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  • Senior Epidemiologist - Forecasting & Real-World Data

    Spectraforce 4.5company rating

    Remote or North Chicago, IL job

    Senior Epidemiologist - Forecasting & Real-World Data Duration: 12 Months Work Arrangement: 100% Remote • The Epi Forecasting Senior Epidemiologist will serve as a key contributor within the Epidemiology Forecasting Center of Excellence (CoE). • In this contractor role, you will design and execute descriptive epidemiologic and pharmacoepidemiologic studies, characterize disease epidemiology, and provide actionable epidemiological insights to support Commercial and Business Strategy functions. Key Responsibilities: • Evaluate and synthesize epidemiology literature; present findings clearly in written and oral form. • Lead or collaborate on study development, including protocol creation and database analysis with claims and health record data. • Partner cross-functionally to gather information, perform literature reviews, and prepare clear, concise data summaries and recommendations. • Communicate study insights to epidemiology, commercial, and business partners, ensuring alignment of outputs with strategic needs. • Apply a broad range of epidemiology research techniques-focusing on descriptive data such as incidence, prevalence, mortality, real-world treatment patterns, and diagnosed/drug-treated populations. • Utilize diverse public and private epidemiology data sources, employing analytical tools for modeling and data visualization. • Maintain high standards of accuracy, clarity, and traceability in all deliverables. Qualification & Experience: • Advanced degree (PhD, MD, PharmD) in epidemiology, outcomes research, or related discipline. • Strong hands-on experience with epidemiologic methods and data sources. • Proven ability to design and conduct global or regional epidemiology studies (population sizing, projections, patient funnel analyses). • Experience working in consulting settings preferred. • Skilled project manager with a commitment to high standards, clear communication, and on-time delivery. Familiarity with large observational (public and private) data sources, standard of care research, and treatment pattern analysis. • Team-oriented with strong collaboration skills for working across commercial and scientific functions. • Excellent organizational skills and the ability to produce concise, actionable findings for diverse stakeholders.
    $65k-115k yearly est. 1d ago
  • Technical Support Analyst (US Remote)

    First Advantage 4.7company rating

    Remote or Atlanta, GA job

    At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage - our team members. Operating with empathy and compassion, First Advantage fosters a global inclusive workforce devoted to the diverse voices that make up our talent and products. Our team members empower each other to be their authentic selves and treat all with respect, integrity, and fairness. Say hello to a rewarding career and come join a leading provider of mission-critical background screening solutions to some of the most recognized Fortune 100 and Global 500 brands. This role is currently remote, and the position's core hours are North American. This position will act as a liaison between the departments within the organization and the clients to ensure that the background checking process is smooth by preventing problems from arising and resolving them when they occur. The role is dynamic: On any given day, the team will simultaneously be answering product questions, identifying bugs, implementing technical solutions, and escalating work to engineering teams. The team can resolve over 90% of incoming support requests internally, escalating only the most complicated to engineering teams for final analysis and resolution. Who You Are: If you are a motivated individual with a service-oriented mindset, a strong background in Integrating applications, and a desire to excel in a dynamic support environment, we encourage you to apply for the Tier 2 Application Support Specialist role. Join our team and contribute to the continuous improvement of our systems while providing exceptional support to our valued customers. Expected hours are 9:00am-6:00pm ET/6:00am-3:00pm PT What You'll Do: Provides courteous, efficient, and professional technical support by phone and email to customers across all verticals. Communicate and interact with fulfillment departments regarding issues related to the Verifications, Criminal, OHS, Order Creation, Finance, etc., specific rush order requests, and overall assistance to enhance and improve the rapid resolution of client issues and requests. Ensure that all requests and case management workflows are resolved in a timely manner to meet contractual SLAs and client expectations. Effectively communicate with clients, management and team members on an as needed basis with issue resolution. Uses professional concepts and company policies and procedures to solve a wide range of difficult problems in imaginative and practical ways. What You May Need to be Successful: Works beyond routine tasks, utilizing increasingly specialized knowledge of relevant FA technologies. Exercises systematic proficiency in some specialized skills which display depth and breadth within a single application OR several applications/technologies. Troubleshoots intermediate to advanced problems and recommends appropriate actions. Provides support case/ JIRA follow-up until resolution, ensuring proper escalation procedures are followed for unresolved issues. Manages customer expectations and competing priorities. Conducts research on customer incidents to help create Knowledge Articles, reusable solutions, and other duties as assigned. Uses written communication skills to update case documentation as well as using, modifying, and creating knowledge base articles. Escalates issues and works directly with Products/ Engineering to resolve complex support problems. Proficiency in applications like, Atlassian (JIRA), Confluence, AWS, SFTP, Integrations, Single Sign-On (SAML), Admin Client, I-9, Workforce Monitoring Strong experience with MS SQL Server & SQL based application Maintenance and support - Operations (Tier 2 Support) experience in large-scale, distributed systems running 24/7/365 Solid understanding of integration technologies such as APIs (REST, SOAP, XML, JSON, Web Services). Strong analytical and problem-solving skills, with the ability to troubleshoot complex technical issues efficiently. Excellent communication skills and the ability to work collaboratively with both technical and non-technical teams. Detail-oriented, with strong organizational and multitasking abilities Proven experience in application or production support, preferably in a role focused on application support. Familiarity with database technologies (SQL, MongoDB). Basic understanding of HTML debugging and XSLT transformations. Experience with ITIL-based support processes or service management tools (e.g., ServiceNow, Jira). What Are You Waiting For? Apply Today! You have learned a little about us today - we want to learn about you! If you think this position and our company are a great fit for your areas of interest and expertise, tell us about you by applying now! The salary range for this position is approximately $55,000-75,000 base annually. This range reflects our good faith estimate to pay fairly as to what our ideal candidates are likely to expect, and we tailor our offers within the range based on the selected candidate's experience, industry knowledge, technical and communication skills, and other factors that may prove relevant during the interview process. United States Equal Opportunity Employment: First Advantage is proud to be a global leader in removing barriers and supporting our community members to ensure the changing demographics of the workforce are reflected in our hiring and employment practices. We value all of our candidates, employees, and clients, and place great emphasis on hiring and supporting qualified individuals in each role. We are an equal opportunity employer. We do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, genetic information, or any other area protected by applicable law.
    $55k-75k yearly Auto-Apply 32d ago
  • Customer Experience Champion

