Title: Managing Consultant – Clinical Documentation Integrity (CDI) – Healthcare
Location: Remote - USA
Full time
Job Description:
We do Consulting Differently
The Integrated Health Solutions (IHS) practice at Berkeley Research Group (BRG) provides end-to-end advisory support to healthcare providers, payers, investors, and other stakeholders navigating complex strategic, operational, financial, and clinical challenges. Led by seasoned healthcare executives, operators, and clinicians, IHS partners with organizations to drive sustainable performance improvement and long-term growth through strategic growth design, operating model transformation, AI and digital enablement, clinical quality and patient care optimization, and revenue strategy—helping clients build resilient, future-ready healthcare enterprises in an increasingly complex environment.
Our four core service offerings include:
- Business Transformation Advisory
- Margin & Operational Improvement
- Quality Improvement & Clinical Care
- AI & Digital Solutions
Clinical and Quality Transformation (CQT) helps providers improve care for their patients by implementing evidence-based leading practices to enhance clinical quality, operational efficiency, and care delivery.
CQT’s broad-based engagements help providers transform how they deliver care through a combination of reduced complications and mortality, optimizing surgery quality and operations, improved throughput and length-of-stay reduction, improved emergency department performance, quality infrastructure enhancements, and more accurate clinical coding and documentation—helping organizations deliver better patient care and outcomes while most effectively utilizing their clinical resources and infrastructure.
The Managing Consultant works closely with the client’s CDI team, supporting classroom education and mentoring. They are responsible for ensuring the successful transfer of CDI best practices from the consulting team to the client team. The Managing Consultant also facilitates accurate documentation for severity of illness (SOI) and quality in the medical record, which involves extensive record review and interaction with physicians, health information management professionals, coding professionals, and nursing staff. Managing Consultants are expected to demonstrate leadership, manage multiple projects, and contribute to business development and staff development initiatives.
Willing to travel consistently (50% - 75%), depending on project requirements and client expectations, is required for this position.
Responsibilities
- Demonstrate extensive knowledge of clinical documentation requirements, coding guidelines, and workflows applicable to inpatient and outpatient/physician settings.
- Conduct comprehensive inpatient medical record reviews for identified payer populations upon admission and throughout hospitalization.
- Serve as an educational resource to client CDI teams, delivering classroom education, hands-on teaching, and ongoing mentoring.
- Develop and deliver training to physicians, nurses, coding professionals, and ancillary staff on documentation best practices.
- Analyze clinical information to identify gaps in documentation related to SOI, POA, MS-DRG, APR-DRG, PSI, and quality measures.
- Formulate credible and compliant documentation clarifications.
- Work collaboratively with coding teams to ensure accuracy and completeness of documentation and diagnoses.
- Support clinical staff in understanding documentation needs through frequent interaction and coaching.
- Provide high-quality input for client deliverables and contribute to expert reports.
- Provide interim CDS support as needed.
- Assist in developing CDI and HIM training tools, methodologies, and education materials.
Qualifications
- Bachelor’s degree in a related discipline preferred (RN, BSN, RHIA, RHIT, HIM, or similar).
- 4-8 years of experience as a CDI specialist, inpatient coder, physician coder, or CDI consultant (or a blend) is required.
- Prior consulting experience is highly preferred.
- Experience across multiple specialties and care settings; academic medical center exposure strongly preferred.
- Prior inpatient coding experience (ICD10CM/PCS); outpatient/physician coding a strong plus.
- Deep knowledge of documentation, coding, and compliance regulations.
- Strong understanding of DRG, MSDRG, APRDRG, and HCC methodologies.
- Desire to grow within the CDI consulting space while cross-collaborating with other IHS service lines is necessary.
- Strong ability and enthusiasm for teaching, mentoring, and delivering education to clients and internal teams.
- Current CCDS, CCS, or CDIP certification (or willingness to obtain) is required.
- RHIA, RHIT, CRC, CPC, or other coding credentials are highly preferred.
- Experience using EMRs such as Epic, Meditech, Cerner, 3M 360, etc.
- Ability to translate clinical and coding concepts into clear, actionable education.
- Excellent critical thinking, communication, presentation, and analytical skills.
- Strong proficiency in MS Office (Word, PowerPoint, Excel, Outlook).
- Excellent time management skills and ability to balance multiple priorities.
- A self‑starter with the ability to work effectively in an ambiguous, rapidly evolving consulting environment.
Salary Range: $120,000 – $165,000 per year
Job title and compensation will be determined based on qualifications and experience.
Candidate must be able to submit verification of his/her legal right to work in the United States, without company sponsorship.
About BRG
BRG combines world-leading academic credentials with world-tested business expertise and purpose-built emerging technologies. Our culture centers on agility and connectivity which sets us apart and gets you ahead.
At BRG, our professionals include specialist consultants, industry experts, renowned academics, and leading-edge data scientists. Together, they bring a ersity of real-world experience, data, and human and artificial intelligence, to economics, disputes, and investigations; corporate finance; and performance improvement services that address the most complex challenges facing organizations across the globe.
Our unique structure nurtures the interdisciplinary relationships that give us the edge, laying the groundwork for more informed insights and more original, incisive thinking. When paired with our global reach and resources, our erse perspectives and technical capabilities make us uniquely capable to address our clients’ challenges. We get results because we know how to apply our thinking to your world.
At BRG, we don’t just show you what’s possible. We’re built to help you make it happen.
BRG is proud to be an Equal Opportunity Employer. Our hiring practices provide equal opportunity for employment without regard to race, religion, color, sex, gender, national origin, age, United States military veteran status, ancestry, sexual orientation, marital status, family structure, medical condition including genetic characteristics or information, veteran status, or mental or physical disability so long as the essential functions of the job can be performed with or without reasonable accommodation, or any other protected category under federal, state, or local law.

100% remote workbridgewaterma
Remote Paralegal, Client Negotiator
Location: Bridgewater, MA
Job Description:
Description
Keches Law Group, P.C. is a well-established, 50 attorney law firm with offices in Milton, Bridgewater, and Worcester, practicing in the areas of workers' compensation, personal injury, and medical malpractice.
We are seeking a highly motivated REMOTE Paralegal/Client Negotiator to join our team.
The mission of the Paralegal/Client Negotiator is to assist and drive negotiations and case management to get clients the maximum payout for their cases within practicable timeframes, while maintaining a reasonable allocation of time to meet case load demands, as well as providing excellent customer service that keep our clients happy and satisfied.
Responsibilities:
- Review the case records: medical records, pictures, police reports, income statements, etc.
- Analyze records to come to proper demand for settlement.
- Write demand letters and other correspondence.
- Make calls to adjusters to negotiate claims.
- Communicate to the client while providing exceptional customer service.
- Updating clients regularly as to the status of their case.
- Process the necessary paperwork to accept settlement: release, negotiation and satisfaction of medical liens, and the distribution of funds.
- Prioritize work based on a case list.
- Respond to emails, calendars, etc.
- Update Litify (Sales Force) case management.
Requirements
Qualifications:
- Experience with the insurance claims process in general (claims adjuster/settlement analyst) is a strong preference.
- Ability to read and understand medical records.
- Ability to build quality arguments via writing and verbal communication.
- Ability to analyze reports/records and make accurate conclusions based on these reports.
- Ability to focus in depth on each case, while handling multiple cases throughout the day.
- Ability to organize and prioritize an extensive case load.
- Excellent communication skills: verbal and written communication.
- Attention to detail.
- Self-direction, process oriented.
- Experience in documentation, review, and analysis of electronic documents
- Comfortable with technology, especially around case, customer, and project management.
Required Education and Experience:
- Bachelor’s degree is preferred
- 5+ years of prelitigation/paralegal / legal or insurance case management
Office Schedule
- Monday – Friday
- 8:30am - 5:00am (EST)
The anticipated salary range for this position, which we in good faith expect to pay at the time of posting, is $60,000 - $80,000 per year. This range allows us to make an offer that reflects multiple factors, including experience, education, qualifications, and job-related knowledge and skills, as well as internal pay equity. It’s not typical for an inidual to be hired at or near the top of the range, as we strive to provide room for future and continued salary growth. Base pay is just one component of our Total Rewards package, which may also include discretionary bonuses, commissions, or other incentives depending on the role.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk or hear. This is largely a sedentary role, however the employee may at times be required to sit; stand; walk; use hands to handle or feel; and reach with hands and arms. The employee must occasionally lift or move office products and supplies, up to 20 pounds.
AAP/EEO Statement
Keches Law Group is an equal opportunity employer. Keches Law Group does not discriminate based on race, ancestry, national origin, color, religion, gender, age, marital status, sexual orientation, disability, veteran status, or any other protected classification under the law.
Keches Law Group complies with all applicable immigration laws and regulations. The Company does not presently provide employer support or sponsorship for an immigration-related employment benefit for this position. Applicants must be currently authorized to work in the United States on a full-time basis without the need for employer support or sponsorship now or in the future.
Neuroscientist, External Scientific Programs
Boston, MA - Remote
Beacon's robust asynchronous work practices ensure a first-class remote work experience, but we also have in-person office hubs located in Boston, New York City, and Paris. For this position, candidates based in the United States are preferred to minimize logistical hurdles and maximize timezone overlap with colleagues and partners.
What success looks like
- Lead and support the scientific and technical aspects of multiple concurrent studies, including timeline estimation, task delegation, timely execution, and stakeholder communication
- Engage with external stakeholders to align their needs with internal capabilities and capacities to ensure analyses bring maximal value while remaining operationally feasible
- Deliver clear and impactful presentations and data visualizations to varied audiences, both internal and external
- Leverage Beacon's products and your own subject matter expertise to inform analysis planning and execution
- Write and review reusable, documented, tested code that produces polished, high quality analytical results for our partners and powers our core computational pipelines
- Contribute to statistical analysis plans for clinical trials in collaboration with internal subject matter experts and external stakeholders
- Co-author scientific reports whose impact pushes the field past contemporary limitations
- Dig into large, messy, unfamiliar datasets, document their idiosyncrasies and provenance, and harmonize them with Beacon's Datastore
What you will bring
- You've spent multiple years using your expertise in neuroscience and statistics to analyze data, draw insights, and answer scientific questions for stakeholders
- You have substantial experience presenting analyses to external audiences of varied backgrounds; you've learned the hard way what does and does not make an understandable and impactful presentation
- You thrive in a fast-paced, highly customer-facing environment
- You have excellent written and verbal communication and listening skills
- You have experience writing and reviewing code in a shared, version-controlled codebase with multiple contributors and users
- You're painfully aware that thoughtful data curation is a prerequisite to analysis results that hold up under practical application
- You're familiar with statistical modeling, including interpretation and diagnostics
- You love teamwork and recognize that people can achieve more together than inidually. You value close collaboration, open communication, and tight feedback loops to ensure you and your team are working together effectively and doing your best work
- You stay calm and organized to meet tight deadlines amidst ambiguity
- You're familiar with and/or are excited to work with the technologies that power Beacon's data and reporting systems, including Julia, AWS, Superset, Pandoc, SQL, and GraphQL
- You have exceptional attention to detail and maintain a high standard of quality in your work and output, but you also know when "quick and dirty" is the right approach
- You're comfortable working in a highly asynchronous hybrid work environment, and have demonstrated success doing so in the past
The salary range for this role is $135,000 – $155,000. Salary ranges are determined using current market compensation data for this role and adjusted based on experience, skills, and location. The base salary is one component of the total compensation package, which includes equity, PTO, and other benefits.

cahybrid remote worksan rafael
Title: (CW) Senior Study Specialist (CONTRACT/TEMPORARY)
Location: San Rafael, California
Full-time/Temporary
Hybrid
Job Description:
Who We Are
BioMarin is a leading, global rare disease biotechnology company focused on delivering medicines for people living with genetically defined conditions. Founded in 1997, the San Rafael, California-based company has a proven track record of innovation, with multiple commercial therapies and a strong clinical and preclinical pipeline. Using a distinctive approach to drug discovery and development, BioMarin seeks to unleash the full potential of genetic science by pursuing category-defining medicines that have a profound impact on patients..
About Research and Development
From research and discovery to post-marketing clinical development, our R&D engine involves all bench and clinical research and the associated groups that support those endeavors. Our teams work on developing breakthrough medicines that provide meaningful advances to patients living with rare genetic conditions.***CONTRACT ROLE Approx 6 months***Hybrid Role******Onsite in San Rafael on Tuesday and Thursday***
Sr. Study Specialist, Global Study Operations
BioMarin is the world leader in delivering therapeutics that provide meaningful advances to patients who live
with serious and life-threatening rare genetic diseases. We target diseases that lack effective therapies andaffect relatively small numbers of patients, many of whom are children. These conditions are often inherited,difficult to diagnose, progressively debilitating, and have few, if any, treatment options. BioMarin aims toimprove life and health outcomes for people with rare diseases by advocating the use of innovative BioMarintherapeutics, advancing the standard of care, and providing personalized support and services globally.The BioMarin Global Study Operations function is tasked with providing strategic direction on the feasibility,design, and conduct of clinical studies and drives the delivery of high-quality data to support the registrationand approval of clinical development assets. The function achieves this through the development andoperationalization of Clinical Development Plans, study planning and delivery, cross-functional leadership ofStudy Execution Teams, operational trial expertise, and vendor management and oversight.Role Summary
The Sr. Study Specialist (SS) significantly contributes to or leads tasks related to the oversight of site monitoring,vendor management, and other activities as delegated by the Study Manager or Program Lead (PL). This mayinclude contributing to and/or supporting study related matters that impact study participant safety, dataintegrity, study timelines, quality, and budget. The Sr. SS will demonstrate a greater level of independence inexecuting assigned tasks and manage more challenging or complex vendors, sites, regions, including issueescalations from CROs and effective relationship management with Key Principal Investigator(s). Within therole, the candidate is expected to demonstrate and have proficient knowledge and experience in the followingcompetencies:Core Competencies:
• Agility and Proactivity• Leadership• Communication and CollaborationTechnical Competencies:
• Study Management and Execution• Compliance and Quality• Drug Development and Study Design• Product and Therapeutic Area KnowledgeResponsibilities include but are not limited to:
• Develop study specific documentation, as delegated by the Study Manager• Contribute to the oversight of country and site feasibility assessment and site selection.• Oversight of CRO for IRB/EC related submission/approval activities• Oversight of essential documents for study life-cycle management• Develop/Oversee site and investigator training materials• Present at investigator meetings as assigned• Ensure accurate and timely• Oversight of Clinical Trial Insurance• Attend Global Study Operations team, vendor, and/or Cross-Function Study Execution Meeting(s) as• Oversee and man study entry and updates to ClinicalTrials.gov• Facilitate Screening Authorization Forms sign off and oversee tracking, where applicable• Process documents for signature in DocuSign• Contribute to Global Study Operations risks identification and mitigations.• Provide support and administrative assistance with internal and external meetings• End‑to‑end study operational understanding to support across start‑up, maintenance, and close‑out activities. (in a fast paced- complex clinical trial environment)
• Proficient understanding of clinical trial lifecycle milestones, critical path dependencies, and inspection‑readiness expectations.• Ability to independently work in complex operational workstreams with minimal oversight Systems & PlatformsProficient use of core clinical systems, including:• TMF/eTMF systems (quality, completeness, and inspection readiness)• EDC experience (operational interfaces, timelines, and dependencies)• IRT/IXRS and eCOA/ePRO operational support as applicable• Tracking vendor milestones, site activities, and KPIs• Familiar with TEAMS and SharePoint Platform• Strong discipline in system accuracy, reconciliation, and data integrity.Education & Experience
• BA/BS or higher in nursing, life or health sciences is preferred. Industry or relevant experience in lieuof education is considered.• Experience in a biotechnology or pharmaceutical company, oversight of external vendors includingSOW, budgets, POs, and invoice management (e.g., CROs, central labs, imaging etc.Note: This description is not intended to be all-inclusive, or a limitation of the duties of the position. It is intended to describe the general nature of the job that may include other duties as assumed or assigned.
Equal Opportunity Employer/Veterans/Disabled
An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.
100% remote workus national
Title: VP of Stop-Loss Underwriting
Location: Remote United States
Full time
Job Description:
Vice President of Stop-Loss Underwriting
Work a remote work schedule.
Build a career with purpose. Join our Cause to create a person-focused and economically sustainable health care system.
Who We Are Looking For:
Every day, Cambia's dedicated Stop Loss is living our mission to make health care easier and lives better. As a leader of the Stop-Loss Underwriting team, our VP of Stop-Loss Underwriting manages stop loss book of business risk selection and risk classification activities to meet top line growth and bottom-line profitability objectives. Cambia-wide final decision maker for stop loss concessions on rates and terms prior to escalation. Plans, develops and directs the activities of the Underwriting Stop Loss departments within Cambia to meet corporate objectives for stop loss risk management, renewal activity, and new business production. Secures necessary capabilities for stop loss business in total; e.g, premium and billing system, reporting system, UM/CM capabilities in/outsourced, etc. Actively engages with state insurance departments to initiate and/or resolve filing issues. Drives process to evaluate and approve external Third-Party Administrators. Represents Cambia and CBRM in AM Best presentations - all in service of creating a person-focused health care experience.
Do you have a passion for serving others and learning new things? Do you thrive as part of a collaborative, caring team? Then this role may be the perfect fit.
What You Bring to Cambia:
Qualifications:
Vice President, Stop Loss Underwriting would have a Bachelor's degree in business, math, statistics or related discipline and 12+ years underwriting experience in the health insurance profession with specific responsibilities in stop loss or equivalent combination of education and experience.
Skills and Attributes:
- Develops strategies to meet the corporate goals for contribution to reserves by line of business through rating, reimbursement and risk management strategies.
- Establishes quote authority limits for all stop loss underwriters.
- Reviews and Signs-off on all cases above the underwriter's quote authority limits and all exception cases.
- Responsible for the development and maintenance of the Underwriting Guidelines, annual stop loss underwriting audits of all underwriters, and oversight of the stop loss contracts.
- Directs development and implementation of policies and procedures in compliance with corporate strategies and legislative mandates.
- Directs the development and application of equitable and competitive rates to group to assure favorable underwriting.
- Directs the development and implementation underwriting policies that preclude adverse selection and provide the opportunity of coverage to specified communities.
- Maintains an optimum balance between an adequate rate structure and stop loss coverage that is competitive in the marketplace.
- Provides support and analysis to the Senior Vice President and Chief Actuarial Officer.
- Monitors and recommends changes to manual rate and factor development to ensure optimal outcomes for sales, renewals, and underwriting gain.
- Leads a team of Managers, Stop Loss Underwriters, Stop Loss Claims Analysts, Medical Risk Consultants and support personnel. Directs work product and production of assigned stop loss underwriting nurse staff.
- Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within Stop-Loss Underwriting.
What You Will Do at Cambia:
- Demonstrated ability to read the self-funded employer stop loss marketplace with regards to rate sensitivity and product offerings.
- In-depth knowledge of the health care industry and specifically in the self-funded employer stop loss market; including underwriting principles, alternative funding models, administration, market and regulatory requirements.
- Demonstrated competency to think analytically, apply analytical techniques and to provide in-depth analysis and recommendations using critical thinking and sound judgment.
- Demonstrated competency to apply and interpret quantitative data for decision-making.
- Demonstrated competency working with complex computer software systems.
- Strong knowledge with complex mathematical concepts and ability to communicate abstract concepts to lay personnel.
- Demonstrated competency in effective communication, verbally and in writing, with all levels of the work force.
- Demonstrated competency to establish and maintain effective working relationships with executives, managers, supervisors, sales professionals and brokers.
- Demonstrated ability to work with all levels of the staff and management both as a self-starter and in a team environment.
- Demonstrated ability to promote new visions and ideas and gain "buy in" from senior leadership, management and peers.
- Strong knowledge in planning, organizing and leading the work of others with minimal supervision, while developing departmental goals and objectives consistent with corporate vision and strategies.
- Ability to coach and develop Stop Loss Underwriting Managers.
- Demonstrated ability to leverage AI tools and resources to drive efficiency and innovation within area of expertise
FTE's Supervised
- 8-12, 2 Managers
Work Environment
- No unusual working conditions.
The expected hiring range for a VP Stop Loss Underwriting is $238,900.00 - $323,200.00, depending on skills, experience, education and training; relevant licensure / certifications; performance history; and work location. The bonus target for this position is 31.25%. The current full salary range for this role is $224,000.00 - $366,000.00.
About Cambia
Working at Cambia means being part of a purpose-driven, award-winning culture built on trust and innovation anchored in our 100+ year history. Our caring and supportive colleagues are some of the best and brightest in the industry, innovating together toward sustainable, person-focused health care. Whether we're helping members, lending a hand to a colleague or volunteering in our communities, our compassion, empathy and team spirit always shine through.
Why Join the Cambia Team?
At Cambia, you can:
- Work alongside erse teams building cutting-edge solutions to transform health care.
- Earn a competitive salary and enjoy generous benefits while doing work that changes lives.
- Grow your career with a company committed to helping you succeed.
- Give back to your community by participating in Cambia-supported outreach programs.
- Connect with colleagues who share similar interests and backgrounds through our employee resource groups.
We believe a career at Cambia is more than just a paycheck - and your compensation should be too. Our compensation package includes competitive base pay as well as a market-leading 401(k) with a significant company match, bonus opportunities and more.
In exchange for helping members live healthy lives, we offer benefits that empower you to do the same. Just a few highlights include:
- Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits.
- Annual employer contribution to a health savings account.
- Generous paid time off varying by role and tenure in addition to 10 company-paid holidays.
- Market-leading retirement plan including a company match on employee 401(k) contributions, with a potential discretionary contribution based on company performance (no vesting period).
- Up to 12 weeks of paid parental time off (eligibility requires 12 months of continuous service with Cambia immediately preceding leave).
- Award-winning wellness programs that reward you for participation.
- Employee Assistance Fund for those in need.
- Commute and parking benefits.
We are happy to offer work from home options for most of our roles. To take advantage of this flexible option, we require employees to have a wired internet connection that is not satellite or cellular and internet service with a minimum upload speed of 5Mb and a minimum download speed of 10 Mb.
We are an Equal Opportunity employer dedicated to a drug and tobacco-free workplace. All qualified applicants will receive consideration for employment without regard to race, color, national origin, religion, age, sex, sexual orientation, gender identity, disability, protected veteran status or any other status protected by law. A background check is required.

