditional paths, such as bootcamps or self-teaching, are also encouraged to apply!
  • Significant depth and domain experience at a Senior level with demonstrated ability in leading technical design, architecture, and delivering medium to high-complexity projects or services with a proficient understanding of software development methodologies
  • Ability and experience in coaching and mentoring junior and intermediate developers, fostering a culture of continuous improvement and knowledge sharing
  • Proactively identifies and addresses technical challenges to ensure smooth project delivery with scalable, maintainable solutions, while advocating for and adhering to best practices to continuously improve code quality, test coverage, and development workflows
  • Demonstrates adaptability to learn new technologies and contributes across multiple domains beyond personal expertise, paired with a deep sense of ownership and accountability for the quality and success of team deliverables
  • Champion AI adoption within the team by introducing relevant context engineering patterns, and documenting repeatable practices.

Compensation & Benefits

At Jane, we’re committed to paying fairly, clearly, and above all, paying for growth. This role has an annual salary range of $128,000 to $200,000. While that is a large range, it is intentional. It reflects the full growth journey someone might take in the role, from developing skills early on to becoming highly proficient and ultimately achieving excellence.

Most new hires join at the accomplished stage, which for this role represents an annual salary of $152,000. A starting salary below this typically indicates a candidate with strong potential who is still developing key skills. Salaries above this usually apply to existing team members who have made a significant impact and bring deep Jane-specific knowledge.

We believe in paying for growth. You’ll have regular career development conversations with your manager and your compensation will grow as you gain experience and contribute meaningfully to our mission.

Paying clearly is one of our compensation fundamentals. Watch this short video to learn how our salary bands are set. You’re also encouraged to ask questions about compensation at any point during the interview process.

At Jane, we’re committed to fostering an environment that allows you to come to work as your truest self. We believe it’s important to actively recognize, embrace, and celebrate our differences in order to make Jane an inclusive, equitable, and erse workplace.

We want to build a team of people who make conversations rich with perspective and experience. We are committed to listening to every voice in order to learn and grow because doing this will allow us to meet the needs of the erse community of helpers that Jane serves.

Employment decisions are made based on how a candidate’s skills and experiences match the role and what they bring to the Jane community, assessed through a fair interview process.

We encourage anyone who requires accommodation or adjustments throughout the interview process to let us know, and we will do our best to support you.

Title: Part-time Accountability Coach (Eastern Time)

Location: United States

Job Description:

OUR MISSION

Calibrate is on a mission to change the way the world treats weight by redefining obesity care as a matter of biology, not willpower. Designed by world leaders in metabolic health, our program combines clinical research, personalized coaching, and lifestyle intervention to deliver lasting weight loss and improved metabolic outcomes. With obesity as America’s largest chronic condition, impacting 175mm adults in a $600B market, we’re closing the care gap by offering the first value-based model in obesity treatment. Since launching DTC in 2020, we’ve expanded into enterprise channels to improve access, and our app-based experience supports members with coaching, tailored education, daily tracking, and community engagement across the four pillars of metabolic health: food, sleep, exercise, and emotional wellbeing.

ABOUT THE ROLE

As a coach at Calibrate, you will be dedicated to fostering accountability, delivering real results, and ensuring an exceptional experience for our members.

We are seeking experienced coaches with strong interpersonal skills and a positive attitude to provide exceptional care to our valued members. As a coach at Calibrate, you will guide members in improving their relationships with food, sleep, exercise, and emotional health. You will support them in setting and achieving incremental goals as they progress through the Calibrate program, celebrating their successes, addressing challenges, and holding them accountable as they build sustainable, healthy habits. Additionally, you will be responsible for administrative tasks, resolving member inquiries, and ensuring an outstanding member experience, all while helping our members achieve their desired outcomes.

KEY RESPONSIBILITIES

• Implement core coaching competencies to inspire and support members throughout their lifestyle journey, strategically setting goals while leveraging the Calibrate Intensive Lifestyle Intervention Program.
• Engage, support, and retain members by establishing strong rapport, demonstrating empathy, and consistently going the extra mile to deliver compassionate, solution-focused service.
• Ensure that quality member experiences are consistently delivered across all channels (asynchronous messaging, phone, live chat) while adhering to local, state, and federal guidelines.
• Handle inbound member calls in a professional, timely, and caring manner, ensuring accurate and helpful responses.
• Assist Calibrate members with a variety of tasks, including responding to general program inquiries, verifying information, processing account updates, and efficiently navigating multiple systems to provide accurate and timely information.
• Proactively identify members’ needs by asking clarifying questions, researching issues, and providing solutions or alternatives within established workflows.
• Contribute to achieving Calibrate’s service level agreements through effective collaboration with team members, leaders, and other departments.
• Embody and demonstrate Calibrate’s values in every interaction with members.
• Personalize the Calibrate program for each member by setting relevant, achievable, and incremental goals that align with their unique needs.
• Actively listen to members, empowering them to discover their own motivation and solutions for sustainable habit change.
• Utilize key engagement metrics to effectively support members in achieving their goals.
• Apply company policies and procedures to resolve a variety of issues with precision and care.
• Provide accurate, complete, and valid information by using the right methods and tools, seeking support when necessary to align with member requests.
• Effectively escalate member concerns to coach leadership in a timely and appropriate manner and calmly de-escalate situations involving dissatisfied members, offering empathetic assistance and solutions.
• Maintain comprehensive documentation of all member interactions, next steps, and escalate issues to your manager as needed.

These are key responsibilities and may evolve with changing business needs, as a member of the Calibrate coaching team it is essential that you are ready to adapt accordingly.

This is a part-time, fully remote role. Benefits are not included. 25 hours per week required. 

The shift for this role is 8:00am-1:00pm EST.

BACKGROUND AND EXPERIENCE

• 5+ years of professional work experience required
• A minimum of 2 years of coaching experience is required, or 1-year plus a coaching certification. NBHWC preferred. 
• Customer service experience preferred.
• Bilingual Spanish is a plus
• Strong verbal and written communication skills. Patient, personable, and kind -- in writing, in person, on the phone, and on video
• Strong interpersonal skills with the ability to build rapport quickly and communicate effectively with members and other team members of Calibrate.
• Ability to effectively work remotely having strong computer skills (Google Suite, Slack, Video Conferencing) and ability to work on a computer for extended periods of time
• Flexible, adaptable and self-motivated
• Experience working in a fast-paced environment, startup experience preferred. 
• A self-starter with the ability to hold yourself accountable in a remote working environment

The hourly rate for this role is $20.00 per hour.

