Title: Registered Nurse RN PCU Oncology Registry

locations

Banner Boswell Med Ctr (10401 W Thunderbird Blvd)

time type

Part time

job requisition id

R4425163

Primary City/State:

Sun City, Arizona

Department Name:

Banner Staffing Services-AZ

Work Shift:

Job Category:

Nursing

Banner Staffing Services (BSS) offers Registry/Per Diem opportunities within Banner Health. Registry/Per Diem positions are utilized as needed within our facilities. These positions are great way to start your career with Banner Health. As a BSS team member, you are eligible to apply (at any time) as an internal applicant to any regular opportunities within Banner Health.

As a valued and respected Banner Health team member, you will enjoy:

• Competitive wages

• Paid orientation

• Flexible Schedules (select positions)

• Fewer Shifts Cancelled

• Weekly pay

• 403(b) Pre-tax retirement

• Employee Assistance Program

• Employee wellness program

• Discount Entertainment tickets

• Restaurant/Shopping discounts

• Auto Purchase Plan

Registry/Per Diem positions do not have guaranteed hours and no medical benefits package is offered. Completion of post-offer Occupational Health physical assessment, drug screen and background check (includes employment, criminal and education) is required.

Nurses play a critical role in patient care. They’re the smiling faces patients see when they’re sick; they’re advocates for the patients and their families; and they are experts in providing nursing care. Truly, they are the heartbeat of a hospital. We care about you, your nursing career today and your future. Great options and great opportunities. 

At Banner there will be exciting opportunities to be a part of the health care transformation. We are known nationally as an innovative leader in new health care models, and are on the cutting edge of medical advances. You will work alongside a group of dedicated physicians and staff that perform some of the most state-of-the-art procedures that exist anywhere in the country.

Unit Description

The Banner Boswell MS PCU Oncology Unit consists of 22 private rooms with the ability to flex up to 42 semi-private rooms with the capability of utilizing up to 16 remote cardiac monitors which are centrally monitored from a centralized monitor room viewing station. Eleven of our 22 private rooms are designated for Medical Oncology patients with cancer and related diagnoses and the administration of chemotherapy. Eleven additional rooms are designated for general surgeries which can consist of urology, plastics, gynecological and abdominal cases. On our unit we can also see overflow medical patients with simple pneumonias, diabetes, renal disease, GI issues, and skin disorders.

As a nurse on our MS PCU Oncology unit you will have the opportunity to work with a highly efficient and engaged team culture working together to meet positive patient outcomes and demonstrate a Customer Obsessed work culture. Our team focus is on creating a healthy work environment through collaboration, hourly rounding, prompt answering of call lights, culture of clean and quiet, and acknowledging a “one team” mentality.

This is a unique assignment-based PRN position, meaning that this RN will be dedicated to only one specific unit at this facility. They will not float to any other unit or facility. Hours are 7PM - 7:30AM with a 2 shift per month minimum, specific to this unit This position offers an additional flat rate weekend differential of $3/hour when applicable.

POSITION SUMMARY

CORE FUNCTIONS

2. Formulates a plan of care, including the discharge plan, utilizing assessment data and patient, family and health team input. Initiates a plan of care based on patient-specific needs, assessment data and the medical plan of care. Goals for patient are realistic, measurable and developed in conjunction with the patient/family. Considers the physical, cultural, psychosocial, spiritual, age specific and educational needs of the patient in the plan of are. Plans care in collaboration with members of the multidisciplinary team. Reviews and revises the plan of care to reflect changing patient needs based on evaluation of the patient’s status.

3. Implements the plan of care through direct patient care, coordination, delegation and supervision of the activities of the health care team. Provides care based on physician orders and the nursing plan of care, in compliance with policies and procedures, standards of care, and regulatory agency requirements. Delegates appropriately, and provides nursing supervision in the provision of care to patients by other licensed nurses and other personnel. Promotes continuity of care by accurately and completely communicating to other caregivers the status of patients for whom care is provided.

4. Evaluates the patient's and family's response to care and teaching, and revises the plan of care as needed. Evaluates patient progress towards goals and expected outcomes in collaboration with other health care team members. Evaluates patient's response and the effectiveness of patient teaching.

5. Documents assessment, planning, implementation and evaluation in the patient record. Documentation is legible, timely and in accordance with policy. Documentation reflects objective/subjective data, nursing interventions and patient's response to treatment. Notes physician orders accurately and in a timely manner.

6. Provides care based on the best evidence available and may participate in research activities within clinical practice. Participates in unit or facility shared leadership. Interacts and participates in the education, role development, and orientation of facility personnel, patients, students, families and visitors. Promotes/supports growth of others through precepting and mentoring when appropriate.

7. Contributes to society through activities that lead to excellent patient outcomes through timely, effective, efficient, equitable, and safe care. Actively participates in the improvement of national nursing quality indicators and outcomes. Such activities may include participating in professional organizations.

8. In some roles, this position may supervise staff and work flow of the department.

9.Interacts with all levels of staff in a variety of departments, physicians, patients, families and external contacts, such as employees of other health care institutions, community providers and agencies, concerning the health care of the patient. Interacts with other health care providers in numerous settings in order to report and ask for or clarify information. Also works with clergy to provide spiritual support. Synthesizes and prioritizes data from multiple sources to provide support for the human response of the patient and family to changes in health status.

MINIMUM QUALIFICATIONS

Relates throughout the interview process the experience, training and education needed to perform the job. Experience in the clinical area for which he or she is applying is desired. Must maintain clinical performance competencies appropriate to the area in which they work as demonstrated through annual validations. Banner Registry and Travel acute care positions require a minimum of one year experience in an acute care hospital setting. Experience must include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice positions require a minimum of one year experience as a Registered Nurse in a physician practice or an acute care setting.

In a Home Health setting, team members must be able to operate personal vehicle and possess a valid driver's license. Auto insurance coverage is also required to be active and maintained.

Employees working at Banner Behavioral Health Hospital, BTMC Behavioral, and BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. An Arizona Criminal History Affidavit must be signed upon hire. Employees working for Banner Home Care AZ must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in the Banner McKee Senior Behavioral Health Inpatient Unit must possess an Colorado Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment. Employees working in any Banner Staffing (BSS) Behavioral Health role in Arizona must possess a State of Arizona Department of Public Safety Level One Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

PREFERRED QUALIFICATIONS

Additional related education and/or experience preferred.

Title: Manager, Formulary & Medical Pharmacy Operations

Location: Florida United States

Remote

Job Description:

Hi, we're Oscar. We're hiring a Manager, Formulary & Medical Pharmacy Operations to join our Pharmacy team.

Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family.

About the role:

You will oversee and manage clinical pharmacy initiatives driving affordability savings including core formulary management operations. You will partner across Pharmacy, Medical Economics, and the Office of Clinical Affairs to operationalize pharmacy related workflows and monitor existing savings initiatives for drugs on both the pharmacy and medical benefits.

You will report to the Senior Manager, Formulary Operations and Pharmacy Utilization Management.

Work Location: This is a remote position, open to candidates who reside in: Florida. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote

Pay Transparency: The base pay for this role is: $144,000 - $189,000 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program and annual performance bonuses.

Responsibilities:

• Provide insights and recommendations for trend management and clinical effectiveness, including serving as a key contributor in the enterprise affordability process for pharmacy
• Manage the pipeline of enterprise affordability projects across the pharmacy department (program operations and clinical) and oversee the performance of active initiatives
• Partner with leads across the organization as necessary in order to communicate, understand and identify upstream and downstream impacts to the business
• Contribute to the design and implementation of clinical programs focused on improving patient outcomes and reducing costs.
• These programs may include medication adherence initiatives, chronic disease management programs, and patient education efforts
• Operationalize, develop and maintain a clinically appropriate and cost-effective formulary by operating and managing Oscar's P&T committee, which includes evaluating new developments in the drug treatment landscape and providing recommendations on how to manage new to market drugs and new drug indications.
• Oversee and optimize medical pharmacy preferred drug lists and strategies to supports utilization of lowest unit cost infusion products
• Provide written recommendations with responses and corresponding documentation for regulatory inquiries, feedback on future legislation, and other business questions that probe at formulary operations.
• Accountable and responsible for maintaining mental health parity NQTL responses and working cross-functionally for future filings and responding to ongoing objections during the audit process.
• Compliance with all applicable laws and regulations
• Other duties as assigned

Requirements:

• Doctor of Pharmacy degree (PharmD)
• 4+ years working for PBM or Payer in clinical pharmacy operations
• 4+ years leading cross-functional teams/projects and change management
• 3+ years supporting formulary management (P&T Committee, clinical policy development, formulary run operations)

Bonus points:

• Residency Training
• Experience with Marketplace Exchange

This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here.

At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives.

Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements.

Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts.

Title: BCBA Remote

**Location:**US-VA-FRONT ROYAL

Job Description:

Work Type: Hybrid, Contractor

Job ID: 2025-179238

Pay Min:USD $60.00/Hr.

Pay Max: USD $75.00/Hr.

REMOTE and HYBRID Opportunities - Must obtain VA licensuret

plans that deliver real results and exceed patients' expectations. If you're motivated to give our clients a more positive quality of life we encourage you to apply today!

Responsibilities

• Models and trains staff in the principles and practice of Positive Behavior Support methodology.• Serves as a member of Interdisciplinary Teams (IDTs) providing expertise re: behavioral issues.• Responsible for Behavior Plan assessment, design, training, monitoring, and reporting.• Conducts descriptive and systematic (e.g., analogue) behavioral assessments, including functional analyses, and provides behavior analytic interpretations of the results.• Provides direct behavioral treatment to clients via replacement skills training, social skills training, crisis de-escalation, group behavioral treatment, inidual behavioral treatment, and/or skills coaching in all applicable settings• Monitors restraint use and provides training to reduce.• Monitors challenging behavior.• Participates in Behavior Intervention Committee, Human Rights Committee and other relevant committees, as assigned• Shall provide inidualized services to meet the treatment needs of each of the specialty intermediate care (IC) clinic patients for services in field of care. Shall meet requirements of 902 KAR 20:410 Specialty Intermediate Care Clinics as warranted.•

Qualifications

• Language Skills: Ability to read and comprehend simple instructions, short correspondence, and memos; Ability to write simple correspondence; Ability to effectively present information in one-on-one and small group situations to iniduals and other employees of the organization.
• Reasoning Ability: Ability to apply common sense understanding to carry out detailed but uninvolved written or oral instructions; Ability to deal with problems involving a few concrete variables in standardized situations. Ability to make independent decisions with good judgment and attention to detail.
• Physical Demands: Refer to Essential Demands. The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions. The employee must be able to participate and demonstrate their knowledge of approved crisis management procedures.
• Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential function of this job. Reasonable accommodations may be made to enable employees with disabilities to perform the essential functions.
• Education: Doctoral or Master's Degree in Psychology, Counseling, or related discipline. Board Certified Behavior Analyst (BCBA) certification is required.
• Computer Skills/Data Entry: Must be able to record/enter data neatly, accurately, and objectively; consistent with Oakwood requirements.

About our Line of Business

SpringHealth Behavioral Health and Integrated Care, an affiliate of BrightSpring Health Services, offers a holistic approach and integrated care for people with cognitive, developmental, or intellectual disabilities who often need additional resources. The behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives

USD $60.00 - $75.00 / Hour

Title: Pricing Analyst

Location: Raleigh United States

Job Description:

Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working to improve the health and well-being of people around the world. We are leaders in plasma-derived medicines and transfusion medicine and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions.

Location: Hybrid - Based in our RTP office

Work Arrangement: This role offers a hybrid schedule, with a mix of remote work and in-office collaboration. Candidates should be in the Raleigh, Durham, Chapel Hill, NC area.

Support the procurement pricing functions, setting the fees for our plasma donation centers and giving support to promotional efforts as well as analyzing market dynamics and trends.

• Develop and maintain pricing models and tools to support business decisions.
• Analyze pricing trends, market data, and competitive intelligence to identify opportunities and risks.
• Collaborate with regional and global teams to support pricing setting strategies
• Monitor and report on pricing performance, KPIs, and compliance.
• Provide insights and recommendations to senior leadership based on data-driven analysis.
• Support ad hoc pricing projects and initiatives as needed.

This job description is intended to present the general content and requirements for the performance of this job. The description is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Managers and supervisors may assign other duties as needed.

EDUCATION & EXPERIENCE

• Bachelor's degree in Economics, Business, Finance, Engineering Math, or a related field; Master's degree is a plus.
• Minimum 5 years.

Knowledge | Skills | Abilities

• Strong analytical skills and proficiency in Excel, Power BI, and data visualization tools.
• SQL, Python and other programming skills are highly valued.
• Excellent communication and stakeholder management skills.

#biomatusa #app

• #LI-Hybrid
• #LI-KS1

Third Party Agency and Recruiter Notice:

Agencies that present a candidate to Grifols must have an active, nonexpired, Grifols Agency Master Services Agreement with the Grifols Talent Acquisition Department. Additionally, agencies may only submit candidates to positions that they have been engaged to work on by a Grifols Recruiter. All resumes must be sent to a Grifols Recruiter under these terms or they will be considered a Grifols candidate.

Grifols provides equal employment opportunities to applicants and employees without regard to race; color; sex; gender identity; sexual orientation; religious practices and observances; national origin; pregnancy, childbirth, or related medical conditions; status as a protected veteran or spouse/family member of a protected veteran; or disability. We will consider for employment all qualified applicants in a manner consistent with the requirements of all applicable laws.

Location: NORTH AMERICA : USA : NC-RTP:USNC0001 - RTP NC-Headquarters

Title: HIM Clin Doc Integrity Specialist-RN - CFH

Location: IL, United States

Job Description:

• Nursing
• Full-Time
• Yes
• Day
• M-F 40hrs/wk
• Department rotation
• 13843

Job Description

Overview

REMOTE RN POSITION

Performs inpatient chart review to determine appropriate DRG assignment and assures appropriate documentation in the chart to support clinical care provided, including severity of illness and risk of mortality which impacts Case Mix Index and mortality ratings. Coordinates with physicians, nurses, ancillary staff, and the coders in Health Information Management to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG. Performs second level review of specific DRGs as assigned. Presents education related to CDI topics to peers and providers we needed or requested. Reviews DRG denials and provides information to the denials team related to appealing the encounter

Qualifications

Certifications: Registered Health Information Administrator (RHIA) - American Health Information Management Association (AHIMA); Licensed Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR), Education: Associate's Degree: Related Field, Work Experience: CDI; Clinical bedside

Conducts the initial concurrent review process for all selected admissions.Clarifies documentation in the medical record as appropriate through communication with the physicians, nurses, and ancillary staff. Assures documentation in chart represents a true clinical picture of the patient diagnoses and supports care that was given and DRG assigned.Documents findings within Carle CDI software and updates software as required to reflect status of the encounter and any follow up.Coordinates with the physicians, nurses, ancillary hospital staff, and Health Information Management Department's coding staff to identify and record principal and secondary diagnoses, principal procedures, and assign the working DRG.Follows query process and escalates as necessary.Conducts education related to CDI topics to peers and providers as needed or requested.Performs second level review on selected inpatient encounters.Reviews denials for accurate and complete documentation and develops appeal letter when needed.Attends mandatory and regular education sessions as needed. Follows appropriate workflow in EPIC and CDI software and notifies one up leader of any issues. May serve as an "expert" and participate in testing for upgrades as needed.

Find it here.

Discover the job, the career, the purpose you were meant for. The supportive and inclusive team where you can thrive. The place where growth meets balance – and opportunities meet flexibility. Find it all at Carle Health.

Based in Urbana, IL, Carle Health is a healthcare system with nearly 16,600 team members in its eight hospitals, physician groups and a variety of healthcare businesses. Carle BroMenn Medical Center, Carle Foundation Hospital, Carle Health Methodist Hospital, Carle Health Proctor Hospital, Carle Health Pekin Hospital, and Carle Hoopeston Regional Health Center hold Magnet® designations, the nation’s highest honor for nursing care. The system includes Methodist College and Carle Illinois College of Medicine, the world’s first engineering-based medical school, and Health Alliance™. We offer opportunities in several communities throughout central Illinois with potential for growth and life-long careers at Carle Health.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class. Carle Health participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization. 

Compensation and Benefits

The compensation range for this position is $34.31per hour - $59.01per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Carle Health offers a comprehensive benefits package for team members and providers.

Title: Vascular Surgeon

Location: York United States

Schedule: Part Time

Job Description:

At WellSpan Health, our community of 23,000 employees, including more than 2,700 physicians and advanced practice providers, shares a common vision and mission. We're cultivating medicine's next generation of innovators and leaders as we transform the health of the communities we serve in South Central Pennsylvania and Northern Maryland.

Not only do we reinvest in the communities we serve, but we also invest in our physicians and providers, keeping your well-being at the forefront to encourage personal and professional growth. We are currently seeking an experienced board-certified vascular surgeon to join our team in York, PA.

What you can expect at your practice:

• Vascular surgery provider team consist of 5 surgeons and 5 advanced practice providers
• The practice is affiliated with York Hospital, a 579-bed teaching hospital and Level I trauma center with eight residency programs including Internal Medicine and Family Practice
• Conducting open vascular surgery, endovascular surgery, and hybrid procedures.
• Collaborating with multidisciplinary teams to provide comprehensive care.
• Participating in research and educational activities to stay at the forefront of the field.
• Maintain a healthy balance between professional and personal life.