atlantagahybrid remote work
Title: Analyst, Government Reimbursement
Location:
Georgia, Atlanta
Category Market Access, Pricing & Regulatory
Job Id92822
Save
Make your mark for patients
We are looking for a Government Reimbursement Analyst to join us in our Contracts & Pricing team, based in Atlanta, GA (hyrbid, 2x per week in office)
About the Role
The Government Reimbursement Analyst is responsible for a range of activities related to but not limited to the payment of Government Programs, including State Medicaid, Coverage Gap, TriCare, Manufacturer’s Discount Program and Medicare Inflation Rebates within required timeframes.
Who you’ll work with
Internally, you will work with Accounting and Finance, Government Pricing, Gross 2 Net (G2N) teams, Account Executives as required, SAP team (IT) and collaborate with others as required. Externally, you will work with the State Medicaid Agencies, Model N and other external solution partners.
What you’ll do
- Manage contracts and pricing updates & process payments related to assigned Government programs
- Manage Medicaid Payment Master for all assigned programs
- Process & pay all Medicaid claims and other programs assigned within required time periods\
- Serve as the key contact with State Medicaid agencies and must be able to communicate clearly and reconcile discrepancies within required timeframes usually through email
- Analyze summarizes and interprets results and makes recommendations regarding the need to dispute any Claim submissions
- Responsible for the settlement of programs in both Model N and SAP
- Manage or assist with any system testing and upgrades as assigned
- Ensure compliance with applicable federal and/or state laws, regulations, and/or agency rules, standards, and guidelines, etc.
Interested? For this role we’re looking for the following
Minimum requirements
- Bachelor’s degree in Finance, Accounting, or other analytical-related field
- 2+ years of relevant experience required
Preferred requirements
- Pharmacy Benefit Management (PBMs), pharmacy claims knowledge and/or pharmacy-related experience is preferred
- Strong MS Excel working knowledge; SAP & Model N preferred
- Ability to levereage data analytics and artificial intelligence (AI) tools to generate insights, support decision-making and improve business outcomes
- Power BI and other data analytical software knowledge and experience helpful
- Hands-on knowledge of and/or experience with Model N or other Government Pricing software platforms strongly preferred
- Working knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
- Pharmacy Technician experience preferredWorking knowledge of government regulations pertaining to Federal and State Medicaid programs preferred
This positions reasonably anticipated salary range is $88,000-116,000. The actual salary offered will take into account related knowledge, skills, experience and candidate location among other factors and may fall outside the expected range.
Are you ready to ‘go beyond’ to create value and make your mark for patients? If this sounds like you, then we would love to hear from you!
About us
UCB is a global biopharmaceutical company, focusing on neurology and immunology. We are over 9.000 people in all four corners of the globe, inspired by patients and driven by science.Why work with us?
At UCB, we don’t just complete tasks, we create value. We aren’t afraid to push forward, collaborate, and innovate to make our mark for patients. We have a caring, supportive culture where everyone feels included, respected, and has equal opportunities to do their best work. We ‘go beyond’ to create value for our patients, and always with a human focus, whether that’s on our patients, our employees, or our planet. Working for us, you will discover a place where you can grow, and have the freedom to carve your own career path to achieve your full potential.At UCB, we’ve embraced a hybrid-first approach to work, bringing teams together in local hubs to foster collaborative curiosity. Unless explicitly stated in the description or precluded by the nature of the position, roles are hybrid with 40% of your time spent in the office.
UCB is an equal opportunity employer. All employment decisions will be made without regard to any characteristic protected by applicable federal, state, or local law. UCB invites you to voluntarily self-identify during the application process. Provision of self-identification information is entirely voluntary and a decision to provide or not provide such information will not have any effect on your application for employment, your employment with UCB, or otherwise subject you to any adverse treatment. Any information you provide will be considered confidential and will be kept separate from your application and/or personnel file and will only be used in accordance with applicable laws, orders, and regulations.

bronxhybrid remote workny
Social Work Supervisor (LCSW)
Job Description Job ID#:4382
Job Category: Integrated Care
Position Type: Employee (Full Time)
Job Description:
Position Summary:
As a member of our Social Services Department, the Social Work Supervisor (LCSW) assists social workers in managing crisis, responding to difficult situations, and point of care complex situations. The person in this role will support staff within our various health centers under the Social Services umbrella.
This position will be stationed at our flagship location, El Nuevo San Juan Community Health Center. As part of the central social services ision in this location, the Social Work Supervisor will provide leadership support to needs across departments that include but are not limited to: Adult Medicine, Specialty, OB/GYN, among others and provide direct supervision and clinical guidance to a team of Social Workers (both MSW and LMSW level).
This position requires onsite shift availability for Mondays through Fridays, 8 AM to 5 PM. Options available for hybrid 1 day/remote options per week. Some as-needed Saturday coverage when applicable.
Responsibilities:
- Assist social worker teams and management with handling crisis, complex cases, medically and psychologically complex patients.
- Provide support/direction to SWs on issues related to abuse, neglect, DV, financial exploitation, or other complex matters.
- Provides consultation to providers on psychosocial issues related to patients (family, MH, custody) as it relates to health.
- Assist the Senior Director of SS in reviewing cases and documentation as per UHP and NASW standards.
- Provide clinical supervision to LMSWs within the social service department.
- Monitors and ensure patient's mental health and social service needs are addressed and connected with appropriate level of service.
- Directly see patients and family in need of support, crisis intervention and assistance when dealing with urgent/crisis issues.
Qualifications:
- Master's Degree in Social Work required.
- NYS Licensed Clinical Social Worker (LCSW)
- 2+ years of previous experience in a mental health clinic, hospital, behavioral health, or similar setting required.
- Bilingual English and Spanish is strongly preferred to serve our patient population.
- Ability to handle complex patient needs. Ability to multi-task, and address complex or urgent mental health and psycho-social issues
- Leadership abilities to support and motivate staff members.
- Excellent communication skills and ability to work with various stakeholders, professionals, and peers.
Minimum Compensation
Minimum: $90,000; Maximum: $100,000 plus benefits.
Work Environment Type, Location, and Schedule:
Hybrid, Bronx, NY, Monday to Friday 8:00am-5:00pm.(4 days onsite, 1 day remote)
As a full time associate at Urban Health Plan, you'll enjoy:
- Fully funded Health Insurance for you/ 73.5% funded Health Insurance for your family
- Dental, Vision, and Prescription Coverage
- 401(k) Retirement Savings (including 3% annual employer contribution)
- Comprehensive time off including paid vacation, personal time, sick time, and paid holidays (including your birthday!)
- Flex Spending Accounts (Health care, Dependent Care, and Commuter Benefits)
- Entertainment Discount Programs
- Employee Assistant Program
- Eligibility to apply for Public Service Loan Forgiveness Program (PSLF)
- Fitness Discounts and Perks through our medical plan.
- $50,000 term life Insurance
About Urban Health Plan:
At Urban Health Plan (UHP) our mission is to continuously improve the health of communities and the quality of life of the people we serve by providing affordable, comprehensive, quality, primary and specialty health care and by assuring the performance and advancement of innovative best practices. At UHP, our commitment to provide patient-centered, holistic, quality health care, is part of a tradition started by our founder, Dr. Richard Izquierdo, more than 40 years ago. That tradition continues today by promoting excellence in everything that we do.
UHP is an equal opportunity employer. M/F/D/V. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, sexual orientation, gender identity, gender expression, national origin/ancestry, citizenship status, disability, age, marital or family status, and military or veteran status.

100% remote workus national
Title: Senior Software Engineer, Mobile
Location: Remote
Department: Engineering
Job Description:
Who we are:
Apella is applying computer vision and machine learning to improve the standard of care in the most critical aspect of healthcare: surgery. We build applications to enable surgeons, nurses, and hospital administrators to deliver the highest quality care.
Who you are:
You’re an experienced mobile engineer who takes pride in building thoughtful, high-quality products. You have strong native iOS and Android engineering skills, a deep understanding of the Apple and Android ecosystems, and a sharp instinct for leveraging the ecosystem knowledge to build mobile experiences that feel fast, reliable, and intuitive for customers. You think carefully about how people actually use mobile products day to day, and you make technical decisions that improve usability, performance, and trust.
You’re excited to own work end to end, collaborate closely with product and design, and go beyond the mobile client when needed. While your strengths are in native mobile development, you’re comfortable contributing to backend and web systems to help ship complete product experiences.
In this role, you will:
Build and improve our native iOS and Android applications
Own features end to end, from design and architecture through launch and iteration
Partner closely with product and design to deliver polished, reliable user experiences
Improve mobile performance, architecture, testing, and release workflows
Contribute across backend and web systems when features require cross-stack ownership
Help raise the engineering bar through technical leadership, code review, and mentorship
What you bring:
Strong experience building and shipping modern native mobile apps in production
Expertise in Swift/SwiftUI and Kotlin/Compose, deep experience in iOS platform and solid fluency in the Android
Strong product instincts and attention to detail
Comfort working across the stack when needed
Excellent judgment, communication, and ownership
Nice to have:
Experience with backend systems and APIs particularly python and PostgreSQL
Experience with web application development particularly React
Experience in healthcare or other complex operational environments
Our benefits:
Competitive salary and stock options
Flexible vacation policy and a culture that values time for rest and recharging
Remote-first work environment with unique virtual and in-person events to foster team connection
Comprehensive health, dental, and vision insurance—we're a healthcare company that prioritizes your health
16 weeks of parental leave for all parents
Apella is committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We encourage people from all backgrounds to apply to our roles.

100% remote workus national
Title: Product Leader
Location: Remote, US
Full time
job requisition id
R3011
Job Description
A bit about this role:
As a Product Leader, you will play a pivotal role in shaping the strategy and execution of critical product initiatives that directly impact clinical and operational outcomes across our health plan and medical group. Your success will be measured by your ability to own and deliver product solutions and drive decisions toward meaningful outcomes, including improved clinical quality, greater operational efficiency, and an enhanced member experience. You will partner closely with cross-functional teams, including Clinical, Legal, Operations, Engineering, and Data, to deliver solutions that align with both member and provider needs and business goalsResponsibilities and impact will include:
Lead Outcome-oriented Product Strategy: Design your own product road map for clinical operations with a focus on driving measurable operational outcomes (e.g. cost reduction, payment accuracy, etc)
Cross-Functional Collaboration: Work closely with Engineering, Data Analytics, and Operations teams to define and execute product initiatives, driving cross-team alignment and ensuring smooth delivery of key projects.
Stakeholder Communication: Regularly communicate insights, progress, and outcomes to senior stakeholders, effectively communicating complex data and product strategies in a clear, actionable manner.
Act as the subject matter expert on care delivery and population health tooling within the organization, providing insights and guidance to senior leadership.
Required skills and experience:
Track record of delivering results: 8+ years of software product management experience, preferably with 4+ years in healthcare or health insurance with proven track record of shipping new workflows / solutions to drive key business outcomes.
Leadership & collaboration: Ability to partner with a wide-array of stakeholder groups and cross-functional teams, including the ability to listen and solicit carefully, and synthesize all their input into an action plan. Then communicate it back to them, and eventually, the whole company.
Data-driven mindset: Strong analytical skills with demonstrated experience in leveraging data to drive product strategy, optimization, and decision-making.
A super proactive "get it done" attitude, and the skills to back it up.
Comfort with the uncertainty, fast pace and flexibility inherent in a startup.
Desired skills and experience:
Provider or Payor Experience: Relevant working experience in a care delivery or health insurance environment, partnering across clinical, operational, and administrative leaders to drive patient outcomes and member experience.
Value-based Care: Understanding of payment incentives and frameworks for delivering value to payor partners from a risk-bearing provider perspective.
Salary Range: $203,000 - $233,000 / year
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....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a erse and vibrant workforce.
At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, erse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!
Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value ersity and collaboration. Iniduals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.
As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.
Title: Part-time Nurse Practitioner or Physician Assistant - Clinical Research
Location: Maplewood United States
Part-time
Maplewood, Minnesota
Job Description:
At Headlands Research, we are dedicated to enhancing clinical trial delivery within our communities. As a leading network of advanced clinical trial sites, we leverage cutting-edge technology and exceptional support services to broaden outreach and participation. Founded in 2018, our rapidly growing company currently operates 20+ sites across the US and Canada, with plans for further expansion.
Championing Diversity in Clinical Trials
Diversity isn't just a checkbox for us - it's central to our mission. We're committed to advancing medical science by promoting ersity in every facet of clinical trial research. From our team composition to participant demographics, inclusivity is at the heart of everything we do.
The Role of a Lifetime
Are you ready to make a difference? We're seeking an experienced Nurse Practitioner or Physician Assistant to serve as a Sub-Investigator to help us grow our clinical research site located in Maplewood, MN. You will help the site conduct clinical research trials involving pulmonology and respiratory care, sleep, endocrine, metabolic, obesity, and general medicine.
Headlands Research Twin Cities (HRTC), led by Dr. Charlene McEvoy, is a premier clinical research site in the Minneapolis/St Paul region. Strategically located in a erse metro area that is home to vibrant communities, including Somali, Hmong, Latino, African American, and Native American populations, among many others, the site excels in rapid participant recruitment and high-quality, patient-centered research. HRTC partners with pharmaceutical sponsors and CROs to advance innovative therapies while upholding the highest standards of care and compliance.
Pay: Competitive and dependent upon years of experience as an Investigator in clinical research and experience as an advanced provider.
Location: Onsite in Maplewood, MN (no opportunities for remote or hybrid)
Schedule: Mondays through Wednesdays, 8:00am-5:00pm
Responsibilities:
- Ensure the safety and welfare of each study subject
- Have in-depth knowledge of all research protocols
- Screen potential study subjects according to the protocol’s specific inclusion and exclusion criteria
- Conduct medical history interviews and physical examinations throughout the subject’s study participation
- Review EKG’s and lab results
- Provide medical care as needed during a subject’s participation in a clinical trial
- Provide home based on-call availability per site policy
- Attend Investigator Meetings on behalf of Principal Investigator as needed
- Excellent professional communication, punctual and responsible
- Friendly and outgoing demeanor
- Must demonstrate a passion for direct patient interaction
- Demonstrate clinical competence, positive leadership and ability to work collaboratively with a multi-disciplinary team
Qualifications:
- Minimum of two years of experience as a licensed physician assistant, family or non-acute adult nurse practitioner treating a wide variety of therapeutic areas for the adult and geriatric patient population required (internal medicine, family medicine, urgent care, emergency medicine)
- Current and unencumbered license to practice as an NP or PA in the state of Minnesota required
- Prior experience within the clinical research industry highly preferred
- Commitment and ability to deliver excellent customer service
- Excellent communication, punctual and responsible
- Extremely well organized
- Excellent verbal and written communication skills
- Trustworthy, reliable; attentive to details
- Mature and pleasant demeanor
- Willingness to learn new tasks and grow with the company

hybrid remote workseattlewa
Title: Account Manager - Consumer - Seattle, WA
Location: Seattle United States
Job Description:
Galderma is the emerging pure-play dermatology category leader, present in approximately 90 countries. We deliver an innovative, science-based portfolio of premium flagship brands and services that span the full spectrum of the fast-growing dermatology market through Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology. Since our foundation in 1981, we have dedicated our focus and passion to the human body's largest organ - the skin - meeting inidual consumer and patient needs with superior outcomes in partnership with healthcare professionals. Because we understand that the skin, we are in shapes our lives, we are advancing dermatology for every skin story.
We look for people who focus on getting results, embrace learning and bring a positive energy. They must combine initiative with a sense of teamwork and collaboration. Above all, they must be passionate about doing something meaningful for consumers, patients, and the healthcare professionals we serve every day. We aim to empower each employee and promote their personal growth while ensuring business needs are met now and into the future. Across our company, we embrace ersity and respect the dignity, privacy, and personal rights of every employee.
At Galderma, we actively give our teams reasons to believe in our bold ambition to become the leading dermatology company in the world. With us, you have the ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.
Title: Account Manager - Consumer
Location: Seattle, WA
Job Description:
The Account Manager plays a critical role in driving revenue for the Consumer Care business unit. The Dermatology Skincare Specialist is responsible for promoting Galderma's consumer skincare portfolio products, services to Health Care Providers (HCPs) and other offer key office staff members in order to create increased product demand within assigned territory.
Key Responsibilities:
Plan, organize and execute field-based product promotion activities in accordance with all applicable company and regulatory standards to increase patient demand of consumer skincare portfolio through targeted strategies at the HCP office level
Participate in face-to-face sales calls with HCPs (healthcare professionals), distribution of product samples, and attendance at company/company sponsored meetings; some meetings may occur during evening or weekend hours; travel may be necessary
Meet or exceed goals and objectives for designated product portfolio and other KPIs (key performance indicators) such as HCP satisfaction surveys, coupon redemption, POS, etc. within assigned territory
Utilize sales tools, resources, and supporting analysis to identify trends and to effectively identify and execute action plans
Record sales call notes, tracking samples, and other territory management activities through company data reporting system; other administrative duties may be assigned
Manage appropriate utilization of resources such as budget, samples, and peer to peer programs to engage and create impact with healthcare professionals.
Work within given geography to develop relationships with providers and their staff
Attend medical meetings/conferences as needed based on organization and regional needs
Other duties may be assigned
Skills and Qualifications:
Bachelor's degree from four-year College or university is required
Two (2) years of outside business to business sales experience preferred
Demonstrate strong track record of consistent documented success (such as sales performance)
Possess valid driver's license with clean driving record
Ability to travel overnight as needed is required
Strong business acumen including excellent communication (verbal/written), interpersonal, and persuasive skills.
Ability to build strong relationships, service the total office, and add value with every interaction
Proficient with MS Office in a Windows environment, virtual interaction technology, and familiar with CRM software
About the Compensation:
The base salary range for this role is determined based on several factors. These include but are not limited to job accountabilities; skill sets; experience and training; certifications; work location; competitive market rates and other business needs. At Galderma, 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 a unique combination of factors for each role. A reasonable estimate of the hiring range for this role is $90,000 - $120,000.
In addition to base salary, we provide an opportunity to participate in a competitive commission plan. We offer a competitive and comprehensive benefits program including health insurance, 401(k) plan with employer match, a generous paid time off policy, hybrid work schedules and more.
The pay range displayed above is the range of base pay is the range of base pay compensation within Galderma expects to pay for this role at the time of this posting
What we offer in return
You will be working for an organization that embraces ersity & inclusion and believe we will deliver better outcomes by reflecting the perspectives of our erse customer base. You will also have access to a range of company benefits, including a competitive wage with shift differential, annual bonus opportunities and career advancement and cross-training.
Next Steps
- If your profile is a match, we will invite you for a first virtual conversation with the recruiter.
- The next step is a virtual conversation with the hiring manager
- The final step is a panel conversation with the extended team
Our people make a difference
At Galderma, you'll work with people who are like you. And people that are different. We value what every member of our team brings. Professionalism, collaboration, and a friendly, supportive ethos is the perfect environment for people to thrive and excel in what they do.
Employer's Rights:
This job description does not list all the duties of the job. You may be asked by your supervisors or managers to perform other duties. You will be evaluated in part based on your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time. This job description is not an employment contract, and either you or the employer may terminate employment at any time, for any reason. In addition, reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions of this position.
Title: Quality Program Manager - Sepsis
Location: Portland United States
Position Category
Professional
Position Type
Regular Full-Time
Job Type
Unclassified Administrative
Department
Quality Department
Salary Range
$84,885 - $135,595 per year with offer based on experience, education and internal equity
FTE
1.00
Schedule
Monday - Friday
Hours
8:00am - 5:00pm
HR Mission
Healthcare
Drug Testable
No
Job Description:
Department Overview
The Healthcare Program Manager is responsible for coordinating, organizing, and supporting improvement ofprioritized quality projects. This role is responsible for providing expertise in process and outcome measure performance for key clinical stakeholders to improve the care being delivered, with the ultimate goal of improving patient outcomes. The Program Manager supports clinical staff to establish best practices in the care of patients related to the specific improvement projects they are assigned to (sepsis to start; will include other projects within 6 months of hire). They maintain prospective, current state, and retrospective awareness of the prioritized patient population within the institution. They are responsible for the planning, coordination, implementation, execution, control, and completion of the improvement work.
Function/Duties of Position
Program/Project Management
- Ensure successful completion of all projects assigned through effective management of people, time, and other resources.
- Knowledgeable regarding the qualifications and experience of key project delivery team members' personnel
- Oversees project implementation, utilizing OHSU's implementing change model.
- Develops project plans, goals, and objectives in collaboration with leadership and project stakeholders
- Provides professional and technical leadership in the execution of day-to-day project activities
- Assures successful implementation of process, and system changes to support improvement of quality & safety priorities
- Facilitates (or participates in) committees and meetings to achieve goals and objectives of assigned projects
- Designs and leads project improvement activities related to assigned projects
- Promotes and models change management tools and approaches to assigned projects
- Prepares and presents reports and presentations as needed for teams, committees, and OHSU Health leadership
- Evaluates and reports on success and improvements achieved through assigned projects
- Utilizes data to inform decision making
- Escalate barriers in a timely fashion, through leadership structure
Reporting and Communication
- Develop and maintain tracker/database of all sepsis cases reviewed, and other work as assigned.
- Serve as partner for sepsis core measure abstractor, completing abstraction for failed cases to ensure comprehensive trending over time achievable
- Utilizes change management and facilitation strategies to ensure team buy-in, championship, and shared accountabilities
- Communicates project information to project stakeholders, management, and executive leadership
Program Evaluation and Monitoring
- Develops project evaluation plans and processes as needed to ensure implementation meets project goals & objectives
- Utilizes data to inform critical project decision points
- Conducts and/or supports complex qualitative and quantitative analysis of project data, summarizes findings, draws appropriate conclusions, and effectively communicates results to team and leadership
- Facilitate development of recommendations for program changes with stakeholders
Support Implementation
- Develop implementation plan with stakeholders
- Test implementation assumptions and develop contingency plans to prevent untoward consequences of process changes
- Develop plan to measure short term and ongoing impact of changes
- Teach, train, support, and mentor others in performance improvement strategies and methods
- Develop and distribute work tools to support performance improvement efforts
- Guide implementation of prioritized projects
Other Duties as Assigned
Required Qualifications
- Bachelor's degree in healthcare related field and a master's degree or evidence of progression toward an advanced degree.
- Minimum 3 years of recent experience in healthcare settings.
- Experience that demonstrates expertise in performance improvement and regulatory standards in healthcare.
Job Related Knowledge, Skills and Abilities (Competencies):
- Excellent knowledge base in quality/performance improvement processes and tools. A proven record of accomplishment and strong leadership skills to ensure that improvement processes are sustained,priorities established, and performance goals are met.
- Systems knowledge and experience in identifying root causes and developing reliable and safe systems.Excellent knowledge of statistical analysis and reporting practices pertinent to stable and high performing systems.
- Evidence of leadership, creativity, initiative, and diplomatic communication. Ability to effectively work with and communicate with staff at all levels of the organization.
- Expertise in presenting technical reports and leading group discussions with clinicians and senior leaders.
- Evidence within the last 2 years of working with teams requiring self-direction and excellent written and verbal communication skills.
- Proficiency in office software including the Microsoft Office Suite of products.
Preferred Qualifications
- Bachelor of Science in Nursing
- Hold a license in healthcare (i.e., physical therapist, physician, advance practice provider)
- Program or project management experience, responsible for large, complex program success.
- Experience in teach and/or working with others in the mitigating of structural racism and the disparities that result from it in healthcare.
- Knowledge, experience in Lean, Six Sigma, Project Management and other performance improvement tools
- Experience with statistical flow diagram programs
- Leading group discussions with medical clinicians and administrators
Additional Details
Generally, 8-5 M-F work schedule, but hours fluctuate depending on need. This position is hybrid, with approximately half-time being in person on campus, and the other half remote during orientation.
Why apply to OHSU?
We are Oregon's only public academic health center. In addition to caring for patients, we lead groundbreaking research. We also train the next generation of health care professionals. As Portland's largest employer, we give you opportunities to learn and advance in a system of hospitals and clinics across Oregon and Southwest Washington. All are welcome. OHSU welcomes people of all ages, ethnicities, genders, national origins, religions and sexual orientations. We are striving to build an anti-racist, multicultural institution and encourage people with erse backgrounds to apply.

