Beacon Health Options Remote jobs

The Director, Patient Access Main/ED provides visible and proactive leadership to staff, management, internal partners, leaders, departments, and other key stakeholders across the organization. This role is responsible for patient access operations in the Main and Emergency Departments (ED) across multiple hospitals, including but not limited to referral management, patient access and scheduling, verification of benefits, and other operational areas supporting patient access initiatives, patient growth, and retention. This position champions efforts that improve processes and achieve the highest possible levels of customer experience, access, and satisfaction. The Director ensures alignment with organizational goals and holds significant accountability for achieving key metrics in quality, customer satisfaction, associate engagement, and leadership effectiveness. The ideal candidate will bring hands-on Main/ED leadership experience, strong change management skills, and a proven track record of improving quality metrics and developing high-performing teams. This leader must be highly organized, patient-focused, and adaptable to evolving needs, overseeing multiple hospitals while directing admitting and registration operations, improving patient satisfaction, ensuring throughput, maintaining regulatory compliance, and coaching leadership staff. Schedule flexibility is required due to 24/7 department operations. This position is based in an office environment with opportunities for remote work. MISSION, VALUES, and SERVICE GOALS MISSION: We deliver outstanding care, inspire health, and connect with heart. VALUES: Trust. Respect. Integrity. Compassion. SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team. Division Operations * Executes and translates high-level directives from the Vice President into actionable plans across numerous direct and indirect reports. * Directs, develops, and implements strategic and operational projects and processes either autonomously or through facilitation of cross-functional teams to achieve objectives efficiently. * Incorporates digital innovation, including AI and automation, to create more cost-efficient and patient-friendly workflows. * Analyzes Main/ED patient access data to identify trends, resolve bottlenecks, and implement improvements in processes and technology. * Reviews, establishes, and revises policies and procedures to enhance the effectiveness of access operations. * Collaborates cross-functionally with other departments and system teams to resolve systemic issues and enhance scheduling and registration processes, ensuring coordinated and convenient experiences for patients and providers. * Develops short- and long-term goals and objectives for Main/ED Access Services aligned with organizational strategy. * Develops, secures approval for, and manages departmental budgets to achieve financial and operational goals. * Directs and develops department managers and supervisors to ensure efficient operations and effective leadership across all hospital sites. * Interviews, hires, trains, evaluates, and manages staff performance, disciplines or discharges personnel when necessary. * Interprets and enforces established policies and procedures; recommends policy changes that enhance operational effectiveness. * Ensures all work meets established quality standards and that accurate information is delivered to appropriate departments promptly. Leadership * Leads workflow innovations, department initiatives, and system-level projects to improve access operations across Main and ED settings. * Proactively leads task forces and committees; represents Beacon Health System (BHS) at community or professional meetings. * Drives change initiatives, maintaining effectiveness when facing new structures, processes, or cultural shifts. * Partners collaboratively with stakeholders across BHS, including BMG departments, Patient Account Services, Medical Records, Information Systems, and others to ensure seamless communication and patient-centered operations. * Ensures quality, accuracy, and adherence to defined standards and expectations for Main/ED scheduling and registration. Financial Management * Meets or exceeds annual budgetary and operational goals. * Develops and implements cost-savings strategies and process improvements for Main/ED Access Services. Safety and Quality Improvements * Promotes and maintains a strong patient safety culture within Access Services. * Oversees active programs to improve quality, access, and customer service outcomes. * Maintains professional, safe, and compliant departmental operations. * Develops programs and services that enhance patient care and service delivery across Main and Emergency Department access points. Leadership Competencies * Drives Results: Consistently achieves results, even under challenging circumstances. * Customer Focus: Builds strong relationships and delivers customer-centric solutions. * Instills Trust: Gains confidence and trust through honesty, integrity, and authenticity. * Collaborates: Builds partnerships and works collaboratively to meet shared objectives. * Communicates Effectively: Conveys clear and tailored communication to diverse audiences. Organizational Responsibilities * Attends and participates in departmental meetings and is accountable for shared information. * Completes mandatory education, annual competencies, and department-specific training within established timeframes. * Meets annual employee health requirements and maintains all required certifications and licenses. * Consistently follows universal precautions, uses appropriate protective equipment, and practices ergonomic safety. * Adheres to all regulatory, compliance, and policy requirements. * Works flexible hours, including overtime or alternate shifts, as required by operational