Title: Sr Research Scientist

Location: Boston United States

Full time

Job Description:

About the Opportunity

Join a mission-driven team developing advanced cybersecurity platforms that protect hospitals and clinics from cyber threats. The Sr Research Scientist will contribute full-time to building Whole-Hospital Simulations that emulate realistic healthcare environments and Vulnerability Mitigation Platforms that safeguard medical devices and both clinical and non-clinical networks. The work will directly impact patient safety and digital resilience in vulnerable healthcare settings. Success in this role will help revolutionize the healthcare penetration testing marketplace by shifting the focus from compliance to how gracefully a hospital system can fail and recover under attack. The platforms will also shape the evolution of medical device security regulatory frameworks by moving evaluations from inidual device compliance to whole-hospital system security.

As part of the responsibilities of the Sr Research Scientist, out-of-the-area and overnight travel is often required to accompany the Principal Investigator and/or research staff on visits to each sub awardee site across the country, as well as to attend sponsor-mandated events. Travel is typically expected one to two times per month throughout the duration of the award, depending on the schedule of events. No travel is currently anticipated in December, though this is subject to change based on sponsor priorities. The energy and ability to travel is required. The laboratory is located in the Boston area, and this position is hybrid in person and work from home.

This position is 100% externally funded and will be reappointed on an annual basis based on the continued availability of funding.

Key Responsibilities & Accountabilities:

(40%) Research Project Leadership: Lead and direct research projects in healthcare and medical device cybersecurity. Define research objectives, contribute to requirements engineering, direct research tasks in alignment with tasks and milestones, design and lead evaluation studies, analyze results, and disseminate findings through publications and presentations.

(25%) Mentoring and Student Supervision: Mentor, supervise, and direct graduate students engaged in whole hospital simulation, vulnerability management platforms, penetration testing, vulnerability assessment, systems evaluation, and related technical areas. Provide direct feedback to support their technical growth, academic progress in publishing in top conferences, and professional development.

(20%) Technical report writing: Prepare project reports and technical documentation for whole hospital simulation and vulnerability management platforms. Patent applications. Locate and identify opportunities to secure additional funding and present project outcomes.

(10%) Collaboration and External Engagement: Lead evaluation of security of hospital-scale simulators and medical devices with healthcare providers, regulators, and industry partners. Represent the lab at conferences, workshops, and industry events.

(5%) Grant proposal writing and related proposal writing. Manage small-scale budgets and tasking milestone planning related to project expenditures, including procurement of test equipment, simulation resources, and laboratory supplies, in coordination with administrative staff.

This role involves close leadership with technical leads and organizational leadership on a single, high-impact cybersecurity platform for healthcare. While you'll receive support and guidance, you're expected to take leadership of your work and contribute independently.

• Lead feedback on technical work and project progress, ensuring adherence to research best practices, laboratory safety, and project timelines. Take ownership of research publication processes.

• Report to the PI and lead technical work in collaboration with the Project Manager, students, faculty, staff, and subaward recipients to achieve programmatic objectives and goals.

• Lead discussions and project planning with sub awardees and organizational leadership on a high-impact cybersecurity platform for healthcare.

• Take ownership of work and contribute independently, while receiving support and guidance as needed.

• Lead cross-functional teams and make technical decisions to ensure alignment with project goals.

As you grow in the role, you'll take the lead on key technical decisions.

We're looking for someone who thrives in a leadership role, focused, mission-driven environment and can balance autonomy with teamwork.

Core Qualifications:

PhD in computer science, electrical engineering, biomedical engineering, or a closely related field. Strong citation record in embedded systems security, medical device cybersecurity, healthcare technology security, or a closely related subfield. Strong written and verbal communication skills. Demonstrated ability to lead interdisciplinary research teams, healthcare partners, and industry collaborators. Demonstrated ability to mentor and direct students to ensure alignment to a mission-driven research program.

Experience with requirements engineering, penetration testing, or systems evaluation is highly desired. While programming skills are valuable, the Principal Research Scientist position is not intended for software development but will involve close collaboration with software development team members. A strong candidate will provide letters of reference from three faculty members who can address these qualifications and offer comparisons with peers.

Position Type

Research

Additional Information

Northeastern University considers factors such as candidate work experience, education and skills when extending an offer.

Northeastern has a comprehensive benefits package for benefit eligible employees. This includes medical, vision, dental, paid time off, tuition assistance, wellness & life, retirement- as well as commuting & transportation. 

All qualified applicants are encouraged to apply and will receive consideration for employment without regard to race, religion, color, national origin, age, sex, sexual orientation, disability status, or any other characteristic protected by applicable law.

Compensation Grade/Pay Type:

111S

Expected Hiring Range:

$86,490.00 - $122,163.75

With the pay range(s) shown above, the starting salary will depend on several factors, which may include your education, experience, location, knowledge and expertise, and skills as well as a pay comparison to similarly-situated employees already in the role. Salary ranges are reviewed regularly and are subject to change.

Title: VP, Market Development - West Region (Remote)

Location: United States

Job Description:

March of Dimes leads the fight for the health of all moms and babies. We are advocating for policies to protect them. We are working to radically improve the health care they receive. We are pioneering research to find solutions. We are empowering families with programs, knowledge and tools to have healthier pregnancies. By uniting communities, we are building a brighter future for us all.

We are dedicated to hiring a erse workforce that fosters opportunities for personal and professional development. We provide a collaborative and supportive environment built upon our fundamental core principles where each employee is valued. Join us in the fight for healthy moms and strong babies.

Join Us

At March of Dimes, we lead the charge to ensure every mom, baby, and family gets the best possible start. As we grow our impact across the country, we’re seeking a visionary and results-driven Vice President of Market Development to lead strategic fundraising initiatives across the West Region. This is a unique opportunity to make a lasting difference in maternal and infant health while shaping a high-performing development team. 

Your Impact

As the Vice President of Market Development, you will drive revenue growth, expand donor engagement, and lead a dynamic team behind historic campaigns, mission investment, and principle and planned giving. You’ll bring together corporate, community, and inidual partners to support our lifesaving mission while cultivating a culture of excellence, collaboration, and bold innovation.  This leader is managing nine market teams of development and mission staff.  Market teams included in the West region are: Phoenix, California, Hawaii, Minneapolis/Milwaukee, St. Louis, Omaha, Oklahoma/Arkansas, TX, Seattle/Portland.

Key Responsibilities

• Lead and Grow Revenue
  Personally accountable for growing a XM revenue portfolio annually.  Design and execute a comprehensive fundraising strategy focused on sustainable growth in total and unrestricted revenue. Inspire a high-performance culture that consistently meets or exceeds goals through all revenue portfolios.
• Build and Inspire Teams
  Recruit, develop, and mentor a strong team of fundraising professionals within 26 markets. Foster a culture that thrives on collaboration, accountability, and shared purpose.  Lead creatively in a virtual environment to create team synergy and dynamic motivation of others.  Held accountable for talent retention and engagement.  Responsible for onboarding and developing all market leaders.
• Lead by Example
  Personally manage relationships with top donors and partners. Be a face of March of Dimes in your community and in those you support in leadership —creating visibility, building trust, and driving mission impact. This include managing top donors, boards, and key relationships during vacancies.
• Ensure Operational Excellence
  Monitor performance, analyze data, and uphold donor data integrity. Ensure financial and compliance standards are consistently met. Accountable for region budget and all expense management.
• Collaborate Across Departments
  Actively build trusted relationships with business partners across departments to ensure a collaborative work culture for your region staff and to support reaching collective goals.  Serve as an extension of the national strategic vision when working with all staff regardless of department or role.

Who You Are

• A strategic thinker with a track record of exceeding fundraising goals and scaling donor engagement.
• A goal-driven development professional that thrives in a culture which sets the bar high and energizes others to join . 
• A people-first leader with experience developing high-performing teams and building strong internal culture.
• A relationship builder with the ability to recruit and activate executive-level volunteers and corporate supporters.
• A mission-driven professional with passion for health equity and a desire to make measurable change.

Qualifications

• Bachelor's degree or equivalent work experience.
• Minimum 10 years of relevant fundraising, development, or sales experience, with at least 5 years in a leadership/supervisory role.
• Demonstrated success in revenue generation, strategic planning, volunteer engagement, peer to peer fundraising, sponsorship recruitment, major gifts cultivation, as well as consistently meeting or exceeding goals.
• Growth mindset with a desire to innovate and manage change.
• Excellent communication and influencing skills across stakeholders and sectors.
• Large territory management experience, especially multi-state understanding cultural differences.
• Ability to travel within your region and nationally; access to reliable transportation; access to a regional airport.

Preferred Skills

• Familiarity with nonprofit health organizations in the maternal & infant health space, particularly March of Dimes or similar national organizations.
• Deep understanding of nonprofit standards, donor stewardship, and campaign operations.
• Virtual leadership experience.

Ready to lead with purpose?

March of Dimes provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics.

Equal Opportunity Employer

Title: Utilization Management Specialist-Remote within 50 miles of Cincinnati, OH

Location: Cincinnati United States

 Quality & Safety

Job Id: JR213813

Job Type: Full time

Job Description:

JOB RESPONSIBILITIES

• Utilization Management- Utilization Management: Independently working more complex prospective, retrospective and concurrent review and processing of authorization requests for inpatient admissions, outpatient procedures, homecare services and durable medical equipment. Generates required correspondence, including denial letters, based on medical necessity and administrative review process while maintaining productivity and turnaround time.

• Quality- Work with management team to ensure 100% correct letter and less than 2% error rate are met. Uses independent judgement to ensure templates are compliant with Federal, State and Regulatory requirements. Identify and refer appropriate members for care management and quality issues to Quality Improvement. Recommends process improvements and provides documentation for processes to the department.

• Discharge Planning- Document, identify and communicate with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care in a timely and cost-effective manner. Interfaces with physician reviewers to optimize the written communication to members and referring providers.

• Compliance- Meet third-party payer standards and requirements. Maintains knowledge of changes as impacts regulatory/accrediting compliance for reimbursement. Assist Director in the reporting of information as set forth in the PI plan, i.e., appropriateness of admissions and continued stay reviews including when known, the over and underutilization of resources. Participate in interdepartmental meetings to promote knowledge, troubleshoot, problem shoot and resolve issues as relates to utilization management. Serves as an educational and communications resource to Administration, Department heads, physicians and other necessary groups regarding the utilization management activity and process. Keep the department manager informed of problems, as necessary.

• Leadership- Provide guidance to and assist with oversight of non-clinical staff, including training and education of Specialist I. Act as a primary point of contact for the Utilization Management team. Answers questions and provide guidance for difficult reviews and processes.

Responsible for required correspondence. Using professional education independently documents, identifies and communicates with Health Partners, Care Managers and Discharge Planners to establish safe discharge planning needs and coordination of care in a timely and cost-effective manner.

JOB QUALIFICATIONS

• Bachelor of Science in Nursing or Master's Degree in Social Work, Counseling, or related field

• 3+ years of work experience in a related job discipline.

• Current, unrestricted Registered Nurse (RN), Social Work or Clinical Counselor Licensure in state(s) of practice

Primary Location

Remote

Schedule

Full time

Shift

Day (United States of America)

Department

PS HealthVine UM

Employee Status

Regular

FTE

1

Weekly Hours

40

• Expected Starting Pay Range
• Annualized pay may vary based on FTE status

$67,537.60 - $86,112.00

Market Leading Benefits Including*:

• Medical coverage starting day one of employment. View employee benefits here.

• Competitive retirement plans

• Tuition reimbursement for continuing education

• Expansive employee discount programs through our many community partners

• Shift Differential, Weekend Differential, and Weekend Option Pay Programs for qualified positions

• Support through Employee Resource Groups such as African American Professionals Advisory Council, Asian Cultural and Professional Group, EQUAL - LGBTQA Resource Group, Juntos - Hispanic/Latin Resource Group, Veterans and Military Family Advocacy Network, and Young Professionals (YP) Resource Group

• Physical and mental health wellness programs

• Relocation assistance available for qualified positions

• Benefits may vary based on FTE Status and Position Type

Title: Hematology, Oncology Specialist 

Location: Remote United States

**Job ID;**2025-2369

 # of Openings;1

 Category; Commercial

 Type; Regular Full-Time

Job Description:

Role Overview & Key Functions:

The Hematology-Oncology Specialist maintains strong professional relationships in the patient care continuum and represents the integrity of Karyopharm Therapeutics by providing approved disease and product information and resources to key decision makers and stakeholders within the oncology community practice setting.

RESPONSIBILITIES:

• Develop business plans, market analysis, and strategy that link to strong business results and execute accordingly
• Position on-label benefits for appropriate patients to key customer stakeholders to achieve or exceed forecasted sales goals
• Resolve issues at account level to ensure access to therapy
• Coordinate with colleagues in cross-functional areas including Market Access, Clinical Education, and Medical Affairs to facilitate customer and patient access to Karyopharm product(s) and information
• Provide customer feedback to internal stakeholders, sharing best practices, unmet needs, and business opportunities
• Assist Marketing function in identifying and inviting appropriate healthcare professionals (HCPs) to promotional and educational events or programs
• Develop and maintain mastery of clinical and technical knowledge related to product(s) promoted, the oncology marketplace, and disease management
• Foster and develop relationships with Key Opinion Leaders (KOLs), decision makers, influencers, and key stakeholders within the oncology community
• Deliver clinical and technical value at medical meetings by staffing promotional booths, as requested
• Comply with all laws and regulations and adhere to company compliance guidelines, policy and procedures
• Acts with a sense of urgency on behalf of patients and customers

Candidate Profile & Requirements:

• Bachelor's degree, required
• 5+ years of pharmaceutical sales experience, with a documented history of success
• 2+ years' oncology or rare disease pharmaceutical sales experience, including product launch(es)
• Experience in Hematology and/or Multiple Myeloma preferred
• Existing relationships with oncology practices in territory, preferred
• Strong business acumen
• Must reside in close proximity to the geography or be willing to relocate to it
• Valid driver's license and the ability to travel as necessary

At Karyopharm, base pay is one part of a competitive total rewards package that includes comprehensive benefits (medical, dental, vision, 401(k), and more), equity and the potential to receive annual target bonuses. Actual pay is based on factors such as location, experience, skills, education, and internal equity. We maintain broad salary ranges to reflect market conditions and the specialized nature of our work. The anticipated base salary range for this position is $170 K - $210 K USD.

Our Value Proposition:

At Karyopharm, we live and demonstrate our ICARE values every day! If you want to do something that matters, this work matters. Patients drive our passion to pioneer novel cancer therapies. That's why we've built an environment centered around support, flexibility, and a shared mission.

Creating and delivering medicine for cancer can only be done through focus, dedication, and heart. We hire exceptional people and trust each other to work in whatever way lets us, be us - whether that's onsite, from home, or anywhere in between.

What do you get when you pair an extraordinary mission with a culture of flexibility and empowerment? We invite you to find out and join us on this incredible mission.

Check out our Culture Video!

What We Offer:

In addition to our exciting, supportive, and intellectually challenging global workspaces(s), team members enjoy a comprehensive and generous benefits package (active on day one) that makes them more productive and contributes directly to the development of their professional skills.

• A culture of employee engagement, ersity, and inclusion
• Competitive salary, bonus, and generous equity offerings (RSU's at time of offer and annual awards) - we are partners in prosperity!
• Peace of mind through best in class medical (deducible paid by KPTI), dental, vision, disability, and life insurance, parental leave, a matching 401k program (immediate vesting), ESPP and tuition reimbursement.
• Wellness Program with a monthly stipend.
• Generous PTO and Holidays - we encourage you to recharge and spend time with family and friends.
• Ample opportunities to learn and take on new responsibilities in a fast-paced, and patient focused company. (tuition reimbursement, management development & mentoring programs, and a variety of reward and recognition programs)
• Cell phone allowance

Title: Chart Auditor

Location: Fort Worth United States

Hybrid

Requisition Number: 41478

Job Category: Patient Care Support

Job Description:

Who We Are

JPS Health Network is a $950 million, tax-supported healthcare system in North Texas. Licensed for 582 beds, the network features over 25 locations across Tarrant County, with John Peter Smith Hospital a Level I Trauma Center, Tarrant County's only psychiatric emergency center, and the largest hospital-based family medical residency program in the nation. The health network employs more than 7,200 people.

Acclaim Multispecialty Group is the medical practice group featuring over 300 providers serving JPS Health Network. Specialties range from primary care to general surgery and trauma. The Acclaim Multispecialty Group formed around a common set of incentives and expectations supporting the operational, financial, and clinical performance

outcomes of the network. Our goal is to provide high quality, compassionate clinical care for every patient, every time.

Why JPS?

We're more than a hospital. We're 7,200 of the most dedicated people you could ever meet. Our goal is to make sure the people of our community get the care they need and deserve. As community stewards, we abide by three Rules of the Road:

1. Own it. Everyone who wears the JPS badge contributes to our journey to excellence.

2. Seek joy. Every day, every shift, we celebrate our patients, smile, and emphasize positivity.

3. Don't be a jerk. Everyone is treated with courtesy and respect. Smiling, laughter, compassion - key components of our everyday experience at JPS.

When working here, you're surrounded by passion, ersity, and dedication. We look forward to meeting you!

ACCLAIM ADMIN SERVICES

Compensation Type:

Salaried

Job Category:

Patient Care Support

Hours Worked:

M-F 8AM-5PM - Hybrid

Location:

Acclaim Magnolia

Shift Worked:

Day

Job Description:

Job Summary: The Chart Auditor will be responsible for performing clinical reviews to determine the accuracy of ICD-10 codes listed on forms from payors, performing interactive outreach for the Transition of Care program, pending outstanding patient orders, validating ED high utilization patient attribution, and reviewing gap in care reports to address outstanding patient health risks. This job involves accessing proprietary systems to audit medical records, accurately documenting findings, and providing forms to the clinic providers.

Essential Job Functions & Accountabilities:

• Reviews and interprets medical records and compares against forms for accuracy of presumed diagnoses.
• Documents decisions and rationale to justify review findings.
• Pend orders to address outstanding patient care gaps.
• Performs interactive outreach for patients discharged from Inpatient stays.
• Assists management with training any new Chart Auditor.
• Maintains current knowledge of clinical criteria guidelines to maintain a clinical license.
• Responsible for attending training and scheduled meetings to enhance skills and working knowledge of clinical policies, procedures, rules, and regulations.
• Actively cross-trains to perform reviews of multiple payor types and requirements and understand the documentation needs.
• Recommends, tests, and implements process improvements, new audit concepts, and technology improvements that will enhance production, quality, and client satisfaction.
• Reviews payor gap in care reports to validate patient medication adherence compliance.
• Validates and facilitates care management for high ED utilizing patients.
• Job description is not an all-inclusive list of duties and may be subject to change with or without notice. Staff are expected to perform other duties as assigned.

Qualifications:

Required Qualifications:

• Associate's Degree from an accredited school of professional nursing. OR Medical School graduate.
• If a Registered Nurse, current licensure by the Board of Nurse Examiners for the State of Texas or proof of reciprocity of licensure between the State of Texas and another state. Must be maintained throughout employment.

Preferred Qualifications:

• Bachelor's Degree in Nursing from an accredited school of professional nursing.
• 2 plus years of claims auditing or value-based care work.

Title: Global Regulatory Affairs CMC Lead

Job Description:

Job Title: Global Regulatory Affairs CMC lead

Location: Framingham, MA, Morristown, NJ

About the Job

Are you ready to shape the future of medicine? The race is on to speed up drug discovery and development to find answers for patients and their families. Your skills could be critical in helping our teams accelerate progress.