    Vertex 4.7company rating

    Remote job

    The Customer Experience Champion is responsible for collecting and delivering customer feedback insights to inform experience improvement roadmaps and priorities. This role develops and executes strategies for customer and employee delight initiatives, and supports communication and training efforts to drive customer-centric improvements across the organization. ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES: Customer & Employee Delight Initiatives Develop, test, and implement strategies to deliver customer and employee delight. Collect and analyze data from experiments to draw actionable conclusions. Support the strategic vision and execution of delight programming. Communication & Outreach Partner with customer & employee communications teams to create and execute drip campaigns and webinars highlighting improvements from customer feedback. Conduct one-to-many and one-to-one outreach to customers, closing feedback loops, and facilitating focus groups. Consolidate feedback into CX platforms for broader analysis. Elevating Employee Engagement Champion a culture of inclusion, recognition, and purpose across Customer Success & Support teams. Design and implement employee engagement strategies aligned with customer experience outcomes. Lead initiatives that foster team connection, motivation, and retention-such as recognition programs, pulse surveys, and engagement campaigns. Partner with cross-functional leaders to embed engagement into onboarding, training, and performance development. Drive adoption of feedback loops that amplify employee voice and inform continuous improvement. Facilitate employee-led forums and committees to promote collaboration and innovation. Leverage engagement metrics to influence engagement strategy. Support change management efforts by ensuring employees feel informed, empowered, and connected to the mission. Serve as a visible advocate for employee well-being, professional growth, and purpose-driven work. Project Management Track progress on customer and employee experience improvement roadmaps. Perform administrative tasks for EX & CX forums and analytics readouts (agendas, materials, calendars, notes, follow-ups). Lead cross-functional initiatives from concept to execution, ensuring alignment with strategic goals and timelines. Develop detailed project plans, including scope, milestones, resource allocation, and risk mitigation strategies. Facilitate regular status updates, stand-ups, and executive briefings to maintain transparency and momentum. Champion continuous improvement by capturing lessons learned and applying insights to future initiatives. SUPERVISORY RESPONSIBILITIES: N/A at this time KNOWLEDGE, SKILLS AN,D ABILITIES: Thrive in a dynamically changing work environment. Work effectively independently and as part of a team. Develop lasting partnerships with internal/external business partners and customers. Strong project management, attention to detail, and organization. Intellectual curiosity and desire to build new skillsets. Confident communicator, able to build collaborative relationships with executives. Action-oriented, initiative-taking, and willing to dig into business challenges. Commitment to self-improvement and openness to coaching. Grace under pressure and a positive attitude. Contribute to a positive team culture valuing high performance, transparency, and work-life integration. EDUCATION AND TRAINING: Bachelor's Degree in a related field. 12+ years' experience in customer experience or customer success positions. 2+ years of technical experience with survey platform technologies (such as Medallia, Qualtrics, etc.). 2+ years of technical experience with CRM platform technology (such as Salesforce, Redtail, etc.). Technical CX system admin certification(s) preferred. Expert proficiency with Microsoft Excel and PowerPoint. OTHER QUALIFICATIONS: The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. • Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. • Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. • Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. • Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. • Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $114,500.00 - $148,800.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $114.5k-148.8k yearly Auto-Apply 21d ago
  • Mid-Market Sales Representative

    First Advantage 4.7company rating

    Remote or Atlanta, GA job

    At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage - our team members. Operating with empathy and compassion, First Advantage fosters a global inclusive workforce devoted to the diverse voices that make up our talent and products. Our team members empower each other to be their authentic selves and treat all with respect, integrity, and fairness. Say hello to a rewarding career and come join a leading provider of mission-critical background screening solutions to some of the most recognized Fortune 100 and Global 500 brands. What You'll Do: Our Mid-Market Sales Representative is responsible for selling pre-employment background screening and drug-testing services to mid-market clients. This individual's primary focus is new client acquisition, including networking to develop leads; identifying target customers; prospecting with a high rate-of-return; determining customer needs and capabilities; presenting how First Advantage's (FADV) products provide a significant return on investment; and closing profitable deals in a timely manner. Bring your talent and skill to a place where you are a true, contributing member of a high-functioning team, working for a global leader in the industry. While the role is 100% remote, individual must be located in the United States. Responsibilities: Secure new clients by prospecting, performing needs analysis, developing tailored sales solutions, presenting sales proposals, and closing deals. Grow sales for all assigned accounts and market segments by leading, developing, managing, and executing a sales strategy that supports the organization's goals and increases FADV's market share. Negotiate and close profitable deals in a timely manner to meet monthly, quarterly, and annual quotas. Generating and qualify leads in order to develop a robust sales pipeline. Source new sales opportunities through networking, inbound lead follow-up, and outbound cold calls and email. Research accounts, identify key players and generate interest. Perform effective online demos and sales presentations for prospects. Deliver an accurate sales forecast for multiple products and services on a monthly basis. Document and maintain all sales activities in a CRM system. Learn sales-related features and advantages for the entire line of FADV products and services. Maintain, communicate, and leverage knowledge of the client industry and stay up to date on FADV product/service lines. What You May Need to be Successful: Bachelor's degree or equivalent work experience. 3-5 years of consultative sales experience in a progressive, high-performing environment-ideally within complex B2B Solutions. 3 to 5 years of full sales cycle experience in high-volume environment focused on $100-$500K annual contract value (typical sales cycle of 90-180 days) Rapid relationship building skills-must have the ability to build rapport, uncover needs, identify options, prioritize stakeholder needs, and close sales Value articulation ability-must be able to effectively handle objections and communicate value over price Techniques needed to research potential clients and industries in order to be well-informed and to create instant credibility within a client organization Ability to analyze and synthesize potential client data in order to create persuasive presentations Possess the skills needed to negotiate and close new client sales, including reviewing and delivering contracts, pricing, terms, and conditions Working knowledge of Microsoft Office Suite (Excel, Outlook, PowerPoint, and Word) and customer management tools Preferred: Proficient with corporate productivity and web presentation tools Entrepreneurial style with a proven ability to thrive in a dynamic, changing environment where a critical key to success is the ability to optimize and leverage limited resources Experience selling SaaS Solutions and in the HCM space. Other Skills, Abilities and Traits: Highly motivated sales hunter, assertive, out-of-the-box thinker Self-starter; possess a "can do" attitude, self-motivated to achieve individual and organizational goals Strong teamwork and collaboration with an outgoing personality Ability to influence others through strong verbal and written communication Strategic mindset; self-directed, organized, analytical, and possess excellent problem analysis/problem-solving skills Ability to build relationships, communicate effectively throughout an organization, influence, negotiate, and establish mutually agreeable expectations Diligent, resourceful, versatile, and able to multitask Demonstrate integrity in challenging situations Why First Advantage is Your Next Big Career Move: First Advantage is going through a technology transformation! We are looking for experts who are excited to work with advanced technologies and provide best-in-class user experience, drive the development and deployment of scalable solutions, and smoothly guide our agile teams and clients through meaningful changes as we continue to expand our impact. Additional benefits offered to our eligible people include: Ability to work remotely with occasional business travel. Medical, Vision, Dental, and supplementary benefit plans 401k with an employer match, and an Employee Stock Purchase Plan (ESPP) Competitive and flexible Paid Time Off (PTO) and 9 paid company holidays Access to tech and growth opportunities, and leaders who want you to succeed! What Are You Waiting For? Apply Today! You have learned a little about us today - we want to learn about you! If you think this position and our company are a great fit for your areas of interest and expertise, tell us about you by applying now! The salary for this position is approximately $70-$80K USD annually. This range reflects our good faith estimate to pay fairly as to what our ideal candidates are likely to expect, and we tailor our offers within the range based on the selected candidate's experience, industry knowledge, technical and communication skills, and other factors that may prove relevant during the interview process. United States Equal Opportunity Employment: First Advantage is proud to be a global leader in removing barriers and supporting our community members to ensure the changing demographics of the workforce are reflected in our hiring and employment practices. We value all of our candidates, employees, and clients, and place great emphasis on hiring and supporting qualified individuals in each role. We are an equal opportunity employer. We do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, genetic information, or any other area protected by applicable law.
    $70k-80k yearly Auto-Apply 29d ago
  • Marketing Intern