OUR VALUES

We’re in it together: We have an audacious mission, and we’re building a lot of things for the first time — from the first DTC pharma business within the healthcare ecosystem to the data infrastructure for providing real-world evidence in the largest category of chronic disease. It takes superpowers to build something simple and intuitive within the complex healthcare market, so we identify and work as a team from our inidual points of strength. Not everyone has to be good at everything, but we know that when we harness what we’re each great at, we’re unstoppable.

Small wins create big wins: We ground every experience in optimism, recognizing and celebrating successes along the way. We break projects down into smaller components. And we focus on where we have momentum. We always plan for larger goals with the knowledge that our plans will evolve as we achieve smaller milestones.

You’re in control: We don’t let location stand in the way of the best talent — and from coaches to engineers, we are a remote-first team. Our business is multi-faceted, so each Calibrater is hired to be an expert in their piece of it — in control of their own initiatives, in control of their own impact, and in control of driving their own (real) results.

Real results matter: We’re obsessed with outcomes because when our members win, we win, and the data proves that we’ve built the best metabolic health program on the market. We’re purposeful, optimistic, and relentlessly confident that we can solve the biggest medical issue of the 21st century.

Calibrate is proud to be an equal opportunity workplace, providing equal employment and advancement opportunities to all team members. To achieve our mission of changing the way the world treats weight, we are building an environment where every Calibrater can thrive, feel a sense of belonging, and do the best work of their careers. We value ersity and recruit, hire, and promote iniduals solely based on talent, qualifications, competence, and merit. We evaluate candidates without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other protected characteristics as required by law and as a matter of our company values.  

#LI-REMOTE

Title: Dir, Bioinformatics

Location: MO-Kansas City

Job Description:

Requisition ID

2025-36341

Posting Category

Professionals

Division

CLINICAL GENETICS

Work Type

Full Time

Work Hours

8-5

FLSA Status

Exemp

Location : Name

Adele Hall

Thanks for your interest in Children's Mercy!

Do you envision finding a meaningful role with an inclusive and compassionate team? At Children’s Mercy, we believe in making a difference in the lives of all children and shining a light of hope to the patients and families we serve. Our employees make the difference, which is why we have been recognized by U.S. News & World Report as a top pediatric hospital, for eleven consecutive years.

Children’s Mercy is in the heart of Kansas City – a metro abounding in cultural experiences, vibrant communities and thriving businesses. This is where our patients and families live, work and play. This is a community that has embraced our hospital and we strive to say thanks by giving back. As a leader in children’s health, we engage in meaningful programs and partnerships throughout the region so that we can improve the lives of children beyond the walls of our hospital.

Overview

The Director Bioinformatics provides strategic expertise for the Clinical Genetics and Genomics Laboratory (CGGL). Oversees bioinformatics components of new and existing clinical test validations, as well as database management and systems integration. Collaborates regularly with members of the research analytical and informatics teams and provides expert consultation to resolve complex issues.

At Children’s Mercy, we are committed to ensuring that everyone feels welcomed within our walls. A successful candidate for this position will join us as we strive to create a workplace that reflects the community we serve, as well as our core values of kindness, curiosity, inclusion, team and integrity.

Additionally, it’s important to us that we remain transparent with all potential job candidates. Because we value the safety of the patients and families we serve, as well as the Children’s Mercy staff, we want to let you know that the seasonal influenza vaccine is a condition of employment for all employees in our organization. New employees must be willing to be vaccinated if found non-immune to measles, mumps, rubella (MMR) and chicken pox (varicella) and/or without evidence of tetanus, diphtheria, acellular pertussis (Tdap) vaccination since 2005. If you are selected for this position, you will be asked to supply your immunization records as proof of vaccination. If you and have any concerns about receiving these vaccines, medical and/or religious exemptions can be further discussed with Human Resources.

Responsibilities

• Provide strategic expertise and oversight for informatics strategies for Clinical Genetics and Genomics Laboratory (CGGL) for a wide range of tests.
• Oversee the bioinformatics components of new and existing clinical test validations.
• Oversee database management and systems integration.
• Collaborate closely with the Children?s Mercy Research Institute (CMRI) and Analytical Research Core (ARC) to align clinical and research informatics initiatives.

Qualifications

• Ph.D. Bioinformatics or related field of study and 7 or more years experience demonstrated leadership experience referred or
• Master's Degree Bioinformatics or related field of study and 10 or more years experience, demonstrated leadership experience referred or
• Bachelor's Degree Bioinformatics or related field of study and 12 or more years experience, within field of study and leadership experience preferred

Benefits at Children's Mercy

The benefits plans at Children’s Mercy are one of many reasons we are recognized as one of the best places to work in Kansas City. Our plans are designed to meet the changing needs of our employees and their families.

Learn more about Children’s Mercy benefits.

Starting Pay

Our pay ranges are market competitive. The pay range for this job begins at $47.55/hr, but your offer will be determined based on your education and experience.

Remote Work/Work from Home

This is an intermittent remote position, which means that the person hired will work with his or her manager to determine a schedule that includes both at home and on-site hours at a Children’s Mercy location. The incumbent must live in the Kansas City metro area.

#LI-Hybrid

EEO Employer/Disabled/Vet

Children’s Mercy hires iniduals based on their job skills, expertise and ability to maintain professional relationships with fellow employees, patients, parents and visitors. A personal interview, formal education and training, previous work experience, references and a criminal background investigation are all factors used to select the best candidates. The hospital does not discriminate against prospective or current employees based on the race, color, religion, sex, national origin, age, disability, creed, genetic information, sexual orientation, gender identity or expression, ancestry or veteran status. A drug screen will be performed upon hire. Children’s Mercy is smoke and tobacco free.

CM is committed to creating a workforce that supports the erse backgrounds of our patients and families. We know that our greatest strengths come from the people who make up our team, so we hire great people from a wide variety of backgrounds, not just because it’s the right thing to do, but because it makes our hospital stronger and our patient care more compassionate.

If you share our values and our enthusiasm for service, you will find a home at CM. In recruiting for our team, we welcome the unique contributions that you can bring, including education, ideas, culture, and beliefs.