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

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

About Sanofi

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

The Global Regulatory Affairs (GRA) CMC & Device Organization within Sanofi R&D serves as a critical strategic partner within Sanofi's regulatory framework, providing expert guidance on Chemistry, Manufacturing, and Controls (CMC) and medical device regulatory requirements across the product lifecycle. Our department bridges the gap between technical development, manufacturing operations, and global regulatory authorities to ensure compliance while optimizing product approval pathways. The team develops and implements global regulatory strategies for pharmaceutical products, biologics, vaccines, and combination products, working closely with cross-functional partners to navigate complex regulatory landscapes. With a commitment to Sanofi's "Take the Lead" values, particularly in "Leading Together" and "Being Bold," our mission is to secure timely approvals while maintaining the highest standards of quality and compliance, ultimately supporting Sanofi's goal of bringing innovative healthcare solutions to patients worldwide.

We are an innovative global healthcare company with one purpose: to chase the miracles of science to improve people's lives. We're also a company where you can flourish and grow your career, with countless opportunities to explore, make connections with people, and stretch the limits of what you thought was possible. Ready to get started?

Main Responsibilities:

Develop and implement global regulatory CMC strategies

• Create strategies for development and marketed products

• Focus on chemical entities, biological entities, and/or vaccine products

• Execute and adapt strategies as needed

Serve as the primary point of contact for regulatory authorities

• Act as direct liaison with agencies like US FDA and EMA

• Develop positive relationships with regulators

• Support strategic negotiations with worldwide Regulatory Health Authorities

Manage CMC documentation and submissions

• Write, prepare, review, and approve regulatory CMC dossiers

• Ensure dossiers meet quality standards

• Comply with regulatory requirements

• Maintain documentation accuracy and completeness

Lead cross-functional collaboration

• Work closely with R&D Functions

• Collaborate with Manufacturing & Supply Functions

• Coordinate with GRA Regulatory Operations

• Ensure effective implementation of regulatory strategies

• Facilitate resolution of CMC issues

Identify and manage regulatory risks

• Assess regulatory CMC opportunities and risks

• Develop risk mitigation strategies

• Communicate implications to project teams

• Articulate risk/benefit components to stakeholders

Contribute to regulatory science and policy activities

• Monitor local and international Health Authority regulations and guidelines

• Participate in the review process for new regulations

• Anticipate potential regulatory paradigm shifts

• Track and communicate current Health Authority thinking and trends

About You

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

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

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

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

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

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

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

Why Choose Us?

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

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

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

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

• Play a crucial role in bringing innovative therapies to millions worldwide, working at the forefront of drug discovery and development with a patient-centric approach.

• Leverage advanced AI, data, and digital platforms to push the boundaries of pharmaceutical science and regulatory strategy.

• Engage with erse teams spanning scientific, clinical, and digital fields, fostering breakthroughs through cross-functional collaboration.

• Benefit from structured career paths offering both scientific and leadership advancement opportunities, including bold moves and short-term projects to expand your expertise.

• Join a workplace that prioritizes ersity, equity, and inclusion, with programs that celebrate every voice and perspective.

• Enjoy a supportive R&D environment that values work-life balance, offering flexible working options (60% on-site) and comprehensive well-being programs.

• Influence global regulatory strategies, interact with key health authorities, and stay at the forefront of evolving industry trends and regulations.

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

#GD-SA

#LI-SA

#LI-Onsite

#vhd

Pursue progress, discover extraordinary

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

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

Watch our ALL IN video and check out our Diversity Equity and Inclusion actions at sanofi.com!

US and Puerto Rico Residents Only

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

North America Applicants Only

The salary range for this position is:

$122,250.00 - $176,583.33

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

Title: (VP) Senior Director Biologics Drug Discovery

Location

South San Francisco, CA

Employment Type

Full time

Department

Drug Discovery

Job Description:

The Opportunity

The heart of insitro's strategy is the combination of novel, cutting edge methods in machine learning, biology at scale and modality independent drug discovery that address key bottlenecks in the drug development pipeline. To accomplish that, we have put together an incredible team of highly talented drug discovery scientists who want to make a difference to these significant problems. In this key role, you will build and lead the Biologics Therapeutics capabilities at insitro within the Drug Discovery department.

You will be joining a well funded AI biotech that has established a pipeline of therapeutic candidates but yet is very much in formation, providing many opportunities for significant impact. You will work closely with a very talented team of Data and Machine Learning scientists, TA biologists and a growing CMC organization, learn a broad range of skills, and help shape insitro's culture, strategic direction, and outcomes. You will report to the Chief Scientific Officer and can be either onsite (3 days per week) in our South San Francisco office or hybrid (~1 week per month) in our office. Additional travel may be needed to relevant medical and translational science conferences and health authorities.

Join us, and help make a difference to patients!

Responsibilities

• Guide therapeutic biologics efforts in projects as project team leader and subject expert

• Build insitro's biologic therapeutic capabilities through extensive CRO and/or industry collaborations

• Work cross-functionally to drive biologics projects through different stage gates towards clinical development candidates

• Deeply engage cross-functionally to evaluate the suitability of new targets for prosecution by the biologics modality

• Lead a Protein Sciences and Structural Biology team that can enable discovery biology and both large and small molecular modalities

• Partner with Business Development and External R&D to evaluate new biotherapeutics technologies

About You

• PhD in biochemistry, chemistry or cell biology with 10+ years of industry experience in drug discovery, and with 5+ years of direct experience in biologics drug design

• Deep understanding of the biotherapeutic drug discovery process

• Demonstrated track record of leadership advancing biologics projects through different stages of drug discovery and early-stage process and clinical development

• Significant experience in enabling programs with protein reagents and structural biology

• Proven leadership capabilities in cross-functional teams as a project team leader

• First hand experience in using CROs and industry partner for biologics drug discovery

• Experience in or exposure to computational approaches across the biologics design and bioprocess value chain

• Track record of innovation and impact on projects through peer-reviewed publication and/or patent applications

• Excellent written and verbal communication skills across multi-functional teams

• Intellectual curiosity to push the boundaries of drug discovery

Compensation & Benefits at insitro

Our target starting salary for successful US-based applicants for this role is $247,000 - $316,000. To determine starting pay, we consider multiple job-related factors including a candidate's skills, education and experience, market demand, business needs, and internal parity. We may also adjust this range in the future based on market data.

This role is eligible for participation in our Annual Performance Bonus Plan (based on company targets by role level and annual company performance) and our Equity Incentive Plan, subject to the terms of those plans and associated policies.

In addition, insitro also provides our employees:

• 401(k) plan with employer matching for contributions

• Excellent medical, dental, and vision coverage as well as mental health and well-being support

• Open, flexible vacation policy

• Paid parental leave of at least 16 weeks to support parents who give birth, and 10 weeks for a new parent (inclusive of birth, adoption, fostering, etc)

• Quarterly budget for books and online courses for self-development

• Support to attend professional conferences that are meaningful to your career growth and role's responsibilities

• New hire stipend for home office setup

• Monthly cell phone & internet stipend

• Access to free onsite baristas and cafe with daily lunch and breakfast for employees who are either onsite or hybrid

• Access to free onsite fitness center for employees who are either onsite or hybrid

• Access to a free commuter bus and ferry network that provides transport to and from our South San Francisco HQ from locations all around the Bay Area

insitro is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

We believe ersity, equity, and inclusion need to be at the foundation of our culture. We work hard to bring together erse teams–grounded in a wide range of expertise and life experiences–and work even harder to ensure those teams thrive in inclusive, growth-oriented environments supported by equitable company and team practices. All candidates can expect equitable treatment, respect, and fairness throughout the interview process.

#LI-Hybrid

About insitro

insitro is a drug discovery and development company using machine learning (ML) and data at scale to decode biology for transformative medicines. At the core of insitro’s approach is the convergence of in-house generated multi-modal cellular data and high-content phenotypic human cohort data. We rely on these data to develop ML-driven, predictive disease models that uncover underlying biologic state and elucidate critical drivers of disease. These powerful models rely on extensive biological and computational infrastructure and allow insitro to advance novel targets and patient biomarkers, design therapeutics and inform clinical strategy. insitro is advancing a wholly owned and partnered pipeline of insights and therapeutics in neuroscience and metabolism. Since launching in 2018, insitro has raised over $700 million from top tech, biotech and crossover investors, and from collaborations with pharmaceutical partners.

Accounts Receivable Specialist

Location: Newtown Square United States, Newtown Square, Pennsylvania, United States

New Billing/Collections

ID 78435

Job Description:

Could you be our next Accounts Receivable Specialist at Ellis Preserve in Newtown Square? This role 100% remote.  

• Make an Impact! Tracking insurance payments in EPIC and resolving payment issues is a really important role at our organization. Our Accounts Receivable Specialists don’t just track numbers; they work on process improvements, appeals, and account resolutions. If you’re good with numbers and attention to detail, and a results-driven problem solver, this may be the perfect role for you! 
• Develop and Grow your Career! Invest in furthering your education through seeking certifications or advanced degrees by taking advantage of our Tuition Reimbursement! This position is eligible for up to $6,000 per year based upon your Full or Part Time status. 
• Join the Team! Like our patients, the Main Line Health Family encompasses a wide range of backgrounds and abilities. Just as each of our patients requires a personalized care plan, each of our employees, physicians, and volunteers, bring distinctive talents to Main Line Health. Regardless of our unique design, we all share a purpose: providing superior service and care. 
• Position-Specific Benefits include: You are eligible for up to 120 hours of paid time off per year based on your Full or Part Time status. We also offer a number of employee discounts to various activities, services, and vendors... And employee parking is always free!
  Position: Accounts Receivable Specialist- 40 hours/week
  Shift: Day shift- Monday- Friday 
  Experience: 
  1. Two/Three years healthcare billing experience and/or accounts receivable experience utilizing automated patient accounting systems (Epic Resolute desirable) preferred. 
  2. Microsoft Office applications experience. Intermediate Excel proficiency required. 
  3. Knowledge of insurance contracts, billing regulations and medical terminology preferred. 
  4. Knowledge of HCPCS/CPT/ICD-10 and revenue codes preferred.
  Education: 
  HS Diploma or Equivalent 
  Licensures/Certifications: 
  Certified Revenue Cycle Specialist (CRCS)/American Association of Healthcare Administrative Management (AAHAM), or Certified Revenue Cycle Representative (CRCR)/Healthcare Financial Management Association desirable

Additional Information

• Requisition ID: 78435
• Employee Status: Regular
• Schedule: Full-time
• Shift: Day Job
• Pay Range: $20.73 - $32.11
• Job Grade: 206

Main Line Health (MLH) with over 10,000 employees, is suburban Philadelphia's most comprehensive health care resource, offering a full range of healthcare services. Learn more about us.

Main Line Health is committed to the health and wellness of our employees. We offer competitive salaries, comprehensive benefits,  generous paid time off, 403b savings plan, lucrative pension plan, tuition reimbursement, and more! Learn more about our benefits.

We are an EOE/Veterans/Disabled/LGBTQ employer. Main Line Health celebrates our differences and our similarities. Learn more about our Diversity and Inclusion culture.

Title: RN Clinical Appeals

Location: United States

Job type: Remote

Job Description:

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference!

O.N.E Purpose:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.

• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.

• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.

The Opportunity:

CAREER OPPORTUNITY OFFERING:

• Bonus Incentives
• Paid Certifications
• Tuition Reimbursement
• Comprehensive Benefits
• Career Advancement
• This position pays between $56,800.00 - $108,900.00 based on experience

This inidual will be responsible for reviewing denials and performing root cause analysis while partnering with the Denial Prevention Nurse Manager to improve process and reduce denials.

The RN Clinical Appeals performs all appeals for clinically related claim denials across Ensemble Health Partners, or in a role that primarily assists with analyzing and reviewing records to prevent future denials, provide clinical records to payers, and prepare for provider-to-provider (P2P) reviews. Job duties include, but are not limited to, contacting insurance plans to determine reasons claims were denied, analyzing the claims and determining if appeal is necessary, preparing the appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner. In addition, the Specialist will work closely with other departments, such as Case Management, HIM, Physician Advisory, Clinical Denials, Denial Prevention, Accounts Receivable, Bedded Inpatient Authorization and Virtual Utilization review, to ensure denial trends and outcomes are communicated in a timely manner. The Specialist will perform these duties while meeting the mission of Ensemble Health Partners, as well as meeting the regulatory compliance requirements.

Essential Job Functions:

• Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations.
• Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation.
• Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results.
• Contacting insurance plans to determine reasons claims were denied, analyzing the claims and determining if appeal is necessary, preparing the appeal materials which may include correcting and resubmitting claims, gathering additional information, including reviews of medical records, acting as a liaison between healthcare providers for any additional medical documentation or clarification, and submitting appeals in a timely manner. In addition, work closely with the Case Management Department and HIM Department to ensure denial trends and outcomes are communicated in a timely manner.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job related duties as required by their supervisor, subject to reasonable accommodation.

Employment Qualifications:

• Current unrestricted license to practice nursing (LPN, RN)
• CRCR or other approved professional certification required with 9 months of date of hire

Job Experience:

• 1 to 3 Years

Desired Education Level:

• Associates Degree or Equivalent Experience

Preferred Area of Study:

• Nursing

Other Preferred Knowledge, Skills and Abilities:

• 4 year/ Bachelors Degree
• Preferred Minimum Education - Specialty/Major: Registered Nurse (RN) or relevant discipline
• Minimum Years and Type of Experience: 2 years of denials, utilization review, or case management experience strongly preferred

Other Knowledge, Skills and Abilities Required:

• Proficient computer skills, including Microsoft Suite
• Experience in hospital operations, chart audit/review, and provider relations.

Join an award-winning company

Five-time winner of "Best in KLAS" 2020-2022, 2024-2025

Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024

22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024

Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024

Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023

Energage Top Workplaces USA 2022-2024

Fortune Media Best Workplaces in Healthcare 2024

Monster Top Workplace for Remote Work 2024

Great Place to Work certified 2023-2024

• Innovation

• Work-Life Flexibility

• Leadership

• Purpose + Values

Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include:

• Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs.

• Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation.

• Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement.

• Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company.

Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories.

This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range.

Title: Lung Screening Clinical Coordinator

Location: US-GA-Atlanta

Work Type: Hybrid, Full Time

Job ID: 154416

Hourly Minimum

USD $40.26/Hr.

Hourly Midpoint

USD $47.86/Hr.

Job Description:

Overview

Be inspired. Be rewarded. Belong. At Emory Healthcare.

At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your careerand be what you want to be.

We provide:

• Comprehensive health benefits that start day 1
• Student Loan Repayment Assistance & Reimbursement Programs
• Family-focused benefits
• Wellness incentives
• Ongoing mentorship and leadership programs
• And more!

Our team is leading the way in shaping the future of health care. We unite to improve lives through innovation, compassion, and an unwavering commitment to achieving unparalleled excellence in patient care.

SHIFT: 8 AM-4:30 PM / 40 HOURS / FULL-TIME

LOCATION: NORTHLAKE - HYBRID POTENTIAL

JOIN OUR TEAM TODAY! Emory Healthcare (EHC), part of Emory University (EUV), is the most comprehensive academic health system in Georgia and the first and only in Georgia with a Magnet designated ambulatory practice. We are made up of 11 hospitals-4 Magnet designated, the Emory Clinic, and more than 425 provider locations. The Emory Healthcare Network, established in 2011, is the largest clinically integrated network in Georgia, with more than 3,450 physicians concentrating in 70 different subspecialties.

Description

Job Summary: The Lung Screening Coordinator serves in an enterprise-wide capacity to support patients through the lung cancer screening and incidental lung nodule care continuum. This role facilitates patient access, coordinates clinical workflows, and ensures timely follow-up and communication across multidisciplinary teams. The coordinator acts as a patient advocate, clinical liaison, and subject matter expert, promoting wellness through education, data management, and quality improvement initiatives. Primary duties and responsibilities Patient Engagement and Access: 1. Maintain weekday phone and web accessibility for patients, families, providers, and EHC team members. 2. Collaborate with Central Scheduling to ensure timely access to lung screening and follow-up imaging. 3. Provide clear, compassionate communication throughout the patient journey. Care Coordination: 1. Work cohesively with coordinator and navigator teams to manage patient care. 2. Report actionable imaging results to referring providers. 3. Facilitate seamless referrals to specialty clinics and support care transitions. 4. Collaborate with multidisciplinary teams to ensure timely and coordinated care. Clinical Liaison: 1. Serve as a liaison between referring providers, Radiology Core Service Line, and EHC Specialty Care Clinics. 2. Act as a subject matter expert in lung cancer screening and incidental lung nodule management. 3. Provide feedback from patients and families to inform service improvements. Community and Education: 1. Promote awareness of lung cancer screening services within the region and community. 2. Educate patients, families, and staff on screening benefits and risks through shared decision-making. 3. Participate in Georgia Lung Cancer Roundtable meetings and support tobacco cessation initiatives. Quality Improvement: 1. Evaluate care coordination practices and identify opportunities for improvement. 2. Align efforts with evidence-based practices to enhance patient experience and clinical outcomes. Data and Program Management: 1. Utilize Epic Dashboard and other tracking systems to manage findings and follow-up. 2. Submit data to ACR National Radiology Data Registries. 3. Collaborate with Radiology and EHC teams to maintain programmatic accreditation. Other Duties 1. Perform additional responsibilities as assigned to support program goals. Qualifications: Minimum Required Education - High School Degree Experience - Minimum of four years of experience in a healthcare setting with direct patient care. Licensure None Certification Certification or licensure in allied health (e.g., radiology, respiratory therapy, medical laboratory technology) or Nursing (LPN/RN). Knowledge, skills, and abilities (required): Clinical Knowledge: Understanding of anatomy as well as familiarity with healthcare operations. Healthcare Navigation: Ability to coordinate care across multiple specialties and settings, including radiology, pulmonology, oncology, and primary care. Communication Skills: Strong verbal and written communication skills to effectively engage with patients, families, and multidisciplinary teams. Patient Advocacy: Ability to support patients through shared decision-making, education, and follow-up, with a compassionate and culturally sensitive approach. Technology Proficiency: Proficient in Epic or similar EMR systems, including use of dashboards, registries, and documentation workflows. Data Management: Ability to track and manage clinical data, including imaging results, follow-up intervals, and registry submissions. Organizational Skills: Strong time management and prioritization skills to handle multiple tasks and patient cases efficiently. Problem-Solving: Ability to identify gaps in care and propose solutions aligned with evidence-based practices. Team Collaboration: Skilled in working within interdisciplinary teams and contributing to quality improvement initiatives. Preferred Qualifications Education None Experience Experience in patient education and community health outreach. Knowledge of imaging workflows and ambulatory healthcare operations. Familiarity with tobacco cessation strategies and quality improvement methodologies. Strong communication and interpersonal skills. Knowledge, skills, and ability requirements (preferred): None Work Conditions Travel: Travel and shift work may be necessary depending on assignment, and may be required. Work Type: Potential for some remote work dependent on the department. Physical Requirements: (Medium Max 25lbs): up to 25 lbs., 0-33% of the work day (occasionally) Lifting 25 lbs. max; Carrying of objects up to 25 lbs.; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. Primarily sedentary with occasional standing and walking. Frequent computer use (typing, reading, writing). Occasional lifting (10¿25 lbs.). Close visual work required. Environmental Factors: Factors affecting environmental conditions may vary depending on the assigned work area and tasks. Environmental exposures include but are not limited to: Blood-borne pathogen exposure, Bio-hazardous waste chemicals/gases/fumes/vapors, Communicable diseases, Electrical shock, Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks. Exposure may include blood-borne pathogens, biohazardous waste, communicable diseases, chemicals, radiation, and varying temperatures. Use of personal protective equipment may be required.

Additional Details

Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.