Our Total Rewards package includes:

• Physician-Designed Compensation Model
• Competitive Signing Bonus and Increased Educational Loan Repayment
• Five weeks scheduled time off (STO)
• Retirement savings plan
• $5,500 CME Allowance
• Comprehensive health benefits with spending and savings account options
• Employer paid benefits that include relocation expenses, malpractice coverage including tail and dedicated help for caregivers via Wellthy.

A place to call home:

You'll feel at home in our sophisticated medical community in the heart of Central Pennsylvania. The WellSpan service area offers picturesque countryside, engaging historical attractions, excellent schools and low cost of living-all within reach of Philadelphia, Baltimore and Washington, D.C.

For confidential and immediate consideration contact:

Tammie Chute, Physician and APP Recruitment at WellSpan Health

Title: Dialysis Coordinator - Seattle, WA

Location: Algona United States

Job Description:

3201 S 323rd St, Federal Way, Washington, 98001-5023, United States of America

LOCATION:

Virginia Mason Medical Center

1100 9th Avenue

Seattle, WA 98101

SCHEDULE:

Hybrid - M/W/F on-site

T/TH remote

8:00-5:00 Pacific

The Dialysis Coordinator position is responsible for the development and implementation of DaVita's Patient Pathways Program through facilitating patient education, processing of timely dialysis placement referrals, and building relationships. This position enhances relationships with local hospitals, doctors, and other kidney care providers by enabling patients to make informed decisions regarding their dialysis provider. This position is responsible for improving the patient education process by analyzing and sharing best practices with other members of the department.

Patient Education

Communicate with and treat patients with empathy at all times. Meet inidually with patients requiring outpatient dialysis placement, depending on program scope, within the assigned region to provide educational materials on: Outpatient dialysis, Modality options, Vascular Access options, insurance which includes an assessment of patients insurance, out-of-pocket costs and grant program options. Provide education on options for patient to select an out-patient dialysis center of their choosing.

Identify, resolve, or escalate patient issues and/or barriers to placement to appropriate teammates for prompt and effective resolution.

Outpatient Dialysis Placement Referral

Work with hospital Case Managers, Social Workers, and Physicians to place patients in outpatient dialysis clinics. Arrange out-patient kidney dialysis placement for patients by contacting local clinics within an appropriate proximity as determined by patient preference and providing all required medical documentation to the outpatient dialysis center. Assist with patient transitions from hospitals to dialysis facilities, including transfer of paperwork and, as much as possible, ensure patient satisfaction. Place patients and document referral in accordance with Patient Pathways Policy and Procedures.

Relationship Building

Work closely with both internal and external kidney care professionals to enhance current relationships or develop new relationships. Partner with Regional Operations Directors and Facility Administrators to identify and implement best practices for accepting patients from inpatient acute care settings into an outpatient dialysis provider. Attend operational team meetings with multi-affiliate providers in assigned region.

Reporting

Conduct operating reviews with management to review reports at a minimum of one time per month. Record patient data in electronic tracking system according to Patient Pathways Policy and Procedures. Immediately inform Regional Operations Manager/Supervisor of any reporting requests from the hospital. Assist Regional Operations Manager/Supervisor in gathering patient details as needed for reporting purposes. Attend hospital meetings to review reporting as needed. Adhere to all audit, compliance, and reporting requirements according to Patient Pathways Policy and Procedures.

Innovation

Learn, develop, and implement new ways for Patient Pathways to differentiate itself in the marketplace. Ensure Patient Pathways leadership is apprised of customer needs and any deviations from current practices. Participate in special projects as needed or requested. Act as a liaison or subject-matter expert for the Business Development team on special initiatives. Educate team local markets on Patient Pathways program and initiatives. Mentor team members, as deemed appropriate by Patient Pathways leadership.

Qualifications:

• Associate degree is required, Bachelor's Degree in social work, nursing, or related feed strongly preferred

• Knowledge of health systems and community resources required.

• Strong communication skills with the ability to work collaboratively with healthcare providers and community resources required.

• Strong organizational and time management skills with the ability to prioritize tasks and manage multiple projects simultaneously, required.

• Knowledge of Medical terminology and the ability to read and interpret medical records is required.

• Proficiency in the use of electronic medical records and other technology preferred.

• At least one year of discharge planning and/or case management support role/experience, or experience working with dialysis patients preferred.

• At least one year of working with physicians preferred.

• Current certification in case management/social work, or willingness to obtain certification is preferred.

• Strong work ethic and desire

• to serve our patients

• Valid driver's license and ability to travel locally is required

What We'll Provide:

More than just pay, our DaVita Rewards package connects teammates to what matters most. Teammates are eligible to begin receiving benefits on the first day of the month following or coinciding with one month of continuous employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out

• Support for you and your family: Family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave and more

• Professional development programs: DaVita offers a variety of programs to help strong performers grow within their career and also offers on-demand virtual leadership and development courses through DaVita's online training platform StarLearning.

#LI-TS2

At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Iniduals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.

This position will be open for a minimum of three days.

The Wage Range for the role is $25.00 - $31.00 per hour.

If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position.

Washington Exempt: $77,968.80/year Washington Non-exempt: Bellingham: $17.66/hour, Burien: $21.16/hour, Unincorporated King County: $20.29/hour, Renton: $20.90/hour, Seattle: $20.76/hour, Tukwila: $21.10/hour, Remainder of Washington state: $16.66/hour

Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

Title: Primary Care Physician

Location: Biloxi, MS

Work Type: Remote, Full Time

Job Description:

About Us

One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn't your average doctor's office. We're on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.

In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we're building a erse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.

The Opportunity

As we continue to expand and transform the primary care experience, we're looking for providers to deliver virtual primary care. This provider will care for One Medical patients directly through scheduled and on demand visits utilizing video as well as asynchronous channels. All remote primary providers demonstrate proficiency in practicing evidence based primary care and shared decision making with patients.

The One Medical Virtual Medical Team (VMT) is a leading provider of virtual clinical care, providing world-class, convenient, evidence-based virtual medical care to One Medical patients. Through advanced technology and a team-based approach, we care for patients 24 hours a day, 365 days a year. Our team is united by intellectual curiosity, inclusiveness, and a powerful mission: transforming healthcare and bringing world-class primary care to everyone.

Employment type:

• Full time (32 hours minimum including some evenings and weekends)
• Location: Remote in Mississippi

What you'll work on:

• Treat patients via telehealth visits, including telephonic triage calls, video visit appointments, and message-based care
• Manage patients with a broad array of patient needs virtually; conducting a mix of acute, chronic, and well visits
• Adopt standard work and clinical protocols for evidence-based clinical care
• Attend continuous learning during weekly Clinical Rounds and through other modalities
• Collaborate with teammates and leadership via daily huddles
• Supervise NP or PA colleagues

Requirements

Education, licenses, and experiences required for this role:

• Completed an accredited Family Medicine residency program
• Practiced at least 2 of the last 5 years in a primary care or virtual primary care setting
• Experience with virtual care and/or virtual primary care preferred
• Board certified in Family Medicine
• Minimum of 25 state licenses, and willingness to obtain and maintain additional licenses with the support of our One Medical Credentials Team
• Medicare credentialed or eligible

One Medical providers also demonstrate:

• A passion for human-centered primary care
• The ability to successfully communicate with and provide care to iniduals of all backgrounds
• The ability to effectively use technology to deliver high quality care
• Clinical proficiency in evidence-based primary care
• The desire to be an integral part of a team dedicated to changing healthcare delivery
• An openness to feedback and reflection to gain productive insight into strengths and weaknesses
• The ability to confidently navigate uncertain situations with both patients and colleagues
• Readiness to adapt personal and interpersonal behavior to meet the needs of our patients
• Adaptability and flexibility to deliver care and evolve models of virtual care delivery within a growth-phase clinical organization

One Medical is committed to fair and equitable compensation practices.

The base salary range for this role is $200,000 to $260,000 based on a full-time schedule. Final determination of starting pay may vary based on factors such as practice experience and patient care schedule. Additional pay may be determined for those candidates that exceed these specified qualifications and requirements. The total compensation package for this position may also include annual performance bonus, benefits and/or other applicable incentive compensation plans

One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster (English/Spanish) and Right to Work Poster (English/Spanish) for additional information.

One Medical offers a robust benefits package designed to aid your health and wellness. All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire:

Taking care of you today

• Paid sabbatical for every five years of service
• Free One Medical memberships for yourself, your friends and family
• Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
• Competitive Medical, Dental and Vision plans
• Pre-Tax commuter benefits
• PTO cash outs - Option to cash out up to 40 accrued hours per year

Protecting your future for you and your family

• 401K match
• Credit towards emergency childcare
• Company paid maternity and paternity leave
• Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
• Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

In addition to the comprehensive benefits package outlined above, practicing clinicians also receive

• Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
• UpToDate Subscription - An evidence-based clinical research tool
• Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
• Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
• Discounted rate to attend One Medical's Annual REAL primary care conference

One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. Please refer to the E-Verification Poster and Right to Work Poster for additional information.

Title: Pharmacy Billing Specialist

Location: Monaca United States

Pharmacy

USD $18.00/Hr.

USD $21.00/Hr.

6027

Job Description:

Company Overview

Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.

SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.

About the Role

The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies.

This role is Hybrid, based out of our Monaca, PA location. The shift time is M-F 9am-5:30pm EST.

Supervisory Responsibilities:

• This position has no direct supervisory responsibilities.

Essential Duties and Responsibilities:

• Preparing and submitting clean claims to various insurance companies either electronically or by paper
• Answering questions from patients clerical staff and insurance companies
• Identifying and resolving patient billing complaints
• Preparing reviewing and sending patient statements
• Evaluating patient's financial status and establishing budget payment plans; following and reporting the status of delinquent accounts
• Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
• Prepares information for the collection agency
• Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
• Participating in educational activities and attending monthly staff meetings
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations

Skills/Abilities:

• Detail-oriented and accurate
• Ability to operate a computer computer software and basic office equipment
• Ability to operate a multi-line telephone system
• Skilled in answering a telephone in a pleasant and helpful manner
• Ability to read understand and follow oral and written instructions
• Ability to establish and maintain effective working relationship with patients associates and the public
• Proficiency in reading writing and speaking English in required

Education and Experience:

• 1 year of medical billing and collections practice experience preferred
• Knowledge of basic medical coding and third-party operating procedures and practices preferred
• Knowledge of business office procedures

Certificates/Licenses/Registration:

• Pharmacy Technician Certification (PTCB) license required for all new hires.
• Must be a fully licensed technician in the State of Pennsylvania or willing to earn license upon employment.
• Must be willing to obtain a non-resident license in the State of Indiana within 90 days of employment.

Physical Requirements:

• Work is performed indoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites. The noise level in the work environment is usually moderate.
• Prolonged periods of sitting at a desk and working on a computer.

SelectQuote Core Values:

Service: We create positive customer experiences.

Entrepreneurship: We create innovate & take risks.

Leadership: We build & invest in high-performing teams.

Empowerment: We embrace a changing environment.

Courage: We challenge the status quo & drive continuous improvement.

Teamwork: We help support & celebrate each other.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required.

Responsibilities

Founded in 1985, SelectQuote (NYSE: SLQT) provides solutions that help consumers protect their most valuable assets: their families, health and property. SelectRX, a subsidiary of SelectQuote, is prioritizing important population health initiatives focused on actively managed, high-touch patient experience by improving patient engagement and health literacy, simplifying the healthcare journey and facilitating better healthcare options through value-based partnerships.

SelectRX is a high touch, technology-driven specialized medication management pharmacy. We engage virtually with patients to ensure accurate prescription records are maintained in order to achieve improved prescription drug adherence. SelectRX does this by providing a personalized clinical approach driven by a robust technology platform to track adherence with a world-class pharmaceutical packing and distribution facility.

Qualifications

The Pharmacy Billing Specialist is responsible for collecting posting and managing patient account payments. The position is responsible for submitting patient claims to insurance companies and following up on claims with insurance companies.

This role is Hybrid, based out of our Monaca, PA location. The shift time is M-F 9am-5:30pm EST.

Supervisory Responsibilities:

• This position has no direct supervisory responsibilities.

Essential Duties and Responsibilities:

• Preparing and submitting clean claims to various insurance companies either electronically or by paper
• Answering questions from patients clerical staff and insurance companies
• Identifying and resolving patient billing complaints
• Preparing reviewing and sending patient statements
• Evaluating patient's financial status and establishing budget payment plans; following and reporting the status of delinquent accounts
• Reviewing accounts for possible assignments and making recommendations to the Billing Supervisor
• Prepares information for the collection agency
• Performing various collection actions including contacting patients by phone; correcting and resubmitting claims to third-party payers
• Participating in educational activities and attending monthly staff meetings
• Maintaining the strictest confidentiality; adhering to all HIPAA guidelines and regulations

Skills/Abilities:

• Detail-oriented and accurate
• Ability to operate a computer computer software and basic office equipment
• Ability to operate a multi-line telephone system
• Skilled in answering a telephone in a pleasant and helpful manner
• Ability to read understand and follow oral and written instructions
• Ability to establish and maintain effective working relationship with patients associates and the public
• Proficiency in reading writing and speaking English in required

Education and Experience:

• 1 year of medical billing and collections practice experience preferred
• Knowledge of basic medical coding and third-party operating procedures and practices preferred
• Knowledge of business office procedures

Certificates/Licenses/Registration:

• Pharmacy Technician Certification (PTCB) license required for all new hires.
• Must be a fully licensed technician in the State of Pennsylvania or willing to earn license upon employment.
• Must be willing to obtain a non-resident license in the State of Indiana within 90 days of employment.

Physical Requirements:

• Work is performed indoors with potential for exposure to safety and health hazards related to office work. Could periodically travel to other office and operational sites. The noise level in the work environment is usually moderate.
• Prolonged periods of sitting at a desk and working on a computer.

SelectQuote Core Values:

Service: We create positive customer experiences.

Entrepreneurship: We create innovate & take risks.

Leadership: We build & invest in high-performing teams.

Empowerment: We embrace a changing environment.

Courage: We challenge the status quo & drive continuous improvement.

Teamwork: We help support & celebrate each other.

Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required.

Title: Hybrid Support Counselor

Location:

Hybrid

Oakland, CA 94605, USA

Richmond, CA, USA

Pay or shift range: $26.22 USD to $28.72 USD

Department: Direct Care

Job Description:

We are seeking a dedicated mental health professional to join our team as a Support Counselor, delivering inidualized services to youth and their families.

This role emphasizes flexibility and responsiveness, allowing you to meet clients where they are—whether at home, in school, or within the broader community in Richmond/Oakland, CA. As a key contributor to an interdisciplinary team, you'll collaborate with fellow therapists, counselors, family partners, educators, and local organizations to support client well-being. Your work as a Support Counselor will focus on promoting stability, building resilience, and connecting iniduals to essential resources, all within a framework that values cultural awareness and trauma-informed care.

ABOUT KAISER WRAPAROUND

This Kaiser Wraparound Program is a partnership between Kaiser Permanente and Seneca Family of Agencies, providing behaviorally focused mental health services to children and families. The program aims to provide children and their families with the support and services they need for children to maintain the lowest level of care possible and avoid out of home placements (group homes, juvenile hall, and hospitalization). Services for families will take place in-person within the community (Richmond & Oakland) while other work can be completed remotely.

RESPONSIBILITIES 

• Provide counseling and case management services to enrolled youth and families

• Connect clients and families to community resources and natural supports

• Offer crisis intervention and mental health services in various settings (home, school, community)

• Participate in treatment reviews, staff meetings, and IEP meetings as needed

• Complete mental health notes, service tracking, and required documentation

• Assist with transportation arrangements for school, therapy, and court appointments

• Provide on-call coverage to the program as scheduled

• Participate in all program staff meetings, and other treatment meetings when necessary

• Participate in weekly supervision with the Lead Clinician and/or Program Supervisor

• Apply crisis communication and de-escalation techniques, including physical intervention if necessary, following Seneca’s training protocols

QUALIFICATIONS 

REQUIRED 

• Bachelor’s degree in Counseling/Psychology/Social Work or related field

• Flexible schedule with the ability to work some evening hours as needed

• Be part of a rotating emergency on-call system, scheduled with supervisor ahead of time

• Must be at least 21 years of age

• Valid driver's license, clean driving record, and insurability through Seneca Family of Agencies’ insurance policy

• TB test clearance, fingerprinting clearance, and any other state/federal licensing or certification requirements

PREFERRED 

• Bilingual Spanish skill set

• Experience providing strong behavioral interventions with youth in community-based setting

Skilled in de-escalation techniques and managing urgent mental health situations

 SCHEDULE

• Full-time; Monday - Friday, 9am - 5:30pm

• Hybrid; provide in-person services & complete documentation remotely

• On-call; scheduled with supervisor ahead of time, 2 shifts per month

BENEFITS 

• Starting at $26.22 - $28.72 per hour, commensurate with experience

  • Additional compensation provided upon passing bilingual language proficiency exam

  • Salary increases each year

   

• Mileage reimbursement

• Stipends provided to staff members participating in the emergency on-call shifts

• 5 weeks of Paid Time off and 11 Paid Holidays

• Comprehensive benefits package:

  • Medical, dental, vision, chiropractic, acupuncture, fertility coverage

  • Long-term disability, family leave, and life insurance

  • 50% paid premiums for dependents

  • 403b Retirement Plan

  • Employer-paid Employee Assistance Plan

   

• Seneca is a Public Service Loan Forgiveness certified employer

• Scholarship opportunities, ongoing training, and professional development opportunities

• Promotional opportunities across the agency in California and Washington

#LI-MA1

Title: Clinical Program Manager – CMS Medical Review (RVC)

Location: United States - Remote

Job Description:

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we’re more than a service provider—we’re your trusted partner in innovation.