    Vertex 4.7company rating

    Remote job

    Duration: 12 weeks - cohorts starting in May or June (37.5 hours per week) About Us Vertex Inc. is a remote-first global organization that stands out for its commitment to innovation, collaborative culture, and focus on employee growth-our cutting-edge tax technology solutions power global commerce and creativity thrive. Join us to make a meaningful impact and advance your career in a supportive, dynamic workplace! 2026 Summer Intern Program - Marketing This program offers hands-on experience across multiple departments in Marketing. This group is great for students passionate about digital marketing, product and solutions marketing, and partner relations. The internship program includes comprehensive orientation, networking events, career guidance, and collaborative projects. Roles and Responsibilities Interns will join one of the following teams to complete meaningful projects that align with key business initiatives: Digital Marketing: Support data-driven digital marketing campaign execution, performance analysis, and strategy optimization to strengthen brand presence and to engage our B2B audience. Create and curate content for various digital platforms, including social media, email marketing, and websites. Solutions Marketing: Support Tier 1 & Tier 2 product launches, market research, and marketing collateral creation for products and solutions while staying informed on industry trends and the buyer & customer lifecycle. Partner Programs Marketing: Support strategic partner programs, manage Partner Hubs, coordinate co-marketing initiatives with our key partners, and research industry trends to enhance marketing strategies. What We're Looking For Current students pursuing a bachelor's degree in Marketing, Business, Communications, or related field. Skilled in Microsoft Excel, with proficiency in data analysis and marketing tools. Skilled in Microsoft Word and PowerPoint, with proficiency in written communication and presentation skills. Strong interest in B2B Marketing for a SaaS company in one of the areas listed above. Ability to work independently and collaboratively with core business hours on the East Coast (HQ - King of Prussia, PA) Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. Application Process We welcome applications from all students excited about starting a career in Marketing. Our hiring process is designed to be fair and inclusive, ensuring equal opportunity for all applicants. After reviewing applications, selected candidates will be invited to a virtual interview with a recruiter, who will help align the candidate to the best-fit team. If you require any accommodations during the application or interview process, please let us know. We would be happy to assist. We look forward to learning more about you! Pay Transparency Statement: US Base Salary Range: $22.00 - $24.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $22-24 hourly Auto-Apply 44d ago
  • Senior Partner Sales Enablement Manager

    Vertex 4.7company rating

    Remote job

    This leadership role is responsible for defining and executing global partner sales enablement strategy across implementation, solution, and technology partner ecosystems. The position drives scalable, high-impact programs that accelerate partner sales readiness and revenue growth, aligning with the full Vertex solution portfolio. The role requires strong executive presence, strategic thinking, and the ability to influence cross-functional teams at scale. Essential Job Functions and Responsibilities: Strategic Program Leadership: Design and oversee global partner enablement strategy, ensuring alignment with corporate GTM objectives. Advanced Enablement Frameworks: Build and scale onboarding, certification, and continuous learning programs for diverse partner roles (sales, pre-sales, architects). Executive Stakeholder Engagement: Partner with senior leaders across Sales, Marketing, Alliances, and Product to drive enablement priorities. Content Innovation: Lead development of advanced enablement assets-playbooks, competitive positioning, ROI calculators, and industry-specific solution guides. Technology Optimization: Evaluate and implement enablement platforms, analytics tools, and AI-driven learning solutions. Performance Measurement: Establish KPIs and dashboards to track partner impact on pipeline, influenced revenue, and certification adoption. Global Delivery: Drive enablement across regions, adapting programs for cultural and market nuances. Thought Leadership: Represent Vertex in partner advisory councils, industry forums, and enablement best-practice communities. Knowledge, Skills, and Abilities: Experience: 10+ years in partner enablement, channel programs, or revenue operations within SaaS or enterprise software. Ecosystem Expertise: Deep knowledge of ISVs, GSIs, MSPs, and strategic alliances (Microsoft, Salesforce, SAP, Oracle). Strategic Acumen: Ability to translate business objectives into scalable enablement strategies. Advanced Analytics: Skilled in leveraging data for predictive insights and program optimization. Change Leadership: Proven success in driving organizational change and influencing without direct authority. Executive Communication: Exceptional presentation and facilitation skills for C-level and global audiences. Innovation Mindset: Familiarity with AI/ML applications in enablement and revenue intelligence. Education and Certifications: Bachelor's degree required; MBA or advanced degree preferred. Certifications in Sales Enablement, Learning & Development, or Change Management (SEC, ATD, Prosci). Partner ecosystem credentials (Microsoft, Salesforce, SAP) highly desirable. Familiarity with advanced sales methodologies (MEDDICC, Challenger, Value Selling). Preferred Skills: Global program management experience. Expertise in enablement platforms (Highspot, Seismic, MindTickle) and LMS/CMS systems. Strong understanding of partner tiering and competency frameworks. Other Qualifications: The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. • Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. • Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. • Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. • Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. • Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. Comments: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $114,500.00 - $148,800.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $114.5k-148.8k yearly Auto-Apply 1d ago
  • RN Case Management Coordinator - Renal

    Palmetto GBA 4.5company rating

    Remote or South Carolina job

    We are currently hiring for a Case Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as a Case Management Coordinator, care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care management interventions are intended to enhance client safety, well-being, and quality of life. These interventions carefully consider health care costs through the professional care manager's recommendations of cost-effective and efficient alternatives for care. Thus, effective care management directly and positively impacts the health care delivery system, especially in realizing the goals of the "Triple Aim," which include improving the health outcomes of individuals and populations, enhancing the experience of health care, and reducing the cost of care. The professional care manager performs the primary functions of assessment, planning, facilitation, coordination, monitoring, evaluation, and advocacy. Integral to these functions is collaboration and ongoing communication with the client, client's family or family caregiver, and other health care professionals involved in the client's care. Description Job Description Location This position is full-time (40 hours/week) Monday-Friday from 8:00am-4:30pm or 8:30am - 5:00pm EST and will be fully remote. What You'll Do: Provides active care management, assesses service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans, to include member goals. Evaluates outcomes of plans, eligibility, level of benefits, place of service, length of stay, and medical necessity regarding requested services and benefit exceptions. Ensures accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members' identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Participates in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued communication and education. Promotes enrollment in care management programs and/or health and disease management programs. Provides appropriate communications (written, telephone) regarding requested services to both health care providers and members. Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper claims adjudication. Demonstrates compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal). Maintains current knowledge of contracts and network status of all service providers and applies appropriately. Assists with claims information, discussion, and/or resolution and refers to appropriate internal support areas to ensure proper processing of authorized or unauthorized services. To Qualify for This Position, You'll Need the Following: Required Education: Associates in a job-related field. Degree Equivalency: Graduate of Accredited School of Nursing or 2 years job related work experience. Required Experience: 4 years recent clinical in defined specialty area. Specialty areas include: oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedics, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical. Required Skills and Abilities: Working knowledge of word processing software. Knowledge of quality improvement processes and demonstrated ability with these activities. Knowledge of contract language and application. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated customer service, organizational, and presentation skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Demonstrated oral and written communication skills. Ability to persuade, negotiate, or influence others. Analytical or critical thinking skills. Ability to handle confidential or sensitive information with discretion. Required Software and Tools: Microsoft Office. Required License/Certificate: An active, unrestricted RN license from the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active, unrestricted licensure as counselor, or psychologist from the United States and in the state of hire (in Div. 75 only). For Div. 75 and Div. 6B, except for CC 426: URAC recognized Case Management Certification must be obtained within 4 years of hire as a Case Manager. We Prefer That You Have the Following: Preferred Work Experience: At least 4 years of renal nursing experience. Prior hemodialysis, peritoneal dialysis, nephrology nursing, and/or access management experience. 7 years-healthcare program management. Preferred Education: Bachelor's degree- Nursing Preferred Skills and Abilities: Working knowledge of spreadsheet, database software. Thorough knowledge/understanding of claims/coding analysis, requirements, and processes. Preferred Licenses and Certificates: Case Manager certification, clinical certification in specialty area. Our Comprehensive Benefits Package Includes the Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits for the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Management will conduct interviews with those candidates who qualify, with prioritization given to those candidates who demonstrate the preferred qualifications. Pay Range Information: Range Minimum $53,462.00 Range Midpoint $77,860.00 Range Maximum $102,258.00 Pay Transparency Statement: Please note that this range represents the pay range for this and other positions that fall into this pay grade. Compensation decisions within the range will be dependent upon a variety of factors, including experience, geographic location, and internal equity. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $31k-44k yearly est. Auto-Apply 2d ago
  • Medical Biller