Title: Senior Administrative Assistant; HR Coordinator

Location: New Haven United States

Full time

Administration & Operations

Job Description:

Working at Yale means contributing to a better tomorrow. Whether you are a current resident of our New Haven-based community- eligible for opportunities through the New Haven Hiring Initiative or a newcomer, interested in exploring all that Yale has to offer, your talents and contributions are welcome. Discover your opportunities at Yale!

Hourly Range

31.05

Overview

Under the direction of the Manager of Faculty and Administrative Affairs in the Emergency Medicine, OBGYN, Ophthalmology and Urology Integrated Business Office, this role is responsible for coordinating administrative activities related to faculty, staff, researchers and visitors (e.g., faculty affairs, appointments/promotions, faculty/staff recruitment, faculty credentialing, postdoctoral/postgraduate/visiting researchers, visa coordination, on and off-boarding, recruitment ads and coordination of the processes involved (Workday, Interfolio, Request for Position , Review/Promotion/Tenure , Yale Talent Network ). Assists with faculty/staff-related projects as needed. This position handles confidential/sensitive information which requires a high level of discretion.   

Required Skills and Abilities

1. Demonstrated experience in academic/faculty or staff affairs or Human resources.

2. Demonstrate expertise with Word/Excel/Outlook/Zoom.

3. Strong verbal and written communication skills with ability to respond in a professional and timely manner.

4. Superior customer service skills and attention to detail.

5. Strong ability to be a team player and work collaboratively with faculty/staff and exhibit professionalism with all organizational levels (in and outside of Yale University).

6. Ability to take initiative, follow-through and coordination of changing priorities.

Preferred Skills and Abilities

Proficiency in Workday, RFP, RPT, Interfolio. Proven experience/knowledge of Yale faculty and staff policies/procedures. Knowledge of Teams. Proven experience in a healthcare environment.

Principal Responsibilities

1. Oversees and coordinates administrative, program, and office activities. Establishes, selects, implements, and coordinates office procedures and systems.  Serves as principal source of information to students, staff, and faculty on policies, procedures, programs, and office activities.   2. Oversees, instructs, and coordinates activities of support staff.  Oversees the preparation of materials for grants, contracts and budgets. Monitors expenditures and reconciles financial statements.   3. Provides editorial support for a journal/publication.  Proofreads and edits material for grammatical and factual accuracy. Tracks copy through various editing and production stages. Communicates with authors, printers, and others concerned with published work.   4. Determines administrative, facility, and equipment needs for symposia, lectures, seminars, and conferences.  Assembles and arranges for necessary items.  Determines sources of data. Compiles, synthesizes and manipulates data. Summarizes findings and writes reports or portions of reports.   5. Greets visitors. Answers and screens telephone calls. Assesses nature of business. Responds to requests for information and provides assistance.  Screens and responds to mail.   6. Formats, keyboard, proofread, and edits correspondence, reports, manuscripts, grants, and other material. Assembles attachments and corresponding material. Reviews outgoing material for completeness, dates, and signatures.  Composes substantive correspondence and written material.   7. Coordinates travel arrangements.  Schedules and coordinates meetings and appointments.  Orders and maintains inventory of supplies.  Takes minutes or dictation.  Performs additional functions incidental to office activities. Required Education and Experience Six years of related work experience, four of them in the same job family at the next lower level, and high school level education; or four years of related work experience and an Associate's degree; or little or no work experience and a Bachelor's degree in a related field; or an equivalent combination of experience and education.

Job Category

Administrative Support

Bargaining Unit

L34

Compensation Grade

Labor Grade D

Compensation Grade Profile

Time Type

Full time

Duration Type

Staff

Work Model

Hybrid

Location

310 Cedar Street, New Haven, Connecticut

Background Check Requirements

All candidates for employment will be subject to pre-employment background screening for this position, which may include motor vehicle, DOT certification, drug testing and credit checks based on the position description and job requirements. All offers are contingent upon the successful completion of the background check. For additional information on the background check requirements and process visit "Learn about background checks" under the Applicant Support Resources section of Careers on the It's Your Yale website.

Health Requirements

Certain positions have associated health requirements based on specific job responsibilities. These may include vaccinations, tests, or examinations, as required by law, regulation, or university policy.

Posting Disclaimer

The hiring rate of a role is determined in accordance with the provisions outlined in the respective collective bargaining agreement.

The intent of this job description is to provide a representative summary of the essential functions that will be required of the position and should not be construed as a declaration of specific duties and responsibilities of the position. Employees will be assigned specific job-related duties through  their hiring department.

The University is committed to basing judgments concerning the admission, education, and employment of iniduals upon their qualifications and abilities and seeks to attract to its faculty, staff, and student body qualified persons from a broad range of backgrounds and perspectives. In accordance with this policy and as delineated by federal and Connecticut law, Yale does not discriminate in admissions, educational programs, or employment against any inidual on account of that inidual’s sex, sexual orientation, gender identity or expression, race, color, national or ethnic origin, religion, age, disability, status as a special disabled veteran, veteran of the Vietnam era or other covered veteran.

Clinical Pharmacy Account Director - Clinical Account Management

Location: CA-COSTA MESA, 3080 BRISTOL ST, STE 200, CA-WOODLAND HILLS, 21215 BURBANK BLVD, CA-WALNUT CREEK, 2121 N CALIFORNIA BLVD, 7TH FL, NV-LAS VEGAS, 3634 S MARYLAND PKWY, CO-DENVER, 700 BROADWAY, WA-SEATTLE, 705 5TH AVE S, STE 300, NV-LAS VEGAS, 9133 W RUSSELL RD

Full time

job requisition id JR170442

Job Description:

Clinical Pharmacy Account Director - Clinical Account Management

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

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 Clinical Pharmacy Account Director is responsible for building client relationships. This role includes responding to client inquiries, ensuring timely delivery of reports, and leading discussions between business units and clients. The director also provides ongoing support, manages ad hoc requests, and partners with key stakeholders for effective collaboration. The ideal candidate will possess clinical account management experience, strategic thinking, and problem-solving skills, along with the ability to analyze data to identify trends and gaps. Comfortable analyzing client data and experience in supporting commercial as well as Medicare business are essential, as are strong communication and presentation skills.

How you will make an impact:

• Execute strategic sales and tactical plans by consulting with key decision makers and operational stakeholders.

• Provide ongoing support to decision makers and support sales team during RFP processes.

• Assist in the development of recommendations for savings and revenue opportunities.

• Assist in implementing new programs to meet their strategic goals.

Minimum Requirements:

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

Preferred Skills, Capabilities, and Experience:

• A PharmD, and active Pharmacy license in any state is highly preferred.

• Proven clinical account management experience in pharmacy is strongly preferred.

• Exceptional strategic thinking, decision-making, problem-solving skills, and adaptability highly preferred.

• Experience interacting confidently with senior management and executive level stakeholders, as a subject matter expert and comfortable with influencing decision-making preferred.

• Excellent written, oral, presentation and interpersonal communication skills with the proven ability to negotiate expectations between multiple parties strongly preferred.

• Proficient of Microsoft Office products Excel, Teams, Outlook, PowerPoint, and Word strongly preferred.

For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $146,076 to $250,416.

Locations: California, Colorado, NV, Washington State

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

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

Job Family:

SLS > Sales - General

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

Who We Are

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

How We Work

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

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

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

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

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

Title: Strategic Sourcing Manager- Remote

Location: Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming, United States

Full time

job requisition id: JR-87708

Job Description:

City/State

Norfolk, VA

Work Shift

First (Days)

Overview:

Sentara Health is currently hiring a Strategic Sourcing Manager - Remote!

Overview

The Strategic Sourcing Manager (SSM) helps to manage the medical/surgical product portfolio, drive cost reduction initiatives throughout Sentara Healthcare and act as a consultant to and supporting resource for the clinical and non-clinical areas of Sentara. The SSM drives organization-wide product change and serves as an internal advocate of Sentara product standardization/utilization initiatives. These inidual coordinates new product introduction, product trials and overall product change initiatives on behalf of end users.

The SSM will reflects the mission, vision, and values of Sentara and adhere to the organization's Code of Ethics and Compliance, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

Bachelor's required. Master's degree in Nursing, Sciences, Health Care Management or Business preferred.

3-5 years of sourcing or Healthcare management related experience required.

Education

• Bachelor’s Degree (Required)

Certification/Licensure

• No specific certification or licensure requirements

Experience

• Required to have 3 years of related experience.
• Preferred to have master’s degree in nursing, sciences, health care management or business
• Preferred to have 3-5 years of sourcing or Healthcare management related experience

Benefits: Caring For Your Family and Your Career

• Medical, Dental, Vision plans

• Adoption, Fertility and Surrogacy Reimbursement up to $10,000

• Paid Time Off and Sick Leave

• Paid Parental & Family Caregiver Leave

• Emergency Backup Care

• Long-Term, Short-Term Disability, and Critical Illness plans

• Life Insurance

• 401k/403B with Employer Match

• Tuition Assistance – $5,250/year and discounted educational opportunities through Guild Education

• Student Debt Pay Down – $10,000

• Reimbursement for certifications and free access to complete CEUs and professional development

•Pet Insurance 

Sentara Health is an equal opportunity employer and prides itself on the ersity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

For positions that are available as remote work, Sentara Health employs associates in the following states:

Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

Title: Neonatal Nurse Practitioner NNP PNP Per Diem BWH

Location: Boston United States

time type: Part time

job requisition id: RQ4038411

Job Description:

Site: The Brigham and Women's Hospital, Inc.

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

NICU/ Neonatal/ Pediatric Nurse Practitioner/ Per Diem/ Rotating Shift

GENERAL SUMMARY/ OVERVIEW STATEMENT:

• The Nurse Practitioner provides care of the critically ill neonate in the neonatal ICU and SCN setting, including attendance at high-risk deliveries with the NICU team, admission of the ill neonate to both the level II and III setting, and medical management of the critically ill neonate in the NICU/SCN setting.
• The Nurse Practitioner shall work with a multidisciplinary team to review history and daily patient data, round with a multidisciplinary team to make management plans and carry forth these plans through the off hours.
• The Nurse Practitioner will perform emergency procedures including but not limited to endotracheal intubation, needle thoracentesis, thoracostomy, paracentesis, umbilical line placement, PICC line placement, peripheral arterial access, lumbar puncture, bladder catheterization.
• Minimum shift requirement of 4 open shifts per month based on unit needs.
• Based on unit needs, these shifts may be nights and or weekends.
• Per diem NP can generally expect 1 day shift per month.
• The Nurse Practitioner shall maintain appropriate licensure and maintenance of certification.
• Other duties as assigned.

Job Summary

Summary

The Nurse Practitioner is an advanced practice registered nurse who has acquired specialized knowledge and skills through completion of a nurse practitioner program. The practitioner has the credentials to function in an expanded nursing role and is responsible for the daily management of selected patients. The practitioner has responsibility for the assessment and management of patients, including diagnostic and therapeutic interventions, and the continuous implementation and evaluation of an appropriate plan of care. The Nurse Practitioner works with their collaborating physician in accordance with mutually developed practice guidelines, members of the care team, and is responsible to the Nursing Director or Executive Nursing Director for the area for issues specific to the discipline of nursing.

Satisfactory completion of an approved formal education program that has as its objective the preparation of professional nurses to practice as nurse practitioners.

APRN national certification required.

ANA or other appropriate nursing certification in the area of practice and authorization by the Massachusetts Board of Registration in Nursing to practice in the expanded role. DEA for prescription writing.

Working Conditions - Works in a variety of patient care environments where there may be exposure to communicable disease and hazardous materials. Does this position require Patient Care? Yes

Essential Functions

Patient Care Organization

1. Provides direct care, counseling, and teaching to a select patient population.

2. Performs physical examinations and provides preventive health measures appropriate to patient needs.

3. Orders, interprets, and evaluates appropriate lab and diagnostic tests to assess patients' clinical problems and health care needs.

4. Arranges for appropriate plan of care and follow-up based on outcome of diagnostic, lab, and physical assessment findings.

5. Performs laboratory tests appropriate for specific patient population.

6. Orders medications and writes prescriptions according to organizational and regulatory policies and procedures.

7. Records pertinent patient care findings in the medical record.

8. Sets priorities for appropriate and efficient management of patient care that reflects cost effective management of time, available human resources, supplies and equipment.

9. Maintains interdisciplinary approach to planning and communicating patient care information by discussing patient data with appropriate physicians and other health care professionals.

10. Incorporates the concepts of health maintenance, prevention, and promotion into daily practice through patient education and counseling.

11. Demonstrates awareness of community resources and assists staff, patients, and families to effectively utilize them.

• Quality of Care

1. Assists in the development, implementation and revision of nurse practitioner guidelines and monitoring requirements for prescription writing in collaboration with their designated physician and Nursing Director or Executive Nursing Director.

2. Evaluates outcomes of own patients' care and makes necessary revisions in care plans.

3. Seeks and provides consultative services as required.

4. Participates in departmental and organization quality improvement program.

5. Utilizes quality improvement data and research findings to enhance patient care.

• Coordination

1. Demonstrates appropriate collaborative and consultative relationships with other providers within the institution and community.

2. Serves on Nursing and Hospital Committees and assumes responsibility for disseminating and communicating information to staff.

• Budget

1. Participates in setting productivity metrics and in cost-effective management of personnel, time, supplies, and equipment in their area.

2. Collaborates with the Nursing Director/Practice Manager/Executive Nursing Director in the recommendation of appropriate staffing patterns for their clinical areas.

• Personnel Management

1. Participates in selection process of new employees in group or team practice as requested.

2. Provides input into evaluation of other staff as appropriate.

• Education

1. Acts as preceptor for nursing students and staff as requested.

2. Participates in orientation of new staff.

3. Participates in Departmental and organization continuing education programs.

4. Identifies own learning needs and updates clinical knowledge and skills through formal and informal education and review of current literature.

5. Educates lay and/or professional groups through lectures, papers, publications, and educational materials.

• Planning

1. Develops annual objectives and reviews with Nursing Director or Executive Nursing Director and collaborating M.D. at time of performance review and at appropriate intervals. Completes annual credentialing process through the Nursing Department credentialing program.

2. Assists in determining, evaluating, and/or implementing clinical area goals and objectives.

3. Maintains interdisciplinary approach for planning and communicating information for patient care and operation of practice.

4. Maintains current knowledge of legislation that may affect the health care delivery system.

5. Identifies and integrates patient population and/or disease state in programmatic goals and objectives.

• Research

1. Participates in nursing research at a level consistent with educational background and experience.

2. Maintains understanding of current research of others in related clinical areas through review of relevant publications.

3. Participates in grant writing as appropriate.

• Supervisory Responsibilities

1. May assume responsibility for providing direction to designated personnel.

Qualifications

QUALIFICATIONS

Education/Licensure:

• Master's in Nursing (or) DNP (or) PhD Degree in nursing required. Completion of a master's or post Masters' degree in Neonatal or Pediatric Nurse practitioner program accredited by the American Nurses Credentialing Center (ANCC) or National Certification Corporation (NCC). Can this role accept experience in lieu of a degree? No

• Current Neonatal or Pediatric Nurse Practitioner board certification by an accredited APRN certifying body required.

• Valid prescriptive authority from both MA DPH and Federal DEA required.

• Valid APRN License to practice in Massachusetts required.

Experience:

• 1. Minimum 3 years clinical nurse practitioner experience in a NICU setting required. (5 years' experience strongly preferred).
• 2. Minimum 3 years clinical nurse practitioner experience in the delivery room setting caring for the critically ill newborn patient population required. (5 years' experience strongly preferred).
• 3. Current Neonatal Resuscitation Program (NRP) certification required.

SKILLS/ ABILITIES/ COMPETENCIES REQUIRED:

• Must have the ability to work in a high stress, dynamic, busy clinical setting with changing organizational climate - Must have the ability to be self-directive and to demonstrate initiative in addressing the responsibilities of the position - Must have the ability to utilize appropriate problem-solving and conflict resolution skills - Must be energetic and quality driven and have a proven ability to be a productive member of a team dedicated to providing optimal patient care - Must be proficient with BWH computer systems as needed to independently perform daily tasks (EMR, Epic preferred) - Must maintain the highest degree of professional judgment under the supervision and guidance of a licensed physician

WORKING CONDITIONS:

Work setting specific to Neonatal Intensive Care Unit, Labor and Delivery Floor and OR. There may be loud noises, noxious odors, and temperature extremes. A large portion of the workday may be spent either standing or walking and the position may require heavy lifting of equipment and patients. The PA may be exposed to radiation, potentially infectious bodily fluids, and sharp instruments such as needles and scalpels. Knowledge of Universal Precautions and proper use of surgical sharp instruments may be required. The consequences of contamination from bodily fluids or from being stuck with a sharp instrument include the possibility of physical harm to the employee or others. BWH is a fast paced, dynamic environment with a very large and complex patient volume; exposure to stress in the workplace is expected.

SUPERVISORY RESPONSIBILITY:

The Nurse Practitioner does not have any supervisory responsibility.

Additional Job Details (if applicable)

Remote Type: Onsite

Work Location: 45 Francis Street

Scheduled Weekly Hours: 0

Employee Type: Per Diem

Work Shift: Rotating (United States of America)

Pay Range: $50.70 - $134.78/Hourly

Grade

MNA2221Z

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

EEO Statement:

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

Mass General Brigham Competency Framework

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

Title: Director of Clinical Operations

Location: Albany United States

Job Description:

The Director, Clinical Operations is responsible for clinical operations for the College of Nursing and Health Sciences. Reporting to the Senior Director, Strategic Operations (CNHS), the Director, Clinical Operations is responsible for coordinating all clinical and practice experiences for CNHS students by assisting leadership in identifying clinical sites for students to successfully complete evidence-based learning opportunities.

The position represents CNHS to clinical and external agencies, student and community through clinical relationships, compliance and partnership development efforts. This inidual must have a strong organizational and communication skills and an in-depth understanding of the regulatory requirements related to nursing and other professional licensure and postsecondary distance education. The Director Clinical Operations will have experience with healthcare compliance, and establishing long-term relationships with healthcare facilities for the purpose of providing health care and nursing clinical practice

experiences. This position requires travel.

This is a full-time hybrid role with a minimum of two required days at Excelsior's home office of 7 Columbia Circle, Albany, NY, with the remainder of the days worked from home.

The roles and responsibilities fall into the following categories:

• Establishing and maintaining clinical and practice experience sites
• Partnership development
• Regulatory and Health Care compliance

Qualifications: To perform this job successfully, an inidual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

• Candidate must be a highly motivated self-starter who can be a team player and desires to share

creative solutions and best practices.

• Requirements include problem-solving and critical thinking skills;
• Excellent organizational and multi-tasking skills.
• Exceptional interpersonal and communication skills.
• Inside sales and/or sales support skills helpful-- ideal candidate will have 3-5years of successful

demonstration of business development and/or sales competencies.

• Solid experience working in the healthcare field; proficient in working directly with or for providers is

preferred.

• Ability to make presentations to healthcare leaders and educators and be comfortable developing

relationships via phone and in person.

• Attention to detail and mental concentration are necessary for accurately performing tasks--ability to

tolerate frequent interruptions.

• Professional experience working in a regulatory/accreditation environment.
• Excellent oral, written, and presentation skills. Strong interpersonal and organizational skills.

The hiring salary range for this position is $80,000.00 - $90,000.00. The hiring salary range above represents the University's good faith estimate at the time of posting

Title: Surgical Coder-REMOTE

Location: Englewood United States

• Englewood, Colorado
• Revenue Cycle
• Regional Business Office (MTN)
• 35840

Job Description:

Overview

Employment Type: Full Time

REMOTE

Benefits: M/D/V, Life Ins., 401(k)

Englewood, Colorado

Pay Range: $24.63-$31.26

JOB SCOPE: Working under limited supervision, performs all medical record coding activities. Assigns appropriate diagnostic codes to patient charts and reports as assigned. Supports and adheres to The US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

The US Oncology Network is a thriving organization that fosters forward-thinking, advancement opportunities, and an inspired work environment. We continuously look for top talent who will continue to propel our organization in the right direction and celebrate new successes! Come join our team in the fight against cancer!