100% remote workatlantaga
Title: Medical Billing and Coding Analyst 1
Location: Atlanta, GA, USA
Work Type: Part Time,Remote
Job Description:
We are seeking a Billing and Coding Specialist to join our Medical Records and Billing team. This is a unique opportunity for an entrepreneurial, highly drive person with a well - rounded skill set whose responsibilities extend beyond those of traditional roles. The ideal person for this role will need a strong grasp of the medical billing and coding sector, be flexible and intuitive, as well as being a strategic thinker able to take on a variety of tasks.
Job Description
Key Responsibilities:
- Research Review:
a. Perform comprehensive review and research surrounding coding and billing records, industry standards, deep medical records review and analysis, and associated documents to identify inaccuracies, misrepresentations, or instances of potential fraud.
b. Evaluate and interpret CPT, ICD, HCPCS, and other relevant coding systems to pinpoint discrepancies or inaccuracies.
c. Understand and navigate EHR systems and billing software. Assist with internal or external audits regarding billing and documentation.
- Legal Expert Support:
a. Serve as an administrative and research support to senior level experts.
- Documentation & Reporting:
a. Document findings clearly and concisely, generating reports detailing discrepancies, overcharges, or potentially fraudulent activity.
b. Collaborate with legal and compliance teams, providing them with detailed evidence and data-backed insight for potential legal proceedings.
- Compliance & Best Practices:
a. Stay updated on the latest medical coding and billing regulations, ensuring all analyses align with current standards and best practices.
b. Advise medical and administrative teams on compliance requirements and potential areas of risk.
- Collaboration & Consultation:
a. Work closely with healthcare providers, insurance companies, healthcare industry, and legal entities to provide support in all related medical billing and coding matters, UCR rates, proper documentation, and methodology.
b. Serve as a consultant to payer sources and attorneys, offering guidance on best practices and potential areas of improvement.
- Continued Education:
a. Attend workshops, conferences, and training sessions to stay current on the latest trends and developments in the forensic medical billing and coding field.
b. Maintain relevant certifications and pursue additional qualifications as necessary.
Qualifications
Required Qualifications:
- 3 or more years of experience in medical billing and coding, with a focus on forensic analysis and insurance claims analysis.
- 3 or more years' experience with the End-To-End Revenue Cycle Management process
- 3 or more years' experience in medical record documentation review.
- Experience with complex claims analysis.
- 3 or more years' experience with healthcare compliance.
- 3 or more years' experience with provider and payer audits.
- Exceptional attention to detail and analytical skills.
- In-depth understanding of electronic health record functions and reporting capabilities.
- Experience with large data sets, metadata, and its analysis.
- In-depth understanding of healthcare billing processes, insurance claims, and industry standards.
- In-depth understanding of correct coding applications, compliance, and regulatory guidelines.
- Certification in Medical Coding, such as CPC (Certified Professional Coder) or CCS (Certified Coding Specialist), BCSC (Billing coding Specialist Certification), or CMRS (Certified Medical Reimbursement Specialist (CMRS).
Additional Information
Preferred Qualifications:
- History of expert testifying experience preferred but not required for this analyst level.
- Bachelor's degree in health science, Business Admin, Nursing or similar; OR
- Industry standard training and experience along with certifications and/or credentials equating to a bachelor's degree or higher.
- Familiarity with legal processes and protocols related to healthcare fraud.
- Strong written and verbal communication skills, with the ability to convey complex information clearly.
- Proficiency in using medical billing software and related technologies.
- Additional Medical Certification(s) such as FMC (Forensic Medical Coding), RHIA (Registered Health Information Administrator), CPMA (Certified Professional Medical Auditor), CHDA (Certified Health Data Analyst), Certified Professional Compliance Officer (CPCO), Certified Documentation Expert Inpatient (CDEI), Certified Documentation Integrity Practitioner (CDIP), Revenue Cycle Management Specialist (RCMS) preferred.
Physical and Mental Job Qualifications
- Travel as needed
Additional Information
Some of the Benefits We Have Include
J.S. Held understands all our employees are people and sometimes life needs flexibility. We work to always provide an environment that best supports and suits our team's needs.
- Our flexible work environment allows employees to work remotely, when needed
- 401k Match
A reasonable estimate of the salary range for this role is $40/hr - $45/hr. Any offered salary range is based on a wide array of factors including but not limited to skillset, experience, training, location, scope of role, management responsibility, etc.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.

hybrid remote worknew york cityny
Title: Facilitated Enroller
Location: New York United States
Salary Range:$45,000.00 To $47,000.00 Annually
Company Overview:
Health disparities among New Yorkers are large, persistent and increasing. Public Health Solutions (PHS) exists to change that trajectory and support vulnerable New York City families in achieving optimal health and building pathways to reach their potential. As the largest public health nonprofit serving New York City, we improve health outcomes and help communities thrive by providing services directly to vulnerable low-income families, supporting community-based organizations through our long-standing public-private partnerships, and bridging the gap between healthcare and community services. We focus on a wide range of public health issues including food and nutrition, health insurance, maternal and child health, sexual and reproductive health, tobacco control, and HIV/AIDS. To learn more about our work, please visit healthsolutions.org.
Program Description:
PHS’ Community Health and Nutrition Access Program helps New York residents obtain free or low-cost health insurance coverage, apply for the Supplemental Nutrition Assistance Program (SNAP, also known as Food Stamps), and through our WIC program, provides nutrition education sessions led by WIC nutritionists on healthy eating and physical activity, breastfeeding support, and eWIC cards to purchase nutritious foods. Our staff members are culturally and linguistically competent and identify with the communities they serve. They help clients navigate through what can be a complicated and confusing application process, step by step. Each year, we help over 22,000 people apply for or renew free or low-cost health insurance coverage, 14,000 people to apply for SNAP, and 35,000 eligible pregnant and nursing women and children up to five years of age to enroll in the New York State WIC (Women Infants and Children) Program.
Position Summary:
Under the general supervision of the Sr. ABD Program Manager and Director of Health Insurance Enrollment, Facilitated Enrollers (FEs) will work with clients at prioritized community-based sites serving the aged, blind, and disabled (ABD) populations. This role will encompass assisting clients with the application process for public health insurance and educate consumers about insurance options, benefits, length and terms of coverage and application process as well as about managed care, health plans, and primary/preventive care. FEs will provide guidance to consumers on required documentation and assist consumers with health insurance applications.
Duties and Responsibilities:
- Educate consumers on the ABD program and different medical assistance programs that
- may be available to them under HRA/LDSS office.
- Assist consumers in completing the medical assistance application/ re-certification
- application by collecting applicable documents needed and by entering appropriate data
- onto the electronic medical assistance application.
- Outreaching and Promoting the ABD program to NYC Community Based Organizations
- and agencies by canvassing and tabling throughout NYC.
- Assist with the appropriate health insurance enrollment applications for NYSOH for anyone
- 64 and under such as Child Health Plus, Qualified Health Plans (QHPs) and Essential
- Health Plan (EP).
- • Accurately complete and submit applications through NYSOH and Bluemark approved
- systems if Certified as In Person Assistor / Navigator.
- • Provide bilingual assistance to clients when needed.
- • Accurately complete and submit application for Aged, Blind and Disabled population
- thought State approved EDITS system
- • Attend all mandatory trainings related to the FE-ABD program.
- • Perform any other duties that are relevant in achieving the goals of PHS.
- • Assist Managers and Senior Staff on special projects, as needed
- • Travel throughout all 5 NYC boroughs is required.
- • Conduct weekly outreach in her/his respective area
- • Conduct home visits as required.
Qualifications:
- High school diploma/GED; Associates degree preferred
- Must be fluent in a second language (verbal & written): Spanish required.
- At least 2 years of experience working in a similar, client-based position (preferred).
- Proficient in Microsoft Office.
- Dedicated to helping improve the lives of disenfranchised and marginalized communities.
- Must be organized, detail oriented, and able to work independently.
- Excellent team player with the ability to work collaboratively both internally and externally and engage in consensus-based decision making.
- Experience working with Medicaid (preferred).
- Ability to lift and carry 20 lbs.
- Ability to travel within the 5 NYC boroughs
- Salary: $45,000.00- $47,000.00
Benefits:
- Hybrid Work Schedule.
- Generous Paid Time Off and Holidays.
- An attractive and comprehensive benefits package including Medical, Dental and Vision.
- Flexible Spending Accounts and Commuter Benefits.
- Company Paid Life Insurance and Disability Coverage.
- 403 (b) + employer matching and discretionary company contributions.
- College Savings Plan.
- Ongoing trainings and continuous opportunities for professional growth and development.
At PHS, we place immense value on ersity within our teams, understanding that varied backgrounds and experiences significantly enhance our community and propel us toward our goals. If you find you don’t have experience in all the areas listed above, we still encourage you to apply and share your background and experiences in your application. We are eager to discover how your unique perspective can bring positive transformations to our team and help advance our mission of creating healthier, more equitable communities. We look forward to learning more about you!
PHS is proud to be an equal opportunity employer and encourages applications from women, people of color, persons with disabilities, lesbian, gay, bisexual and transgender iniduals, and veterans.
Monday -Friday 9am-5pm
Title: Lead / Senior React Native Engineer
**Location:**New York, NY
Work Type: Hybrid
Category: Engineering
Job Description:
Pelago is the world’s leading virtual clinic for Substance Use Management. Our program provides guidance, support and treatment for members seeking to overcome their tobacco, alcohol and opioid use. From unhealthy habits to active substance use disorders, Pelago delivers a personalized solution based on inidual health, habits, genetics, and goals, providing care for members wherever they might be on the substance use spectrum.
Pelago's suite of virtual services ranges from education, to cognitive behavioral therapy (CBT) to comprehensive medication-assisted treatment (MAT). Pelago enables employers and health plans to deliver accessible, affordable, and effective treatment for substance misuse.
Pelago has scaled to helping hundreds of employers and health plans and has already helped more than 750,000 members manage their substance use better. We have recently closed our Series C and raised over $151m from leading global investors. If you are passionate about making an impact on the health of others, join us and make it happen!
Overview of the Role:
Help incubate, launch, and scale new AI-native products at Pelago
Join Pelago’s AI Squad as an early Frontend Engineer and help define the next generation of behavioral health products. In this role, you’ll ship end-to-end features across React Native and React/TypeScript, transforming prototypes into production-ready experiences. Your work will move fast—from hypothesis to research preview to live product—and will be grounded in clinical safety, accessibility, and measurable outcomes. You’ll bring engineering craft and a sharp UX eye within a team that values thoughtful design, clean architecture, and meaningful user impact, leveraging modern AI-enhanced development tools to move faster and build better. While most of our surfaces are React Native, some use-cases will require platform-specific code. You should be comfortable writing Swift and Kotlin and exposing that functionality to RN.
This is a hybrid role with a high-collaboration rhythm (4 days/week in our NYC office).
In this role you will…
- Build, ship, and maintain cross-platform applications in React Native (mobile) and React/TypeScript (web) from prototype to production
- Turn AI research into product: instrument experiments, validate hypotheses, and iterate quickly on research previews on the path to live product.
- Partner cross-functionally (Design, Product, Backend, Clinical) to deliver accessible, reliable interfaces that handle real-time data.
- Integrate & evolve APIs (REST/GraphQL), help shape contracts, and ensure graceful states (loading, error, empty) and resilient data flows.
- Use AI to raise velocity & quality (Copilot, Cursor) alongside strong tests, performance checks, and WCAG-minded reviews.
- Strengthen foundations: evolve the design system and improve CI, code review, and releases to increase confidence and speed.
The background we are looking for...
- 5+ years in React Native, 7+ years building production software
- Ability to lead React Native work from prototype to GA, setting approach, coordinating APIs, and driving releases and post-launch improvements independently.
- Strong grasp of component architecture, design patterns, and state management (e.g., React Query, Zustand, Redux).
- Comfortable integrating backends (REST/GraphQL), working with real-time/streaming data, and shaping API contracts.
- Experience building React Native bridges and writing native modules in Swift (iOS) and Kotlin (Android) when platform APIs or performance require it.
- Write clean, scalable, maintainable code with unit/integration tests and clear documentation.
- Sharp UX sensibility and attention to detail; commitment to accessibility (WCAG).
- Fluency with AI coding assistants (e.g., Copilot, Cursor) and the judgment to verify outputs.
What you’ll love about us…
We have a whole host of perks for our people! From life essentials to nice-to-haves, there are more than a few good reasons to love working with us. We strive to ensure Pelago employees have equitable access to healthcare, wellbeing, time away, and then some.
- Generous and meaningful equity package
- Full Medical, Dental, & Vision coverage
- 401k Plan
- Unlimited PTO Policy, 10 paid holidays, & quarterly company wide “Me Time” Days
- Paid parental leave
- Annual Learning and Development stipend to support continued learning and career development
- Wellness Reimbursement Program
- Access to Reproductive & Family Planning Care
- Substance Use Support for employees and family members
At this time, we are unable to offer visa sponsorship for this position.
Please note that Pelago is dedicated to providing accommodations to candidates upon request. If you need accommodations at any point throughout the interview process, please reach out to your recruiter.
The provided range reflects our US target salary range for this full-time position, which is part of our broader total compensation package, including incentive bonus program, stock options, comprehensive benefits, and incentive pay applicable to eligible roles. Inidual pay within the range will vary based on a variety of factors like role-related experience and education, internal pay equity, and other relevant business factors. At Pelago, we are committed to an equitable and fair pay philosophy and review total compensation for our employees at least twice a year.
Base Pay Range
$180,000 - $195,000 USD

100% remote workus national
Title: Clinical Data Analyst II - T
Location: Your Remote US Home Office
Type: Temporary
Workplace: remote
Category: Clinical Research
Job Description:
General Summary
Under minimal supervision of the Manager of Clinical Data Management or higher, the Clinical Data Analyst II T selects the appropriate data sources to develop reports and dashboards of clinical data. Working in collaboration with statisticians, data managers, clinical research staff, IT, and quality assurance staff, the Clinical Data Analyst II will provide clinical data analysis reports and tools that enhance operational processes.
Specific Duties and Responsibilities
Collaborate with the clinical team to clarify and finalize user requirement specifications for clinical data analysis tools and reports. Communicate with selected vendors and/or build reports and / or tools to meet clinical user requirements. *
Lead technical projects like the development of risk-based monitoring programs, complex reporting and cross-form query building outside EDC, integrations between EDC and other systems, and data warehouse projects. *
Contribute to the development and maintenance of the data warehouse used to manage libraries of clinical study data including image, source document, and data files.
Develop dashboards and reports to support the clinical team by choosing the right technique and software for each problem. *
Independently develop reports to execute trial-specific data review/cleaning plans
Perform complex programming such as data import/export and data transposition (Extract-Transform-Load (ETL) accurately. Use advanced procedures and options. *
Assist in the setting up of programming timelines and deliverables for projects as required.
Assist in addressing external application vendor issues, integrations, and implementations.
Provide support for implementation of upgrades and new modules of remotely hosted vendors, acquiring all necessary documentation. *
Partner with organizational stakeholders to create and implement data analytics best practices
Contribute to the building and testing of clinical study databases, by defining study requirements specifications such as data validation specifications and participating in User Acceptance Testing (UAT) as needed.
Participate in and contribute to project discussions. Communicates with team members on a regular basis.
Utilize reports and data collection technology to identify possible data errors and questionable data trends
Participate in audits as required.
Provide support to senior and manager-level clinical data analysts as needed.
Mentor and support less experienced clinical data analyst staff, peers, and other department staff. *
Proactively provide process improvement feedback to management and provide input in SOP and standards updates/development.
Maintain and continue to gain a broad overall knowledge in the field of clinical data analysis and clinical data management.
Responsible for attending training classes and professional meetings as required.
Create training materials for clinical users and developers
Document data sources and data mapping.
Create analytical data models and tools to help empower clinical teams
Follow data standards policies, procedures, practices, and regulations for clinical data analysis reports and tools throughout the process of collection and submission of clinical data.
Develops skills and shares them with others.
Provide technical support and training on reports and tools for clinical staff.
Adhere to the Company’s Quality Management System (QMS) as well as domestic and global quality system regulations, standards, and procedures. *
Understand relevant security, privacy, and compliance principles and adhere to the regulations, standards, and procedures that are applicable to the Company. *
Ensure other members of the department follow the QMS, regulations, standards, and procedures. *
Perform other work-related duties as assigned.
*Indicates an essential function of the role
Required Qualifications
Minimum education and experience
- Bachelor's degree in mathematics, computer science, economics, life sciences, or related field with 2+ years of experience, or equivalent combination of education and experience
Preferred qualifications
Master’s degree preferred with 1+ years of experience in data visualization, dashboarding or analytical report programming experience.
Solid hands-on knowledge of at least one programming language (e.g., Python, SAS, R, MATLAB, C Sharp, Visual Basic, SQL) required. Experience in the analysis of medical or scientific data is preferred.
Proficiency with Python or another equivalent programming language (SAS, R, SQL) with the willingness to learn python
Worked with visualization tools like Tableau, PowerBI, QlikSense, Spotfire
Experience eliciting and documenting specifications for reports, dashboards, or other tools
Experience performing programming verification
Relational database experience preferred.
An understanding of the software development lifecycle process is preferred.
Experience working for a sponsor on clinical trials
Experience using Veeva CTMS and reporting out of Veeva CTMS
Experience with ETL pipelines (Extract, Transform Load)
Experience performing UAT (User Acceptance Testing) for study builds in an EDC (Electronic Data Capture)
Experience with one of the following EDCs: Medidata, Medrio, InForm
- Preferably Medidata
Knowledge of core clinical data management applications (Clinical data management systems, electronic data capture, query tools, web browser, MS Office suite) a plus.
Able to take initiative on own project responsibilities
Excellent attention to detail and ability to multi-task taking into account established project priorities are essential
Demonstrated expertise in use of required technology
Medical device, pharmaceutical, biotech, or other regulated industry experience desired
Strong oral, written and interpersonal communications skills required
Proficiency with MS Word, Excel, and other standard office tools
Working Conditions
- General office environment.
- Willingness and ability to work on site.
- Potential exposure to blood-borne pathogens.
- Requires some lifting and moving of up to 15 pounds.
- Must be able to move between buildings and floors.
- Must be able to remain stationary and use a computer or other standard office equipment, such as a printer or copy machine, for an extensive period of time each day.
- Must be able to read, prepare emails, and produce documents and spreadsheets.
- Must be able to move within the office and access file cabinets or supplies, as needed.
- Must be able to communicate and exchange accurate information with employees at all levels on a daily basis.
Base Pay Range Per Hour: $38.00 - $55.00
Inidual compensation will vary based on factors such as qualifications, skill level, competencies, and work location.
What We Offer
•A collaborative teamwork environment where learning is constant, and performance is rewarded.
•The opportunity to be part of the team that is revolutionizing the treatment of some of the world's most devastating diseases.
•A generous benefits package for eligible employees that includes medical, dental, vision, life, AD&D, short and long-term disability insurance, 401(k) with employer match, paid parental leave, eleven paid company holidays per year, a minimum of fifteen days of accrued vacation per year, which increases with tenure, and paid sick time in compliance with applicable law(s).
Penumbra, Inc., headquartered in Alameda, California, is a global healthcare company focused on innovative therapies. Penumbra designs, develops, manufactures, and markets novel products and has a broad portfolio that addresses challenging medical conditions in markets with significant unmet need. Penumbra sells its products to hospitals and healthcare providers primarily through its direct sales organization in the United States, most of Europe, Canada, and Australia, and through distributors in select international markets. The Penumbra logo is a trademark of Penumbra, Inc.
Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, age, disability, military or veteran status, or any other characteristic protected by federal, state, or local laws.
If you reside in the State of California, please also refer to Penumbra's Privacy Notice for California Residents.
For additional information on Penumbra’s commitment to being an equal opportunity employer, please see Penumbra's AAP Policy Statement.

100% remote workus national
Title: Lead, Business Operations - CQM
Location: Remote, USA
Job Description:
Headway’s mission is a big one – to build a new mental health care system everyone can access. We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance.
1 in 4 people in the US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.
Headway was founded in 2019. Since then, we’ve grown into a erse, national network of over 60,000 mental healthcare providers across all 50 states who run their practice on our software and have served over 1 million patients. We’re a Series D company with over $325m in funding from a16z (Andreessen Horowitz), Accel, GV (formerly Google Ventures), Spark Capital, Thrive Capital, Forerunner Ventures and Health Care Service Corporation.
We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better.
About The Role
As Headway works to build a new mental healthcare system that everyone can access, we’re facing unique operational challenges and opportunities that come with growing and scaling at an unparalleled rate. We’re pushing the boundaries of the existing healthcare system so that we can fulfill our promise to providers, patients, and payers to create access to high quality providers across the nation. In order to do that, we’re building a world class operations team that enables efficiency, growth, and quality, and as a member of this team, you will have the opportunity to have a material impact on the trajectory of Headway and help define a function core to the livelihood of our business and the impact we deliver for our partners and clients.
As a Business Operations Lead, you will drive complex, cross-functional initiatives that advance pod-level objectives. You'll work independently to identify opportunities, address dependencies, and ensure alignment across stakeholders - turning ambiguous problems into structured analyses, scalable processes, and clear recommendations. You'll bring analytical rigor to root-cause investigations, design workflows and tooling that improve efficiency and reliability, and own initiatives end-to-end from scoping through delivery. This role requires strong problem-solving skills, a builder's mindset toward operational design, and the ability to coordinate across teams to drive measurable outcomes.
What you’ll do at Headway
- Drive complex, cross-functional initiatives that dvance pod-level objectives - identifying opportunities, addressing dependencies, and ensuring alignment across stakeholders.
- Build and operate scalable workflows and processes (0→1) that improve efficiency, reliability, and throughput across your domain.
- Leverage data tools to extract insights, validate assumptions, and inform decisions, synthesizing findings into clear recommendations that guide pod and organizational priorities.
- Plan, execute, and deliver initiatives end-to-end by setting clear objectives, timelines, and success metrics – driving accountability across functions without formal authority.
You’ll be great for this role if you:
- You have 5-7 years of experience in operational roles at high-growth companies; background in consulting, finance, or business operations preferred but not required.
- You independently deconstruct complex problems into structured, testable components - and you're comfortable working through ambiguity without waiting for full clarity.
- You're proficient with AI & data tools (e.g., Looker, Excel, SQL, dashboards) and use them fluently to extract insights, validate assumptions, and streamline workflows.
- You design systems with scale in mind - anticipating bottlenecks, iterating based on feedback, and codifying learnings into playbooks and standards.
- You coordinate resources and align priorities across teams, building trust through transparency, accountability, and clear communication.
- You take calculated risks and make decisions that advance pod objectives, anticipating downstream impacts before taking action.
- You're motivated by the opportunity to make an impact on one of our generation's defining problems: affordable mental healthcare.
Compensation and Benefits:
The expected base pay range for this position is $131,750 - $155,000 based on a variety of factors including qualifications, experience, and geographic location. In addition to base salary, this role may be eligible for an equity grant, depending on the position and level.
We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing inidual contributions and potential.
- Benefits offered include:
- Equity compensation
- Medical, Dental, and Vision coverage
- HSA / FSA
- 401K
- Work-from-Home Stipend
- Therapy Reimbursement
- 16-week parental leave for eligible employees
- Carrot Fertility annual reimbursement and membership
- 13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
- Flexible PTO
- Employee Assistance Program (EAP)
- Training and professional development
We believe a team's strength is in its people, and we cannot achieve this mission without a team that reflects the ersity of this problem – across race, ethnicity, gender, sexuality, age, national origin, religion, family status, disability, military status, and experience. Headway is committed to the full inclusion of all qualified iniduals. As part of this commitment, Headway will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or receive other benefits and privileges of employment, please inform the recruiter when they contact you to schedule your interview.