    CPSI 4.7company rating

    Remote job

    The Billing & Posting Resolution Representative position is responsible for acting as a liaison for hospitals and clinics using TruBridge Accounts Receivable Management Services. They work closely with TruBridge management and hospital employees in receiving, preparing and posting of receipts for hospital services while ensuring the accuracy in the posting of the receipt, contractual allowance and other remittance amounts. Candidates must be detail oriented with excellent verbal and written communication skills, organizational skills, and time management skills. Essential Functions: In addition to working as prescribed in our Performance Factors specific responsibilities of this role include: Receives daily receipts that have been balanced and stamped for deposit and verifies receipt total. Research receipts that are not clearly marked for posting. Post payments to the appropriate account and makes notes required for follow-up. Posts zero payments to the appropriate account and makes notes required for follow-up. Maintains log of daily receipts and contractual posted. Processes rejections by either making accounts private or correcting any billing error and resubmitting claims to third-party insurance carriers. Responsible for consistently meeting production and quality assurance standards. Maintains quality customer service by following company policies and procedures as well as policies and procedures specific to each customer. Updates job knowledge by participating in company offered education opportunities. Protects customer information by keeping all information confidential. Processes miscellaneous paperwork. Ability to work with high profile customers with difficult processes. May regularly be asked to help with team projects. 3 years hospital payment posting, including time outside Trubridge. Display a detailed understanding of CAS codes. Post denials to patient accounts with the correct denial reason code. Post patient payments, electronic insurance payments, and manual insurance payments. Balance all payments and contractual daily. Make sure postings balance to the site's bank deposit. Adhere to site specific productivity requirements outlined by management. Serve as a resource for other receipting service specialists. Must be agile and able to easily shift between tasks. May require overtime as needed to ensure the day/month are fully balanced and closed. Assist with backlog receipting projects, such as unresolved situations in Thrive, researching credit accounts, and reconciling unapplied. Minimum Requirements: Education/Experience/Certification Requirements Must be familiar with payment posting. Any payer - hospital billing Experience in CPT and ICD-10 coding. Familiarity with medical terminology. Ability to communicate with various insurance payers. Experience in filing claim appeals with insurance companies to ensure maximum reimbursement. Responsible use of confidential information. Strong written and verbal skills. Ability to multi-task. Preferred Qualifications: Experience with Hospital Billing and California Medicaid Medicare Why Join Our Team? If you join us, you will receive: Work remotely with a work/life balance approach Robust benefits offering, including 401(k) Generous time off allotments 10 paid holidays annually Employer-paid short term disability and life insurance Paid Parental Leave
    $27k-37k yearly est. Auto-Apply 38d ago
  • Strategy -Intern II

    Vertex 4.7company rating

    Remote job

    JR102243 -Intern II- Strategy Vertex Inc: 2026 Summer MBA / Graduate Internship Program Join a Leader in Tax Technology and Global SaaS Innovation Vertex is redefining how businesses transact, comply, and grow worldwide. Our SaaS technology underpins the financial operations of leading global enterprises, powering trust in every transaction. As part of our Chief Strategy Office, you'll help chart the strategic direction of a company operating at the intersection of tax technology, data, and innovation-a mission-critical layer in the modern digital economy. What You'll Do: As an MBA / Graduate Strategy Intern, you'll operate as a key member of Vertex's Strategy & Innovation team, working directly with senior executives to drive initiatives that shape enterprise strategy, market positioning, and business growth. You'll own distinct workstreams, synthesize insights, and deliver actionable recommendations to the Chief Strategy Officer, CEO, and other business leaders. You will contribute to high-impact, cross-functional projects that typically include: Strategy Development: Lead strategic analyses and develop recommendations to inform long-term corporate priorities, growth initiatives, and business model evolution. Cross-functional Innovation: Build business cases for next-generation product, pricing, and go-to-market initiatives in partnership with Product Management, Marketing, and Finance. Market Analysis: Evaluate emerging technologies (AI, automation, blockchain) and competitive trends to identify inflection points and new market opportunities. C-suite and Board-level Communication: Develop board-level presentations and executive briefings that translate complex insights into clear, compelling narratives that drive decision-making. What's in It for You? Beyond meaningful work, our 2026 Internship Program offers a host of career opportunities, including: Executive Visibility: Collaborate directly with the Chief Strategy Officer and present findings to senior executives across Product, Finance, and Go-To-Market. Strategic Impact: Lead workstreams with measurable business outcomes, not academic exercises. Networking & Collaboration: Build trusted relationships across business units, from Engineering to Corporate Development. Leadership Pipeline: Exceptional interns may be considered for full-time roles in Corporate Strategy, Corporate Development, or Product Strategy following graduation. Professional Development: Participate in career planning sessions, skill-building workshops, and a speaker series featuring industry leaders Internship Details: Program Dates: Option 1: May 26 - August 14, 2026 Option 2: June 8 - August 28, 2026 Location: East Coast preferred, with regular in-person collaboration days. Who You Are: Education: Currently pursuing a master's degree in Business (MBA), Economics, Engineering, Data Analytics, Public Policy, or a related field at a leading university. Experience: 3-5+ years of prior experience in management consulting or corporate strategy preferred. Strategic Mindset: Ability to distill complex data into actionable insights and business recommendations. Communication Skills: Exceptional ability to build executive-ready presentations and influence decisions through storytelling. Analytical Rigor: Strong financial modeling and market analysis skills. Collaborative Leadership: Proven ability to navigate cross-functional teams and drive alignment in fast-paced environments. Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $28.00 - $31.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $28-31 hourly Auto-Apply 30d ago
  • E-Invoicing Project Manager