About US Oncology

The US Oncology Network is one of the nation's largest networks of community-based oncology physicians dedicated to advancing cancer care in America. The US Oncology Network is supported by McKesson Corporation focused on empowering a vibrant and sustainable community patient care delivery system to advance the science, technology, and quality of care. For more information, visit www.usoncology.com. We extend an extremely competitive offering of benefits to employees, including Medical Health Care, Dental Care, Vision Plan, 401-K with a matching component, Life Insurance, Short-term and Long-term disability, and Wellness & Perks Programs.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES :

• Abstracts relevant clinical and demographic information from the medical record to assign current ICD and CPT codes in accordance with coding and reimbursement guidelines.
• Identifies principal and secondary diagnosis with minimal error based on national based standards.
• Codes with an accuracy of 97% based on QA internal reviews.
• Records all diagnostic procedures and assigns appropriate procedure codes.
• Requests diagnosis from physicians when information is not recorded.
• Determines and records required medical information.
• Updates coding procedures and guidelines.
• Works with medical assistants and other staff in coordinating medical information and patient charts.
• Maintains the confidentiality of medical information contained in each record.
• Assists in the development of medical records related reports.
• Formats reports according to established guidelines.

Qualifications

MINIMUM QUALIFICATIONS:

• High school diploma or equivalent required.
• CPC Required
• Completion of a course in medical record technology.
• Minimum five years medical coding experience, prior oncology experience preferred.

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. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT: The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.

Title: Director of Client Operations

Location: Las Vegas United States

Requisition Number 35953J

Job Description:

Premise Health is Different on Purpose

Premise Health serves large organizations and their people with exceptional healthcare. The result? Better experiences, better health, and better value, all while helping organizations lower their healthcare costs.

Premise's mission is to help people get, stay, and be well. Come join us and see for yourself why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.

This position oversees and directs the operations management of multiple employer worksites across all lines of health and fitness related services within a geographic area. Is a subject matter expert and provides expertise managing and mentoring Health Center Leadership staff.

This is a Full Time, Remote, Director of Client Operations role.

What You'll Do

• Serves as main client contact on strategic integration and expansion opportunities, maintaining strategic focus on client satisfaction and value added strategies and demonstrates the ability to proactively identify client needs related to healthcare trends.
• Identifies processes to improve overall performance of health centers and defines innovative measurements of performance standards to integrate corporate strategies.
• Demonstrates strong business acumen and knowledge of staffing, capacity, ROI, budget, margins, service and product offerings, to implement and drive strategic and relevant operational outcomes.
• Strategically identifies and solves complex problems effectively with an emphasis on developing proactive approaches utilizing internal (corporate and regional) support.
• Identifies and requests participation from corporate departments in strategic meetings as client needs dictate.
• Owns client/site meetings, committees, and task forces to support strategic initiatives and goals.
• Operational lead on implementations post-go-live.
• Coordinates and productively facilitates communication across virtual sites and effectively navigates through multilayer client relationships (vendors, consultants, etc).
• Demonstrates the ability to effectively manage complex multiple lines of service and clients.
• Provides effective leadership, coaching, and mentoring at the site level.
• Builds talent to proactively manage additional LOS.
• Participates in sales process.
• Escalation point for clients.
• Consults with Medical, Legal or Compliance departments regarding regulations, practices act, practice law, certification requirements etc.
• May be asked to complete ad hoc projects.
• Manages site level supervisors.
• Owns the client/site meetings, committees and task forces to support strategic initiative and goals; identifies and asks for participation of corporate departments in strategic meetings as client needs dictate.
• Coordinates and communicates across virtual sites and shares best demonstrated practices with peers.
• May be asked to complete ad hoc projects.
• Oversees the management of up to 15 health centers with multiple lines of service.
• Manages the relationship of up to 10 clients.
• Manages a portfolio of $2M - $10M in Gross Annual Revenue
• Manages (direct and indirect) up to 10 - 50 FTEs.

What You'll Bring

• Bachelor's degree in a related field preferred or equivalent experience.
• 7+ years' experience in a business environment or related industry, managing others
• Experience managing virtual teams
• Healthcare experience managing in a medical, pharmacy, fitness or other similar environment preferred.
• Experience in an Operations function desired
• Prior budget and P&L responsibility desired
• Demonstrated experience with medical information management systems
• Demonstrated process or efficiency management.
• Strong Excel, PowerPoint, Word and Outlook skills required
• Strong written, verbal and presentation skills required
• Excellent demonstrated follow up skills & attention to detail
• Ability to work both independently and as a team member
• Strong relationship building skills
• Ability to interact at all levels of the organization (both internal and external)
• Demonstrated strong leadership skills
• Demonstrated adaptability and ability to manage change
• Knowledge of Workers' Compensation, Medicare and/or clinical standards of practice preferred.

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. 

Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.

Premise provides its reasonable and genuinely expected range of compensation for this job of $100,000.00 - $160,000.00 annually. A number of factors will influence the rate offered for this position, including your experience, qualifications, geographic location, and other factors. This position is eligible for a performance bonus that is based on client service expansion. In addition, this position is eligible for an Annual Performance Incentive that is a percentage of base salary and awarded based upon inidual annual evaluation and company financial performance.

For iniduals living in Washington or Colorado: Premise offers the following paid time off benefits. Employees will be included in the company's Open Time Off plan and will receive 10 paid holidays or an equivalent bank of hours aligned to schedule throughout the calendar year. Paid sick leave is satisfied by the paid time off accrual, detailed above.

Title: CDI Educator

Location:

Remote

locations

Somerville-MA

time type

Full time

Job Description:

Site: Mass General Brigham Incorporated

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

Job Summary

Reporting to the CDI Senior Director, the MGB CDI Educator supports the long-term success of the MGB CDI program by delivering education and training in clinical documentation integrity. This role develops and promotes educational initiatives to drive clinical and operational excellence and collaborates with the CDI Medical Director to enhance provider education across MGB. This role ensures that all stakeholders understand the importance of accurate and complete clinical documentation and supports quality care, regulatory compliance and optimal coding and reimbursement.

Principle Duties and Responsibilities

• Develop and implement both formal and informal CDI educational initiatives for MGB.
• Identify CDI knowledge gaps and provide education and follow up remediation.
• Analyze data to identify areas where additional education may be beneficial for providers, CDI team members, or other clinicians.
• Act as a primary resource, providing timely and comprehensive responses to CDI inquiries in both verbal and written formats.
• Collaborate with the Director, CDI Operations and Senior Manager, Risk Adjustment to onboard CDI team members.
• Conduct inidual and large group educational sessions.
• Assist CDI Medical Director and Physician Advisors with all provider and clinician focused CDI education.
• Maintain professional competence and continuously monitor CDI industry initiatives and trends.
• Facilitate the ongoing review of CDI educational materials, documentation tip sheets, and other training program/resources for relevance and compliance.
• Use the Mass General Brigham values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration
• Other duties as assigned

Qualifications

• Registered Nurse (RN), Advanced Practice Clinician (NP/PA), or other clinically licensed professional
• 5 years of acute medical/surgical care experience required
• 5-7years of clinical documentation improvement experience required
• 3-5 years of educator experience with strong understanding of CDI and coding regulations preferred
• Certification in Clinical Documentation preferred

Skills, Abilities and Competencies

• In-depth knowledge of clinical disease processes and inpatient care delivery.
• Advanced understanding of MS-DRG/APR-DRG logic, SOI/ROM methodology, and CC/MCC assignment.
• Strong analytical, critical thinking, and clinical reasoning skills.
• High attention to detail and commitment to accuracy and compliance.
• Excellent written and verbal communication skills.
• Understands the fundamentals of chart review, CDI opportunity, and compliance. Demonstrates competency in teaching/learning process, organizational skills, and computer literacy.
• Ability to create professional educational presentations and training documents.
• Strong presentation skills with ability to lead meetings effectively
• Advanced proficiency in Microsoft Office

Additional Job Details (if applicable)

Remote Type

Remote

Work Location

399 Revolution Drive

Scheduled Weekly Hours

40

Employee Type

Regular

Work Shift

Day (United States of America)

Pay Range

$78,000.00 - $113,453.60/Annual

Grade

7

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

EEO Statement:

Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all iniduals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for iniduals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at (857)-282-7642.

Mass General Brigham Competency Framework

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

Title: Research Assistant II, Dept. of Newborn Medicine

Location: Boston, MA United States

Onsite

time type

Part time

job requisition id

RQ4037444

Job Description:

Site: The Brigham and Women's Hospital, Inc.

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

Job Summary

Provides assistance on work related to epidemiological studies and other population-based research not related to clinical trials or laboratory. Assists with reporting and developing new research proposals-trains and orients staff.

Qualifications

Essential Functions:

Responsible for data collection, management, manipulation, analysis, and reporting.

Study cohort management.

Outreach communication with subjects, conducting mailings, follow-up on mailings, and obtaining necessary documents.

Assists with preparing progress reports with basic prescriptive statistics.

Gathers information to aid in the development of future research proposals.

Trains and orients new staff.

Education

Bachelor's Degree Science required

Experience

Relevant research and data management experience 1-2 years required

Knowledge, Skills and Abilities

• Good interpersonal and communication skills.
• Careful attention to detail.
• Excellent organizational skills and ability to prioritize a variety of tasks.
• Intermediate computer literacy including database tools.
• Knowledge of data management programs.
• Ability to follow directions and exhibit professionalism, and work more independently.

Additional Job Details (if applicable)

Remote Type

Onsite

Work Location

221 Longwood Avenue

Scheduled Weekly Hours

0

Employee Type

Per Diem

Work Shift

Day (United States of America)

Pay Range

$23.80 - $34.81/Hourly

Grade

6

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

EEO Statement:

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

Title: ABA Supervisor - BCBA

Location: Burlington, MA 

Hybrid

Job Description:

At Cortica, our Board-Certified Behavior Analysts (BCBAs) use a strength-based, holistic approach to clinical programming for children with autism and other neurodevelopmental differences. Our valued BCBAs are leaders who make a difference and create a supportive environment where all clinicians in our transdisciplinary team can thrive, grow, and make a meaningful, long-term impact for families.

You'll provide groundbreaking, neuroersity-affirming care, while enjoying the flexibility and support you deserve.

Why Choose Cortica?

We're excited to support your continued professional development, growth, well-being, and ability to make a meaningful impact as part of a transdisciplinary team. That's why our compensation and benefits package has been designed to support you personally and professionally:

• Total Earning Potential (Salary + Bonus): $93,391 - $116,739
• Generous Time Off to Recharge and Maintain Work-Life Balance: Up to 22 days off in your first year, increasing to 26 days after 12 months.
• Flexible Hybrid Role: Up to 50% of this role can be done remotely, allowing you to balance your clinical work and administrative tasks on your terms. Telehealth is determined by the BCBA when its clinically effective for the client and BT
• CEU Stipend: $2,000 annually to support your continued professional development.
• License Reimbursement: We cover the cost of your BCBA license renewal.
• 401(k) Matching: Helping you plan for your future with matching contributions.
• Comprehensive Health Coverage: Including medical, dental, vision, life, disability insurance, plus pet insurance-because we care about your entire family, furry friends included!
• Set Scheduling: Predictable work hours help you balance your work and personal life.

Your Role and Impact

As a BCBA at Cortica, you'll play a pivotal role in overseeing neuroersity-affirming clinical programming for patients receiving ABA treatment. You'll lead a team of behavior technicians (BTs) empowering them to make a lasting difference in the lives of children with developmental differences.

What you'll love about this role:

• Achievable Targets: You'll average 26 billable hours per week, with reduced targets during shorter weeks to ensure a manageable workload.
• Uncapped Bonus Potential: You'll have an opportunity to earn more by increasing your billable hours, but it's entirely up to you-work at a pace that suits your lifestyle.
• Growth and Advancement Opportunities: You'll have the chance to advance through BCBA levels I, II, III, and IV, increasing your leadership impact along the way. At BCBA levels III and IV, productivity targets are reduced to 22, allowing you to focus on developing leadership skills, cultivating other talents, and exploring broader professional interests.
• Autonomy over Your Schedule: You'll have full control over when and where you supervise your cases, empowering you to design a schedule that works for you.
• Administrative Support: Focus on what you do best-clinical care-while our dedicated team handles scheduling, billing, and credentialing, leaving you with more time to focus on your work and patients.

Qualifications and Requirements

• Master's degree in human services or a related field.
• Current BCBA (Board-Certified Behavior Analyst) Certification required.

What Makes Cortica Different from Other ABA Companies?

At Cortica, we believe in going beyond traditional ABA practices to offer a more comprehensive, patient-centered approach that is different from other ABA companies:

• A Transdisciplinary Approach to Care: Unlike many ABA companies that focus solely on behavior therapy, Cortica offers a holistic, multidisciplinary model of care. Our team includes experts from a wide range of fields-occupational therapy, speech pathology, pediatrics, and more-allowing us to address the whole child and deliver more integrated, effective care.
• Focus on Collaboration: At Cortica, we don't just implement therapy-we collaborate with families, caregivers, and other clinicians to create inidualized care plans that empower everyone involved. This approach ensures that each child's unique needs are met, and that the entire team is aligned in their goals for success.
• Quality Over Quantity: We take pride in value-based care partnerships with health plans that prioritize quality over quantity. Our patients benefit from the time we dedicate to collaborative, integrated care, and our clinicians are supported with more time for thoughtful clinical decision-making. Unlike other providers, we are reimbursed based on outcomes, not just the number of sessions delivered.

By joining Cortica, you'll be part of a team that's redefining ABA therapy-combining compassion, innovation, and collaboration to deliver results that matter.

Ready to make a difference? Apply today to learn more.

Cortica is an Equal Opportunity Employer. This posting is not intended to be an exhaustive list of duties. Please review the full job description here: Job Description.

Behavioral Health Center of Excellence (BHCOE) Accredited 2024 | Great Place to Work Certified 2025 | Glassdoor 4.3 Rating 2025 | Indeed 4.0 Rating 2025

Privacy Notice

Cortica is committed to protecting your personal information in compliance with applicable federal and state laws. Please review our Privacy Notice to understand how your data is collected, used, and protected.

Driving Requirement

This position requires the successful completion of a post-offer background check and a motor vehicle report review.

Title: Behavioral Health Liaison

Location: Auburn United States

 Social Impact Center

 17571

Job Description:

Overview

Our Commitment to Equity

The Y actively promotes a culture free from bias and injustice. We are dedicated to removing institutional and systemic barriers that result in oppression and racism. We will be accountable to marginalized communities for creating equitable and sustainable environments where social justice is woven into every facet of our programs, and by caring for our communities in a culturally versatile and respectful manner.

Job Summary

The Y is seeking a dedicated inidual for the position of Behavior Health Liaison. You will provide support for youth and young adults in the Arcadia Drop In and Shelter space in access to behavioral and whole person care needs. The Behavior Health Liaison works closely with the internal Behavioral Health Team members providing clinical support to youth within the program. The BHL also work to provide support to youth and families in school, home, and community environments. The BHL will work closely with the Arcadia Drop-In, Shelter, and Permanent Supportive Housing Programs to support in whole-person-care for youth and young adults, as well as offsite Transitional Living Program participants. This position will support clients in immediate and passive behavioral health crisis, and clients who are vulnerable.

This position is at the Social Impact Center Y, the social services branch of YMCA of Greater Seattle (YGS). The mission of the Social Impact Center Y is to accelerate young people's ability to build safe, successful, and happy lives. Every year, we serve 5,000 children, youth, young adults, and families across King County with programs that aim to strengthen young people's ability to develop to their fullest potential through four strategies: reducing risk factors; navigating systems towards successful life transition; ensuring stability, safety and wellness in times of crisis; and building competencies and social capital. The Social Impact Center Y's programs include housing, behavioral health, foster care licensing, violence prevention, education, and employment. Many of the young people we serve have had involvement in the foster care, criminal justice system, and/or homelessness systems.

Position Type/Expected Hours of Work

This is a full time position, working 40 hours per week IN-PERSON with minimal option for hybrid work. This position schedule would be Monday - Friday, 8am-4pm or a variation of these days and hours with potential for change in days / hours dependent on program needs.What you'll get from working at The Y

• Membership to the YMCA of Greater Seattle for you and your household
• Medical, Dental, Vision, and Life insurance
• Retirement with generous employer contributions
• Free access to mental health resources
• Rapidly accruing paid time off (PTO)
• Full-time employees qualify for a 50% discount, and part-time employees qualify for a 25% discount, on eligible Childcare Services.
• Some benefits only available to full-time staff

Hiring Range: $28 - $31/hour

Responsibilities

• Provides on-site direct services to youth and young adults, ages ranging from 12-24
• Provides Behavioral Health Coping Skills to youth and young adults in crisis
• Supports drop-in program and upstairs housing program by providing emergency services such as cooking dinner, laundry, and facility support during programming hours and turnover when needed and available
• Curates enriching activities in the Arcadia Drop-In space that contribute to overall whole-person-care
• Connects young adults to health services such as Medicaid, mental health counseling, and substance abuse counseling
• Works with the WA State Health Care Authority for authorization of Foundational Community Supports programming and enrollment. Completes tracking for programming as necessary.
• Tracks daily data as related to the HCHN (Healthcare & Housing Network) contract which includes but is not limited to the number of young adults who access the drop in and shelter programs. - position is data heavy with heavy technology use.
• Connects young adults to wellness activities such as obtaining a free gym membership with the YMCA, life skills classes, and outdoor activities and events
• Connects young adults to overall whole-person-care including but not limited to: physical health, vision, dental, therapy, SUD services, psychiatry services, and more
• Supports case management team by helping youth and young adults obtain their WA State ID, driver's license, social security card, birth certificate, food handlers permit, and public benefits
• Supports Arcadia drop-in program by de-escalating client crises as they occur onsite
• Support with community and street outreach as needed; assisting with Medicaid, benefits, etc. in community and encampments.
• Provides trauma-informed services to youth and young adults with respect for all components of the inidual
• Respond appropriately in a time of crisis onsite. Including but not limited to: physical danger, environmental issues, overdose, verbal argument, physical fight, etc.
• Reports all critical incidents in accordance with YMCA Incident Reporting Policy & Procedures.
• Adheres to YMCA program rules and procedures.
• Completes documentation in a timely manner and on a regular basis.
• Supporting clients in Medicaid applications and referrals • Coordination with county Response Teams - DCR, Mobile Crisis Teams, etc. for support with Arcadia program participants as needed.
• Consult with YSIC Behavioral Health Team around various client questions and concerns
• Other duties as assigned.
• Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

Code of Conduct for Applicants

Qualifications

• Must be at least 21 years of age OR may be between 18 and 21 years of age if enrolled in a social service internship or practicum program with an accredited college or university and can provide sufficient documentation.
• Intermediate to high-level knowledge or understanding of behavioral health and substance use. Understanding of signs/symptoms of various behavioral health diagnoses, and how to appropriately navigate conversations with iniduals would be helpful to this position.
• Experience providing high-level trauma-informed care.
• High school diploma or high school equivalency course of study (GED/HSEC) with 2 years of directly relevant experience working with children, youth, and families required.
• Have the skills and ability to work successfully and meet the needs of young adults with developmental disabilities, physical disabilities, substance use disorders, etc.
• Proficiency with computers, basic Microsoft Office software and case management/client tracking software. 8. Experience tracking and summarizing data into reports. This position is very data heavy.
• Strong organizational and communication skills with attention to details, timelines and follow through.
• Flexibility in schedule.
• Current state approved first aid, CPR and HIV/AIDS training certification.
• TB test by the Mantoux method.

