Family Nurse Practitioner

Location: 4803 Montgomery RD, STE 100, Norwood, OH

Part-time

On-site

Job Description:

Shift: Days. The clinic is open Monday- Friday.

On-site: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.

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

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.

The Family Nurse Practitioner (FNP) is responsible for patient care within his/her scope of practice in the clinical setting.

How you will make an impact:

• Administers ordered therapies according to prescriber order, facility protocols, INS standards and company policy and procedures.

• Completes admission process as directed by Center Director.

• Performs physical assessment on each patient as warranted and for new consults as warranted by the patient diagnosis.

• Refer to the NP on duty for complete physical assessment as needed.

• Documents all pertinent data in the patient's medical record.

• Reports all significant changes or observations to the Center Director and is responsible for the follow up on any problem which is identified.

• Communicates effectively with other members of the IV team on patient status and observations.

• Maintains patient confidentiality at all times by abiding by HIPAA laws and regulations.

• Evaluates the patient's response to therapy and documents this finding in the medical record.

• Educates patients and/or family members regarding therapy plan.

• Participates in the Quality Improvement program.

• Ensures that all medication orders are complete, appropriate, accurate and up to date prior to treatment.

• Participates in On-Call program, which may include after-hours, weekend and holiday calls and visitations.

• Provides clinical coverage for nurse practitioners on PTO/LOA and may also support new market launches.

• May Travel to worksite and other locations as necessary.

Minimum Requirements:

• Requires an MS in Nursing and minimum of 2 years of nursing experience; or any combination of education and experience, which would provide an equivalent background.

• Experience with IVs required.

• Current, active, and valid unrestricted NP license to practice as a healthcare professional with scope of license in applicable state required in applicable state required.

• Requires active, current, and valid Family Nurse Practitioner Certification.

• Multi-state licensure is required if this inidual is providing services in multiple states.

• Satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or signed waiver.

Preferred Skills, Capabilities and Experiences:

• Healthcare experience with IV's strongly preferred.

• 2+ years of experience with IV preferred.

• Port, PICC & Peripheral Line experienced preferred.

• Medication Mixing experience is preferred.

• Titration experience preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

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

Who We Are

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

How We Work

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

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

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

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

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

Title: Clinical Assessor (RN - Hybrid)

Location:

• Winston-Salem, North Carolina; Clemmons, North Carolina; Lewisville, North Carolina; Walkertown, North Carolina; Greensboro, North Carolina; Summerfield, North Carolina; Oak Ridge, North Carolina; Pleasant Garden, North Carolina

Full-time

Hybrid

Regular

Job Description:

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate iniduals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities

Acentra Health is looking for a Clinical Assessor to join our growing team.

Job Summary:

• Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.

• Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.

• The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted iniduals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.

• Position is hybrid. Candidates should be based within Forsyth and Guilford County of North Carolina to be able to cover the field work involved.

Responsibilities:

• Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
• Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Ensures that the privacy and dignity of iniduals receiving assessment for PCS is maintained at the highest standards.
• Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
• Include an interview with family members and informal caregivers who are present at the time of the assessment.
• Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
• Conduct service plan reviews as needed.
• Submit the completed assessments using state-approved interface
• Participate in the Beneficiary's mediation and appeal processes.
• Respond to state inquiries regarding assessments conducted.
• Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
• Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
• Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Ensures that the privacy and dignity of iniduals receiving assessment for CAP participation is maintained at the highest standards.
• Consult, when necessary, with the Beneficiary's selected case management entity to generate an approvable service plan.
• Ensure that the randomly selected Service Plan completed by the Beneficiary's assigned case management entity is appropriate to the Beneficiary's unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Include an interview with family members and informal caregivers who are present at the time of the assessment.
• Submit the completed assessments using state-approved interface
• Participate in the Beneficiary's mediation and appeal processes.
• Respond to state inquiries regarding assessments conducted.
• Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Qualifications

Required Qualifications

• Registered Nurse or LCSW license by the applicable state.
• Minimum of two years of nursing experience.
• This position requires travel up to a 60 mile radius.

Preferred Qualifications

• Experience with community-based iniduals needing personal assistance with ADL and IADL tasks is highly preferred.
• Experience conducting PCS assessments highly preferred.
• 2+ years of home healthcare experience preferred.
• 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred.
• Experience conducting HCBS waiver assessments highly preferred.
• Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
• Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
• Knowledge and understanding of public sector services and supports.
• Computer proficiency in Microsoft Excel, Word and Outlook.
• Ability to utilize computer equipment and web-based software to conduct work.
• Ability to interact with various office staff as needed to support necessary workflows.
• Ability to interact with healthcare professionals, patients, their families and other supports.
• Ability to communicate effectively to iniduals and groups through spoken, written and electronic media.
• Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
• Ability to work independently without a high degree of supervision.
• Develops level of care recommendations based upon clinical evaluations.
• Participates in training of PCS stakeholders as needed.
• Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.
• Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
• Knowledge of eligibility criteria for LOC and Waiver Participation.
• Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
• Participates in training of CAP stakeholders as needed.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at https://careers.acentra.com/jobs

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below. After 90 days, the salary will increase to $80,000.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

Pay Range

USD $77,000.00 - USD $80,000.00 /Yr.

Business Information Consultant- Health System Reimbursement

Location:

• GA-ATLANTA, 740 W PEACHTREE ST NW
• OH-MASON, 4241 IRWIN SIMPSON RD
• CT-WALLINGFORD, 108 LEIGUS RD
• VA-RICHMOND, 2025 STAPLES MILL RD
• IN-INDIANAPOLIS, 220 VIRGINIA AVE

Hybrid

Full time

Business Information Consultant- Health System Reimbursement

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

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

The Business Information Consultant- Health System Reimbursement is responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts.

How you will make an impact:

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results.

• Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

• Analyzes and designs solutions to address varied and highly complex business needs.

• Collaborates with businesses and technical areas to implement new or enhanced products.

• Coordinates with external audits as appropriate.

• Acts as the central contact with internal departments and external auditors.

• Creates and maintains databases to track business performance.

• Analyzes data and summarizes performance using summary statistical procedures.

• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

• Creates and publishes periodic reports, as well as any necessary ad hoc reports.

• Makes recommendations based upon data analysis.

• Provides analytic consultation to other business areas, leadership or external customers.

Minimum Requirements:

Requires a BS/BA degree in related field and a minimum of 5 years of experience; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Proficient in modeling the financial impacts of changes in reimbursement structures and rates for health systems such as hospitals and physician practices highly preferred.

• Experience benchmarking hospital or physician rates against Medicare reimbursement highly preferred.

• Excel, SQL, and SAS experience highly preferred.

• Strong knowledge of products as well as our internal business models and data systems highly preferred.

• Experience providing leadership in evaluating financial performance of complex organizations highly preferred.

• Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills highly preferred.

• Ability to work independently and draw up plans to address issues/concerns highly preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

RDA > Business/Health Info

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

Who We Are

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

How We Work

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

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

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

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

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

Behavioral Health Care Manager

Location:

• Denver, CO, United States
• Virtual Colorado

Full-time

Job Description:

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

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

The Behavioral Health Care Manager I is responsible for managing psychiatric and substance abuse or substance abuse disorder facility-based and outpatient professional treatment health benefits through telephonic or written review.

How you will make an impact:

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs to ensure access to medically necessary quality behavioral healthcare in a cost-effective setting in accordance with UM Clinical Guidelines and contract.

• Refers cases to Peer Reviewers as appropriate.

• Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.

Minimum Requirements:

• Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of experience with facility-based and/or outpatient psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current active unrestricted Colorado license, such as RN LCSW LMHC LPC LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in Colorado is required.

• Colorado Licensure is a requirement for this position.

Preferred Skills, Capabilities and Experiences:

• Experience in case management/utilization management with a broad range of experience with complex psychiatric/substance abuse cases preferred.

• Experience with substance abuse treatment and ASAM levels of care knowledge as well as in-home intensive therapy modalities is strongly preferred.

• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills are strongly preferred.

For candidates working in person or remotely in the below location(s), the salary* range for this specific position is $62,640 to $ 103,356

Location: Colorado

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors

set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

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

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

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

Who We Are

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

How We Work

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

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

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

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

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

Nurse Reviewer I

locations

• IL-CHICAGO, 8600 W BRYN MAWR AVE, 10th & 11th FL
• Nevada
• NV-LAS VEGAS, 3634 S MARYLAND PKWY

Job Description:

Nurse Reviewer I

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

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

Work Schedule: Monday to Friday, 9:30 AM - 6:00 PM CST/PST.

A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.

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

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

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

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

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

How you will make an impact:

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

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

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

• Follows-up to obtain additional clinical information.

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

Minimum Requirements:

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

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

Preferred Experience, Skills, and Capabilities:

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

• BA/BS degree preferred.

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

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $33.12 to $ 54.41.

Locations: Illinois; Nevada

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

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

Job Level:

Non-Management Non-Exempt

Workshift:

Job Family:

MED > Licensed Nurse

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

Who We Are

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

How We Work

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

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

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

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

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

Associate General Counsel - Commercial Vendor Transactions

Location:

• IN-INDIANAPOLIS, 220 VIRGINIA AVE
• GA-ATLANTA, 740 W PEACHTREE ST NW
• MN-MENDOTA HEIGHTS, 1285 NORTHLAND DR
• NY-NEW YORK, ONE PENN PLAZA, 35TH AND 36TH FL

time type Full time

Job Description:

Associate General Counsel - Commercial Vendor Transactions

Location: This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. The ideal candidate will reside in Indianapolis, IN, Atlanta, GA, New York, or Minnesota.

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

The Associate General Counsel - Commercial Vendor Transactions is responsible for supporting complex enterprise-wide sourcing and supply agreements with a focus on managed care procurement vendor agreements (Medicare, Medicaid) and related technology transactions such as Cloud, SaaS, and Software.

How you will make an impact:

• Developing and negotiating a broad spectrum of complex vendor and supply technology transaction types, with experience in health care technology or managed care a plus.

• Advising on complex legal issues related to managed care contracting, including cloud computing, artificial intelligence, data rights, Health IT, and compliance with evolving privacy and information security laws and regulations as they pertain to vendor transactions.

• Working successfully with core partners in Procurement, Health Plan, and other business organizations, as well as liaising with business unit legal colleagues and groups such as Information Security, Privacy, Tax, Finance, and Corporate Development and providing advice and assistance to management and executives.

• Handling complex projects with broad organizational impact and moderate to high level of risk.

• Supervising outside counsel and managing associated budgets.

• Light travel may be required.

Minimum Requirements:

Requires a JD, current license to practice law, and a minimum of 9 years of specific industry and/or technical legal experience post licensure; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• 10 years or more of legal experience with managed care vendor transactions including as the primary attorney on major transactions preferred.

• Excellent written and oral communication skills, particularly contract drafting and negotiation skills, and the ability to effectively present information to, and advise, senior management preferred.

• Ability to work well both independently and as part of a team with a manager preferred.

• Ability to thrive in a complex corporate environment preferred.

• Knowledge of managed care industry strongly preferred.

• Strong written and oral communication skills, problem solving skills, attention to detail and well organized preferred.

• Strong critical thinking, problem-solving, time management, and attention to detail skills preferred.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $187,616 to $307,008.

Locations: Minnesota; New York.

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

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

Job Level:

Director Equivalent

Workshift:

1st Shift (United States of America)

Job Family:

LEG > Attorneys

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

Who We Are

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

How We Work

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

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

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

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

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

Title: DSHS HCLA Adult Protective Services Intake Specialist

Salary $5,666.00 - $7,622.00 Monthly

Location  Thurston County – Lacey, WA

Job Type Full Time - Permanent

Job Number 2026-00215

Department Dept. of Social and Health Services

Division HCLA

Salary Information The high end of the salary range, Step M is typically a longevity step

Job Description:

DSHS HCLA - Adult Protective Service Intake Specialist ( Social Services Specialist 3)

Join us today and be part of our hard-working team of professionals that provide social services to vulnerable adult populations. Adult Protective Services (APS) is seeking a Social Service Intake Specialist to join our team in Lacey, WA.

As part of a statewide APS Intake Unit located in Home and Community Living Administration Headquarters in Lacey, you will receive allegations from community members and professionals related to abandonment, abuse, financial exploitation, neglect, and self-neglect of vulnerable adults.  

This role a near fulltime remote (teleworking) with the duty station as HQ. In-person travel may be required for in-person meetings, business needs, trainings, and as needed.

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

 Some of what you'll be doing:

• Receive reports of allegations from community members and professionals related to abandonment, abuse, financial exploitation, neglect, and self-neglect of vulnerable adults
• Receives, collects, analyzes, and evaluates information, creates reports, conducts data entry input, processes and screens information, makes referrals, and independently assigns reports for investigation based on risk priority
• Educate vulnerable adults, the community and professionals about vulnerable adult mistreatment and appropriate services
• Conduct thorough, timely and objective investigations of alleged abandonment, abuse, financial exploitation, neglect, or self-neglect and may provide protective services and legal remedies to protect vulnerable adults
• Answer live calls, receive, collect, screen, process and input data into automated systems, research, and complete and assign reports (i.e., fax, telephone, in person, electronic and written correspondence)
• Make follow-up phone calls to interview collateral contacts, reporters, and others to gather additional information
• Coordinate with law enforcement, judicial entities, families, facilities, local office staff, other regional offices, and community agencies/partners regarding the needs of clients served
• Identify situations presenting a risk to vulnerable children and/or adults and refer to the appropriate agency
• Educate vulnerable adults, the community, and professionals about appropriate services as provided by rules and regulations, policy guidelines, and client consent

What we're looking for:

• Proven ability to assess complex situations and develop effective, practical solutions
• Strong time management and organizational skills
• Proficiency in Microsoft Office, accurate data entry, and effective documentation practices
• Knowledge of Medicaid terminology, regulations, and policies
• Understanding of Long-Term Care programs and policy
• Flexibility and adaptability in response to changing policies and organizational priorities
• Strong critical thinking skills with the ability to maintain focus under pressure
• Excellent verbal and written communication skills
• Ability to work autonomously making decisions, sometimes in immediate safety situations
• Experience assessing risk and safety to vulnerable adults or children

Who should apply?

• Professionals with one year of experience as a Social Service Specialist 2, and completion of the agency's Social Service Specialist training program.

OR 

• A Master's degree in social services, human services, behavioral sciences, criminal law/justice or an allied field, and one year as a Social Service Specialist 2 or equivalent paid social service experience.

OR 

• A Bachelor's degree in social services, human services, behavioral sciences, criminal law/justice or an allied field, and two years of paid social service experience performing functions equivalent to a Social Service Specialist 2.

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

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

Additional information:

• These positions require travel to meet business needs
• A hybrid telework or flexible work schedule may be considered upon successful completion of the training period
• Employees must successfully complete the formal training course sponsored by their ision within one year of their appointment

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

Questions? Email the recruiter and reference job number 00215.

The Department of Social and Health Services' (DSHS) vision that people find human services to shape their own lives requires that we come together with a sense of belonging, common purpose, shared values, and meaningful work. It is crucial to our agency's vision that you bring a fairness, access, and social justice commitment to your work with DSHS. We strive to support all Washingtonians, including Black, Indigenous, and People of Color, people with physical, behavioral health, and intellectual disabilities, elders, LGBTQIA+ iniduals, immigrants and refugees, and families building financial security. Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

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

E-Verify is a registered trademark of the U.S. Department of Homeland Security

Job title: GRA CMC Lead

• Location: Morristown, NJ

Hybrid

Full-time

About the Job

As GRA CMC Lead within our GRA CMC & GRA Device Organization, you'll drive global regulatory strategies for pharmaceutical and vaccine products, collaborate with cross-functional teams to navigate complex regulatory landscapes, optimize product development and manufacturing processes, and directly influence the success of drug approvals through strategic negotiations with health authorities worldwide. Ready to get started?

Within Sanofi's Global Regulatory Affairs (GRA) CMC organization, the CMC Lead role offers the opportunity to drive regulatory strategy for pharmaceutical products and vaccines across their lifecycle. Working at the intersection of science and compliance, you'll develop CMC strategies, conduct risk assessments, and serve as the primary liaison with regulatory authorities including FDA and EMA. You'll collaborate across R&D, Manufacturing, and Quality teams while preparing high-quality regulatory submissions, managing compliance, and anticipating regulatory trends-all contributing directly to bringing innovative therapies to patients worldwide.

Join the engine of Sanofi's mission - where deep immunoscience meets bold, AI-powered research. In R&D, you'll drive breakthroughs that could turn the impossible into possible for millions.

About Sanofi:

We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline - enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people's lives.

Main responsibilities:

• Shape the Future of Medicine: Guide products from early development to market by creating smart regulatory strategies and working directly with health authorities like FDA and EMA.

• Be a Problem Solver: Use your expertise to spot potential challenges early, develop practical solutions, and help teams navigate complex regulatory requirements.

• Build Strong Relationships: Work closely with erse teams across R&D, Manufacturing, and Quality, fostering partnerships that drive success.

• Make Smart Decisions: Assess risks and opportunities for pharmaceutical products, helping teams make informed choices that balance innovation with compliance.

• Drive Quality: Ensure regulatory submissions meet high standards by reviewing technical documents and providing strategic guidance to teams.

• Stay Ahead of Changes: Keep up with evolving regulations and industry trends, helping Sanofi anticipate and adapt to new requirements.

• Lead with Impact: Use your voice to influence product development strategies, while growing your expertise in a supportive, inclusive environment.

About You

• Experience: Minimum 4+ years of CMC regulatory experience with contributions to regulatory filings and implementation of regulatory strategies; experience responding to Health Authority questions.

• Education: Bachelor's degree in a scientific discipline (Chemistry, Biology, Pharmacy, or related field).

• Regulatory Expertise: Experience preparing regulatory documentation and familiarity with standard submission processes

• Technical Knowledge: Understanding of pharmaceutical development, manufacturing processes, and regulatory requirements in major markets.

• Collaboration Skills: Ability to work effectively in a matrix environment, engaging cross-functionally with R&D, Manufacturing, and Quality teams.

• Communication: Strong written and verbal communication skills, with fluency in English.

• Adaptability: Capability to manage multiple projects in a fast-paced, hybrid work environment (60% on-site), with openness to learning and growth.

Why Choose Us

• Bring the miracles of science to life alongside a supportive, future-focused team.

• Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or lateral move, at home or internationally.

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.

• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks' gender-neutral parental leave.

• Be part of a pioneering biopharma company that engages patients early in drug development and uses their insights to design studies that reflect real-world needs.

• Help improve the lives of millions of people globally by making drug development quicker and more effective.

• Work at the forefront of drug discovery, harnessing cutting-edge AI, data, and digital platforms to push the boundaries of science.

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

Pursue progress, discover extraordinary

Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.

At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.

US and Puerto Rico Residents Only

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

North America Applicants Only

The salary range for this position is:

$122.250,00 - $176.583,33

All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs.

Title: Clinical Assessor (RN - Hybrid)

Location: Charlotte, NC, United States

Hybrid

Job Description:

Company Overview

Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.

Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the mission of the company; to actively engage in problem-solving; and to take ownership of your work every day. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate iniduals dedicated to being a vital partner for health solutions in the public sector.

Job Summary and Responsibilities

Acentra Health is looking for a Clinical Assessor to join our growing team.

Job Summary:

• Acentra Health is seeking clinical assessors statewide in North Carolina for an exciting opportunity. You work out of your home office and travel to assessment locations in your region. Under the Personal Care Services (PCS) program, services are provided to NC Medicaid Beneficiaries who have a medical condition, cognitive impairment, or disability who demonstrate unmet needs for hands-on assistance with qualifying activities of daily living (ADLs). The PCS Assessor is responsible for the completion of needs-based eligibility determinations for North Carolinians who are applying for these Medicaid-funded personal care services provided in their home or in adult care or supervised living homes.

• Under the Community Alternatives (CAP) Program, home and community-based waivers provide cost-neutral alternatives to institutionalization for Beneficiaries, in specified target populations, who would be at risk for institutionalization if specialized Waiver services are not available. Services are intended for situations where no household member, relative, caregiver, landlord, community agency, volunteer agency, or third-party payer is able or willing to meet the assessed and required medical, psychosocial, and functional needs of the approved CAP Beneficiary.

• The CAP/PCS Assessor is responsible for completion of needs-based assessments of level of care (LOC) to allow targeted iniduals to remain in or return to a home and community-based setting. Assessments are generally performed in the beneficiary's primary residence.

• Position is hybrid. Candidates should be based within Mecklenburg County of North Carolina to be able to cover the field work involved.

Responsibilities:

• Conducts assessment to determine whether the beneficiary meets the conditions and criteria for PCS eligibility, using state-approved standardized assessment tool(s).
• Ensures that PCS are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Ensures that the privacy and dignity of iniduals receiving assessment for PCS is maintained at the highest standards.
• Ensures that new, expedited, annual, change of status, mediation/appeals, reconsideration review, and derivative assessments are conducted within established timeframes.
• Include an interview with family members and informal caregivers who are present at the time of the assessment.
• Provide the Beneficiary with guidance and assistance, as necessary, to select PCS providers.
• Conduct service plan reviews as needed.
• Submit the completed assessments using state-approved interface
• Participate in the Beneficiary's mediation and appeal processes.
• Respond to state inquiries regarding assessments conducted.
• Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
• Provide assessments for initial eligibility determinations for an applicant to participate in a 1915(c) HCBS program, and, when applicable, annual and change of status assessments for participant currently participating in a 1915(c) HCBS program, using state-approved standardized assessment tool(s).
• Ensures that CAP services are provided on a "needs basis" in quantities appropriate to the Beneficiary's unmet need for services based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Ensures that the privacy and dignity of iniduals receiving assessment for CAP participation is maintained at the highest standards.
• Consult, when necessary, with the Beneficiary's selected case management entity to generate an approvable service plan.
• Ensure that the randomly selected Service Plan completed by the Beneficiary's assigned case management entity is appropriate to the Beneficiary's unmet need for services, based on the severity of their medical condition, functional disability, physical, or cognitive impairment.
• Include an interview with family members and informal caregivers who are present at the time of the assessment.
• Submit the completed assessments using state-approved interface
• Participate in the Beneficiary's mediation and appeal processes.
• Respond to state inquiries regarding assessments conducted.
• Attend and actively participate in staff meetings and conduct case consultations/peer reviews/internal auditing as assigned.
• Read, understand, and adhere to all corporate policies including policies related to HIPAA and its Privacy and Security Rules.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other education- and experience-related duties that management may deem necessary from time to time.

Qualifications

Required Qualifications

• Registered Nurse license by the applicable state or compact license.
• Minimum of two years of nursing experience.
• This position requires travel up to a 60 mile radius.

Preferred Qualifications

• Experience with community-based iniduals needing personal assistance with ADL and IADL tasks is highly preferred.
• Experience conducting PCS assessments highly preferred.
• 2+ years of home healthcare experience preferred.
• 2+ years of directly-related experience (preferably case management) in the health or medical field, directly related to homecare, long-term care, or personal care is preferred.
• Experience conducting HCBS waiver assessments highly preferred.
• Knowledge of North Carolina Medicaid Clinical Coverage Policy (Clinical Policy) 3L and PCS Program Provider Manual
• Knowledge of standards of practice related to Medicaid-funded Personal Care Services, home and community-based services (HCBS) programs, and EPSDT.
• Knowledge and understanding of public sector services and supports.
• Computer proficiency in Microsoft Excel, Word and Outlook.
• Ability to utilize computer equipment and web-based software to conduct work.
• Ability to interact with various office staff as needed to support necessary workflows.
• Ability to interact with healthcare professionals, patients, their families and other supports.
• Ability to communicate effectively to iniduals and groups through spoken, written and electronic media.
• Ability to attend to detail, effectively prioritize and execute tasks in a timely manner.
• Ability to work independently without a high degree of supervision.
• Develops level of care recommendations based upon clinical evaluations.
• Participates in training of PCS stakeholders as needed.
• Ability to use person-centered thinking, planning, and have competency in awareness of the needs of persons with disabilities.
• Knowledge of North Carolina Medicaid Clinical Policy 3K-1 and 3K-2, and 42 CFR Part 441 Subpart G, 42 CFR § 440.180.
• Knowledge of eligibility criteria for LOC and Waiver Participation.
• Knowledge of standards of practice related to Medicaid waivers, home and community-based services (HCBS) programs, EPSDT, medical fragility, and level of care determinations.
• Participates in training of CAP stakeholders as needed.

Why us?

We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.

We do this through our people.

You will have meaningful work that genuinely improves people's lives across the country. We are a company that cares about our employees, and we give you the tools and encouragement you need to achieve the finest work of your career.

Benefits

Benefits are a key component of your rewards package. Our benefits are designed to provide you with additional protection, security, and support for both your career and your life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.

Thank You!

We know your time is valuable and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may be of interest. Best of luck in your search!

~ The Acentra Health Talent Acquisition Team

Visit us at Acentra.com/careers/

EEO AA M/F/Vet/Disability

Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran or any other status protected by applicable Federal, State or Local law.

Compensation

The pay for this position is listed below. After 90 days, the salary will increase to $80,000.

"Based on our compensation philosophy, an applicant's position placement in the pay range will depend on various considerations, such as years of applicable experience and skill level."

Pay Range

USD $77,000.00 - USD $80,000.00 /Yr.

Family Nurse Practitioner (PRN) - Paragon Infusion Centers

Location: Kansas City, MO, United States

Onsite

Part-time

Shift: Days. Clinic is open Monday- Friday.

Onsite: This role requires associates to work from the posted locations full-time, enabling consistent face-to-face collaboration, teamwork, and direct engagement. This policy promotes an environment built on in-person interaction, communication, and immediate support.

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

A proud member of the Elevance Health family of companies, Paragon Healthcare brings over 20 years in providing life-saving and life-giving infusible and injectable drug therapies through our specialty pharmacies, our infusion centers, and the home setting.

The Family Nurse Practitioner (FNP) is responsible for patient care within his/her scope of practice in the clinical setting.

How you will make an impact:

• Administers ordered therapies according to prescriber order, facility protocols, INS standards and company policy and procedures.

• Completes admission process as directed by Center Director.

• Performs physical assessment on each patient as warranted and for new consults as warranted by the patient diagnosis.

• Refer to the NP on duty for complete physical assessment as needed.

• Documents all pertinent data in the patient's medical record.

• Reports all significant changes or observations to the Center Director and is responsible for the follow up on any problem which is identified.

• Communicates effectively with other members of the IV team on patient status and observations.

• Maintains patient confidentiality at all times by abiding by HIPAA laws and regulations.

• Evaluates the patient's response to therapy and documents this finding in the medical record.

• Educates patients and/or family members regarding therapy plan.

• Participates in the Quality Improvement program.

• Ensures that all medication orders are complete, appropriate, accurate and up to date prior to treatment.

• Participates in On-Call program, which may include after-hours, weekend and holiday calls and visitations.

• Provides clinical coverage for nurse practitioners on PTO/LOA and may also support new market launches.

• May Travel to worksite and other locations as necessary.

Minimum Requirements:

• Requires an MS in Nursing and minimum of 2 years of nursing experience; or any combination of education and experience, which would provide an equivalent background.

• Experience with IVs required.

• Current, active, and valid unrestricted NP license to practice as a healthcare professional with scope of license in applicable state required in applicable state required.

• Requires active, current, and valid Family Nurse Practitioner Certification.

• Multi-state licensure is required if this inidual is providing services in multiple states.

• Satisfactory completion of a Tuberculosis test is a requirement for this position and Hepatitis B vaccine or signed waiver.

Preferred Skills, Capabilities and Experiences:

• Healthcare experience with IV's strongly preferred.

• 2+ years of experience with IV preferred.

• Port, PICC & Peripheral Line experienced preferred.

• Medication Mixing experience is preferred.

• Titration experience preferred.

Job Level:

Non-Management Non-Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Nurse

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

Who We Are

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

How We Work

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

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

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

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

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

Nutritional Consultant

Location:

• Indiana
• North Carolina
• Texas
• Virginia
• Missouri
• Florida
• Georgia

Remote

Full time

Job Description:

Location: Any of the following states: Indiana, Missouri, North Carolina, Texas, Florida, Georgia, Virginia.

Alternate locations may be considered if candidates reside within a commuting distance from an office

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

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

Shift: Monday - Friday; 8:00am - 4:30pm ET with occasional evening availability

• Candidate must have Bachelors degree or higher for this role*

The Nutritional Consultant is responsible for providing nutritional/dietary consultations to participants in the patient management programs.

How you will make an impact:

• Ensures patient understanding of nutritional goals and objectives; provides nutritional counseling and patient education for patients diagnosed with chronic conditions.

• Motivates patients to make changes or enhancements to their current nutritional plan.

• Collaborates with physicians or other health professionals to ensure adherence to prescribed plan of care.

• Develops training modules for nurse consultants providing care management services for participants.

Minimum Requirements:

• Requires current valid active and unrestricted RD license.

• Requires a HS diploma or equivalent and a minimum of 3 years of experience counseling iniduals regarding nutritional/dietary management issues related to chronic disease; or any combination of education and experience, which would provide an equivalent background.

• For associates working within Puerto Rico who are member or patient facing either in a clinical setting or in the Best Transportation unit, a current PR health certificate and a current PR Law 300 certificate are required for this position.

Job Level:

Non-Management Exempt

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed/Certified Allied Health Professional

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

Who We Are

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

How We Work

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

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

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

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

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

PK Scientist- Full-Time, Remote

Location: This position can be done remotely worldwide or in Kansas City, based in the office.

Full-time

Job Description:

ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to foster an inclusive environment driving innovation and excellence, and we welcome you to join us on our mission to shape the future of clinical development.

At ICON, it's our people that set us apart. Our erse teams enable us to become a better partner to our customers and help us to fulfil our mission to advance and improve patients' lives.

Our 'Own It' culture is driven by four key values that bring us together as iniduals and set us apart as an organisation: Accountability & Delivery, Collaboration, Partnership and Integrity. We want to be the Clinical Research Organisation that delivers excellence to our clients and to patients at every touch-point. In short, to be the partner of choice in drug development.

That's our vision. We're driven by it. And we need talented people who share it.

If you're as driven as we are, join us. You'll be working in a dynamic and supportive environment, with some of the brightest and the friendliest people in the sector, and you'll be helping shape an industry.

What will you be doing?

This position can be done remotely worldwide, or Kansas City based in the office.

• Prepare model-based strategies to support clinical development programs

• Design, conduct, interpret and prepare appropriate study and regulatory summaries of quantitative pharmacology and pharmacometric activities

• Build and sustain great relationships with clients

• Prepare and present scientific publications; Excellent understanding of the integration of quantitative pharmacology and pharmacometrics into clinical drug development

• Excellent written and verbal communications skills.

Qualifications

• Pharm.D. or Ph.D. preferred, but not required.

• Clinical Pharmacology Experience

• Candidate should have ideally at least 3-5 years of experience in Quantitative Pharmacology and Pharmacometrics.

• Excellent organizational and communication skills.

• Working knowledge in WinNonlin, NONMEM (or equivalent software) and R,.

Benefits of Working in ICON:

Our success depends on the quality of our people. That's why we've made it a priority to build a culture that rewards high performance and nurtures talent.

We offer very competitive salary packages. And to keep them competitive, we regularly benchmark them against our competitors. Our annual bonuses reflect delivery of performance goals - both ours and yours.

We also provide a range of health-related benefits to employees and their families and offer competitive retirement plans - and related benefits such as life assurance - so you can save and plan with confidence for the years ahead.

But beyond the competitive salaries and comprehensive benefits, you'll benefit from an environment where you are encouraged to fulfil your sense of purpose and drive lasting change.

ICON is an equal opportunity and inclusive employer and is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know through the form below.

#LI- REMOTE

What ICON can offer you:

Our success depends on the quality of our people. That's why we've made it a priority to build a erse culture that rewards high performance and nurtures talent.

In addition to your competitive salary, ICON offers a range of additional benefits. Our benefits are designed to be competitive within each country and are focused on well-being and work life balance opportunities for you and your family.

Our benefits examples include:

• Various annual leave entitlements
• A range of health insurance offerings to suit you and your family's needs.
• Competitive retirement planning offerings to maximize savings and plan with confidence for the years ahead.
• Global Employee Assistance Programme, LifeWorks, offering 24-hour access to a global network of over 80,000 independent specialized professionals who are there to support you and your family's well-being.
• Life assurance
• Flexible country-specific optional benefits, including childcare vouchers, bike purchase schemes, discounted gym memberships, subsidized travel passes, health assessments, among others.

At ICON, inclusion & belonging are fundamental to our culture and values. We're dedicated to providing an inclusive and accessible environment for all candidates. ICON is committed to providing a workplace free of discrimination and harassment. All qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please let us know or submit a request here

Interested in the role, but unsure if you meet all of the requirements? We would encourage you to apply regardless - there's every chance you're exactly what we're looking for here at ICON whether it is for this or other roles.

Title: DSHS HCLA Contracts Administrator

Location:

• Multiple Locations, Washington Statewide, United States
• Lacey, Washington

Hybrid

Salary $7,109.08 - $9,479.00 Monthly

Job Description:

HRSN Contracts Administrator 

The Home and Community Living Administration (HCLA) is seeking a skilled and strategic Contracts Administrator to lead and coordinate high-impact projects that shape how long-term care services are delivered across the state.

This is a project job opportunity that is expected to last through June 30, 2028. The project is known as Health Related Social Needs (HRSN) and will impact multiple isions within the HCLA. As part of the Home and Community Living Administration (HCLA), the State Unit on Aging (SUA) is a Home and Community Services (HCS) headquarters unit charged with administering supportive programs for older adults and persons with disabilities. Your work will be essential to provide structure to ensure uniformity in program evaluation and promote successful outcomes for the clients HCLA serves.

This opportunity is eligible to be remote and the official duty station is in Lacey WA.

What you'll do

• Provide subject matter expertise, advice, consultation, information, guidance, interpretation and technical support related to the HRSN project
• Ensure contracting and monitoring policies and principles are implemented
• Review all program contracts to ensure they are being monitored
• Determine if monitoring plans are appropriate
• Ensure all contract monitoring is documented
• Coordinate with the Management Services Division and develop a strong partnership
• Provide consultation in the development of effective contract monitoring plans
• Determine potential risk of liability and report issues
• Provide education and training across isions working on HRSN
• Create tools to assist staff with contract managing
• Work with other program leaders 
• Terms & Conditions, which includes but is not limited to contractor requirements, statement of work, performance measures, deliverables, and billing

Who should apply

A Bachelor's degree in Social Work, Health or Social Science, Public Administration, or related field, and five years of experience in the field of long-term care services for vulnerable adults in a professional capacity

Additional qualifying professional experience will substitute year-for-year for the required education. 

• Experience may be gained concurrently.

What we are looking for

• Working knowledge of contract monitoring compliance 
• Ability to work effectively and collaboratively  
• Ability to interpret pertinent contract language, internal policies, as well as WAC and RCW 
• Strong organizational and time management skills 
• Ability to work in an environment that is continuously changing and evolving

Ready to apply?

We encourage interested candidates to apply early. 

Your completed application should include:

• A letter of interest detailing your background and what draws you to this role

• A current resume

• Three professional references

Please be prepared to provide a copy of your college transcripts to verify degree information. Applicants may provide transcripts with the application or they may be requested by the hiring team at a later date.

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

Questions? Please contact [email protected] and reference #00109.

Prior to a new hire, a background check including criminal record history may be conducted. Information from the background check will not necessarily preclude employment but will be considered in determining the applicant's suitability and competence to perform in the job. This announcement may be used to fill multiple vacancies. Employees driving on state business must have a valid driver's license. Employees driving a privately owned vehicle on state business must have liability insurance on the privately owned vehicle.

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

Nurse Case Mgr SR

Location: 609 H ST NE, STE 200, Washington, DC

Full time

Hybrid

Job Description:

Location: Washington, DC. This role requires associates to be in-office 4 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered.

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

The Nurse Case Manager Sr will be responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

How you will make an impact:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments to identify inidual needs and a specific care management plan to address objectives and goals as identified during assessment.

• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

• Coordinates internal and external resources to meet identified needs.

• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

• Negotiates rates of reimbursement, as applicable.

• Assists in problem solving with providers, claims or service issues.

• Assists with development of utilization/care management policies and procedures, chairs and schedules meetings, as well as presents cases for discussion at Grand Rounds/Care Conferences and participates in interdepartmental and/or cross brand workgroups.

• May require the development of a focused skill set including comprehensive knowledge of specific disease process or traumatic injury and functions as preceptor for new care management staff.

• Participates in department audit activities.

Minimum Requirements:

• Requires BA/BS in a health related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

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

• Multi-state licensure is required if this inidual is providing services in multiple states.

Preferred Skills, Capabilities and Experiences:

• Certification as a Case Manager is preferred.

For candidates working in person or virtual in the below location(s), the salary* range for this specific position is $89,608- $134,412

Locations: District of Columbia (Washington, DC)

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

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

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed Nurse

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

Who We Are

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

How We Work

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

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

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

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

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

Behavioral Health Medical Director - Psychiatrist - National Medicare (Part-time)

Location:

IN-INDIANAPOLIS, 220 VIRGINIA AVE

Part time

Remote

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

Schedule: Part-time 20 hours a week. West coast hours in the afternoons are preferred.

Job Description:

The Behavioral Health Medical Director is responsible for reviewing cases for Medicare members including child and substance use disorders, and all levels of care. Responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.

How you make an impact:

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

• Provides guidance for clinical operational aspects of a program.

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

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

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

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

• May chair company committees.

• Interprets medical policies and clinical guidelines.

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

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

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

Minimum Requirements:

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

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

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

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

• For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.

• Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

Preferred Qualifications:

• Geriatrics or addiction medicine experience preferred.

• Utilization Review Management experience preferred.

• Knowledge of Medicare/Medicaid preferred.