hybrid remote workkylexington
Title: Counsel-Ethics & Compliance
Location: Lexington, KY, US, 40509
Workplace: Permanent/Full Time
Department: Legal/Security
Job Description:
Work Location Type:
Why Valvoline Global Operations?
At Valvoline Global Operations, we’re proud to be The Original Motor Oil, but we’ve never rested on being first. Founded in 1866, we introduced the world’s first branded motor oil, staking our claim as a pioneer in the automotive and industrial solutions industry. Today, as an affiliate of Aramco, one of the world’s largest integrated energy and chemicals companies, we are driven by innovation and committed to creating sustainable solutions for a better future.With a global presence, we develop future-ready products and provide best-in-class services for our partners around the world. For us, originality isn’t just about where we began; it’s about where we’re headed and how we’ll lead the way. We are originality in motion.
Our corporate values—Care, Integrity, Passion, Unity, and Excellence—are at the heart of everything we do. These values define how we operate, how we treat one another, and how we engage with our partners, customers, and the communities we serve. At Valvoline Global, we are united in our commitment to:
• Treating everyone with care.
• Acting with unwavering integrity.• Striving for excellence in all endeavors.• Delivering on our commitments with passion.• Collaborating as one unified team.When you join Valvoline Global, you’ll become part of a culture that celebrates creativity, innovation, and excellence. Together, we’re shaping the future of automotive and industrial solutions.
The Ethics & Compliance Counsel serves as a legal advisor and strategic leader responsible for the design, execution, and continuous improvement of Valvoline Global Operations’ global ethics and compliance program. This role ensures alignment with applicable laws, regulatory requirements, and organizational values while enabling business objectives across erse international markets.
Operating with a high degree of independence, the role oversees global compliance governance, internal compliance investigations, and risk mitigation strategies spanning ethics, anti-bribery and anti-corruption (ABAC), global trade compliance, environmental, social & governance (ESG) compliance, and product regulatory compliance. This includes oversight of chemical regulations, product safety, transportation and hazardous materials compliance, and product stewardship requirements across all VGO entities globally, as well as ensuring appropriate ethics and compliance standards are established, monitored, and upheld within VGO joint ventures. The position plays a critical role in fostering a culture of integrity, managing legal and reputational risk, and providing transparent reporting and insights to executive leadership, shareholders, and the Board Audit Committee.
How You Will Make An Impact
Global Ethics & Compliance Program Leadership
- Lead and evolve VGO’s global ethics and compliance program, ensuring a risk-based, scalable framework aligned with regulatory requirements, industry standards, and company values across all wholly owned entities and joint ventures.
- Oversee key compliance program elements, including Code of Conduct, policy governance, ABAC, global trade compliance, ESG-related compliance, product regulatory compliance, and third-party risk management.
- Design and implement global compliance risk assessments, monitoring, and reporting processes to evaluate program effectiveness and drive continuous improvement.
- Stay abreast of evolving regulatory, enforcement, and ESG reporting landscapes and proactively advise business leaders on emerging risks and required actions.
Investigations & Reporting Programs Oversight
- Direct the global compliance investigations function, including ethics hotline operations, case management systems, and anti-retaliation processes, ensuring accessibility, confidentiality, and appropriate escalation.
- Independently assess allegations of misconduct to determine potential violations of law, regulation, or company policy.
- Plan, scope, and lead complex, high-risk, and confidential internal investigations from inception through resolution.
- Review and provide guidance on investigation work conducted by investigators or regional resources to ensure consistency and quality.
- Ensure timely and appropriate documentation, reporting, and closure of investigations, including tracking remediation actions through completion.
Governance, Reporting & Board Engagement
- Prepare and deliver comprehensive compliance reporting and analytics to the Valvoline Leadership Team (VLT), shareholders, and the Board Audit Committee, including trends, key risks, and investigation outcomes across global operations and joint ventures, as applicable.
- Support Board Audit Committee (BAC) activities through preparation of compliance updates, investigation summaries, ESG-related reporting insights, and forward-looking risk perspectives.
- Provide guidance to compliance governance forums and leadership on risk posture, mitigation strategies, and program effectiveness.
Policy, Training & Culture
- Lead the drafting, review, and ongoing enhancement of global ethics and compliance policies, including those related to ESG reporting, environmental compliance, product stewardship, and regulatory obligations governing chemical safety and transportation.
- Oversee the development, implementation, and maintenance of compliance procedures and workflows to operationalize policies effectively.
- Lead the design and deployment of global compliance training and communications to promote awareness of legal requirements, ethical expectations, and regulatory obligations across product lifecycle and environmental impacts.
- Advance a strong speak-up culture and reinforce non-retaliation principles across all regions and business functions.
- Lead the annual Conflict of Interest (COI) disclosure process, including certification, review, risk mitigation, and reporting.
Cross-Functional & Global Partnership
- Partner cross-functionally with global HR, Finance, Security, Product, Supply Chain, ESG, and Internal Audit teams to proactively identify legal, compliance, and governance risks and implement practical, defensible solutions.
- Coordinate with regional legal teams and manage external counsel to deliver consistent, pragmatic guidance on employment, ethics, ABAC, export controls, environmental compliance, and product regulatory matters.
- Support compliance aspects of internal audits, Aramco compliance audits, ESG reporting reviews, and other regulatory assessments, including tracking, remediation, and reporting of findings across wholly owned entities and joint ventures.
- Advise on cross-border transactions, product distribution, third-party relationships, and market expansion activities to proactively identify and mitigate compliance risks.
Third-Party Risk Management & Regulatory Compliance
- Support and mature VGO’s third-party risk management program, including onboarding, implementation, and optimization of third-party due diligence platforms and processes.
- Oversee risk-based due diligence and monitoring of third parties, with a focus on ABAC, export controls, sanctions, ESG considerations, and product compliance risks.
- Establish and enhance governance, escalation, and mitigation frameworks related to third-party compliance risks across global operations and joint ventures.
Product Regulatory & ESG Compliance
- Provide legal oversight and guidance on global product regulatory compliance, including chemical regulations, product safety requirements, and product stewardship obligations.
- Support compliance with environmental and ESG-related regulations and reporting frameworks, including environmental disclosures, sustainability reporting, and related governance expectations.
- Advise on compliance with global chemical regulatory frameworks (e.g., Globally Harmonized System of Classification and Labeling of Chemicals (GHS)) and applicable regional requirements.
- Provide guidance on transportation and hazardous materials regulations, including Department of Transportation (DOT) requirements related to shipping, handling, and distribution of regulated materials.
- Partner with Product, Supply Chain, and ESG teams to ensure compliant product lifecycle management, including labeling, safety data sheets, storage, transportation, and disposal requirements.
- Monitor regulatory developments related to environmental, health, safety, and product compliance, and translate requirements into actionable business guidance.
Risk Mitigation & Continuous Improvement
- Monitor investigation trends, case data, compliance metrics, and ESG-related risks to identify systemic issues and implement preventative legal, policy, and training solutions.
- Lead or support enterprise compliance initiatives, including ESG integration, regulatory readiness, risk assessments, and audits.
- Ensure effective follow-up on corrective and disciplinary actions to confirm timely and appropriate implementation.
What You’ll Need
- Juris Doctor (JD) from an accredited law school and active license to practice law.
- Significant experience (typically 5–8 years) in ethics & compliance, internal investigations, regulatory law, ESG compliance, or related legal roles within a global organization.
- Demonstrated expertise in compliance program management, including ABAC, global trade, ESG compliance, and product regulatory frameworks (e.g., chemical regulations, product safety, transportation compliance).
- Strong knowledge of environmental and product-related regulatory regimes, including GHS, DOT hazardous materials regulations, and global product stewardship standards.
- Proven ability to lead complex, sensitive internal investigations and provide clear, risk-based recommendations.
- Experience interacting with executive leadership and Board-level stakeholders, including preparation of formal reports and presentations.
- Experience managing outside counsel and working across multiple jurisdictions.
- Exceptional analytical, judgment, and problem-solving skills with the ability to operate independently in high-stakes situations.
- Excellent written and verbal communication skills, including the ability to convey complex legal and regulatory concepts to non-legal audiences.
- High level of integrity, discretion, and professional ethics.
- Primarily office-based or hybrid work environment with extended periods of sitting and computer use.
- Ability to manage multiple priorities and deadlines in a fast-paced, global environment.
- Occasional travel (approximately 10–20%) to support global investigations, training, audits, and business engagement.
- May require availability outside standard business hours to support global operations and urgent compliance matters.
Benefits That Drive Themselves
- Health insurance plans (medical, dental, vision)
- Health Savings Account (with employer-base deposit and match)
- Flexible spending accounts
- Competitive 401(k) with generous employer base deposit and match
- Incentive opportunity
- Life insurance
- Short- and long-term disability insurance
- Paid vacation and holidays
- Employee Assistance Program
- Employee discounts
- PTO Buy/Sell Options
- Tuition reimbursemen
- Adoption assistanceTerms and conditions apply, and benefits may differ depending on position or tenure.
Valvoline Global is an equal opportunity employer. We are dedicated to fostering an environment where every inidual feels valued, respected, and empowered to contribute their unique perspectives and skills. We strictly prohibit discrimination and harassment of any kind, regardless of race, color, religion, age, sex, national origin, disability, genetics, veteran status, sexual orientation, gender identity, or any other legally protected characteristic.
We are committed to ensuring accessibility throughout our recruitment process. If you require a reasonable accommodation to participate in any stage of the recruitment or selection process, please contact us at:.
This contact information is solely for accommodation requests. For inquiries about application status, please use the appropriate channels listed in your application materials.
Are You Ready to Make an Impact?
At Valvoline Global, we’re looking for passionate and talented iniduals to join our journey of innovation and excellence. Are you ready to shape the future with us? Apply today.
Requisition ID: 2247

cahybrid remote worknew york citynysan francisco
Title: Senior UX Researcher
Location: New York, NY ; San Francisco, CA ; or Seattle, WA
Job Description:
About Us:
Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.
About Us:
Grow Therapy is on a mission to serve as the trusted partner for therapists growing their practice, and patients accessing high-quality care. Powered by technology, we are a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Following the mass increase in depression and anxiety, the need for accessibility is more important than ever. To make our vision for mental healthcare a reality, we’re building a team of entrepreneurs and mission-driven go-getters. Since launching in February 2021, we’ve empowered more than ten thousand therapists and hundreds of thousands of clients across the country and insurance landscape. We’ve raised more than $178mm of funding from Sequoia Capital, Transformation Capital, TCV, SignalFire, and others.
About the Role
At Grow, we are building products that support people’s mental health and overall wellbeing. We believe meaningful research is critical to creating experiences that are not only usable, but genuinely helpful and human-centered.
We’re looking for a mid-level User Experience Researcher who is comfortable working across qualitative and quantitative methods and thrives in ambiguous, fast-moving environments. You’ll partner closely with Product, Design, and Business teams to uncover insights that shape strategy, inform design, and improve user outcomes.
This role is ideal for someone who is passionate about understanding people, curious about the intersection of technology and mental health, and motivated to advocate for users in impactful ways.
What You’ll Do
Design and execute end-to-end research using a mix of methods (e.g., interviews, usability testing, surveys, focus groups, field studies)
Develop and prioritize research plans in partnership with product and business teams
Conduct studies that uncover both user behaviors and attitudes
Synthesize findings into clear, actionable insights that inform product strategy and design decisions
Communicate research outcomes through compelling storytelling, presentations, and deliverables
Collaborate cross-functionally with Product, Design, Content, Engineering, and Marketing to guide decision-making
Advocate for users by bringing their needs and perspectives into product development
Navigate ambiguity and manage multiple projects in a fast-paced environment
Promote inclusive, ethical research practices, especially within the mental health space
What We’re Looking For
5–8+ years of experience in UX research, product research, or a related field
Mixed method researcher with strong experience in qualitative and quantitative research methods
Proven track record of conducting research that has influenced product, design, or growth decisions
Ability to move between evaluative (tactical) and generative (strategic) research
Experience working cross-functionally in product-driven environments
Strong communication and storytelling skills to influence erse stakeholders
You’ll Be a Great Fit If You
Thrive in collaborative, high-growth environments and enjoy helping teams make better decisions
Are deeply curious and care about people and their experiences, and motivated to solve complex user problems, especially in mental health, healthcare, or multi-sided platforms
Are comfortable navigating ambiguity and shaping direction in fast-changing environments
Balance research rigor with pragmatism to drive efficient, impactful outcomes
Bring a strong point of view while remaining adaptable and grounded in evidence
Are motivated by impact and want your work to make a meaningful difference
Why Grow
Work on products that directly impact mental health and wellbeing
Collaborate with a team that values erse perspectives and inclusive research
Help shape how research drives decisions in a growing organization
Contribute to building more human, ethical, and supportive technology
Employment Type: Full Time
Base Compensation: The base compensation range for this position is $182,000–$227,000 USDThis is a hybrid role with the expectation to work onsite from our NYC, San Francisco, or Seattle hub location three days per week (Tuesday, Wednesday, and Thursday) and travel 2–3 times per year (e.g., company and department offsites).The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate’s working location.
Full Time Employee Benefits:
Comprehensive Health Coverage: Medical, dental, and vision insurance, plus life and disability coverage.
Parental Leave & Family Support: Up to 18 weeks paid leave and a new child stipend.
Financial Wellness: 401(k) program and equity opportunities.
Meals & Home Office Support: Stipends for home office setup and ongoing funds for meals, with tailored perks for both remote and in-office employees.
Time Off to Recharge: Flexible PTO, 12 paid holidays, and a full winter break week.
Wellness & Development: Annual stipends to put towards personal & professional growth.
Mental & Physical Health Support: No-cost access to therapy through the Grow platform, weekly flexible hours for self-care (“Mental Health Mornings/Afternoons”) and memberships to leading wellness apps (such as One Medical, Headspace, and Talkspace).
Extra Perks: Pet insurance discounts, commuter benefits, and global travel assistance.
Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value erse experiences, transferable skills, and the unique strengths each person brings.
Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.
Use of AI Tools: By submitting your application, you acknowledge and consent to the use of automated tools as part of our recruitment process. Specifically, we use a third-party AI tool, Gem, to assist in the initial screening of resumes. This tool analyzes resumes based on role-specific criteria provided by our recruiters to identify potentially strong matches for the role. Importantly, no hiring decisions are made by the AI tool. _All decisions about which candidates move forward are made by our human recruiting team after independent review._More information about Gem’s approach to compliance with California FEHA regulations on automated decision systems and New York Local Law 144 can be found on the Gem compliance website.We are committed to transparency and fairness in our hiring practices. If you have questions about how our AI tools work, or would like more information about how your application will be processed, please contact us at [email protected]. If you require an accommodation due to a disability, or have concerns about the use of AI in the hiring process, please also contact us. We are happy to provide assistance or offer an alternative method of participating in the recruitment process.

100% remote workus national
Title: Capacity Planning Analyst
Location: Remote
Job Description:
Remote
Headway’s mission is a big one – to build a new mental health care system everyone can access. We’ve built technology that helps people find great therapists with the first software-enabled national network of providers accepting insurance.
1 in 4 people in the US have a treatable mental health condition, but the majority of providers don’t accept insurance, making therapy too expensive for most people. Headway is building a new mental healthcare system that everyone can access by making it easy for therapists to accept insurance and scale their practice.
Headway was founded in 2019. Since then, we’ve grown into a erse, national network of over 60,000 mental healthcare providers across all 50 states who run their practice on our software and have served over 1 million patients. We’re a Series D company with over $325m in funding from a16z (Andreessen Horowitz), Accel, GV (formerly Google Ventures), Spark Capital, Thrive Capital, Forerunner Ventures and Health Care Service Corporation.
We want your time here to be the most meaningful experience of your career. Join us, and help change mental healthcare for the better.
About the Team & Role
- Headway is building the infrastructure for mental healthcare to work for everyone. Our CX Workforce Management (WFM) team is the staffing engine of that operation—connecting patients, providers, and payers through a contact center that is rapidly expanding in scope and headcount.
- We are looking for a highly technical Capacity Planning Lead to own the demand-and-supply modeling that drives our hiring plans, headcount strategy, and budgetary decisions with leadership.
You Will
- Architect the Capacity Engine: Build and maintain a comprehensive capacity model. You will mathematically map volume mix, omnichannel routing (Chat/Email/Voice), offshore capture rates, customer escalations, the rate of cross-functional (XFN) holds, and more.
- Model Agent Productivity: Transform raw agent-level workforce data into actionable intelligence. Compute ticket lifecycle metrics, validate handle time distributions and the number of interactions required to resolve an issue. Build logic to detect outlier behaviors (e.g., cherry-picking, complexity-driven variance) and support operational leaders as a data insights lighthouse using AI tools.
- Own the Financial Translation: Bridge the gap between Operations and Finance. Translate Erlang C FTE requirements into a fully loaded staffing plan, actively participating in monthly Budget reconciliation meetings to explain volume and handle-time variances in dollar terms.
- Drive BPO Capacity Locks: Generate and enforce the 30-60-90 day headcount lock plans for our offshore vendor partners, holding them accountable to forecasted hiring and shrinkage targets.
- Own the Staffing Plan: Compute, align, and project operational rates down to the customer’s issue-type level and market segment. Apply seasonality adjustments and project demand across monthly, quarterly, and multi-year horizons.
- Translate Messy Reality into Clean Data: Map raw ticket data through complex carrier → payer → agent specializations, handling the structural messiness of real-world insurance routing and triage misclassifications. Highly organized and with attention to details.
You’d be a great fit if…
- WFM & Queue Physics: You possess a deep understanding of capacity planning fundamentals. You know exactly how Volume, AHT, and other KPIs – like Reopen Rate – translates to required agent-minutes, and how shrinkage, attrition, occupancy, and SLA targets layer on top.
- Cross-Functional Influence: You don’t just forecast the weather; you help build the roof. You have a track record of taking capacity insights (e.g., "This specific billing intent is breaking our Chat concurrency") and partnering with Product and Engineering to drive automated deflection.
- Data-Backed Storytelling: You communicate with CX leadership and Finance using clear, opinionated, data-backed narratives–avoiding overly technical language.
- AI-Augmented Execution: You have experience leveraging LLMs and AI-assisted tooling to accelerate exploratory data analysis, and iterate on models. Crucially, you possess the analytical rigor to know when to trust the AI's output and when to verify it.
Advanced SQL Fluency: You are highly comfortable in Snowflake (or similar SQL dialects), writing complex queries utilizing CTEs, window functions, and UNION ALL orchestration. You think in DAGs and data pipelines, not just spreadsheets.
Compensation and Benefits:
The expected base pay range for this position is $124,100 - $146,000, based on a variety of factors including qualifications, experience, and geographic location. In addition to base salary, this role may be eligible for an equity grant, depending on the position and level.
We are committed to offering a comprehensive and competitive total rewards package, including robust health and wellness benefits, retirement savings, and meaningful ownership opportunities through equity. Compensation decisions are made holistically, ensuring fairness and alignment with market benchmarks while recognizing inidual contributions and potential.
- Benefits offered include:
- Equity compensation
- Medical, Dental, and Vision coverage
- HSA / FSA
- 401K
- Work-from-Home Stipend
- Therapy Reimbursement
- 16-week parental leave for eligible employees
- Carrot Fertility annual reimbursement and membership
- 13 paid holidays each year as well as a Holiday Break during the week between December 25th and December 31st
- Flexible PTO
- Employee Assistance Program (EAP)
- Training and professional development
We believe a team's strength is in its people, and we cannot achieve this mission without a team that reflects the ersity of this problem – across race, ethnicity, gender, sexuality, age, national origin, religion, family status, disability, military status, and experience. Headway is committed to the full inclusion of all qualified iniduals. As part of this commitment, Headway will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or receive other benefits and privileges of employment, please inform the recruiter when they contact you to schedule your interview.
Headway participates in E-Verify. To learn more, click here.
A notice to Headway applicants: To protect yourself against phishing and recruitment fraud, please note that Headway only accepts applications through our official careers page at https://headway.co/careers. Headway will never refer you to external websites, ask for payment or personal information, or conduct interviews via messaging apps. All official communication will come from a @findheadway.com email address. If you are contacted by someone claiming to be from Headway via an unofficial channel, please do not share any information and report it as spam.

100% remote workus national
Title: Coordinator, Licensing & Credentialing
Location: Remote - USA
Job Description:
Part time
job requisition id
R-5908
Job Title: Coordinator, Licensing & Credentialing
Location: Remote
Employment Type: Temporary, open-ended position, part-time up to 40 hours a week - some weekends and evenings needed
Hourly Rate: $20.00 - $27.00/hour, based on experience on a W2
Description
We’re looking for a detail-oriented Credentialing Specialist to support provider
onboarding and compliance across a multi-state telehealth environment. This role is critical to ensuring our clinicians are fully vetted, credentialed, and ready to safely deliver care.
Key Responsibilities:
Manage end-to-end credentialing for providers from intake through approval
Build and maintain provider profiles in Modio
Track workflows and progress in JIRA
Perform primary source verification (licenses, education, board certs, DEA, etc.)
Run sanction screenings (OIG, SAM, NPDB) and complete compliance checks
Partner cross-functionally to move providers from Credentialing Approved → Clear to Practice (CTP)
Communicate with providers to ensure timely application completion
Assist with the onboarding process for new clinicians
Manage the end-to-end medical licensing process.
Assist with the onboarding process for new clinicians
Ensure timely acquisition and renewal of licenses for all SteadyMD physicians and nurses.
Maintain compliance with state and federal licensing regulations.
Act as the primary liaison with medical boards and regulatory agencies.
Update internal teams on changes in licensing laws and requirements.
Preferred Requirements
- 2+ years of credentialing and/or licensing experience preferred (telehealth or multi-state preferred)
- Strong understanding of primary source verification & compliance requirements
- Experience with credentialing platforms (Modio preferred)
- Highly organized with strong attention to detail
- Comfortable managing multiple providers and deadlines
- Excellent organizational and communication skills.
- Ability to work collaboratively with cross-functional teams.
- Working knowledge of current IMLC, FSMB, and reciprocity states
- Experience managing licensing for physicians, and nurses across all 51 states.
EEO/AAP Statement: DocGo is an equal opportunity employer. We acknowledge and honor the fundamental value and dignity of all iniduals. We pledge ourselves to crafting and maintaining an environment that respects erse traditions, heritages, and experiences. DocGo is an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an inidual with a disability, or other applicable legally protected characteristics.
The above-noted job description is not intended to describe, in detail, the multitude of tasks that may be assigned but rather to give the applicant a general sense of the responsibilities and expectations of this position. As the nature of business demands change so, too, may the essential functions of the position.