Title: Pharmacy Data Intelligence Analyst

Job Description:

Summary

The Pharmacy Data Intelligence Analyst will play a crucial role in analyzing pharmacy data to improve efficiency, reduce costs, and ensure medication safety. This role will gather and analyze data to identify areas for improvement in pharmacy-related services and operations. The Pharmacy Data Intelligence Analyst will collaborate with pharmacy team and management across various settings to promote new opportunities for the organization and assist with implementing new solutions based on data findings.

Job Description:

Baptist Health is looking for a Pharmacy Data Intelligence Analyst. This is a remote opportunity for residents of KY or IN.

• Gather and integrate data from disparate healthcare data sources (e.g., electronic health records, claims data, financial data).
• Clean, validate, and prepare data for analysis ensuring data accuracy and consistency by correcting errors, handling missing values, and standardizing formats.
• Perform statistical analysis and modeling to identify trends, patterns, and correlations within healthcare data. Translating and summarizing complex data into clear, concise, and actionable insights for non-technical audiences.
• Develop and maintain data visualizations (e.g., dashboards, reports) to effectively communicate findings to stakeholders.
• Compile analyzed data into a structured report tailored for a specific audience.
• Present data in a visually appealing and easy-to-understand way using charts, graphs, tables, or dashboards.
• Generate patient data to provide a deep knowledge of patient dynamics in real-world settings and create personalized solutions to improve care.
• Collaborate to understand data needs and create comprehensive data maps to integrate data from a variety of sources within the EHR.
• Analyze patient data from various sources (e.g., electronic health records, patient satisfaction surveys, claims data) to identify trends, patterns, and areas for improvement. Conduct root cause analysis to identify factors contributing to poor patient outcomes.
• Collaborate with clinical services and patient care services to identify patient population and associated disease states and correlate data points for better patient outcomes.
• Collaborate with physicians, nurses, and other healthcare professionals to understand patient medication needs and challenges.
• Incorporate industry benchmarks to illustrate baseline metrics and current state when publishing charts, graphs, pivot tables and other diagrams.
• Provide 340B program compliance reports for qualified patients, drugs, providers, vendors, payers, and locations.
• Publish quality analytics to include weekly or monthly dashboards, productivity, ad-hoc projects, and/or KPI used by directors and managers to improve processes and maintain a pulse of daily operations.
• Support Pharmacy and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process.

Minimum Experience Required

• Associate/Bachelor’s degree in Information Technology, Business Management, Finance, Accounting, or Hospital Administration preferred, or the equivalent combination of education and experience.
• Minimum 5 years of Data science or programming experience in lieu of degree.
• Direct experience in data analysis and/or health care planning background is preferred.

Excellent Benefits Package

• 5 days of Paid Time Off available for use upon hire (full-time)
• PTO Sell Back Program
• Compassionate Leave Sharing Program (PTO Donation)
• Company paid Maternity and Paternity Leave
• Bereavement Leave (includes pets) 
• Employee Support Fund, for employees in need of emergency financial support
• Retirement plans with company match
• Company paid Basic Life Insurance & Long-Term Disability
• Health Insurance, Pharmacy, Dental, Vision and much more!

Work Experience

Education

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!

Title: Lead Revenue Integrity Specialist

Locations: KY-IN

Job Description:

Baptist Health is looking for a Lead Revenue Integrity Specialist to join their team. This is a remote work position that requires residency in KY or IN

Supports the day-to-day operations within Payor Audits and/or Denials Management for all payors. Works with Director to lead the development, implementation and maintenance of standardized policies, procedures and strategies including workflow for Payor Audits and Denials Management functions within Baptist Health. Serves as a system expert in Payor Audits and/or Denials Management. 

Qualifications:

Bachelor’s Degree in related field, Practical Nurse License, or Coding Certification with five years healthcare experience including two years in a revenue cycle related area such as registration, patient financial services, or managed care.

In lieu of Bachelor’s degree, eight years of healthcare experience required including five years in a revenue cycle related area as listed above.

One year of team lead or supervisory experience preferred.

Requires knowledge of medical terminology; payor reimbursement guidelines (authorization / notification, medical necessity, and timely filing guidelines); payor denial appeal / payment variance resolution processes; and managed care contracts. Iniduals working with payor audits must have a keen understanding of all audit response requirements and timeline.

Work Experience

Education

If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now! 

Title: Pulmonary/ Critical Care

Location: Asia United States

hybrid 

Job Description:

Facility Highpoint Health - Winchester with Ascension Saint Thomas Location Winchester, TN Provider Type Physician Specialty Pulmonology Critical Care Medicine Job ID #6907

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Pulmonary/Critical Care Opportunity in Middle Tennessee

Your Healing Mission Matters

As a Pulmonology/Critical Care Physician with Southern Tennessee Regional Health System - Winchester in Winchester, Tennessee, you will be inspired by the community you serve as a valued member of the Lifepoint Health team, a nationally recognized healthcare organization committed to caring with a local heart. You'll have access to the staff, resources, and technologies needed to make a meaningful impact on patient care while contributing to a positive, collaborative work environment. At Lifepoint, you'll find a workplace where what truly matters is achievable - from your career goals to your well-being.

Position Details:

• Join a dynamic, hospital-employed group
• True pulmonology/critical care hybrid role with a balanced mix of ICU coverage, inpatient consults, and outpatient clinic visits
• Enjoy a Monday-Friday schedule with shared call among community providers for work-life balance

About Our Hospital and Health System:

Southern Tennessee Regional Health System - Winchester is a 157-bed hospital located in Winchester, TN and is part of Lifepoint Health, a ersified healthcare delivery network committed to making communities healthier with acute care, rehabilitation, and behavioral health facilities from coast to coast.

About the Community:

• Winchester offers a blend of small-town charm with easy access to major metropolitan areas like Huntsville, AL (54 miles), Chattanooga, TN (65 miles), and Nashville, TN (90 miles,) providing convenient access to cultural, recreational, and entertainment activities
• The community is supported by top-rate public and private schools, a strong economy driven by major employers such as Nissan, Shaw Carpets, and Arnold Engineering, and is home to The University of the South, situated on a stunning 10,000-acre campus in Sewanee, TN
• Winchester surrounds the scenic Tims Ford Lake, known for its boating, water skiing, and top-notch bass fishing. The 10,700-acre lake is one of the most picturesque in the Southeast, offering year-round fishing for bluegills, catfish, and crappies. The park also features 5 miles of paved trails for hikers and cyclists to enjoy.