Job Level:

Director Equivalent

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Physician/Doctor/Dentist

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

Who We Are

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

How We Work

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

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

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

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

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

Behavioral Health Case Manager II - Washington

Locations: 705 5TH AVE S, STE 300, Seattle, Washington

Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Up to one day a week this position will be required to visit members in person in care facilities throughout Washington state.

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

Work Shift Hours: Monday through Friday. 8AM-5PM (Pacific Standard Time). No holidays, or Sundays. May have to work 2 hours on a Saturday to meet member needs.

The Behavioral Health Case Manager II is responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc.

How you will make an impact:

• Responds to more complex cases and account specific requests.

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

• Conducts assessments to identify inidual needs and develops specific care plan to address objectives and goals as identified during assessment.

• Monitors and evaluates effectiveness of care plan and modifies plan as needed.

• Supports member access to appropriate quality and cost effective care.

• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

• Serves as a resource to other Behavioral Health Case Managers.

• Participates in cross-functional teams projects and initiatives.

Minimum Requirements:

• Requires MA/MS in social work counseling or a related behavioral health field or a degree in nursing, and minimum of 3 years of clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current active unrestricted license such as RN LCSW LMHC LICSW LPC (as allowed by applicable state laws) LMFT LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

• Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.

• Managed care experience required.

Preferred Skills, Capabilities and Experiences:

• Domiciles are preferred.

• Experience in health coaching and motivational interviewing techniques preferred.

For candidates working in person or virtually in the below location, the hourly* range for this specific position is $78,660 to $117,990.

Location: Washington

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

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

Job Level:

Non-Management Exempt

Workshift:

Job Family:

MED > Licensed/Certified Behavioral Health Role

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

Who We Are

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

How We Work

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

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

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

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

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

Behavioral Health Medical Director - Psychiatrist - California (Part-time)

Location:

• CA-COSTA MESA, 3080 BRISTOL ST, STE 200
• CA-WOODLAND HILLS, 21215 BURBANK BLVD
• CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD

Part-time

Remote

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

Schedule: Part-time 20 hours a week. West coast hours.

Job Description:

The Behavioral Health Medical Director is responsible for reviewing cases for California Medicaid members including child and substance use disorders, and all levels of care. Responsible for the administration of behavioral health medical services, to ensure the appropriate and most cost-effective medical care is received. May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities.

How you make an impact:

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

• Provides guidance for clinical operational aspects of a program.

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

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

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

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

• May chair company committees.

• Interprets medical policies and clinical guidelines.

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

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

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

Minimum Requirements:

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

• Must possess an active unrestricted medical license to practice medicine or a health profession in the state of California.

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

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

• For Health Solutions and Carelon organizations (including behavioral health) only, minimum of 5 years of experience providing health care is required.

• Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

Preferred Qualifications:

• Utilization Review Management experience preferred.

For candidates working in person or virtually in the below locations, the salary* range for this specific position is $137,034 - $214,488.

Location: California.

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

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

Job Level:

Director Equivalent

Workshift:

1st Shift (United States of America)

Job Family:

MED > Licensed Physician/Doctor/Dentist

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

Who We Are

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

How We Work

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

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

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

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

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

Title: Digital Commerce Product Owner, GBS

Location: Marlborough, MA, United States

Hybrid

Job Description:

Additional Location(s): US-MA-Marlborough

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we'll give you the opportunity to harness all that's within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we'll help you in advancing your skills and career. Here, you'll be supported in progressing - whatever your ambitions.

About the role:

Digital Commerce (including eCommerce) is a strategic focus area at Boston Scientific that aims to make our company easier to do business with and to realize internal efficiencies that accelerate innovation. The company continues to expand its investment in Digital Commerce based on strong results and the growing impact of our online and self-service capabilities.

As we advance our global Digital Commerce strategy, the team is seeking a strong Product Owner to drive the ongoing enhancement and expansion of our eCommerce and self-service platforms-enabling scalable, customer-centric digital experiences. This role will focus on Boston Scientific's SAP Commerce Cloud platform, supporting our U.S. eCommerce site and the rollout of global self-service solutions.

The Product Owner will work closely with cross-functional stakeholders-including the Program Manager, Project Manager, Product Manager, and IT Architects-to define requirements, manage the product backlog, and ensure delivery of high-quality releases that align with business priorities.

Work model, sponsorship, relocation:

At Boston Scientific, we value collaboration and synergy. This role follows a hybrid work model requiring employees to be in our local office at least three days per week. Boston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position at this time. Relocation assistance is not available for this position at this time.

Your responsibilities will include:

● Set and communicate a clear and ambitious product vision aligned with Digital Commerce strategy and business goals

● Own and manage the product backlog and roadmap, ensuring alignment with customer needs and strategic priorities

● Lead discovery sessions to gather business requirements and translate them into detailed user stories and acceptance criteria

● Partner cross-functionally with Commercial, IT, Customer Care, Marketing, and regional teams to ensure seamless execution

● Serve as the primary liaison between business and development teams, ensuring clarity on priorities, dependencies, and trade-offs

● Collaborate with Program and Project Managers to align on sprint planning, resource prioritization, and release schedules

● Facilitate agile ceremonies, including backlog refinement, sprint reviews, and release planning

● Work closely with development and QA teams to ensure efficient, high-quality testing and release execution

● Collaborate with customer support and operations teams to triage, prioritize, and resolve issues or enhancement requests

● Monitor performance and adoption metrics to identify opportunities for continuous improvement and innovation

● Maintain awareness of regulatory and compliance requirements (e.g., privacy, accessibility) that impact digital commerce

Qualifications:

Required qualifications:

● Bachelor's degree in Business, Marketing, Management, Information Systems, or a related field

● Minimum of 5 years' experience in eCommerce or Digital Product Ownership, ideally in B2B or B2C enterprise environments

● Experience with SAP Commerce Cloud (Hybris) or comparable enterprise eCommerce platforms

● Experience working within Agile development frameworks and collaborating with global, cross-functional teams

● Strong analytical and problem-solving skills with the ability to translate business needs into actionable technical requirements

● Excellent communication skills with proven ability to influence across functional and technical teams

● Ability to manage multiple priorities in a fast-paced, dynamic environment

Preferred qualifications:

● Experience in the medical device or healthcare industry or other highly regulated environments

● Certified Scrum Product Owner (CSPO) or equivalent Agile certification

● Familiarity with complementary digital platforms such as Salesforce, Adobe Experience Cloud, or SAP integration tools

● Experience supporting global product rollouts and multi-region deployments

● Passion for digital commerce innovation and a strong understanding of industry best practices and trends

Minimum Salary: $106800

Maximum Salary: $202900

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) - see www.bscbenefitsconnect.com-will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.

Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most - united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do - as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn't just business, it's personal. And if you're a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve.

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status. Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment. Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements. As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company's policies or protocols change with regard to COVID-19 vaccination.

Nearest Major Market: Boston

Job Segment: Compliance, QA, Quality Assurance, SAP, ERP, Legal, Quality, Technology

Title: Immune-Hematology Manager, Blue Ridge

Job Title: Transplant Manager

Location: US, Remote/Field

About the Job

Join the team transforming how healthcare is delivered for chronic and specialty conditions worldwide. In General Medicines, you'll help drive meaningful outcomes in diabetes, transplant, and immunology - with the scale and urgency patients deserve.

The Immune Hematology Manager (IHM) is responsible for effectively applying promotional and selling strategies while growing the product base for Sanofi Pharmaceuticals in their specified geography. Specifically, the IHM will be responsible for selling belumosudil in their assigned geography, if approved. The IHM will provide on-label product information to designated key opinion leaders, health care providers/accounts, and will be responsible for establishing and maintaining relationships within the cGVHD community.

About Sanofi:

We're an R&D-driven, AI-powered biopharma company committed to improving people's lives and delivering compelling growth. Our deep understanding of the immune system - and innovative pipeline - enables us to invent medicines and vaccines that treat and protect millions of people around the world. Together, we chase the miracles of science to improve people's lives.

Main Responsibilities:

• Sanofi IHM will appropriately promote belumosdil to meet/exceed territory sales goals through their approved promotional efforts, focused execution and commitment to positively impacting the lives of patients.

• Effectively communicate and provide on-label information for Sanofi Pharmaceuticals' products to designated targets/accounts.

• Exceptional business acumen leading to the creation of clear, comprehensive business plans is fundamental to this role.

• Developing broad knowledge and understanding of key customer's goals and desired clinical outcomes in treating patience to cultivate a partnership that anticipates, then serves both customer and patient needs.

• Develop and maintain strategic relationships with key personnel, HCPs/non-HCPs, at targeted accounts.

• Manage and develop territory budgets for customer contacts, promotional programs and other miscellaneous external expenditures.

• Analyze sales, and market trends to effectively identify current and potential future business opportunities, in addition to being able to implement an effective and strategic POA as a result.

• IHSS must demonstrate product & disease state expertise; and product access/reimbursement expertise.

• Develop and maintain strong working relationships with various members of the Sanofi Pharmaceuticals Team including Marketing, Managed Care, Analytics, Accounting, Compliance, Legal and other team members.

• Maintain extensive knowledge of the Managed Care, GPOs, Specialty Pharmacy, State Medicaid and Veterans Affairs selling and reimbursement environment for their assigned geography.

• Daily activities include one-on-one, group, and or non-personal on-label sales presentations to targeted providers, in addition to preparing, and analyzing market data to effectively identify customer and market trends.

• Expected to deliver promotional messages in support of the product-approved indication(s) via approved channels of delivery, I.e face-to-face and virtual platforms.

• Utilize current computer systems in planning, forecasting and reviewing sales activities to optimize resources for effective coverage to meet sales goals/objectives.

• Provide timely, accurate and competent administrative management of work hours, sales call data, customer objectives, communication responses, synchronization, sample (if applicable) and expense reporting.

• Comply with all applicable laws, rules and regulations governing the marketing and promotion of pharmaceutical products and Sanofi.

About You

Additional Attributes

• A passion for proactive, continuous learning on disease state, treatment of cGVHD; and the oral oncolytic access & reimbursement environment impacting our customers

• Business planning mindset is innovative. Demonstrates agility and resourcefulness in responding to customers' needs

• Listening; with an approach of "first seeks to understand" with all members of the patient care team to identify and understand their needs and appropriately respond

• An unwavering commitment to teamwork; sharing what is learned from customer dialogues with Sanofi cross-functional teammates enabling us to be an agile, valued partner in serving our customers and their patients

• Utilize resources, adhering to budget needs and delivering strong results in a collaborative and compliant manner with integrity and passion

Qualifications:

• Bachelor's degree is required.

• A minimum of 5 years of pharmaceutical sales experience.

• Proven/successful performer in generating and driving sales results.

• Proven proficiency in delivering virtual engagements to HCPs and staff.

• Strong oral and written communication skills.

• Strong time management and organizational skills.

• Proficient in Microsoft Office applications.

• Willingness to travel 60% of the time or greater.

Why Choose Us?

• Bring the miracles of science to life alongside a supportive, future-focused team.

• Discover endless opportunities to grow your talent and drive your career, whether it's through a promotion or a lateral move, at home or internationally.

• Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact.

• Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs, and at least 14 weeks' gender-neutral parental leave.

This position is eligible for a company car through the Company's FLEET program.

Candidates must complete all fleet safety training and must maintain an acceptable driving record regarding accidents and incidents.

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

#LI-Remote

Pursue progress, discover extraordinary

Better is out there. Better medications, better outcomes, better science. But progress doesn't happen without people - people from different backgrounds, in different locations, doing different roles, all united by one thing: a desire to make miracles happen. So, let's be those people.

At Sanofi, we provide equal opportunities to all regardless of race, colour, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, ability or gender identity.

US and Puerto Rico Residents Only

Sanofi Inc. and its U.S. affiliates are Equal Opportunity and Affirmative Action employers committed to a culturally inclusive and erse workforce. All qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; natural or protective hairstyles; marital, domestic partnership or civil union status; sex, gender, gender identity or expression; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law.

North America Applicants Only

The salary range for this position is:

$146,250.00 - $211,250.00

All compensation will be determined commensurate with demonstrated experience. Employees may be eligible to participate in Company employee benefit programs. Additional benefits information can be found through the LINK.

Title: Principal AI Engineer (Autonomous Agent)

Location: Remote or Mississauga

Type: Full-Time

Workplace: remote

Category: Engineering

Job Description:

At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare.

With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work. 

At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaningful and lasting change. Employees harness AI as a catalyst for creativity, productivity, and thoughtful decision-making. By integrating AI tools into our daily workflows, collaboration is enhanced, outcomes are improved, and every team member has the proficiency to maximize their impact. It all starts with our hiring practices where we uncover AI expertise that complements our mission, and we continue to invest in training and development to nurture innovation throughout the employee journey.

Join us in redefining healthcare — so it doesn’t just survive, it thrives. To learn more about PointClickCare, check out Life at PointClickCare and connect with us on Glassdoor and LinkedIn.

**Travel to Office expectations**

For Remote Roles: If this role is remote, there will be in-office events that will require travel to and from the Mississauga and/or Salt Lake City office. These will include, but not limited to, onboarding, team events, semi-annual and annual team meetings.

For Hybrid Roles: If this role is Hybrid, there will be an expectation to reside within commutable distance to the office/location specified in the job listing. This will include, but not limited to, weekly/bi-weekly/monthly events in the office with your specific team. This is a requirement for this role.

Team Summary

This team will serve as the product owner for GenAI capabilities within PointClickCare, working closely with other engineering teams across the organization to identify, build and support generative AI solutions. This centralized team with deep specialization, closely integrated with key horizontal partners to ensure delivery of safe, scalable and high-impact

AI products.

Job Summary

The AI Engineer – Autonomous Agent will work closely with the Product and Engineering teams to design and implement agent-based solutions that align with product goals. The AI Engineer – Autonomous Agent will also build new agent data types and pipelines and enable frameworks and workflows for agent reasoning, function calling, and action coordination.

Key Responsibilities

- Collaborate with product and engineering teams to translate product objectives into autonomous agent-based solutions.

- Design and build new agent data types, and pipelines that enable agents frameworks, and workflows to coordinate reasoning, function calling, actions

- Develop and optimize autonomous agents leveraging LLMs, planning algorithms, and multi-step reasoning approaches.

- Implement comprehensive security mechanisms for autonomous agents, including authentication, role-based access control, audit logging, and compliance monitoring

- Integrate agents securely with existing systems, APIs, and data sources with secure communication protocols

Qualifications & Skills

- Expert level in Python, frameworks, and functional programming principles

- Experience designing and implementing LLM agent workflows, and familiarity with frameworks such as LangChain, LlamaIndex, LangGraph, CrewAI, and AutoGen.

Preferred

- Master’s degree or higher in Artificial Intelligence.

- Experience implementing security at scale including role-based access control, multi-factor authentication, network security best practices, and compliance monitoring.

#LI-remote

At PointClickCare, base salary is one of the many components that make up our total rewards package. The CAD base salary range for this position is $169,000-188,000 (not overtime eligible) + bonus + benefits. Our salary ranges are determined by job and level. The range displayed on each job posting reflects the target for new hire salaries for the position across all CAD locations. Within the range, inidual compensation is determined by job-related skills and knowledge, relevant experience including professional and lived experience, and/or work location. Your recruiter can share more information about our total rewards package during the hiring process.

PointClickCare Benefits & Perks:

Benefits starting from Day 1!

Retirement Plan Matching

Flexible Paid Time Off

Wellness Support Programs and Resources

Parental & Caregiver Leaves

Fertility & Adoption Support

Continuous Development Support Program

Employee Assistance Program

Allyship and Inclusion Communities

Employee Recognition … and more!

It is the policy of PointClickCare to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, national origin, status, age, sex, sexual orientation, gender identity or expression, marital or domestic/civil partnership status, disability, veteran status, genetic information, or any other basis protected by law. PointClickCare welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please contact [email protected] should you require any accommodations. As part of our commitment to a streamlined and equitable hiring experience, PointClickCare uses AI tools to assist with candidate screening and assessment.

When you apply for a position, your information is processed and stored with Lever, in accordance with Lever’s Privacy Policy. We use this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given your background. When we have no ongoing legitimate business need to process your information, we will either delete or anonymize it.  If you have any questions about how PointClickCare uses or processes your information, or if you would like to ask to access, correct, or delete your information, please contact PointClickCare’s human resources team: [email protected] 

PointClickCare is committed to Information Security. By applying to this position, if hired, you commit to following our information security policies and procedures and making every effort to secure confidential and/or sensitive information.

Title: Principal AI Engineer (Autonomous Agent)

Location: Remote, USA

Type: Full-Time

Workplace: remote

Category: Engineering

Job Description:

At PointClickCare our mission is simple: to help providers deliver exceptional care. And that starts with our people. As a leading health tech company that’s founder-led and privately held, we empower our employees to push boundaries, innovate, and shape the future of healthcare.

With the largest long-term and post-acute care dataset and a Marketplace of 400+ integrated partners, our platform serves over 30,000 provider organizations, making a real difference in millions of lives. We also reinvest a significant percentage of our revenue back into research and development, ensuring our employees have the resources to innovate and make a lasting impact. Recognized by Forbes as a top private cloud company and honored as one of Canada’s Most Admired Corporate Cultures, we offer flexibility, growth opportunities, and meaningful work. 

At PointClickCare, we empower our people to be the architects of a smarter healthcare future; one that is human-first and accelerated by AI to create meaningful and lasting change. Employees harness AI as a catalyst for creativity, productivity, and thoughtful decision-making. By integrating AI tools into our daily workflows, collaboration is enhanced, outcomes are improved, and every team member has the proficiency to maximize their impact. It all starts with our hiring practices where we uncover AI expertise that complements our mission, and we continue to invest in training and development to nurture innovation throughout the employee journey.

Join us in redefining healthcare — so it doesn’t just survive, it thrives. To learn more about PointClickCare, check out Life at PointClickCare and connect with us on Glassdoor and LinkedIn.

**Travel to Office expectations**

For Remote Roles: If this role is remote, there will be in-office events that will require travel to and from the Mississauga and/or Salt Lake City office. These will include, but not limited to, onboarding, team events, semi-annual and annual team meetings.

For Hybrid Roles: If this role is Hybrid, there will be an expectation to reside within commutable distance to the office/location specified in the job listing. This will include, but not limited to, weekly/bi-weekly/monthly events in the office with your specific team. This is a requirement for this role.

Team Summary

This team will serve as the product owner for GenAI capabilities within PointClickCare, working closely with other engineering teams across the organization to identify, build and support generative AI solutions. This centralized team with deep specialization, closely integrated with key horizontal partners to ensure delivery of safe, scalable and high-impact

AI products.

Job Summary

The AI Engineer – Autonomous Agent will work closely with the Product and Engineering teams to design and implement agent-based solutions that align with product goals. The AI Engineer – Autonomous Agent will also build new agent data types and pipelines and enable frameworks and workflows for agent reasoning, function calling, and action coordination.

Key Responsibilities

- Collaborate with product and engineering teams to translate product objectives into autonomous agent-based solutions.