    Vertex 4.7company rating

    Remote job

    The E-Invoicing Project Manager will play an integral role in managing and overseeing the seamless execution of global e-invoicing programs. This position entails end-to-end ownership of project control, milestone tracking, governance reporting, and ensuring visibility across diverse stakeholders. The ideal candidate will bring exceptional leadership capabilities combined with a proven track record in e-invoicing program management, streamline invoicing processes, and achieve operational excellence. Key ResponsibilitiesProject Execution Control Develop and maintain comprehensive project plans. Monitor program progress and proactively identify risks, challenges, and dependencies to mitigate any obstacles effectively. Coordinate with cross-functional teams to ensure project deliverables align with overall business objectives. Milestone Tracking Create a detailed milestone tracker to monitor critical phases of e-invoicing program implementation globally. Ensure all stakeholders are informed of project timelines and key milestones to maintain accountability. Facilitate regular updates to ensure milestones are achieved in accordance with predefined schedules and standards. Governance Reporting Prepare and deliver governance reports that provide a comprehensive view of program status to senior management and other stakeholders. Establish best practices for reporting and documentation to maintain transparency. Stakeholder Visibility and Engagement Act as the central point of communication for all stakeholders involved in e-invoicing functions and operations, ensuring alignment and collaboration. Host regular status meetings, workshops, and presentations to provide updates and address stakeholder concerns. Facilitate feedback loops and maintain strong relationships with internal teams. Required Qualifications Bachelor's degree in Business Administration, Project Management, Finance, or a related field. A Master's degree is preferred. Minimum of 5 years of experience in global e-invoicing program management or similar roles. Strong understanding of e-invoicing frameworks, compliance regulations, and regional requirements. Proficiency in project management tools and methodologies (e.g., Agile, Waterfall). Exceptional organizational and time-management skills to handle complex projects across multiple geographies. Excellent communication and interpersonal skills, with a demonstrated ability to engage stakeholders effectively. Advanced proficiency in Microsoft Excel, PowerPoint, Confluence, Jira and other reporting tools. Preferred Skills Experience in creating and managing action item trackers and global status reports. Ability to work comfortably in a fast-paced, dynamic environment with competing priorities. Analytical skills to evaluate program performance and propose data-driven improvements. Key Attributes Detail-oriented: Ensures all aspects of program management adhere to the highest standards. Collaborative: Fosters a culture of teamwork and open communication among diverse stakeholders. Adaptable: Thrives in a global environment, handling changes and challenges with resilience. Innovative: Utilizes creative approaches to overcome obstacles and improve project outcomes. Accountable: Takes ownership of projects and drives them to successful completion. Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. • Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. • Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. • Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. • Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. • Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $131,600.00 - $171,100.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $131.6k-171.1k yearly Auto-Apply 32d ago
  • SAP S4 ABAP Principal Consultant

    Vertex 4.7company rating

    Remote job

    As part of the Global Professional Services organization at Vertex, Inc., the Principal Technical Consultant is responsible for leading the technical components of SAP implementations. This includes all ABAP-related activities using the SAP Workbench. Development efforts may involve SAP User Exits, BADIs, BAPIs, and other SAP technologies that support the integration of Vertex solutions with SAP systems. A key focus of this role is to use SAP ABAP development tools and practices to further configure SAP or add to SAP ECC and / or CRM to optimize the Vertex applications with SAP applications. The consultant will participate in all phases of Vertex product and technology solution implementations and will collaborate regularly with cross-functional teams. This individual may also help identify additional value-added services that support Vertex's goals for revenue growth and profitability. ESSENTIAL DUTIES AND RESPONSIBILITIES · Serve as a senior SAP ABAP programmer with specialization in financial, procure-to-pay and order-to-cash processes. · Evaluate business requirements and design, develop, and debug custom SAP code. · Perform software testing, customer configuration and create custom documentation. · Execute tasks outlined in Vertex's client Statement of Work (SOW). · Lead technical aspects of SAP software implementations following Vertex's best practice methodology. · Act as the technical subject matter expert for SAP integration architecture supporting Vertex's global indirect tax products. · Collaborate with Developers to build, test, and release patches and enhancements. · Promote adherence to SAP integration architecture and standards aligned with Vertex products. · Assess customer needs and define system or software connector requirements. · Ensure thorough documentation of program development activities. · Stay current with SAP ABAP and future BTP advancements to optimize implementation. · Provide guidance and mentorship to junior staff and lead project teams. · Collaborate with cross-functional Vertex teams to ensure customer satisfaction. EDUCATION AND TRAINING: · Four year Bachelor's degree in Computer Science or equivalent. · SAP Technology Certifications or Credentials recommended. · Minimum of 7 years of hands-on experience in SAP programming, testing, and debugging, including expertise in ABAP OOP, BADIs, BAPIs, EDI, Idocs, data dictionary, and workflow. · Minimum of 7 years of experience in interface design and development. Specialized Knowledge, Skills and Abilities: · Deep expertise in ABAP Objects, including classes, interfaces, data dictionary, structures/extensions, and function modules. · Proven ability to develop programs in a fast-paced environment while managing multiple tasks effectively. · Experience implementing tax systems, with preference for Vertex and SAP solutions including Accelerator and Plus Tools. · Demonstrated leadership in SAP application development projects. · Strong understanding of SAP methodologies, principles, and development practices, with the ability to plan, schedule, and coordinate work to meet project milestones. · Solid experience in SAP SD, MM, and/or FI modules, preferably with a focus on tax-related functionality. · Familiarity with SAP business process flows, particularly Order to Cash and Procure to Pay. · SAP CRM and SRM experience a plus · Familiar with SAP Roadmap and emerging technologies (Brim,BTP, RISE, etc.) a plus · Exceptional interpersonal skills to engage effectively across all levels of the organization. · Must be able to maintain the strict confidentiality of sensitive information. · Must be able to work extended hours and travel to client sites as required. · Java and/or XML experience a plus. · Professional appearance and presentation required. Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. • Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. • Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. • Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. • Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. • Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $131,600.00 - $171,100.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $131.6k-171.1k yearly Auto-Apply 32d ago
  • Statistical Programming Analyst II - CGS Administrators (Nashville)

    Palmetto GBA 4.5company rating

    Remote or Nashville, TN job

    Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Description Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but we've been part of the national landscape for more than seven decades, with our roots firmly embedded in the South Carolina community. We are the largest insurance company in South Carolina … and much more. We are one of the nation's leading administrators of government contracts. We operate one of the most sophisticated data processing centers in the Southeast. We also have a diverse family of subsidiary companies, allowing us to build on various business strengths. We deliver outstanding service to our customers. If you are dedicated to the same philosophy, consider joining our team! Position Purpose: Develops comprehensive reports and analyzes data in order to identify patterns and trends. Assists in creating materials that aid in illustrating analytical/data findings. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Logistics: CGS - one of BlueCross BlueShield's South Carolina subsidiary companies Location: This position is full-time (40 hours per week), Monday - Friday and will be on-site at One Century Plaza in Nashville, TN. There is the potential for remote work. Centers for Medicare and Medicaid Services (CMS) Requirements: Certain divisions within BlueCross BlueShield of South Carolina require CMS (Centers for Medicare and Medicaid Services) residency that requires employees to have lived in the US for at least three (3) out of the last five (5) years. This is a business requirement - government contracts, not an HR requirement. In the spirit of transparency, if we extend an offer and discover during the background check process that you have not been in the US for at least three (3) years, you will fail background, and the offer will be rescinded. Sponsorship: This position is not eligible for sponsorship now or in the future. What You'll Do: Designs, codes, maintain and executes simple to complex database programs for the extraction and presentation of data for standard and ad hoc reporting. Utilizes statistical programming tools to identify patterns and trends in data. Assists in sampling design, sample selection, and relevant projections. Performs statistical validations of sampling and related projections. Assists with the preparation of charts, illustrations, other graphics and narrative reports to explain findings. Assists with development of complex statistical analysis, including standard reporting, AD HOC reporting, and data mining tools. Assists with sophisticated data interpretation, compilation, and verification to guide departmental efforts. Provides assistance in development of project plans and system life cycle maintenance, development of change requests and test plans impacting existing databases, and in the research of new sources for data. Verifies data in existing databases and assists in the collection of data and management of existing databases. Creates supporting documentation outlining procedures within scope of responsibility. To Qualify For This Position, You'll Need The Following: Required Education: Bachelor's or Master's degree Statistics/Biostatistics, mathematics, computer science, or other job related field. Required Work Experience: 2 Years statistical programming or statistical interpretation. Required Skills and Abilities: Good organizational, customer service, and analytical skills. Ability to use complex mathematical calculations. Demonstrated knowledge of mathematical or statistical concepts. Relevant computer programming skills. Microsoft Office. We Prefer That You Have The Following: Preferred Education: Bachelor's degree-Statistics/Biostatistics, mathematics, computer science, or other job related field Preferred Work Experience: 2 years experience with statistical practices. 2 years relational database experience. (may be concurrent) Required Skills and Abilities: Good organizational, customer service, and analytical skills. Ability to use complex mathematical calculations. Demonstrated knowledge of mathematical or statistical concepts. Relevant computer programming skills. Microsoft Office. Preferred Skills and Abilities: Good oral and written communication skills. Computer systems support knowledge. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $57k-89k yearly est. Auto-Apply 4d ago
  • Senior Employee Benefits Sales Representative (Remote)