Our compensation package can include:

• Competitive base salary plus worked relative value unit (wRVU) production bonus
• Sign-on bonus and relocation assistance
• Paid time off and retirement plan
• Comprehensive health and well-being benefits
• Student loan repayment assistance
• Early-commitment residency stipend
• Continuing Medical Education (CME) allowance and days
• Paid professional liability and malpractice coverage
• Marketing and practice growth assistance

Southern Tennessee Regional Health System - Winchester is an Equal Opportunity Employer. Southern Tennessee Regional Health System - Winchester Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment.

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This opportunity may be right for you. Submit the information below and start a conversation about how this position with Lifepoint Health will align with your goals.

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Title: RN - Critical Care

Location: Northampton United States

time type

Part time

job requisition id

RQ4043194

Job Description:

Site: Cooley Dickinson Hospital, Inc.

Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.

Cooley Dickinson is the hospital for nurses to learn, grow and accelerate their career. We are seeking professionals who are committed to the highest quality patient care and will contribute to our on-going pursuit of excellence. Our Nurse Residency Program and Specialty-specific orientation programs provide our new nurses with increased clinical support and education during orientation.

With energy and purpose, Cooley Dickinson Health Care, a member of the Mass General Brigham system, is advancing health care in western Massachusetts, and has been since 1886. Our network employs more than 2,000 medical professionals and support staff, at our main Hospital campus in Northampton and additional locations in twelve towns throughout the Pioneer Valley. Cooley Dickinson's VNA & Hospice is also a vital part of our network, providing home-based services throughout Hampshire and Franklin counties.

Job Summary

Per Diem

The Registered Nurse is responsible for delivering patient care through the nursing process of assessment, diagnosing, planning, implementation, and evaluation. The Registered Nurse directs and coordinates all nursing care for patients based on established clinical nursing practice standards and collaborates with other professional disciplines to ensure effective and efficient patient care delivery and the achievement of desired patient outcomes.

The Critical Care Nurse provides care to patients with critical or life threatening illness. The Critical Care Nurse monitors and interprets rhythms, provides care for patients who are incubated and/or receiving mechanical ventilation, monitors patient's hemodynamic statuses and those receiving peritoneal dialysis.

The Critical Care Nurse is expected to recognize and assist patients in shock or those with other, life threatening, complications. The Critical Care Nurse assists with emergency and elective cardio versions as well as the insertion of temporary pacemakers.

This position is part of the Massachusetts Nurses Association Bargaining Unit at Cooley Dickinson Hospital.

This position reports to the Nurse Manager/Director and operates within established organizational and departmental policies and procedures.

Qualifications

Education

Graduate of an accredited school of professional nursing required; BSN preferred

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

• Registered Nurse [RN - Massachusetts]
• Basic Life Support [BLS] certification required
• Advanced Cardiovascular Life Support [ACLS] certification required with 6 months of hire

Experience

• Critical Care experience preferred

Knowledge, Skills and Abilities

• Demonstrated excellent technical, interpersonal, organizational, oral, and written communication skills required.

Additional Job Details (if applicable)

Physical Requirements

• Standing Frequently (34-66%)
• Walking Frequently (34-66%)
• Sitting Occasionally (3-33%)
• Lifting Frequently (34-66%) 35lbs+ (w/assisted device)
• Carrying Frequently (34-66%) 20lbs - 35lbs
• Pushing Occasionally (3-33%)
• Pulling Occasionally (3-33%)
• Climbing Rarely (Less than 2%)
• Balancing Frequently (34-66%)
• Stooping Occasionally (3-33%)
• Kneeling Occasionally (3-33%)
• Crouching Occasionally (3-33%)
• Crawling Rarely (Less than 2%)
• Reaching Frequently (34-66%)
• Gross Manipulation (Handling) Frequently (34-66%)
• Fine Manipulation (Fingering) Frequently (34-66%)
• Feeling Constantly (67-100%)
• Foot Use Rarely (Less than 2%)
• Vision - Far Constantly (67-100%)
• Vision - Near Constantly (67-100%)
• Talking Constantly (67-100%)
• Hearing Constantly (67-100%)

Remote Type

Onsite

Work Location

30 Locust Street

Scheduled Weekly Hours

0

Employee Type

Regular

Work Shift

Rotating (United States of America)

Pay Range

$37.81 - $65.32/Hourly

Grade

RN4N33

At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.

EEO Statement:

Cooley Dickinson Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all iniduals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. 

Mass General Brigham Competency Framework

At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.

Title: Coord Clinical Program - Virtual Health

Job Description:

Location: Aurora

Description

Location: UCHealth UCHlth Admin 2450 Peoria, US:CO:Aurora

Department: UCHlth Virtual Health Ops

FTE: Full Time, 1.0, 80.00 hours per pay period (2 weeks)

Shift: Days 

Pay: $40.86 - $63.33 / hour. Pay is dependent on applicant's relevant experience

This role focuses on the implementation and support of Virtual Health programs and requires the ability to travel up to 25–30% to UCHealth sites and affiliates, with the primary office located in Aurora, Colorado. Remote work opportunities available, and preferred skills including experience in informatics, technical support, and implementation.

Summary:

Organizes and coordinates the activities and flow of work for the Program.

Responsibilities:

• Organizes and coordinates the activities and flow of work for the Program. 
• Participates on multidisciplinary teams to collaboratively address program development, problem identification and resolution, cost containment issues, regulatory compliance, and systems/performance/outcomes measures. 
• Facilitates the development, implementation, and evaluation of program services, practice standards, and initiatives, including program-specific committees, conferences, and staff/public education opportunities. 
• Serves as a resource to staff regarding clinical practice, policies, and program services. May provide direct patient care as needed to evaluate or assist with caring for patients.
• Within scope of job, requires critical thinking skills, decisive judgement and the ability to work with minimal supervision. Must be able to work in a fast-paced environment and take appropriate action.

Requirements:

• Bachelor's degree in Nursing or ADN with BSN in progress. 

• State licensure as a Registered Nurse (RN). Basic Life Support (BLS) Healthcare Provider and any relevant life support certification as determined at position level. 

• 3 years of related experience. 

• Experience with informatics and/or technical support and implementation preferred. 

• IF APPLICABLE: BLS through the American Heart Association or the American Red Cross CPR for the Professional Rescuer with card in-hand before start date. BLS or CPR card must be good through sixty days of hire.

We improve lives. In big ways through learning, healing, and discovery. In small, personal ways through human connection. But in all ways, we improve lives.

UCHealth invests in its Workforce.