Location: Remote (U.S.)

Position Overview

We are seeking an experienced Program Manager to oversee daily operations for the CMS Review and Validation Contractor (RVC) Program. This role serves as the primary point of contact to the CMS RVC COR and is responsible for ensuring all contract, operational, and medical review requirements are executed in accordance with CMS guidelines.

The ideal candidate brings a strong clinical background (RN), extensive Medicare program knowledge, and proven leadership experience managing large, complex healthcare projects.

Key Responsibilities

• Serve as the contractor’s authorized representative on all daily operational matters.

• Maintain ongoing communication with the CMS RVC COR regarding contract performance, staffing, and deliverables.

• Oversee medical review activities and ensure compliance with CMS guidelines and FFS RAC Program requirements.

• Lead cross-functional teams and manage staff required to support RVC operations.

• Ensure accurate interpretation of Medicare coverage, documentation, and regulatory standards.

• Monitor project progress, performance measures, and quality assurance outputs.

• Prepare operational updates, reports, and data summaries for CMS and internal leadership.

• Ensure effective workflows, staffing coverage, and adherence to deadlines and contract terms.

• Provide clinical oversight and guidance across medical review tasks and methodologies.

Required Qualifications

• 5+ years of Program Management experience overseeing large or complex healthcare projects.

• Experience in medical review, healthcare auditing, or clinical review operations.

• Extensive knowledge of the Medicare program, including CMS regulatory and operational requirements.

• Working knowledge of the CMS FFS RAC Program.

• Strong leadership abilities with experience managing multidisciplinary teams.

Education & Licensure

• Master’s degree in Business, Healthcare Administration, Nursing, Management, or a related healthcare field from an accredited institution.

• Current, active U.S. Nursing License (RN); must be maintained throughout employment.

Preferred Skills

• Excellent written and verbal communication skills.

• Strong analytical, organizational, and problem-solving abilities.

• Experience working with government contracts or federal healthcare programs.

• Ability to manage multiple projects and deadlines in a fast-paced environment.

Why Join Us

• Opportunity to lead mission-critical work that supports the integrity of the Medicare program.

• Collaborative team environment with impactful clinical and operational responsibilities.

• Competitive compensation and benefits package.

How to Apply

Submit your resume detailing your program management experience, clinical background, and Medicare/CMS expertise.

What to Expect Next:

After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with a recruiter to verify resume specifics and discuss salary requirements. Management will be conducting interviews with the most qualified candidates. We perform a background and drug test prior to the start of every new hires' employment. In addition, some positions may also require fingerprinting.

Broadway Ventures is an equal-opportunity employer and a VEVRAA Federal Contractor committed to providing a workplace free from harassment and discrimination. We celebrate the unique differences of our employees because they drive curiosity, innovation, and the success of our business. We do not discriminate based on military status, race, religion, color, national origin, gender, age, marital status, veteran status, disability, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.

Title: BH Clinician (Virtual)

Location: Wash, 213 Washington St., Newark, NJ

Job Description:

Job Classification:

Operations - Insurance Operations

For over 100 years, Prudential’s erse and talented employees have been committed to helping customers and their families grow and protect their wealth through a variety of products and services, including Group Insurance.   We are known for delivering on our promises and are recognized as a trusted brand and one of the world’s most admired companies.

The Business:

Prudential is a company of smart, ambitious professionals working together across a multitude of disciplines. Together, we are building a better financial future for our customers and our communities around the globe. At Prudential, we understand that a company is only as good as its people. This simple fact is central to all that we do.

The current EWA for this position is Fully Virtual. While this position does not require your on-site presence on a regular basis, depending on business preferences, there may be occasions where you are required to be on-site at a Prudential office.

What you’ll need to succeed:

• Current licensed RN, Social Worker, Professional Counselor, Psychologist

• 2+ years of acute/outpatient psychiatric care experience

• Clinical Case Management experience  

• Excellent time management and organizational skills

• Applies clinical training and knowledge to form an assessment of mental capacity and how that impacts function and return to work

• Identifies restrictions and limitations based on psychological and social factors to assist claim management staff in their claim handling activities.

• Possess excellent analytical and critical thinking skills to assist in strategy development

• Effective written and verbal communication skills to document clinical assessments

• Collaborates with other resources including but not limited to Disability Claim Team Members, Clinical Peers and Vocational Rehabilitation Counselor Resources

• Assists disability claimants with recovery, overcoming barriers, and a successful transition back to work.  

• Work closely with claimants via phone, email and texting, building rapport and creating a unique rehabilitation plan that addresses their specific needs for recovery and return to work.

• Includes collaboration with claimants in STD and/LTD and their treating providers to clarify work capacity.

• Partners with employers to coordinate return to work which could include full time work, accommodations, or a transitional return to work plan.

• Capable of managing a case load between 35-50 (specific to BH Case Management)

It’d be a plus if you have:

• Prior insurance industry experience

• Experience with STD/LTD products/claims

• Experience with motivational interviewing techniques

#LI-MG

What we offer you:

Prudential is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is from $78,700.00 to $117,300.00. Specific pricing for the role may vary within the above range based on many factors including geographic location, candidate experience, and skills.

• Market competitive base salaries, with a yearly bonus potential at every level.

• Medical, dental, vision, life insurance, disability insurance, Paid Time Off (PTO), and leave of absences, such as parental and military leave.

• 401(k) plan with company match (up to 4%).

• Company-funded pension plan.

• Wellness Programs including up to $1,600 a year for reimbursement of items purchased to support personal wellbeing needs.

• Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.

• Education Benefit to help finance traditional college enrollment toward obtaining an approved degree and many accredited certificate programs.

• Employee Stock Purchase Plan: Shares can be purchased at 85% of the lower of two prices (Beginning or End of the purchase period), after one year of service.

Eligibility to participate in a discretionary annual incentive program is subject to the rules governing the program, whereby an award, if any, depends on various factors including, without limitation, inidual and organizational performance.To find out more about our Total Rewards package, visitWork Life Balance | Prudential Careers. Some of the above benefits may not apply to part-time employees scheduled to work less than 20 hours per week.

Prudential Financial, Inc. of the United States is not affiliated with Prudential plc. which is headquartered in the United Kingdom.

Prudential is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, national origin, ancestry, sex, sexual orientation, gender identity, national origin, genetics, disability, marital status, age, veteran status, domestic partner status, medical condition or any other characteristic protected by law.

If you need an accommodation to complete the application process, please [email protected].

If you are experiencing a technical issue with your application or an assessment, please [email protected] request assistance.

Title: Field Access Manager - Ohio Valley - Columbus, OH, Fort Wayne, IN, Toledo, OH

Location:

• USA - Ohio - Columbus
• USA - Ohio - Toledo
• USA - Indiana - Fort Wayne
• USA - Pennsylvania - North Wales (Upper Gwynedd)

Remote

Full-time

Job Description:

Field Access Manager

The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.

The FAM role is a remote/field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning inidual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross-functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. Joining this team means being a part of driving meaningful patient impact by utilizing our scientific expertise and serving as the primary contact for customers within your assigned territory: Columbus, OH, Fort Wayne, IN, Toled,o OH

The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to:

• Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats
• Analyze access trends
• Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction
• Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy
• Monitor payer trends to address access barriers
• Provide access information to HCP offices
• Provide access education to field teams upon approved direction.
• Escalate and coordinate on access issues with third parties including hub vendor
• Provide education and support on Specialty Pharmacy issues
• Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
• Answer questions about coverage, including payer-specific access questions
• Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
• Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans
• Educate and update HCPs on key private and public payer coverage and changes that impact access for patients
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies
• Attend National and Regional Meetings

Minimum Requirements:

• Bachelor's Degree; 7+ years' experience in patient support, healthcare sales or operations, project management, or reimbursement support
• Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence erse stakeholders across teams and disciplines
• Exhibit competent understanding of hub and patient support activities
• Proven ability to manage multiple priorities in a hybrid environment with 20-25% travel; Must reside in the assigned territory/metro area
• Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
• Must be at least 21 years old with a valid driver's license and a clean driving record

Preferred Requirements:

• Pharmaceutical industry experience highly preferred
• Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred

US and Puerto Rico Residents Only:

Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.

As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and iniduals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:

We are proud to be a company that embraces the value of bringing together, talented, and committed people with erse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with erse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.

Learn more about your rights, including under California, Colorado and other US State Acts

U.S. Hybrid Work Model

Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".

The salary range for this role is

$114,700.00 - $180,500.00

This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.

The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.

We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.

You can apply for this role through https://jobs.merck.com/us/en (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.

San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance

Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance

Search Firm Representatives Please Read Carefully

Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

Employee Status:

Regular

Relocation:

No relocation

VISA Sponsorship:

No

Travel Requirements:

75%

Flexible Work Arrangements:

Remote

Shift:

Not Indicated

Valid Driving License:

Yes

Hazardous Material(s):

n/a

Title: Medical & Technical Writer, Sci Ops - JJMT Electrophysiology

Location: Irvine, California, United States of America, Raritan, New Jersey, United States of America

Job Description:

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

Job Function: R&D Operations

Job Sub Function: Clinical/Medical Operations

Job Category: Professional

Johnson & Johnson MedTech, Electrophysiology, is recruiting an Medical & Technical Writer to join our Scientific Operations team. This role can be located in Irvine, California or Raritan, NJ with a hybrid working schedule of 2-3 days per week on-site.

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

Fueled by innovation at the intersection of biology and technology, we're developing the next generation of smarter, less invasive, more personalized treatments.

Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that's reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients.

Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech

As the Medical & Technical Writer within Scientific Operations (SciOps) you will lead the authoring of Clinical Evaluations (CERs), State of the Art Assessments (SOA), Literature Reviews, Summaries of Safety and Clinical Performance (SSCP), and Periodic Safety Updates (PSUR) for the MedTech Electrophysiology business unit. You will also provide input and support to related functions ensuring the delivery of key regulatory and medical documents to gain and retain market access.

Job Responsibilities:

• Write Scientific Operations medical and technical documentation including Clinical Evaluation Plan (CEP), Clinical Evaluation Report (CER), Literature Review Protocol (LRP), Literature Review Report (LRR), Summary of Safety and Clinical Performance (SSCP), Periodic Safety Updates Report (PSUR) documents, and other medical and technical assessments based on available data inputs.

• Respond to inquiries from Health Authorities and Notified Body as it pertains to data and information presented in the documents written. Track and trend inquiries and responses to improve processes and increase speed to market. Translate insights into viable processes and solutions that create value.

• Ensure the Scientific Operations deliverables are linked to appropriate Quality Systems and Regulatory documents (e.g. Risk Management, PMS, etc.) to make certain information is consistent and accessible where needed.

• Communicate to drive alignment in strategy across different functions including Medical Affairs, Clinical Research, Quality, R&D, and Regulatory Affairs.

• Participate in workshops and projects/ initiatives to help define processes improvements.

• Support audits and inspections pertaining to Scientific Operations processes and reports.

Qualifications

Required:

• Minimum of a Bachelor's degree (University Degree), in Life Sciences, Engineering or related subject area.

• Minimum of 3 years of experience medical device, diagnostics, or pharmaceutical industry with one of those years directly involved with medical devices.

• One year of experience in technical or medical writing, regulatory writing, post market surveillance, clinical research, or product risk management.

Preferred:

• Knowledge of physiology and common outcomes of electrophysiology

• An advanced degree, MS, PhD, RN, or MBA.

• Familiarity with the EU MDR regulations as it pertains to clinical evaluations, data sufficiency requirements, and state of the art assessments.

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

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

Clinical Evaluation Reports, Clinical Operations, Clinical Research and Regulations, Clinical Trial Designs, Literature Reviews, Medical Device Industry

The anticipated base pay range for this position is :

$92,000 - $148,000

Additional Description for Pay Transparency:

The Company maintains highly competitive, performance-based compensation programs. Under current guidelines, this position is eligible for an annual performance bonus in accordance with the terms of the applicable plan. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for inidual and the corporation's performance over a calendar/performance year. Bonuses are awarded at the Company's discretion on an inidual basis.

Employees and/or eligible dependents may be eligible to participate in the following company-sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. Employees may be eligible to participate in the Company's consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company's long-term incentive program. Employees are eligible for the following time off benefits: Vacation - up to 120 hours per calendar year Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington - up to 56 hours per calendar year Holiday pay, including Floating Holidays - up to 13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Additional information can be found through the link below. https://www.careers.jnj.com/employee-benefits

Title: Field Access Manager - Central California - San Francisco, CA, Los Angeles, CA, Fresno, CA

Location:

Remote

• USA - Pennsylvania - North Wales (Upper Gwynedd)
• USA - California - San Francisco
• USA - California - Fresno
• USA - California - Los Angeles

Full time

Job Description:

Field Access Manager

The Field Access Manager (FAM) serves as the subject-matter expert on access related issues for healthcare professionals (HCPs) and healthcare organizations (HCOs), and will work cross-functionally with patient support, market access, and field sales to support timely patient access to therapy. The FAM will provide information to providers on access processes, reimbursement issues, and support patient assistance programs, all while ensuring compliance with healthcare regulations.

The FAM role is a remote/field-based role that proactively provides approved education to defined accounts within an assigned geography on matters related to access and coverage to facilitate appropriate patient access. The FAM will analyze access issues and act as the local access resource for HCPs and other field force personnel and region management, as permitted by policy. Where appropriate, the FAM will coordinate with the access hub concerning inidual patient cases including patient access and coverage assistance, hub enrollment and overall coordination. The FAM will need to collaborate cross functionally with Field Sales, Marketing, Market Access, Public Affairs, State and Government Affairs, Trade and Specialty Pharmacy Accounts while abiding by all corporate and industry policy and procedures. Joining this team means being a part of driving meaningful patient impact by utilizing our scientific expertise and serving as the primary contact for customers within your assigned territory: San Francisco CA, Los Angeles CA, Fresno CA

The FAMs will manage daily activities that support appropriate patient access. Activities include, but are not limited to:

• Provide information and/or education to HCP accounts on patient access, including benefit verification, prior authorization process, appeals process, and patient support programs in both live and virtual formats
• Analyze access trends
• Partner cross-functionally to identify and address barriers to patient access and supporting patient satisfaction
• Build collaborative, trusted relationships with internal stakeholders to support seamless patient access to therapy
• Monitor payer trends to address access barriers
• Provide access information to HCP offices
• Provide access education to field teams upon approved direction.
• Escalate and coordinate on access issues with third parties including hub vendor
• Provide education and support on Specialty Pharmacy issues
• Provide information to HCP offices on how the products are covered under the benefit design (Commercial, Medicare, Medicaid)
• Answer questions about coverage, including payer-specific access questions
• Maintain deep knowledge of regional and national market dynamics, and payer coverage policies.
• Act as a subject matter expert on access and affordability challenges across various payer types, including Medicare, Medicaid, and commercial plans
• Educate and update HCPs on key private and public payer coverage and changes that impact access for patients
• Support patient access to the product by providing subject matter expertise on payer coverage issues impacting product access in a manner that complies with policies, processes and standard operating procedures
• Educate HCP offices on the product hub program including, e.g., patient support offerings, financial assistance and hub educational resources
• Demonstrate knowledge of and communicate information about access resources and payer processes/policies
• Attend National and Regional Meetings

Minimum Requirements:

• Bachelor's Degree; 7+ years' experience in patient support, healthcare sales or operations, project management, or reimbursement support
• Strong knowledge of health insurance structures (Medicare Part B, Medicaid, commercial) and related access processes, including benefit verification, prior authorization, and appeal processes
• Expertise in pharmaceutical compliance and HIPAA regulations regarding patient confidentiality
• Excellent interpersonal and communication skills; demonstrated ability to engage and influence erse stakeholders across teams and disciplines
• Exhibit competent understanding of hub and patient support activities
• Proven ability to manage multiple priorities in a hybrid environment with 20-25% travel; Must reside in the assigned territory/metro area
• Ability to operate as a "team player" in collaborating with multiple sales representatives, sales leadership, and internal colleagues appropriately to reach common goals
• Must be at least 21 years old with a valid driver's license and a clean driving record

Preferred Requirements:

• Pharmaceutical industry experience highly preferred
• Deep understanding of HCP office workflows, prescription flow, and clinic operations; pulmonology experience preferred

US and Puerto Rico Residents Only:

Our company is committed to inclusion, ensuring that candidates can engage in a hiring process that exhibits their true capabilities. Please click here if you need an accommodation during the application or hiring process.

As an Equal Employment Opportunity Employer, we provide equal opportunities to all employees and applicants for employment and prohibit discrimination on the basis of race, color, age, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, disability status, or other applicable legally protected characteristics. As a federal contractor, we comply with all affirmative action requirements for protected veterans and iniduals with disabilities. For more information about personal rights under the U.S. Equal Opportunity Employment laws, visit:

We are proud to be a company that embraces the value of bringing together, talented, and committed people with erse experiences, perspectives, skills and backgrounds. The fastest way to breakthrough innovation is when people with erse ideas, broad experiences, backgrounds, and skills come together in an inclusive environment. We encourage our colleagues to respectfully challenge one another's thinking and approach problems collectively.