    Palmetto GBA 4.5company rating

    Remote or Columbia, SC job

    We are seeking a driven, relationship-focused Employee Benefit Sales Professional to join our team. This individual will play a key role in expanding our client base, fostering existing relationships and serving as a trusted advisor to our partners. The ideal candidate is highly self-motivated, brings a track record of achievement in Ancillary Employee Benefits and is a subject matter expert in Group Dental, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, Hospital Indemnity and Vision. A candidate with GAP experience is also of strong consideration. Description Logistics: This is a full-time position working (40-hours/week) Monday-Friday 8:00am - 5:00pm working remotely. What You Will Do: Leads, markets, recruits, and motivates general agents, brokers, and other market support personnel. Solicits actively for new distribution outlets for Companion Life's products. Motivates general agents and brokers through visits and seminars to market products. Formulates, advises, and implements policies necessary to enhance production profitability and service standards. Develops marketing and sales themes, promotions, and sales materials. Monitors loss ratios and persistency and implements corrective actions. Develops and or enhances new/existing group products. Recommends pricing, product design, filing, direct mail, and compliance requirements. Manages all aspects of marketing, sales, renewal, and servicing of Companion Life's products from a field office environment, without benefit of on-site marketing support staff. To Qualify for This Position, You Will Need Required Education: Bachelors in a job-related field Degree Equivalency: 4 years job related work experience or Associate's, and 2 years job related work experience Required Work Experience: 5+ years of dedicated Employee Benefit Ancillary insurance sales. The products sold should include Group Dental, Life, Short Term Disability, Long Term Disability, Accident, Critical Illness, Hospital Indemnity and Vision. Required Skills and Abilities: Demonstrated skills related to sales, marketing, and/or underwriting. Thorough understanding of agent/broker sales and marketing process. Ability to work independently, prioritize effectively, and make sound decisions. Good judgment skills. Demonstrated verbal and written communication skills. Demonstrated proficiency in spelling, punctuation, and grammar skills. Basic business math proficiency. Analytical or critical thinking skills. Ability to persuade, negotiate, or influence others. Ability to direct, motivate, and assess performance of others. Ability to handle confidential or sensitive information with discretion. Required Software and Other Tools: Microsoft Office. Required Licenses and Certificates: Department of Insurance Licensure must be obtained within 60 days of hire in state employed. What We Prefer You to Have: Preferred Software and Other Tools: Working knowledge of Microsoft Excel or other spreadsheet software. Preferred Licenses and Certificates: CLU, CEBS, RHU What We can Do for You: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401K retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Wellness program and healthy lifestyle premium discount Tuition assistance Service recognition Employee Assistance Discounts to movies, theaters, zoos, theme parks and more What to Expect Next: After submitting your application, our recruiting team members will review your resume to ensure your meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. If the qualifications required proof of semester hours, please attach your transcript to your application Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.
    $45k-82k yearly est. Auto-Apply 10d ago
  • Tax Processing Associates & Specialists

    Vertex 4.7company rating

    Remote job

    This position performs a wide range of sales and use tax (SUT) compliance functions in a team-based, collaborative environment. Understand various business entities (retail, service, manufacturing, leasing, etc.) and the related SUT compliance details involved. Accountable for the accuracy, integrity, and timely filing of the client's returns and payments. Responsible for building and maintaining client relationships by acting as the dedicated specialist. ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES: Prepare Clients' sales and use tax returns for the time sensitive SUT compliance cycle. This will include: Communicate frequently with Client contacts via phone and e-mail Review Client tax data for accuracy, investigate questionable data and take corrective action when necessary Properly format and import monthly tax data to Vertex Indirect Tax Returns software Review and reconcile SUT returns using established best practices Confirm Client approvals and process and requested revisions Collaborate with other staff to complete the submissions returns and payments Timely initiate electronic filings and payments Prepare and maintain monthly client tax compliance reports Track and respond to notices from taxing jurisdictions, ensuring proper documentation and timely resolution Prepare and submit sales tax registrations on behalf of clients Reconcile bank activity for assigned clients Exercise significant and independent professional judgment to resolve more complex tax reporting problems Participate in new client implementations and successfully transition clients to other staff members with appropriate training Assist with special projects and new hire training. Lead or participate in projects or other duties to support the business Ability to accommodate additional hours as needed during the monthly peak processing period, which is between the 5th and the 20th of each month Returns volume supported expanding to approximate 600 returns per month within (6) months with moderate to complex client complexity Assist with new client onboarding Assist with new hire training Work independently after (3) months Participates in projects and performs other duties as assigned. SUPERVISORY RESPONSIBILITIES: N/A KNOWLEDGE, SKILLS AND ABILITIES: Specific knowledge of multi-state tax preparing software and preparation of monthly SUT returns Proficient in Microsoft Outlook, Word and Excel Excellent oral and written communication skills and interpersonal skills Must be detailed oriented and have strong organizational skills Must be a self-starter, able to operate under minimum supervision Demonstrate customer focused mentality, and be a team player Must be able to adhere to tight monthly deadlines, with strong time management and organizational skills Strong diplomacy skills are required Ability to develop and apply professional concepts to resolve issues with moderate to significant scope. Exercise independent judgement on new projects or assignments. Possess strong interpersonal skills to build productive internal/external working relationships. EDUCATION AND TRAINING: Bachelor's degree in accounting, finance or similar required. Six (6) plus years of sales & use tax compliance experience. Or equivalent combination of education and/or experience. Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. • Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. • Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. • Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. • Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. • Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $56,900.00 - $74,000.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $56.9k-74k yearly Auto-Apply 35d ago
  • Customer Success Director (Gig Economy Vertical)