- Design and build new agent data types, and pipelines that enable agents frameworks, and workflows to coordinate reasoning, function calling, actions

- Develop and optimize autonomous agents leveraging LLMs, planning algorithms, and multi-step reasoning approaches.

- Implement comprehensive security mechanisms for autonomous agents, including authentication, role-based access control, audit logging, and compliance monitoring

- Integrate agents securely with existing systems, APIs, and data sources with secure communication protocols

Qualifications & Skills

- Expert level in Python, frameworks, and functional programming principles

- Experience designing and implementing LLM agent workflows, and familiarity with frameworks such as LangChain, LlamaIndex, LangGraph, CrewAI, and AutoGen.

Preferred

- Master’s degree or higher in Artificial Intelligence.

- Experience implementing security at scale including role-based access control, multi-factor authentication, network security best practices, and compliance monitoring.

#LI-remote

At PointClickCare, base salary is one of the many components that make up our total rewards package. The US base salary range for this position is $179,000-199,000 (not overtime eligible) + bonus + benefits. Our salary ranges are determined by job and level. The range displayed on each job posting reflects the target for new hire salaries for the position across all US locations. Within the range, inidual compensation is determined by job-related skills and knowledge, relevant experience including professional and lived experience, and/or work location. Your recruiter can share more information about our total rewards package during the hiring process.

PointClickCare Benefits & Perks:

Benefits starting from Day 1!

Retirement Plan Matching

Flexible Paid Time Off

Wellness Support Programs and Resources

Parental & Caregiver Leaves

Fertility & Adoption Support

Continuous Development Support Program

Employee Assistance Program

Allyship and Inclusion Communities

Employee Recognition … and more!

It is the policy of PointClickCare to ensure equal employment opportunity without discrimination or harassment on the basis of race, religion, national origin, status, age, sex, sexual orientation, gender identity or expression, marital or domestic/civil partnership status, disability, veteran status, genetic information, or any other basis protected by law. PointClickCare welcomes and encourages applications from people with disabilities. Accommodations are available upon request for candidates taking part in all aspects of the selection process. Please contact [email protected] should you require any accommodations. As part of our commitment to a streamlined and equitable hiring experience, PointClickCare uses AI tools to assist with candidate screening and assessment.

When you apply for a position, your information is processed and stored with Lever, in accordance with Lever’s Privacy Policy. We use this information to evaluate your candidacy for the posted position. We also store this information, and may use it in relation to future positions to which you apply, or which we believe may be relevant to you given your background. When we have no ongoing legitimate business need to process your information, we will either delete or anonymize it.  If you have any questions about how PointClickCare uses or processes your information, or if you would like to ask to access, correct, or delete your information, please contact PointClickCare’s human resources team: [email protected] 

PointClickCare is committed to Information Security. By applying to this position, if hired, you commit to following our information security policies and procedures and making every effort to secure confidential and/or sensitive information.

Title: Regulatory Affairs Specialist III

Location: Arden Hills, MN, US, 55112

Hybrid

Department: Legal and Regulatory

Job Description:

Additional Location(s): US-MN-Arden Hills

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.       

About the role:

Work model, sponsorship, relocation:

Your responsibilities will include:

● Support the development of global strategies for regulatory approval of all medical device classifications

● Coordinate, compile, and submit U.S. and EU regulatory filings for new and modified products, including PMAs, PMA Supplements, pre-submissions, 510(k)s, Annual Reports, CE Mark submissions under MDR, and U.S. clinical investigation submissions

● Support requests from Boston Scientific international regulatory personnel related to submissions, registrations, and change assessments

● Review technical and labeling documentation for inclusion in regulatory filings or as part of design changes

● Review product and manufacturing changes for compliance with applicable regulations and impact to regulatory filings

● Represent Regulatory Affairs on cross-functional projects including product development, sustaining changes, and continuous improvement efforts

● Support regulatory audits as required

● Demonstrate a primary commitment to patient safety and product quality by maintaining compliance with the Quality Policy and all other documented quality processes and procedures

Qualifications:

Required qualifications:

● Bachelor’s degree

● Minimum of 3 years' experience in Regulatory Affairs or a related field

● Demonstrated experience supporting a variety of regulatory submissions for U.S. and EU

● Proficiency in Microsoft Word, Excel, PowerPoint, and Adobe Acrobat

Preferred qualifications:

● Previous experience in the medical device industry with Class II or III device submissions

● Working knowledge of FDA, EU notified bodies, and international health authorities

● Effective technical, research, and problem-solving skills

● Team player with excellent interpersonal and communication skills

● Demonstrated ability to effectively manage multiple projects and priorities

● Thrives in a fast-paced, cross-functional team environment

Minimum Salary: $78300 

Maximum Salary: $148800 

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.

Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. 

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status.  Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment.  Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements.   As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.

Title: Data Scientist II

Location: Maple Grove, MN, US, 55311

Hybrid

Department: Engineering and Science

Job Description:

Additional Location(s):  N/A

Diversity - Innovation - Caring - Global Collaboration - Winning Spirit - High Performance

At Boston Scientific, we’ll give you the opportunity to harness all that’s within you by working in teams of erse and high-performing employees, tackling some of the most important health industry challenges. With access to the latest tools, information and training, we’ll help you in advancing your skills and career. Here, you’ll be supported in progressing – whatever your ambitions.       

About the role: 

We are seeking a motivated Data Scientist II to join our dynamic, growing team within the Process Development functional area. As a Data Scientist II, you will work to help leverage data analytics to drive insights, inform decision-making processes, derive actionable insights, and optimize performance within our medical device organization. You will collaborate closely with cross-functional teams to assist in the development and implementation of data analytics solutions that support our mission of delivering high-quality products and improving patient outcomes. The candidate must have a desire to learn quickly, communicate effectively, and solve technical/complex problems in a hands-on manner.

At Boston Scientific, we value collaboration and synergy. This role follows a hybrid work model, requiring employees to be in our local office at least three (3) days per week.

Boston Scientific will not offer sponsorship or take over sponsorship of an employment visa for this position at this time.

Your responsibilities will include:

• Collaborate with cross-functional teams to understand project requirements and objectives
• Engage and manage stakeholders to understand needs, identify opportunities, and deliver impactful analytical or AI-driven solutions
• Collect, clean, and preprocess large datasets from various sources, ensuring data quality and integrity
• Maintain and expand deployed data analytical web apps
• Develop and implement statistical models, machine learning algorithms, and data mining techniques to analyze data
• Generate and visualize insights from data analysis, creating detailed reports and presentations for stakeholders
• Apply sound software engineering practices in iterative development  environments where requirements and design constraints are evolving or initially undefined
• Prepare and present technical data and recommendations at technical reviews
• Stay up-to-date with the latest advancements in data science, machine learning, and healthcare technology

Required qualifications:

• Bachelor’s degree in Computer Science, Mathematics, Statistics, Engineering, or a related field
• Minimum of 2 years of professional data science (or similar) experience; candidates with advanced degrees in relevant fields may be considered eligible, with advanced degrees being considered in lieu of industry experience
• Excellent proficiency in Python programming language as well as experience in other languages (e.g. R, Matlab, Julia, Javascript, C++, Java, etc.)
• Solid experience with data analysis and visualization tools such as Pandas, NumPy, Matplotlib, Streamlit, Plotly, Seaborn, Scipy, or similar
• Excellent familiarity with machine learning frameworks and libraries such as PyTorch, Scikit-learn, TensorFlow, or similar
• Basic understanding of statistical modeling, machine learning algorithms, and predictive analytics techniques
• Basic understanding of database management systems
• Strong problem-solving skills and attention to detail
• Excellent communication skills, with the ability to convey complex technical concepts to non-technical stakeholders
• Ability to work independently as well as collaboratively in a team environment

Preferred qualifications: 

• Hands-on experience building, evaluating, and deploying Generative AI–powered applications, including model integration, prompt engineering, and production deployment
• Robust understanding of large language models (LLM) and frameworks. (e.g. LangChain, LlaMA, GPT, Bard, etc.)
• Experience with cloud platforms such as AWS or Azure
• Experience with version control systems such as Git
• Demonstrated ability to stay current with cutting-edge academic and industry research and translate emerging methods into practical solutions for novel business problems

Minimum Salary: $69500 

Maximum Salary: $132000 

The anticipated compensation listed above and the value of core and optional employee benefits offered by Boston Scientific (BSC) – see www.bscbenefitsconnect.com—will vary based on actual location of the position and other pertinent factors considered in determining actual compensation for the role. Compensation will be commensurate with demonstrable level of experience and training, pertinent education including licensure and certifications, among other relevant business or organizational needs. At BSC, it is not typical for an inidual to be hired near the bottom or top of the anticipated salary range listed above.

Compensation for non-exempt (hourly), non-sales roles may also include variable compensation from time to time (e.g., any overtime and shift differential) and annual bonus target (subject to plan eligibility and other requirements).

Compensation for exempt, non-sales roles may also include variable compensation, i.e., annual bonus target and long-term incentives (subject to plan eligibility and other requirements).

For MA positions: It is unlawful to require or administer a lie detector test for employment. Violators are subject to criminal penalties and civil liability.

As a leader in medical science for more than 40 years, we are committed to solving the challenges that matter most – united by a deep caring for human life. Our mission to advance science for life is about transforming lives through innovative medical solutions that improve patient lives, create value for our customers, and support our employees and the communities in which we operate. Now more than ever, we have a responsibility to apply those values to everything we do – as a global business and as a global corporate citizen.

So, choosing a career with Boston Scientific (NYSE: BSX) isn’t just business, it’s personal. And if you’re a natural problem-solver with the imagination, determination, and spirit to make a meaningful difference to people worldwide, we encourage you to apply and look forward to connecting with you!

At Boston Scientific, we recognize that nurturing a erse and inclusive workplace helps us be more innovative and it is important in our work of advancing science for life and improving patient health. That is why we stand for inclusion, equality, and opportunity for all. By embracing the richness of our unique backgrounds and perspectives, we create a better, more rewarding place for our employees to work and reflect the patients, customers, and communities we serve. 

Boston Scientific Corporation has been and will continue to be an equal opportunity employer. To ensure full implementation of its equal employment policy, the Company will continue to take steps to assure that recruitment, hiring, assignment, promotion, compensation, and all other personnel decisions are made and administered without regard to race, religion, color, national origin, citizenship, sex, sexual orientation, gender identity, gender expression, veteran status, age, mental or physical disability, genetic information or any other protected class.

Please be advised that certain US based positions, including without limitation field sales and service positions that call on hospitals and/or health care centers, require acceptable proof of COVID-19 vaccination status.  Candidates will be notified during the interview and selection process if the role(s) for which they have applied require proof of vaccination as a condition of employment.  Boston Scientific continues to evaluate its policies and protocols regarding the COVID-19 vaccine and will comply with all applicable state and federal law and healthcare credentialing requirements.   As employees of the Company, you will be expected to meet the ongoing requirements for your roles, including any new requirements, should the Company’s policies or protocols change with regard to COVID-19 vaccination.

Title: Pharmacy Coordinator

Location: Remote-WA State

Job Description:

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

Position Purpose:

• Receive and respond to provider and pharmacy calls regarding the prior authorization and formulary process
• Perform review of pharmacy and override process in compliance with pharmaceutical related company and State guidelines
• Track and trend overrides to ensure criteria have been met, audit for prior authorizations, analyze cost and determine utilization patterns
• Resolve complaints and grievances related to the pharmacy network in conjunction with the Pharmacy team
• Assist Provider Relations and various departments with educating providers on the health plan’s pharmacy process
• Assist with the pharmacy utilization review and reporting process
• Collaborate with Quality Improvement department with various meeting preparation and transcription of minutes
• Assist with members’ inquiries related to the formulary process
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience:

Pay Range: $19.43 - $32.98 per hour

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

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

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

Title: Senior LTSS Assessor

(RN)

Location: Remote-NY

Job Description:

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

Position Purpose:

• Evaluates the service needs of the most complex or high risk/high acuity members and recommends a plan for the best outcome
• Develops and continuously assesses ongoing long-term care plans / service plans and collaborates with care management team to identify providers, specialists, and/or community resources needed to address member's needs
• Coordinates and manages as appropriate between the member and/or family/caregivers and the care provider team to ensure members are receiving adequate and appropriate person-centered care or services
• Monitors care plans / service plans and/or member status, change in condition, and progress towards care plan / service plan goals; collaborate with member, caregivers, and appropriate providers to revise or update care plan / service plan as necessary to meet the member's goals / needs
• Monitors member status for complications and clinical symptoms or other status changes, including assessment needs for potential entry into a higher level of care and/or waiver eligibility, as applicable
• Reviews member data to identify trends and improve operating performance and quality care in accordance with state and federal regulations
• Reviews referrals information and intake assessments to develop appropriate care plans / service plans
• Collaborates with healthcare providers as appropriate to facilitate member services and/or treatments and determine a revised care plan for member if needed
• Collects, documents, and maintains all member information and care management activities to ensure compliance with current state, federal, and clinical guidelines
• Provides and/or facilitates education to long-term care members and their families/caregivers on disease processes, resolving care gaps, healthcare provider instructions, care options, referrals, and healthcare benefits
• Acts as liaison and member advocate between the member/family, physician, and facilities/agencies
• Educates on and coordinates community resources. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living)
• May perform home and/or other site visits (e.g., once a month or more), such as to assess member needs and collaborate with resources, as required
• Partners with leadership team to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner
• May precept clinical new hires by fostering and building core skills, coaching and facilitating their growth, and guiding through the onboarding process to upskill readiness
• May provide guidance and support to clinical new hires/preceptees in navigating within a Managed Care Organization (MCO) and provides coaching and shadowing opportunities to bridge gap between classroom training and field practice
• May engage and assist New Hire/Preceptee during onboarding journey including responsibility for completing competency check points ensuring readiness for Service Coordination success
• Engages in a collaborative and ongoing process with People Leaders and cross functional teams to measure and monitor readiness
• Performs other duties as assigned
• Complies with all policies and standards

Education/Experience: Requires Graduate from an Accredited School of Nursing or a Bachelor's degree and 4–6 years of related experience

• RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
• NP - Nurse Practitioner - Current State's Nurse Licensure required

Pay Range: $36.21 - $65.09 per hour

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

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

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

Title: Care Manager

(RN)

Location: Newark-750 Prides Crossing (11131)

Job Description:

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

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

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

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

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

Title:  Nurse Reviewer

Location: Providence, RI

Job Description:

Pay Range:

$73,500.00 - $110,300.00 

Please email HR_Talent_[email protected] if you are a candidate seeking a reasonable accommodation for the application and/or interview process.

At BCBSRI, our greatest resource is our people. 

We come from varying backgrounds, different cultures, and unique experiences. We are hard-working, caring, and creative iniduals who collaborate, support one another, and grow together. Passion, empathy, and understanding are at the forefront of everything we do—not just for our members, but for our employees as well.

We recognize that to do your best work, you have to be your best self. 

Our culture is one of belonging.

Join others who value a workplace for all.

We’re dedicated to serving Rhode Islanders.

What you will do:

• Conduct pre and post payment review of inpatient admissions, outpatient services, and other procedures to assess the appropriateness and continuity of care.
• Apply all aspects of the medical review function, including pre-authorization, concurrent review, screening for quality-of-care issues, and discharge planning.  Document rationale for medical decisions made. 
• Identify at-risk members who would benefit from health management programs through comprehensive health assessments.
• Monitor and evaluate patient’s plan of care and identify potential issues through telephonic outreach.  Recommend appropriate interventions.
• Promote member and provider satisfaction.  Provide continuity and consistency of care by building positive relationships between member and family, physicians, provider, care coordinator, and health care plan.  Represent corporation in a responsible and professional manner.
• Participate in department initiatives and projects.
• Perform other duties as assigned.

What you’ll need to succeed:  

• Active and unrestricted RN license issued by a state participating in the Nurse Licensure Compact (NLC)
• Three to five years acute medical or clinical experience or experience in utilization reviewed.
• Valid Driver’s License (On-site only)
• Understanding of utilization review techniques including all aspects of the medical review function, including pre-authorization, concurrent review and discharge planning
• Understanding of health care delivery system access points and services
• Correct application of health care management guidelines
• Ability to navigate the healthcare delivery system
• Advanced analytical skills, with the ability to interpret and synthesize complex data sets
• Good business acumen and political savvy
• Knowledge of business process improvement techniques and strategies
• Excellent verbal and written communications skills
• Negotiation skills
• Presentation skills
• Decision-making skills
• Good problem-solving skills
• Ability to interface with employees at all levels
• Ability to effectively navigate ambiguous situations with limited direction
• Excellent organizational skills and ability to successfully prioritize multiple tasks
• Ability to handle multiple priorities/projects

The extras:

• Bachelor’s Degree in Nursing
• Certified Case Management certification, Certified Professional Utilization Review certification
• Experience working in a managed care/health maintenance organization

Location:

• In-office: onsite 5 days per week
• Hybrid: onsite 2-4 days per week
• Remote: onsite 0-1 days per week. Permitted to reside in the following states, pending approval from the Human Resources Department: Arizona, Connecticut, Florida, Georgia, Louisiana, Massachusetts, North Carolina, Oklahoma, Rhode Island, South Carolina, Texas, Virginia
  Our culture of belonging at Blue Cross & Blue Shield of Rhode Island (BCBSRI) is at the core of all we do, and it strengthens our ability to meet the challenges of today’s healthcare industry. BCBSRI is an equal opportunity employer.

The law requires an employer to post notices describing the Federal laws. Please visit  www.eeoc.gov/know-your-rights-workplace-discrimination-illegal to view the "Know Your Rights" poster.

Title: Community Resource Coordinator II

Location: Lauderhill-1341 NW 40th Ave (10958)

Job Description:

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

This is a hybrid position must reside in Broward county for field visits to members homes to complete assessments.

• Provides support to members to connect them to known community and care resources in a cost- effective manner
• Supports the coordination of community outreach resources available to members and promotes awareness of care/services
• Serves as support for members on community and care resource inquiries and opportunities available to members
• Supports all member related correspondence and educational materials to assist in the facilitation of a successful community connection
• Documents and maintains all community resources to ensure standards of practice and policies are in accordance with health plan requirements
• Provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support
• Conduct non-clinical general health assessments in order to refer members to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers and staff working within the organization
• Conduct non-medical assessments such as home safety, assessment of the community/environment resources, transportation, employment, and others to be able to refer to appropriate care/services, resolve concerns on member’s behalf, and gather information for medical providers in staff working within our organization
• Conduct telephonic and/or in-person outreach to locate iniduals and families in the community who are hard to reach
• May make visits to inidual homes and/or community organizations
• Working Knowledge of Social Determinants of Health (SDOH) barriers
• Performs other duties as assigned
• Complies with all policies and standards

This is a hybrid position must reside in Broward county for field visits to members homes to complete assessments.