100% remote workus national
Title: Lead Marketing Analyst
Location: Remote
time type
Full time
job requisition id
R4039047
Job Description Summary
This role supports the Advanced Visualization Solutions (AVS) business at GE HealthCare (GEHC) with responsibilities across marketing performance analytics and market intelligence. The position partners with AVS Global Marketing team to plan, measure, benchmark, and report the business impact of marketing programs. This inidual will design, build, and maintain the AVS marketing analytics and reporting ecosystem, turning complex data into clear, actionable insights that inform strategy,
investment decisions, and growth priorities.This inidual is a trusted analytics partner to the AVS business, with a well-established reporting rhythm for marketing performance and a meaningful contribution to quarterly market sizing and forecasting. They have improved the consistency and quality of dashboards, reporting, and underlying data processes; strengthened KPI visibility and benchmarking; and helped stakeholders make more informed decisions through clear, actionable insights. They are known for operating effectively across a complex global organization, managing priorities with discipline, and delivering high-quality work that advances business planning and marketing effectiveness.
GE HealthCare is a leading global medical technology and digital solutions innovator. Our mission is to improve lives in the moments that matter. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world.
Job Description
Roles and Responsibilities
- Contribute to marketing excellence through analytics, insights, and reporting.
- Partnering across AVS to plan, measure, benchmark, and report the business impact of marketing programs.
- Lead AVS marketing program analytics, including tracking standard KPIs and performance metrics.
- Standardize data sources, tools, processes, and taxonomy to improve reporting quality, consistency, and usability.
- Collaborate effectively across a complex global organization, working with Global and Regional Marketing, Marketing Communications, Competitive Intelligence, IT, and FP&A teams as needed.
- Lead to the GE HealthCare self-service reporting ecosystem by developing clear, actionable Power BI dashboards and reports.
- Apply analytical judgment to prioritize information, generate insights, and support day-to-day problem solving while focusing on strong attention to timelines, accuracy, and quality of deliverables.
- When needed, support AVS Central Marketing with quarterly market forecast which may include data validation and updates to create market trends summary.
Required Qualifications
- Bachelor’s degree from an accredited university or college in data science, computer science, business degree with focus on management information systems, statistics, or a related quantitative field with at least 4 years of relevant experience.
- Experience in working with multiple workspaces, datasets, and data automation workflows.
- Strong foundation in data management, with knowledge of data mining principles and practices.
- Proficiency in PowerBI and PowerApps
- Advanced Excel skills, including macros, VLOOKUP, INDEX, MATCH, and other analytical functions.
- Demonstrated ability to operate with urgency in a fast-paced environment.
- Proven ability to collaborate with global stakeholders across multiple functions.
- Strong project management capabilities, with the ability to plan, track, and deliver high-quality work on time.
Desired Characteristics
- Experience in medical device or highly regulated industry.
- Experience applying UX/UI design principles to analytics, dashboard design, and end-user reporting experience.
- SQL experience.
- Experience linking external market dynamics to market sizing and forecasting outputs.
- Demonstrated problem-solving skills with the ability to analyze issues, document approaches, and execute defined workstreams.
Note:
To comply with US immigration and other legal requirements, it is necessary to specify the minimum number of years' experience required for any role based within the USA. For roles outside of the USA, to ensure compliance with applicable legislation, the JDs should focus on the substantive level of experience required for the role and a minimum number of years should NOT be used.
We will not sponsor iniduals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $89,600.00-$134,400.00 Annual. It is not typical for an inidual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.
Additional Information
GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.

100% remote workpaphiladelphia
Title: Employee Relations Sr Specialist
Location: Philadelphia, PA, US, 19103
Department: Corporate + Field Support
Job Description:
Job Description
The Sr. ER Manager - Remote is a member of the HR Shared Services Employee Relations team. The position is responsible for managing the response process to Agency charges of discrimination, managing the reduction in force processes, and directly handling highly complex or sensitive employee relations matters. The position is also involved in other employee relations matters as needed. This position reports to the Sr ER Manager, Team Lead.
Location: Remote
Job Responsibilities
- Manage response process to Agency charges of discrimination. Make timely initial recommendation to Employment Legal on path forward based on evaluation of charge considering strength of company position and potential risks. Conduct further charge investigation and gather related documentation to determine facts, timeline, and company reason(s) for alleged discriminatory action. Draft Position Statement with attachments, review draft with Employment Legal and submit final response to Agency by charge due date.
- Coordinate with Employment Legal on any follow up requests from Agency once charge response is submitted or in preparation for mediation. Represent Company in mediation based on State laws regarding permitted legal representation.
- Assist Employment Legal in responding to attorney demand letters representing current or former employees. Gather information and documents. Conduct investigation as needed.
- Manage the reduction in force processes including but not limited to; determine inidual or group reduction in force, applicability of WARN (federal/state/local) and Aramark Severance Policy, decisional units, selection decisions, and other related information. Prepare WARN templates and severance packages in collaboration with field HR Business Partner, process involuntary terminations, severance pay, and start of Outplacement Services as appropriate.
- Serve as client administrator and super user of Transition Manager software. Ensure software accuracy, modify software configurations, or engage software vendor as needed. Maintain user system documentation including job aides and enable or revoke user system access. Resolve software issues as needed following established problem resolution processes.
- Conduct employee relations related investigations and advise field HR Business Partners on recommended path forward.
- Implement service levels agreements and process improvements in areas of responsibility. Identify HR Shared Services related process improvement opportunities, including those affecting employee relations policies. Create, modify, and maintain documentation, job aides, knowledge articles, and Employee Relations Sharepoint site on Company intranet.
- Maintains documentation in company case management system involving reductions in force, discrimination charges, investigations, and other related employee relations matters.
- Participate in special projects including HR Shared Services strategic planning and team professional development. Perform other duties as assigned.
Qualifications
- A bachelor’s degree in HR or a related field or equivalent related experience is required.
- 8+ years of experience as an HR Generalist and/or Employee Relations Specialist including the equivalent of 4 years’ experience dealing with complex employee relations matters required
- HR Certification is preferred.
- Experience working in a multi-State environment.
- Extensive knowledge of applicable state and federal employment and labor laws and governmental compliance requirements.
- Demonstrated experience with one-on-one coaching and group conflict resolution, effective negotiation skills, and conducting internal investigations.
- Demonstrated ability to communicate effectively, both verbally and in writing, with iniduals at all levels within and outside the organization. Demonstrated proficiency in preparing written documents such as policies or position statements.
- Ability to manage a wide variety of confidential or sensitive information daily; attentiveness to detail.
- Ability to manage stressful situations with grace and diplomacy, remain neutral in employee relations matters, work with multiple deadlines or changing priorities.
- Ability to analyze data and/or deal with ambiguity to provide management with constructive recommendations.
- Proven leadership and experience managing effective relationships, working collaboratively with others, and influencing outcomes.
- Proficient in Microsoft Office; experience with case management technology preferred.
About Aramark
Our Mission
Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet.
At Aramark, we believe that every employee should enjoy equal employment opportunity and be free to participate in all aspects of the company. We do not discriminate on the basis of race, color, religion, national origin, age, sex, gender, pregnancy, disability, sexual orientation, gender identity, genetic information, military status, protected veteran status or other characteristics protected by applicable law.
About Aramark
The people of Aramark proudly serve millions of guests every day through food and facilities in 15 countries around the world. Rooted in service and united by our purpose, we strive to do great things for each other, our partners, our communities, and our planet. We believe a career should develop your talents, fuel your passions, and empower your professional growth. So, no matter what you're pursuing - a new challenge, a sense of belonging, or just a great place to work - our focus is helping you reach your full potential. Learn more about working here at http://www.aramarkcareers.com or connect with us on Facebook, Instagram and Twitter.

100% remote workus national
Title: Case Manager - RN
Location: St Charles Ontario CA
Department: 0.25
Job Description:
About Us
Hines is a nationwide, independent leader in personalized managed health care, focused on what’s important to you—comprehensive services with the program excellence and cost containment that you demand. Hines & Associates, Inc.’s reputation as an industry leader is founded on over three decades of innovative and professional health care excellence. Serving all aspects of the industry, Hines is committed to conserving health care dollars while ensuring quality care through effective programs and personalized service.
We are growing and are looking for nurses who are ready to leave hands on nursing and expand their careers! Come work in a supportive, safe and friendly environment that provides opportunities for growth!
We are looking for remote workers based out of Arizona, Nevada, Idaho and Utah.
Overview:
Our Case Manager role allows you to utilize your clinical nursing experience to develop a plan for meeting health care needs of the patient, while continuing to professionally grow in health care knowledge and perspective. Be the patient advocate you desire to be!
Specialty Case Manager positions also available!
- Oncology: Minimum of 2 years acute oncology preferred but not required.
- Chronic Condition: Minimum of 2 years of disease management preferred but not required.
- Behavioral Health: Minimum of 2 years in a full-time acute inpatient setting or specialty area (i.e., emergency department, inpatient BH (including float), or treatment program)
This position is full-time, Monday - Friday, no weekends or nights! This is an in-office position until successful completion of the orientation period and then there is an option for a hybrid option of two days working from home and three days in the office.
- A regular full-time schedule.
- Hybrid home/office opportunity after successful completion of orientation period.
- No weekends, nights or holidays!
- Competitive Benefit Package, Includes Long Term Care
- 401K with company match
- Generous time off policy
Hines is a 37 year company recognized in the industry for high standards and quality work
PM21
Qualifications:
- Hines and Associates only hires licensed/certified medical professionals with an unrestricted license/certification in the state or in a state that has licensure reciprocation with the state of the office location the employee is working in. Must be an RN.
- Successful completion of case management orientation program
- Minimum of 2 years full time acute impatient setting or specialty area (i.e. ICU, ER, Oncology, NICU, Acute Rehab)
- Excellent communication skills
- Basic typing/computer knowledge with minimum keyboarding speed of 35WPM; 6) Previous case management experience helpful but not required.
- Previous case management or insurance industry experience helpful but not required.
Physical Requirements:
- No significant physical exertion required.
- rare travel to do onsite evaluations for patients as required at homes, hospitals, etc.
*Hines welcomes ersity and as an equal opportunity employer all qualified applicants will be considered regardless of race, religion, color, national origin, sex, age, sexual orientation, gender identity, disability or protected veteran status.*
Compensation details: 60000-66000 Yearly Salary
Title: Patient Service Representative- GI Call Center (Hybrid)
Location:
Beth Israel Deaconess Medical Center
time type
Full time
job requisition id
JR92589
When you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.
Directs patient access to the practice by answering, screening and processing a high volume of incoming calls and/or emails in a dedicated call center/workgroup.
Job Description:
Essential Responsibilities:
- Answers, screens and processes a high volume of calls in a professional manner. Utilizes and adheres to the phone scripts and guidelines for triaging calls. Asks appropriate questions and uses independent judgment within scope of knowledge and authority to determine the type of appointment, appropriate provider and urgency needed.
- Utilizes centralized scheduling system and software applications to schedule appointments. Verifies and updates patients' demographic information and transfers to registration for update as needed. Obtains necessary referrals for scheduled visit and documents in system. Document appropriate payer information, including worker's compensation and auto liability.
- Informs patient of necessary preparation for scheduled visit, including providing documents, films and notes from other providers, required preparation and protocol for diagnostic tests and procedures.
- Coordinates and interprets multiple data sets required for efficient scheduling of office visits, diagnostic tests and procedures. Coordinates availability of professional services for maximum cost effective utilization of staff, space, equipment and optimal timing for patients and providers. Addresses scheduling problems and concerns with manager to resolve issues.
- Records and forwards accurate messages to providers and staff. Triages calls for urgent information or services to appropriate staff. Responds to requests for information or assistance within scope of knowledge and authority. Resolves and responds to provider email requests in an efficient and professional manner.
Required Qualifications:
- High School diploma or GED required. Associate's degree preferred.
- 1-3 years related work experience required.
- Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Preferred Qualifications:
- Call Center and/or telephone customer service experience
- Strong typing skills 40+wpm. Knowledge of medical terminology
- Bilingual written and verbal communication skills
Competencies:
- Decision Making: Ability to make decisions that are guided by general instructions and practices requiring some interpretation. May make recommendations for solving problems of moderate complexity and importance.
- Problem Solving: Ability to address problems that are varied, requiring analysis or interpretation of the situation using direct observation, knowledge and skills based on general precedents.
- Independence of Action: Ability to follow precedents and procedures. May set priorities and organize work within general guidelines. Seeks assistance when confronted with difficult and/or unpredictable situations. Work progress is monitored by supervisor/manager.
- Written Communications: Ability to communicate clearly and effectively in written English with internal and external customers.
- Oral Communications: Ability to comprehend and converse in English to communicate effectively with medical center staff, patients, families and external customers.
- Knowledge: Ability to demonstrate full working knowledge of standard concepts, practices, procedures and policies with the ability to use them in varied situations.
- Team Work: Ability to work collaboratively in small teams to improve the operations of immediate work group by offering ideas, identifying issues, and respecting team members.
- Customer Service: Ability to provide a high level of customer service to patients, visitors, staff and external customers in a professional, service-oriented, respectful manner using skills in active listening and problem solving. Ability to remain calm in stressful situations.
Physical Nature of the Job:
Sedentary work: Exerting up to 10 pounds of force occasionally in carrying, lifting, pushing, pulling objects. Sitting most of the time, with walking and standing required only occasionallyPay Range:
$20.50 - $25.50
The pay range listed for this position is the base hourly wage range the organization reasonably and in good faith expects to pay for this position at this time. Actual compensation is determined based on several factors, that may include seniority, education, training, relevant experience, relevant certifications, geography of work location, job responsibilities, or other applicable factors permissible by law. Compensation may exceed the base hourly rate depending on shift differentials, call pay, premium pay, overtime pay, and other additional pay practices, as applicable to the position and in accordance with the law.
As a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) as a condition of employment.
More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.
Equal Opportunity Employer/Veterans/Disabled

100% remote workus national
Title: Director, Central Quality Audit, Pharmacovigilance
Location: Remote, USA
Job Description:
Full time
job requisition id
R4038682
Job Description Summary
Managing, ensuring and improving capabilities to comply with external standards and regulations. Interprets internal and external business challenges and recommends best practices to improve products, processes or services. Stays informed of industry trends that may influence work.
GE HealthCare is a leading global medical technology and digital solutions innovator. Our mission is to improve lives in the moments that matter. Unlock your ambition, turn ideas into world-changing realities, and join an organization where every voice makes a difference, and every difference builds a healthier world.
Job Description
Roles and Responsibilities
- Own the Pharmacovigilance (PV) Audit Program: Develop, implement, and maintain the global PV audit strategy, ensuring alignment with regulatory expectations (e.g., EMA, FDA, MHRA, PMDA) and industry best practices.
- Manage Audit Operations: Oversee scheduling, planning, execution, reporting, and follow-up for PV audits, including internal audits and audits of service providers and affiliates. Fully participate in the audit program; actively owning and executing PV audits.
- Risk Identification and Communication: Identify high-risk compliance issues, escalate findings, and provide actionable recommendations to senior leadership.
- Regulatory Inspection Support: Prepare for and support PV-related health authority inspections, including back-room management and post-inspection follow-up.
- Metrics and Reporting: Define and track PV audit KPIs, ensuring visibility of compliance risks and trends to leadership.
- System Ownership: Manage audit-related modules within the electronic Quality Management System (eQMS), including support of configuration, UAT, and documentation.
- Team Leadership: Lead and develop a team of 3–5 auditors, providing coaching, mentorship, and performance management.
- Cross-Functional Collaboration: Partner with PV Operations, Quality, and Regulatory teams to ensure audit outcomes drive continuous improvement.
- Strategic Influence: Contribute to policy development and influence PV compliance strategy across the organization.
Required Qualifications
- Minimum 5 years of people leadership experience, including team development and performance management.
- Qualified Lead Auditor with active certification.
- Master’s degree and 5+ years in pharmacovigilance or pharmaceutical industry; or Bachelor’s degree and 10+ years relevant experience.
- Minimum of 5 years’ experience driving Global programs to resolve quality compliance issues (directly).
- Experience with Pharmaceutical QMS requirements and regulatory requirements including but not limited to cGMP, GDP, GPvP, GCP and GLP.
- Experience with Medical Device QMS requirements and regulatory requirements including but not limited to FDA CFR 21 820 and ISO 13485.
Desired Characteristics
- Prior Veeva and TrackWise Digital experience a plus.
- Prior health authority experience a plus.
- IRCA, ASQ (CQE, CQA, etc.) and/or Lean Certification a plus (green belt, black belt).
- Extensive experience in the Medica Device and Pharmaceutical industry.
- Understanding of product quality improvement using tools such as Six Sigma, DFR.
- Demonstrated ability to analyze and resolve problems.
- Exceptional conflict-resolution skills.
- Ability to interface with top organizational leadership and internal and external customers, responding in a professional manner.
- Demonstrated ability to lead programs / projects. Ability to prioritize and drive multiple programs.
- Ability to energize others by building a connection with the team through personal involvement and trust, providing feedback and coaching to develop others, and accountability of actions.
- Strong oral and written communication skills in English.
- Integrity: Accepting and adhering to high ethical, moral, and personal values in decisions, communications, actions, and when dealing with others.
- Ability to travel globally up to 15%.
We expect all employees to live and breathe our behaviors: to act with humility and build trust; lead with transparency; deliver with focus, and drive ownership –always with unyielding integrity.
Our total rewards are designed to unlock your ambition by giving you the boost and flexibility you need to turn your ideas into world-changing realities. Our salary and benefits are everything you’d expect from an organization with global strength and scale, and you’ll be surrounded by career opportunities in a culture that fosters care, collaboration and support.
We will not sponsor iniduals for employment visas, now or in the future, for this job opening. For U.S. based positions only, the pay range for this position is $142,400.00-$213,600.00 Annual. It is not typical for an inidual to be hired at or near the top of the pay range and compensation decisions are dependent on the facts and circumstances of each case. The specific compensation offered to a candidate may be influenced by a variety of factors including skills, qualifications, experience and location. In addition, this position may also be eligible to earn performance based incentive compensation, which may include cash bonus(es) and/or long term incentives (LTI). GE HealthCare offers a competitive benefits package, including not but limited to medical, dental, vision, paid time off, a 401(k) plan with employee and company contribution opportunities, life, disability, and accident insurance, and tuition reimbursement.
Additional Information
GE HealthCare offers a great work environment, professional development, challenging careers, and competitive compensation. GE HealthCare is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE HealthCare will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
While GE HealthCare does not currently require U.S. employees to be vaccinated against COVID-19, some GE HealthCare customers have vaccination mandates that may apply to certain GE HealthCare employees.
Title: Manager, Sales Operations & Sales Force Effectiveness
Location: Ft. Worth, TX or Boston, MA or Miami, FL or Carlsbad, CA
Job Description:
Whether it's the unique breadth of our integrated offering that covers Injectable Aesthetics, Dermatological Skincare and Therapeutic Dermatology products; or our commitment to recognizing and rewarding people for the contribution they make - working here isn't like anywhere else.
At Galderma, we actively give our teams reasons to believe in our ambition to become the leading dermatology company in the world. With us, you have the ultimate opportunity to gain new and challenging work experiences and create an unparalleled, direct impact.
Title: Manager, Sales Operations & Sales Force Effectiveness
Location: Ft. Worth, TX or Boston, MA or Miami, FL or Carlsbad, CA (Hybrid)
Position Summary:
The Manager, Sales Operations & Sales Force Effectiveness (SFE) aligns sales operations initiatives with corporate growth objectives and compliance standards. They will drive the adoption and continuous improvement of sales technologies, champion change management, and foster a culture of data-driven decision-making to accelerate performance and remove obstacles.
In addition to building strong relationships and maintaining routine communication with field teams, the Manager will collaborate closely with other Commercial Excellence functions to deliver integrated solutions that enhance productivity and revenue impact. They will implement strategic sales planning and resource allocation, while ensuring adherence to regulatory requirements and internal policies. Through innovation, cross-functional influence, and a commitment to operational scalability, this role will shape the future of Galderma’s commercial effectiveness.
Essential Functions:
Partner with sales leadership to proactively implement operational improvements, enhancements, and system customizations that meet business needs.
Facilitate strategic sales planning processes and business reviews across all key stakeholder groups.
Develop and maintain sales force automation systems which direct the operation of call reporting, sales reporting, and database warehousing to ensure accurate and timeline information.
Collaborate with key stakeholders to identify KPIs and develop automated, timely reporting for analysis and review.
Conduct ad-hoc and routine data analyses in measurement of KPIs and consistently report in business reviews.
Identify opportunities through analysis to improve territory efficiency and maximize sales.
Optimize sales process and planning – including targeting, alignments, and segmentation.
Consistently evaluate and refine processes as needed.
Drive continuous improvement and adoption of CRM platforms, digital tools, and analytics capabilities to enhance field productivity.
Establish structured communication channels with field teams to gather feedback, share best practices, and ensure alignment on priorities.
Collaborate with other functions in the Commercial Excellence organization – including Insights, Analytics, Training, I&C, Data Management.
Education, Skills & Abilities:
Bachelor’s degree required; advanced degree preferred
2+ years experience in sales operations within the pharmaceutical, biotechnology, or medical device industries.
In-depth knowledge of industry sales and marketing strategies.
Strong proficiency in data visualization, modeling tools, and CRM/BI platforms – including Power BI and Veeva.
Demonstrated high resilience and agility as well as a keen analytical mindset, curiosity, and ability to proactively anticipate points of confusion.
Proven experience communicating complex analyses in a simple and clear manner.
Superb verbal and written communications skills.
About the Compensation:
The base salary range for this role is determined based on several factors. These include but are not limited to job accountabilities; skill sets; experience and training; certifications; work location; competitive market rates and other business needs. At Galderma, 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 a unique combination of factors for each role. A reasonable estimate of the hiring range for this role is $120,000-$160,000.
In addition to base salary, we provide an opportunity to participate in an annual short-term incentive program that is based on corporate performance with a multiplier focused on inidual performance. We offer a competitive and comprehensive benefits program including health insurance, 401(k) plan with employer match, a generous paid time off policy, hybrid work schedules and more.
What we offer in return
You will be working for an organization that embraces ersity & inclusion and believe we will deliver better outcomes by reflecting the perspectives of our erse customer base.
Next Steps
If your profile is a match, we will invite you for a first virtual conversation with the recruiter.
The next step is a conversation with the hiring manager
The final step is a panel conversation with the extended team
Our people make a difference
At Galderma, you’ll work with people who are like you. And people that are different. We value what every member of our team brings. Professionalism, collaboration, and a friendly, supportive ethos is the perfect environment for people to thrive and excel in what they do.
Employer’s Rights:
This job description does not list all the duties of the job. You may be asked by your supervisors or managers to perform other duties. You will be evaluated in part based on your performance of the tasks listed in this job description. The employer has the right to revise this job description at any time. This job description is not an employment contract, and either you or the employer may terminate employment at any time, for any reason. In addition, reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions of this position.