needs. Commitment to The Beacon Way * Leverage innovation everywhere. * Cultivate human talent. * Embrace performance improvement. * Build greatness through accountability. * Use information to improve and advance. * Communicate clearly and continuously. DEIB Commitment Beacon Health System is committed to delivering outstanding care, inspiring health, and connecting with heart by fostering diversity, equity, inclusion, and belonging in every aspect of our work. Education and Experience * Certified Healthcare Access Manager (CHAM) certification preferred, or willingness to obtain within two years. * Registered Nurse (RN) license preferred * Bachelor's degree required, Masters in Healthcare administration, public health or related field preferred. In lieu of a degree, candidates must have 7-10+ years of relevant experience. * Minimum of five to seven years of progressive healthcare leadership experience, including patient access or hospital registration operations. * Demonstrated expertise in complex project management and performance improvement. * Proven success leading cross-organizational collaboration and multi-sector coordination. * Hands-on leadership in hospital admitting and registration operations, including emergency department oversight, strongly preferred. Knowledge & Skills * Deep knowledge of Health Information Management, DRGs, Utilization Review, and healthcare regulatory requirements. * Strong analytical, critical thinking, and problem-solving skills. * Demonstrated administrative and managerial abilities to lead multiple organizational components and cohesive teams. * Effective interpersonal and communication skills with all levels of staff, physicians, and external partners. * In-depth understanding of payer regulations, collections, and healthcare reimbursement practices. * Proven ability to lead change, implement process improvements, and achieve measurable outcomes. * Maintains strict confidentiality and professional integrity. Working Conditions and Physical Demands * Primarily office-based, with potential for hybrid/remote work. * May require prolonged sitting and occasional lifting of records (less than 5 lbs). * Must possess the physical ability and stamina to perform essential functions.

The Utilization Review Case Manager gathers demographic and clinical information on prospective, concurrent and retrospective in-patient admissions and out-patient treatment, certifies the medical necessity and assigns an appropriate length of stay while supporting the goals of the Case Management department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identifies the necessity of the review process and communicates issues of concern to the appropriate claims staff/customer * Collects data and analyzes information to make decisions regarding certification or denial of treatment * Documents all work in the appropriate manner * Promotes utilization review services with stakeholders * Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) * Additional duties as assigned KNOWLEDGE & SKILLS: * Must have thorough knowledge of both CPT and ICD coding * Ability to interface with claims staff, attorneys, physicians and their representatives, as well as advisors/clients and coworkers * Effective organization skills in a high-volume, fast-paced environment * Strong time management skills with the ability to meet designated deadlines * Excellent written and verbal communication skills * Ability to work both independently and within a team environment * Strong interpersonal skills * Ability to utilize Microsoft Office including Excel spreadsheets * Knowledge of the workers' compensation claims process preferred * Knowledge of outpatient utilization review preferred EDUCATION & EXPERIENCE: * Graduate of accredited school of nursing with an associate's degree, Bachelor of Science degree or Bachelor of Science in Nursing * Current Nursing licensure in the state of operation required; RN is required unless local state regulations permit LVN/LPN * 4 or more years of recent clinical experience * Prospective, concurrent, and retrospective utilization review experience preferred * Experience in the clinical areas of OR, ICU, CCU, ER and/or orthopedics preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $29.95 - $44.77 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job DescriptionBenefits: Opportunities for professional development and career advancement Internal Promotions CE Credits Stipends Mentorship program Uncapped earning potential Supportive and collaborative team environment 75% new business commission, 25% renewal commission About the Role As a Sales Professional, you will be responsible for driving new business growth and building strong relationships with clients. You will utilize your sales skills to identify client needs, present tailored insurance solutions, and close sales to achieve your targets. Key Responsibilities Identify and pursue new sales opportunities through various channels Develop and maintain strong relationships with clients and prospects Present and explain insurance products and services to potential clients Customize insurance solutions to meet the specific needs of clients Meet and exceed sales targets and performance goals Stay informed about industry trends, market conditions, and competitors Qualifications Minimum of 1 year of insurance sales experience Proven track record of meeting or exceeding sales targets Excellent communication, negotiation, and interpersonal skills Strong problem-solving abilities and attention to detail Active insurance license in Oklahoma required Proficiency in CRM software and Microsoft Office Suite If you're passionate about insurance and committed to delivering outstanding service to clients, we'd love to hear from you! Join us in helping our clients protect what matters most! This is a remote position.