Learn more about your rights, including under California, Colorado and other US State Acts

U.S. Hybrid Work Model

Effective September 5, 2023, employees in office-based positions in the U.S. will be working a Hybrid work consisting of three total days on-site per week, Monday - Thursday, although the specific days may vary by site or organization, with Friday designated as a remote-working day, unless business critical tasks require an on-site presence.This Hybrid work model does not apply to, and daily in-person attendance is required for, field-based positions; facility-based, manufacturing-based, or research-based positions where the work to be performed is located at a Company site; positions covered by a collective-bargaining agreement (unless the agreement provides for hybrid work); or any other position for which the Company has determined the job requirements cannot be reasonably met working remotely. Please note, this Hybrid work model guidance also does not apply to roles that have been designated as "remote".

The salary range for this role is

$114,700.00 - $180,500.00

This is the lowest to highest salary we in good faith believe we would pay for this role at the time of this posting. An employee's position within the salary range will be based on several factors including, but not limited to relevant education, qualifications, certifications, experience, skills, geographic location, government requirements, and business or organizational needs.

The successful candidate will be eligible for annual bonus and long-term incentive, if applicable.

We offer a comprehensive package of benefits. Available benefits include medical, dental, vision healthcare and other insurance benefits (for employee and family), retirement benefits, including 401(k), paid holidays, vacation, and compassionate and sick days. More information about benefits is available at https://jobs.merck.com/us/en/compensation-and-benefits.

You can apply for this role through https://jobs.merck.com/us/en (or via the Workday Jobs Hub if you are a current employee). The application deadline for this position is stated on this posting.

San Francisco Residents Only: We will consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance

Los Angeles Residents Only: We will consider for employment all qualified applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance

Search Firm Representatives Please Read Carefully

Merck & Co., Inc., Rahway, NJ, USA, also known as Merck Sharp & Dohme LLC, Rahway, NJ, USA, does not accept unsolicited assistance from search firms for employment opportunities. All CVs / resumes submitted by search firms to any employee at our company without a valid written search agreement in place for this position will be deemed the sole property of our company. No fee will be paid in the event a candidate is hired by our company as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

Employee Status: Regular

Relocation: No relocation

VISA Sponsorship: No

Travel Requirements: 75%

Flexible Work Arrangements: Remote

Shift: Not Indicated

Valid Driving License: Yes

Hazardous Material(s): n/a

Title: Staff VP - Engineering, Medical Cost Mgmt & Cost of Care

Location: May be located in any Elevance Health PulsePoint office, preferably in Indianapolis, IN, Atlanta, GA, Mason, OH, Richmond, VA, Chicago, IL, New York, NY.

Full time

Hybrid

This role requires associates to be in-office at least 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

Job Description:

Summary

The Staff Vice President of Engineering will provide strategic and technical leadership in designing, developing, and delivering enterprise technology solutions that drive medical cost management and optimize cost of care. This executive will oversee engineering teams responsible for building advanced analytics platforms, AI/ML-driven decision support tools, claims optimization systems, and clinical insights platforms that enable Elevance Health to reduce medical costs, improve patient outcomes, and enhance provider and member experiences.

This role requires a visionary engineering leader with deep expertise in healthcare data, large-scale system architecture, and cost-of-care technology solutions. The Staff VP will partner with business leaders in Clinical, Actuarial, Network, Finance, and Product organizations to deliver transformative capabilities.

Team Scope: 6-7 Directs

Position Responsibilities

Strategic Leadership

• Define and own the engineering strategy for medical cost management and cost of care platforms.
• Partner with C-level executives, clinical leaders, and product owners to align technology solutions with enterprise goals on affordability and care quality.
• Drive innovation through adoption of advanced analytics, AI/ML, and automation to reduce medical spend and improve utilization management.

Engineering Execution

• Lead large-scale engineering teams responsible for building, scaling, and maintaining platforms for:

• Medical Cost Management (claims review, payment integrity, utilization management, risk adjustment).

• Cost of Care Optimization (clinical analytics, care management platforms, provider performance tools).

• Oversee end-to-end solution delivery-from architecture and development through deployment, operations, and continuous improvement.

• Champion modern engineering practices including cloud-native development, DevOps, API-first architecture, and secure data integration.

Partnership & Influence

• Collaborate with Clinical Operations, Finance, and Network teams to identify high-value cost-saving opportunities.
• Work closely with Data Science and AI teams to translate predictive models into scalable production systems.
• Serve as an executive thought leader, representing technology in enterprise forums on affordability, provider collaboration, and care delivery.

Operational & Financial Management

• Develop and manage multimillion-dollar engineering budgets for cost management initiatives.
• Drive vendor strategy and oversee technology partnerships relevant to cost-of-care capabilities.
• Ensure compliance with healthcare regulations (HIPAA, CMS, state-specific requirements).

Position Requirements

• Bachelor's degree in computer science, Engineering, or related field.
• 15+ years of progressive technology leadership, with at least 8+ years at the executive level.
• Proven track record of delivering large-scale healthcare technology solutions (claims systems, care management platforms, or cost optimization tools).
• Deep understanding of medical cost drivers, utilization management, provider reimbursement models, and care quality measures.
• Experience leading large, distributed engineering organizations (500+ engineers).

Preferred Skills, Capabilities and Experiences

• Prior leadership in a payer, provider, or healthcare technology company.
• Experience in AI/ML, advanced analytics, and data platforms specific to medical cost optimization.
• Strong knowledge of value-based care models, risk-based contracting, and payment integrity.
• Executive presence with the ability to influence across C-suite, technical, and clinical audiences.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $201,760 to $368,168.

Locations:

Illinois, New York

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

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

Job Level:

Staff/Regional VP

Workshift:

Job Family:

IFT > Engineering/Dev

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

Who We Are

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

How We Work

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

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

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

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

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

Title: Mental Health Program Specialist

Job Description:

Responsibilities for this Position

Location: Any Location / Remote

Full Part/Time: Full time

Job Req: RQ210816

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

MBI (T2)

Job Family:

Functional Experts

Job Qualifications:

Skills:

Analytical Thinking, Collaborating, Data Analysis

Certifications:

None

Experience:

5 + years of related experience

US Citizenship Required:

No

Job Description:

Position Description:

The Mental Health Program Analyst will support mental health programming and program specialist staff within the Division of Health at a federal agency.

Position Duties:

1. Data Analysis

• Conduct programmatic and financial data collection for agency-funded behavioral health programs.
• Review and analyze grant recipients' programmatic reports.
• Follow up with recipients and federal staff on identified programmatic report concerns and irregularities.
• Collaborate with program specialists on data analysis for behavioral health programs.

2. Technical Assistance

• Provide technical assistance to recipients on programmatic requirements and other concerns related to implementing a behavioral health project.
• Collaborate with program specialists and other staff on complex technical assistance needs of grant recipients.

3. Monitoring

• Conduct and participate in on-site and desk monitoring efforts to assess recipients' performance and compliance, as required by federal regulations, policies, and guidelines.
• Collaborate with program specialists, other federal staff, and across GDIT teams on monitoring activities and initiatives.

4. Partnership and Communication

• Support program specialists in program-related events such as webinars and orientations.
• Assist with support for communications (e.g., website, SharePoint, contact lists, etc.).
• Participate in meetings and conferences related to behavioral health.

5. Grants and Program Management

• Develop and maintain grantee profiles.
• Assist with scheduling and planning for annual and other grantee meetings.

The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.

Education:

BS degree in a social or health science field required, MS degree in a mental health discipline is highly preferred.

Qualifications:

• At least five years of work experience in mental health programming.
• Strong organizational, problem-solving, and analytical skills.
• Strong verbal and written communication skills.
• Grant administration experience preferred.
• Mental/behavioral health credentials and/or program management experience is preferred.
• Experience working with immigrants, refugees, and/or underserved populations with limited English proficiency is preferred.
• First-person knowledge of the lived experiences of immigrant or refugee community is preferred.

Additional Requirements:

• This position requires an existing Public Trust or the ability to obtain one.

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

• Growth: AI-powered career tool that identifies career steps and learning opportunities
• Support: An internal mobility team focused on helping you achieve your career goals
• Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
• Flexibility: Full-flex work week to own your priorities at work and at home
• Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career at GDIT and you'll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.

The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Hybrid

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Iniduals with Disabilities / Protected Veterans

Title: Health Program Specialist

Job Description:

Responsibilities for this Position

Location: Any Location / Remote

Full Part/Time: Full time

Job Req: RQ210807

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

None

Public Trust/Other Required:

MBI (T2)

Job Family:

Functional Experts

Job Qualifications:

Skills:

Analytical Thinking, Collaborating, Data Analysis

Certifications:

None

Experience:

5 + years of related experience

US Citizenship Required:

No

Job Description:

Position Description:

Candidate will support the Division of Health at a federal agency.

Position Duties:

1. Data Analysis

• Conduct programmatic and financial data collection for agency-funded health programs
• Review and analyze health program grantees' programmatic and financial reports
• Conduct follow-up with grantees and federal staff on identified programmatic and financial report concerns and irregularities
• Collaborate with Sr. Health Program Analysts on data analysis for agency health programs

2. Technical Assistance

• Provide technical assistance to grantees on health programs' requirements and other health-related concerns
• Collaborate with Sr. Health Program Analysts on complex grantee technical assistance needs

3. Monitoring

• Conduct and participate in on-site and desk monitoring efforts to assess health program grantees' performance and compliance, as required by federal regulations, policies, and guidelines
• Collaborate with Sr. Health Program Analysts, other federal staff, and the GDIT Monitoring and Evaluation Team on monitoring activities and initiatives

4. Partnership and communication

• Participate in meetings and conferences related to health programs
• Engage in ongoing communication with federal staff, health grantees, and stakeholders
• Collaborate with federal staff, grantees, and stakeholders on special projects, as necessary

5. Other tasks as assigned.

The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.

Education:

Bachelor of Arts (BA)/Bachelor of Science (BS) degree in a social or health science field is required. MPH degree preferred.

Experience and skills:

• At least 5 years of related work experience required with a Bachelor's degree
• Strong organizational, problem-solving, and analytical skills required
• Strong verbal and written communication skills required
• Grant administration experience preferred
• Experience working with vulnerable populations preferred

Additional Requirements:

• This positions requires an existing Public Trust, or the ability to obtain one.

GDIT IS YOUR PLACE

At GDIT, the mission is our purpose, and our people are at the center of everything we do.

• Growth: AI-powered career tool that identifies career steps and learning opportunities
• Support: An internal mobility team focused on helping you achieve your career goals
• Rewards: Comprehensive benefits and wellness packages, 401K with company match, and competitive pay and paid time off
• Flexibility: Full-flex work week to own your priorities at work and at home
• Community: Award-winning culture of innovation and a military-friendly workplace

OWN YOUR OPPORTUNITY

Explore a career at GDIT and you'll find endless opportunities to grow alongside colleagues who share your ambition to deliver your best work.

The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

Less than 10%

Telecommuting Options:

Hybrid

Work Location:

Any Location / Remote

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. GDIT typically provides new employees with 15 days of paid leave per calendar year to be used for vacations, personal business, and illness and an additional 10 paid holidays per year. Paid leave and paid holidays are prorated based on the employee's date of hire. The GDIT Paid Family Leave program provides a total of up to 160 hours of paid leave in a rolling 12 month period for eligible employees. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Iniduals with Disabilities / Protected Veterans

Utilization Management Medical Director - NC Medicaid

Locations

• NC-DURHAM, 1960 IVY CREEK BLVD,
• GA-ATLANTA, 740 W PEACHTREE ST NW
• VA-ASHBURN, 22001 LOUDOUN COUNTY PKWY, STE E1-2
• CT-WALLINGFORD, 108 LEIGUS RD
• OH-MASON, 4361 IRWIN SIMPSON RD
• OH-CINCINNATI, 3075 VANDERCAR WAY
• GA-COLUMBUS, 6087 TECHNOLOGY PKWY
• OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200
• VA-RICHMOND, 2015 STAPLES MILL RD,
• VA-ROANOKE, 602 S JEFFERSON ST
• NC-WINSTON-SALEM, 5650 UNIVERSITY PKWY
• VA-NORFOLK, 5800 NORTHAMPTON BLVD

Full time

Position Title:

Utilization Management Medical Director - NC Medicaid

Job Description:

Utilization Management Medical Director- NC Medicaid  

Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Ideal candidate will live in North Carolina but not required. Alternate locations may be considered.

The Medical Director will be responsible for utilization review case management for North Carolina Medicaid. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.

How you will make an impact:

• Supports clinicians to ensure timely and consistent responses to members and providers.

• Provides guidance for clinical operational aspects of a program.

• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits with providers and external physicians.

• May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.

• Serves as a resource and consultant to other areas of the company.

• May be required to represent the company to external entities and/or serve on internal and/or external committees.

• May chair company committees.

• Interprets medical policies and clinical guidelines.

• May develop and propose new medical policies based on changes in healthcare.

• Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

• Identifies and develops opportunities for innovation to increase effectiveness and quality.

Minimum Requirements:

• Requires MD or DO and Board certification approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).

• Must possess an active unrestricted medical license to practice medicine or a health profession in North Carolina.

• Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US.

• Minimum of 10 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

• For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

Preferred Qualifications:

• Family Medicine, Internal Medicine, or Ob/GYN board certifications preferred.

Job Level:

Director Equivalent

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Physician/Doctor/Dentist

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

Who We Are

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

How We Work

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

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

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

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

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

Staff Attorney (LE 3) – DOH8758

Location: Thurston County – Tumwater, WA

Salary: $7,443.00 – $10,004.00 Monthly

Department: Dept. of Health

Description

These positions are hybrid, full-time Legal Examiner 3 (LE 3) roles located at the Tumwater DOH office. This posting will fill one non-permanent appointment (anticipated 12 months) and one permanent appointment.

The Washington State Department of Health is seeking two Staff Attorneys to deliver high-quality legal services to Health Systems Quality Assurance (HSQA) programs and related entities. These roles directly support the agency mission to protect and improve the health of Washingtonians by applying legal expertise to manage complex discipline cases.

HSQA’s vision is to be a leader in patient safety, prevention, and health systems development. Its values include integrity, accountability, effectiveness, responsiveness, cultural competency, courage to change, and a strong commitment to serving the public.

Key Responsibilities Include

Analyzing facts and law and recommending an appropriate form of action.

These positions play a vital role in protecting public health and safety by applying knowledge of state laws, including the Uniform Disciplinary Act, Washington Administrative Procedure Act, and related case law.

Hybrid Expectation: Approximately 1–2 days per week in the Tumwater DOH office.

Required Qualifications

You must meet ONE of the following options, plus all additional criteria listed:

Option 1: Three (3) years as a Legal Examiner or attorney in a governmental agency.

AND for all options:

Preferred Qualifications

Familiarity with the Uniform Disciplinary Act and Washington Administrative Procedure Act.

Benefits and Lifestyle

The DOH provides a highly competitive benefits package supporting work-life balance. 

We Are the Washington State Department of Health (DOH)

We safeguard public health through collaboration with local, state, federal, and private partners. Our organizational priorities are Equity, Innovation, and Engagement, guided by our Transformational Plan for Washington’s health future.

Conditions of Employment

This position is covered by the Washington Federation of State Employees (WFSE).

Employees must be prepared to:

Application Directions

• Resume

Document experience, skills, and abilities clearly as they relate to the listed qualifications.

Do NOT include:

Equity, Diversity & Inclusion

DOH is an equal-opportunity employer. We prohibit discrimination based on race, color, creed, sex, pregnancy, age, religion, national origin, marital status, disability, veteran status, sexual orientation, gender identity/expression, genetic information, or any legally protected status.

We value ersity as foundational to our strength and our ability to serve Washington’s communities effectively.

Questions or Accommodation Requests

Contact: Kristina Cox – [email protected]

For technical support: NEOGOV at 1-855-524-5627

DSHS HCLA TBI Community Services Program Manager

Location: Thurston County – Lacey, WA

Salary: $82,825.00 – $105,175.00 Annually

Department: Dept. of Social and Health Services

Description

The Home and Community Living Administration (HCLA) within the Department of Social and Health Services (DSHS) is seeking a TBI Community Services Program Manager to join the Home and Community Services (HCS) Division.

This opportunity is ideal for those dedicated to raising awareness and educating the public about issues facing iniduals with traumatic brain injuries (TBI). If you would enjoy serving as a liaison between the TBI Council, state leadership, HCLA, and the public—especially iniduals with TBI and their support systems—this role will resonate deeply.

Created under HB 1848 (2025), this role serves as the administration’s designated subject matter expert, leading statewide initiatives to establish, maintain, and evaluate community integration programs, peer-to-peer support, navigation services, structured skills-building programs, and public awareness campaigns. Initiatives span all ages, including pediatric-focused efforts, and require contract and budget management tied to the 12T TBI account (RCW 74.31).

Your work will directly impact how iniduals with TBI—and their families—connect, recover, and thrive. TBIs often lead to cognitive, emotional, and physical challenges that contribute to isolation and difficulty accessing services; this role supports equitable access to resources and meaningful recovery opportunities.

Hybrid: Telework from anywhere in WA with periodic statewide travel for monitoring, training, implementation, and consultation.

Some of What You Will Do

Develop and oversee structured skills-building programs promoting social integration and functional recovery for iniduals with TBI, including pediatric initiatives.

Who Should Apply

Bachelor’s degree in planning, health or social science, public administration, or related field (equivalent experience may substitute year for year).

Preferred Knowledge, Skills, and Abilities

Experience in contract administration and familiarity with the DSHS Agency Contracts Database (ACD).

Interested? To Apply

Submit an application including:

• Current resume

DSHS’s vision requires fairness, access, and social justice. We support all Washingtonians, including Black, Indigenous, and People of Color; iniduals with physical, behavioral, and intellectual disabilities; elders; LGBTQIA+ communities; immigrants; refugees; and families building financial security.