allentownhybrid remote worknjpapiscataway
Title: Benefits Manager
locations
Piscataway, NJ
Allentown, PA
time type
Full time
job requisition id
R44569
What we offer
Explore a world of opportunities with us. Look ahead with us and help shape innovative solutions to make our world more sustainable and life healthier, more vibrant and more comfortable. At Evonik, you have the chance to explore, thrive, and grow alongside 33,000 colleagues. Among attractive career paths and high-quality development programs, we not only offer performance-based remuneration and occupational health benefits but also hybrid and flexible working environments with #SmartWork. Bring your fresh perspective, develop your strengths, break out your mold, and find a career that fits your dreams with us.
Under the direction of the Director, Benefits Americas, the Benefits Manager is responsible for managing the day-to-day operations of a variety of employee benefits for a large multi-state employer. In an inidual contributor role, the Benefits Manager will work closely with the total rewards benefits and HR teams to ensure that all benefits programs are administered accurately and in compliance with federal and state laws and regulations. This position could be based out of our Piscataway, NJ or Allentown, PA locations.
RESPONSIBILITIES
- Manage day-to-day administration of U.S. benefits programs for employees and retirees (health, welfare, and retirement plans)
- Oversee end-to-end benefits processes across internal systems and external vendors to ensure data accuracy and effective delivery
- Lead annual enrollment and total rewards statements, including employee and stakeholder communication and education
- Ensure compliance with federal regulations (ERISA, ACA, HIPAA, COBRA, CMS, HHS, IRS, DOL) and manage required reporting
- Handle Form 5500 filings, audits, and maintenance of plan documents (SPDs, amendments, notices, etc.)
- Lead and support key benefits-related projects, including acquisitions and estitures
- Act as a primary contact for benefits service delivery, partnering with HRIT, payroll, and vendors to resolve data and system issues
- Manage vendor relationships, including performance oversight, contracts, and invoicing
- Analyze market trends and benchmark data to recommend competitive, cost-effective benefits strategies and support workforce retention
REQUIREMENTS
- Bachelor’s degree required; graduate degree or CEBS certification preferred
- 10+ years of experience managing complex health, welfare, and retirement benefit plans in a multi-location, union-based U.S. company, strongly preferred
- Proven ability to independently manage active/retiree benefits and both qualified and non-qualified retirement plans Experience collaborating with internal stakeholders (Legal, Finance, CFO, Labor Relations) and external counsel to ensure compliance
- Background working with benefits vendors, recordkeepers, consultants, and handling invoice processing
- Strong proficiency with HRIS systems, data management, and file feeds to external vendors
- Familiarity with ADP EV6 and Workday preferred for daily operations and issue resolution
- In-depth knowledge of benefits-related laws and regulations (ERISA, ACA, HIPAA, COBRA, CMS, HHS, IRS, DOL) and strong communication/team collaboration skills
**Summary Compensation & Benefits:**
Compensation and benefits offered may vary depending on multiple inidualized factors. This range represents a good faith estimate for this position. _(Specific rate to be determined, but not limited to, geographic location, education, experience, knowledge, skills and abilities of applicant, internal equity, and alignment with market data)._
Pay Range: $94,600-$171,500
**Evonik offers a comprehensive benefit package, subject to plan eligibility, terms, and guidelines. Benefits included, but not limited to:**
- Medical, dental, and vision benefits
- Paid time off plan
- 401(k) savings plans
- Health Savings Account (HSA)
- Flexible Spending Accounts (FSAs)
- Employee Assistance Program
- Voluntary Benefits and Employee Discounts
- Disability benefits
- Life Insurance
- Parental leave
- Tuition Reimbursement
The Evonik Group adopts an Equal Employment Opportunity (EEO) approach. Candidates are assessed based on their educational qualifications, experience, job competencies and potential and shall not be discriminated against on the basis of race, ethnicity, age, gender, religion, nationality, disability or sexual orientation or other classifications protected by local, state, or provincial regulations.
Title: Senior Scientific Director - Biotherapeutics & Cell Therapy
Location: Princeton, NJ, United States
Full-time
Hybrid
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.
Sitting at the intersection of Research and Drug Development, Translational Medicine and Clinical Pharmacology is a passionate community of scientists, physicians, and related professionals dedicated to driving the science and portfolio decision-making to deliver the right drug, to the right patient, at the right dose, at the right time. We utilize the power of translational science and precision medicine to unlock the unique traits of inidual patients and disease biology to inform practitioners about how to use BMS medicines to address unmet medical needs, and to identify new ways we can target disease to advance our portfolio. The Clinical Pharmacology and Quantitative Pharmacology & Data Analytics teams at BMS provide pharmacology and model-informed drug development support for all pipeline assets throughout the clinical development lifecycle. TMCP collaborates with departments across Development, Manufacturing, and Commercial to optimize dosing, formulation, delivery, and combination strategies, ensuring faster and more effective drug development informed by core scientific principals and data.
Position Summary
Bristol Myers Squibb (BMS) is a global biopharmaceutical company engaged primarily in the discovery, development and commercialization of novel therapies for the treatment of human diseases.
The Senior Scientific Director, Bioanalysis - Biotherapeutics & Cell Therapy will provide strategic and scientific leadership for bioanalytical activities supporting Biotherapeutics and Cell therapy assets across BMS's nonclinical and clinical development programs as well as registrations.
As a functional leader within Precision Medicine, Bioanalytical and Translational Sciences (PMBATS), this role partners closely with Clinical Pharmacology, Translational Sciences, Nonclinical, Clinical Development, and Regulatory to enable critical program decisions and regulatory success. The position reports to the Executive Director, Bioanalysis, and leads internal teams and external partners globally.
Position Responsibilities
Provide strategic leadership and accountability for bioanalytical PK and immunogenicity strategies across nonclinical and clinical development programs supporting biotherapeutics and cell therapies.
Serve as the bioanalytical scientific lead on Project Teams, contributing to program strategy, risk assessment, and key decision making.
Oversee the design, development, validation, and lifecycle management of bioanalytical assays, ensuring methods are fit‑for‑purpose and aligned with program and regulatory requirements.
Partner cross‑functionally with internal Bioanalysis Lab Scientitsts, Clinical Pharmacology, DMPK, Nonclinical, Clinical, and Regulatory teams to deliver integrated PK, exposure, biomarker, and PD strategies.
Drive innovation through the evaluation and implementation of emerging bioanalytical technologies, advancing operational efficiencies, and enabling risk‑based decision‑making approaches.
Provide strategic oversight and hands‑on leadership for regulatory submissions (IND, NDA/BLA, IB, CTA, and related documents), including:
- Authoring and reviewing bioanalytical and biomarker sections
- Ensuring scientific rigor, consistency, and regulatory alignment
- Leading responses to health authority questions for programs under direct responsibility
Oversee external bioanalytical CRO partners, ensuring scientific quality, adherence to GLP/GCP requirements, and alignment with program timelines.
Lead, mentor, and develop scientific talent, building high‑performing teams capable of supporting a erse pipeline.
Travel as required to CRO sites to provide scientific and technical oversight.
Experience
Basic Qualifications:
o Bachelor's Degree
- 15+ years of academic and / or industry experience
Or
o Master's Degree
- 12+ years of academic and / or industry experience
Or
o Ph.D. or equivalent advanced degree in the Life Sciences
- 10+ years of academic and / or industry experience
o 8+ years of leadership experience
Preferred Qualifications:
Demonstrated success leading bioanalytical strategy for IND‑enabling and clinical‑stage programs.
Deep expertise in ligand binding assays, PK and immunogenicity bioanalysis, and method validation.
Strong knowledge of global regulatory guidance (FDA, EMA) and GLP/GCP bioanalytical requirements.
Proven ability to lead scientific teams and manage CROs in regulated environments.
Excellent communication skills with experience authoring high‑quality regulatory and scientific documents.
Track record of scientific leadership, collaboration, and influence across complex, matrixed organizations.
#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: $250,800 - $303,912
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.

atlantagahybrid remote workinindianapolis
Group Underwriter, Senior
Location:
GA-ATLANTA, 740 W PEACHTREE ST NW
OH-MASON, 4241 IRWIN SIMPSON RD
IN-INDIANAPOLIS, 220 VIRGINIA AVE
VA-NORFOLK, 5800 NORTHAMPTON BLVD
Job Description:
Anticipated End Date:
2026-04-27
Position Title:
Group Underwriter, Senior
Job Description:
Group Underwriter, Senior
Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Mason, OH, Atlanta, GA or Norfolk, VA. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Group Underwriter, Senior is responsible for determining acceptability of insurance risks and appropriate premium rates for small, complex renewal and prospect employer groups in accordance with Corporate Underwriting Guidelines and Authority Limits.
How You Will Make an Impact:
Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for commercial health coverage.
Coordinates with other departments to ensure accuracy and consistency of overall account reporting.
Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.
Performs post-sale reviews.
Works with product and sales partners to survey existing product portfolios by market, monitors sales results, trends and needs and recommends product portfolio changes.
Minimum Requirements:
Requires a BA/BS in a related field; Minimum 4 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses highly preferred.
Level Funded medical underwriting experience highly preferred.
Small group experience preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
UND > Group Underwriting
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
Behavioral Health Community Partnership Manager - Shasta County
Location: The ideal candidate MUST reside in Shasta County.
California +50 Miles away from nearest Pulse Point
California - Redding
California - Anderson
Job Description:
Behavioral Health Community Partnership Manager
(Behavioral Health Provider Quality Manager)
Sign-on Bonus: $2,500
Candidates must posses a licensure for the state of California.
Location: The ideal candidate MUST reside in Shasta county. This role enables associates to work virtually as well as in the field for client visits, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face meetings.
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.
This position will be required to travel out to the field in Northern California (Shasta County).
Schedule: Pacific Standard Time
A proud member of the Elevance Health family of companies, Carelon Behavioral Health uses our powerful combination of experience, expertise, dedication and compassion to see what's possible and what's better. Born out of one of the largest healthcare systems organization in the United States, our rich history gives us a unique and valuable perspective on how to solve the most pressing healthcare challenges.
The Provider Quality Manager is responsible for leading Behavioral Health (BH) provider engagement, with a focus on leveraging the data available to providers and helping to improve the value delivered to Carelon members. Drives BH provider performance improvement year over year through education and data. This role is responsible for a local market.
How will you make an impact:
Establishes relationships and engages with BH providers and ensures measurable improvements in clinical and quality outcomes for members.
Builds relationships with internal clinical and quality departments to ensure high-quality care to members and achievement of company HEDIS performance. Implements strategies that meet clinical, quality, and network improvement goals.
Build positive working relationships with providers, state agencies, advocacy groups, and other market stakeholders.
Meets routinely with strategic providers face to face, telephonically, and via Web-Ex to support provider training on Carelon processes, contracting / credentialing and linkages for issue resolution, helping to improve provider experience and overall satisfaction with Carelon.
Acts as a liaison between strategic providers and Carelon clinical, quality, provider strategy, operations, and claims, to ensure interdepartmental collaboration and coordination of goals and priorities.
Supports regional and corporate initiatives regarding Carelon Select Provider (CSP) program, clinical innovation, and thought leadership transforming provider relationships from transactional interactions to collaboration.
Creates and maintains linkages between providers of all levels of care, as well as other community-based services and resources to improve transitions of care and continuity of services.
Partners with network providers and Carelon stakeholders to operationalize innovative programs and online resources to improve clinical and quality outcomes.
Analyzes provider reports pertaining to cost, utilization, and outcomes, and presents the data to providers and highlights trends.
Identifies data outliers and opportunities for improvement for inidual providers.
Identifies high-performing and innovative providers who may be interested in new programmatic incentives or payment models.
Participates in the identification of opportunities for expansion and development of innovative pilot programs, implementation, launch, and efficacy and outcomes measurements.
Contributes to the identification of high-quality program ideas/designs into the local market to drive high levels of value.
Provides consultation to providers for clinically complex members as applicable.
Surfaces clinical and quality issues to regional clinical and quality teams and participates in helping to address concerns.
Conducts quarterly physician record reviews or as needed with network providers across all service levels.
Assists with provider orientations and provider training events in the region, when applicable.
Attends all accessible County BH provider meetings either in person or via telephone or Web-ex.
Minimum requirements:
Requires MA/MS or above in Behavioral Health field and a minimum of 10 years of progressively responsible professional experience in healthcare which includes a minimum of 5 years' experience in a behavioral health setting, either provider or payer; or any combination of education and experience, which would provide an equivalent background.
Current, valid, independent, and unrestricted license such as RN, LCSW, LMFT, LMHC, LPC, or Licensed Psychologist (as allowed by applicable by state laws) is required.
Preferred Skills, Capabilities, and Experiences:
Behavioral Health experience preferred.
Managed care experience preferred.
Travels to the worksite and other locations as necessary.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $75,920 - $113,880.
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 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:
1st Shift (United States of America)
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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

atlantagahybrid remote workinindianapolis
Group Underwriter, Senior
Location: Atlanta United States
Job Description:
Anticipated End Date:
2026-04-27
Position Title:
Group Underwriter, Senior
Job Description:
Group Underwriter, Senior
Location: This role requires associates to be in-office 1 day per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Ideal candidates will be able to report to one of our Pulse Point locations in Indianapolis, IN, Mason, OH, Atlanta, GA or Norfolk, VA. Alternate locations may be considered if candidates reside within a commuting distance from an office.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
The Group Underwriter, Senior is responsible for determining acceptability of insurance risks and appropriate premium rates for small, complex renewal and prospect employer groups in accordance with Corporate Underwriting Guidelines and Authority Limits.
How You Will Make an Impact:
Determines and provides guidance to medical underwriters concerning the risk selection of applicants applying for commercial health coverage.
Coordinates with other departments to ensure accuracy and consistency of overall account reporting.
Proposes rates for prospective business utilizing a combination of other carrier experience, demographic data and manual rates.
Performs post-sale reviews.
Works with product and sales partners to survey existing product portfolios by market, monitors sales results, trends and needs and recommends product portfolio changes.
Minimum Requirements:
Requires a BA/BS in a related field; Minimum 4 years of related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
CPCU, CLU, LOMA, HIAA, PAHM or other insurance related courses highly preferred.
Level Funded medical underwriting experience highly preferred.
Small group experience preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
UND > Group Underwriting
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
Title: Utilization Management RN & Coding Specialist
Location: Newtown Square United States
Job Description:
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
The Utilization Management RN Coder will accurately and efficiently review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department's/company's guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical literature as provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines. They will recommend changes to coding which will retain, lessen, or increase financial impact when analysis of chart indicates opportunities. They will educate clients on correct coding and compliance for best practices. They will participate in ALJ (Administrative Law Judge) hearings as representatives of the clients during tele-hearings. The Coding Quality Analyst will complete their case within the time expectations while providing high quality reviews. The Appeals nurse will perform their job functions, adhering to both Optum and OPAS policies and procedures, which include but are not limited to the following:
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
- Adheres to approved schedule and arrives to work timely
- Maintains accurate accounts of time off in both Verint and HR Direct as per guidelines, and follows directives for time off, schedule changes, etc.
- Follows directive of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references
- Use and fluency of encoders, coding clinics, ICD-9 and 10 guidelines, CM and PCS, CPT coding system and HCPCS guidelines
- Working knowledge of Word
- Effective communication skills
- Excellent typing skills with a minimum speed of 45/min
- Adheres to company policies and procedures as well as policies, procedures and laws
- Understands and comply with HIPAA confidentiality requirements
- Support and promote OPAS, Optum, and the enterprise goals and mission
- Build relationships across Optum, OPAS, OGA and our clients
- Collaborate with peers to assure continuity of communication and execution of deliverables as needed
- Adheres to quality and productivity expectations
- Participate in and contribute to meetings as appropriate
- Maintains organization on the team and ensures everyone conducts themselves professionally
- Remains up to date with all learning modules, competencies, and state required licenses
- Performs other related duties, tasks, and processes as required by leadership
- Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
- Positive attitude and the ability to function as a collaborative team member
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Associate's Degree (or higher)
- Possess one of the following Coding Certifications: CCS, CCS-P, CPC-H, CPC, RHIT, RHIA, CDIP, CCDS
- Unrestricted RN license required in state of residence
- 3+ years of experience in ED, Telemetry, CCU
- 1+ years of Inpatient Coding experience
Preferred Qualifications:
- Pre-authorization experience
- Utilization Management experience
- Case Management experience
- Knowledge of Milliman Criteria
- Certified Case Manager (CCM)
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN

florham parkhybrid remote worknj
Title: Senior Supply Chain Planner
Location: Florham Park United States
Job Description:
Company Description
About AbbVie
AbbVie's mission is to discover and deliver innovative medicines and solutions that solve serious health issues today and address the medical challenges of tomorrow. We strive to have a remarkable impact on people's lives across several key therapeutic areas including immunology, oncology and neuroscience - and products and services in our Allergan Aesthetics portfolio. For more information about AbbVie, please visit us at www.abbvie.com. Follow @abbvie on LinkedIn, Facebook, Instagram, X and YouTube.
Job Description
Purpose
The Sr. Global Supply Planner is responsible for the short-term, long-term, or end-to-end (E2E) range supply chain planning activities and controlling the flow of product globally between manufacturing sites and the distribution centers. The objective is to meet market demand and optimize inventory levels in our supply network. To achieve this, the GSP must build strong relationships with supply sites, brand operation managers, ECM managers, Quality Assurance, Finance, Distribution, the Affiliates, and other stakeholders. The GSP knows the business and can anticipate future opportunities and risks, and continuously looks to raise the bar to ensure success for AbbVie and assurance of supply for our patients.
NOTE: This is a hybrid role at our New Jersey site (3 days in-office / 2 days remote)
Responsibilities
- Daily contact with one or more supply plants (internal and external) to coordinate the supply of finished product, bulk, active pharmaceutical ingredients or supporting materials.
- Support financial plan/long-range planning (LRP) cycles by providing required data and input to long-term supply strategy.
- Coordinate and process inbound and outbound shipments. Support S&OE process through root-cause analysis, problem solving, and creative thinking to drive resolution.
- Ensure SAP and JDA are kept up to date with the latest information and that customers are informed timely of supply updates and risks.
- Participate in plant meetings to review and improve performance. Create impact with ideas for the larger organization and anticipate and respond to changes.
- Manage stakeholder relationships and expectations. Influence others when needed through use of SME knowledge and enterprise view. Act as a project lead when required.
- Drive continuous improvements and participate in initiatives led by other colleagues. Offer innovative ideas and solutions to maximize business opportunities and to address challenges in the Global Supply Planner function.
- Execute financial processes including hedging, inventory reserve review, and product scrapping.
- Support artwork changes by coordinating related supply activity.
- Onboard/train new employees.
Qualifications
- Bachelor or Master level, preferably in operations, supply chain or business management.
- Minimum 5 years of work experience in a similar environment required.
- Must be experienced with ERP systems, preferably SAP.
- Be a team player with focus on improvement and a strong drive for results.
- Must possess high-level analytical skills.
- Excellent written and oral communication is required.
- Excellent organizational skills are required.
- Proven strong problem solving, negotiation, and conflict resolution skills.
- Ability to step into leadership role when required.
- Persistent, resilient and resourceful when confronted with obstacles, and resolved issues in a timely manner.
Additional Information
Applicable only to applicants applying to a position in any location with pay disclosure requirements under state or local law:
The compensation range described below is the range of possible base pay compensation that the Company believes in good faith it will pay for this role at the time of this posting based on the job grade for this position. Inidual compensation paid within this range will depend on many factors including geographic location, and we may ultimately pay more or less than the posted range. This range may be modified in the future.
We offer a comprehensive package of benefits including paid time off (vacation, holidays, sick), medical/dental/vision insurance and 401(k) to eligible employees.
This job is eligible to participate in our short-term incentive programs.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, incentive, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole and absolute discretion unless and until paid and may be modified at the Company's sole and absolute discretion, consistent with applicable law.
AbbVie is an equal opportunity employer and is committed to operating with integrity, driving innovation, transforming lives and serving our community. Equal Opportunity Employer/Veterans/Disabled.
US & Puerto Rico only - to learn more, visit https://www.abbvie.com/join-us/equal-employment-opportunity-employer.html
US & Puerto Rico applicants seeking a reasonable accommodation, click here to learn more:
https://www.abbvie.com/join-us/reasonable-accommodations.html

hybrid remote workseattlewa
Title: Paralegal 3
, Social & Health Services Division, Seattle
Location: King County United States
Job Description:
Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at [email protected]. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.
Position and Salary
The Attorney General's Office is recruiting for a permanent full time Paralegal 3 in the Social & Health Services Division. This position is located in Seattle, Washington, and is represented by the Washington Federation of State Employees (WFSE).
Paralegal 3 Salary Range 59: $67,992 - $91,464
The base pay offered will take into account internal equity and may vary depending on the preferred candidate's job-related knowledge, skills, and experience.
The following stipends may apply based on position requirements:
- Incumbents assigned to our Seattle office location receive an additional 5% King County Location Pay stipend.
- Incumbents assigned to a position designated as requiring dual language skills will receive a 5% Dual Language Requirement Pay stipend.
- Note: Effective July 1, 2025, Paralegal 3s assigned to work within King County receive Group C Assignment Pay in addition to their base pay. The Group C pay percentage received at this classification is a limited premium and applies at the Paralegal 2 classification.
- King County Paralegal 3s - 5% Group C Assignment Pay
The AGO provides a workplace that is understanding of work-life balance and promotes advancement by offering a wide variety of professional development and growth opportunities.
Excellent benefits
Washington State offers one of the most competitive benefits packages in the nation, including Medical/Dental/Vision for employees & dependent(s); Vacation, Sick, and Other Leave; 11 Paid Holidays per year; Public Employees Retirement System (PERS) plans; and Life Insurance. Beyond these traditional benefits, we offer Dependent Care Assistance, Flexible Spending Accounts, Public Service Loan Forgiveness, Tuition Waiver, Deferred Compensation, Employee Recognition Leave, and more. With the goal of employee health and wellness, we also offer:
- Flexible schedules and part-time/hybrid telework options;
- A Wellness Program, an Infants in the Workplace Program, and the Employee Assistance Program, which provides counseling, webinar, and other cost-free support resources;
- Numerous employee-driven affinity groups to foster community and connection, including Bereavement, Elder Care, Parenting, POC, LGBTQ+, Veterans and more. The AGO is a place to belong and make a difference!
About the Social & Health Services Division
The Social and Health Services Division provides legal support to the Department of Children, Youth, and Families (DCYF) and the Department of Social and Health Services (DSHS). Our ision handles a variety of work including child abuse, neglect, and termination of parental rights proceedings; vulnerable adult protection and guardianship proceedings; foster care, child care, and adult family home administrative proceedings; and appeals involving all of these cases.
This is fast-paced, high-volume litigation. It requires excellent communication and time-management skills, as well as the ability to juggle competing priorities, think on your feet, and work effectively with a variety of people. Experience with litigation case-preparation and a commitment to child advocacy are preferred. This is a great opportunity to handle interesting and meaningful work in a supportive, team-oriented environment in beautiful downtown Seattle.
Duties and Essential Functions of a Paralegal 3
Supervisory Duties: In coordination with ision management (Division Chief, Administrative Operations Manager, Managing Attorney Team Leaders, and Paralegal 3) the selected candidate will plan/lead the litigation support work performed by paralegal 2 employees, and consults with ision management to make recommendations regarding distribution of workload, litigation support, and public records production resources. Assist with interviewing and discipline actions concerning paralegal 2 employees, manage staff schedules, oversee paralegal 2 yearly development plans, plan and implement paralegal training, and conduct regular paralegal meetings.
Paralegal Duties: Work closely with the Adult Protective Services (APS) team leader to monitor case flow, draft pleadings required for obtaining vulnerable adult protective orders, and for establishing guardianships for vulnerable adults, and respond to case status inquiries from the client agency or others. Serve as the ision's Public Records Coordinator, coordinating and tracking document collection, provide public records training for the ision, and provides guidance to ision staff with questions about Public Records Requests (PRR) processing and record review.
Provide juvenile litigation support backup to review Juvenile case files to critically analyze and summarize complex legal and factual issues, may assist the AAG in the formal discovery process; and track and manage AAGs' trial schedule. Perform trial preparation such as: Summarize complete case history; identify legal issues; identify and interview potential witnesses; investigate complete criminal histories and paternity issues; identify documents for and prepare trial and exhibit notebooks; draft pleadings and correspondence; perform legal research; review files to determine if due diligence has been accomplished, and other duties as required.
This recruitment announcement may be used to fill multiple open positions for the same classification, in addition to the position(s) listed in this announcement.
Required Qualifications
Research suggests that women and people of color are less likely to apply unless they are confident they meet 100% of the listed qualifications. We strongly encourage all interested iniduals to apply, and allow us to evaluate your combination of knowledge, skills, and abilities demonstrated using an intentional equity lens.
Combination of six years of experience* through:
- Paralegal certification
- Two-year paralegal degree
- Paralegal plus (or nine-month paralegal, post BA) certification,
and/or
- Paraprofessional experience in support of an attorney
OR
- Two years' experience as a Paralegal 2 in Washington State Service.
Examples of paraprofessional experience in support of an attorney:
- Preparing legal pleadings and legal correspondence
- Ensuring and verifying timely and proper service of legal documents
- Calculating, verifying, and calendaring critical events and other dates
- Managing case documents, files and exhibits
- Tracking and organizing discovery documents
- Researching legal issues and verifying legal citations and references for accuracy
About the Washington State Office of the Attorney General
The Attorney General's Office (AGO) touches the lives of every resident in this state. We serve more than 230 state agencies, boards, commissions, colleges and universities, as well as the Legislature and the Governor. The Office is comprised of nearly 700 attorneys and 800 professional staff, all working together to deliver the highest quality professional legal services to Washington state officials, agencies, and entities. This includes:
- Economic justice and consumer protections (safeguarding consumers, protecting youth, seniors, and other vulnerable populations)
- Social justice and civil rights (addressing discrimination, environmental protection, and veteran and military resources)
- Criminal justice and public safety (investigative and prosecutorial support, financial crimes)
- And much more!
Our agency also has national reach, representing the State of Washington before the Supreme Court, the Court of Appeals and trial courts in all cases that involve the state's interest. If you want to make a difference, we may be the perfect fit for you! Learn more about the AGO here.
Commitment to Diversity
Diversity is critical to the success of the mission of the AGO. This means recognizing, respecting, and appreciating all cultures and backgrounds-- and fostering the inclusion of differences between people. Appreciating, valuing and implementing principles of ersity permits AGO employees to achieve their fullest potential in an inclusive, respectful environment.
One recent measure of the AGO's commitment to ersity can be found in its nomination for Rainbow Alliance and Inclusion Network's "Outstanding Agency Award" in 2019. Our commitment to employee wellness is reflected in earning the 2024 Zo8 Washington Wellness Award.
Application Instructions
In addition to completing the online application, applicants must attach the following documents to their profile in order to be considered for this position:
- A letter of interest, describing your specific qualifications for the position;
- A current resume detailing experience and education.
Read the Following Information Completely:
- Carefully review your application for accuracy, spelling and grammar before submitting.
- You may not reapply to this posting for 30 days.
- The initial screening of applications will be solely based on the contents and completeness of the "work experience" and "education" sections of your application in www.careers.wa.gov, completeness of the application material submitted, and responses to the supplemental questionnaire.
- A resume will not substitute for completing the "work experience" section of the application.
- All information may be verified and documentation may be required.
- The Washington State Office of the Attorney General does not use the E-Verify system; therefore, we are not eligible to extend STEM Optional Practical Training (OPT). For more information, please visit www.uscis.gov.
- The AGO complies with employment eligibility verification requirements of the federal employment eligibility verification form, I-9, and the selected candidate for these roles, on the first day of employment, must be able to provide proof of identity and eligibility to work in the Unities States consistent with the requirements of form I-9. In order to proceed in the consideration process at AGO, you will need to provide work authorization that would not require the AGO to sign a cooperative education agreement with a school.
Equal Employment Opportunity and Accommodations Requests
Honoring ersity, equity and inclusion means that as an agency, and as iniduals, we are committed to ensuring that all employees and volunteers enjoy a respectful, safe and supportive working environment. Only by fostering the inclusion of people from all backgrounds, cultures and attributes, can AGO employees and volunteers achieve their fullest potential and best advance the goals and mission of the AGO.
The AGO is an equal opportunity employer and does not discriminate on the basis of race, creed, color, national origin, sex, marital status, sexual orientation/gender identity, age, disability, honorably discharged veteran or military status, retaliation or the use of a trained dog guide or service animal by a person with a disability. Persons requiring reasonable accommodation in the application process or requiring information in an alternative format may contact the recruitment team at [email protected]. Those with a hearing impairment in need of accommodation are encouraged to contact the Washington Relay Service at 1-800-676-3777 or www.washingtonrelay.com.
For questions regarding this recruitment or assistance with the application process, please contact the recruitment team at [email protected]. If you are having technical difficulties creating, accessing or completing your application, please call NEOGOV toll-free at (855) 524-5627 or [email protected].