Within 30 days of employment or first available training * Within 120 days of employment.

Preferred Qualifications

• Ability to speak Spanish or any other language is highly desired.
• Bachelor's degree in psychology, social work, related field, or equivalent, OR Associates degree with one year of directly relevant experience working with children, youth, and families preferred. Other applicable education, training, and experience, which provide the knowledge, abilities, and skills necessary to perform effectively in the position will be considered.
• Prefer knowledge of, and previous experience with, erse populations (language, culture, race, physical activity, sexual orientation, etc.).

You'll be a great fit for the Seattle Y if you:

• Thrive on working in a collaborative environment.
• Are very adaptable.
• Have high ownership and strong work ethic.
• Are a great problem solver who can think on your feet.
• Truly enjoy being of service to people.
• Like being part of a team that cares about one another as people and enjoy working together.
• Want to know that the work you do contributes to building a better, stronger community for all.

Position Title: Investigator II

**Location:**IN-INDIANAPOLIS, 220 VIRGINIA AVE

OH-COLUMBUS, 8940 LYRA DR, STE 300

TN-NASHVILLE, 22 CENTURY BLVD, STE 310

Job Description:

Position Title:

Investigator II

Job Description:

Carelon Payment Integrity is a proud member of the Elevance Health family of companies, Carelon Insights, formerly Payment Integrity, is determined to recover, eliminate and prevent unnecessary medical-expense spending.

Title: Investigator II

Locations: Indianapolis, IN, Columbus, OH, Nashville, TN

Hybrid: This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.

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

The Investigator II is responsible for the identification, investigation and development of cases against perpetrators of healthcare fraud in order to recover corporate and client funds paid on fraudulent claims.

Primary duties may include, but are not limited to:

• Claim reviews for appropriate coding, data mining, entity review, law enforcement referral, and use of proprietary data and claim systems for review of facility, professional and pharmacy claims.

• Responsible for identifying and developing enterprise-wide specific healthcare investigations that may impact more than one company health plan, line of business and/or state.

• Effectively establish rapport and on-going working relationship with law enforcement.

• May interface internally with Senior level management and legal department throughout investigative process.

• May assist in training of internal and external entities.

• Assists in the development of policy and/or procedures to prevent loss of company assets.

Minimum Requirements:

• Requires a BA/BS and minimum of 3 years related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.

• Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.

• Health insurance, law enforcement experience preferred.

Job Level:

Non-Management Exempt

Workshift:

Job Family:

FRD > Investigation

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

Who We Are

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

How We Work

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

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

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

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

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

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Hamburg, NJ 07419

Job Description:

Responsive recruiter

Replies within 24 hours

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

Compensation: $40.00 - $45.00 per hour

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Somerset, NJ 

Hybrid

Job Description

Responsive recruiter

Replies within 24 hours

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

   

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

Compensation: $40.00 - $45.00 per hour

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Behavioral Therapist Behavior Analyst Per Diem

Location: Phillipsburg, NJ 08865

Job Description:

Responsive recruiter

Benefits:

• Company car

• Competitive salary

• Flexible schedule

• Opportunity for advancement

• Training & development

• Wellness resources

Benefits/Perks

• Careers Advancement Opportunities 

• Autonomous Scheduling

• Competitive Compensation

• Hybrid - Almost Exclusively Virtual

 Job Summary

We are seeking a Behavioral Therapist or Board Certified Behavior Analyst (BCBA) to work with our team on a freelance/Per Diem basis! In this role, you will provide Inidual and/or group counseling, behavioral interventions, diagnostic evaluations or consultations related to the

Responsibilities 

• Examples of Assessment/Plan Development Activities

  - Behavioral assessment
  - Development of behavior support plan
  - Dissemination of plan
  - Initial training and supervision of caregivers
  - Training, oversight, and coordination with staff performing monitoring activities
  - Periodic re-training and supervision of caregivers
  - Review of raw and/or aggregated data associated with plan
  - Periodic reassessment of behavioral support plan
  - Revision of plan when required

• Examples of Monitoring Activities

  - Monitoring the implementation of plan by caregivers
  - Incidental correction and re-training of caregivers
  - Review data collection practices for integrity

Qualifications

• Have demonstrated experience in positive behavior support and/or applied behavior analysis -AND-

• 1 year working with people with developmental disabilities -AND-

• Meet or be under the supervision of at least one of the following:

  o Board Certified Behavior Analyst – Doctoral (BCBA-D) -OR-
  o Board Certified Behavior Analyst (BCBA) -OR-
  o With 1 year of supervised experience working with iniduals with developmental disabilities involving
  behavioral assessment and the development of behavior support plans:
  • Master’s degree and the completion of requisite coursework from a BACB approved course sequence program -OR-

  • Clinician holding NADD Clinical certification -OR-

  • Master’s or Bachelor’s degree in applied behavioral analysis, psychology, special education, social work, public health counseling, or a similar degree AND under the supervision of a BCBA-D or BCBA.

   

• Basic Life Support (BLS) and CPR certified

• Excellent communication and interpersonal skills

• Highly organized

Flexible work from home options available.

History

The state of New Jersey, consistent with a growing trend throughout the United States of America, has fully transitioned from a “systems” approach of service delivery to a person-centered approach. The new approach  focuses on iniduals with intellectual and developmental disabilities as whole persons with specific goals, inspiring dreams and worthwhile aspirations. This shift coincided with the state’s transition from a contract model to a fee-for-service model where participants (persons receiving services paid for by Medicaid through the Division of Developmental Disabilities (DDD)) have full control over the support services they receive as well as how, when and from which independent community providers they receive those services. Simply put, it became more imperative than ever that community agencies provide quality services that consistently met, if not exceeded, expectations of participants and their loving families and dedicated caregivers. The new approach created an ecosystem where Aspire Supports, an agency built on excellence and focused on delivering structured, person-centered, therapeutic and trauma-focused services to all the iniduals it serves, became a preferred agency for iniduals and their families.

Aspire Support Coordination

At its infancy, Aspire Supports focused exclusively on delivering Support Coordination Services. In succinct terms, we connected searching families and eager participants with needed services. Before “fee-for-service,” this service was the task and responsibility of the State of New Jersey. The state employed Case Managers, whose responsibilities ranged from coordination and monitoring services to advocacy. With the fee-for-service model was introduced the role of Support Coordinators. As explained in further details below, our support coordinators performed four (4) general functions for optimal service delivery:

• inidual discovery: We managed all support coordination services not just for, but with the participant. Our service delivery model was designed to make coordination of services seamless and effortless for participants, all while keeping them involved consistent with their preferences. Our support coordination staff possessed over 25 years of collective experience in the field of developmental disabilities. They were keen at helping with identifying, securing and maintaining the services participants enjoyed: from obtaining competitive employment and educational opportunities in the community to day and residential services.
• plan development: Once we had gotten to know our participants, we made use of the Person Centered Planning Tool (PCPT) and the Inidualized Service Plan (ISP) to identify how best to deliver on their desired outcomes, goals, supports and services.
• coordination of services: With their needs identified, our tireless work shifted to ensuring that we secure the best agencies to deliver the services our participants want and need. Not once did we stop until they were completely satisfied with their service providers.
• monitoring: We kept a close watch on agencies delivering the services. We also kept a close watch on participants and their plans to ensure they were progressing towards their desired outcomes. If they did not believe they were receiving the very best services as outlined in their ISP, we acted immediately to ensure that they did. Every time. Without fail.

While providing this service (Support Coordination), it became more and more apparent that we could not effectively fulfill our mission of helping the people we serve live a full life and grow in their communities without exploring ways to directly support those in our communities who live with intellectual, developmental and mental health services. So mere months after starting out as a support coordination agency (hence the original name Aspire Support Coordination, LLC) we strategically moved to the provision of Community Based Supports, Community Inclusion, Transportation and Inidual Support service in counties where the need for those services were greatest.

Title: Manager, Customer Resolution Workers Compensation

Location: Sydney Australia

Job Description:

Manager, Customer Resolution

Summary: Leading, coaching & developing a team of complaint, conflict & dispute resolution specialists, ensuring customers receive a timely and effective response to their workers compensation claims complaints

Sydney CBD

• Permanent Opportunity with icare in Sydney CBD
• Offering Competitive Salary Offering
• Hybrid working environment |Location: Kent Street

About the Role

The role is responsible for leading, coaching and developing a team of complaint, conflict and dispute resolution specialists, ensuring customers receive a timely and effective response to their workers compensation claims complaints (complaints), achieving high rates of satisfaction, tracking and analysing complaints and improving performance. The Customer Resolution Manager will also handle escalated workers compensation claims complaints and disputes which will involve direct contact/communication with customers and other stakeholders.

Benefits

• A corporate wellbeing program with subsidised gym membership, free flu vaccinations and health check programs
• 17.5% annual leave loading
• icare day - access to an extra day's leave
• Comprehensive learning and development support aligned to icare's Core Capabilities.
• Our People Awards - On-the-spot Recognition, Quarterly Values Awards & Our People Annual Awards
• Access to our Employee Assistance Program

Duties

• Provide high quality specialist services to achieve positive customer outcomes.
• Manage the end-to-end complaint resolution process including:
• Ensuring that all timeframes, targets and regulatory and statutory obligations are met.
• Driving and ensuring positive, courteous and professional service when interacting with customers and internal and external stakeholders.
• Driving and ensuring that probing questions are asked to gain an understanding of any errors that may have occurred and to resolve conflicting information.
• Engaging with, consulting and managing communications with our service providers/Scheme Agents and other impacted internal and external stakeholders.
• Gathering data from internal and external systems.
• Ensuring complaints are documented clearly and concisely in the relevant systems and are factually based.
• Ensuring that all regulatory and statutory obligations are met,
• Analysing complaints to determine validity, risk, cause and the appropriate course of action.
• Providing feedback to management regarding underperformance and opportunities to continuously improve the complaints management process.
• Leading and facilitating education on emerging, significant or systemic trends on complaints and disputes.
• Prepare and deliver appropriate responses to escalated complaints received directly from customers or through internal and external stakeholders.
• Ensure senior managers are briefed where appropriate.
• Escalate to senior managers in a timely manner any issues of concern.
• Ensure that there is adequate staffing to meet the current and projected workload.
• Coach, mentor and develop staff, including overseeing new employee recruitment, on boarding, and retention of high performing specialists.
• Empower employees to take responsibility for their jobs and goals through goal setting, feedback and performance development planning.
• Provide effective performance feedback through regular formal quality assurance activities and one on ones.

Skills & Experience

• Admission as a legal practitioner to the Supreme Court of NSW with an unrestricted practicing certificate.
• Significant experience with conflict, complaint and/or dispute resolution and understanding of policies and applicable laws.
• Comprehensive understanding of workers insurance legislation combined with a solid working understanding the operations of the NSW workers insurance scheme.
• Strong organisational/time management skills and able to work effectively in a fast-paced environment.
• Extensive experience in alternative dispute resolution/litigation on insurance related matters.
• Comprehensive understanding of workers compensation legislation combined with a solid working understanding of New South Wales workers compensation scheme.
• Previous private practice or government practice experience.
• Pre-Employment Checks
• Demonstrated problem solving and analysis skills, combined with effective judgment and communication skills.
• Excellent communication (written and verbal) and interpersonal skills with the ability to negotiate and influence a range of senior stakeholders.
• Successful track record working within a cross-functional team, and across multiple stakeholders and geographies, to deliver outcomes.
• Shows resilience, drive and commitment with the ability to work effectively in a constantly changing and pressured team environment.
• Passionate about providing quality service and outcomes to our customers with a focus on empathy.

Culture

We know our strength comes from the ersity of our people and would encourage people with different experiences and backgrounds to apply. We are committed to our people's development so the people of NSW can thrive.

About the Company

We care for the people of NSW, building confidence and trust so our communities can thrive. We make the complex simple, so our schemes deliver better outcomes for people and communities. Whether a person is severely injured in the workplace or on our roads, icare supports their long-term care needs to improve quality of life, including helping people return to work.

• For more information about icare visit our website
• icare operates a direct sourcing model so no agency introductions will be accepted
• We are a Circle Back Initiative Employer - we commit to respond to every applicant
• A talent pool may be created through this recruitment process.

Please note that you must be an Australian citizen, permanent resident of Australia, New Zealand citizen with a current New Zealand passport or have unrestricted working rights to apply for this role.

Title: Senior Policy Officer

Location: Sydney Australia

**Work type:**Full-Time

Total remuneration package:$129464 - $142665

Job Description:

Role Title:

Senior Project officer, Youth Health and Wellbeing Team, Health and Social Policy Branch

• Temporary role, up to June 2028
• 35 hour working week, in a hybrid working environment
• Clerk grade 9/10

The Ministry of Health is dedicated to delivering high-quality services and improving the health outcomes of the people in New South Wales. We value collaboration, innovation and excellence, as we strive to create an environment where employees can thrive and make a real difference.

About this role

You'll be joining the largest public health system in Australia and contribute to a world-class health system in NSW.

Health and Social Policy works to improve the health and wellbeing of people - now, across their life and for future generations. We develop equity focused policies and programs for the NSW Health system, including where it connects with social care.

Crown Clerk 9/10, starting salary from $129,464 - $142,665 plus Super and annual leave loading, with a 35-hour work week

What you'll be doing

Senior Policy Officer (REQ 606982) Statewide Out-of-Home Care Health Pathway Program Manager, Youth Health and Wellbeing Team.

This role will work closely with the Ministry of Health, local health districts and Department of Communities and Justice to improve the health outcomes of children and young people in out-of-home care. The aim of the Program is to ensure that children and young people in out-of-home care have their health and development needs identified and responded to as early as possible. The role will provide policy advice and operational support on the implementation, monitoring and evaluation of the Program to NSW Health's objectives within the health and social policy portfolio.

About you

We are seeking motivated and committed iniduals with:

• Demonstrated relevant, professional experience in the area of health and social policy and/or relevant tertiary qualifications.

• Substantial experience in project management and developing, analysing and evaluating policy.

• Excellent analytical skills including proven experience in analysing and interpreting complex information, preparing and presenting analysis and reports and dealing with challenges creatively.

• Demonstrated ability to work with erse stakeholders to deliver on complex policy and program/project areas.

What we offer

The Ministry of Health offers its employees a range of benefits and opportunities to help you succeed in your role, with opportunities for career progression, learning, development and work-life balance. You will have access to support networks, employee assistance programs, and flexible work arrangements. To learn more about the Ministry and what benefits we offer, access our Employee Benefits Handbook.

Working at The Ministry of Health

The position is located in St Leonards, in a modern, purpose-built building within an activity-based working environment. Close to public transport, cafés and local amenities.

Our commitment to Diversity and Inclusion

Ministry of Health is an equal opportunity employer. We actively promote the employment of women, people with a disability, Aboriginal and Torres Strait Islander peoples, LGBTIQ+ community and people from culturally and linguistically erse backgrounds.

Join our team and be a part of shaping the future of Health in New South Wales.

If you identify as Aboriginal or Torres Strait Islander and would like assistance with your application or to obtain more information on how to apply please visit The Stepping Up Initiative.

To be eligible for employment in these roles you must be an Australian citizen, or a permanent resident, or a New Zealand citizen, or hold a valid visa with permission to work in Australia.

Additional information

• This recruitment may be used to create a Talent Pool for similar future roles (ongoing or temporary) that may arise over the next 18 months.
• For more information on applying visit the Ministry of Health Career portal
• Please note the selection process will include a range of comparative assessment techniques to assist in determining your suitability for the role.
• This is a temporary role and there may be opportunities for ongoing employment at grade.

Title: Proactive application

Location: Remote Remote BE

Type: Full-time

Workplace: Fully remote

Job Description:

Join Curewiki

At Curewiki, we are constantly seeking passionate iniduals who are eager to make a difference in the realm of health information. While we may not have a specific opening that fits your profile right now, we believe that talent can come from unexpected places. We encourage you to submit a proactive application so that we can consider you for future opportunities.

About Curewiki

Curewiki is committed to enhancing patient-centered health information accessibility and transparency. Our mission is driven by a passion for providing reliable resources that allow iniduals to make informed decisions about their health.

What We Offer

• A vibrant, innovative workplace where your ideas can thrive.

• A remote-first philosophy to support your work/life integration.

• Opportunities to contribute directly to meaningful projects that improve the lives of patients.

• A feedback and performance driven culture in which results matter.

Why proactive?

We value proactive iniduals who are eager to take initiative and contribute to our mission. By submitting your application, you are expressing your enthusiasm and commitment to becoming part of our future success!

Requirements

To be successful as a prospective candidate at Curewiki, you should possess:

• A passion for health information, patient advocacy, or related fields.

• Relevant skills and experience based on the role you are interested in.

• Strong communication abilities in ENG to articulate ideas effectively.

• The ability to work collaboratively in a remote or hybrid environment.

• A proactive mindset that seeks solutions and innovative approaches.

We welcome your unique perspective and talents to help us on our mission to improve health information access!

Title: Senior Employee & Industrial Relations Adviser

Location: Sydney Australia

**Organisation / Entity:**NSW Education Standards Authority

Job category:

Human Resources and Recruitment | Industrial Relations

Job location:

Sydney Region / Sydney City

**Job reference number:**0000B2P3

**Work type:**Full-Time

Total remuneration package:$129,464 - $142,665 plus employer's contribution to superannuation and annual leave loading.

**Contact:**Deanna Mohr

Job Description:

Guiding the future of NSW education

Position details

• Clerk Grade 9/10
• Temporary, full-time role of up to 12 months with possibility of extension
• Close to Wynyard station & hybrid work arrangements available

About the Opportunity

This is an exciting opportunity to join the NSW Education Standards Authority's (NESA) People and Culture team in a key advisory role within our growing Employee and Industrial Relations function.

This role offers the chance to join a proactive People & Culture team to influence best practice ER/IR outcomes across NESA, collaborate with stakeholders at all levels, and further develop your expertise within a values-driven and collaborative team environment.

As the Senior Employee & Industrial Relations Adviser, you'll play a pivotal role in delivering consistent, high-quality employee and industrial relations advice and services to leaders and teams across the organisation. You'll work closely with the Employee & Industrial Relations Lead and the broader People & Culture team to provide trusted guidance, support complex case management, and contribute to strategic initiatives that shape our workplace culture.

On a day-to-day basis, you will:

• Provide expert advice on the interpretation of awards, legislation and industrial instruments to support effective and compliant decision making.
• Assist in the management and resolution of employee relations matters to ensure fair, consistent, and timely outcomes.
• Prepare and review documentation relating to ER/IR issues, including reports and analysis to support evidence-based recommendations.
• Provide specialised coaching and guidance to leaders and employees on policies, procedures, and legislative requirements.
• Conduct research on industrial relations issues, legislative updates, and trends to inform best practice.
• Support the development and delivery of ER/IR initiatives and projects, including bargaining, progress reporting and stakeholder communication.
• Represent NESA in disputes and related matters in conjunction with the Employee & Industrial Relations Lead.

We invite you to download the role description for additional information on the position.

About You

You're an experienced ER/IR professional with a sound understanding of industrial frameworks and employment legislation. You bring a solutions-focused mindset and the ability to influence and guide stakeholders in an evolving and complex environment.

This role will suit someone who has:

• proven experience providing employee and industrial relations advice within the public sector or a similarly complex organisation.
• strong knowledge of employment legislation, industrial instruments, government policies, and ER/IR best practice.
• the ability to manage multiple priorities while maintaining attention to detail and quality of outcomes.
• highly developed communication and relationship management skills, with the confidence to engage with unions, other agencies, and senior stakeholders.
• a collaborative, professional, and proactive approach to achieving positive organisational and workforce outcomes.