UCHealth offers a Three Year Incentive Bonus to recognize employee’s contributions to our success in quality, patient experience, organizational growth, financial goals, and tenure with UCHealth. The bonus accumulates annually each October and is paid out in October following completion of three years’ employment.

UCHealth offers their employees a competitive and comprehensive total rewards package (benefit eligibility is based off of FTE status):

• Medical, dental and vision coverage including coverage for eligible dependents
• 403(b) with employer matching contributions
• Time away from work: paid time off (PTO), paid family and medical leave (inclusive of Colorado FAMLI), leaves of absence; start your employment at UCHealth with PTO in your bank
• Employer-paid basic life and accidental death and dismemberment coverage with buy-up coverage options
• Employer paid short term disability and long-term disability with buy-up coverage options
• Wellness benefits
• Full suite of voluntary benefits such as flexible spending accounts for health care and dependent care, health savings accounts (available with HD/HSA medical plan only), identity theft protection, pet insurance, and employee discount programs
• Education benefits for employees, including the opportunity to be eligible for 100% of tuition, books and fees paid for by UCHealth for specific educational degrees. Other programs may qualify for up to $5,250 pre-paid by UCHealth or in the form of tuition reimbursement each calendar year

Loan Repayment:

• UCHealth is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! UCHealth provides employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness through Savi.

UCHealth always welcomes talent. This position will be open for a minimum of three days and until a top applicant is identified.

UCHealth recognizes and appreciates the rich array of talents and perspectives that equal employment and ersity can offer our institution. As an equal opportunity employer, UCHealth is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the inidual's race, color, national origin, language, culture, ethnicity, age, religion, sex, disability, sexual orientation, gender, veteran status, socioeconomic status, or any other characteristic prohibited by federal, state, or local law. UCHealth does not discriminate against any qualified applicant with a disability as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

Title: Clinical Performance Improvement Consultant, Clinician

Location: Emeryville United States

Job Type: Hybrid

Job Description:

We are so glad you are interested in joining Sutter Health!

Organization:

SHSO-Sutter Health System Office-Bay

Position Overview:

Provides clinical leadership, direction, consultation, guidance, and support for performance improvement strategies to improve treatment and care of patients with specific disease processes. Leads and facilitates the development, deployment and monitoring of clinical quality improvement projects, patient safety improvement initiatives, and organization improvements to achieve top decile clinical outcomes and accelerate the achievement of clinical quality and safety goals. Provides clinical expertise, performance improvement consultation, analysis, gap assessment, group/team facilitation and development, and guidance for the dissemination of practices that result in improved clinical outcomes. Deliverables result in practical, significant, and measurable improvements in quality, safety, service, and efficiency across the organization. Consults and coaches process owners, value stream owners, paired leaders, and sponsors. Contributes to the development and execution of training and infrastructures for the enterprise performance management system.

This is a work from home role with onsite requirements. The successful candidate will live within the Sutter footprint.

Job Description:

EDUCATION:

• Bachelor's: Nursing or related field
• Graduate of an accredited school of nursing or equivalent education/experience.
• Specific training or experience in performance Improvement

CERTIFICATION & LICENSURE:

• RN-Registered Nurse of California OR MD-Medical Doctor OR DO-Doctor of Osteopathy OR PA-Physician Assistant OR NP-Nurse Practitioner

TYPICAL EXPERIENCE:

• 8 years recent relevant experience.

SKILLS AND KNOWLEDGE:

• Thorough knowledge of health care delivery and quality improvement is required, including clinical care management and/or quality management.
• Knowledge of lean performance improvement methodology and management systems.
• Demonstrated ability to successfully influence and develop effective working relationships with healthcare executives, physician, and clinical leaders.

Job Shift:

Days

Schedule:

Full Time

Days of the Week:

Monday - Friday

Weekend Requirements:

As Needed

Benefits:

Yes

Unions:

No

Position Status:

Exempt

Weekly Hours:

40

Employee Status:

Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $105.05 to $137.61 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

Title: Director, Hackensack Meridian Health Medical Group Medicine & OB/GYN - Physician Practices

Location: Paramus Hackensack NJ

Work Type: Hybrid, Full Time

Job ID: 2025-173466

Job Description:

Overview

Our team members are the heart of what makes us better.

At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community.

Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change.

This position has full administrative responsibility to lead and direct the operational, clinical, strategic planning and financial aspects of the following departments: Department of Medicine Geriatrics: In Patient, Hospice, HELP Program, Center for Healthy Senior Living (Out pt.), Subacute and Long Term Care, and Geriatric Fellowship Program Accountable Health Communities 5 year Grant Center for Brain Health and Dementia Allergy and Immunology Dermatology and Dermatologic MOHS Surgery Endocrine / Diabetes Internal Medicine Academic Faculty Practice Infectious Disease Pulmonary Women's Health Department of Obstetrics and Gynecology OBGYN Laborist Group OBGYN Academic Faculty Practice Bergen OBGYN Practice. Maternal Fetal Medicine Kopp/Gerardis OBGYN Vitale OBGYN Group This position is accountable for Faculty Practice Management for multiple Physician Practices, providers, team members, and locations with an overall operating budget > $50 million. This position identifies and implements growth opportunities, program development and competitive analysis for each business unit while aligning with the Physician Services Division. This position is responsible for monitoring billing, revenues and expenses, while collaborating with the CMO, Department Chairs, Division Chiefs and Physician Services Division finance partner. This position is accountable for fostering a commitment for continuous quality improvement in patient safety, patient, physician and employee satisfaction, leading teams to achieve positive patient outcomes.

This is the Director of OBGYN & Medical Practice; strategy, physician recruitment, Program Development, working closely with RCCO & Chairs overseeing approximately 100 people

This is a Hybrid position with main location in Hackensack NJ

Responsibilities

A day in the life of a Director of Hackensack Meridian Health Medical Group Medicine & OB/GYN at Hackensack Meridian Health includes:

Financial Management:

• Responsible for budget development, alignment, deployment and monitoring of 15 cost centers.
• Prepare operating and capital budgets for all departments.
• Responsible for coaching and mentoring physicians and direct reports to provide high quality of care with effective cost containment measures and revenue enhancement opportunities.
• Preparation and monitoring of all variance reporting, evaluates outcome data, and shares with providers, managers and staff.
• Monitors and oversees cash collection for all 15 cost centers.
• Monitors and oversees billing process according to regulatory agency requirements.
• Manage physician quality and productivity metrics for biannual bonus structure.