Questions? Contact [email protected] and reference job number 08274.

Supplemental Information

A criminal background check may be conducted prior to hire. Results do not automatically disqualify candidates.

DSHS is an equal opportunity employer and does not discriminate based on age, sex, sexual orientation, gender identity, marital status, race, creed, color, national origin, religion, political affiliation, military status, veteran status, disability, equal pay, or genetic information. Accommodations: (360) 725-5810 TTY: 7-1-1 or 1-800-833-6384

Title: Senior Software Engineer\ - Remote

Location: Reston United States

Job Description:

• We are open to supporting 100% remote work anywhere within the US*

The Team

Our Health Engineering Solutions (HES) team works side by side with customers to articulate a vision for success, and then make it happen. We know success doesn't happen by accident. It takes the right team of people, working together on the right solutions for the customer.

Our team supports the vision to improve patient quality care and consumer decision-making by hospital providers across the country, by collecting, computing, and publicly reporting outcomes-based hospital quality measure data. This contract will serve to develop a human-centric reporting system that allows refinement, filtering, and data comparison, as well as the ability to view supplemental information. Leveraging modern technologies, DevOps practices, and cloud-based infrastructure, our dynamic work environment involves multiple project teams collaborating toward a common vision of delivering an integrated solution.

The Work

We are seeking a FHIR Engineer to join our dynamic team. In this role, you will be responsible for working with a team of engineers and building enterprise-level backend solutions using a variety of technologies. You will be working with implementing the FHIR standard using JavaScript, Java, Spring Boot and OpenAPI to develop robust and scalable applications that support the Centers for Medicare and Medicaid Services (CMS) Hospital Quality Reporting (HQR) as we develop a next generation reporting and analytics system that directly impacts healthcare quality.

Your responsibilities will also include leveraging AWS cloud technologies to manage large datasets and create efficient data pipelines. You will be expected to design, develop, test, and deploy Java applications that meet the needs of our clients and partners.

The ideal candidate will have a strong understanding of software development principles and a proven track record in backend development. Experience with Agile software development methodologies is a must, as we value collaboration and flexibility in our approach to project management.

This is an excellent opportunity to work with a team of experienced professionals and contribute to the development of high-quality software solutions. If you are passionate about technology, eager to learn, and want your work to impact systems that collect healthcare data used by hundreds of thousands of daily users, we want to (virtually) meet you!

Key Responsibilities and Job Duties

• Assist in development and implementation of a FHIR-based architecture

• Work with a team of talented engineers, ensuring the successful delivery of high-quality solutions that meet business objectives

• Perform code reviews and develop processes for improving code quality

• Design and build microservices and serverless applications in the cloud

• Work with Product Owner and UX design to understand and create solutions for erse user requirements

• Work with Architects and other Engineers to help create and then implement development best practices

• Work with test engineering team to assure product quality

• Collaborate in a fast-paced Agile environment

• Participate in team code reviews and design reviews

• Help our support team triage bugs and troubleshoot production issues

• Cooperating with the back-end developers in the process of building the applications

• Work independently to design, develop, and document solutions, while adhering to all applicable standards (e.g., architectural, coding, security)

• Work with DevOps engineers on CI, CD, and IaC

• Read specs and translate them into test designs and test automation

Required Qualifications

• Bachelor's degree; OR a four-year degree such as B.S., B.A., or B.Sc.; OR completion of 6+ weeks of a programming boot camp plus 1+ year of IT-related experience; OR 4 years of relevant industry experience without a formal degree

• 7+ years overall software engineering experience, including strong proficiency in Java, Python, and Go (Golang) for backend development or similar languages, plus familiarity with cloud platforms (AWS, Azure, or GCP).

• 1+ years working with FHIR standards in production environments, including implementing FHIR using HAPI FHIR or similar frameworks.

• 3+ years building and consuming RESTful APIs.

• Candidate must be able to obtain and maintain a Federal Public Trust Clearance

• Candidate must reside in the U.S., be authorized to work in the U.S., and all work must be performed in the U.S.

• Candidate must have lived in the U.S. for three (3) full years out of the last five (5) years

Preferred Qualifications

• Candidates with U.S. citizenship or Green Card will be prioritized due to Federal Clearance requirements

• Background in EHR systems or healthcare IT.

• Experience with containerization (Docker, Kubernetes).

• Understanding of HIPAA and security compliance.

• Experience working in the healthcare industry with PHI/PII

• Federal Government contracting work experience

Job Location: Remote (USA). Travel for a conference or to another ICF location for collaboration may be required once a year. This position requires that the job be performed in the United States.  If you accept this position, note that ICF monitors employee work locations, blocks access from foreign locations/foreign IP addresses, and prohibits personal VPN connections.

#DMX-HES

#Li-cc1

#Indeed

Working at ICF

ICF is a global advisory and technology services provider, but we're not your typical consultants. We combine unmatched expertise with cutting-edge technology to help clients solve their most complex challenges, navigate change, and shape the future.

We can only solve the world's toughest challenges by building a workplace that allows everyone to thrive. We are an equal opportunity employer. Together, our employees are empowered to share their expertise and collaborate with others to achieve personal and professional goals. For more information, please read our EEO policy.

We will consider for employment qualified applicants with arrest and conviction records.

Reasonable Accommodations are available, including, but not limited to, for disabled veterans, iniduals with disabilities, and iniduals with sincerely held religious beliefs, in all phases of the application and employment process. To request an accommodation, please email [email protected] and we will be happy to assist. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodations.

Read more about workplace discrimination rights or our benefit offerings which are included in the Transparency in (Benefits) Coverage Act.

Candidate AI Usage Policy

At ICF, we are committed to ensuring a fair interview process for all candidates based on their own skills and knowledge. As part of this commitment, the use of artificial intelligence (AI) tools to generate or assist with responses during interviews (whether in-person or virtual) is not permitted. This policy is in place to maintain the integrity and authenticity of the interview process.

However, we understand that some candidates may require accommodation that involves the use of AI. If such an accommodation is needed, candidates are instructed to contact us in advance at [email protected]. We are dedicated to providing the necessary support to ensure that all candidates have an equal opportunity to succeed.

Pay Range - There are multiple factors that are considered in determining final pay for a position, including, but not limited to, relevant work experience, skills, certifications and competencies that align to the specified role, geographic location, education and certifications as well as contract provisions regarding labor categories that are specific to the position.

The pay range for this position based on full-time employment is:

$98,124.00 - $166,810.00

Nationwide Remote Office (US99)

Nurse Reviewer I

Location:

• OH-CINCINNATI, 3075 VANDERCAR WAY, United States of America
• CA-COSTA MESA, 3080 BRISTOL ST, STE 200
• CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL
• CA-WOODLAND HILLS, 21215 BURBANK BLVD
• OH-COLUMBUS, 8940 LYRA DR, STE 300
• OH-MASON, 4361 IRWIN SIMPSON RD
• OH-SEVEN HILLS, 6000 LOMBARDO CENTER, STE 200

Job Description:

Anticipated End Date:

2025-12-01

Position Title:

Nurse Reviewer I

Job Description:

Nurse Reviewer I

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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

Schedule: 9:30am-6:00pm local time, with rotating weekends.

New Grads are encouraged to apply!

The Nurse Reviewer I will be responsible for conducting preauthorization, out of network and appropriateness of treatment reviews for diagnostic imaging services by utilizing appropriate policies, clinical and department guidelines.

• Collaborates with healthcare providers, and members to promote the most appropriate, highest quality and effective use of diagnostic imaging to ensure quality member outcomes, and to optimize member benefits.

• Works on reviews that are routine having limited or no previous medical review experience requiring guidance by more senior colleagues and/or management.

• Partners with more senior colleagues to complete non-routine reviews.

• Through work experience and mentoring learns to conduct medical necessity clinical screenings of preauthorization request to assess assessing the medical necessity of diagnostic imaging procedures, out of network services, and appropriateness of treatment.

How you will make an impact:

• Conducts initial medical necessity clinical screening and determines if initial clinical information presented meets medical necessity criteria or requires additional medical necessity review.

• Conducts initial medical necessity review of exception preauthorization requests for services requested outside of the client health plan network.

• Notifies ordering physician or rendering service provider office of the preauthorization determination decision.

• Follows-up to obtain additional clinical information.

• Ensures proper documentation, provider communication, and telephone service per department standards and performance metrics.

Minimum Requirements:

• AS in nursing and minimum of 3 years of clinical nursing experience in an ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or any combination of education and experience, which would provide an equivalent background.

• Current unrestricted RN license in applicable state(s) required.

Preferred Skills, Capabilities, and Experiences:

• Familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans strongly preferred.

• BA/BS degree preferred.

• Previous utilization and/or quality management and/or call center experience preferred.

• Knowledge in Microsoft office.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12/hr - $56.77/hr

Locations: New York, New Jersey, Washington, Nevada, Maryland, Massachusetts, Illinois, District of Columbia

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

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

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed Nurse

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

Who We Are

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

How We Work

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

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

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

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

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

DSHS HCLA Adult Protective Services Investigator

Location: Clark County – Vancouver, WA

Salary

Department

Division

Salary Information

Description

Adult Protective Services (APS) is looking for experienced professionals to join our team as Social Service Specialist 3s in Vancouver, WA. These rewarding careers allow you to grow within DSHS while working alongside a dedicated team committed to protecting vulnerable adults across Washington State.

We're looking for people with strong investigative, critical thinking, and problem-solving skills to independently assess reports of abandonment, abuse, financial exploitation, neglect, and self-neglect. In this role, your ability to gather evidence, conduct timely and thorough investigations, and connect iniduals with services that support their safety and dignity will be key to your success.

Opportunities in this job classification that perform unannounced visits in unregulated environments, such as private residences, to conduct investigations for allegations of abuse and/or neglect of vulnerable adult iniduals, may be eligible for an additional 10% assignment pay in addition to the advertised salary.

Some of what you will do

Desired knowledge, skills, & abilities:

Who should apply?

Equivalent combination of education and/or work experience in social services, human services, criminal law/justice, or an allied field totaling 6 years will substitute in lieu of degree requirement. Practicum work will be substituted for one year of paid social service experience.

A two-year master’s degree in one of the above fields that included a practicum will be substituted for one year of paid social service experience.

Additional information:

Bring your compassion, dedication, and professionalism to a role where you’ll be partnering with people to provide support, care, and resources.

Interested?

Questions? Email Alex Baclaan at alex.baclaandshs.wa.gov and reference 08296.

The Department of Social and Health Services’ (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency’s vision that you bring an equity, anti-racism, and social justice commitment to your work with DSHS. We strive to create greater access and affirming representation of the communities we serve, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ iniduals, immigrants and refugees, and families building financial security.

Supplemental Information

Washington State Department of Social and Health Services is an equal opportunity employer and does not discriminate in any area of employment, its programs or services on the basis of age, sex, sexual orientation, gender, gender identity/expression, marital status, race, creed, color, national origin, religion or beliefs, political affiliation, military status, honorably discharged veteran, Vietnam Era, recently separated or other protected veteran status, the presence of any sensory, mental, physical disability or the use of a trained dog guide or service animal by a person with a disability, equal pay or genetic information. Persons requiring accommodation in the application process or this job announcement in an alternative format may contact the Recruiter at (360) 725-5810. Applicants who are deaf or hard of hearing may call through Washington Relay Service by dialing 7-1-1 or 1-800-833-6384.

Title: Care Manager

(RN)

Location: Remote-DE

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families.

• Evaluates the needs of the member, barriers to accessing the appropriate care, social determinants of health needs, focusing on what the member identifies as priority and recommends and/or facilitates the plan for the best outcome
• Develops ongoing care plans / service plans and collaborates with providers to identify providers, specialists, and/or community resources to address member's unmet needs
• Identifies problems/barriers to care and provide appropriate care management interventions
• Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
• Provides ongoing follow up and monitoring of member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / unmet needs
• Provides resource support to members and care managers for local resources for various services (e.g., employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans, as appropriate
• Facilitate care management and collaborate with appropriate providers or specialists to ensure member has timely access to needed care or services
• May perform telephonic, digital, home and/or other site outreach to assess member needs and collaborate with resources
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides and/or facilitates education to members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Other duties or responsibilities as assigned by people leader to meet business needs
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience: Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 – 4 years of related experience.

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required

Pay Range: $55,100.00 - $99,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Mental Health Program Specialist

Location: Any Location / Remote

Type of Requisition:

Clearance Level Must Currently Possess:

Clearance Level Must Be Able to Obtain:

Public Trust/Other Required:

Job Family:

Job Qualifications:

US Citizenship Required:

Job Description:

Position Description:

Position Duties:

1. Data Analysis

   Conduct programmatic and financial data collection for agency-funded behavioral health programs.
   Review and analyze grant recipients’ programmatic reports.
   Follow up with recipients and federal staff on identified programmatic report concerns and irregularities.
   Collaborate with program specialists on data analysis for behavioral health programs.

2. Technical Assistance

   Provide technical assistance to recipients on programmatic requirements and other concerns related to implementing a behavioral health project.
   Collaborate with program specialists and other staff on complex technical assistance needs of grant recipients.

3. Monitoring

   Conduct and participate in on-site and desk monitoring efforts to assess recipients’ performance and compliance, as required by federal regulations, policies, and guidelines.
   Collaborate with program specialists, other federal staff, and across GDIT teams on monitoring activities and initiatives.

4. Partnership and Communication

   Support program specialists in program-related events such as webinars and orientations.
   Assist with support for communications (e.g., website, SharePoint, contact lists, etc.).
   Participate in meetings and conferences related to behavioral health.

5. Grants and Program Management

   Develop and maintain grantee profiles.
   Assist with scheduling and planning for annual and other grantee meetings.

The preferred candidate for this position will be located in the Washington, DC metro area with a hybrid on-site schedule. However, remote candidates in other locations may be considered.

Education:

Qualifications:

Additional Requirements:

GDIT IS YOUR PLACE

Growth: AI-powered career tool that identifies career steps and learning opportunities

OWN YOUR OPPORTUNITY

The likely salary range for this position is $79,747 - $100,625. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

Travel Required:

Telecommuting Options:

Work Location:

Additional Work Locations:

Total Rewards at GDIT:

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Title: Care Manager (Social Work)

Location: Remote-MI

Full-time

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position Purpose: Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental health and substance use disorder.

• Evaluates the needs of the member via phone or in-home visits related to the resources available, and recommends and/or facilitates the care plan/service plan for the best outcome, which may include behavioral health and social determinant needs
• May perform telephonic, digital, home and/or other site visits outreach to assess member needs and collaborate with resources
• Develops ongoing care plans for members with high level acuity and works to identify providers, specialists, and community resources needed for care including mental health and substance use disorders
• Coordinates as appropriate between the member and/or family/caregivers, community resources, and the care provider team to ensure identified services are accessible to members
• Monitors care plans/service plans and/or member status and outcomes for changes in treatment side effects, complications and clinical symptoms and provides recommendations to care plan/service plan based on identified member needs
• Facilitates care coordination and collaborates with appropriate providers or specialists to ensure member has timely access to needed care or services
• Collects, documents, and maintains member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators
• Provides education to members and their families on procedures, healthcare provider instructions, treatment options, referrals, and healthcare benefits, which may include behavioral health and social determinant needs
• Provides feedback to leadership on opportunities to improve and enhance care and quality delivery for members in a cost-effective manner
• Performs other duties as assigned.
• Complies with all policies and standards.

Candidates for this role must be based in Michigan. The position supports members in Wayne and Macomb counties and requires approximately 75% travel to member homes, with the remaining time working remotely.

Education/Experience: Requires a Master's degree in Behavioral Health or Social Work or a Degree from an Accredited School of Nursing and 2 – 4 years of related experience.

• Licensed Master's Behavioral Health Professional (e.g., LCSW, LMSW, LMFT, LMHC, LPC) or RN based on state contract requirements with BH experience required

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Title: Project Supervisor

- Hospital A/R - PFS - Revenue Cycle

Location: GH Office: El Segundo, CA

Job Description:

Job Family:

PFS General

Travel Required:

Up to 10%

Clearance Required:

None

What You Will Do

This position is classified under a Hybrid schedule consisting of two days working from any of the following offices of El Segundo, CA, San Marcos, CA or Lewisville, TX and three days working from home.

The Hospital Project Supervisor PFS is responsible for overseeing the daily operations of a project(s) and the management of the project staff inclusive of onsite Team Members when applicable.  A Project Supervisor is an extension of a client’s business office staff. This position is responsible for developing, implementing, managing, and meeting or exceeding the Operational goals of our clients and Company. This may include overlapping related business activities with pre-admissions, pre-registration, admission, registration, billing, and collection. The Project Supervisor will and may work closely with Managing Consultants, Operations Managers to apply new and emerging approaches to our clients’ business processes. This position will follow and ensure that client policies and procedures are followed and will also perform any and all job-related duties as assigned.

Essential Job Functions

• Strong Leadership and Management Skills

• Client Contact and Interaction

• Possess Interpersonal, Organizational, delegation and Analytical Skills

• Monitor and ensure team member Compliance with State and Federal Laws and Guidelines

• Coordinate and conduct interviewing of potential new hires and bring recommendations to Operations Manager.

• Training of new Team Members.

• On-going training and mentoring of Team Members.

• Complete monthly account reviews for each patient account representative on the project.

• Ensure Team Member and project compliance with HIPAA standards.

• Receives and reviews client project reports generated from supervised Team Members.

• Monitor and ensure all staff member’s compliance with Company/Client standards.