Education/Experience: Requires a High School diploma or GED

Pay Range: $17.84 - $28.02 per hour

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

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

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

Title: Assoc Director or Director, Process Development & Manufacturing

Location: South San Francisco United States

Job Description:

Erasca is a clinical-stage precision oncology company focused on discovering, developing and commercializing medicines for the benefit of patients with cancer. Our programs take novel approaches to shutting down one of cancer's most commonly mutated signaling cascades, the RAS/MAPK pathway, which affects approximately 5.5 million lives each year worldwide. The name "Erasca" has an important embedded meaning: it is a contraction of our audacious hope to "erase cancer" that drives our mission and everything that we do on behalf of patients with cancer.

Position Summary:

Reporting to the Executive Director, Process Development and Manufacturing, the Director/ Associate Director, Process Development and Manufacturing is responsible for the design and execution of experiments to support process development and for providing technical oversight of contract development and manufacturing organizations (CDMOs) for small-molecule programs ranging from research through clinical development and eventual commercial production.

The Director/ Associate Director serves as the drug substance lead for one or more programs and independently manages projects across internal and external teams. This is a hybrid role, based in our South San Francisco, CA location.

Essential Duties and Responsibilities:

• Design, develop, and implement robust chemical synthesis processes for starting materials, intermediates, and APIs to support research and development programs
• Lead phase-appropriate process R&D activities to support early- and late-stage programs
• Support technical transfer of starting material, intermediate, and API processes between internal and external sites as needed
• Collaborate closely with medicinal chemistry teams during lead optimization and candidate selection
• Serve as drug substance lead on one or more programs, providing technical leadership and project oversight
• Conduct fate and purge studies, evaluate mutagenic impurities, and establish control strategies for drug substance processes with a long-term commercial vision
• Work cross-functionally to ensure seamless transitions between drug substance and drug product programs and vendors
• Critically review proposals from CMOs and CROs and perform appropriate technical due diligence to ensure suitability and capability
• Oversee and support PAR studies, pre-validation, and validation activities for drug substance manufacturing
• Author and review relevant CMC sections for U.S. and ex-U.S. regulatory submissions
• Travel up to 25% for scientific project management, CDMO oversight, and monitoring of critical project activities
• Perform all duties in alignment with Erasca's core values, policies, and applicable regulations

Required Education, Experience and Attributes:

• Advanced degree (PhD or MS) in organic chemistry or a related field, with extensive industry experience (typically 10+ years) in synthetic organic chemistry and small-molecule drug development
• Hands-on laboratory experience in synthetic organic chemistry and small-molecule process development
• Experience in chemical development involving synthesis and crystallization of chiral molecules preferred
• Strong understanding of synthetic and analytical techniques for polymorph screening, optimization, and patent protection
• Thorough knowledge of cGMP, ISO, and ICH guidelines and industry best practices
• Experience applying Design of Experiments (DOE) and Quality by Design (QbD) principles
• Demonstrated experience managing and overseeing development and manufacturing activities at CDMOs
• Ability to build strong, effective relationships with colleagues across erse backgrounds and areas of expertise
• Proven ability to function at a high level as a manager, technical lead, or inidual contributor in a team-based environment
• Track record of achieving high-performance goals and meeting deadlines in a fast-paced setting
• Excellent interpersonal and communication skills; collaborative, solutions-oriented, and willing to contribute where needed
• Strong learning orientation, intellectual curiosity, and commitment to science and improving patient outcomes

The anticipated salary range for this position is $200,000 to $245,000. The final salary offered to a successful candidate will be dependent on several factors that may include but are not limited to the type and length of experience within the job, type and length of experience within the industry, education, etcetera. In addition to base salary, the hired applicant will be eligible to receive an annual bonus and an equity grant at hire and annually in the form of the option to purchase stock in the future for a specified price.

Along with our casual, collaborative, and fun work and the chance to make your mark in our mission to erase cancer, Erasca offers a comprehensive and competitive benefits package that includes: Paid Time Off, Holiday, and Sick Leave, Medical, Dental and Vision Plans, Short- and Long-Term Disability, Basic and Voluntary Life/AD&D Coverage, Flexible Spending Accounts (FSA, HSA, and Commute), Critical Illness and Accident Coverage, Pet Insurance, Employee Assistance Program, 401(k) Plan with Erasca contribution, and the opportunity to participate in an Employee Stock Purchase Program.

Erasca, Inc., is an Equal Opportunity Employer and takes pride in maintaining a erse and inclusive environment. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of sex , race, religion, national origin, ancestry, physical or mental disability, protected medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military and veteran status or any other basis protected by federal, state or local law or ordinance or regulation.

Pharmacy Technician, Formulary Management

Remote USA

Full time

Job Description

A bit about this role: 

As a Pharmacy Technician on the Formulary Management Team, you will perform oversight of various Part D formularies and contribute to drug specific evaluations and coverage recommendations by analyzing utilization patterns, monitoring new drug releases, and conducting comprehensive regulatory research to ensure CMS compliance. You will serve as a key contributor to ensure the overall success of our formulary management ision to ensure that our members are well informed of all things related to pharmacy and formulary benefits.

Embracing technology and innovation, our dynamic team navigates Medicare rules and regulations while prioritizing exceptional member care. We’re looking for a certified pharmacy technician experienced in managed care specifically Part D/MAPD and who has had additional PBM collaboration relative to the administration of Part D and Part B pharmacy claims.  Additionally, having a strong overall drug knowledge coupled with analytical skills that can help proficiently navigate data and BI tools will be highly valued in candidates.

At Devoted Health, we're dedicated to providing personalized, coordinated care to every Medicare-eligible member, aligning with the care and support we'd want for our own families.  

Required skills and experience: 

• Nationally Certified Pharmacy Technician (CPhT) in good standing.

• Familiarity with drug products, both generic and brand names.

• 2+ years of experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management) at a Health Plan and/or PBM.

Desired skills and experience: 

• Proficiency with Google Sheets or Excel, including basic to intermediate formula knowledge.

• Strong analytical skills - you are confident making sense of operations through data, you can establish quantitative goals, and you can articulate a case from first principles.

• Experience utilizing business intelligence tools to interpret, analyze, and visualize data with a high degree of technological aptitude, preferred.

Responsibilities & Impact will include:

• Contribute to the development, implementation, maintenance, and evaluation of formularies, ensuring adherence to CMS rules and state-specific regulations.

• Collaborate across departments to analyze data influencing pharmacy benefits, tier placements, and excluded drug coverage decisions.

• Conduct detailed analysis of various data points alongside clinical pharmacists to assess drugs for formulary placement.

• Coordinate the review of formulary and utilization management recommendations with finance and other relevant departments as needed.

• Assist in preparing timely formulary submission files and CMS submissions via HPMS.

• Oversee change notification processes and drug file maintenance to uphold accuracy and operational efficiency.

• Provide clinical expertise and support to internal teams and members, acting as a go-to resource for formulary-related inquiries.

• Effectively communicate formulary changes and updates to internal and external stakeholders.

• Support the creation of the user interface and offer expertise for the online formulary search tool.

• Perform quality assurance checks on formulary submissions, bid submissions, formulary documents, and other documents as assigned.

• Review and validate claims testing outputs to ensure coding accurately reflects the clinical intent of formulary design as needed.

• Manage and maintain accuracy in published formulary documents on the website.

• Create, implement, and maintain policies and procedures for effective formulary management.

• Perform regulatory plan document reviews as a pharmacy benefit Subject Matter Expert (SME) for EOC, Summary of Benefits, ANOCs, LIS Riders, etc.

• Manage the clinical pharmacy inbox, responding to any inquiries from external partners and triaging emails to business owners.

• Review overrides entered by the pharmacy team for accuracy and ensure they follow the internal override policy.

• Develop and maintain internal knowledge resources.

• Assist in various ad-hoc projects and responsibilities as needed to support the functioning of the department or organization.

Salary Range: $21-$27/hour

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the inidual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

• And more....

Bilingual Pharmacy Care Coordinator - Clinical Pharmacy Operations

Remote USA

Full time

Job Description

A bit about this role:

Devoted Medical is building clinical programs to manage and coordinate care in a manner consistent with Devoted’s values of treating every member like family. Medication plays a crucial role in helping people manage chronic conditions, but in many cases effective medication management is limited by barriers to access, uncoordinated prescribing, or a failure to use the most effective evidence-based medication therapies. For example, despite a mountain of evidence, less than 1 in 10 people with congestive heart failure (CHF) are prescribed evidence-based medications proven to save lives and prevent hospitalizations.

Devoted’s clinical pharmacy team aims to support improved therapeutics for Devoted members. It supports this work in three ways:

• Conducting medication reviews (via direct member engagement and via pharmacist consult support for other clinicians)

• Virtual pharmacist-led care via telemedicine to close therapy gaps

• Coordinating care for changes in therapy by counseling members and engaging prescribers and pharmacies

This work is done in service of a number of goals. The clinical pharmacy team drives Devoted’s quality and Medicare Stars performance on medication adherence, blood pressure control, statin use, and other quality measures, and also plays a critical role in care teams for other clinical programs (such as our Intensive Home Care program, our Diabetes and CHF programs, and our Transition of Care program). Pharmacist consults help our clinical teams reduce polypharmacy issues and improve evidence-driven medical therapy.

Examples of these interventions include:

• Conducting comprehensive and targeted medication reviews

• Identifying and closing statin therapy gaps via a pharmacist-led telemedicine intervention

• Driving medication adherence for diabetes, hypertension, and cholesterol management

• Performing consults for complex care teams to help address polypharmacy issues

• Coordinating appropriate screening and testing for therapeutic drug monitoring and detection/prevention of future bad outcomes

As a pharmacy care coordinator in this role, you will partner with our Clinical Pharmacy and Operations teams to assist in outreach, coordination, and follow-up to ensure that we are assisting the team and providing best in class care to our members. You will be part of a mission-driven, team-oriented, joyful culture amongst the broader pharmacy team who care for our members.

Responsibilities and Impact will include:

• Assists with coordination and collaboration with the broader pharmacy team for additional support and services

• Establishes and maintains relationships with providers, medical directors, and network contacts for escalation of issues

• Engages with providers to coordinate appropriate testing, appointment scheduling, and prescription refills and renewals

• Help patients navigate their Devoted Health benefits

• Provides appointment and medication refill reminders Assists with pharmacy related questions and concerns and escalates to a clinician when appropriate

• Assists members with enrolling in financial assistance and clinical programs

• Assists with special projects as needed/required

The Pharmacy Care Coordinator, Clinical Pharmacy Operations will report to the Manager, Clinical Pharmacy Operations at Devoted Medical. The Manager will work in conjunction to support all operational activities associated with the Clinical Pharmacy team.

Required skills and experience: 

• Bilingual in Spanish/English

• At least 3 years of work experience in a health care setting, pharmacy a plus

• Nationally Certified Pharmacy Technician strongly preferred

• Experience with Medicare Part D operations (e.g. pharmacy help desk, utilization management, formulary management)

• Experience with pharmacy-related quality assurance (QA) work is strongly preferred (examples of pharmacy-related QA include performing medication reconciliation following hospital discharge and coordinating prescription refill programs

Desired skills and experience: 

• Highly organized and detail-driven

• Adaptable and flexible, willing to roll your sleeves up and shift priorities

• Collaborative and enjoys working as part of a team

• Comfortable in speaking to physicians, pharmacies, and patients - having a passion for people

• You thrive in a fast-paced, dynamic environment and are a self-starter

• You are a transparent communicator about your work, what’s going well, and what's not; and thoughtful about adapting and finding new and innovative ways for improving processes

Salary Range: $27 - $32/hour 

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the inidual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

• Employer sponsored health, dental and vision plan with low or no premium

• Generous paid time off

• $100 monthly mobile or internet stipend

• Stock options for all employees

• Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

• Parental leave program

• 401K program

Title: Director, Health Systems Marketing

Location: Boston, MA

time type Full time

Job Description

General Summary:

The Director, Health Systems Marketing, is responsible for leading the development and execution of Health Systems strategy and marketing tactics across field promotion, peer-to-peer education, and digital marketing channels. The director will lead a team of Health System marketing professionals and work closely with the Directors of Strategic Accounts.

Vertex recently launched JOURNAVX, an oral, non-opioid medication for the treatment of moderate-to-severe acute pain. Promotional education is critical to the success of JOURNAVX. This role will develop high impact strategy and promotional content across all channels and work closely with colleagues on the HCP and DTC marketing teams, US market access team, and HEOR team.  This role will be expected to develop and execute training on the above content to a large field team of ~200 members.

Key Duties and Responsibilities:

• Serve as the Health Systems landscape subject matter expert focused on health systems marketing, engagement strategy & insights integration
• Lead the refinement of the Pain Health Systems strategy in partnership with the Strategic Accounts team and Market Access team
• Support implementation of Strategic Accounts 2.0 priorities (evolved value propositions, bespoke asset development for erse health system stakeholders, etc.)
• Leads and develops a team of Health System marketing professionals (Assoc. Directors and Senior Managers)
• Manages the Health System Agency of Record relationship and manage the budget associated with the AOR
• Provides input into forecasting assumptions on Health System adoption of JOURNAVX
• Generates and consolidates key insights across HCPs and patient stakeholders (through market research, ad boards, etc.) and makes strategic recommendations to advance performance against goals
• Travel Requirements: Ability to travel 20% (~4 days a month)

Knowledge and Skills:

• Direct experience with communications review committee for review of tactics
• Ability to oversee generation of insights and apply those insights to business problems/opportunities and make strategic recommendations
• Analytical mindset, with demonstrated ability to lead others to solve complex problems
• Demonstrated ability to develop strategy, make strategic recommendations, and monitor performance
• Advanced knowledge of market forecasts and relationship of business drivers to revenue
• Advanced working knowledge of MS Office applications, including PPT, Excel and Word
• Experience in pharmaceutical marketing or closely related field(s) (e.g., pharmaceutical sales, ad agency, etc.)
• Demonstrates strong understanding of health information technology, IDN systems, and institutional markets

Education and Experience:

• Bachelor’s degree required
• Typically requires 10 years of work experience and 3 years of supervisory/management experience, or the equivalent combination of education and experience

Pay Range:

$196,000 - $294,000

Disclosure Statement:

The range provided is based on what we believe is a reasonable estimate for the base salary pay range for this job at the time of posting. This role is eligible for an annual bonus and annual equity awards. Some roles may also be eligible for overtime pay, in accordance with federal and state requirements. Actual base salary pay will be based on a number of factors, including skills, competencies, experience, and other job-related factors permitted by law.

At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.  From medical, dental and vision benefits to generous paid time off (including a week-long company shutdown in the Summer and the Winter), educational assistance programs including student loan repayment, a generous commuting subsidy, matching charitable donations, 401(k) and so much more.

Flex Designation:

Hybrid-Eligible Or On-Site Eligible

Flex Eligibility Status:

In this Hybrid-Eligible role, you can choose to be designated as: 

Note: The Flex status for this position is subject to Vertex’s Policy on Flex @ Vertex Program and may be changed at any time. 

#LI-Hybrid

Company Information

Vertex is a global biotechnology company that invests in scientific innovation.

Vertex is committed to equal employment opportunity and non-discrimination for all employees and qualified applicants without regard to a person's race, color, sex, gender identity or expression, age, religion, national origin, ancestry, ethnicity, disability, veteran status, genetic information, sexual orientation, marital status, or any characteristic protected under applicable law. Vertex is an E-Verify Employer in the United States. Vertex will make reasonable accommodations for qualified iniduals with known disabilities, in accordance with applicable law.

Any applicant requiring an accommodation in connection with the hiring process and/or to perform the essential functions of the position for which the applicant has applied should make a request to the recruiter or hiring manager, or contact Talent Acquisition.

Associate Director, Sourcing and Procurement

Hybrid

Princeton, New Jersey

San Diego, California

Please note that this position can be based in San Diego, CA, OR Princeton, NJ. Acadia's hybrid model requires this role to work in our office three days per week on average.

Position Summary:

This position will be part of the Acadia Sourcing & Procurement team, leading the development of sourcing strategies for all raw materials and formulation sourcing subcategories. Responsibilities include leadership and operational management of strategic sourcing activities to ensure the right capabilities, guidance, resources, and accountabilities are in place and development and implementation of category management plans. This position leads the identification, assessment, selection, negotiation, execution of contracts and relationship with key vendors, and will contribute to the corporate sourcing & procurement processes, compliance reporting and financial tracking. It will also be responsible for benchmarking top vendors and building direct material vendor partnership roadmaps. This role is based in San Diego, CA or Princeton, NJ.

Primary Duties and Responsibilities:

• Develop both immediate & long-term global sourcing strategies including potential vendor risk mitigation plans for Acadia drug substance and development teams
• Lead the efforts to monitor and improve key vendor performance including implementing supplier KPIs
• Proactively work with business stakeholders to identify their sourcing need & responsible for the negotiations & executions of all top vendor contracts 
• Strong track record of identifying saving opportunities and executing sourcing projects
• Able to assess and benchmark existing vendors in pharma industry is highly preferred.
• Collaborate with manufacturing/quality teams to identify/monitor/mitigate supply chain risks proactively
• Work closely with the rest of the Sourcing team to align and improve current sourcing processes.
• Collaborate with financial planning team on vendor cost forecasting, budgeting, and saving validation

Education/Experience/Skills:

• 10+yrs sourcing experience and category knowledge of drug substance/APIs &excipients in a pharma
• Experience working with international vendors and work in their time zones as needed
• Deep understandings of pharma/biotech supply chain, quality, and regulatory requirements
• Strong vendor spend data analysis skill and financial reporting capabilities
• Proficient system knowledge of S2P(Coupa), ERP (NetSuite) and MS tools such as Smartsheet
• Familiarity with sourcing saving report methodology and associated tools such as Smartsheet
• BS/BA or equivalent combination of relevant education

Key candidate qualities:

• Ability to take initiative, be flexible, exercise good judgment, interface with all levels of management
• Excellent “attention to detail” skills to ensure the most efficient contract solutions are achieved
• Willing to go beyond and look for new innovative ways to bring in tangible results/savings
• Strong negotiation, influencing, and conflict resolution skills
• Ability to interpret and comprehend contract documentation
• Available for up to 10% domestic or international travel as needed

Physical Requirements

This role involves regular standing, walking, sitting, and the use of hands for handling or operating equipment. The employee may also need to reach, climb, balance, stoop, kneel, crouch, and maintain visual, verbal, and auditory communication in a standard office environment and while working independently from remote locations. The employee must occasionally lift and/or move up to 20 pounds.  This position requires the ability to travel independently overnight and/or work after hours as required by travel schedules or business needs.

In addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as inidual and organizational performance. Actual amounts will vary depending on experience, performance, and location. 

Salary Range

$141,100—$176,400 USD

What we offer US-based Employees:

• Competitive base, bonus, new hire and ongoing equity packages
• Medical, dental, and vision insurance
• Employer-paid life, disability, business travel and EAP coverage
• 401(k) Plan with a fully vested company match 1:1 up to 5%
• Employee Stock Purchase Plan with a 2-year purchase price lock-in
• 15+ vacation days
• 13 -15 paid holidays, including office closure between December 24th and January 1st
• 10 days of paid sick time
• Paid parental leave benefit
• Tuition assistance

Title: Somali US-based Medical Translators needed

Location: USA (Remote)

Department: Translators & Linguists

Job Description:

About LILT

AI is changing how the world communicates — and LILT is leading that transformation.