    First Advantage 4.7company rating

    Remote or Atlanta, GA job

    At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage - our team members. Operating with empathy and compassion, First Advantage fosters a global inclusive workforce devoted to the diverse voices that make up our talent and products. Our team members empower each other to be their authentic selves and treat all with respect, integrity, and fairness. Say hello to a rewarding career and come join a leading provider of mission-critical background screening solutions to some of the most recognized Fortune 100 and Global 500 brands. What You'll Do: As a Customer Success Director at First Advantage, you'll be responsible for the satisfaction, retention, and growth of key clients within the fast-moving Gig Economy space. You'll develop and nurture strong relationships while expanding our footprint through a consultative, tech-forward approach. This strategic role requires a deep understanding of customer needs, the ability to navigate complex operational and technical environments, and close collaboration with both internal and external stakeholders. Success in this role means becoming a trusted advisor-ensuring customers receive measurable value while driving the adoption of First Advantage solutions across their enterprise. While the role is 100% remote, individual must be located in the United States. Responsibilities: Become an expert in the gig economy industry and utilize your subject matter expertise to focus on technology-driven solutions and risk mitigation for customers Identify and develop multi-level relationships with key decision makers to ensure retention and relationship stability Champion Trust & Safety by presenting secure, compliant, and scalable solutions for customers in the fast-moving gig economy Navigate complex issues, both technical and non-technical including API troubleshooting, data security, and compliance concerns Conduct regular business reviews using value-add propositions to mitigate client risk and enhance background screening programs and platform onboarding workflows Map client business requirements to First Advantage's technology capabilities, identifying gaps, omissions, and process optimizations Champion successful customer outcomes and innovate ways to improve our service delivery and deliver to trust & safety standards Develop strategic account plans to grow customer revenue and achieve world-class customer satisfaction, with a focus on scalable technology adoption What You May Need to be Successful: 7+ years of Customer Success (or Account Management) experience supporting enterprise level customers Demonstrated success in managing customer relationships highly dependent on technical integrations (APIs) and complex compliance environments Ability to effectively communicate with senior level decision makers and successfully handle objections Familiarity with APIs and partnership platform (ATS, HRIS) integrations Strong program management, presentation, and negotiation skills Excellent communication skills to deliver clear messages and create positive, impactful experiences for clients Prior experience in Gig economy or Trust & Safety roles preferred 4-year degree strongly preferred Travel expected on a quarterly basis Why First Advantage is Your Next Big Career Move First Advantage is going through a technology transformation! We are looking for experts who are excited to work with advanced technologies and provide best-in-class user experience, drive the development and deployment of scalable solutions, and smoothly guide our agile teams and clients through meaningful changes as we continue to expand our impact. Additional benefits offered to our eligible people include: Ability to work remotely with occasional business travel Medical, Vision, Dental, and supplementary benefit plans 401k with an employer match, and an Employee Stock Purchase Plan (ESPP) Competitive and flexible Paid Time Off (PTO) and 8 paid company holidays Access to new tech and growth opportunities, and leaders who want to see you succeed! What Are You Waiting For? Apply Today! You have learned a little about us today - we want to learn about you! If you think this position and our company are a great fit for your areas of interest and expertise, tell us about you by applying now! The salary range for this position is approximately $90,000-$110,000 base annually. This range reflects our good faith estimate to pay fairly as to what our ideal candidates are likely to expect, and we tailor our offers within the range based on the selected candidate's experience, industry knowledge, technical and communication skills, and other factors that may prove relevant during the interview process. #LI-LR1 United States Equal Opportunity Employment: First Advantage is proud to be a global leader in removing barriers and supporting our community members to ensure the changing demographics of the workforce are reflected in our hiring and employment practices. We value all of our candidates, employees, and clients, and place great emphasis on hiring and supporting qualified individuals in each role. We are an equal opportunity employer. We do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, genetic information, or any other area protected by applicable law.
    $90k-110k yearly Auto-Apply 56d ago
  • Software Engineer IV

    Vertex 4.7company rating

    Remote job

    Title: Software Engineer IV Responsible for leading a software engineering team in building, maintaining, operating, and supporting its applications. Provide hands-on technical guidance, leadership, and mentorship to the engineering team with responsibility for high quality delivery. Take on complex software development tasks to build software using industry technologies, such as Java, JavaScript, JSON/XML, Junit, Amazon Web Services, Docker, Snowflake, and Kubernetes. Answer technical questions for the team and complete code reviews in GitHub. Ensure that the development work of the team is completed to satisfy the business requirements. Job Requirements: Bachelor's Degree (or foreign equivalent) in Computer Science, Information Technology, or a closely related field and seven (7) years of experience in application development. Experience must include seven years in each of the following: Building and delivering applications and systems on top of AWS; Working with application frameworks using Java and Spring Boot; Using Object-Relational Mapping frameworks; Designing Open API contract-first RESTful services versioned and deprecated at scale; Creating relational scalable storage using Postgres with query optimizations; and Using full-stack test automation technologies Junit and Pytest. Eligible for up to 100% remote work within the continental United States. #LI-DNI Pay Transparency Statement: US Base Salary Range: $114,500.00 - $148,800.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $114.5k-148.8k yearly Auto-Apply 60d+ ago
  • Corporate Development Summer Analyst

    Vertex 4.7company rating

    Remote job

    JR102265 - Corporate Development (M&A) Summer Analyst Vertex Inc, a leader in Tax Technology and global SaaS organization is hiring 2025 Summer Interns for various departments within our Office of Strategy! As an intern on the Corporate Development Team, you'll work with a small team and interface with business leaders across the Company to understand the innerworkings of the M&A process and accomplish the following: Develop and maintain a working knowledge of relevant industry sectors, including indirect tax and specialty content, e-invoicing, customs and duties, and enabling technologies including monitoring and analyzing relevant transactions that occur in the marketplace. Research and analyze industry trends, adjacent markets, and competitive landscapes to evaluate potential growth areas and strategic opportunities. Conduct in-depth financial analysis, including business valuation, pro forma financial modeling, and scenario analysis to evaluate potential M&A, divestitures, and investment opportunities. Prepare and present reports, analyses, and recommendations to leadership. Assist in the execution of deals, including project management, preparing presentations, financial analyses, and business cases for current and potential transactions. Support the integration process after successful acquisitions, working to align acquired businesses with the company's overall strategy and operations. Collaborate with operational teams to ensure a seamless transition and realization of anticipated synergies. Additionally, you'll participate as part of the 2026 Internship Program including Intern New Hire Orientation, speaker series, career planning sessions, team projects, and other events throughout the 12 weeks you're with us. Internship Dates: May 26, 2026 - August 14, 2026 OR June 8, 2026 - August 28, 2026 Requirements and Characteristics: Enrolled in a bachelor's or master's degree program through an Accredited University studying Business, Finance, Accounting, or related majors. Show a demonstrated interest in one or more of the following areas: Corporate Development, Financial Analysis, New Ventures, and M&A. Must be located on the East Coast, and preferably within commuting distance to our King of Prussia, PA headquarters for occasional onsite team collaboration. Other Qualifications The Winning Way behaviors that all Vertex employees need in order to meet the expectations of each other, our customers, and our partners. Communicate with Clarity - Be clear, concise and actionable. Be relentlessly constructive. Seek and provide meaningful feedback. Act with Urgency - Adopt an agile mentality - frequent iterations, improved speed, resilience. 80/20 rule - better is the enemy of done. Don't spend hours when minutes are enough. Work with Purpose - Exhibit a “We Can” mindset. Results outweigh effort. Everyone understands how their role contributes. Set aside personal objectives for team results. Drive to Decision - Cut the swirl with defined deadlines and decision points. Be clear on individual accountability and decision authority. Guided by a commitment to and accountability for customer outcomes. Own the Outcome - Defined milestones, commitments and intended results. Assess your work in context, if you're unsure, ask. Demonstrate unwavering support for decisions. COMMENTS: The above statements are intended to describe the general nature and level of work being performed by individuals in this position. Other functions may be assigned, and management retains the right to add or change the duties at any time. Pay Transparency Statement: US Base Salary Range: $22.00 - $24.00 Base pay offered to new hires may vary based upon factors including relevant industry and job-related skills and experience, geographic location, and business needs.* The range displayed does not encompass the full potential of the role, which allows for further growth and career progression. In addition, as a part of our total compensation package, this role may be eligible for the Vertex Bonus Plan (VOB), a role-specific sales commission/bonus, and/or equity grants. Learn more about Life at Vertex and connect with your recruiter for more details regarding Vertex's compensation and benefit programs. *In no case will your pay fall below applicable local minimum wage requirements .
    $22-24 hourly Auto-Apply 30d ago
  • Director, Procurement (Software)