• Monitor Team Member phone calls for adherence to client and Company/client expectations.

• Monitor Team Member attendance and punctuality.

• Communicate Team Member non-compliance with Operations Manager.

• Conduct disciplinary counseling including performance improvement plans as required.

• Complete annual evaluation of staff.

• Take “supervisor” calls when a Team Member needs assistance with a patient or account work.

• Complete all assigned projects in a timely manner.

• Assist all staff members with their questions in the absence of their Project Supervisor.

• Meet or exceed revenue goal for project.

• Conduct weekly team meetings to ensure the on-going understanding of client and company expectations.

• Monitor and ensure Team Members meet or exceed established productivity goals.

• Complete, reviews and approves monthly client invoices for accuracy.

• Identify and communicate trends and issues to Operations Manager & Client.

• Works with management in developing policies.

• Promote teamwork and a positive work environment.

• Possible travel.

Client Responsibility

• Verify accuracy of all correspondence prior to sending to the client.

• Provide scheduled and requested reports.

• Ensure aging of accounts falls within client and company guidelines.

• Ensure compliance of all client policies and procedures by staff.

• Research and respond to all client and patient inquiries received by telephone and mail.

• Update patient demographic information and initiate account adjustments.

• Try to resolve account balances to zero prior to accounts being forwarded to an outside    agency for collections.

• Ensure daily files are being received and posted.

• Ensure completion of client reconciliations to ensure account balance accuracy.

What You Will Need:

• Requires a Bachelor's Degree and a minimum 5 years' of prior relevant experience or an AA Degree and a minimum of 7 years' prior relevant experience. (Relevant experience may be substituted for formal education or advanced degree).

• Previous experience within a healthcare provider, insurance, professional business or outsourcing company.

What Would Be Nice To Have

• Multiple systems experience

• Knowledge and utilization of desktop applications to include Word and Excel is essential.

• Ability to initiate and follow through on projects and work independently.

• Strong written and verbal communication skills.

#IndeedSponsored

#LI-DNI

The annual salary range for this position is $74,000.00-$124,000.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a erse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Iniduals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at [email protected]. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or [email protected].  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact [email protected]. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

Provider Engagement Account Manager

Location: Remote – NV

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

Remote position, desired candidate to reside in Nevada, specifically in Washoe County or Elko County & neighboring counties. Strong claims background, experience with issue resolution or client interaction is highly preferred.

Position Purpose: Maintain partnerships between the health plan and the contracted provider networks serving our communities. Build client relations to ensure delivery of the highest level of care to our members. Engage with providers to align on network performance opportunities and solutions, and consultative account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization.

Serve as primary contact for providers and act as a liaison between the providers and the health plan

Education/Experience:

Pay Range: $55,100.00 – $99,000.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race

Title: Clinical Review Nurse - Prior Authorization

Location: Remote-AZ

Job Description:

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a ersified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

Position Overview:

Qualifications:

• Active RN or LPN license in Arizona or a multistate compact license.

• Candidates located in New Mexico, Nevada, Washington, or Oregon will be considered if they hold an active Arizona license.

  Prior authorization experience with outpatient services preferred.

• Strong clinical assessment and communication skills.

• Ability to work Arizona business hours remotely.

Join Centene and help us deliver high-quality care and support to our Medicaid members across Arizona.

Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.

• Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria

• Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care

• Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member

• Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care

• Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities

• Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines

• Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members

• Provides feedback on opportunities to improve the authorization review process for members

• Performs other duties as assigned

• Complies with all policies and standards

Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.

• LPN - Licensed Practical Nurse - State Licensure required

Pay Range: $26.50 - $47.59 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Title: Director, Privacy & Security Risk Portfolio

Location: Remote-FL

Job Description:

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a ersified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.

• Leads and directs the Privacy & Security Risk Portfolio team to ensure alignment with strategic goals and successful execution of EPSRM initiatives.
• Responsible for all aspects of team leadership and fosters a high-performance culture by clearly defining expectations, providing ongoing coaching and feedback, and supporting professional growth to drive inidual and team success.
• Leads and oversees the strategic planning lifecycle for Enterprise Privacy & Security Risk Management (EPSRM), ensuring the continuous development and refinement of rolling three-year roadmaps at both departmental and team levels.
• Facilitates alignment of strategic priorities and provides senior leadership with clear visibility into the progress of key initiatives and performance against defined metrics.
• Provides oversight and direction to the Privacy & Security Risk Portfolio team in managing and governing EPSRM-related procurement activities, ensuring alignment with enterprise risk objectives and compliance standards.
• Partners with Portfolio team members, cross-functional peers, and senior leadership to design, enhance, and sustain portfolio management processes, governance frameworks, and reporting standards.
• Continuously improves tools and methodologies to support effective decision-making, transparent communication, and strategic alignment across privacy and security initiatives.
• Facilitates the annual strategic review of EPSRM’s vision and rolling three-year roadmap, and leads quarterly portfolio performance reviews with senior EPSRM leadership to assess progress, recalibrate priorities, and ensure alignment with enterprise objectives.
• Partners with EPSRM leadership and the Risk & Compliance Finance team to ensure the financial health of the EPSRM portfolio remains aligned with defined performance goals.
• Provides strategic oversight and actionable recommendations on cost optimization, resource allocation, and portfolio prioritization to support both near-term deliverables and long-term strategic objectives.
• Collaborates with business units across the enterprise to promote a deep understanding of EPSRM’s strategic vision and rolling three-year roadmap.
• Drives alignment and engagement to ensure the successful execution of key privacy and security risk initiatives, fostering enterprise-wide ownership and accountability.
• Performs other duties as assigned.
• Complies with all policies and standards.

Education/Experience:

Pay Range: $145,100.00 - $268,800.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules.  Actual pay will be adjusted based on an inidual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status.  Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to ersity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Title: National Remote Medical Director, Neonatology

Location: Remote – Missouri (MO)

Job Description

You could be the one who changes everything for Centene’s 28 million members. As a national, ersified healthcare organization, Centene offers competitive benefits and a flexible approach to work.

Position Purpose

The National Neonatology Medical Director provides high-impact leadership to drive innovative, member-centric solutions that shape the future of neonatal care. This role collaborates with stakeholders, aligns clinical and strategic goals, and supports the Deputy Chief Health Officer in directing medical management, quality improvement, and credentialing functions within Centene’s national NICU Pod.

Key Responsibilities

• Provide medical leadership across utilization management, cost containment, and medical quality improvement activities.

• Perform medical review activities involving utilization review, quality assurance, and complex or experimental services; ensure timely and accurate decisions.

• Support implementation of performance improvement initiatives for capitated providers.

• Assist in planning and establishing goals/policies to improve care quality and cost-effectiveness.

• Provide medical expertise for quality improvement and utilization management programs per regulatory and accreditation standards.

• Support physician committee operations (structure, processes, membership).

• Conduct regular rounds for high-risk neonatal patients and coordinate care with clinical teams.

• Collaborate with care management, network providers, medical/pharmacy consultants, and appeals teams on complex cases and medical necessity reviews.

• Participate in provider network development and new market expansion when appropriate.

• Assist with developing physician education regarding clinical issues and policies.

• Identify utilization review studies and evaluate adverse utilization trends and provider practice patterns.

• Identify clinical quality improvement studies to reduce unwarranted variation and improve outcomes.

• Interface with physicians/providers to implement recommendations that improve quality and utilization.

• Review complex or unusual claims to determine medical necessity and appropriate payment.

• Build alliances with provider communities through implementation of medical management programs.

• Represent the business unit externally on medical philosophy, policy, or related issues as needed.

• Represent the organization at state-level or ad hoc committees.

• May work weekends or holidays as required.

Education & Experience

• Medical Doctor (MD) or Doctor of Osteopathy (DO).

• Utilization Management experience and knowledge of accreditation standards preferred.

• Actively practicing physician.

• Coursework in Health Administration, Financing, Insurance, or Personnel Management is advantageous.

• Experience treating or managing care for culturally erse populations preferred.

Licensure / Certifications

• Board Certification in Neonatology (ABMS or AOA-recognized).

• Current, unrestricted medical license (MD or DO).

Compensation

Pay Range: $231,900 – $440,500 per year

Benefits

Centene offers a comprehensive benefits package including:

• Competitive pay

• Health insurance

• 401(k) & stock purchase plans

• Tuition reimbursement

• Paid time off + holidays

• Flexible remote/hybrid/field/office options

Benefits may be subject to eligibility.

Equal Opportunity Statement

Centene is committed to ersity and inclusion. All qualified applicants will be considered regardless of protected characteristics. Applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the CA Fair Chance Act.

Title: RN Care Manager (Critical Care Team)

Location: Milwaukee, Wisconsin (Greater Milwaukee Area required)

Job Description

You could be the one who changes everything for Centene’s 28 million members. As a national, ersified healthcare organization, Centene provides competitive benefits and a flexible approach to work.

$3,000 sign-on bonus included.

Position Purpose

Develop, assess, and facilitate complex care management activities for members—primarily those with physical needs—ensuring high-quality, cost-effective healthcare outcomes through personalized care plans and member/family education.

Responsibilities

• Evaluate member needs, barriers, and social determinants of health; recommend/facilitate plans based on member priorities.

• Create and update ongoing care/service plans; collaborate with providers, specialists, and community resources.

• Identify problems/barriers and implement appropriate interventions.

• Coordinate communication between members, families/caregivers, and the provider team to ensure adequate person-centered care.

• Provide ongoing follow-up, monitoring changes in condition, and revising care plans as needed.

• Offer resource support for services such as housing, employment, independent living, justice/foster care (as appropriate).

• Facilitate care management and ensure timely access to required care or services.

• Conduct telephonic, digital, home, or other field visits to assess needs and coordinate resources.

• Collect, document, and maintain all care management activities to ensure compliance with regulatory requirements.

• Provide education to members and caregivers on disease processes, care gaps, referrals, provider instructions, and benefit information.

• Offer feedback to leadership on improving care quality and cost-effectiveness.

• Perform other duties as assigned.

• Comply with all policies and standards.

Education & Experience

• Degree from an accredited School of Nursing OR

  Bachelor’s degree in Nursing

• 2–4 years of related experience required

License/Certification

• RN – Registered Nurse (State Licensure and/or Compact License required)

Compensation

Pay Range: $55,100 – $99,000 per year

Benefits

Centene offers a comprehensive package, including:

• Competitive pay

• Health insurance

• 401(k) & stock purchase plans

• Tuition reimbursement

• Paid time off & holidays

• Flexible schedules (remote, hybrid, field, or office)

Additional Information

Centene is an equal opportunity employer. All qualified applicants will be considered without regard to protected characteristics. Applicants with arrest or conviction records will be considered per the LA County Ordinance and the CA Fair Chance Act.

For accommodations: [email protected].

Title: Account Manager, Medical Education

Location: London, England, UK

Job Description:

Precision AQ is growing! Our International team is looking for an Account Manager to join our Medical Education team based in the UK.

Location: Remote, but with opportunity to go into London office.

Team: One of our oncology teams initially, but with scope to work across other therapy areas.

About the Role: We are seeking an experienced healthcare communications professional to join our leading oncology team. This is an exciting opportunity to work on impactful projects that make a real difference in patient outcomes and healthcare education.

Key Responsibilities:

•             Develop and deliver high-quality medical communication events and materials for medical and commercial clients

•             Collaborate with cross-functional teams to ensure scientific accuracy and strategic alignment

•             Manage multiple projects, ensuring timelines and budgets are met

Essential Requirements:

•             Minimum 2 years’ experience in healthcare communications (agency or in-house)

•             Scientific educational background preferred

•             Good understanding of oncology and the pharmaceutical industry / desire to work in oncology field

•             Excellent written and verbal communication skills

•             Ability to manage complex projects and work effectively in a fast-paced environment

•             Exceptional team playing skills

Desirable Skills

•             Experience in medical education

•             Familiarity with compliance and regulatory requirements in healthcare

Why Join Us?

•             Be part of our collaborative team and work on one of our busy oncology accounts

•             Work on cutting-edge projects that shape the future of cancer care

•             Enjoy a supportive environment with opportunities for growth and development

#LI-Remote

#LI-TB1

Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice.

Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law. 

If you are an inidual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at [email protected].

It has come to our attention that some iniduals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.

Clinical Research Associate I/ Clinical Research Associate II

Location:

This is a remote-based position with travel to sites for morning visits. We are looking for candidates based in Paris or the Paris area.

Precision for Medicine is not your typical CRO.  At Precision for Medicine we have brought together new technologies, expertise and operational scale to help the life sciences improve the speed, cost and success rate of bringing life-changing therapies to patients.  What sets us apart is the way we integrate clinical trial execution with deep scientific knowledge, laboratory expertise and advanced data sciences. We have a strong focus on Oncology and Rare Disease.

We are passionate about cultivating our culture and are proud to share extremely high CRA retention rates compared to industry averages.

CRAs join us, love their jobs, and stay because of the amazing people and enjoyable quality of life. You will have a lower than average number of protocols, setting you up to be a protocol expert. Travel is reasonable and your work/life balance will benefit as a result. 

Most meaningfully - your voice will be heard. Working in a smaller CRO allows you to have influence and impact when it matters most and support from direct line management.

We are now recruiting Clinical Research Associate I/ Clinical Research Associate II to join our team in France. This is a remote based position with travel to sites for morning visits. We are looking for candidates based in Paris or Paris area.

About you:

• You are calm, thoughtful, and responsive when things don’t go as planned.
• You are well-prepared, whether it be for an investigator meeting, site visit or project team update, always staying two steps ahead of the game.
• You find quick and creative ways of overcoming difficulties.
• You have an impeccable eye for detail.
• You identify potential study risks and propose solutions on how to mitigate them.
• You take responsibility in the quality and outcomes of your work.
• You are adept at handling conflict by using tried and true resolution strategies.

How we will keep you busy and support your growth:

You will monitor and own the progress of clinical studies at investigative sites and ensure that clinical studies are conducted, recorded, and reported per protocol, SOPs, ICH-GCP, and all applicable regulations and standards. You will coordinate all necessary activities required to set up and monitor a study (i.e., identify investigators; helping prepare regulatory submissions, conducting pre-study and initiation visits, etc.).

Qualifications:

Minimum Required:

• Life science degree and / or equivalent experience
• 1 year or more as a CRA in either a CRO or pharmaceutical/biotech industry or equivalent, relevant experience and/or demonstrated competencies. Site management or equivalent experience in clinical research.
• Experience managing oncology studies
• Availability for domestic travel including overnight stays, as required (international travel may be required for some senior level positions)

Other Required:

• Excellent communication and organizational skills are essential. A team player.
• Evidence of a client focused approach
• Availability for domestic travel including overnight stays, which may constitute up to approximately 50-60% travel commitment (international travel may be required for some senior level positions)
• Fluency in English and for non-English speaking countries the local language of country where position based

Preferred:

Study start up activities experience.

Please apply in English.

#LI-Remote

Any data provided as a part of this application will be stored in accordance with our Privacy Policy. For CA applicants, please also refer to our CA Privacy Notice.

Precision Medicine Group is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, age, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status or other characteristics protected by law. 

If you are an inidual with a disability and require a reasonable accommodation to complete any part of the application process or are limited in the ability or unable to access or use this online application process and need an alternative method for applying, you may contact Precision Medicine Group at [email protected].

It has come to our attention that some iniduals or organizations are reaching out to job seekers and posing as potential employers presenting enticing employment offers. We want to emphasize that these offers are not associated with our company and may be fraudulent in nature. Please note that our organization will not extend a job offer without prior communication with our recruiting team, hiring managers and a formal interview process.

Senior Manager, Site Start Up

Location: Remote position- can be US or Canada

The Senior Manager, Site Start Up will oversee a portfolio of client studies where the client have given operational responsibility to our CRO partners for trial execution.  As an expanding capability, the Senior Manager, Site start Up will support development of infrastructure, processes, teams and appropriate technology to assist in the effective oversight of out- sourced studies.  Additionally, this role will work collaboratively with the CRO project teams to maintain timelines and ensure that start-up activity is progressing as expected per the startup plan. Where delays occur, they will work with the Project Teams/Oversight Manager to mitigate delays and risks and ensure alternative plans for maintaining start up delivery are implemented. May manage a team of Oversight Managers (e.g., regional allocations) to support program delivery with our CRO partners in successful execution of awarded studies.  This new capability will accelerate trial set up, allow more confidence in trial enrolment, and improve our timelines for execution.  Ultimately the group will increase the quality, improve speed and efficiency of our clinical trials execution.  

Key Accountabilities: 

• Accountable for advancing study start-up activities for outsourced trials by understanding the objectives and assisting in the review and approval of the plan for country and site activation.    

• Laser focus approach to oversight of startup activities within our CRO assigned programs. Working with the CRO partners to maintain timelines and successful execution.  

• Accountable for all matters related to CRO partners study start-up requirements and must be able to communicate issues effectively to CRO counterpart and colleagues (e.g., CTM) as required.   

• Adopting a unique start-up methodology to drive site activations through oversight of all activities, driving delivery and compliance across the assigned regions and CRO partners  

• Leads day to day project activities in the matrix, by working closely with the Clinical Trial Manager and CRO counterparts.  

• Accountable for advancing study start-up activities for outsourced trials by understanding the objectives and assisting in the review and approval of the plan for country and site activation.    

• Laser focus approach to oversight of startup activities within our CRO assigned programs. Working with the CRO partners to maintain timelines and successful execution.  

• Accountable for all matters related to CRO partners study start-up requirements and must be able to communicate issues effectively to CRO counterpart and colleagues (e.g., CTM) as required.   