We're on a mission to make the world's information accessible to everyone, regardless of the language they speak. We use cutting-edge AI, machine translation, and human-in-the-loop expertise to translate content faster, more accurately, and more cost-effectively without compromising on brand, voice, or quality.

At LILT, we empower our teammates with leading tools, global collaboration, and growth opportunities to do their best work. Our company virtues—Work together, win together; Find a way or make one; Quicker than they expect; Quality is Job 1—guide everything we do. We are trusted by Intel Corporation, Canva, the United States Department of Defense, the United States Air Force, ASICS, and hundreds of global Enterprises. Backed by Sequoia, Intel Capital, and Redpoint, we’re building a category-defining company in a $50B+ global translation market being redefined by AI.

What we are looking for

Lilt is looking for English into Somali freelance translators to join our Translator Community. We are interested in the following domains: Life Sciences, Medical, Clinical trials, etc. If you have experience in any other domain or subdomain, please state it clearly on your resume. 

Please note that this is a remote, freelance contractor position.

Please also note that we only use Tipalti to submit payments to our contractors, so an active Tipalti account will be a precondition to work with LILT.

Requirements 

• Native speaker of the target language, born and educated in-country

• Must be located in the US

• University Degree in Linguistics / Translation

• Proven professional experience in translation and localization. Please provide details of projects and clients relevant to your declared fields of domain expertise.

Please apply with the English-language version of your Resume/C.V.

Our Story

Our founders, Spence and John met at Google working on Google Translate. As researchers at Stanford and Berkeley, they both worked on language technology to make information accessible to everyone. While together at Google, they were amazed to learn that Google Translate wasn’t used for enterprise products and services inside the company.The quality just wasn’t there. So they set out to build something better. LILT was born.

LILT has been a machine learning company since its founding in 2015. At the time, machine translation didn’t meet the quality standard for enterprise translations, so LILT assembled a cutting-edge research team tasked with closing that gap. While meeting customer demand for translation services, LILT has prioritized investments in Large Language Models, human-in-the-loop systems, and now agentic AI.

With AI innovation accelerating and enterprise demand growing, the next phase of LILT’s journey is just beginning.

Our Tech

What sets our platform apart:

• Brand-aware AI that learns your voice, tone, and terminology to ensure every translation is accurate and consistent

• Agentic AI workflows that automate the entire translation process from content ingestion to quality review to publishing

• 100+ native integrations with systems like Adobe Experience Manager, Webflow, Salesforce, GitHub, and Google Drive to simplify content translation

• Human-in-the-loop reviews via our global network of professional linguists, for high-impact content that requires expert review

LILT in the News

• Featured in The Software Report’s Top 100 Software Companies!

• LILT makes it onto the Inc. 5000 List.

• LILT’s continues to be an intellectual powerhouse, holding numerous patents that help power the most efficient and sophisticated AI and language models in the industry.

• Check out all our news on our website.

Information collected and processed as part of your application process, including any job applications you choose to submit, is subject to LILT's Privacy Policy at https://lilt.com/legal/privacy.

At LILT, we are committed to a fair, inclusive, and transparent hiring process. As part of our recruitment efforts, we may use artificial intelligence (AI) and automated tools to assist in the evaluation of applications, including résumé screening, assessment scoring, and interview analysis. These tools are designed to support human decision-making and help us identify qualified candidates efficiently and objectively. All final hiring decisions are made by people. If you have any concerns, require accommodations, or would like to opt-out of the use of AI in our hiring process, please let us know at [email protected].

LILT is an equal opportunity employer. We extend equal opportunity to all iniduals without regard to an inidual’s race, religion, color, national origin, ancestry, sex, sexual orientation, gender identity, age, physical or mental disability, medical condition, genetic characteristics, veteran or marital status, pregnancy, or any other classification protected by applicable local, state or federal laws. We are committed to the principles of fair employment and the elimination of all discriminatory practices.

Executive Assistant

Hybrid

Princeton, New Jersey

Please note that this position is based in Princeton, NJ. Acadia's hybrid model requires this role to work in our office three days per week on average.

Position Summary

Serves as a strategic partner to C-suite and senior executive leadership by delivering high-level administrative support that enables operational efficiency and executive effectiveness. Exercises sound judgment and autonomy in managing complex, confidential matters and navigating dynamic priorities.  Maintains critical records and communications with discretion, ensuring alignment with organizational goals and executive priorities.  Supports the Chief Business Development & Strategy Officer with administrative and operational coordination related to business development activities, including partnerships, licensing, M&A, and strategic collaborations.

Primary Responsibilities

• Manages deal-related calendars, timelines, and milestones, ensuring alignment across internal stakeholders (Legal, Finance, R&D, Commercial) and external partners.
• Coordinates logistics and materials for due diligence meetings, partner meetings, investor discussions, and confidential strategy sessions, including preparation of briefing documents and meeting summaries when needed.
• Assists in tracking and organizing business development pipelines, partner engagement activities, and key deliverables, ensuring timely follow-up and information flow.
• Serves as a trusted point of contact for external partners, advisors, bankers, consultants, and legal counsel, reinforcing professionalism and discretion in all interactions.
• Supports the preparation and organization of deal decks, executive summaries, term sheet materials, and Board-level documentation, working closely with cross-functional partners.
• Maintains highly confidential records related to strategic initiatives, transactions, and negotiations, ensuring accuracy, version control, and secure access.
• Manages the delivery of high-impact administrative support for executive leadership, managing complex priorities with agility and precision.
• Manages highly confidential business and personnel matters with discretion and sound judgment, serving as a trusted liaison between executives and internal/external stakeholders.
• Optimizes executive time and effectiveness through proactive calendar management, coordination of high-priority meetings and conferences, and travel planning aligned with business priorities.
• Maintains and manages secure records related to strategic initiatives, transactions, and negotiations, ensuring accuracy, version control, and appropriate access.
• Maintains strategic calendars of key events, including investor, scientific, and industry conferences, as well as internal initiatives; partners cross-functionally to support logistics and execution.
• Manages logistics for functional on-site and off-site meetings, ensuring all participants are informed and prepared.
• Oversees expense reconciliation and reporting through Concur and related systems, ensuring accuracy and compliance with company policies.
• Collaborates with internal departments to facilitate contracts, statements of work, purchase orders, and service agreements that support departmental objectives.
• Provides backup coverage for administrative colleagues and front desk reception during peak periods or absences to ensure continuity of operations.
• Contributes to cross-functional initiatives and administrative best practices, fostering collaboration and continuous improvement.
• Performs other duties as assigned.

Education/Experience/Skills

• High school diploma required; degree preferred. Targeting a minimum of 6 years of progressive administrative experience supporting senior executives, ideally within the pharmaceutical or biotechnology industry. Knowledge of pharmaceutical terminology strongly preferred. An equivalent combination of education and experience may be considered.

Key Skills:

• Demonstrated experience supporting senior executives and preparing executive-level presentations and materials.
• Advanced proficiency with Microsoft Office Suite.
• Ability to independently manage complex tasks from initiation through completion.
• Strong analytical skills with the ability to interpret and synthesize complex information.
• Exceptional professional ethics, integrity, and discretion in handling confidential information.
• Proven ability to manage multiple priorities, schedules, and projects in a fast-paced environment.
• Strong interpersonal skills, including tact, diplomacy, and sound judgment.
• Highly organized with exceptional attention to detail and follow-through.
• Ability to work effectively both independently and collaboratively.
• Comfortable operating in ambiguous environments and making informed decisions with limited information.
• Willingness and ability to travel occasionally.

Physical Requirements

This role involves regular standing, walking, sitting, and the use of hands for handling or operating equipment. The employee may also need to reach, climb, balance, stoop, kneel, crouch, and maintain visual, verbal, and auditory communication in a standard office environment and while working independently from remote locations. The employee must occasionally lift and/or move up to 20 pounds.  This position requires the ability to travel independently overnight and/or work after hours as required by travel schedules or business needs.

In addition to a competitive base salary, this position is also eligible for discretionary bonus and equity awards based on factors such as inidual and organizational performance. Actual amounts will vary depending on experience, performance, and location. 

Salary Range

$90,000—$112,100 USD

What we offer US-based Employees:

• Competitive base, bonus, new hire and ongoing equity packages
• Medical, dental, and vision insurance
• Employer-paid life, disability, business travel and EAP coverage
• 401(k) Plan with a fully vested company match 1:1 up to 5%
• Employee Stock Purchase Plan with a 2-year purchase price lock-in
• 15+ vacation days
• 13 -15 paid holidays, including office closure between December 24th and January 1st
• 10 days of paid sick time
• Paid parental leave benefit
• Tuition assistance

Title: Utilization Management Nurse

Location: Blue Cross Centre

Job Description:

At Blue Cross and Blue Shield of Nebraska, we are a mission-driven organization dedicated to championing the health and well-being of our members and the communities we serve.

Our team is the power behind that promise. And, as the industry rapidly evolves and we seek ways to optimize business processes and customer experiences, there’s no greater time for forward-thinking professionals like you to join us in delivering on it! As a member of Team Blue, you’ll find purpose, opportunities and the support you need to build a meaningful career and make a powerful impact in our community.

Candidates applying to this remote nursing position can live in one of the following states: Florida, Iowa, Kansas, Missouri, Nebraska, North Dakota, and Texas.

This position works collaboratively with health care providers and other team members, including Medical Directors and Pharmacists, to ensure members receive high quality, medically necessary care in a timely fashion in a setting that maximizes benefit coverage and health outcomes in accordance with company policies and procedures.

What you'll do:

• Conduct prospective, concurrent, retrospective, and post-service clinical claim certification and authorization reviews to assess the medical necessity of medical and/or behavioral health inpatient admissions, outpatient services, out-of-network services, and appropriateness of treatment setting by utilizing and accurately interpreting applicable medical policy, evidence based clinical criteria, standards of care, contract language, benefits, and member eligibility.
• Educate providers about member benefits, coverage, and provider networks, as well as utilization management processes and procedures.
• Facilitate appropriate and timely transitions of care utilizing member’s contract language and clinical criteria coordinates discharge planning with providers for the appropriate level of care (SNF, ARU, LTAC, hospice) or discharge to home.
• Identify members appropriate for care management programs and make referrals to care management nurses, including but not limited to discharge follow-up for potentially preventable readmissions, member outreach initiatives, and complex case management.
• Collaborate and consult with healthcare providers, internal team or utilization management specialists, nurses, physicians, medical directors, and pharmacists to ensu8re medically appropriate, high-quality cost-effective care, promote positive member outcomes, effective use of resources, optimize member benefits, and support business initiatives.
• Collaborate with the Medical Director by referring events not meeting clinical criteria or events needing additional review. Attends weekly rounds to discuss possible high-cost claimants, discharging plans, and concerns for appropriate care or member safety.
• Act as a resource within the department and to other departments regarding medical management issues and activities.
• Maintain compliance by knowing, understanding, and adhering to Medicare Advantage, URAC accreditation standards and other regulatory requirements.
• Responsible for maintaining professional licensure and practicing within the scope of licensure.
• Responsible for completion of special projects; examples may include training new hires, provider outreach, project work, peer mentor, new system implementation and system training.

To be considered for this position, you must have:

• Associate's degree in nursing
• Three (3) years’ clinical practice experience in a health care setting
• Must hold a current, unrestricted Registered Nurse license from the state of Nebraska or a state in the consortium in which Nebraska participates.
• Must have demonstrated previous experience working in Medicare Advantage and Managed Care organizations. Must have relevant experience aligned with the role: Medicare or Commercial Insurance 
• Experience in discharge planning, utilization management, case management, or disease management.
• Based on area of assignment, must be able to work rotating weekend/holiday shifts as needed

An equivalent combination of education and experience may be substituted for this requirement. The ability to meet or exceed the attendance and timeliness requirements of their departments.

The ability to work well in a team environment and be capable of building and maintaining positive relationships with other staff, departments, and customers.

To perform this job successfully, an inidual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and or ability required.

Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. Other duties may be assigned.

The strongest candidates for this position will also possess:

• Bachelor’s degree in healthcare field
• Clinical experience in multiple levels of care
• Knowledge of accreditation standards and regulatory requirements

Learn more about what makes BCBSNE such an exceptional place to work by visiting NebraskaBlue.com/Careers.

We strongly believe that ersity of experience, perspective and background will lead to a better workplace for our employees and a better product for our customers and members.

Title: RN- Care Manager (Bilingual)

Location: NY, NJ, or CT. United States

Job Description:

Fully Remote

Must reside within the New York Tri-State Area - NY, NJ, or CT.

Join our team at Village Care as a Full Time RN- Care Manager! This exciting position offers the opportunity to work remotely, providing care and support to our members in the greater NYC area. As an integral part of our team, you will have the chance to showcase your nursing expertise while managing the care needs of our erse patient population. With a competitive salary ranging from $95,000 to $105,000, this role provides a rewarding opportunity to make a real difference in the lives of others.

Don't miss out on this chance to be part of a dynamic and customer-centric organization that values excellence and integrity. As a team member you'll be able to enjoy benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life and Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Apply now and take the next step in your nursing career!

Must reside within the New York Tri-State Area - NY, NJ, or CT.

What does a Care Manager do?

As a Care Manager at Village Care, you will play a crucial role in all aspects of care management, including care planning, coordination, and health assessments. Monitoring the quality and effectiveness of services, you will track progress towards inidual goals and ensure the highest level of care for our patients. Your responsibilities will also involve overseeing transitions for patients, facilitating smooth discharge planning from hospitals or nursing homes.

By identifying health, environmental, and psychosocial risks, you will recommend and implement interventions in collaboration with the Interdisciplinary Care team. This position offers a dynamic opportunity to make a significant impact on the well-being of our erse patient population while working remotely in a customer-centric environment.

What you need to be successful

To excel in the role of Care Manager at Village Care, candidates must possess a valid NYS RN License and a minimum of 3 years of relevant experience in Managed Care, Home Care, or Community settings. An Associate's degree or higher is required for this position. Successful applicants will demonstrate a passionate attitude, exceptional communication skills, and strong problem-solving abilities. Bilingual proficiency is essential, with a particular focus on languages such as Korean, Bengali, Cantonese, Mandarin, Spanish, Russian, or Creole. The ability to effectively navigate and utilize various software and tools relevant to care management is a key requirement for this role.

If you meet these qualifications and are ready to contribute to a forward-thinking and customer-focused healthcare organization, we encourage you to apply.

Your next step

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

VillageCare is an Equal Opportunity Employer.

Title: ICM Social Work Coordinator

Location: Los Angeles United States

Work Location: Los Angeles, CA, USA

Onsite or Remote 

Flexible Hybrid

Work Schedule 

Monday - Friday, 8:00am - 5:00pm PST

Posted Date 

01/09/2026

Salary Range: $35.47 - 48.82 Hourly

Employment Type 

2 - Staff: Career

Job Description:

General Information

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Work Location: Los Angeles, CA, USA

Onsite or Remote

Flexible Hybrid

Work Schedule

Monday - Friday, 8:00am - 5:00pm PST

Salary Range: $35.47 - 48.82 Hourly

Employment Type

2 - Staff: Career

Duration

Indefinite

Job #

27933

Primary Duties and Responsibilities

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The ICM Social Work Coordinator supports Intensive Case Management (ICM) Social Workers and Nurses by providing non-clinical care coordination, referral and authorization processing, and service navigation for patients with moderate to high psychosocial and behavioral health needs. This role focuses on timely access to services, safe discharge planning, and prevention of unnecessary emergency department visits and hospital readmissions, particularly for high-risk and Medicare Advantage populations.

Key Responsibilities

• Coordinate and process urgent, routine, pre-service, and retro authorization requests in compliance with UCLA Medical Group, CMS, and health plan guidelines
• Prepare and manage referrals, review pending claims, and support approval or denial determinations
• Provide non-clinical care coordination for ICM-enrolled and high-risk patients across inpatient, SNF, outpatient, and post-acute settings
• Monitor hospital and SNF admissions and discharges; conduct post-discharge outreach and screenings
• Coordinate transitions of care, including transportation, DME, home health, and post-acute services
• Collaborate closely with ICM nurses, social workers, providers, hospitals, SNFs, and external programs
• Maintain accurate documentation and tracking within the electronic medical record and referral systems
• Support quality improvement, data collection, and program operations as needed

Salary Range: $35.47 - $48.82/Hourly

Job Qualifications

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Required:

• High school diploma, GED or equivalent
• Experience processing Inpatient and ambulatory Managed Care referrals
• Ability to multi-task, work with frequent interruptions, and meet deadlines. Must be detailed, oriented, attentive, organized, and able to follow directions
• Proficient computer skills including working knowledge of Microsoft Excel and Word
• Ability to communicate thoughts and information clearly and succinctly in writing as well as verbally
• Ability to operate a wide variety of office equipment, including computers, printers, copy machines, facsimile receiver/transmitter, scanners and mailing equipment

Preferred:

• Minimum of 2 years' experience working in a Managed Care Case Management and care coordination environment

Title: Pharmacist 

Menasha, WI 54952, USA, 

Brookfield, WI 53005, USA

Job Category: Pharmacy

Requisition Number: PHARM002275

Type: Full-Time

Hybrid

Job Description:

The Pharmacist is responsible for providing clinical support for NHP's pharmacy, quality, compliance and health management efforts. This may include Case Management, Disease Management, Medication Therapy Management, Drug Utilization Review and creation of Clinical Programs to outcomes and cost effective drug therapy. The incumbent in this role assists in the development and evaluation of the plan formulary and benefit designs, and reports and presents such information as part of the NHP P&T Committee.  The Pharmacist collaborates with other NHP departments to optimize regulatory compliance and Quality Measures such as NCQA HEDIS.  In addition, the Pharmacist assists in outreach efforts for provider education and provider detailing. 

Location: Candidates must reside in the state of Wisconsin for consideration. This position is eligible to work at your home office (reliable internet is required), at our office in Brookfield or Menasha, or a combination of both in our hybrid workplace model.

Hours: 1.0 FTE, 40 hours per week, 8am - 5pm Monday through Friday

Check out our 2024 Community Report to learn a little more about the difference our employees make in the communities we live and work in. As an employee, you will have the opportunity to work hard and have fun while getting paid to volunteer in your local neighborhood. You too, can be part of the team and making a difference. Apply to this position to learn more about our team.