    First Advantage 4.7company rating

    Remote or Atlanta, GA job

    At First Advantage (Nasdaq: FA), people are at the heart of everything we do. From our customers and partners to our greatest advantage - our team members. Operating with empathy and compassion, First Advantage fosters a global inclusive workforce devoted to the diverse voices that make up our talent and products. Our team members empower each other to be their authentic selves and treat all with respect, integrity, and fairness. Say hello to a rewarding career and come join a leading provider of mission-critical background screening solutions to some of the most recognized Fortune 100 and Global 500 brands. About The Role: The Director, Procurement is a key member of the global procurement leadership team that will manage a large portfolio of suppliers that provide technology to First Advantage. This is a hands-on leadership role for an experienced procurement professional with significant experience negotiating with software and SaaS providers resulting in TCO savings and improved contract flexibility. Experience redlining/negotiating contractual clauses is a must. This role has domestic and international direct reports - previous global procurement team leadership experience is required. This role is a fantastic opportunity for a seasoned leader to play a hands-on role in further maturing the procurement organization to support the growth of the company. Please note, this is a remote position with core hours in EST. General Responsibilities: Lead negotiations with software and SaaS providers resulting in TCO savings and improved contract flexibility. Includes redlining/negotiating of contractual clauses found in Order Forms, Master Agreements, Statements of Work and Amendments Partner with internal stakeholders, including the C-Suite, to help develop and execute strategies that support the financial and growth objectives of the company Design/refine processes to increase procurement efficiency, including use of AI where appropriate Provide subject matter expertise/consulting to internal stakeholders on industry trends, benchmarking, and best practices in procurement Manage a global team of procurement professionals, ensuring timely and quality completion of assigned deliverables Coach and mentor the team with a focus on continuously improving their procurement skillset Track and regularly report on overall team performance, including savings Manage the Procure to Pay process ensuring timely payment and adherence to established policies Required Skills: Education: Bachelor's degree in Business, Supply Chain or Finance. A Master's degree is strongly preferred. Required Job Qualifications: 6-8 years of experience leading negotiations with suppliers of Technology and Non- Technology products/services, including, but not limited to Order Forms, Master Agreements, Statements of Work and Amendments, including critical and/or high value (>$1M) engagements Deep understanding of contract language found in Technology/Non-Technology Agreements with ability to craft appropriate language to minimize risk Demonstrated ability to establish and negotiate aim-high and bottom-line commercial positions including but not limited to price protection, expansion tables, true-up and payment terms. Demonstrable experience interacting with C-Level executives Ability to hold teams/individuals accountable that may not report directly Significant experience coaching and inspiring a global team to operate efficiently, with urgency and using best in class procurement practices CPSM or other professional certification in procurement desirable Job Location: This is a remote opportunity allowing the ideal individual to sit anywhere but must be available to work EST hours. Why First Advantage is Your Next Big Career Move: First Advantage is going through a technology transformation! We are looking for experts who are excited to work with advanced technologies and provide best-in-class user experience, drive the development and deployment of scalable solutions, and smoothly guide our agile teams and clients through meaningful changes as we continue to expand our impact. Additional benefits offered to our eligible people include: Ability to work remotely with occasional business travel. Medical, Vision, Dental, and supplementary benefit plans 401k with an employer match, and an Employee Stock Purchase Plan (ESPP) Competitive and flexible Paid Time Off (PTO) and 9 paid company holidays Access to tech and growth opportunities, and leaders who want you to succeed! What Are You Waiting For? Apply Today! You have learned a little about us today - we want to learn about you! If you think this position and our company are a great fit for your areas of interest and expertise, tell us about you by applying now! The salary range for this position is approximately $145,000-165,000 base annually. This range reflects our good faith estimate to pay fairly as to what our ideal candidates are likely to expect, and we tailor our offers within the range based on the selected candidate's experience, industry knowledge, technical and communication skills, and other factors that may prove relevant during the interview process. United States Equal Opportunity Employment: First Advantage is proud to be a global leader in removing barriers and supporting our community members to ensure the changing demographics of the workforce are reflected in our hiring and employment practices. We value all of our candidates, employees, and clients, and place great emphasis on hiring and supporting qualified individuals in each role. We are an equal opportunity employer. We do not discriminate on the basis of race, color, ethnicity, ancestry, religion, sex, national origin, sexual orientation, age, citizenship status, marital status, disability, gender identity, gender expression, veteran status, genetic information, or any other area protected by applicable law.
    $145k-165k yearly Auto-Apply 9d ago
  • Provider Enrollment Representative

    CPSI 4.7company rating

    Remote job

    TruBridge is seeking a Provider Enrollment Representative to join our growing team of professionals. The main functions of this role include: Initiating the enrollment and credentialing process for health care provider applications and complies and processes data in compliance with program requirements. This position ensures thorough and timely verification of all provider credentials and application materials. This will include, but not be limited to, responsibility for credentialing new and established health care providers, and the maintenance of information including primary source verification, provider follow-up, data collection, data entry, and document file review and provider update requests. Responsibilities Support the Performance Improvement process. Utilize provider enrollment software to track and follow up on enrollment applications. Assist the Director in the development, implementation, and maintenance of physician enrollment processes. Create and revising enrollment forms, as necessary. Research and establish process for new payer contracts an or new states as they arise. Qualifications One plus years of experience in healthcare Attention to detail is a must Knowledge and/or experience reviewing provider enrollment applications. Knowledge of a variety of payers and their systems/ processes (Medicare, Medicaid, Blue Cross, etc) Experience working with CAQH, One Health Port, and PECOS a plus Why join our team? If you join us, you will receive: Work remotely with a work/life balance approach Robust benefits offering, including 401(k) Generous time off allotments 10 paid holidays annually Employer-paid short term disability and life insurance Paid Parental Leave
    $29k-36k yearly est. Auto-Apply 25d ago
  • Contract Management Auditor

    CPSI 4.7company rating

    Remote job

    The Contract Management Auditor is Responsible for reviewing, analyzing and resolving discrepancies in claim payments as determined by TruBridge Contract Management software. The Contract Management Auditor works closely with team members and the client to ensure necessary and up to date contract information is provided and works with the TruBridge modeling team to confirm terms are modeled correctly. Essential Functions: Proactively researches and identifies claim reimbursement discrepancies and takes the necessary steps to resolve the issue and collect maximum reimbursement from payers for services provided. Reviews and interprets payer contracts and associated documentation to ensure accurate modeling and works with the Contract Management modeling team to ensure accurate calculations and communicate any known updates or changes needed. Works with payors and client payor representatives through verbal, online and/or written communication as required by specific payor appeal processes to correct and collect underpayments on claims as well as identifying overpayment refunds due from the client to payors as required. Manage Contract Management processes for multiple clients. Maintain tracking system and reporting on appeals and under payment recoupments. Other duties as required. Minimum Requirements: 3 Years of health care billing multiple payors. 1 Year of Health care Contract Management Auditing or Comparable Experience Above average knowledge of healthcare billing processes. High degree of self-motivation, strong organizational skills. Ability to positively collaborate and communicate with the team. Can work independently and has a high degree of critical thinking skills. Business Support
    $29k-51k yearly est. Auto-Apply 23d ago

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ACS Solutions may also be known as or be related to ACS Solutions, Acs Group (american Cybersystems), American CyberSystems, American CyberSystems Inc, American CyberSystems, Inc., American Cybersystems, American Cybersystems Inc and American Cybersystems, Inc.