• Adopting a unique start-up methodology to drive site activations through oversight of all activities, driving delivery and compliance across the assigned regions and CRO partners  

• Leads day to day project activities in the matrix, by working closely with the Clinical Trial Manager and CRO counterparts.

Collaborative relationships 

• Collaborates effectively with cross-functional teams, CRO partners, and regional colleagues to advance study start-up activities, oversee site activation processes, and ensure timely execution of clinical trials that align with project objectives and regulatory requirements across erse global landscapes.

Compliance with Parexel standards 

• Complies with required training curriculum   

• Completes timesheets accurately as required   

• Submits expense reports as required   

• Updates CV as required   

• Maintains a working knowledge of and complies with Parexel processes, ICH-GCPs and other applicable requirements

Skills:

• Demonstrates ability to analyze complex situations, develop comprehensive plans, and oversee their execution across multiple partners and regions.   

• Excels in building and maintaining productive relationships with erse teams and stakeholders, both internal and external.   

• Applies expertise to define scope, set timelines, monitor progress, and solve challenges in complex, multi-faceted projects.   

• Exhibits strong ability to lead in a matrix environment, communicate effectively at all levels, and present complex information to various stakeholders.

Knowledge and Experience:   

• Extensive pharmaceutical or related industry experience  

• Extensive previous experience of working in a Start-up team, Clinical Trial Specialist, CRA, Clinical Trial Manager or similar having worked on global clinical trials.    

• Experience in project management, CRO experience, change management or process design are beneficial  

• The candidate must have a good working knowledge of clinical operations, clinical processes and medical terminology.  

• Excellent knowledge of GCP and regulations  

• Experience of controlled drug substances processed would be beneficial  

• Experience of developing junior members of staff would be beneficial  

• Experience of Regulatory Inspections

Education:

• Degree (BSc) or equivalent experience gained through time in industry (>5yrs)

#LI-REMOTE

EEO Disclaimer

Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the United States includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Title: Senior Manager, Study Start Up - FSP

Primary Location: United States, Remote

Job ID R0000036989

Category Clinical Trials

Job Description:

Remote position- can be US or Canada

The Senior Manager, Site Start Up will oversee a portfolio of client studies where the client have given operational responsibility to our CRO partners for trial execution. As an expanding capability, the Senior Manager, Site start Up will support development of infrastructure, processes, teams and appropriate technology to assist in the effective oversight of out- sourced studies. Additionally, this role will work collaboratively with the CRO project teams to maintain timelines and ensure that start-up activity is progressing as expected per the startup plan. Where delays occur, they will work with the Project Teams/Oversight Manager to mitigate delays and risks and ensure alternative plans for maintaining start up delivery are implemented. May manage a team of Oversight Managers (e.g., regional allocations) to support program delivery with our CRO partners in successful execution of awarded studies. This new capability will accelerate trial set up, allow more confidence in trial enrolment, and improve our timelines for execution. Ultimately the group will increase the quality, improve speed and efficiency of our clinical trials execution.

Key Accountabilities : 

 Oversight of activities 

• Accountable for advancing study start-up activities for outsourced trials by understanding the objectives and assisting in the review and approval of the plan for country and site activation.   
• Laser focus approach to oversight of startup activities within our CRO assigned programs. Working with the CRO partners to maintain timelines and successful execution. 
• Accountable for all matters related to CRO partners study start-up requirements and must be able to communicate issues effectively to CRO counterpart and colleagues (e.g., CTM) as required.  
• Adopting a unique start-up methodology to drive site activations through oversight of all activities, driving delivery and compliance across the assigned regions and CRO partners 
• Leads day to day project activities in the matrix, by working closely with the Clinical Trial Manager and CRO counterparts. 
• Accountable for advancing study start-up activities for outsourced trials by understanding the objectives and assisting in the review and approval of the plan for country and site activation.
• Laser focus approach to oversight of startup activities within our CRO assigned programs. Working with the CRO partners to maintain timelines and successful execution.
• Accountable for all matters related to CRO partners study start-up requirements and must be able to communicate issues effectively to CRO counterpart and colleagues (e.g., CTM) as required.
• Adopting a unique start-up methodology to drive site activations through oversight of all activities, driving delivery and compliance across the assigned regions and CRO partners
• Leads day to day project activities in the matrix, by working closely with the Clinical Trial Manager and CRO counterparts.

Collaborative relationships 

• Collaborates effectively with cross-functional teams, CRO partners, and regional colleagues to advance study start-up activities, oversee site activation processes, and ensure timely execution of clinical trials that align with project objectives and regulatory requirements across erse global landscapes.

Compliance with Parexel standards 

• Complies with required training curriculum  
• Completes timesheets accurately as required  
• Submits expense reports as required  
• Updates CV as required  
• Maintains a working knowledge of and complies with Parexel processes, ICH-GCPs and other applicable requirements

Skills:  

• Demonstrates ability to analyze complex situations, develop comprehensive plans, and oversee their execution across multiple partners and regions.  
• Excels in building and maintaining productive relationships with erse teams and stakeholders, both internal and external.  
• Applies expertise to define scope, set timelines, monitor progress, and solve challenges in complex, multi-faceted projects.  
• Exhibits strong ability to lead in a matrix environment, communicate effectively at all levels, and present complex information to various stakeholders.

Knowledge and Experience :  

• Extensive pharmaceutical or related industry experience 
• Extensive previous experience of working in a Start-up team, Clinical Trial Specialist, CRA, Clinical Trial Manager or similar having worked on global clinical trials.   
• Experience in project management, CRO experience, change management or process design are beneficial 
• The candidate must have a good working knowledge of clinical operations, clinical processes and medical terminology. 
• Excellent knowledge of GCP and regulations 
• Experience of controlled drug substances processed would be beneficial 
• Experience of developing junior members of staff would be beneficial 
• Experience of Regulatory Inspections

Education:  

• Degree (BSc) or equivalent experience gained through time in industry (>5yrs)

\#LI-LG4

\#LI-REMOTE

EEO Disclaimer

Parexel is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to legally protected status, which in the US includes race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Title: Product Manager - Joint Replacement

Location:

• Newbury, United Kingdom
• London, United Kingdom
• Exeter, England
• Coventry, England
• Wokingham, Berkshire
• Cambridge, England
• Henley-on-Thames, Buckinghamshire
• Milton Keynes, Buckinghamshire
• Maidenhead, Berkshire
• Cardiff, United Kingdom
• Epping, Essex
• Southampton, United Kingdom
• Brentwood, Essex
• Oxford, England
• Colchester, Essex
• Chelmsford, Essex
• Cranleigh, Surrey
• Bristol, United Kingdom
• Nottingham, England
• Brighton and Hove, United Kingdom
• Birmingham, United Kingdom
• Epsom, Surrey
• Camberley, Surrey
• Sutton, Surrey
• Haslemere, Surrey
• Leatherhead, Surrey
• Guildford, Surrey
• Newark-on-Trent, Nottinghamshire

Job Description:

Work Flexibility: Hybrid

Job Description Summary

The Product Manager is responsible for developing and leading marketing strategies for the joint replacement (JR) and the robotics portfolio in the South of the UK.

This role involves conducting market research to assess product requirements, defining strategic direction, and managing the full product lifecycle. Responsibilities include planning and executing product launches, overseeing promotional campaigns, setting pricing strategies, and managing local budgets. The role also supports the sales team by providing essential tools and materials to drive market success and ensuring alignment between marketing and sales initiatives.

Prior marketing experience within the medical device field is preferable but not essential. As a subject matter expert, the role demands a deep understanding of the field, along with strong analytical skills to support effective problem-solving.

A bachelor's degree or equivalent is typically required, along with a minimum of 4 years of relevant experience.

Hiring Requirements

Job Details

Job Description

We are seeking a highly skilled and motivated Product Manager to join our growing Joint Replacement business. In this role, you will be one of two Product Managers partnering closely with the UK Education Manager to drive the success of the JR portfolio across the southern region of the UK and working with our distributor in the Republic of Ireland.

You will be responsible for the local execution of the European isional strategy, promoting innovative products that improve patients' lives. This position operates within a matrixed organization, requiring close interaction with a wide range of stakeholders across national and regional levels, including sales, marketing, medical education, and other cross-functional teams.

Your contributions will be critical in supporting sales efforts, enhancing product adoption, and elevating customer engagement for Stryker's Joint Replacement solutions.

This is more than just a job -it's a career opportunity that offers personal development, growth, and the potential to gain organizational influence. With Stryker, your career path can evolve in multiple directions, tailored to your strengths and ambitions.

Stryker is one of the world's leading medical technology companies and, together with its customers, is driven to make healthcare better. The company offers innovative products and services in Orthopaedics, Medical and Surgical and Neurotechnology that help improve patient and hospital outcomes.

Your key responsibilities:

You will partner with the sales organization to support, influence, and execute our JR (hip, knee, and robotics) commercial initiatives across the South of the UK.

Strategic Planning & Execution

• Assist in the execution of the annual marketing plan, supporting campaign rollouts and sales initiatives in collaboration with the sales team.
• Leverage marketing tools developed by brand teams - including customer-facing materials, sales support assets, brand literature, presentations, and campaign collateral to effectively support and promote the JR portfolio.
• Deliver training to the sales team on how to effectively utilize marketing materials developed by the Marketing team
• Manage purchase orders and track regional marketing spend in line with budget plans.

Business Partnership & Leadership Collaboration

• Act as a strategic business partner to the Business Unit Director and Unit Managers and Regional Sales Managers (RSMs), providing marketing insights and support that drive commercial success.
• Assist with product forecasting by gathering input and insights from the field.

Market Intelligence & Portfolio Management

• Gather competitive market insights from the field to develop targeted marketing plans and campaigns.
• Support the launch of new products and the phase-out of legacy items by managing logistics, communication, and field team updates.

Stakeholder Engagement & Management

• Build and maintain strong relationships with key customers, including regular engagement with surgeons to support the sales process and strengthen brand loyalty.
• Organize logistics for TPEC's and Stryker education events, including venue booking, attendee coordination, and material preparation.
• Maintain a database of key customer and KOL interactions to support ongoing engagement plans. Assist in gathering customer feedback and field input to support data collection and reporting.
• Serve as the marketing lead for product-related inquiries and planning across the southern sales organization.
• Serve as the first point of contact for general marketing inquiries from the sales team and Indirect Channels, escalating complex queries when needed.
• Partner with the educational manager to align marketing efforts with national education strategies and ensure effective program delivery.
• Work with sales and education teams to ensure smooth delivery of surgeon engagement events and programs.

Brand Execution & Cross-functional Collaboration

• Working with the European Brand Team you will translate brand strategies into impactful, locally relevant campaigns by leveraging global and regional marketing tools, collateral, and messaging.
• Lead Targeting of attendance for all Stryker events. Raise profile and awareness of events and keep RSM's and teams focused on driving attendance.

Who we want:

Customer-oriented achievers. Someone with an unparalleled work ethic and customer-focused attitude, keeping the customer at the top of their mind in everything they do. The primary customers being the sales team and surgeons.

Game changers. People passionate about living out Stryker's mission to make healthcare better.

Relationship Builder. Someone who builds and maintains relationships internally and with key clients/customer groups that support and improve personal/team effectiveness.

Challenger. Someone who will seek out the hard projects and work proactively to find just the right solutions.

Accountable team player. Someone who collaborates effectively across the JR Marketing team that is based across Europe and is willing to roll up their sleeves to get the job done.

What you need:

• University degree (e.g. BSc. /B.A. in business with an emphasis in marketing preferable, life sciences, or health related discipline)
• 3+ years sales/marketing experience (medical device related field is preferable)
• Previous experience in selling or marketing orthopaedic products is a strong advantage. However, we also welcome highly engaged and motivated professionals who demonstrate passion, drive, and a strong ability to learn and adapt quickly in a dynamic, fast-paced environment.
• Excellent organizational, interpersonal, and analytical skills required
• You will demonstrate a very high level of communication skills (verbal & written)
• Demonstrated proficiency in Microsoft Office (Excel, Word & PowerPoint)
• Demonstrates strong financial acumen
• Fluency in English is essential

Location: Hybrid

Travel Percentage: Up to 40%

Travel Percentage: 40%

Title: Research Project Manager, The Division of Trauma and Acute Care Surgery

Location: Boston United States

Job Description:

Site: The Brigham and Women's 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.

Job Summary

The Division of Trauma and Acute Care Surgery at Mass General Brigham (MGB) provides expert, compassionate care to trauma and emergency surgery patients. With a multidisciplinary team of outstanding physicians and surgeons, nurses, and support staff, the ision is dedicated to ensuring patients receive the best treatments-24 hours a day, seven days a week-at every step along their journey from injury to recovery.

Established in 2005 as a joint initiative of Harvard Medical School (HMS) and the Harvard School of Public Health (HSPH), CSPH's mission is to advance the science of surgical care delivery by studying effectiveness, equity, and value at the health system and population levels, to inform policy, and to provide support for faculty and trainees committed to excellence in surgical health services research (HSR). CSPH's expertise in HSR also informs its work in addressing the burden of surgical disease in lower and middle income countries and resource-poor settings.

Supporting a team of health services/outcomes and clinical researchers, the Division of Trauma and Acute Care Surgery seeks a Research Project Manager to provide high-quality project management for key research projects including the Division's health services research program within the Center for Surgery and Public Health. Research priority areas will include but not be limited to Healthcare Disparities; Patient Oriented Policy and Practice (PPOPP); Comparative Effectiveness; Appropriateness of Care; Quantitative and Qualitative Research in HSR; Global Surgery/Implementation Science; and Education and Training, among other initiatives.

Qualifications

The candidate will effectively collaborate with Trauma/Acute Care Surgery faculty, fellows and study teams to facilitate project goals and coordinate all phases of the research process. They will assist in the creation of appropriate infrastructure necessary to support the Division's growing research program.

The role will provide overall strategic, day-to-day management to ensure critical deliverables adhere to project timelines. Key responsibilities include: organization of study start-up (writing, literature searches, electronic data collection tools, broad study organization), oversight of the development of study protocols and data management, coordination of all meetings and preparation of documents and reports to the Institutional Review Board; progress reports; dissemination of findings including manuscript and presentation development.

The Project Manager will support grantmanship activities including developing grant proposals and coordinating various elements involved in proposal submissions to third-party entities. This position will identify, define, and develop funding sources to support existing and planned program activities.

This position will lead data collection and management efforts and, working with CSPH's biostatistical team. The position may be asked to provide some programming support using SAS and/or STATA.

This position will also support various components of the Division's clinical trials program. The candidate will review, evaluate and make verbal or written reports and perform special projects and related duties as identified by the Division Chief.

The Project Manager must be capable of leveraging project management techniques to effectively manage and track small to large-scale projects across multi-disciplinary teams and collaborations. This inidual must be able ensure a high level of satisfaction with a focus on responsiveness, resolution of problem situations, and successful completion of deliverables. Candidate must demonstrate ability to proactively identify and improve projects and processes.

DUTIES AND RESPONSIBILITIES:

• Assist in the development of project plans, timelines, and deliverables
• Track and manage all project related issues
• Support the coordination, management, and analysis of data
• Assist in development of analysis plans and research protocols and data use agreements in collaboration with study investigators, programmers, and statisticians
• Assist/participate in data analysis, interpretation and presentation of results
• Support manuscript development
• Manage and coordinate IRB guidelines and confidentiality requirements for assigned research projects
• Support in the development and preparation of grant proposals and templates
• Identify, define, and develop funding sources
• Manage and advance multiple projects simultaneously
• Apply consistent approach and delivery consistent quality across engagements
• All other duties as assigned

REPORTING RELATIONSHIPS:

Reports to Trauma/Acute Care Division Chief/ Senior Administrative Director

QUALIFICATIONS:

Education

Bachelor's Degree Related Field of Study required.

Master's Degree Related Field of Study preferred: Masters in public health, epidemiology, biostatistics, economics, decision analysis, health services research, health policy or related discipline.

Experience

Research Related Experience 5-7 years required, and Supervisory Experience 1-2 years preferred.

• A minimum of 2-4 years of prior research experience is preferred.
• Prior experience with manuscript and grant writing and preparation.
• Familiarity/working knowledge of databases such as Excel, Access, REDCap is essential.
• Familiarity/working knowledge of statistical software such as SAS is required.
• Strong critical appraisal skill, quantitative skills, effective communication and exceptional organizational skills are essential.
• Ability to work as a member of a matrix team.

MINIMUM SKILLS AND KNOWLEDGE REQUIREMENTS:

• Familiarity with medical topics and research methodology is essential.
• Initiative, ability to work independently, and attention to detail are necessary.
• Ability to effectively multitask, prioritize, and juggle multiple projects is required.
• Effective oral and written communication skills are necessary.
• Past authorship on publications preferred.

WORKING CONDITIONS:

The environment is fast paced and might require evening work around deadlines.

SUPERVISORY RESPONSIBILITIES:

None.

FINANCIAL RESPONSIBILITIES:

None.

Additional Job Details (if applicable)

Remote Type

Hybrid

Work Location

45 Francis Street

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$62,004.80 - $90,750.40/Annual

Grade

7

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:

The Brigham and Women's 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. To ensure reasonable accommodation for iniduals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

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: Clinical Informatics Support Analyst, Hybrid, Baptist Primary Care

Location: Jacksonville United States

Job Description:

Job Posting Summary

Baptist Health is hiring a Clinical Informatics Support Analyst to join our Clinical Informatics team, this analyst will support the Baptist Primary Care Offices.