mccombmioption for remote workwayne
Title: Field Care Coordinator
(HIDE SNP) - Wayne and Macomb County, MI, and Surrounding
Location: Detroit United States
Job Description:
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator - HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in Macomb County or Wayne County, MI or surrounding areas you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Develop and implement care plan interventions throughout the continuum of care as a single point of contact
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
- Assess, plan, and implement care strategies that are inidualized by the inidual and directed toward the most appropriate, least restrictive level of care
- Identifies problems/barriers to care and provide appropriate care management interventions
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
- Manage the person-centered service/support plan throughout the continuum of care
- Conduct home visits in coordination with the person and care team
- Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
- Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a health care role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ year experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Preferred Qualifications:
- RN or LMSW; LCSW, LLMSW
- 1+ years of medical case management experience
- Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
- Experience in serving iniduals with co-occurring disorders (both mental health and substance use disorders)
- Experience with MI Health Link (MMP)
- Experience working in Managed Care
- Working knowledge of NCQA documentation standards
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED

mccombmioption for remote workwayne
Title: Field Care Coordinator
(HIDE SNP) - Wayne and Macomb County, MI and Surrounding
Location: Detroit United States
Job Description:
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator- HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in or near Wayne and Macomb County, MI or surrounding area, you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Develop and implement care plan interventions throughout the continuum of care as a single point of contact
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
- Assess, plan, and implement care strategies that are inidualized by the inidual and directed toward the most appropriate, least restrictive level of care
- Identifies problems/barriers to care and provide appropriate care management interventions
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
- Manage the person-centered service/support plan throughout the continuum of care
- Conduct home visits in coordination with the person and care team
- Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
- Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a health care role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Preferred Qualifications:
- RN or LMSW; LCSW, LLMSW
- 1+ years of medical case management experience
- Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
- Experience in serving iniduals with co-occurring disorders (both mental health and substance use disorders)
- Experience with MI Health Link (MMP)
- Experience working in Managed Care
- Working knowledge of NCQA documentation standards
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED

cachicagocosta mesaflgrand prairie
Associate Medical Director
Location:
IL-CHICAGO, 8600 W BRYN MAWR AVE, 10th & 11th FL
Maryland - Hanover
Florida - Miami
New York - New York City
Texas - Houston
View Fewer Locations
locations
Ohio - Mason
Texas - Grand Prairie
California - Costa Mesa
Job Description:
Anticipated End Date:
2026-04-30
Position Title:
Associate Medical Director - Sleep Medicine
Job Description:
Clinical Operations Associate Medical Director
Carelon Medical Benefits Management
Virtual: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development.
Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center-connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together.
Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health.
The Clinical Operations Associate Medical Director is responsible for supporting the medical management staff ensuring timely and consistent medical decisions to members and providers.
How you will make an impact:
Ensures timely completion of clinical case reviews for their board certified specialty.
Makes physician to physician calls to gather medical appropriate information in order to make medical necessity determinations for services requested.
Makes medical necessity determinations for grievance and appeals appropriate for their specialty.
Ensures consistent use of medical policies when making medical necessity decisions.
Brings to their supervisors attention, any case review decisions that require
Medical Director review or policy interpretation.
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
Preferred Skills, Capabilities and Experiences:
Board Certification by American Board of Medical Specialties in Sleep Medicine strongly preferred.
3-5 years of clinical practice experience past fellowship training is desirable.
For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $179,503 to $307,732.
Locations:
California, Illinois, Maryland, 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:
Non-Management Non-Exempt
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

flhybrid remote workinindianapolislake mary
Business Consultant Senior
Location:
MO-ST. LOUIS, 100 S 4TH ST
FL-LAKE MARY, 3200 LAKE EMMA RD, STE 1000
TX-PLANO, 3033 W PRESIDENT GEORGE BUSH HWY, STE 100
IN-INDIANAPOLIS, 220 VIRGINIA AVE
Job Description:
Anticipated End Date:
2026-04-13
Position Title:
Long-Range Forecasting Consultant - Pharmacy (Business Consultant Senior)
Job Description:
Long-Range Forecasting Consultant - Pharmacy (Business Consultant Senior)
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 our Pulse Point locations in St. Louis, MO, Indianapolis, IN, Plano, TX or Lake Mary, FL. 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 Long-Range Forecasting Consultant - Pharmacy (Business Consultant Senior) is responsible for developing and maintaining a 6-36 month demand and workforce forecasts for our specialty and infusion pharmacy operations. This role partners closely with Pharmacy Operations, Workforce Management (WFM), Finance, Human Resources, Sales and Analytics to provide forward-looking insights that enable proactive staffing, budgeting, and capacity planning. Also responsible for translating most highly complex and varied business needs into application software requirements. These needs typically involve significant expenditure or cost savings and impact a wide range of functions.
How you will make an impact:
Develops and maintains long-range volume forecasts using historical data, seasonality, benefit cycles, and business drivers.
Builds predictive and scenario-based models to assess demand variability and risk.
Monitors forecast accuracy and continuously refines models using variance analysis.
Translates volume forecasts into headcount, FTE, and skill-mix requirements.
Partners with WFM to align long-range forecasts with short-term scheduling and intraday management.
Supports hiring, backfill, cross-training, and redeployment strategies.
Collaborates with Finance on labor budgeting, reforecasting, and cost optimization.
Provides data-driven insights to inform strategic initiatives, growth planning, and operational changes.
Quantifies workforce impacts of new programs, regulatory changes, or benefit design shifts.
Manages ROI Analysis of pharmacy initiatives impacting workflow and productivity
Presents forecasts, assumptions, and risks to operational and executive leadership.
Serves as the single source of truth for forward-looking pharmacy demand planning.
Creates clear, executive-level summaries and dashboards.
Provides expertise to lower-level consultants on the analysis of business needs to determine optimal means of meeting those needs.
Determines specific business application software requirements to address the most highly complex and varied business needs.
Leads teams of analysts assigned to the most complex projects, typically those of highest importance and impact to the way in which we do business.
Analyzes and designs solutions to address varied and highly complex business needs.
Minimum Requirements:
Requires a BA/BS and minimum of 10 years business analysis experience, which should include analysis, project management, working knowledge of mainframe computer, hardware and operating systems; minimum of 3 years of experience as a Business Consultant with project management skills; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
10+ years of experience in workforce forecasting, capacity planning, demand forecasting (Healthcare, PBM, pharmacy, call center, or high-volume operations) highly preferred.
Advanced proficiency in Excel (complex models, Power Query, pivoting) and Forecasting and statistical techniques (trend analysis, seasonality, regression) highly preferred.
Strong analytical capability highly preferred.
Healthcare operations knowledge highly preferred.
Ability to translate complex forecasts into clear, actionable recommendations for senior leaders highly preferred.
Experience with Workforce management tools (e.g., NICE, Verint, Aspect, or similar), BI tools (Power BI, Tableau) SQL, Python, or R preferred.
Master's degree (MBA, MS Analytics, MS Operations Research) preferred.
Job Level:
Non-Management Exempt
Workshift:
Job Family:
BSP > Business Support
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

macombmioption for remote workwayne
Title: Field Care Coordinator
(HIDE SNP) - Wayne and Macomb County, MI, and Surrounding
Location: Detroit United States
Job Description:
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts on the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and equitable. Ready to make a difference? Join us to start Caring. Connecting. Growing together.
The Field Care Coordinator - HIDE SNP is an essential element of an Integrated Care Model and is responsible for establishing a set of person-centered goal-oriented, culturally relevant, and logical steps to ensure that the person receiving LTSS receives services in a supportive, effective, efficient, timely and cost-effective manner. Care coordination includes case management, disease management, discharge planning, transition planning, and addressing social determinants of health and integration into the community.
This position is Field Based with a Home-Based office. The expected travel time for member home visits is typically 75% within a 50-mile radius and/or 50-minute drive from your home pending business needs.
If you reside in Macomb County or Wayne County, MI or surrounding areas you will have the flexibility to telecommute* as you take on some tough challenges.
Primary Responsibilities:
- Develop and implement care plan interventions throughout the continuum of care as a single point of contact
- Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
- Advocate for persons and families as needed to ensure the patient's needs and choices are fully represented and supported by the health care team
- Assess, plan, and implement care strategies that are inidualized by the inidual and directed toward the most appropriate, least restrictive level of care
- Identifies problems/barriers to care and provide appropriate care management interventions
- Identify and initiate referrals for social service programs, including financial, psychosocial, community and state supportive services
- Provides resource support to members for local resources for services (e.g., Children with Special Health Care Services (CSHCS), employment, housing, independent living, foster care) based on service assessment and plans, as appropriate
- Manage the person-centered service/support plan throughout the continuum of care
- Conduct home visits in coordination with the person and care team
- Conduct in-person visits, which may include nursing homes, assisted living, hospital or home
- Gathers, documents, and maintains all member information and care management activities to ensure compliance with current state and federal guidelines
What are the reasons to consider working for UnitedHealth Group? Put it all together - competitive base pay, a full and comprehensive benefit program, performance rewards, and a management team who demonstrates their commitment to your success. Some of our offerings include:
- Paid Time Off which you start to accrue with your first pay period plus 8 Paid Holidays
- Medical Plan options along with participation in a Health Spending Account or a Health Saving account
- Dental, Vision, Life& AD&D Insurance along with Short-term disability and Long-Term Disability coverage
- 401(k) Savings Plan, Employee Stock Purchase Plan
- Education Reimbursement
- Employee Discounts
- Employee Assistance Program
- Employee Referral Bonus Program
- Voluntary Benefits (pet insurance, legal insurance, LTC Insurance, etc.)
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Must possess one of the following
Current, unrestricted independent licensure as a Registered Nurse (RN) in state of Michigan
Master's degree and current, unrestricted independent licensure as a Social Worker (e.g., LMSW, LCSW, LLMSW)
Bachelor's degree and current, unrestricted independent licensure as a Social Worker (e.g. LLBSW, LBSW)
2+ years of experience working within the community health setting in a healthcare role
1+ years of experience with local behavioral health providers and community support organizations addressing SDoH (e.g., food banks, non-emergent transportation, utility assistance, housing/rapid re-housing assistance, etc.)
1+ years of experience working with persons with long-term care needs and/or home and community-based services
1+ years of experience working in electronic documentation systems and with MS Office (Outlook, Excel, Word)
Access to a designated quiet workspace in your home (separated from non-workspace areas) with the ability to secure Protected Health Information (PHI)
Ability to travel to Southfield, MI office for quarterly team meetings
Must reside within the state of Michigan
Access to reliable transportation and the ability to travel within assigned territory to meet with members and providers up to 75% of the time depending on member and business needs
Preferred Qualifications:
- RN or LMSW; LCSW, LLMSW
- 1+ years of medical case management experience
- Demonstrated experience/additional training or certifications in Motivational Interviewing, Stages of Change, Trauma-Informed Care, Person-Centered Care
- Experience in serving iniduals with co-occurring disorders (both mental health and substance use disorders)
- Experience with MI Health Link (MMP)
- Experience working in Managed Care
- Working knowledge of NCQA documentation standards
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.83 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #RED
Cardiology NP PA
Your future role at a glance
Location: Bartlesville, OK
Schedule: Full Time
Specialty: Cardiology
Productivity Incentive: Hybrid
Job Description
Life at Ascension: Where purpose meets opportunity
Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 99,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you'll find an inclusive and supportive environment where your contributions truly matter.
Benefits that help you thrive
- Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
- Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
- Time to recharge: pro-rated paid time off (PTO) and holidays
- Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
- Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
- Family support: parental leave, adoption assistance and family benefits
- Other benefits: optional legal and pet insurance, transportation savings and more
Benefit options and eligibility vary by position, scheduled hours and location. Benefits are subject to change at any time. Your recruiter will provide the most up-to-date details during the hiring process.
How you'll make an impact in this role
This is an exceptional opportunity for a motivated provider to join an employed position within a busy, well-respected practice, supported by a strong referral base and the full resources of a robust health system network.
- Join an established team of Interventionists
- Practice setting: Inpatient
- Employed position within a nonprofit health system
- Eligible for state medical licensure and DEA registration
- You don't just treat illness-you anticipate it. You are passionate about early intervention.
- You thrive in a team-based setting, knowing when to lead a patient's care and when to coordinate with specialists or community resources to ensure the best possible outcomes.
About the Facility
● 133 bed hospital / medical center
● Serving a population of approximately 38,800
● Integrated referral network
● Part of Ascension, a national nonprofit Catholic health system
Why Providers Choose Ascension
● Physician-led, collaborative culture
● Long-term practice stability
● National network with local autonomy
● Mission-centered care rooted in service
What minimum requirements you'll need
Licensure / Certification / Registration:
- BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
- Nurse Practitioner with Prescriptive Authority credentialed from the Oklahoma Board of Nursing obtained prior to hire date or job transfer date required. For incumbents working in Kansas-based facilities, licensure through the Kansas Board of Nursing will be required.
- Drug Enforcement Admin credentialed from the Drug Enforcement Administration preferred.
- Registered Nurse credentialed from the Oklahoma Board of Nursing preferred.
Education:
- Master's degree of Nursing required.
Equal employment opportunity employer
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
Fraud prevention notice
Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.
E-Verify statement
Employer participates in the Electronic Employment Verification Program.
Title: Medical Science Liaison Cardiovascular -
Camzyos (IL, WI)
Location: Chicago 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.
Position: Medical Science Liaison, Cardiovascular - Camzyos
Location: Field - IL, WI
The MSL role embodies our medical mission to be recognized as the trusted partner for internal stakeholders and the healthcare community, driving scientific exchange to enhance medical education, data generation, insight generation and patients' access to medicine.
The Medical Science Liaison (MSL) is responsible for identifying disease and product related medical needs in a defined geography. The primary role of the MSL is to develop and maintain relationships with Thought Leaders (TL) and Healthcare Providers (HCP) within their healthcare system. The purpose of their interactions is to engage in meaningful scientific exchange that will ensure patients have access to BMS medicines, to ensure their safe and appropriate use through peer to peer discussions aligned with medical strategies and needs expressed by external stakeholders, and to facilitate research. The MSL also serves as the medical resource for external stakeholders in the community.
Key Responsibilities:
External Environment and Customer Focus
Develop and maintain relationships with academic and community research thought leaders, appropriate HCPs, and access stakeholders, within a given geography to answer scientific, unsolicited product, and HEOR related questions.
The MSL will use various channels for interactions (1:1, group presentations, remote, etc.)
Demonstrate proficiency in using available scientific resources and presentations.
Effectively present information to TL/HCPs and be able to respond to questions, ensuring medical accuracy and compliance with local procedures, ethical and legal guidelines and directives.
Actively assess the medical landscape by meeting with TL/HCPs/Access Stakeholders to understand their needs and expertise.
Continuously update own knowledge in treatment strategies, products, unmet medical needs, clinical trials, health economics outcomes research and scientific activities.
Understand the competitive landscape and evolving healthcare models and actively prepare to address informational needs of customers
Identify opportunities to partner with HCPs on disease state initiatives, collaborative research projects, and investigator sponsored research (ISR) of interest and in alignment with BMS strategic objectives
Attend medical congresses and local/regional meetings.
Collect and provide meaningful medical insights and/or impact by communicating these back to the medical and commercial organizations to support strategy development and business decisions
Contribute to the Medical Plan
Develop geography-specific Field Medical and TL Interaction plans based on therapeutic area objectives and TLs needs
Adopt institution/account planning approach and contribute to cross-functional institution/account plans
Contribute to development and delivery of scientifically meaningful medical programs/projects in line with the local Medical and Field Medical plan
Provide Medical Support
Establish a customer-centric, compliant collaboration with cross-matrix field teams within assigned geography
As necessary and appropriate, support the initial and ongoing medical /scientific area and product specific training and provide key scientific updates to internal stakeholders (e.g. Commercial, Regulatory, Pharmacovigilance, Legal, HEOR, Value Access & Payment)
Provide scientific support at promotional meetings by presenting scientific and clinical data, by evaluating speakers and by giving support to BMS-contracted speakers (if applicable)
Participate in assigned Congress activities
Support Clinical Trial Activities
Support Interventional and Non Interventional Research (NIR) studies (e.g. identification and assessment of potential study sites) to facilitate patient recruitment and/or discussions around the safe and effective use of BMS investigational products, as agreed with home office medical and Global Development Operations (GDO) and as defined by the study scope document
Provide recommendations and insights to clinical development team on study and site feasibilities within the therapeutic area based on knowledge of the field and through direct contacts with potential investigators, as agreed with home office medical and GDO
Support HCPs in the ISR submission and execution process and study follow-up as agreed upon with home office medical and GDO
Ensure that BMS Pharmacovigilance procedural documents are understood and applied by investigators of local studies, and alert appropriate BMS personnel to any identified Adverse Events
Actively support CRO sponsored studies as agreed with home office medical and GDO and as defined by the study scope document
Position Requirements:
MD, PharmD, PhD, APP, PA, NP with experience in a specific Disease Area or with a broad medical background and relevant pharmaceutical experience
Disease area knowledge and an understanding of scientific publications
Knowledge of a scientific or clinical area, competitive landscape and patient treatment trends
Knowledge of clinical trial design and process
Knowledge of the national healthcare and access environment
Knowledge of HEOR core concepts
Excellent English language skills, spoken and written
Experience Desired
A minimum of 2 years working in a clinical and/or pharmaceutical environment
Prior MSL experience
Ability to work independently and act as a team player
Translating scientific or clinical data into an understandable and valuable form to help physicians best serve their patients
Good communication and presentation skills to present scientific and/or clinical data to research or healthcare professionals
Developing peer-to-peer relationships with TLs, scientists and other healthcare professionals
Ability to quickly and comprehensively learn about new subject areas and environments
Demonstration of the BMS Values
Essential Qualification
Ability to drive a company-provided car is an essential qualification of this position.
Candidates must be able to drive a BMS-provided vehicle between locations (often great distances apart) and arrive at each location ready and able to enthusiastically and efficiently demonstrate an applied knowledge of pertinent health care industry trends.
Candidates must possess a high level of ethics, integrity, and a responsible and safe driving history
Travel Requirement
Travel required.
Position is field based, MSL will be required to live in the territory which they manage or within 50 miles of the territory borders
The MSL will spend the majority of their time in the field with their external customers.
Further requirements based on territory assignment and team needs
#LI-Remote
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:
Field - United States - US: $166,090 - $201,262
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.
R1600998 : Medical Science Liaison Cardiovascular - Camzyos (IL, WI)