Strategic Planning, Development and Execution:

• Implements network wide vision, mission and leadership goals and objectives to align 15 physician practices, acting on growth opportunities, program development and competitive analysis to move business units forward for long-term success.
• Assumes responsibility for facilities planning for practice utilization, allocation and renovation for faculty practice.

HMH Subacute and Long Term Care:

• Oversee and monitor the clinical service integration and operations at Prospect Heights and Regent Care.
• Collaborate with both medical directors and APNs on medical management, protocols, objectives and program development.
• Establish effective relationships between subacute facilities and HUMC departments; Laboratory, Pharmacy, Social Services, Case Management, and Wound Care to ensure seamless transitions of care.
• Monitor daily bed census for appropriate admissions and collaborate on appropriate discharge planning with APN and social services.
• Analyze and monitor readmissions, length of stay and patient safety issues with subacute team and administration for positive patient outcomes.
• Partner with medical service leaders from orthopedics, neurology, infectious disease, pulmonary, cardiology, palliative care, hospice and behavioral health in assuring appropriate referrals and develop specialized programs.
• Collaborate with HMH VP of Post-acute Care for integration of southern facilities best practices.
• Responsible to lead The Center for Brain Health and Dementia in collaboration with the Neuroscience Institute to enhance the quality of life and functional performance of Dementia patients.
• Oversee population data research.
• Monitor caregiver support, wellness education for families and our community.

Performance Improvement:

• Active participant for the Internal Medicine, Geriatrics, Allergy and Perinatal OBGYN Quality Council.
• Responsible to maintain and ensure compliance for the Joint Commission Disease Specific Certification for Geriatrics in Delirium and in Allergy & Asthma.
• Responsible to maintain PCMH Level III (Patient Centered Medical Home) certification for Geriatrics and Women's Health.
• Responsible to maintain CPC + certification for Geriatrics and Women's Health.
• Responsible for yearly submission of the Health Equality Index LGBTQ benchmarking document to receive Leader Status 2018, 2019.
• Collaborates with ACO teams on patient centered care for inpatient and outpatient, targeting potential high risks for intervention.
• Responsible for OPPE (Ongoing Professional Practice Evaluation) and FPPE (Focused Professional Practice Evaluation) for Internal Medicine.
• Analyzes all HCACPS and NRC data and share with physicians and staff to create action plans for good patient outcomes.
• Monitors physician and employee satisfaction scores and surveys to innovate strategies to improve their experience. Design improvements that inspire loyalty and retention.
• Responsible for Internal Medicine yearly Grand Rounds schedule.

Human Resources:

• Manages and assists all aspects of onboarding new physicians and APNs; collaborating with Medical Staff Office, Medical Affairs, Legal, Human Resources, IT, Revenue Cycle and Managed Care Partners.
• Identifies, recruits, hires, guides, counsels, disciplines and terminates direct reports for all faculty practices, and set high standards to meet the growing demands of the network.
• Negotiates physician contracts and renewals to enhance productivity, retention and to improve quality care
• Responsible for all FTE proposals and attends/presents at FTE leadership meetings for all physician and staff.
• Responsible for physician and team member engagement and talent development.
• Provides and sustains an environment that fosters trust, demonstrating visibility, accessibility and mentoring to encourage engagement and retention.
• Provides leadership support and resources to ensure professional development for succession planning for team members.
• Responsible to manage the operation of Leader Self Service, Clarvia and Peoplesoft for all direct reports and employed physicians.
• Responsible to lead Hackensack University Medical Center Diversity and Inclusion team member meetings,
• Responsible to lead and manage administrative staff of the Department of OBGYN/Internal Medicine
• Responsible to lead and manage Geriatrics, Pulmonary and OBGYN Fellowship Program Coordinators.

Committees:

• Performance Improvement Coordinating Committee
• Quality and Safety Committee; Perinatal OBGYN, Geriatrics, Internal Med and Allergy/Asthma
• Length of Stay Task Force
• Division of Medicine Executive meeting
• Diversity and Inclusion LGBTQ/HEI Chair
• Senior Clinical Leadership
• Sub-acute Long Term Care Steering Committee
• Hospice
• Prospect Heights Patient Review
• Grand Rounds IM/OBGYN Planning Committee
• NICHE
• Alzheimer's of New Jersey and Alzheimer's Association

Qualifications

Education, Knowledge, Skills and Abilities Required:

• Master's degree.
• Minimum of 15 years of relevant work experience in strategic healthcare operations.
• Minimum of 10 years of leadership experience
• Demonstrates leadership, complex organizational management skills.
• Exceptional communication skills and experience with engaging and building relationships across the network.
• Demonstrates knowledge of healthcare metrics, benchmarks, marketing and business skills.
• Ability to multitask, identify problems and develop solutions.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Compensation

Minimum rate of $180,918.40 Annually

HMH is committed to pay equity and transparency for our team members. The posted rate of pay in this job posting is a reasonable good faith estimate of the minimum base pay for this role at the time of posting in accordance with the New Jersey Pay Transparency Act and does not reflect the full value of our market-competitive total rewards package.

The starting rate of pay is provided for informational purposes only and is not a guarantee of a specific offer. Posted hourly rates may be stated as an annual salary in the offer and posted annual salaries may be stated as an hourly rate in the offer, depending on the level and nature of the job duties and credentials of the candidate. The base compensation determined at the time of the offer may be different than the posted rate of pay based on a number of non-discriminatory factors, including but not limited to:

• Labor Market Data: Compensation is benchmarked against market data to ensure competitiveness.
• Experience: Years of relevant work experience.
• Education and Certifications: Level of education attained, including specialized certifications, credentials, completed apprenticeship programs or advanced training.
• Skills: Demonstrated proficiency in relevant skills and competencies.
• Geographic Location: Cost of living and market rates for the specific location.
• Internal Equity: Compensation is determined in a manner consistent with compensation ranges for similar roles within the organization.
• Budget and Grant Funding: Departmental budgets and any grant funding associated with the job position may impact the pay that can be offered.

Some jobs may also be eligible for performance-based incentives, bonuses, or commissions not reflected in the starting rate. Certain positions may also be eligible for shift differentials for work performed on evening, night, or weekend shifts.

In addition to our compensation for full-time and part-time (20+ hours/week) job positions, HMH offers a comprehensive benefits package, including health, dental, vision, paid leave, tuition reimbursement, and retirement benefits.