About us

At NESA, we're dedicated to carrying out meaningful work that drives improvements and elevates student achievement across NSW, now and into the future.

We accomplish this by supporting all school sectors with high-quality syllabuses, assessment (including managing the HSC and NAPLAN), teaching standards (e.g., accrediting teachers) and school environments (including setting and monitoring school standards).

NESA is a unique organisation in NSW (of around 740FTE staff) with significant state-wide impact, visit our website to learn more about the important work we do.

At NESA you'll benefit from:

• An organisation where your contribution has a big impact
• An enviable CBD location (all modes of transport nearby, and excellent coffee and eateries) with refurbished offices
• Flexible working arrangements and generous leave entitlements
• Access to discounted health and fitness memberships via Fitness Passport, an employee assistance program and annual flu vaccinations
• Salary packaging options
• Working in a purpose driven and ethical organisation with committed colleagues

Title: Data Scientist (Healthcare Data)

Location: New York City (Hybrid)

Job Description:

About Particle

Particle Health is revolutionizing healthcare data analytics and interoperability. Our mission is to unlock the power of medical records in an intelligent platform that focuses health back on the patient. 

Through our modern data platform, we enable healthcare innovators—ranging from value-based care providers and payers to digital health companies and health systems—to access standardized, real-time patient data. By bridging fragmented data silos, Particle empowers organizations to tackle critical use cases such as care coordination, risk stratification, patient identity management, and regulatory compliance with ease and precision.

Our solutions of Snapshot, Signal, Navigator, and Workbench address the complex challenges of healthcare data analytics and interoperability, helping our customers transform data into actionable insights, improve patient outcomes, and streamline workflows.

About the Role

At Particle Health, data is at the core of everything we do. As a Data Scientist, you’ll play a key role in helping us analyze healthcare data and generate insights that enable our customers to deliver better patient outcomes.

You’ll work with erse datasets — including EHR, prescription, and provider data — to build models, surface trends, and help turn complex healthcare data into actionable intelligence. This is a great opportunity for someone who’s excited to apply analytical and technical skills to real-world healthcare problems and grow within a mission-driven team.

You’ll collaborate closely with data engineers, product managers, and software engineers to design analytical products, improve data quality, and explore ways to make our data more valuable to both internal teams and customers.

Location & Work Schedule

This is a hybrid role based in New York City. The team works in-office two days per week (Tuesdays and Thursdays), so applicants should be within commuting distance and comfortable with in-person collaboration.

What You’ll Do

Data Science & Analytics (Primary Focus)

• Build and validate analytical and machine learning models to address key healthcare data challenges (e.g., treatment adherence, gaps in care, risk scoring).
   
• Explore, clean, and analyze large-scale healthcare datasets to identify patterns and generate actionable insights.
   
• Work with Product and Engineering to translate findings into scalable, production-ready solutions.
   
• Contribute to projects involving AI and NLP, helping extract and summarize meaningful information from clinical text.
   
• Ensure statistical rigor, accuracy, and reproducibility in all analyses.

Data Quality & Insights

• Identify and address data quality gaps to improve completeness and reliability.
   
• Partner with the Data Engineering team to enhance the usability and consistency of our datasets.
   
• Develop dashboards and metrics that help internal teams and customers better understand our data.

Collaboration & Impact

• Work cross-functionally with Product, Engineering, and Data teams to align on goals and deliver data-driven insights.
   
• Communicate findings clearly to both technical and non-technical audiences.
   
• Continuously learn, experiment, and contribute ideas to improve how we use data to drive outcomes.

What We’re Looking For

• 3+ years in data science, analytics, or a related role
• Proficiency in Python and SQL skills
• Experience working with or strong interest in healthcare data (EHR, FHIR, HL7, claims)
• Experience developing analytical models or applying statistical methods to solve business problems
• Exposure to modern AI methods, such as generative models, large language models (LLMs), or applied AI systems, and understanding how to integrate them into analytical workflows
• Experience with data visualization / BI tools (e.g., Looker, Tableau, or Dash)
• Exposure to machine learning concepts and model evaluation
• Curiosity, problem-solving mindset, strong communication, proactive learner

Nice to Have

• Experience with distributed data frameworks (e.g., Spark)
• Familiarity with healthcare standards such as FHIR, HL7v2, or CCDA
• Experience in a SaaS or cloud-based data environment
• Background in a quantitative field (statistics, computer science, etc.)

Why Particle Health

• Purposeful Work: Contribute to projects that directly improve healthcare access, empower providers, and enhance patient outcomes.
• Collaborative Culture: Thrive in a mission-driven, curiosity-fueled environment where ownership and bold ideas are celebrated.
• Flexibility & Balance: Enjoy unlimited PTO and a hybrid work environment, giving you the opportunity to collaborate in person and enjoy the benefits of remote work. We also provide lunch on Tuesdays and Thursdays when our team is in the office! 
• Bonus Program: Get rewarded for great work—our twice-a-year bonus program reflects both your contributions and our overall success. 
• Comprehensive Benefits:
  • ~95% employer-paid health benefits for you and your family.
  • Employer-funded 401(k) match to help you build a secure future.
  • Mental health benefits to support your well-being.
• Invest in Your Future: Receive employee equity, ensuring you share in the company’s success.
• Family Support: Access 14 weeks of fully paid parental leave, so you can focus on what matters most.
• Collaborate with a talented team of engineers, data scientists, and healthcare experts
• Opportunity to work with cutting-edge technologies in the healthcare space
• Growth opportunities as we scale our platform and expand our capabilities

At Particle Health, your contributions don’t just impact the company—they shape the future of healthcare. Join us, and let’s make a difference together!

Compensation Range: For this role, we’re targeting a salary range of $130,000–$160,000 annually, depending on experience and qualifications. If your background aligns more closely with a higher or lower level than the scope outlined here, compensation may vary accordingly.

#LI-Hybrid

At Particle Health, we believe ersity is a strength that drives and fuels our mission to transform healthcare. We are proud to be an equal opportunity employer and are committed to creating an inclusive, supportive environment where everyone can thrive. We welcome and celebrate iniduals of all backgrounds, perspectives, and experiences, regardless of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability. Our commitment to ersity reflects our core values—integrity, curiosity, boldness, ownership, and persistence—and our belief that our differences make us stronger as a team and a company.

Job Title: Scientist II, Mass Spectrometry

Location: Redmond, WA

Job Description:

Reports to: Principal Scientist, Mass Spectrometry

About Us:

At Just-Evotec, we believe that curiosity is the spark that drives innovation and success. As a forward-thinking team, we thrive on challenging the status quo, learning from each other, and pushing the boundaries of what’s possible. We're on a mission to create a place where curiosity isn't just encouraged, it’s celebrated.

Are you someone who asks questions, seeks answers, and isn't afraid to go deeper? #BeCureious with us and see where your curiosity can take you!

The Role:

We’re looking for a passionate and curious Scientist II to join our team. If you’re excited by new challenges, solving complex problems, and learning every step of the way, you might just be the perfect fit. In this role, you’ll have the opportunity to drive impactful projects, collaborate with bright minds, and explore uncharted territories.

As an Scientist II at Just-Evotec, you'll have the freedom to ask the hard questions, think outside the box, and find creative solutions that push us forward. It’s a role where your curiosity will fuel both your personal growth and the success of the team.

What You’ll Do:

• Dive deep into characterization of biotherapeutics using mass spectrometry, always looking for ways to improve and innovate.
• Collaborate with cross-functional teams to explore new possibilities and solutions.
• Regularly share your findings, ideas, and solutions in both team settings and presentations.
• Keep up with the latest trends and developments in Mass Spectrometry.
• Ensure that curiosity-driven questions and exploration lead to measurable, impactful results.

Who You Are:

• Preferably a scientist with prior experience analyzing protein biotherapeutics using mass spectrometry.
• A scientist with a deep knowledge of protein LC-MS and with the ability to troubleshoot and maintain mass spectrometers.
• A curious problem-solver with a passion for learning and growing in a dynamic environment.
• Someone who is not satisfied with “just good enough” and is always looking to improve, adapt, and innovate.
• A natural collaborator who loves sharing ideas and learning from others.
• Comfortable with ambiguity and thrives in environments where curiosity and experimentation are encouraged.
• Excellent communicator, both verbally and in writing, able to share complex ideas in a simple, relatable way.
• A self-starter who takes initiative, owns your projects, and actively seeks out new challenges.

 Why Join Us:

• Growth Opportunities: We’re a company that believes in continuous learning and development. Whether it’s professional courses, mentorship, or new projects, we’ll help you grow.
• Flexible Work Environment: We offer flexible work options to help you balance your professional and personal life, with hybrid work schedules in many of our various locations.
• Inclusive Culture: We’re committed to building a erse and inclusive environment where everyone’s voice is valued, and curiosity is encouraged.
• Innovative Projects: You’ll have the chance to work on groundbreaking initiatives and cutting-edge technology in an atmosphere where your curiosity is the key to success.
• A Place for Big Ideas: We don’t just talk about thinking outside the box—we throw the box away. If you’ve got ideas, we want to hear them.

Are You Still Curious?

If you’ve read this far, then chances are you’ve got a curious mind, just like us. So, what are you waiting for? Take the leap and apply today. We can’t wait to see where your curiosity leads you and how it will shape the future of Just-Evotec.

Let your curiosity guide your career. #BeCurious and explore the endless possibilities at Just-Evotec!

The base pay range for this position at commencement of employment is expected to be $105,000 to $120,000; Base salary offered may vary depending on inidual’s skills, experience and competitive market value.

Additional total rewards include discretionary annual bonus, comprehensive benefits to include Medical, Dental and Vision, short-term and long-term disability, company paid basic life insurance, 401k company match, flexible work, generous paid time off and paid holiday, wellness and transportation benefits.

Evotec (US) Inc. is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, gender, age, disability, genetic information, gender expression, gender identity, national origin, religion, sexual orientation, or veteran status.

Title: Systems Engineer, Cameras/Imaging

Location: Sunnyvale, CA

Department: Engineering

Hybrid

Full Time

Job Description:

Our mission at DigitalFish is to help our customers derive transformative value across their organizations by building next-generation technologies that define the future of digital-media creation and consumption for millions of users.

We have partnered with leading digital media companies, and are at the center of their efforts to build a new generation of platforms and experiences. Current and past customers include Apple, Google, Meta, Disney, DreamWorks, Activision, Technicolor, ESPN, LEGO, NASA and many others. 

THE ROLE

As part of a small and dynamic team, you'll play a pivotal role in developing imaging technology for camera capture while creating augmented reality experiences that enhance human perception. The scope of these projects will encompass camera color processing, developing features related to human color perception, and prototyping with tools like Unity/Blender for object rendering.

WHAT YOU'LL DO

• • Develop perceptual features that enhance MR/AR realism by modeling human vision and color perception
  • Research and develop computer vision and machine learning algorithms for photographic imaging processing
  • Build platforms for objective and subjective evaluation of virtual object rendering using psychophysical methods
  • Design and implement real-time display color processing pipelines leveraging GPU, CPU/MCU, or hardware-accelerated resources.
  • Prototype MR/AR demos using Python, MATLAB, Blender, Unity, and C#
  • Research and develop computer vision and machine learning algorithms for ambient light estimation and photorealistic object rendering
  • Work with cross-functional teams and provide leadership and expertise for new project development and productization

WHO YOU ARE

• • MS/PhD degree in Computer Science, Imaging Science, Image Processing, Computer Vision, or related fields
  • Background in image processing and computer vision
  • Proficient in programming languages such as Python and C++
  • Experience with 3D tools such as Unity, Blender and Maya*
  • Hands-on experience in camera or display pipelines for embedded systems, mobile devices, or Android platforms.
  • Strong background in user experience, machine learning, computer vision, VR & AR
  • Strong communication skills for working with cross-functional teams
  • Understanding of light sensor, image sensor, camera and display hardware systems*
  • Experience in 3D computer graphics, lighting and shading*
  • Proof of eligibility to work in the United States

COMPENSATION & BENEFITS

• • The annual compensation includes equity (per qualifications)
  • The annual salary range for this position is $125,000 to $150,000 plus equity (per qualifications)
  • The base pay offered will take into account internal parity, job-related knowledge, skills, and experience among other factors
  • Health Insurance - Medical, Dental, Vision and Life Insurance
  • Discounts on movie tickets, theme parks, hotels, Broadway and Vegas shows, shopping partners & more
  • Flexible working environment and more!

$125,000 - $150,000 a year

ADDITIONAL INFO

DigitalFish is an equal opportunities employer ensuring that all applicants are treated equally and fairly throughout our recruitment process. We are determined to ensure that no applicant experiences discrimination on the basis of sex, race, ethnicity, religion or belief, disability, age, gender identity, ancestry, sexual orientation, veteran status, marriage and civil partnership, pregnancy and maternity, or any other basis prohibited by applicable law.

DigitalFish may share your personal information and resume with trusted partners only as necessary to help facilitate your employment journey.

DigitalFish is not able to sponsor immigration petitions for this role at this time.

All applicants must have the right to work in the United States.

We look forward to hearing from you!

Title: Director, Scientific Engagement

Location: USA - MA - Remote

Job Description:

Job Summary:

Job Summary:

Crown Bioscience is conducting a search for a highly experienced oncology preclinical discovery expert to become part of its scientific engagement team, working directly with clients to enhance their discovery efforts through research outsourcing. This role will expose the incumbent to the entire spectrum of the oncology preclinical discovery effort, including the full ersity of related models, technologies. Deep and broad knowledge of current oncology, immuno-oncology discovery and translational paradigms is essential to success in this role, as is knowledge of the molecular and cellular approaches and targets in oncology drug and biomarker discovery.

This is a fully remote position; candidates based on the East Coast are preferred.

Responsibilities:

- Direct scientific engagement with pharmaceutical company scientists, clients and decision makers with the goal of providing high level scientific input in study design and model execution to determine how, and when their discovery and translational programs would benefit from CrownBio’s preclinical oncology services.

- Support the Companies Business Development (BD) goals to secure orders and deepen account penetration through increasing the quality and quantity of meetings with client scientist; ensure the best possible exchange of information for new opportunities between BD and the scientific team; generate protocols, study designs and proposals to define projects/studies and associated prices.

- Co-travel with BD (~50% of the time) to various clients and potential clients to support scientific discussion of Companies services and capabilities.

- Represent CrownBio at relevant scientific and industry conferences, including preparation of oral presentations and/or poster presentations; and

- Work closely with internal R&D in order to gain insight of new developments and contribute to R&D strategy

- Support the continued development of company based scientific marketing collateral and web materials.

Minimum Requirements:

- PhD degree in life science related major

- Minimum 7 years’ experience in laboratory or pharmaceutical industry in areas specifically relevant to Company services; must include a minimum of 5 years’ working within the pharmaceutical or biotech industries in order to assure familiarity with customer needs/experience

- Broad experience and hands-on drug development expertise including study/project design, monitoring, issue management and overall consultancy

- Desired experience in in vivo and in vitro experimental models

Preferred Requirements:

- Desired experience in translational biomarkers

- Desired experience in Pharmacokinetic, Toxicology and IND filing

- A solid publications and/or achievement track record that evidence depth of knowledge will be important.

Crown Bioscience is committed to a erse and inclusive workplace. Crown Bioscience is an equal opportunity employer and does not discriminate based on race, national origin, gender, gender identity, sexual orientation, protected veteran status, disability, age, or other legally protected status.

Title: RN Clinical Supervisor, Prior Authorization - Hybrid

remote type Hybrid - People Leader

locations AZ Blue Phoenix, AZ 85021

Full time

job requisition id R5790

Job Description:

Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the erse needs of iniduals, families, and small and large businesses as well as providing information and tools to help iniduals make better health decisions.

At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:

• Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week

• Hybrid Inidual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week

• Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month

• Onsite: daily onsite requirement based on the essential functions of the job

• Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building

Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.

This position is hybrid within the state of AZ only. This hybrid work opportunity requires residency, and work to be performed, within the State of Arizona.

PURPOSE OF THE JOB

The RN Prior Authorization Supervisor is responsible for overseeing the daily operations of the prior authorization team for the Medicaid Segment which includes Medicaid, ,Medicare Advantage / Dual Eligible Special Needs Plan (D-SNP), and may include Affordable Care Act (ACA)  members. The supervisor ensures the clinical team meets the quality and productivity standards, follows policies and procedures, and complies with all BCBSAZ Health Choice regulatory requirements. The supervisor maintains and/or creates desktop procedures for effective workflows and participates in policy oversight with leader. The supervisor provides coaching, feedback, and training to the clinical staff, and manages escalation issues and complex cases. The supervisor will provide support to the clinical staff accountable for the the Notice of Action (NOA) process. The supervisor will provide support to the nonclinical paraprofessionals which include Prior Authorization (PA) and may include NOA technicians,  assisting in overall department initiative and training of both clinical and nonclinical staff.

QUALIFICATIONS

REQUIRED QUALIFICATIONS

Required Work Experience

• 3 years of direct clinical experience
• 3 years of experience in utilization review
• 3 years of in same or similar role, experience managing clinical direct reports
• 1 year NCQA experience

Required Education

• Bachelor of Science in Nursing or Healthcare management field of study

Required Licenses

• Active, current, and unrestricted license to practice in the State of Arizona as a Registered Nurse (RN)

Required Certifications

• N/A

PREFERRED QUALIFICATIONS

Preferred Work Experience

• 5 years of managed care/health plan experience
• 5 years of Medicaid and Medicare experience

Preferred Education

• N/A

Preferred Licenses

• N/A

Preferred Certifications

• N/A

ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES

• Ensures completion, accuracy and timeliness of medical, dental, Pharm D, and behavioral health authorization reviews to meet contractual requirements and ensures all reviews are conducted using InterQual or BCBSAZ Health Choice Clinical Policies.
• Ensures completion, accuracy, timeliness of NOA letters; member and provider notification.
• Supervises the prior authorization team, which consists of RNs and LPNs, who review and process prior authorization requests for services and items for the Dual Eligible Special Needs Plan (D-SNP),, Arizona Health Care Cost Containment System (AHCCCS), and possibly ACA commercial members.
• Monitors clinical teams’ performance and productivity and provide regular reports and feedback to the management.
• Ensures clinical team adheres to the clinical guidelines, criteria, and protocols, and follows the best practices and standards of care.
• Ensures clinical team complies with Centers for Medicare and Medicaid (CMS), National Committee for Quality Assurance (NCQA), Arizona Health Care Cost Containment System (AHCCCS), and Utilization Review Accreditation Commission (URAC), and plan-specific regulations and policies, and maintains effective documentation and records accordingly.
• Coordinates with requesting and servicing practitioners, members, and other internal departments to facilitate the prior authorization process and resolve any issues or concerns.
• Manages escalated cases, complex situations and provide clinical guidance and support to the clinical staff.
• Identifies and implement opportunities for improvement and innovation in the prior authorization process and workflow.
• Develops orientation onboarding and conduct training for new and existing staff and evaluate their competency and skills.
• Participates in quality improvement initiatives, audits, and compliance reviews.
• Performs other duties as assigned.
• The position has an onsite expectation of 2 days per week and requires a full-time work schedule. Full-time is defined as working at least 40 hours per week, plus any additional hours as requested or as needed to meet business requirements.

COMPETENCIES

REQUIRED COMPETENCIES

Required Job Skills

• Knowledge of InterQual Criteria Set
• Computer documentation skills to include MS applications, Word, Adobe, Excel and Outlook
• Communication skills: oral and written

Required Professional Competencies

• Knowledge of and skill with clinical review and medical necessity determinations

Required Leadership Experience and Competencies

• 3-5 years Supervisor experience in Prior Authorization/Utilization Review

PREFERRED COMPETENCIES

Preferred Job Skills

N/A

Preferred Professional Competencies

N/A

Preferred Leadership Experience and Competencies

N/A

Our Commitment

AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.