chilicothehybrid remote workohportsmouthwaverly
LTSS Service Coordinator (Case Manager) Southeast Ohio
Location:
- Ohio - Waverly
- Ohio - Chilicothe
- Ohio - Portsmouth
- Ohio - West Union
Field-based/Hybrid
Job Description:
Candidates must live in one of the following counties: Adams, Pike, Ross or Scioto County.
Location: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. 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 MyCare Ohio health plan is to deliver high‐quality, trauma informed, culturally competent, person‐centered coordination for all members that addresses physical health, behavioral health, long term services and supports, and psychosocial needs.
The LTSS Service Coordinator is responsible for managing service coordination for a designated caseload in specialized programs. Collaborate with iniduals to lead the Person Centered Planning process, documenting their preferences, needs, and goals. Conduct assessments, create comprehensive Person Centered Support Plans (PCSP), and develop backup plans. Work with Medical Directors and partake in interdisciplinary care rounds to establish a fully integrated care plan. Engage the inidual's support network and oversee management of their physical health, behavioral health, and long-term services and supports, adhering to state and federal regulations.
How you will make an impact:
Responsible for performing face to face program assessments (using various tools with pre-defined questions) for identification, applying motivational interviewing techniques for evaluations, coordination, and management of an inidual's waiver (such as LTSS/IDD), and BH or PH needs.
Uses tools and pre-defined identification process, identifies members with potential clinical health care needs (including, but not limited to, potential for high-risk complications, addresses gaps in care) and coordinates those member's cases (serving as the single point of contact) with the clinical healthcare management and interdisciplinary team in order to provide care coordination support.
Manages non-clinical needs of members with chronic illnesses, co-morbidities, and/or disabilities, to ensure cost effective and efficient utilization of long-term services and supports.
At the direction of the member, documents their short and long-term service and support goals in collaboration with the member's chosen care team that may include, caregivers, family, natural supports, service providers, and physicians. Identifies members that would benefit from an alternative level of service or other waiver programs.
May also serve as mentor, subject matter expert or preceptor for new staff, assisting in the formal training of associates, and may be involved in process improvement initiatives.
Submits utilization/authorization requests to utilization management with documentation supporting and aligning with the inidual's care plan.
Responsible for reporting critical incidents to appropriate internal and external parties such as state and county agencies (Adult Protective Services, Law Enforcement).
Assists and participates in appeal or fair hearings, member grievances, appeals, and state audits.
Minimum Requirements:
- Requires BA/BS degree and a minimum of 2 years of experience working with a social work agency; or any combination of education and experience which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
Strong preference for case management experience with older adults or iniduals with disabilities.
BA/BS in Health/Nursing preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Medical Ops & Support (Non-Licensed)
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
Title: Senior Manager, Principal Business Analyst
Location: San Diego 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.
Position Overview
The Senior Manager, Principal Business Analyst on the LIMS/ELN Product Team is a forward-looking, technically fluent role at the intersection of scientific research and modern digital infrastructure. This is not a traditional business analyst position. It is a business analyst role designed for someone who understands laboratory science, thinks in systems, and builds with AI.
You will serve as the primary technology bridge between identified BMS research groups and our enterprise scientific data platforms - such as ELN/LIMS, entity registration systems, and emerging AI-powered lab tools. You will drive the rollout, configuration, and continuous evolution of these platforms while actively identifying and implementing generative AI capabilities that accelerate DMTA cycle velocity, data quality, and scientist productivity.
This role carries a line of sight to the future of AI-native R&D: a world where lab systems generate decision-ready data, AI agents handle routine analytical tasks, and every experiment contributes to an organizationally shared, queryable knowledge graph. You will help build that future, hands-on.
Desired Candidate Characteristics
- Technologist first, scientist by training - with a genuine passion for AI, data systems, and the future of digital R&D.
- Degree in Biological, Chemical, or Computational Sciences; hands-on research experience in a pharma or biotech setting.
- Fluency in scientific workflows (assay design, protein characterization, compound registration, biologics development) and how they map to lab informatics platforms.
- Track record of deploying and supporting LIMS, ELN, or scientific data platforms in regulated research environments.
- Ability to operate as a technical analyst - not just gathering requirements, but designing solutions, writing specs, building prototypes, and evaluating AI tools. Curiosity about generative AI, LLM-based tooling, and agentic workflows - and eagerness to implement them in the lab science context.
- Strong collaborator who can communicate across scientists, software engineers, data architects, and vendors.
- Comfort in a matrixed global organization, with the initiative to drive progress without waiting for perfect alignment.
- High standards for user experience and data quality - the scientist is the customer.
Key Responsibilities
- Platform Deployment & Configuration
- Lead hands-on configuration, validation, and rollout of ELN/LIMS, entity registration, and connected scientific platforms across BMS research groups.
- Translate scientific workflows into platform schemas, templates, and automation - designing for usability, compliance, and AI-readiness from day one.
- Partner with other work streams and product teams spanning Instrument Connectivity, Data Migration, and Protein Registration workstreams to deliver integrated platform capabilities on program timelines.
- Manage Jira boards, write user stories and technical specifications, and work directly with developers and QA engineers to drive delivery.
- Technology Analysis & AI Integration
- Evaluate emerging generative AI and LLM tools (e.g., AI-assisted protocol generation, natural language data query, intelligent anomaly detection) for applicability in lab informatics workflows.
- Prototype and implement AI-powered capabilities within or alongside the Benchling platform - working with data engineers and platform architects to integrate thoughtfully.
- Maintain a forward-looking AI capability roadmap for the LIMS/ELN stack, informed by vendor roadmaps, industry trends, and BMS research strategy.
- Champion data structuring practices that position experimental data for downstream machine learning, meta-analysis, and cross-program AI applications.
- Requirements & Solution Design
- Partner with research scientists, program teams, and data governance leads to elicit, structure, and prioritize platform requirements at both tactical and strategic levels.
- Design platform solutions that meet regulatory requirements (GxP, 21 CFR Part 11) while enabling the flexibility needed for cutting-edge R&D.
- Anticipate future scientific and data needs - don't just document what users ask for today; model what they will need in 12-24 months.
- Testing, Validation & Compliance
- Develop and execute test plans covering functional requirements, data integrity, and compliance for LIMS/ELN system changes.
- Lead and support User Acceptance Testing (UAT) with research scientists; drive resolution of issues to deployment readiness.
- Ensure all platform configurations and change controls comply with GxP and BMS quality standards.
- Enablement & Change Management
- Design and deliver targeted training programs, demos, and self-service resources that meet scientists where they are - across experience levels and lab disciplines.
- Develop clear, accurate documentation including user guides, SOPs, and system specifications.
- Act as a trusted advisor and go-to resource for the research community on platform capabilities and digital tools.
Continuous Improvement & Stakeholder Engagement
- Monitor platform usage, collect structured feedback, and translate insights into prioritized enhancements.
- Build and maintain strong relationships with scientists, IT colleagues, and platform vendors (Benchling, Dotmatics, Revvity, PerkinElmer, and others).
- Communicate program status, risks, and recommendations clearly to team leads and senior stakeholders.
Qualifications
- Bachelor's degree in Life Sciences, Computational Biology, Bioinformatics, Computer Science, or a related field. Advanced degree preferred.
- 5-8 years of experience in a technology analyst, platform analyst, or scientific informatics role - in a pharma, biotech, or CRO environment.
- Hands-on experience with LIMS and/or ELN platforms; Benchling experience strongly preferred.
- Proficiency with Agile/Scrum delivery (Jira, user stories, sprint planning) and software development lifecycle (SDLC) fundamentals.
- Working knowledge of data models, database concepts, APIs, and integration patterns relevant to lab informatics.
- Demonstrated ability to evaluate and deploy new digital tools - including AI or automation capabilities - in a scientific or regulated setting.
- Strong analytical skills with the ability to translate complex scientific requirements into structured, implementable technical solutions.
- Excellent verbal and written communication; comfortable presenting to both scientists and senior IT/business leaders.
- Familiarity with GxP regulatory requirements and quality standards applicable to lab systems.
Preferred Qualifications
- Direct deployment experience with Benchling and at least one other platform (Dotmatics, Genedata, Revvity/PerkinElmer Signals, Sapio Sciences).
- Exposure to generative AI tools, LLM APIs, or agentic workflow frameworks - with hands-on prototyping or implementation experience.
- Experience with data analytics, scientific reporting tools (e.g., Spotfire, Power BI), or lab data pipelines.
- Certification in Business Analysis (CBAP, CCBA) or Project Management (PMP, SAFe).
- Familiarity with antibody discovery, biologics characterization, or high-throughput screening workflows is a strong differentiator.
- Ability to write basic scripts (Python, SQL) to interrogate platform data, prototype integrations, or automate configuration tasks.
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:
San Diego - CA - US: $165,120 - $200,088
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.
R1600934 : Senior Manager, Principal Business Analyst

dc or us nationalminneapolismnoption for remote work
Title: Senior AI/ML Engineer
- Remote
Location: Irvine United States
Job Description:
Optum Tech is a global leader in health care innovation. Our teams develop cutting-edge solutions that help people live healthier lives and help make the health system work better for everyone. From advanced data analytics and AI to cybersecurity, we use innovative approaches to solve some of health care's most complex challenges. Your contributions here have the potential to change lives. Ready to build the next breakthrough? Join us to start Caring. Connecting. Growing together.
Optum AI is UnitedHealth Group's enterprise AI team. We are AI/ML scientists and engineers with deep expertise in AI/ML engineering for health care. We develop AI/ML solutions for the highest impact opportunities across UnitedHealth Group businesses including UnitedHealthcare, Optum Financial, Optum Health, Optum Insight, and Optum Rx.
We are seeking a self-motivated and proactive inidual to drive the development and implementation of AI-based tools and workflows. You will collaborate closely with research, engineering, and product teams to translate cutting-edge AI advancements into production-ready capabilities. The ideal candidate consistently seeks opportunities to enhance system performance and contribute to organizational objectives, while upholding ethical AI principles by embedding fairness, transparency, and accountability throughout the model development lifecycle.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week.
Primary Responsibilities:
- Design and implement AI systems for conversational search in medical content
- Evaluate, debug, and improve conversational AI to ensure accuracy and efficiency
- Monitor and optimize system performance for latency, cost, and reliability
- Explore and apply reinforcement learning and self-improving techniques
- Collaborate and communicate effectively with cross-functional teams and stakeholders to deliver scalable solutions
- Ensure responsible and ethical AI practices throughout all stages of development
- Stay up-to-date with advances in AI/ML and actively contribute ideas, research, or solutions to improve team and product capabilities
- Collaborate with research, engineering, and product teams to translate cutting-edge AI advancements into production-ready capabilities. Uphold ethical AI principles by embedding fairness, transparency, and accountability throughout the model development lifecycle
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- Graduate degree in computer Science or similar fields
- 4+ years of hands-on experience in AI/ML, with a solid focus on natural language processing (NLP) and Language Models
- 3+ years of experience with libraries such as Langchain, OpenAI API, Hugging Face Transformers, or similar tools for finetuning and integrating LLMs
- Experience with agentic frameworks such as LangGraph, AutoGen, Bedrock, or Vertex AI, demonstrated by contributing to projects involving the design of modular and scalable AI agents
Preferred Qualifications:
- Experience deploying agentic systems in production environments, ensuring scalability, reliability, and performance
- Experience with RL training for language models
- Experience working on collaborative software projects using GitHub
- Proven ability to engage in AI/ML research, evidenced by peer-reviewed publications or technical reports, and by incorporating recent advances in NLP and agentic frameworks into product-led projects
- All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We comply with all minimum wage laws as applicable.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#OptumTechPJ

hybrid remote worknyplainviewqueensyonkers
Title: Clinical Therapist
(Adult) - LCSW/LMFT/LMHC - Hybrid WFH
Location: Primary location: Plainview, NYAdditional locations: Yonkers, New York | Queens, New York
Job Description:
The Optum family of businesses is seeking a Behavioral Health Clinical Therapist to join our team in Plainview, NY. As a member of the Optum Behavioral Care team, you'll be an integral part of our vision to make healthcare better for everyone.
The therapist is responsible for providing direct clinical services to adult in the Collaborative Care Model (CoCM) in a primary care clinic and will operate in conjunction with Optum Behavioral Care (OBC) to serve as the core member of the hybrid in-person/virtual collaborative care team for OBC clients.
In this cutting-edge team the therapist will interface between patients, PCPs, and psychiatrists to support the mental health and physical health care of patients on an assigned patient caseload from OBC clients. The therapist will have the support of OBC's clinical and operational teams. This is an ideal role for you if you want to be at the center of an innovative model that can successfully improve the wellbeing of patients, you are interested in being part of a fast-growing company, and you thrive in a team environment.
This role will be embedded within our healthcare client ProHealth NY and follow a Monday-Friday schedule with no weekends or holidays.
As part of this hybrid role, you will work remotely one day per week, with the remaining days onsite at the medical clinic.
Primary Responsibilities:
- Use virtual and in-person modalities to coordinate care with the patient's medical provider and, when appropriate, other mental health providers
- Screen and assess patients for common mental health and substance abuse disorders
- Systematically track treatment response and monitor patients for changes in clinical symptoms and treatment side effects or complications
- Support psychotropic medication management as prescribed by medical providers, focusing on treatment adherence monitoring, side effects, and effectiveness of treatment
- Provide brief behavioral interventions using evidence-based techniques such as behavioral activation, problem-solving treatment, motivational interviewing, or other treatments as appropriate
- Participate in regularly scheduled caseload consultation with the psychiatric consultant and communicate resulting treatment recommendations to the patient's medical provider
- Develop and complete relapse prevention self-management plan with patients who have achieved their treatment goals and are soon to be discharged from the caseload
We are committed to your well-being and growth, offering a comprehensive package of perks and benefits with varying eligibility based on role, including:
- Competitive salary & eligibility for quarterly incentive bonuses
- Flexible work models & paid time off when you need it
- Health and well-being benefits like health insurance, 401k matching, and other family support and wellness resources
- Professional development with tuition reimbursement and dedicated learning time to advance your career
- CE/CEU and licensure renewal reimbursement
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
Meet one of the following license requirements for the state of New York
Licensed Clinical Social Worker (LCSW)
Licensed Professional Counselor (LPC)
Licensed Marriage and Family Therapist (LMFT)
3+ years of experience treating patients with behavioral health conditions
1+ years of experience working in primary care or other medical behavioral integrated setting (i.e., with other provider types)
Experience with assessment and using evidence-based psychosocial treatments and brief behavioral interventions for common mental health disorders (e.g., cognitive behavioral therapy, motivational interviewing, problem-solving treatment, behavioral activation
Preferred Qualifications:
- Experience in the Collaborative Care Model (CoCM)
- Demonstrated experience being detail-oriented, organized, and have exceptional follow-up capabilities
- Proven ability to maintain effective and professional relationships with patient and other members of the care team
- Proven ability to work with patients in person as well as by telephone and video
- Proven solid grasp of technology solutions and tools and ability to adapt
Explore opportunities at Optum Behavioral Care. We're revolutionizing behavioral health care delivery for iniduals, clinicians and the entire health care system. Together, we are bringing high-end medical service, compassionate care and industry leading solutions to our most vulnerable patient populations. Our holistic approach addresses the physical, mental and social needs of our patients wherever they may be - helping patients access and navigate care anytime and anywhere. We're connecting care to create a seamless health journey for patients across care settings. Join our team, it's your chance to improve the lives of millions while Caring. Connecting. Growing together.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $60,200 to $107,400 annually based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.

dchybrid remote workwashington
Manager II Behavioral Health Svcs (US)
Location: Washington, D.C., United States
Full time
Hybrid
Job Description:
Manager II Behavioral Health Services
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.
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 Manager II Behavioral Health Services will be responsible for Behavioral Health Case Management (BH CM). Serves as a mentor to lower leveled managers and as a subject matter expert for other areas of the company and within the department. Develops and manages annual operating budget.
How you will make an impact:
Serves as a resource for medical management programs.
Identifies and recommends revisions to policies/procedures.
Ensures staff adheres to accreditation guidelines.
Supports quality improvement activities.
May assist with implementation of cost of care initiatives.
May attend meetings to review UM and/or CM process and discusses facility issues.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Responsibilities for BH CM may include:
Manages a team of licensed clinicians and non-clinical support staff engaged in telephonic outreach to members; oversees staff assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum and ensuring member access to services appropriate to their health needs; monitors and evaluates effectiveness of care plans; manages case consultation and education to customers and internal staff for efficient utilization of BH services; supports process improvement and quality assurance activities; ensures adherence to appropriate departmental policies, care management best practices, relevant clinical standards, and member contracts; facilitates collaboration across departments to ensure cost effective and quality member care.
Minimum Requirements:
Requires current, active, unrestricted license such as RN, LCSW (as applicable by state law and scope of practice), LMHC, LPC, LBA (as allowed by applicable state laws), LMFT, LMSW or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States.
For Government business only: LAPC, and LAMFT are also acceptable if allowed by applicable state laws and any other state or federal requirements that may apply; provided that the manager's director has one of the types of licensure specified in the preceding sentence. Licensure is a requirement for this position. However, for states that do not require licensure a Board Certified Behavioral Analyst (BCBA) is also acceptable if all of the following criteria are met; performs UM approvals only, reviews requests for Applied Behavioral Analysis (ABA) services only, and there is licensed staff supervision.
Prior experience in Managed Care setting required.
Additional requirements for BH CM: MS in social work, counseling, psychology or related behavioral health field or a degree in nursing and minimum of 5 years of clinical experience with facility-based and/or outpatient psychiatric and chemical dependency treatment and extensive experience in case management and telephonic coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders, which includes minimum of 2 years prior management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
Experience applying clinical and policy knowledge on the continuum of Behavioral Health treatment strongly preferred.
Certification as a Case Manager preferred.
For candidates working in person or virtual in the below location(s), the salary* range for this specific position is $108,560- $162,840
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:
Manager
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

hybrid remote workinindianapolismonticello
LTSS Service Coordinator - RN Clinician (Cass County)
Location:
- 220 Virginia Ave, Indianapolis, IN
- Monticello, IN
Job Description:
Schedule: Monday-Friday 8 am-5 pm EST
Location: Candidates must be located in Cass County
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. 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 LTSS Service Coordinator-RN Clinician is responsible for overall management of member's case within the scope of licensure, develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of prioritizing person-centered thinking and optimizing member health care across the care continuum.
How you will make an impact:
Responsible for performing telephonic and face-to-face functional assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports. Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team.
Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits.
Obtains a thorough and accurate member history to develop an inidual care plan.
Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.
The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.
May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible.
Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management of person-centered care plans. May also assist in problem solving with providers, claims or service issues.
Minimum Requirements:
Requires a high school diploma or GED equivalent and a minimum of 3 years of experience in working with iniduals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.
Current, active valid and unrestricted RN license in Indiana state required.
Preferred Skills, Capabilities and Experiences:
BA/BS in Health/Nursing preferred.
Strong preference for case management experience with older adults or iniduals with disabilities.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Licensed Nurse
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.

hybrid remote workus national
LTSS Service Coordinator-Clinician (Indianapolis, IN)
Location:
- IN-INDIANAPOLIS, 220 VIRGINIA AVE
- Indiana - Southport
- Indiana - Beech Grove
Field/Hybrid
Full-time
Job Description:
Schedule: Monday-Friday 8am-5pm EST
Location: Candidates must be located in Marion County.
Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. 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 LTSS Service Coordinator-Clinician working under the direction/supervision of an RN, with overall responsibility for the member's case, as required by applicable state law and contract, contributes to the LTSS care coordination process by performing activities within the scope of licensure including, for example, assisting the responsible RN with telephonic or face-to-face assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.
How you will make an impact:
Assists responsible RN in identifying members for high risk complications.
Obtains clinical data as directed by the responsible RN.
Assists the responsible RN in identifying members that would benefit from an alternative level of care or other waiver programs.
Provides all information collected to the responsible RN, who verifies and interprets the information, conducts additional assessments, as necessary, and develops, monitors, evaluates, and revises the member's care plan to meet the member's needs.
Participates in coordinating care for members with chronic illnesses, co-morbidities, and/or disabilities as directed by responsible RN, and in conjunction with the RN, member and the health care team, to ensure cost effective and efficient utilization of health benefits.
Decision making skills will be based upon the current needs of the member and require an understanding of disease processes and terminology and the application of clinical guidelines but do not require nursing judgment.
Minimum Requirements:
Requires an LSW, LCSW, or LMSW or license other than RN in accordance with applicable state law and Nursing Diploma or AS in Nursing or a related field and minimum of 2 years of experience in working with iniduals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator or similar role; or any combination of education and experience, which would provide an equivalent background.
Current, unrestricted LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required.
Preferred Skills, Capabilities and Experiences:
MA/MS in Health/Nursing preferred.
May require state-specified certification based on state law and/or contract preferred.
Travels to worksite and other locations as necessary preferred.
Job Level:
Non-Management Non-Exempt
Workshift:
Job Family:
MED > Licensed/Certified - Other
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.
Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.
Title: Surgical Profee Medical Coder - Plastics & Dermatology
Primary location: USA Remote
Job Description:
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together.
Under direction of the Coding Manager, the primary responsibility of the Medical Coder is to ensure that codes representing current International Classification of Diseases, 9th Revision (ICD-9) or 10th Revision (ICD-10), Current Procedural Terminology (CPT), and the Healthcare Common Procedure Coding System (HCPCS) accurately reflect documented services by applying a demonstrated knowledge of anatomy, physiology and medical terminology as well as compliant coding rules and regulations, including medical necessity and modifiers. Additionally, the Medical Coder serves as the key resource to the Chief and Administrative Director and/or Manager regarding coding changes affecting assigned clinical areas, ongoing coding reviews of providers, and trends associated with coding utilization and optimization, denial management, reimbursement, and customer services issues. The Medical Coder is ultimately responsible for efficient charge capture and reconciliation processes (electronic or paper), knowing and meeting expected targets at sufficient accuracy rates as measured by Transaction Editing System (TES) edits, claim action report volumes, and denials. The Medical Coder will identify potential compliance concerns and/or barriers toward timely completion of all tasks to the Coding Manager and will endeavor to work in collaboration with colleagues in Coding, Clinical Departments, Health Information Management, Information Technology, and Finance toward viable solutions.
You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.
Primary Responsibilities:
The following section contains representative examples of work that will be performed in positions allocated to this classification. Bassett Healthcare is a dynamic organization, and the environment can be fluid. Roles and responsibilities can often be expanded to accommodate changing patient or organizational needs and conditions as well as to tap into skills and talents of employees. Accordingly, employees may be asked to perform duties that are outside the specific functions that are listed.
Charge Capture
Review charge capture documents, paper or electronic, for completeness and accuracy
Reconcile collection of charges to daily census report or schedules depending on place of service
Accurately indicate and link all ICD-10 diagnosis codes, procedure codes and modifiers on the charge document
Prepare daily charge capture documents according to Bassett policies and procedures
Process all pre-billing edits daily and complete each edit within 2 business days
Ensure charges are posted within the following timelines: 4 days from date of service for Outpatient services and 7 days from date of service for Inpatient services by monitoring Lag Time Reports and working with practitioners and associated staff responsible for charge capture to meet those goals
Denial Management
Process denials daily ensuring all requested timelines are met
Ensure procedure and ICD-10 codes reflect documentation
Customer Service
Respond to customer service questions and report recurring issues to management
Work and communicate in a positive, cooperative manner with patients and their families when resolving customer service issues based on management observation and/or patient feedback
Competency
Attend all staff meetings
Maintain current Coding Certification and active membership in the local AAPC chapter, including participation in local events and meetings
Have a good working knowledge of all hospital computer systems and coding tools available to assist with correct coding. This includes Epic's Electronic Health Record application, MedAssets CodeCorrect application, and other department specific clinical/coding applications, e.g. CodeRyte
Keep abreast of coding changes and reimbursement reporting requirements and raise concerns to Coding Manager for resolution
Review and implement changes to departmental/site clinic sheets and charge documents to reflect current ICD-9 or ICD-10 in October, HCPCS and CPT's in January
Abide by Standards of Ethical Coding as set forth by the AAPC or AHIMA (depending on certification) and adhere to Official Coding Guidelines as set forth by CMS and the OIG
Coding Review and Reimbursement Resource
Conduct annual and focused reviews
Use interpersonal skills effectively to build and maintain cooperative working relationships with all levels and departments within the organization
Based on management requests, assists with the orientation, skill development and mentoring of employees new to the coding function
Provide education to all providers within a given specialty based on coding trends and will conduct new provider orientation
Performs similar or related duties as requested or directed
Performs other duties as requested and observed by supervisor or manager
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
- High School Diploma/GED (or higher)
- Professional coder certification with credentialing from AHIMA and/or AAPC (RHIA, RHIT, CCS, CCS-P CPC, OR CPC-H) to be maintained annually
- 3+ years of experience in Professional Services Surgery Coding (Plastics & Dermatology)
- 3+ years of experience working with CPT, HCPCS, ICD-10 codes, anatomy and physiology and medical terminology
- 3+ years of experience working with coding rules and regulations for issues regarding medical record documentation, compliance and reimbursement, including medical necessity, claims denials, bundling issues and charge capture
Telecommuting Requirements:
- Ability to keep all company sensitive documents secure (if applicable)
- Live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service
- Access to a dedicated work area established that is separated from other living areas and provides information privacy
Physical Requirements:
- The position involves extensive work at the computer station
- All Telecommuters will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $20.38 to $36.44 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records.
Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
#RPO #GREEN
Updated 8 days ago
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