Title: BCBA (Board Certified Behavior Analyst) Job

Location: Indianapolis United States

Job Description:

Why You'll Love This Job

At Hopebridge, we provide autism therapy services that help children and families live their best lives. We expand access to compassionate, evidence-based care—rooted in science, delivered with heart, and built for long-term progress. As a BCBA, you’ll guide children through meaningful developmental milestones, mentor the next generation of clinicians, and make a difference.

Company Culture

Responsibilities

Day in the Life

Skills & Qualifications

● Master’s degree or higher in ABA, education, psychology, or related field

If you’re passionate about helping children thrive and want to work in a collaborative, mission-driven environment, we’d love to meet you. Apply today to begin your Hopebridge journey.

Title: Lead, R&D Business Analysis & Digital Product Management (Director)

Location:

Markham, Ontario, Canada

Apply

Job Description

Astellas Canada – Lead, R&D Business Analysis & Digital Product Management

At Astellas, we strive to become a cutting-edge, value-driven life science innovator. This means working at the forefront of healthcare change to turn innovative science into VALUE for patients.

What sets us apart is our focus on patients, our pioneering innovation, our collaborative culture, and the passion of our talented people.

Making a positive impact on patients’ lives is the purpose behind everything we do. At Astellas, we are relentless in our pursuit of scientific progress and in tackling unmet medical needs, demonstrated by our legacy in oncology, overactive bladder and transplant and our impressive pipeline in women's health, blindness and regeneration, genetic regulation, immuno-oncology, mitochondria and targeted protein degradation.

About Us:

We are a global pharmaceutical company headquartered in Japan, with a team of more than 14,000 managing operations in approximately 70 countries around the world. We are in the Top 30 global biopharma company based on global revenues and are predicted to be one of the Top 10 Cancer Drug Makers of 2024 by Fierce Pharma.

In Canada, we are growing to meet the exciting opportunities realized by our legacy brands and rich pipeline of innovative treatments.

We are looking for candidates who will thrive in our entrepreneurial and empowering environment where talent and leadership flourish. Do your values align with our Astellas Way - patient focus, ownership, results, openness and integrity? Then we would love to hear from you.

From the first day in role, everyone at Astellas has a responsibility for creating a brighter future for patients around the world. We nurture exceptional relationships with our employees to allow them to thrive, foster innovation, and deliver exceptional business results. We work to create a culture where our people feel empowered to pursue brave ideas and ambitious outcomes, to have the confidence to be accountable for a higher standard of performance and embody a competitive and solutions-oriented mindset.

Our expertise, science and technology make us a pharma company. Our open and erse culture is what makes us uniquely Astellas.

Astellas Pharma Canada (APCA) is currently searching for a Lead, R&D Business Analysis & Digital Product Management.

Description

This role requires strong people management and cross-functional leadership skills, a collaborative mindset, and the ability to drive results in a fast-paced environment.

The primary responsibility of the Lead, R&D Business Analysis and Digital Product Management is to serve as a people manager, responsible for developing talent, managing team capacity, and fostering excellence across the community of Product Managers and Business Analysts who support R&D digital initiatives.

The Lead, R&D Business Analysis and Digital Product Management will be assigned to lead a cross-functional team for the management of a portfolio of relevant R&D digital capabilities. They will be working across scientific, operational, data, and technology domains to define vision, guide execution, and ensure business value realization for key digital products and platforms.

Essential Job Duties

• Manage a team of Product Managers and Business Analysts who support digital initiatives across R&D.
• In conjunction with Pod Captains, manage resource allocation and capacity planning to meet portfolio demands while balancing team workload and priorities.
• Coach and mentor team members to strengthen core capabilities in Astellas values and behaviors, R&D business analysis, digital product management, stakeholder engagement and communication, and agile delivery.
• Foster a collaborative and innovative team culture, encouraging open communication and idea sharing
• Partner with HR and functional leaders to attract, retain, and develop top digital talent aligned with evolving R&D business needs.
• Lead a cross-functional matrixed team focused on a specific portfolio of digital capabilities for R&D, ensuring alignment with relevant functional goals and company objectives.
• Lead the development and monitoring of Objectives and Key Results (OKRs).
• Collaborate with cross-functional stakeholders and R&DX leadership team to set OKRs, track progress, and address concerns.
• Continue to mature agile way of working, through ceremonies including sprint planning, backlog refinement, retrospectives, regular stand-ups, and use of our Agile Enterprise applications (Azure DevOps) for managing epics, features, user stories and sprints.
• Monitor project timelines, budgets, and resources, ensuring projects are delivered on time and within budget.
• Collaborate with business stakeholders and technical teams to identify innovation opportunities including the use of AI, GenAI, Automation and Advanced Analytics.

Location(s)

Markham, Ontario, Canada

Requirements

Qualifications

Required

• Bachelor’s degree in Life Sciences, Business Administration, Computer Science, Systems Engineering, or related field. Advanced degree (MS, MBA, PhD) or equivalent experience preferred.
• 10+ years of experience in digital product management or business analysis within pharmaceutical R&D and/or management consulting group focused on R&D in life science.
• 5+ years of experience in people leadership, including managing and developing high-performing teams.
• Demonstrated experience leading cross-functional digital initiatives or product portfolios in complex, matrixed environments.
• Strong understanding and experience of Agile methodologies and ways of working.
• Demonstrated knowledge of the R&D lifecycle and related digital ecosystems for effective coaching and capacity management of direct reports.
• Ability to partner with business stakeholders across functions.
• Excellent communication and interpersonal skills.
• Strong problem-solving skills and a proactive approach to challenges.
• May require up to 10% international travel.

Preferred

• Experience leading digital capabilities in R&D or regulated scientific environments.
• Experience in Agile Development, Product Management and Software Development Life Cycles including requirements specifications development and user acceptance testing for computer systems in a GxP environment.
• Familiarity with emerging technologies such as GenAI, advanced analytics, and intelligent automation in R&D use cases.
• Demonstrated ability to drive business value realization and adoption of digital products.

Working Environment

• This position is remote and is based in Canada.
• At Astellas we recognize the importance of work/life balance, and we are proud to offer a hybrid working solution allowing time to connect with colleagues at the office with the flexibility to also work from home. We believe this will optimize the most productive work environment for all employees to succeed and deliver. Hybrid work from certain locations may be permitted in accordance with Astellas’ Responsible Flexibility Guidelines.

Additional Information

Astellas Pharma Canada welcomes and encourages applications from people with disabilities. Accommodations are available on request for candidates taking part in all aspects of the hiring process.