Job Responsibilities:

• Assist with Commercial compliance workplan oversite
• PBM follow up regarding claim audits (benefit change forms, member, reimbursement/ recoupments, follow up audits to monitor effectuation of changes)
• Participate in case management, disease management and poly-pharmacy for NHP patients with extraordinary high drug costs, including related services
• Assist in providing physician education in areas of potential improvement i.e., create articles for pharmacy newsletter for NHP providers, speak to medical departments regarding drug issues, speak to inidual NHP providers regarding drug issues including those for inidual NHP members, participate in appropriate quality improvement projects, etc.
• Assist with Concurrent DUR, Retrospective DUR, and MTM programs
• Assist with formulary management and identifying UM criteria
• Performs other duties and responsibilities as assigned

Job Requirements:

• Bachelor of Science in Pharmacy required
• Current licensure without restriction by the State of Wisconsin Pharmacy Examining Board required
• A minimum of 3 years clinical experience required
• Residency/fellowship preferred
• Managed care experience desirable
• Prefer experience in at least one of the following areas:
  • Medication Therapy Management Programs
  • Long Term Care Pharmacy consulting
  • Decentralized hospital pharmacy services
• Drivers license required

Network Health is an Equal Opportunity Employer

Title: Senior Manager, Program Management

Location: United States

Job Description:

Overview

At Alnylam, clinical-stage development programs are managed by a Global Program Leadership Team, led by a Program Leader and a Program Manager, responsible for harnessing cross-functional expertise to define the best scientific, clinical, and commercial strategies and plans for the success of the Program.

The role of the Senior Manager, Program Management is to partner with Program Leaders of the portfolio to drive program strategy and execution of various assets in the development portfolio. The candidate will be responsible for providing a combination of drug development stewardship and program expertise to the Program Leadership Teams. This role, through partnership with Program Leaders, has significant responsibility for developing, driving, operationalizing, and executing the program strategy. In this role, the candidate will be required to work closely with development stage appropriate sub-teams for each program such as Nonclinical Subteam, Clinical Development Sub-teams (CDST), the CMC Sub-team, and Early Commercial and Medical Strategy team (ECoMS), as part of the overall Program Leadership Team.

The candidate will also be responsible for driving the identification/implementation of Program Management best practices within Alnylam. In this capacity, the candidate will call upon prior experience and program management insights to continually help the program management team increase its efficiency and value.

This position is hybrid and will be primarily located in Cambridge, MA.

Summary of Key Responsibilities

• Partner closely with Program Leaders to shape and execute the Program strategy, goals and plans and ensure alignment within the Program Team and across all expertise areas.
• Lead development and drive execution of Program workplans/timelines and integrated development plans with milestones/goals, key events, risks/assumptions, and scenarios.
• Lead high-performing teams while driving coordination of cross-functional activities and promote effective communications (e.g., Team meetings, program updates); integration of people involved within the program (e.g. clarity of responsibilities).
• In partnership with the Program Leader, ensure clear, timely, and substantive updates on Program progress and issues to Senior Leadership.
• Manage Program Leadership Team meetings, including leading discussions to drive to decision-making, agenda creation, meeting minutes, and actions.
• Serve as a key point person for Leadership Team members and governance teams.
• Owner of key program documents, e.g., integrated development plan, risk plan, and additional key status and timeline updates, ensure team members have easy access to program information.
• Partner with finance on all financial aspects of the Program.
• Provide insights on program management initiatives including alignment of processes, tools, and technologies that aid in portfolio management across the organization.

Qualifications

• Bachelor's degree or higher-level education in sciences or related field required. Advanced degree in a scientific discipline preferred.
• Minimum of 3-5 years experience in biotechnology or pharmaceutical industry with an in depth knowledge of drug development, demonstrated experience working with and managing cross-functional program teams
• Direct drug development program management experience, with ability to work in early and/or late-stage clinical programs.
• Demonstrated ability to work proactively, both independently and collaboratively, in a dynamic team environment, set priorities and drive to results; ability to integrate multiple viewpoints and build alignment
• Ability to understand interdependencies and critical path across drug development
• Excellent written and oral communication, including presentation, facilitation skills and a strong presence when speaking.
• Strong analytical and problem-solving skills; ability to combine attention to detail within broader strategic context.
• Superior collaboration and negotiation skills, and high degree of self-awareness.
• Ability to thrive in a fast-paced environment with strong ability to simultaneously handle multiple activities, with agility and adaptability.
• Proficiency with program/project management tools such as PowerPoint, Word, Excel, and/or Smartsheets or similar.
• Passion for helping patients and developing transformative treatments for patients in need; motivated by patient focus and personal commitment to high performance and results.

U.S. Pay Range

$143,900.00 - $194,700.00

The pay range reflects the full-time base salary range we expect to pay for this role at the time of posting. Base pay will be determined based on a number of factors including, but not limited to, relevant experience, skills, and education. This role is eligible for an annual short-term incentive award (e.g., bonus or sales incentive) and an annual long-term incentive award (e.g., equity).

Alnylam's robust Total Rewards package is designed to support your overall health and well-being. We offer comprehensive benefits including medical, dental, and vision coverage, life and disability insurance, a lifestyle reimbursement program, flexible spending and health savings accounts and a 401(k)with a generous company match. Eligible employees enjoy paid time off, wellness days, holidays, and two company-wide recharge breaks. We also offer generous family resources and leave. Our commitment to your well-being reflects our belief that caring for our people fuels the impact we create together.

About Alnylam

We are the leader in RNAi therapeutics - a revolutionary approach with the potential to transform the lives of people with rare and common diseases. Built on Nobel Prize-winning science, Alnylam has delivered the breakthroughs that made RNAi therapeutics possible and are just at the beginning of what's possible. Our deep pipeline, late-stage programs, and bold vision reflect our core values: fierce innovation, passion for excellence, purposeful urgency, open culture and commitment to people. We're proud to be a globally recognized top employer, where an authentic, inclusive culture and breakthrough thinking fuel one another.

At Alnylam, we commit to an inclusive recruitment process and equal employment opportunity. Qualified applicants will receive consideration for employment without regard to their sex, gender or gender identity, sexual orientation, race, color, ethnicity, national origin, ancestry, citizenship, religion, creed, physical or mental disability, pregnancy status or related conditions, genetic information, veteran or military status, marital or familial status, political affiliation, age, or any other factor protected by federal, state, or local law. Alnylam is an E-Verify Employer.

Title: Pediatric OT Per Diem

Location: Salem-MA

Part time

Job Description:

Site: Shaughnessy-Kaplan Rehabilitation 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

Helps pediatric patients participate in the activities and occupations that are important to them. Routinely works with iniduals who have physical, cognitive, developmental, or emotional challenges that affect their ability to perform everyday tasks.

Qualifications

Essential Functions

• Conduct assessments of patients' physical, mental, and developmental abilities.
• Develop inidualized treatment plans based on assessments.
• Implement and monitor treatment plans, adjusting as needed.
• Provide education to patients and their families about therapeutic activities and exercises they can do at home.
• Collaborate with other healthcare professionals, such as physicians, nurses, and physical therapists, to provide comprehensive care.
• Maintain accurate and up-to-date patient records and progress notes.
• Attend staff meetings, continuing education programs, and professional development activities to stay current with new techniques and best practices.

Education

Master's Degree Occupational Therapy required

Can this role accept experience in lieu of a degree?

No

Licenses and Credentials

Occupational Therapist [State License] - required

Basic Life Support [BLS Certification] - preferred

Experience

occupational therapist experience 0-1 year preferred experience in a residential/assisted living or skilled nursing facility 0-1 year preferred

Knowledge, Skills and Abilities

• Ability to work effectively with patients and co-workers.
• Knowledge of medical terminology.
• Excellent time management skills.
• Good oral and written communication skills.
• Excellent interpersonal skills required.

Additional Job Details (if applicable)

Physical Requirements

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

Remote Type

Onsite

Work Location

35 Congress Street

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Day (United States of America)

Pay Range

$37.55 - $55.48/Hourly

Grade

6

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:

3400 Shaughnessy-Kaplan Rehabilitation 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: Technical Project Manager

Employee Type:

Location:

Pay Range:

Job Description:

Job#: 3016667

Job Description:

Senior Technical Project Manager – Clinical Systems

Location: Remote (Must be local to Northern California / NCAL region) Pay Rate: $75.00 – $81.00 per hour (W2) Duration: 90-Day Contract-to-Hire (C2H)

Position Summary

We are seeking a seasoned Senior Technical Project Manager to lead complex, cross-functional healthcare technology initiatives for a leading healthcare organization in Northern California. You will serve as a strategic leader, bridging the gap between clinical, operational, and technical teams while helping to establish and enforce PMO standards and governance across a erse project portfolio.

Key Responsibilities

• Project Leadership: Drive high-impact clinical system initiatives from initiation through delivery, ensuring alignment with executive leadership and organizational strategy.
• PMO Governance: Champion best practices by developing and implementing standardized project management methodologies, tools, and reporting templates.
• Cross-Functional Collaboration: Act as a bridge between technical developers and clinical stakeholders to ensure a shared understanding of system requirements and operational constraints.
• Risk & Change Management: Proactively identify project dependencies and risks, recommending mitigation strategies and supporting organizational change efforts associated with new technology.
• Executive Communication: Facilitate steering committees and provide transparent, data-driven status updates to executive-level leadership.

Required Qualifications

• Experience: 7+ years of progressive project management experience, specifically leading complex, cross-functional technical initiatives.
• Industry Expertise: Proven background in healthcare environments with a deep understanding of Clinical Systems, operational workflows, and regulatory considerations.
• PMO Building: Demonstrated experience working within or helping to build a PMO, including governance and standardization.
• Education: Bachelor’s degree in Healthcare, IT, Business, or a related field (Master’s preferred).
• Technical Depth: Strong experience with applications, integrations, data, or digital health infrastructure.
• Certifications: PMP, PgMP, or equivalent project management certification is highly preferred.

EEO Employer

Apex Systems is an equal opportunity employer. We do not discriminate or allow discrimination on the basis of race, color, religion, creed, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, political affiliation, union membership, or any other characteristic protected by law. Apex will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable law. If you have visited our website in search of information on employment opportunities or to apply for a position, and you require an accommodation in using our website for a search or application,

Apex Systems is a world-class IT services company that serves thousands of clients across the globe. When you join Apex, you become part of a team that values innovation, collaboration, and continuous learning. We offer quality career resources, training, certifications, development opportunities, and a comprehensive benefits package. Our commitment to excellence is reflected in many awards, including ClearlyRated's Best of Staffing® in Talent Satisfaction in the United States and Great Place to Work® in the United Kingdom and Mexico. Apex uses a virtual recruiter as part of the application process. Click here for more details.

Apex Benefits Overview: Apex offers a range of supplemental benefits, including medical, dental, vision, life, disability, and other insurance plans that offer an optional layer of financial protection. We offer an ESPP (employee stock purchase program) and a 401K program which allows you to contribute typically within 30 days of starting, with a company match after 12 months of tenure. Apex also offers a HSA (Health Savings Account on the HDHP plan), a SupportLinc Employee Assistance Program (EAP) with up to 8 free counseling sessions, a corporate discount savings program and other discounts. In terms of professional development, Apex hosts an on-demand training program, provides access to certification prep and a library of technical and leadership courses/books/seminars once you have 6+ months of tenure, and certification discounts and other perks to associations that include CompTIA and IIBA. Apex has a dedicated customer service team for our Consultants that can address questions around benefits and other resources, as well as a certified Career Coach. You can access a full list of our benefits, programs, support teams and resources within our ‘Welcome Packet’ as well, which an Apex team member can provide.

Title: Construction Manager, Healthcare

Location: Atlanta United States

Job Description:

Sevan Multi-Site Solutions is a veteran-owned business that provides construction, program management, real estate & site development, and architecture & engineering services for restaurant, grocery, fuel and convenience store, retail, and government sectors nationwide. We work with leading brands like McDonalds, Starbucks, Sprouts, and BP, to name a few. At Sevan, we provide the talent, technology, and trusted expertise needed to consistently deliver excellence in multi-site construction.

Sevan is an INC. 5000 Fastest-Growing Company Great Places to Work 2024 2024 HIRE Vets Gold Medallion Award - Best Places to work in Chicago 20, 21, 22, 23, Best Places to Work in Construction 2023

The Project Manager (PM) leads multi-site, multi-state medical clinic construction projects for a dedicated client across the U.S. The Project Manager is responsible for full lifecycle from initial site identification to grand openings, ensuring quality, safety, budget, and schedule goals are achieved. This position is ideal for a proven leader with strong client-facing experience, advanced technical knowledge, and the ability to manage multiple projects and teams simultaneously.

This is a remote based position with required travel of up to 50% to job sites across the east coast.

Essential Duties and Responsibilities:

• Lead preconstruction efforts including budgeting, scheduling, risk analysis, and constructability reviews.
• Coordinate design team input, value engineering, and early procurement strategies.
• Assist with contract negotiation, scope definition, and subcontractor prequalification.
• Conduct regular project team meetings to ensure coordination, accountability, and alignment with objectives.
• Oversee development of master project schedules using tools such as Primavera or MS Project.
• Monitor progress against schedule milestones, proactively identifying risks and implementing corrective actions.
• Coordinate critical path activities to ensure timely project delivery.
• Negotiate, issue, and manage owner and subcontractor agreements.
• Ensure subcontractor compliance with contract scope, schedule, safety, and quality standards.
• Resolve disputes and ensure strong working relationships are maintained.
• Enforce company safety protocols and ensure compliance with OSHA and local safety regulations.
• Oversee implementation of QA/QC plans and conduct periodic site inspections.
• Promote a culture of safety and continuous improvement on all projects.
• Ensure timely and organized project closeout including punch list completion, commissioning, and turnover documentation.
• Oversee submission of final O&M manuals, warranties, and as-built drawings.
• Additional tasks as needed.

Qualifications:

• Bachelors Degree from an accredited construction related program.
• 6+ years healthcare / medical clinic construction experience.
• Proven success delivering large-scale, national, commercial healthcare projects with a general contractor.
• Deep understanding of construction means and methods, cost control, scheduling, and safety.
• Proficiency in construction software (e.g., Procore, Bluebeam, MS Project, Primavera).
• OSHA 30, or ability to acquire, is required
• PMP and CQMC preferred.

Why Join Sevan?

At Sevan, we believe in creating a supportive and dynamic environment where your contributions truly matter. Heres what you can expect as part of our team:

• Live Our Values: Join a company that values integrity, respect, teamwork, excellence, and charity. These principles are at the heart of everything we do.
• Champion Key Initiatives: Play a vital role in driving Sevan-wide initiatives like Safety and Sustainability, ensuring positive impacts for our people and the planet.
• Inspire and Lead: Help us bring our vision to life by embracing our commitment to Service, Talent, and Choicesyoull have a voice in shaping the future.
• Set the Standard: Be a role model for professional behavior, fostering a workplace culture that motivates and inspires others.
• Grow With Us: Take charge of your personal and professional growth through hands-on experience, engaging training programs, and opportunities to mentor interns and co-ops.
• Support Development of Top Brands: Opportunity to work behind the scenes supporting efforts for industry leaders like McDonalds, Starbucks, and 7-Eleven.

Pay & Benefits: The anticipated compensation range for the position is $105,000 - $120,000, is based on a full-time schedule, market and business conditions, and is commensurate on inidual education, qualifications, and experience. Benefits include medical, dental, vision, life, and disability insurances, flexible paid time off, paid holidays, sick time, and a matching 401K plan.

Sevan Multi-Site Solutions, Inc. is proud to be an equal opportunity employer committed to a erse and inclusive work environment. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, marital status, genetics, disability, pregnancy, veteran status or any other basis protected by law.

Title: Registered Nurse Case Manager, Population Health

Location: Linthicum Heights, Maryland

Full-time

Shift: Day

Location: 920 Elkridge Landing Rd

Position Type: Exempt

Compensation: USD35.08 - USD52.64 - hourly

Job Description:

General Summary

Under supervision of the Case Management Leadership, will manage and oversee the comprehensive assessment, planning, implementation, monitoring, and overall evaluation of inidual patient needs. A Case Manager assists in identifying appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the patient and the reimbursement source. A Case Manager will provide care management and coordination of care for patients across various diseases. A Case Manager will focus on achieving patient wellness and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Overall, the Case Manager will promote direct communication with the patient, and appropriate service personnel, in order to optimize outcomes.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

• Demonstrate critical thinking skills when utilizing the nursing process, based on research, evidence-based outcomes and Standards of Practice to meet patient's health care needs.
• Gathers and analyzes specific criteria and guidelines to track inpatient admissions in and out-of-network, ED, readmission and high-cost utilization of members associated with UMQCN/UMMS providers.
• Create population-based management strategies and processes (based on a solid understanding of care management, including disease management and preventive care) that help patients manage their healthcare needs and foster care quality, cost-effectiveness, and patient engagement.
• Identify patients who may benefit from telephonic outreach or coordination of care; initiate the care-management processes in a quality focused, cost-effective manner across the continuum of care.
• Assists the Primary Care Physician to ensure the client's medical needs are met in the most efficient, cost- effective manner.
• Reach out to patients assigned by his or her supervisor to assess their most urgent needs, appraise the situation, and listen to the patients' concerns
• Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health.
• Advocate, educate and coach patients, the family and/or caregiver about treatment options, community resources, and psycho-social concerns in order to set goals and help the client develop self-care skills and independence appropriate to their age and developmental level. Implement Case Management interventions with the goal to optimize the patient's health status
• Recognizes/understands responsibility of this key role and the responsibility this position demands in direct support of high quality patient care delivery regardless of assignment. This will be measured by the accountability/initiative taken in the performance of daily duties and assignments as itemized in major accountabilities section of job description.
• Establish collaborative partnerships with patients to assist them in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health.
• Be attentive to detail to maintain accurate and timely data exchanges among all entities involved in the patients' care
• Consult with other external agencies to provide support services and resources
• Communicate effectively with patients, physicians, and their staff on a regular basis.
• Delegates and oversees the care management of lower-risk patients as well as routine chronic disease population management tasks to assigned caregivers.
• Participates in monthly chart audits.
• Performs special projects as assigned.
• Ensures compliance with all state and federal regulations and guidelines in day-to-day activities.
• Demonstrates leadership, mentorship and teamwork within dedicated care teams including clinicians, chronic disease care coordinators, medical assistants, pharmacists, social workers and others
• Performs other duties as assigned.

Company Description

Join a Team That's Making a Difference in Health Outcomes.

At the University of Maryland Medical System (UMMS), we are committed to helping iniduals and communities manage their health with compassion, innovation, and excellence. Our work extends beyond clinical care to support long-term wellness and improve health outcomes across the populations we serve.

We are looking for passionate professionals who are inspired to make a meaningful impact in healthcare while enjoying the flexibility of a hybrid work environment that promotes work-life balance. If you're driven by a mission to improve lives and want to be part of a collaborative, forward-thinking team, UMMS is the place for you.

Qualifications

Education and Experience

• Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required; BSN preferred.
• 3 to 5 years of care coordination experience and/or experience working in an outpatient ambulatory setting
• Experience with educating patients and patient goal setting (essential)
• Case Management Certification (preferred)
• Experience in a manage care information environment (preferred)
• Preferred experience would include knowledge of quality improvement processes (LEAN or PDSA); practice re-design work such as patient centered medical home and Joint Commission and National Committee for Quality Assurance (NCQA) accreditations.