Thank you for your interest in Blue Cross Blue Shield of Arizona.  For more information on our company, see azblue.com.  If interested in this position, please apply.

Title: Help Desk/Data Quality Analyst

Location: Indianapolis, IN

Job Description:

Launch Your Career with Cook Systems

Since 1990, Cook Systems—a certified veteran-owned IT consulting firm—has been helping businesses and professionals grow through innovation, integrity, and investment in people. We partner with Fortune 500 enterprises and high-growth companies alike to deliver agile technology solutions, AI-driven talent strategies, and our signature FastTrack program that develops the next generation of tech talent.

At Cook, you’ll find a culture that values excellence, creativity, and accountability. We believe in opportunity backed by trust—and in building careers that last. Check out what our team members have to say on our Glassdoor page, and discover why Cook Systems is where meaningful careers take off!

The Help Desk/Data Quality Analyst supports the accuracy, completeness, and timeliness of immunization information systems (IIS). 

This role ensures that data submitted by healthcare providers is validated, standardized, and transformed into actionable insights. A strong foundation in T-SQL is essential for managing large data sets, troubleshooting data quality issues, and developing automated validation processes.

Key Responsibilities:

• Perform data quality assessments on immunization records, including de-duplication, validation, and standardization.
• Write and optimize T-SQL queries to analyze, clean, and transform large healthcare datasets.
• Collaborate with providers, IIS staff, and public health partners to identify and resolve data submission errors.
• Develop data quality dashboards, reports, and performance metrics to track provider compliance and system accuracy.
• Support implementation of HL7 and IIS data exchange standards by validating message integrity and field mapping.
• Investigate data anomalies, troubleshoot submission issues, and recommend process improvements.
• Document data quality rules, methodologies, and best practices for internal and external stakeholders.
• Preparing reports for leadership that effectively communicate trends, patterns, and predictions using relevant data.
• Perform other duties as assigned.

#L1-Hybrid

Why Work with Us

At Cook Systems, we don’t just offer jobs—we build futures. Our people are at the heart of everything we do, and we’re committed to supporting you with benefits that deliver real security, flexibility, and growth from day one.

• Your Health, Your Way: Choose from two comprehensive medical plans through Blue Cross Blue Shield, with dental and vision coverage included. With access to one of the nation’s largest provider networks, you’ll have quality care wherever life takes you.
• Peace of Mind: Protect what matters most with life, critical illness, and accident insurance through Unum—because your family’s security matters.
• Flexibility for Life: Plan ahead and save with a Flexible Spending Account and Daycare FSA through Navia, helping you manage healthcare and dependent-care expenses your way.
• Extra Protection When You Need It: Our Health Gap Insurance through Sun Life helps cover unexpected costs, so you’re never caught off guard.
• Your Future Starts Now: Build your future with our 401(k) plan through The Standard. You’re eligible after just six months—because long-term success deserves a strong foundation.

At Cook Systems, you’re not just an employee—you’re part of a team that values ideas, celebrates results, and grows together. Here, your impact is visible, your contributions are valued, and your career has room to thrive. Ready to be part of something bigger? Let’s build the future together at Cook Systems.

#IND1 #LI-CS1

Title: Care Manager RN - Peak Health

locations

Remote

Peak Health Administrative Building

time type

Full time

job requisition id

JR25-19407

Job Description:

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full.  Below, you’ll find other important information about this position. 

Reporting to Manager of Care Management, the Care Manager will be an integral member of the health plan’s medical management team. This position is responsible for identifying and connecting high risk members to appropriate resources and programs to achieve optimal quality and financial outcomes. Responsibilities include managing and triaging self-referrals, identifying high risk members through HRA, reporting and admissions data, auditing patient charts of delegated case management programs to meet accreditation standards, and connect members with in-network providers and resources. This position is committed to the constant pursuit of excellence in improving the health status of the community.

MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Current unencumbered licensure with the WV Board of Registered Nurse Professional Nurses, or appropriate state board where services will be provided, as a Registered Nurse professional OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC)

EXPERIENCE:

1. Three (3) years of healthcare clinical experience

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. Bachelor's Degree in Nursing OR Associate of Science in Nursing Degree (ASN) or Diploma; Currently enrolled in a BSN program and BSN completion within three (3) years of hire

EXPERIENCE:

1. Management of Medicare and/or Medicaid populations preferred

2. Two (2) years Care Management experience

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Participate in activities related to care management program build, implementation, oversight, and delegation.

2. Perform utilization management reviews as needed according to accepted and established criteria, as well as other clinical guidelines and policies.

3. Manage and triage member self-referrals to care management programs.

4. Assist members in understanding their available medical benefits and connecting them with in network providers and community resources.

5. Identify barriers preventing the member from meeting maximum quality of life.

6. Review and Evaluate Health Risk Assessment (HRA) data to help drive development of programs and services geared toward member needs.

7. Review and Evaluate member outcomes data and work with other team members on performance improvement opportunities.

8. Utilizing NCQA standards in auditing processes of member records as part of care management oversight processes.

9. Investigating potential quality of care issues that may affect the quality or safety of the health of members.

10. May review medical records and other documentation to ensure quality care.

11. Assist in reviewing and updating activities and resources to address member needs.

12. Participate in case management and quality committees.

13. Assist in reviewing and updating policies and procedures to align with delegated processes.

14. Assist in quarterly reporting of delegated case management processes to meet accreditation standards.

15. Assist in submission of required documents/policies during application process to accrediting body.

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.

1. Standard office environment

SKILLS AND ABILITIES:

Working Knowledge of InterQual and/or Milliman Care Guidelines

Demonstrated knowledge of federal and state laws, NCQA and industry regulations related to disease management, utilization management, care management and discharge planning

Excellent written and oral communication

Problem solving capabilities to drive improved efficiencies and customer satisfaction

Attention to detail

Proficiency with Microsoft Office

Additional Job Description:

Scheduled Weekly Hours:

40

Shift:

Exempt/Non-Exempt:

United States of America (Exempt)

Cost Center:

2403 PHH Medical Management

Title: Regional Nurse Specialist (Boston/New York)

Location: ME, VT, CT, MA, RI, NH, NY.

Job Description:

Full time

job requisition id: R04419

The job details are as follows:

Who We Are

We are the first publicly-traded biotech or pharmaceutical company to take the form of a public benefit corporation. Our public benefit purpose is to provide a brighter future for patients through the development of novel pharmaceutical therapies; and technologies that expand the availability of transplantable organs.

United Therapeutics (Nasdaq: UTHR) seeks to travel down the corridors of indifference to develop treatments for rare, deadly diseases. We were founded in 1996 by a family seeking a cure for their daughter’s pulmonary arterial hypertension (PAH). Today, we have six FDA-approved therapies that treat PAH, pulmonary hypertension associated with interstitial lung disease (PH-ILD) and neuroblastoma, a rare pediatric cancer. Our near-term pipeline seeks to develop additional therapies for PAH and pulmonary fibrosis (PF).

The cure for end-stage life-threatening diseases like PAH, PH-ILD, PF, and many others is an organ transplant, but only a small percentage of donated organs are available to address the vast need. For this reason, we are working to create manufactured organs to address the shortage of kidneys, hearts, lungs, and livers available for transplant. We believe an unlimited supply of tolerable, transplantable organs will eliminate the transplant waiting list and cure end-stage organ diseases for which transplant is not currently an option.

Who You Are

You are a proactive, self-starter who loves to teach.  You are excited to offer resources to support prescribers, nurses and other allied healthcare professionals new to UT product(s) with all aspects of the product to include indications, dosing and adverse effect management; provide practical guidance on appropriate product administration techniques and patient follow-up based on good clinical practice. You want to work through HCPs to support new patient therapeutic initiation and the referral process, helping to ensure that prescribers have the tools and education necessary to successfully and safely start patients on UT products.  You are ultimately looking to work for a company that is innovative and inspiring where you can truly make a difference.

Territory to include: ME, VT, CT, MA, RI, NH and Upstate NY

Minimum Requirements

• Bachelor’s Degree in Nursing
• 5+ years of experience working in cardiology or pulmonology and/or relevant nurse educator experience
• Strong teaching and presentation skills
• Ability to work as part of a larger team
• Strong interpersonal and communication skills
• Proficient in Microsoft Excel, PowerPoint, Word, and Outlook
• Ability to work with minimal supervision
• DL NUMBER - Driver License, Valid and in State
• Ability to travel a minimum of 80%, including overnight travel

Preferred Qualifications

• 1+ PAH Coordinator or PAH Clinical Practice experience
• RN - Registered Nurse - State Licensure and/or Compact State Licensure (active in at least one state, multi-state preferred)
• Project management skills
• Multi-Lingual

Job Location

This position will require candidates to live within the assigned territory.  This includes ME, VT, CT, MA, RI, NH and Upstate NY.

The salary for this position ranges from $114,000 to $145,000 per year. In addition, this role is eligible for the Company’s short-term and long-term incentive programs.

The salary range is the range United Therapeutics Corporation in good faith believes is the range of possible compensation for this role at the time of this posting depending on the candidate’s experience, qualifications, geographic location, and other factors permitted by law. The Company may ultimately pay more or less than the posted range. This range may be modified in the future. 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.

At United Therapeutics, our mission and vision are one. We use our enthusiasm, creativity, and persistence to innovate for the unmet medical needs of our patients and to benefit our other stakeholders. We are bold and unconventional. We have fun, we do good.

Eligible employees may participate in the Company’s comprehensive benefits suite of programs, including medical / dental / vision / prescription coverage, employee wellness resources, savings plans (401k and ESPP), paid time off & paid parental leave benefits, disability benefits, and more.

Title: Psychiatric Mental Health Nurse Practitioner - PMHNP - Child and Adolescent - Contract -Hybrid

Location: Mount Laurel, New Jersey

Job Description:

About Blackbird 

At Blackbird, we envision a world where every child receives the care and support they need to thrive—emotionally, socially, and developmentally. That’s why we're transforming how pediatric mental health is assessed and treated, so we can make world-class care available in local communities.

Our whole-child diagnostic approach reveals the full story behind each child’s challenges, allowing us to address both the symptoms and their underlying causes. This leads to precise treatment sequenced in the right way to achieve meaningful outcomes that last.

Currently, we provide virtual and in-person mental health services, including comprehensive evaluations, medication- management and therapy, across Pennsylvania and Virginia with plans to expand to new markets in 2025.

Position Summary

Blackbird Clinical Services is looking to hire a Psychiatric Mental Health Nurse Practitioner (PMHNP) - Contract licensed in New Jersey, to join our growing team. In this role you will support Blackbird patients ages 2-26 by administering neuroscience backed patient assessments, perform medication evaluations and follow up appointments. We are looking for someone with a passion for working with children, adolescents and young adults; who is empathetic and holds themselves to high standards of quality and care. This role is a hybrid role with a minimum of 10 hours per week and a minimum of 5 hours per week onsite. 

What makes you, you:

• Experienced provider using evidence-based practices
• Passionate about working with children, adolescents, young adults and their families
• Skilled and experienced in facilitating virtual telehealth direct care
• Comfortable using technology, including Google Suite, Electronic Medical Records systems and other virtual platforms
• Excited to make an impact and driven by patient outcomes
• Possessing outstanding communication skills and willing to go the extra mile when working with families
• Thriving in collaborative and cooperative environments when working with patients, provider partners and colleagues
• Taking initiative, demonstrating good judgment, and being resourceful

How you’ll make an impact:

• Providing patient psychiatric evaluations, assessments, diagnosis, and medication management to children, adolescents, and young adults
• Determining and creating appropriate treatment plans, providing patient education and consultations
• Ordering, administering, and analyzing diagnostic tests, including digital and lab results
• Partnering with administrative team to handle refills, prior authorizations, records, and rescheduling
• Communicating and engaging with other healthcare professionals and families when appropriate
• Conducting ongoing assessments of patient progress
• Maintaining thorough patient records and documentation

The basics you’ll need:

• Active PMHNP license in New Jersey
• A minimum of 2 years experience working independently in the role of a psychiatric mental health nurse practitioner. 
• A minimum of 1 year experience working with children, adolescents or young adults under any nursing license
• Board Certification by ANCC or AANP
• DEA license
• CDS license
• State Prescriptive Authority License
• Computer, Phone and High Speed Internet 
• Experience with Google Suite, EHR systems and tech knowledge
• Commit to a minimum of 10 hours per week

Why Blackbird is unique:

• Immediate referrals available; guaranteed caseload and patient facing hours
• Flexible schedule - set your own hours 
• Full credentialing services provided - we will take care of everything
• Clinical development and trainings
• Excellent administrative support - focus on the clinical work and we will take care of the rest
• Weekly clinical consultations: this is paid time for all providers
• Supportive work culture
• Professional Liability Insurance

Salary Range

$100 - $100 USD

Join us!

We envision a world where every young person is fully understood and receives support building the tools they need to thrive. Join our team, make an impact, a real difference for patients, parents and caregivers.

“We wouldn't have a son without Blackbird Health. He would have ended his life.”

“It's so rare to find comprehensive care like this---from testing to therapy to med management (and more)--all in one place. In addition, the school advocacy support we receive is unprecedented. We no longer feel like we are managing things alone.”

Fostering an inclusive environment:

Blackbird is committed to cultivating and preserving a culture of inclusion and belonging. We are able to grow and learn better together with a erse team of employees. In recruiting for our team, we welcome the unique contributions that you can bring in terms of your education, opinions, culture, ethnicity, race, sex, gender identity and expression, nation of origin, age, languages spoken, veteran status, color, religion, disability, sexual orientation and beliefs. 

Our patient support team is busy helping children and families, please do not call or email them about your application — this helps us process your application more efficiently.

Title: Care Manager - Registered Nurse

Location: Fresno, California, United States

Job Category: Clinical

Requisition Number: CAREM005455

• Full-Time
• Hybrid
• Salary: $100,000 USD per year

Department: Clinical

Job Description:

Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. The patients we serve often struggle with multiple serious diseases. Registered Nurses help patients improve their quality of life in the home and slow the progression of kidney disease, enabling positive health outcomes.

Your Impact:

As a Registered Nurse, you are an integral part of building trusting relationships with patients, so that they can experience a high quality of life at home. Work with a small panel of patients where you can directly experience the impact of your care. In healthcare systems, the patient has too often become secondary due to processes and incentives that don’t positively impact the patient for the long term. Here at Monogram, we strive to change that narrative by putting our patients and their quality of life at the forefront of what we do. 

Highlights & Benefits  

• $100k starting salary 
• Flexible scheduling with a hybrid and in-home model
• Competitive compensation and a performance-based bonus program
• Full benefits package including medical, dental, vision, life insurance, 401(k) plan with matching contributions, paid vacation and holiday time

Roles and Responsibilities

• Work closely with patients’ medical providers to develop and continually adapt care plan
• Perform in-home care management visits to execute care management plan
• Monitor biometric data and follow approved protocols for any necessary interventions
• Inventory and reconcile medications and coordinate with pharmacists and prescribers
• Perform patient health assessments and surveys as required
• Deliver inidual and group education on CKD, ESRD, dialysis and associated comorbidities
• Encourage medication and treatment adherence through frequent contact with patients
• Engage family and social support groups in the education and care of patients
• Serve as the primary point of contact and be the first call when patients have questions (business hours)
• Provide education and coaching around medications, medical conditions, diet, exercise, and lifestyle choices
• Educate patients and facilitate conversations around proactive care decisions, especially relating to Advance Care Plans and ESRD treatment modalities
• Obtain vital signs when visiting patient and escalate any concerns to the provider
• Initiate patient relationships through enrolment and onboarding processes
• Perform post-op and hospital discharge visits to help patients through vulnerable transitions
• Review and document patient updates and progress in care management platform
• Coordinate with dialysis providers to ensure transitions of care are seamless

Position Requirements

• Frequent local travel to perform in-home visits
• Basic Life Support (BLS) certification is required in this role. The company will support your certification completion through onboarding
• Infrequent domestic travel may be required, primarily to Brentwood, TN for training
• Self-starter with the ability to work independently with minimal supervision
• Ability to show empathy and quickly build relationships with patients and physicians
• Graduate of an accredited School of Nursing
• Currently licensed as a Registered Nurse in the State of the posted location
• 2+ years previous experience working in care management and/or with CKD/ESRD patients
• Ability to take call remotely on some nights and weekends
• Excellent verbal communication skills both in person and on the phone
• Familiarity with Microsoft Office and mobile phone and web-based applications

About Monogram Health

Monogram Health is a leading multispecialty provider of in-home, evidence-based care for the most complex of patients who have multiple chronic conditions. Monogram health takes a comprehensive and personalized approach to a person’s health, treating not only a disease, but all of the chronic conditions that are present - such as diabetes, hypertension, chronic kidney disease, heart failure, depression, COPD, and other metabolic disorders.

Monogram Health employs a robust clinical team, leveraging specialists across multiple disciplines including nephrology, cardiology, endocrinology, pulmonology, behavioral health, and palliative care to diagnose and treat health issues; review and prescribe medication; provide guidance, education, and counselling on a patient’s healthcare options; as well as assist with daily needs such as access to food, eating healthy, transportation, financial assistance, and more. Monogram Health is available 24 hours a day, 7 days a week, and on holidays, to support and treat patients in their home.

Monogram Health’s personalized and innovative treatment model is proven to dramatically improve patient outcomes and quality of life while reducing medical costs across the health care continuum. 

Qualifications

Licenses & Certifications

Preferred

Registered Nurse

Title: Physician - Non-Invasive Cardiology - Detroit Lakes, MN

Full time

Job Description:

Building Location:

St Marys Hospital - Detroit Lakes

Department:

3201010 CARDIOLOGY - DL CLIN

Job Description:

Education Qualifications:

Exciting Opportunity for a Non-Invasive Cardiologist in Detroit Lakes, MN

Why Join Us?

• Dynamic Practice: We're seeking candidates with exceptional imaging and clinical cardiology skills to join and expand our vibrant practice.
• Beautiful Location: Live and work in the picturesque lakes area of Minnesota, offering a perfect blend of professional and personal fulfillment.
• Collaborative Environment: Be part of a comprehensive cardiology team within our Heart and Vascular service line, including Interventional Cardiology, Structural Heart Program, Electrophysiology, Pediatric Cardiology, Vascular, and CT Surgery services.
• Growth and Expansion: Participate in the ongoing and planned expansion of our services in Detroit Lakes, MN.

Work-Life Balance

• Flexible Schedule: Enjoy a Monday-Friday workweek with no call, weekends, or holidays.
• Outreach Opportunities: Provide outreach to additional MN sites once per week.
• Supportive Team: Work alongside experienced echocardiography and support staff.

COMPENSATION

• $614,088.  Hired candidates may be eligible to receive additional compensation in the form of bonuses, quality incentives or production-based compensation.

Qualifications

• Board Certified/Board Eligible: Must be BC/BE in Cardiology.
• Specialized Skills: Proficiency in Echocardiography including TEE, and Stress Test Interpretation required. Nuclear Cardiology and Coronary CT interpretation are a plus.
• Interpersonal Excellence: Strong interpersonal skills and a team-oriented mindset are essential. Leadership skills are highly desired.

Discover Detroit Lakes

• Prime Location: Centrally located in the heart of the Lakes Area, just 1 hour from Fargo and 3 hours from the Twin Cities.
• Community: Detroit Lakes has a population of 8,500, with a regional population of 102,000.
• Regional Services: Our service area includes 5 clinics and 1 hospital.
• Explore More: Learn more about our vibrant community at Visit Detroit Lakes.

Join us in Detroit Lakes, MN, and be part of a growing, supportive, and dynamic cardiology team. Apply today to make a difference in a community that values your expertise and dedication!