The Clinical Informatics Support Analyst provides technical and user support for clinical information systems to ensure optimal performance and user satisfaction. Responsibilities include troubleshooting system issues, training healthcare staff, and collaborating with IT teams to implement updates and enhancements. The ideal candidate combines healthcare knowledge with IT expertise to bridge the gap between clinical needs and technological solutions. Strong communication skills, problem-solving abilities, and familiarity with electronic health records (EHR) systems are essential for success in this role

As an Clinical Informatics Support Analyst, you will be responsible for:

• Responsible for supporting end users of all levels across Baptist Health including ambulatory practices, hospitals, free-standing emergency rooms as well as our key affiliate partners.

• They will be responsible for ensuring that end-users have high levels of system proficiency, and understanding of system workflow that will ensure the proper, effective, safe, and efficient use of clinical information systems and equipment.

• They will be responsible for providing training, education, and support which fosters best practice process standardization with the ambulatory/hospital providers and staff.

• The team continuously monitors EHR adoption to track performance related to patient safety, regulatory, and financial goals.

• Onsite and remote user assistance with system navigation, troubleshooting of clinical application software, issue escalation, and just-in-time training needs.

• On Call Requirements to multiple ambulatory clinics (including Nocatee, Saint Augustine, and Southside areas)

• Provide technical and functional support for clinical information systems, ensuring minimal disruption to end-users.

• Educate healthcare staff on system functionalities, promoting efficient use of clinical tools and workflows.

• Monitor and maintain the accuracy and consistency of clinical data within information systems.

• Collaborate with clinical teams to identify opportunities to improve workflows and align systems with user needs.

• Act as a liaison between clinical teams and IT, escalating and resolving system-related issues promptly.

• Participate in testing, implementation, and evaluation of software updates and new clinical applications

The Clinical Informatics Support Analyst opportunity will be located at the Baptist Jacksonville Downtown. If you are interested in this Full-Time opportunity please apply now!

Full/Part Time

Full-Time

Shift Details

Days

Education Required

High School Diploma/GED

Education Preferred

Bachelor's Degree

Experience

• 3-5 Years Healthcare Experience Required
• 1-2 years EPIC Experience Required

Licenses and Certifications

None

Location Overview

Baptist Health, founded in 1955, is North Florida's most comprehensive health care system and the area's only non-profit, mission-driven, locally governed health care provider. Baptist Health has over 200 points of care throughout the Northeast Florida region, including our six award-winning hospitals: Baptist Medical Center Jacksonville, Wolfson Children's Hospital, Baptist Medical Center Beaches, Baptist Medical Center Clay, Baptist Medical Center Nassau and Baptist Medical Center South. The most preferred health care system in the region, Baptist Health also includes 57 primary care offices, as well as home health, behavioral health, pastoral care, rehabilitation services, occupational health and urgent care.

Title: BD Procurement Development Program Associate

Location: Franklin Lakes United States

Job Description:

Job Description Summary

The procurement development associate will work with the organization to identify meaningful strategies and cost savings opportunities across various tasks and categories.

Job Description

We are the makers of possible

BD is one of the largest global medical technology companies in the world. Advancing the world of health is our Purpose, and it's no small feat. It takes the imagination and passion of all of us-from design and engineering to the manufacturing and marketing of our billions of MedTech products per year-to look at the impossible and find transformative solutions that turn dreams into possibilities.

We believe that the human element, across our global teams, is what allows us to continually evolve. Join us and discover an environment in which you'll be supported to learn, grow and become your best self. Become a maker of possible with us.

BD Procurement Specialist

Excited to grow your career?

We value our talented employees and, whenever possible, strive to help one of our associates grow professionally before recruiting new talent to our open positions. If you think the open position is proper for you, we encourage you to apply!

Main responsibilities will include:

• The Procurement Specialist's role is to enhance BD's procurement leadership base by recruiting entry-level associates who aspire to become procurement leaders. BD strives to develop and expose associates to multiple functions and business units while broadening their procurement experience.

• The program is structured to advance proficiency in procurement, leadership skills, and common competencies across a range of procurement roles, fostering growth and preparation for a career in procurement.

• The Associate will become experienced with core strategic sourcing and procurement processes through various assignments within Procurement teams and functional initiatives. Exposure to BD organizations, Direct and Indirect spend, and suppliers contributes to Associate's knowledge and capability-building

• Career foundation-building opportunities may include Analytics, Risk Management, Supplier Diversity, Responsible Sourcing, Operations, Category Strategy, and support of procurement activities.

Program Qualifications

• Recent graduate with a BS degree in Procurement/Purchasing or Business Logistics/Supply Chain or a related area

• A completed internship in Procurement or Supply Chain

• Strengths in analytics, Excel, PowerPoint (MS Office), and related skills

• Demonstrated leadership ability with strong interpersonal, communication, teamwork, negotiation, and quantitative skills; intellectual curiosity, and a natural drive for results

• The desire to learn beyond the area of immediate academic focus

• Interest in a career in the pharmaceutical/medical technology industry

• Experience as an intern in the Medical/Pharmaceutical Company preferred

• Flexibility to relocate during the rotational program as required

To qualify for this position, you must be legally authorized to work in the United States without restriction.

At BD, we prioritize on-site collaboration because we believe it fosters creativity, innovation, and effective problem-solving, which are essential in the fast-paced healthcare industry. For most roles, we require a minimum of 4 days of in-office presence per week to maintain our culture of excellence and ensure smooth operations, while also recognizing the importance of flexibility and work-life balance. Remote or field-based positions will have different workplace arrangements which will be indicated in the job posting.

For certain roles at BD, employment is contingent upon the Company's receipt of sufficient proof that you are fully vaccinated against COVID-19. In some locations, testing for COVID-19 may be available and/or required. Consistent with BD's Workplace Accommodations Policy, requests for accommodation will be considered pursuant to applicable law.

Why Join Us?

A career at BD means being part of a team that values your opinions and contributions and that encourages you to bring your authentic self to work. It's also a place where we help each other be great, we do what's right, we hold each other accountable, and learn and improve every day.

To find purpose in the possibilities, we need people who can see the bigger picture, who understand the human story that underpins everything we do. We welcome people with the imagination and drive to help us reinvent the future of health. At BD, you'll discover a culture in which you can learn, grow, and thrive. And find satisfaction in doing your part to make the world a better place.

To learn more about BD visit https://bd.com/careers

Becton, Dickinson, and Company is an Equal Opportunity Employer. We evaluate applicants without regard to race, color, religion, age, sex, creed, national origin, ancestry, citizenship status, marital or domestic or civil union status, familial status, affectional or sexual orientation, gender identity or expression, genetics, disability, military eligibility or veteran status, and other legally-protected characteristics.

#earlycareer

Required Skills

Optional Skills

.

Primary Work Location

USA NJ - Franklin Lakes

Additional Locations

Work Shift

NA (United States of America)

At BD, we are strongly committed to investing in our associates-their well-being and development, and in providing rewards and recognition opportunities that promote a performance-based culture. We demonstrate this commitment by offering a valuable, competitive package of compensation and benefits programs which you can learn more about on our Careers Site under Our Commitment to You.

Salary or hourly rate ranges have been implemented to reward associates fairly and competitively, as well as to support recognition of associates' progress, ranging from entry level to experts in their field, and talent mobility. There are many factors, such as location, that contribute to the range displayed. The salary or hourly rate offered to a successful candidate is based on experience, education, skills, and any step rate pay system of the actual work location, as applicable to the role or position. Salary or hourly pay ranges may vary for Field-based and Remote roles.

Salary Range Information

$73,400.00 - $121,200.00 USD Annual

**Title:**Pharmacist Clinical

Job Description:

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.

• 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.

The Pharmacist Clinical is responsible for managing the selection and utilization of pharmaceuticals and supports core clinical programs such as DUR, DIS and formulary management.

How you will make an impact:

• Researches and synthesizes detailed clinical data related to pharmaceuticals.
• Prepares and presents therapeutic class reviews and drug monograph information to the Pharmacy and Therapeutics Committee.
• May review and approve or deny coverage for pharmaceuticals (as permitted by state/federal law or state/federal program contracts) based on medical necessity criteria, and coordinates with internal stakeholders or health plan medical directors as needed.
• Serves as a clinical resource to other pharmacists on areas such as prospective, inpatient and retrospective DURs and provides dosage conversion and clinical support for therapeutic interventions.
• Prepares information for network physicians.

Minimum Requirements:

• Requires BA/BS in Pharmacy. Minimum of 2 years of managed care pharmacy (PBM) experience or residency in lieu of work experience; or any combination of education and experience, which would provide an equivalent background. Requires a registered pharmacist.
• Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh).

Preferred Skills, Capabilities and Experience:

• PharmD preferred.

Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US, unless they are command-sanctioned activities. For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 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/Registered Pharmacist/Pharmacy Technician

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: Federal Health Strategic Technology Initiatives, Sr Director

Job Description:

Responsibilities for this Position

Location: USA VA Falls Church

Full Part/Time: Full time

Job Req: RQ210751

Type of Requisition:

Regular

Clearance Level Must Currently Possess:

None

Clearance Level Must Be Able to Obtain:

Secret

Public Trust/Other Required:

None

Job Family:

Business Development

Job Qualifications:

Skills:

Business Operations, Electronic Health Record (EHR) Implementations, Market Expansion, Strategic Direction

Certifications:

None

Experience:

15 + years of related experience

US Citizenship Required:

No

Job Description:

GDIT's Federal Health Team is hiring a Strategic Technology Initiatives, Sr. Director responsible for setting strategic direction for Federal Health IT and Electronic Health Record (EHR) systems, including IT operations, modernization, data strategy, and performance analytics.

This position is a hybrid role situated in the DC Metropolitan area. Additionally, the ideal candidate must be able to travel up to 25% to customer and senior leadership meetings.

How You'll Make an Impact:

Collaborate with stakeholders to include leadership, clinical, business, financial, IT and program operational staff. Drives innovation and transformative initiatives that enhance data-driven decision-making and improve outcomes for users of Federal Health IT solutions. Provides support for the planning, acquisition, management, and implementation of systems and applications necessary to support the clinical, business, financial, and operational needs of customer programs. Build and maintain strong executive relationships across GDIT's Federal Health Division and within customer stakeholder organizations, while promoting synergy and collaboration.

How you'll Make an Impact:

• Leads and supports customer objectives, plans capital and operating budget by applying rigorous methodology that ensures systems are developed and/or implemented based on specific criteria (reliability, user satisfaction, flexibility, reusability, scalability, performance and use of industry standards).
• Aligns customer priorities and GDIT's processes
• Develops a close relationship with customers, partners, IT management, and staff to provide cost effective systems that meet customer needs. Provides consultation as appropriate from an information systems perspective.
• Develops, maintains, and supports policies and procedures regarding application development and data management.
• Sets management priorities, oversees all formalized project and strategic plans.
• Establishes methodologies for the implementation and/or development of state-of-the art IT solutions to ensure systems meet quality, industry, and customer satisfaction standards.
• Establishes standards and guidelines to ensure effective communication and coordination among all stakeholders.
• Provides strategic direction for EHR, and recommends future projects based on recent trends in healthcare, technology industries, and customer needs.
• Investigates the use of new technology to improve business processes.
• Mentors direct and indirect staff.
• Maintains HIPAA, privacy and security standards for protected health information.
• Familiarity with Health Information Exchange (HIE) solutions, as well as the Healthcare Information Technology Standards Panel (HITSP) open standards
• Lead cross-functional teams in areas such as Analytics, UI/UX and AI development

What You'll Need (required):

• Bachelor's degree in computer sciences, computer information systems, systems engineering, or a healthcare IT related field.
• PMP certification.
• Secret Clearance.
• 5+ years of leadership experience in health IT, EHR, or other similarly complex environment.
• 15+ years of progressive experience in managing large application project support teams in large-scale (national or global) programs with an emphasis on project management and outcome delivery.
• Experience developing budgets with a focus on achieving business objectives.
• Experience in vendor management; ensuring products and services are acquired in a cost-effective and timely manner.
• Experience managing multiple concurrent projects with success in meeting budget, timeline, and quality expectations.
• Experience setting policies, procedures, equipment standards, and documentation standards.

What Would Be Even Better (preferred):

• Master's degree in computer sciences, computer information systems, systems engineering, or business.
• Active Top Secret Clearance.
• 15+ years of experience supporting large Federal Health IT solutions for federal healthcare customers (Indian Health Service, Veterans Affairs, Defense Health Agency.
• Experience working with US Active Duty, Retiree, Veteran, and their beneficiaries and caregivers
• Cloud (AWS, Azure, Google, Oracle) and ITIL Certifications
• CISSP

Skills & Attributes for Success:

• Ability to multi-task and handle changing priorities in a fast-paced environment.
• Ability to communicate complex ideas clearly and simply.
• Excellent interpersonal and public speaking skills.
• Ability to prioritize/delegate tasks and activities for a successful program execution
• Ability to prepare budgets and provide productivity assessments.
• Ability to operate calmly under stressful conditions.
• Ability to relate cooperatively and constructively with customers, partners and peers.
• Effectively develop and monitor high performing teams.
• Ability to use logical and analytical thinking to interpret technical data and solve a broad range of problems.
• Able to collect and interpret data related to program operating and financial performance.
• Ability to think strategically.

GDIT IS YOUR PLACE:

• 401K with company match
• Comprehensive health and wellness packages
• Internal mobility team dedicated to helping you own your career
• Professional growth opportunities including paid education and certifications
• Cutting-edge technology you can learn from
• Rest and recharge with paid vacation and holidays

The likely salary range for this position is $166,816 - $210,450. This is not, however, a guarantee of compensation or salary. Rather, salary will be set based on experience, geographic location and possibly contractual requirements and could fall outside of this range.

Scheduled Weekly Hours:

40

Travel Required:

10-25%

Telecommuting Options:

Hybrid

Work Location:

USA VA Falls Church

Additional Work Locations:

Total Rewards at GDIT:

Our benefits package for all US-based employees includes a variety of medical plan options, some with Health Savings Accounts, dental plan options, a vision plan, and a 401(k) plan offering the ability to contribute both pre and post-tax dollars up to the IRS annual limits and receive a company match. To encourage work/life balance, GDIT offers employees full flex work weeks where possible and a variety of paid time off plans, including vacation, sick and personal time, holidays, paid parental, military, bereavement and jury duty leave. To ensure our employees are able to protect their income, other offerings such as short and long-term disability benefits, life, accidental death and dismemberment, personal accident, critical illness and business travel and accident insurance are provided or available. We regularly review our Total Rewards package to ensure our offerings are competitive and reflect what our employees have told us they value most.

We are GDIT. A global technology and professional services company that delivers consulting, technology and mission services to every major agency across the U.S. government, defense and intelligence community. Our 30,000 experts extract the power of technology to create immediate value and deliver solutions at the edge of innovation. We operate across 50 countries worldwide, offering leading capabilities in digital modernization, AI/ML, Cloud, Cyber and application development. Together with our clients, we strive to create a safer, smarter world by harnessing the power of deep expertise and advanced technology.

Join our Talent Community to stay up to date on our career opportunities and events at

gdit.com/tc.

Equal Opportunity Employer / Iniduals with Disabilities / Protected Veterans

Title: Associate Director, Biostatistics

Fully Remote

locations Danvers, Massachusetts, United States of America

time type 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: Data Analytics & Computational Sciences

Job Sub Function: Data Science

Job Category: People Leader

All Job Posting Locations: Danvers, Massachusetts, United States of America

Abiomed is recruiting for an Associate Director of Biostatistics, located in Danvers, MA. Remote work options will be considered on case by case basis.

Associate Director will provide statistical expertise in the design, analysis, and interpretation of clinical trial programs, regulatory submission and filings; and the generation of evidence to support publication and product commercialization. The Associate Director of Biostatistics will play a leadership role in multi-disciplinary project and study teams and will also interact closely with various steering committees for Abiomed sponsored prospective studies and registries.

Responsibilities:

• Participate in strategic planning in product development and study design

• Develop trial design options and provide guidance and leadership for on-going and planned clinical studies

• Participate in planning, design, development, and execution of clinical trial protocols

• Develop statistical sections of clinical study documents, including but not limited to clinical study report, statistical analysis plan (SAP), and study synopsis/protocol

• Produce and validate statistical analyses and outputs according to SAP

• Play a lead role in hypothesis generating process and contribute to statistical methodology in manuscript preparation

• Provide statistical expertise and guidance to internal and external stakeholders on ad hoc data analysis requests and publication/presentation efforts related to the project team

• Drive the development of internal repository in statistical methodology and statistical programming

• Lead and coordinate statistical methodology research in novel trial design

• Provide statistical oversight and quality control of deliverables from statistical department

• Prepare projects updates for weekly/monthly status meetings

• Maintain up to date knowledge of statistical methodology and relevant regulatory guidance

• Lead the development and implementation of SOP, work instruction and best practice for statistics department

• Play a lead role in development of internal guidelines and SOPs for clinical operation and data management

• Oversee and manage statistics and programming vendor

• Manage, mentor and develop junior staff of the statistics department

Qualifications:

• PhD or MS in Statistics, Biostatistics, Mathematics or similar area

• Minimum of ten years of industry experience in clinical research

• Proficient in major statistical programming languages such as SAS and R

• Ability to work efficiently in a cross-functional team environment

• Ability to work in a highly regulated field according to procedures, rules and SOP

• Problem solver, pro-actively offer solutions to challenging issues

• Excellent interpersonal skill Strong oral and written communication skill