Knowledge, Skills and Abilities

• Knowledge and experience with managing and overseeing the comprehensive assessment, planning, implementation and overall evaluation of inidual patient needs
• Proficient analytical, organization, and problem-solving skills to identify opportunities, to implement efficient work processes as it relates to case management
• Proficient documentation skills to maintain client records
• Ability to work effectively in a stressful work environment and handle confidential issues with integrity and discretion
• Critical thinking skills to analyze and solve problems
• Strong problem management strategies and issue resolution skills
• Excellent interpersonal, verbal, and written communication skills
• Strong organization skills, detail oriented, and knowledgeable
• Ability to work independently and effectively in a fast-paced environment.
• Ability to work productively in a stressful environment and effectively handle multiple projects and changing priorities.
• Ability to effectively present information and respond to questions from families, members, providers, and clients, as well as the ability to relate effectively to upper management
• Ability to work independently, handle multiple assignments, establish priorities, and demonstrate high level time management skills
• Understands benefit/payer systems and reimbursement structures for patients.
• Strong clinical knowledge of broad range of medical practice settings and healthcare delivery systems
• Thorough and solid knowledge of health care and managed care delivery systems. This includes standards of medical practice, insurance benefits structure, and the utilization and case management process.
• Knowledge of state and federal laws and resources
• Proficiency in Microsoft Office including Outlook, Word, Excel and PowerPoint; knowledge of or the ability to learn care management/EMRsoftware (e.g., Epic) and other software in order to perform job duties

Additional Information

All your information will be kept confidential according to EEO guidelines.

Compensation:

• Pay Range: $35.08 - $52.64
• Other Compensation (if applicable):
• Review the 2025-2026 UMMS Benefits Guide

.Like many employers, UMMS is being targeted by cybercriminals impersonating our recruiters and offering fake job opportunities. We will never ask for banking details, personal identification, or payment via email or text. If you suspect fraud.

Title: Business Applications Analyst - Intermediate, Full-Time Days (Willow Ambulatory)

Location: Remote, United States

Job ID

2026-81081

 Shift

Day

 New Position Type

FT Regular

 CBA Code

Non-Union

 New FLSA Status

EXEMPT

 Minimum

USD $86,400.00

 Maximum

USD $100,800.00

Job Description:

Job Description

Be a part of a world-class academic health-care system at UChicago Medicine as a Business Application Analyst-Intermediate in the Pharmacy Department.

Formulates and defines systems scope and objectives through research and fact-finding combined with an understanding of applicable business applications and industry requirements. With this knowledge, develops, configures, or modifies moderately complex information applications. Includes analysis of business and user needs, documenting requirements, and revising existing logic as necessary. Guides and collaborates with other Business System Application Analysts. Contributes to application analysis and considers the business implication of the application of technology to the current business environment

Essential Job Functions

• Evaluate business implications of technology on the current business environment
• Analyze business and user needs, formulates and defines application requirement scope and objectives
• Document Requirements in the BRD (Business Requirement Document)
• Revise existing (problematic) application configuration or builds new application configuration
• Unit test configuration and other application set up
• Mentor less experienced Business System Application Analysts

Required Qualifications

• Working knowledge of multiple software applications, systems analysis/design, Integration/design, or web applications/design.
• Ability and commitment to meet deadlines and to operate in a fast paced environment.
• Capable of working well in a erse, multi-disciplinary team and successfully interacting with others at all levels of the organization, including remote teams.
• Beginning skills in documenting and analyzing business processes.
• General understanding of business, functional, and technical requirements.
• General understanding of underlying technologies: hardware, networking, applications.
• Excellent interpersonal, written and oral communication skills, and effective presentation skills.
• Experience developing presentations for project work.
• Ability to plan and facilitate meetings with erse participants.
• Ability to maintain a professional attitude and demeanor in both normal and pressure situations.
• Proven skills in problem solving.
• Associate or Bachelor's degree or equivalent relevant certification in healthcare, business management or information systems is required.
• Minimum of 2 years of experience with information system software solutions.
• Certified in Epic Willow Ambulatory

Preferred Qualifications

• Healthcare-focused operational experience in business or clinical operations, Healthcare research or Healthcare teaching desired

Position Details

• Job Type/FTE: Full-time (1.0); 8-hour shifts
• Shift: Days
• Unit/Department: Pharmacy Services Informatics- Hyde Park
• Work Location: Remote
• CBA Code: Non-Union
• No Visa Sponsorship Available

Why Join Us

We've been at the forefront of medicine since 1899. We provide superior healthcare with compassion, always mindful that each patient is a person, an inidual. To accomplish this, we need employees with passion, talent and commitment… with patients and with each other. We're in this together: working to advance medical innovation, serve the health needs of the community, and move our collective knowledge forward. If you'd like to add enriching human life to your profile, UChicago Medicine is for you. Here at the forefront, we're doing work that really matters. Join us. Bring your passion.

UChicago Medicine is growing; discover how you can be a part of this pursuit of excellence at: UChicago Medicine Career Opportunities

UChicago Medicine is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, ethnicity, ancestry, sex, sexual orientation, gender identity, marital status, civil union status, parental status, religion, national origin, age, disability, veteran status and other legally protected characteristics.

As a condition of employment, all employees are required to complete a pre-employment physical, background check, drug screening, and comply with the flu vaccination requirements prior to hire. Medical and religious exemptions will be considered for flu vaccination consistent with applicable law.

Compensation & Benefits Overview

UChicago Medicine is committed to transparency in compensation and benefits. The pay range provided reflects the anticipated wage or salary reasonably expected to be offered for the position.

The pay range is based on a full-time equivalent (1.0 FTE) and is reflective of current market data, reviewed on an annual basis. Compensation offered at the time of hire will vary based on candidate qualifications and experience and organizational considerations, such as internal equity. Pay ranges for employees subject to Collective Bargaining Agreements are negotiated by the medical center and their respective union.

Review the full complement of benefit options for eligible roles at Benefits - UChicago Medicine.

Title: IOS Sales & Demo Specialist (Remote-US)

Location:  United States

Job type: Remote

Job Description:

The primary function of this position is to grow sales of our advanced intraoral scanner (IOS) by finding self-generated leads, following up on leads from marketing campaigns, as well as working with current and perspective customers to place additional IOS. A successful sales specialist will be an expert in end-to-end clinical workflows (from image acquisition to treatment execution) and uses this expertise to exceed sales goals through solution selling of the DEXIS IOS product line.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Partner with local DEXIS imaging field sales teams and Marketing to identify new/existing customer opportunities and support lead conversion.
• Develop a deep understanding of assigned software and IOS products with an overall knowledge of all aspects of solutions/products.
• Conduct frequent product DEXIS IOS product demonstrations virtually.
• Present product features and workflows in a clear, compelling manner tailored to different practice roles.
• While following established strategies, work closely with both management and NA Commercial Sales teams
• Respond to technical and clinical questions during and after demonstrations.
• Maintain a deep understanding of IOS technology, updates, and competitive landscape.
• Document demo outcomes and customer feedback in CRM tools for follow-up and continuous improvement.
• Provide post-demo support by connecting prospects with appropriate resources or teams.
• Prepare and present pricing proposals to customers based on their needs.
• Negotiate terms and close deals to maximize revenue and customer satisfaction.
• Stay informed on dental technology trends and adjacent products to position DEXIS IOS products effectively.
• Flexible schedule in order to accommodate core hours between 8am - 6pm in designated territory time zone.
• Be willing to travel up to 5% of the time
• Other duties as assigned

SKILLS & ATTRIBUTES REQUIREMENTS:

• Proficiency in Microsoft Office Suite
• Proficiency in ERP and CRM systems preferred
• Excellent Oral and Written Communications Skills
• Excellent Collaborative Behavior Skills
• Well spoken, organized, self-motivated, and ambitious
• Able to navigate multiple computer tabs/screens
• Scripted Environment - Have the ability to follow a script, but make it your own
• Polished, energetic, and exude professionalism

Job Requirements:

MINIMUM REQUIREMENTS

• Bachelor's degree or equivalent work experience required
• 2+ years in dental technology, dental practice support, or medical device demonstrations (virtual experience preferred).
• Proficient with video conferencing platforms (Zoom, Teams) and screen-sharing tools.
• Exceptional verbal presentation skills; ability to simplify technical concepts for non-technical audiences.
• Strong interpersonal skills and ability to build rapport with dental professionals.
• Background in dental hygiene, dental assisting, or related field is a plus

PREFERRED REQUIREMENTS

• Familiarity with intraoral scanners or CAD/CAM dental technology.
• Ability to manage multiple demo appointments and work independently.
• Enthusiasm for technology and improving patient care through innovation.
• Organized, detail-oriented, and comfortable using CRM systems.
• Experience in a team sales environment.

Target Market Salary Range:

Actual compensation packages take into account a wide range of factors that are unique to each candidate, including but not limited to geographic location; skill sets; relevant education and certifications; depth of experience; performance; and other business and organizational needs. The disclosed reasonable estimate has not been adjusted for the applicable geographic differential associated with the location at which the position may be filled. At Envista, it is not typical for an inidual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. The total compensation package for this position may also include an annual performance bonus, medical/dental/vision benefits, 401K match, and/or other applicable compensation plans.

$64,400 - $79,000

Operating Company:

DEXIS

Envista and all Envista Companies are equal opportunity employers that evaluate qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity,

Envista and its family of companies (Envista) will not accept unsolicited resumes from any source other than directly from a candidate. Envista will consider unsolicited referrals and/or resumes submitted by vendors such as search firms, staffing agencies, professional recruiters, fee-based referral services and recruiting agencies (Agency) to have been referred by the Agency free of charge and Envista will not pay a fee for any placement resulting from the receipt such unsolicited resumes. An Agency must obtain advance written approval from Envista's internal Talent Acquisition or Human Resources team to submit resumes, and then only in conjunction with a valid fully-executed contract approved by the Global Talent Acquisition leader and in response to a specific job opening. Envista will not pay a fee to any Agency that does not have such agreement and written approval in place.

Title: Senior Manager, Health Systems Analytics

Location: Princeton United States

Job Description:

Working with Us

Challenging. Meaningful. Life-changing. Those aren't words that are usually associated with a job. But working at Bristol Myers Squibb is anything but usual. Here, uniquely interesting work happens every day, in every department. From optimizing a production line to the latest breakthroughs in cell therapy, this is work that transforms the lives of patients, and the careers of those who do it. You'll get the chance to grow and thrive through opportunities uncommon in scale and scope, alongside high-achieving teams. Take your career farther than you thought possible.

Bristol Myers Squibb recognizes the importance of balance and flexibility in our work environment. We offer a wide variety of competitive benefits, services and programs that provide our employees with the resources to pursue their goals, both at work and in their personal lives. Read more: careers.bms.com/working-with-us.

Summary:

The Senior Manager, Health Systems Analytics, supports the development and execution of analytics that guide Bristol Myers Squibb's response to evolving U.S. pricing and access policies. It includes providing analytical support for strategies related to Medicare and Medicaid reforms, Pharmacy Benefit Manager (PBM) reforms, Inflation Reduction Act (IRA) negotiations, 340B, Most-Favored Nation (MFN) policies, and other relevant pricing regulations. The inidual in this role contributes to analytics that shape strategic insights and inform pricing approaches, while also leveraging AI-powered analytics to enhance efficiency and impact.

Responsibilities:

• Support analytics efforts across the Global Health Systems Analytics team, in conjunction with Global Policy Analytics and cross-functionally within Global Market Access (MAx), Global Policy and Government Affairs (GPGA), Legal, Health Economics & Outcomes Research (HEOR), Finance, and Business Insights & Technology (BIT).

• Build and maintain dynamic financial models to assess the impact of pricing policies across different therapeutic areas.

• Support the Senior Director, Health Systems Analytics and Executive Director, Global Health Systems Analytics with analytics requests.

• Assist in the preparation of executive-level presentations.

• Utilize generative AI tools and digital solutions to streamline analytics workflows and enhance delivery.

Qualifications:

• Bachelor's degree required; advanced degree such as MBA, MPH, MPP, or equivalent preferred.

• Minimum of 5 years of experience in health policy, pricing analytics, financial forecasting, or market access roles.

• Strong analytical and modeling skills with the ability to synthesize complex data.

• Proficient in Excel and PowerPoint; familiar with visualization tools (Tableau, Power BI) and programming languages (Python/R) and SQL.

• Experience working cross-functionally in a matrixed organization.

• Familiarity with U.S. government payer policies and commercial pricing frameworks.

• Exposure to artificial intelligence tools and digital analytics platforms.

#LI-Hybrid

If you come across a role that intrigues you but doesn't perfectly line up with your resume, we encourage you to apply anyway. You could be one step away from work that will transform your life and career.

Compensation Overview:

Princeton - NJ - US: $123,950 - $150,195

The starting compensation range(s) for this role are listed above for a full-time employee (FTE) basis. Additional incentive cash and stock opportunities (based on eligibility) may be available. The starting pay rate takes into account characteristics of the job, such as required skills, where the job is performed, the employee's work schedule, job-related knowledge, and experience. Final, inidual compensation will be decided based on demonstrated experience.

Eligibility for specific benefits listed on our careers site may vary based on the job and location. For more on benefits, please visit https://careers.bms.com/life-at-bms/.

Benefit offerings are subject to the terms and conditions of the applicable plans in effect at the time and may require enrollment. Our benefits include:

• Health Coverage: Medical, pharmacy, dental, and vision care.

• Wellbeing Support: Programs such as BMS Well-Being Account, BMS Living Life Better, and Employee Assistance Programs (EAP).

• Financial Well-being and Protection: 401(k) plan, short- and long-term disability, life insurance, accident insurance, supplemental health insurance, business travel protection, personal liability protection, identity theft benefit, legal support, and survivor support.

Work-life benefits include:

Paid Time Off

• US Exempt Employees: flexible time off (unlimited, with manager approval, 11 paid national holidays (not applicable to employees in Phoenix, AZ, Puerto Rico or Rayzebio employees)

• Phoenix, AZ, Puerto Rico and Rayzebio Exempt, Non-Exempt, Hourly Employees: 160 hours annual paid vacation for new hires with manager approval, 11 national holidays, and 3 optional holidays

Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.

All global employees full and part-time who are actively employed at and paid directly by BMS at the end of the calendar year are eligible to take advantage of the Global Shutdown.

• Eligibility Disclosure: The summer hours program is for United States (U.S.) office-based employees due to the unique nature of their work. Summer hours are generally not available for field sales and manufacturing operations and may also be limited for the capability centers. Employees in remote-by-design or lab-based roles may be eligible for summer hours, depending on the nature of their work, and should discuss eligibility with their manager. Employees covered under a collective bargaining agreement should consult that document to determine if they are eligible. Contractors, leased workers and other service providers are not eligible to participate in the program.

Uniquely Interesting Work, Life-changing Careers

With a single vision as inspiring as "Transforming patients' lives through science ", every BMS employee plays an integral role in work that goes far beyond ordinary. Each of us is empowered to apply our inidual talents and unique perspectives in a supportive culture, promoting global participation in clinical trials, while our shared values of passion, innovation, urgency, accountability, inclusion and integrity bring out the highest potential of each of our colleagues.

On-site Protocol

BMS has an occupancy structure that determines where an employee is required to conduct their work. This structure includes site-essential, site-by-design, field-based and remote-by-design jobs. The occupancy type that you are assigned is determined by the nature and responsibilities of your role:

Site-essential roles require 100% of shifts onsite at your assigned facility. Site-by-design roles may be eligible for a hybrid work model with at least 50% onsite at your assigned facility. For these roles, onsite presence is considered an essential job function and is critical to collaboration, innovation, productivity, and a positive Company culture. For field-based and remote-by-design roles the ability to physically travel to visit customers, patients or business partners and to attend meetings on behalf of BMS as directed is an essential job function.

Supporting People with Disabilities

BMS is dedicated to ensuring that people with disabilities can excel through a transparent recruitment process, reasonable workplace accommodations/adjustments and ongoing support in their roles. Applicants can request a reasonable workplace accommodation/adjustment prior to accepting a job offer. If you require reasonable accommodations/adjustments in completing this application, or in any part of the recruitment process, direct your inquiries to [email protected]. Visit careers.bms.com/eeo-accessibility to access our complete Equal Employment Opportunity statement.

Candidate Rights

BMS will consider for employment qualified applicants with arrest and conviction records, pursuant to applicable laws in your area.

If you live in or expect to work from Los Angeles County if hired for this position, please visit this page for important additional information: https://careers.bms.com/california-residents/

Data Protection

We will never request payments, financial information, or social security numbers during our application or recruitment process. Learn more about protecting yourself at https://careers.bms.com/fraud-protection.

Any data processed in connection with role applications will be treated in accordance with applicable data privacy policies and regulations.

If you believe that the job posting is missing information required by local law or incorrect in any way, please contact BMS at [email protected]. Please provide the Job Title and Requisition number so we can review. Communications related to your application should not be sent to this email and you will not receive a response. Inquiries related to the status of your application should be directed to Chat with Ripley.

R1595646 : Senior Manager, Health Systems Analytics

Associate Director of Real World Evidence

Location: Morrisville United States

Job Description:

Description

Associate Director of Real World Evidence (Sponsor Dedicated/Remote-US)

Syneos Health is a leading fully integrated biopharmaceutical solutions organization built to accelerate customer success. We translate unique clinical, medical affairs and commercial insights into outcomes to address modern market realities.

Our Clinical Development model brings the customer and the patient to the center of everything that we do. We are continuously looking for ways to simplify and streamline our work to not only make Syneos Health easier to work with, but to make us easier to work for.

Whether you join us in a Functional Service Provider partnership or a Full-Service environment, you'll collaborate with passionate problem solvers, innovating as a team to help our customers achieve their goals. We are agile and driven to accelerate the delivery of therapies, because we are passionate to change lives.

Discover what our 29,000 employees, across 110 countries already know:

WORK HERE MATTERS EVERYWHERE

Why Syneos Health

• We are passionate about developing our people, through career development and progression; supportive and engaged line management; technical and therapeutic area training; peer recognition and total rewards program.
• We are committed to our Total Self culture - where you can authentically be yourself. Our Total Self culture is what unites us globally, and we are dedicated to taking care of our people.
• We are continuously building the company we all want to work for and our customers want to work with. Why? Because when we bring together ersity of thoughts, backgrounds, cultures, and perspectives - we're able to create a place where everyone feels like they belong.

Job Responsibilities

Associate Director, Real-World Evidence (Sponsor-Dedicated / Remote - US)

Overview:

Syneos Health is seeking an Associate Director of Real-World Evidence (RWE) to provide line management, leadership, and technical support to a Sponsor-dedicated RWE team. This role oversees Staff supporting real-world data analytics, observational research, and RWE operations to enable high-impact evidence generation across the drug development lifecycle. Fully remote, US-based.

What You Will Do:

• Lead and develop a cross-functional team while managing day-to-day staffing, performance, professional development, and HR activities
• Provide technical and scientific guidance aligned to RWE analytics, epidemiology, study design, and operational execution
• Ensure high-quality delivery of RWE workstreams, including adherence to timelines, standards, and project expectations
• Oversee onboarding, ongoing training, and competency development for Staff
• Support project resource planning, workload optimization, and budget-related tracking for FSP activities
• Ensure effective communication across the FSP and Sponsor teams and serve as a point of escalation when needed
• Drive continuous improvement around documentation, compliance, process discipline, and quality control