Essentia Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, or protected Veteran Status.

Licensure/Certification Qualifications:

FTE:

1

Possible Remote/Hybrid Option:

Shift Rotation:

Day Rotation (United States of America)

Shift Start Time:

8

Shift End Time:

5

Weekends:

Holidays:

No

Call Obligation:

No

Union:

Union Posting Deadline:

Compensation Range:

$1.00 - $1,000,000.00

Employee Benefits at Essentia Health*:

• Health Coverage: Medical, dental, vision, life and disability insurance, plus supplemental health benefit options to ensure employees' well-being.

• Retirement Savings Plans: 401(k) with employer contributions to support long-term financial security.

• Professional Development: Opportunities for career growth through training, tuition reimbursement, and educational programs.

• Work-Life Balance: Flexible scheduling, time off, holidays, and personal leave to help employees manage their professional and personal lives.

• Employee Wellness Programs: Initiatives focused on physical, mental, and emotional health, including fitness memberships, counseling services, and wellness activities.

*Eligibility for Essentia Health’s benefit programs vary. Please refer to the benefit summary provided to you

Title: Clinical Pharmacist

Location: St Petersburg, FL, USA

Job Description:

This is a hybrid position located in St. Petersburg FL. The requirement would be come into the office 1 week and the next you are working from home. You will rotate weekly working from home and working in office.

• Hospital experience required
• Medication Management is required
• Certification in Critical Care and/or Ambulatory Care is highly preferred
• May require some in-office work due to pharmacy licensing requirements.
• Must have fast & reliable internet connection & speed.

PURPOSE AND SCOPE:

Utilizes expertise in the Fresenius clinical systems and CKD environment to collaborate with case managers, health plans, dialysis clinic management/staff, physicians, pharmacists and others to achieve ongoing medication reconciliation and monitoring. Provides expertise in all matters relative to medication management in the dialysis patient population.  Interacts directly with the dialysis care team as a functioning member, accessible by providers and patients for questions, recommendations, and identification and management of drug related problems. Enhances quality of care by optimizing medication regimens, reducing costs, preventing hospitalizations and improving overall outcomes.

PRINCIPAL DUTIES AND RESPONSIBILITIES:

• Prevents, detects and resolves medication-related problems and makes appropriate evidence-based, patient-centered medication therapy recommendations as part of the interdisciplinary team.

• Determines and resolves any medication therapy problems including drugs without indications, medical conditions for which no therapy is prescribed, therapy inappropriate for medical condition, incomplete immunization record, inappropriate dose, dosage form, duration, schedule, route of administration, method of administration, therapeutic duplication, medication allergies, and clinically significant drug-drug, drug-disease, drug-nutrient or drug-laboratory test interactions.

• Inidualizes medication regimens using sound principles, accounting for pharmacodynamics and pharmacokinetic variations in drug absorption, distribution, metabolism and elimination with responsibility for establishing and continually improving the delivery of pharmaceutical care to patients within areas of direct responsibility.  Assists others in the department with the same.

• Provides clinical consultation to dialysis clinic staff, physicians, patients and/or internal personnel regarding medications including drug interactions, side effects, dosage and storage.

• Develops clinical logic and algorithms to support clinical outreach programs for specific drug utilization groups. Works with Director of Clinical Services and Business Analyst to design reports and systems to support clinical pharmacy services.

• Facilitates resolution of barriers to filling, adhering to and appropriately taking prescribed medications.

• Remains current with clinical literature especially related to the CKD population and co-morbid conditions associated with CKD and dialysis. Maintains competency to provide pharmaceutical care to all ages and types of patients that may be within the dialysis clinic. Participates in professional societies to enhance learning and knowledge.

• Ensures accuracy of prescriptions, identifies inconsistencies, and initiates appropriate action to correct identified problems.  Follows up with the appropriate personnel and agencies to ensure that the problems are resolved and corrected as required.

• Participates in pharmacy continuous quality improvement (CQI) process by identifying, documenting and reporting all errors to supervisor/manager, pharmacist in charge and/or CQI department as appropriate.

• Maintain thorough understanding and expert knowledge of pharmacy software and customer relationship management tools as well as clinical information systems and electronic health records.

• Navigates software programs, clinical information systems, and other patient data sources to locate patient demographic information, activity history, medication and laboratory information and documents appropriately in those systems.

• Developing professional expertise; applies company policies and procedures to resolve a variety of issues.

• Normally receives general work instructions on routine work, detailed instructions on new projects or assignments.  Work is reviewed for soundness.

• Works on problems of moderate scope where analysis of situation or data requires a review of a variety of factors.  Exercises judgment within defined procedures and practices to determine appropriate action.

• Builds productive working relationships within the pharmacy, within the larger FMCNA organization and with external partners as appropriate.

• Provides excellent and professional service to all levels of staff relative to clinical information requests.

• Provide assistance to staff with general tasks that require a better understanding of functions, as directed by immediate supervisor.

• May refer to senior level staff for assistance with higher level problems that may arise.

• Escalates issues to supervisor/manager for resolution, as deemed necessary.

• Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.

• Assist with various projects as assigned by direct supervisor.

• Obtain state licensures, as needed to support FreseniusRx initiatives.

• Other duties as assigned.

PHYSICAL DEMANDS AND WORKING CONDITIONS:

• The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable iniduals with disabilities to perform the essential functions.
• Must be able to sit, stand and work on a computer for long periods of time.  Must be able to answer and communicate via telephone. Must lift a maximum of 10 pounds.
• Travel to meetings or training venues as needed.

SUPERVISION:

• None

EDUCATION:

• Doctor of Pharmacy (Pharm.D.) degree from an accredited college or school of pharmacy
• Completed ASHP-accredited PGY1 Pharmacy Practice Residency
• Completed ASHP-accredited PGY2 preferred
• Appropriate state licensure.

EXPERIENCE AND REQUIRED SKILLS:

• Completion of an ASHP-accredited PGY-1 clinical pharmacy residency program; 2+ years of clinical experience.       
• Strong clinical background in chronic and end-stage renal disease preferred.
• Pharmacokinetic monitoring skills.
• Medication Therapy Management (MTM) and patient interviewing skills.
• Excellent written and verbal communication skills.
• Excellent organizational and analytical skills.
• Computer skills with proficiency in Microsoft Office and a high degree of adaptability in learning new clinical systems is required.
• Knowledge of current pharmacy law.
• Continuing education in chronic and end-stage renal disease.

Fresenius Medical Care maintains a drug-free workplace in accordance with applicable federal and state laws.

EOE, disability/veterans

Title: Benefits Programs Manager

- Hybrid

This job is available in 3 locations See all  CategoryHuman Resources  Posted Date:10/09/2025  Job Id25013877

• Philadelphia, Pennsylvania, United States of America
• Bloomfield, Connecticut, United States of America
• St. Louis, Missouri, United States of America

Save

The Benefits Programs Manager role for The Cigna Group will partner with the Senior Manager, Global Benefits and Head of Global Benefits as an inidual contributor to support strategy, design, communication and administration for benefits with focus on U.S. Benefits (including Hawaii).

ESSENTIAL FUNCTIONS

• Responsible for the administration of employee benefits programs in the U.S. including:
  • Medical (including prescription)
  • Dental
  • Vision
  • Flexible Spending Accounts
  • COBRA
  • Board of Director benefit offerings
• Works closely with senior leadership, HR teams, and external vendors to ensure our benefits offerings are competitive, and aligned with our organizational goals
• Leads Annual Enrollment preparation, communications and rollout for U.S. employees and Board of Directors
• Works directly with Cigna legal to ensure plans are managed to a high standard of legal compliance and all regulatory filings and compliance projects are completed timely and accurately
• Supports M&A due diligence
• Supports Pilot program initiatives through coordination of logistics, tracking ROI, and broad scale adoption
• Manages complex escalations, issues & trends in partnership with internal partners and external vendors
• Ensures compliance with relevant laws and regulations and ensure programs are compliant.
• Partners and collaborates with various internal partners to focus on improving population health
• Relies on data analysis to identify patterns and trends to recommend strategies and programs that would improve health outcomes
• Ongoing project support to the benefits team

QUAIFICATIONS NEEDED:

• Bachelor’s degree in human resources, Business Administration, or equivalent work experience in a related field
• Minimum of 5+ years of experience with Benefit Plans, laws, and regulations (including ACA, ERISA, HIPAA, etc.) for large scale organizations
• Certified Employee Benefits Specialist (CEBS) certification is preferred.
• Strong working knowledge of current benefit practices and trends
• Excellent oral and written communication with demonstrated presentation/facilitation skills, accuracy, and thoroughness, emphasizing attention to detail. Expertise in Excel, Word and Power Point required
• Ability to handle confidential information with discretion and exercise good judgment
• Experience in administering retirement programs and global benefits is a plus.

If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

About The Cigna Group

Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we’re dedicated to improving the health and vitality of those we serve. Through our isions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives.

Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

If you require reasonable accommodation in completing the online application process, please email: [email protected] for support. Do not email [email protected] for an update on your application or to provide your resume as you will not receive a response.

The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State.

Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

Title:  Python Developer

(SAS Focused)

Location: CT-Hartford

Job Description: Job Description

Insight Global is seeking a fully remote Python Developer This person must have extensive experience with SAS. It is essential for this developer to understand the different healthcare file formats (ex. flat file, HL7 files etc) GCP will also be crucial in this role.

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

Skills and Requirements

• 5+ years within a Python Development role
• 5+ SAS Experience
• Strong SQL skills
• Healthcare Data experience GCP Experience

Nice to Have Skills & Experience

GCP Experience

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.

Title: Associate Territory Manager

- Chicago

Location: USA - Illinois - Chicago

Job Description:

Job Description Summary

Be part of something bigger!

Job Description

We are the makers of possible 

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

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

Division Description:

• The BD Interventional Surgery Division offers a broad range of infection prevention and biosurgical products, including ChloraPrep skin prep, Arista Absorbable Hemostat, and Progel Air Leak Sealant.

The Associate Territory Manager (ATM) is primarily responsible for providing field level support to physicians and other clinical professionals for the Interventional Surgery ision.  Working closely with field sales and Marketing, the ATM will execute field level surgical case support and professional training plans that help achieve annual sales targets. This includes 80% travel using extended stays in a field based territory to build strong and lasting customer relationships.  Customers include physicians, nurses, technicians, administrators, office staff, sales personnel and other hospital personnel.  If successful, this role will eventually lead to formal territory responsibility as a Territory Manager.  Associate Territory Managers must be open to relocation anywhere in the U.S. to assume responsibility for an open territory. 

Position Responsibilities:

The Associate Territory Manager will be responsible for supporting BD’s Infection Prevention and Biosurgery products with physicians, clinicians, materials management and other key decision makers.  Other responsibilities include:

• Coordinates with field sales, the logistics, timing, duration, strategy and execution of field level customer training and technical support of clinical cases

• Works with sales management in prioritizing targeted customers, cases and training events

• Supports the development of regional physician proctors to help with formal and informal training activities

• Conducts training and in-servicing for hospital surgery staff and support personnel

• Supports the development of regional centers of excellence and works with Marketing on the execution of territory physician training seminars

• Provides support for regional marketing events, conventions and symposia

• Performs special projects and other duties as assigned

• Maintains equipment, advertising, and promotional matter in a presentable and orderly manner

• Completes all paperwork on time and thoroughly; Keeps accurate up-to date account records; Utilizes sales funnel to set goals and target accounts

• Proper use of productive selling time; i.e., calls in late afternoon with a minimum of three O.R.s per day and four surgeon contacts per day.  Doctors not available at the hospital will be contacted in their office

• Acquires comprehensive knowledge of prices, discounts, availability of each product and competition according to quality and quantity

• Maintains adequate supply of promotional tools (samples, brochures, videos)

• Must have all basic product knowledge and acquire knowledge of all new products added to the line and apply this knowledge to adequately conduct in-service education to all hospitals

• Stays within expense budget

• Knows and effectively uses selling presentations as well as standard answers to objections

• Continually increases knowledge of trends (business, technological, sociological), sales skills, promotion techniques, information on new product, and sales forecasting

• Maintains relationships with the District Manager, Territory Managers, and customers

• Plans sales calls on a continuous basis and organizes time for effective coverage of the territory.  A daily written plan is to be used

• Develops thorough knowledge of company policies and the ability to interpret them to customers and prospects

• Maintains the company car in a clean, orderly, and serviceable condition

• Uses to the best advantage nurses lectures, journal club meetings, local seminars, resident lectures, hospital displays and evaluation committee product presentations

Basic Qualifications:

• Bachelor's degree in related discipline

• 0-2 years general sales experience preferred

• Experience working in a team environment, particularly with sales people

• The ability to work in an operating room environment is required

• Strong interpersonal, oral, communication, organizational and planning skills

• Good judgment and maturity

• Willing to relocate to fill an open Territory Manager position.

• Ability to travel 80%, including overnight travel

• Must possess and maintain a valid drivers’ license and a driving record satisfactory to the Company

• Must be able to meet and maintain customer/medical facility access requirements

• Understand a needs analysis approach to sales, the product buyer concept, and contract administration

• Understands principles of group purchasing to include research, formulating and recommending a proposal

• Demonstrated ability to discuss the various products in relation to the human body

• Familiarity with medical and surgical terminology

• Proven ability to build strong relationships with Internal Customers – Sales Training, Marketing, National Accounts, Customer Service, Contracts, Field Sales Team and External Customers – KOLs, Surgeons, Physicians, Nurses, and Sourcing

• Must live within assigned region

• Must possess and maintain a valid state-issued driver's license and meet BD's auto safety standards.

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

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

Why Join Us?

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

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

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

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

Required Skills

Optional Skills

Primary Work Location

USA IL - Vernon Hills

Additional Locations

Work Shift

Title: Center Director- Board Certified Behavior Analyst (BCBA)

Locations Northern Virginia, Virginia

Job Description:

Company Overview

This is a journey of impact and meaning. Together we go and grow forward. Little Leaves is hiring a Center Director for our soon to open Tysons Center! This position does require the candidate is a BCBA (Board Certified Behavior Analyst)

Why Grow your BCBA Career with Little Leaves. We offer a competitive SIGN-ON BONUS and a RELOCATION BONUS-designed to support your move and reward your expertise from day one

Compensation & Perks

• Guaranteed salary (no caseload) + bonus potential

• Total earning potential up to $120,000 (base + bonus + benefits)

• Professional development budget to invest in your growth

• Unlimited referral bonuses (yes, really unlimited )

• Sign-On Bonus

Time to Recharge (Without Guilt)

• Unlimited PTO + 11 paid holidays + 6 dedicated sick days

• CEU/conference days for your professional growth

Your pay is not tied to billables. That means you can actually take the time you've earned, without stress, without guilt, and without it cutting into your paycheck.

Work-Life Balance

• Center-based position with flexibility for remote work when clinical metrics are met

• No nights. No weekends. Ever.

• A team that respects your time and supports your success

Why You'll Love Working Here (just the facts!)

• Small caseloads for your BCBAs → more quality time with each client (max caseload 8 full-time kiddos)

• BCBA leaders at every level of the organization + access to doctoral-level BCBAs for continued mentorship and guidance

• Focus on your expertise: you won't be responsible for training Behavior Technicians, and you'll have a strong support team to handle administrative tasks

• Monthly in-house CEs + dedicated CEU/conference days to keep you growing

• Clinical excellence first: strong supervision, quality standards, and real support

• Collaborative, fun, and inclusive team culture

• Comprehensive benefits: Medical, Dental, Vision, 401(k) with match

• Relocation assistance available

Overview

The Center Director is the primary leader and decision maker for the services delivered in a little leaves center. This accountability includes team members, clients, operations, clinical quality, and financial results. Little Leaves has a highly skilled professional team supporting the centers and center director including human resources and recruiting, training and clinical intervention standards, client marketing and intake, authorizations management, credentialing, information technology, etc. These people supply the "architectural design" of Little Leaves and some upstream and downstream support for the operations of a center, but the successful leadership of the center day in and day out is the center director's role.

The center director sets the tone culturally and professionally by modeling thoughtful, highly competent, and authentic professional behavior.

The Center Director is a Board-Certified Behavior Analyst (i.e., BCBA) and manages the day-to-day operations of their assigned center, by providing clinical and operational leadership. Services delivered follow evidence-based practice (EBP) approaches, which include operationally defined, empirically documented, and socially validated methods based on the principles of behavior analysis. The center director ensures daily operations meet best practice standards of care, requirements of funders, and Little Leaves policies and procedures by providing coaching, supervision, and evaluating the work performance of office manager, behavior technicians, training and behavior specialists, and supervising behavior analyst(s). Additionally, the center director is responsible for the performance and productivity of staff in accordance with Little Leaves policies and procedures.

Responsibilities

ESSENTIAL DUTIES AND RESPONSIBILITIES:

Operational Responsibilities (40%)

• Ensure inidual staff productivity of service unit and financial targets, which includes client census and staff ratios.

• Oversees day-to-day operations and works with the office manager to ensure sufficient supplies, maintaining checklists (e.g., regulatory standards), and informing ision leadership of challenges and impending issues.

• Coordinate the recruitment of staff, including publicizing open positions, interviewing, and selecting staff.

• Assists with applicable portions of the revenue cycle management process to ensure timely payments and collections for services provided, by ensuring documentation of services (including authorizations) are completed in a timely manner.

• Assists with budgeting process (i.e., projecting census) and provides information to the senior leadership team as requested.

• Manages expenses and ensures that spending does not exceed monthly budget.

Supervision and Training (40%)

• Serves as a leader of the center team in assessing and supporting clients and staff within the center by creating a sense of community and positive working culture.

• Reviews referrals on an ongoing basis, monitor, assign caseloads and ensure appropriate staffing ratios and clinician caseloads.

• Maintains caseload as needed (for centers under 15 clients, SBA vacancy) and serves as lead BCBA for the team, by assigning caseloads and clients to SBAs.

• Supervise clinicians to ensure quality of service delivery and that assessment informs treatment protocols or curriculum.

• Provide services or supervision in a timely manner as specified by the ision by measuring fidelity, rapport, and providing support to teams.

Performance Management and Professional Development (20%)

• Ensure staff meet competency requirements prior to rendering face to face services and follow responsibilities as outlined in the inidual work performance standards, state, and federal regulations.

• Evaluate staff performance at quarterly intervals from the date of employment, including but not limited to SBA mentorship to junior staff supporting professional growth.

• Coordinate regular clinical team meetings (e.g., center senior team meetings) and attend isional meetings (e.g., monthly center team meetings).

• Review, develop, and implement a plan to address client and staff incidents and report progress to RD.

• Participate in clinical (e.g., company-wide senior staff monthly meetings) and operational meetings (e.g., weekly meetings with RD and Director of Operations/Operations Manager).

KPI's (METRICS):

• Financial targets: ensures census and staff ratios, caseloads to meet monthly budget targets, and maintains a caseload if center under 15 clients or if SBAs are not at target

• Client and team member satisfaction: assesses client and employee satisfaction through NPS and eNPS

• Center clinical quality measures: ensures staff meet and maintain competency, supervision is provided in a consistent and timely manner, outcome measures are completed on a regular schedule.

• Documentation: Ensures documentation (reports, treatment notes, etc) are completed on a timely manner for self and all employees.

Provides leadership, supervision, and support that is needed to ensure quality services meeting the mission and values of Little Leaves Behavioral Services to assigned center.

Qualifications

• EDUCATIONAL QUALIFICATIONS:

• Master's degree in Behavior Analysis or related discipline (BCBA and license eligible)

• Minimum 2 - 3 years of experience as a BCBA managing a team and working with clients diagnosed with ASD

• Minimum 1 - 2 years of experience with staff management, supervision, and mentoring resulting in strong teams and improved outcomes.