No telephone inquiries, in-person applications, or agencies please. While we appreciate all applications, only candidates under consideration will be contacted.

Title: Certified Professional Coder (Accounts Receivable)

Location: New York United States

Job Description:

• Job Type: Officer of Administration
• Regular/Temporary: Regular
• Hours Per Week: 35
• Standard Work Schedule: Monday-Friday
• Salary Range: $66,300- $75,000

The compensation range listed in this job posting reflects the market rate for the New York City Metropolitan area. Actual compensation may vary depending on the geographic location of the candidate, in accordance with local labor market conditions.

The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Position Summary

The Certified Professional Coder (CPC) is responsible for accurate coding of medical records and claims within the Clinical Revenue Office's Accounts Receivable department. This role ensures compliance with payer regulations, supports denial resolution, and contributes to efficient revenue cycle operations. The CPC plays a vital role in ensuring proper billing and reimbursement while maintaining high standards of compliance and accuracy.

Responsibilities

Accounts Receivable Coding

• Research root causes of claim denials and apply knowledge of payer policies to determine the appropriate course of action, including appeals.
• Manages complex coding-related cases and recommends resolutions while escalating issues when necessary.
• Prepares and reviews correspondence with insurance companies, patients, or guarantors to address claim-related inquiries.
• Documents all actions and findings in the billing system to maintain accurate and comprehensive account records.
• Collaborates with the senior leadership to address unresolved or escalated issues.

Coding and Charge Review

• Reviews charges in work queues for compliance and accuracy, ensuring alignment with Current Procedural Terminology (CPT), ICD-10, and other coding standards.
• Performs reconciliation of charges against appointment reports or procedure logs to ensure all patient services are billed appropriately.
• Verifies the accuracy of charge header information, including service provider, billing area, CPT codes, modifiers, and diagnosis linkage.
• Communicates with providers to resolve discrepancies via Epic or a secure chat.
• Reviews charge correction requests and ensures accuracy prior to resubmission.

Denials Management

• Collaborates with Accounts Receivable staff to resolve denied or rejected claims related to coding issues.
• Provides expertise in payer-specific coding requirements to facilitate successful appeals and payment recovery.
• Tracks trends in denials and recommends process improvements to reduce future errors.

Insurance Verification and Compliance

• Conducts thorough insurance verification to ensure accurate claim submission and timely reimbursement.
• Updates patient accounts with corrected demographic or insurance information as necessary.
• Ensures compliance with organizational and regulatory coding standards, including HIPAA and Medicare/Medicaid guidelines.

Continuous Improvement

• Monitors key performance indicators and participates in performance improvement initiatives.
• Provides coding expertise to support department goals and enhance revenue cycle operations.

Compliance & Other

• Performs other tasks and assumes additional responsibilities within the Revenue Cycle Department as assigned.
• Represents the FPO Clinical Revenue Office on cross-functional committees, task forces, and work groups as assigned.
• Conforms to all applicable HIPAA, Billing Compliance, and safety policies and guidelines.

This list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities as necessary.

Please note: While this position is primarily remote, candidates must be in a Columbia University-approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the responsibility of the employee and will not be reimbursed by the company.

Minimum Qualifications

• Bachelor's Degree or an equivalent combination of education and experience.
• A minimum of 3 years of medical coding experience, preferably in a physician billing or third-party payer environment.
• An equivalent combination of education and experience may be considered.
• CPC certification is required.
• Proficiency in CPT, ICD-10, and HCPCS coding, as well as payer-specific billing guidelines.
• Strong working knowledge of managed care eligibility, referrals, and authorizations.
• Demonstrated ability to interpret clinical documentation and ensure compliance with coding and billing standards.
• Excellent organizational skills and attention to detail, with the ability to handle multiple tasks effectively.
• Proficiency in Microsoft Office (Word, Excel) and electronic health record systems (e.g., Epic).
• Must successfully complete systems training requirements.

Preferred Qualifications

• Experience in a physician practice or healthcare setting.
• Experience in EPIC.
• Familiarity with quantitative and qualitative data analysis related to coding and billing.

Competencies

Patient Facing Competencies

Minimum Proficiency Level

Accountability & Self-Management

Level 3 - Intermediate

Adaptability to Change & Learning Agility

Level 2 - Basic

Communication

Level 2 - Basic

Customer Service & Patient Centered

Level 3 - Intermediate

Emotional Intelligence

Level 3 - Intermediate

Problem Solving & Decision Making

Level 3 - Intermediate

Productivity & Time Management

Level 3 - Intermediate

Teamwork & Collaboration

Level 2 - Basic

Quality, Patient & Workplace Safety

Level 3 - Intermediate

Leadership Competencies

Minimum Proficiency Level

Business Acumen & Vision Driver

Level 1 - Introductory

Innovation & Organizational Development

Level 1 - Introductory

Equal Opportunity Employer / Disability / Veteran

Columbia University is committed to the hiring of qualified local residents.

Title: Nurse Case Manager - East Bay, CA

Location: Hayward United States

Job Description:

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again!  For the fourth year in a row, we’ve been certified by Great Place to Work_®,_ and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

The Surprising Truth About Case Management - Paradigm

Watch this short video for a brief introduction to role of a nurse case manager at Paradigm.

We are seeking a Field Nurse Case Manager to cover the East Bay Area in CA, and surrounding areas. A Field Case Manager role is a home-based position with travel, up to 2 hours one-way (4 hours round trip per appointment). These appointments would be to doctors’ offices, hospitals, and various other locations. There may be multiple appointments in 1 day. This inidual is responsible for the medical case management of work-related injuries, which includes assessment, planning, coordination, implementation, and evaluation of injured/disabled iniduals. The Case Manager works with insurance carriers, medical care providers, attorneys, employers, and employees, and closely monitors the progress of the injured worker and reports results back to the employer and insurance carriers.

At Paradigm, People Come First

• Meaningful work: better outcomes for all isn’t just our tagline. It’s what guides us to do our best—every day. At Paradigm, you’ll find an authentic connection between the work you do and your passion for making a difference in the world.
• Exceptional people: You'll work alongside smart people who share a commitment to excellence and a dedication to service. We're not here just for a "job." We're here to transform lives.
• Collaborative culture: At Paradigm, a spirit of collaboration and care is evident in everything we do. We promote a culture of inclusivity and value ersity of all kinds including thought, knowledge, and experience. No matter the team, everyone works together toward a common goal to deliver exceptional outcomes.