The Field Data Analysts collect, process, and perform statistical analysis of operational data and translate the numbers into layman's terms. By identifying trends, they help make sense of how the unit works. Through data, they make predictions and recommendations to improve overall unit success. Field Data Analysts regulate, normalize, and calibrate data that can be used alone or with other numbers. They use charts, graphs, tables, and graphics to explain what the data means across specific amounts of time or across departments. This is a remote position. Essential Functions & Responsibilities: Support and contribute to data collection efforts, as needed Support and partner with team members and management across departments and units Runs and analyzes reports and may participate in report development, specification design, and the facilitation of report testing Analyze and interpret data to relay actionable recommendations at all levels with consideration for growth, cost reduction and optimization of operational performance Perform analytics appropriate to the field lines of business including but not limited to modeling, forecasting, predictive analytics Monitor data management processes to ensure data quality and consistency Suggest ways to improve data management and use of technology (i.e. increase accuracy, automate tasks) throughout the unit, particularly as they relate to reports, existing spreadsheets, programs, systems and data warehouses Complete market intelligence studies and summarize results in a clear and concise way including suggestion for action plans Create dashboards used for daily reporting to Senior Management Work with technical and business stewards to help synthesize questions, understand the data structures and query the correct answer in way that is easily understood Additional projects and duties as assigned Knowledge & Skills: Comfortable with statistics and various datasets Strong critical thinking skills and attention to detail Has ability to assist with problem solving Is a leader and critical thinker Has creative vision, a passion for learning and willingness to adopt and share new ideas Ability to review large sets of data and break down into meaningful information Knowledge of business process analysis concepts Excellent written and verbal communication skills Ability to work well within a team setting Functions at a high level with minimal supervision Must be organized and adaptable in a rapidly changing environment Ability to engage in conversation on internal issues, prioritize issues, efficiently troubleshoot problems and recommend solutions in a timely and customer focused manner Experience in visual report building, development of analytics dashboards, and working with complex data sets Education & Experience: Associate's degree in business or technical field required, Bachelor's degree preferred Working knowledge of insurance principles strongly desired Skills in spreadsheets, databases and Excel macros Experience in visual report building, development of analytics dashboards, and working with complex data sets PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $54,075 - $80,926 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CorVel CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI_Remote

As an EDI Operations Automate Support Analyst with CorVel Corporation, you will provide Automate technical support during and after implementation of healthcare electronic data interchange (EDI) solutions. *Please Note* This is not an ANSI X12 related position. You will be supporting XML & flat file data exchanges, using proprietary import and export applications As an EDI Operations Automate Support Analyst, you will also conduct analysis of EDI transactions in Automate and are responsible for documentation and related training. You will be involved in the daily monitoring of file transmission and troubleshooting of issues impacting successful receipt or delivery of client files. Additionally, you will be responsible for the setup and support of new file automation processes and jobs within the department. Qualified candidates for this position will be a detail-oriented, hands-on, result-driven individual with proven communication skills and a strong work ethic to work in a challenging, fast-changing, and energetic environment. This is a remote position ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Support automated file transfers between CorVel and trading partners Interpret business needs and contribute to the overall design of EDI automation implementations. Identify process gaps and areas where improvements can be made. Actively monitor, audit, and report on the processing of newly implemented trading partners to confirm a successful transition to the production environment. Effectively manage multiple projects while ensuring the accuracy and timeliness of daily production processes. Provide production support through EDI operations processes for CorVel trading partners (customers, vendors, carriers, etc.), including troubleshooting and communication with trading partners, internal business users and IT colleagues. Create, review and maintain documentation related to Automate operations implementations and processes Monitor the production environment and proactively prioritize, communicate and help to resolve any operational EDI process or system issues. Communicate project scopes, timetables, and deliverables to all echelons of CorVel's organization. KNOWLEDGE & SKILLS: Experience using the Automate software suite (Help Systems / Fortra) Strong analytic problem solving Ability to understand complex relationships between systems and data. Ability to work independently and in a continuously changing environment. Ability to plan, prioritize, balance, and review a variety of projects that must be completed with competing timelines. Strong interpersonal and communications skills, both verbal and written across the organization Experience with designing/following test plans and communicating results. Fundamental understanding of relational databases and database design/concept (SQL Server or similar). Experience writing simple to moderate SQL queries. Experience using encryption tools such as PGP. EDUCATION & EXPERIENCE: Exposure to the healthcare industry. Experience with EDI PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $62,306 - $93,123 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CorVel CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job DescriptionSENIOR SYSTEMS ENGINEER - REMOTE ARC Group has an immediate opportunity for a Senior Systems Engineer with strong cloud infrastructure experience (AWS, Azure)! This position is 100% remote working eastern time zone business hours. This is starting out as a contract position running through December 2025 with strong potential to extend longer or convert to FTE. This is a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Reference # 19055-1 Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). Project Scope: This is a production-oriented role, focusing on supporting financial tool integration (Flexera) with enterprise Cloud(s). Requirements: Extensive working knowledge of multiple technologies and their interfaces and integration Competent working in one or more environments highly integrated with an operating system. Extensive experience implementing and administering/managing technical solutions in major, large-scale system implementations High critical thinking skills to evaluate alternatives and present solutions that are consistent with business objectives and strategy. Ability to manage tasks independently and take ownership of responsibilities Ability to learn from mistakes and apply constructive feedback to improve performance Ability to communicate technical information clearly and articulately Ability to adapt to a rapidly changing environment Experience analyzing business requirements and translating them into technical solutions Experience using Agile methodology Understanding of the integration process: Engineering, Architecture, and Financial Integrations involved (NICUS & FLEXERA) - Nice to have Required Experience: 5-8 years of related work experience or equivalent combination of transferable experience demonstrating proficiency and experience in design, implementation, monitoring and troubleshooting technology Minimum 8 years of Cloud infrastructure exp. (Google, AWS, or Azure) Strong communication skills Required Education: Related Bachelor's degree in an IT related field or relevant work experience Interested? Email your most updated resume to *****************************, or apply online and explore other opportunities at******************* ARC Group is aForbes-ranked top 20 recruiting and executive search firm, connecting top technical talent with clients nationwide. We pride ourselves on understanding both candidates and clients goals and serving both with integrity and excellence. ARC Group is anequal opportunity workplace, committed to building a diverse workforce. Position is offered with no fee to candidate.

CorVel is seeking a Medical Access Assistant (Provider Relations Specialist). The Provider Relations Specialist assists injured workers, claims examiners, attorneys, providers, etc. in locating providers within the medical provider network (MPN), verifying provider inclusion in an MPN and scheduling appointments upon request for the injured worker. This position includes a moderate volume of inbound calls and a high volume of outbound calls. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receive incoming calls, emails and faxes from the Medical Access Assistant line Provide excellent customer service and act as network liaison to injured workers, claims examiners and providers Triage requests and ensure they are completed within required timeframes Locate providers of a particular specialty within a designated area as requested by the caller Verify providers are within a specified network and/or have a contract with CorVel Schedule appointments for injured workers upon request Follow all guidelines set by the California Code of Regulations Assist callers in navigating our website directory Call providers to verify demographic information (address, phone number, WC acceptance, etc) Answer questions from callers regarding their MPN; transferring the caller to the appropriate department if we are unable to assist Work with the Network Relations team to correct any discrepancies in the database Communicate to the contract developers if there is a need for certain specialties in a geographic area Multitask, utilize multiple programs and resources Various additional duties as assigned KNOWLEDGE & SKILLS: Ability to write and speak clearly, easily communicating complex ideas across multiple platforms Ability to maintain composure in stressful situations and communicate diplomatically via telephone, fax, email or face to face interactions Ability to work independently and prioritize tasks Computer proficiency with the ability to utilize MS Office and other programs Effective quantitative, analytical and interpretive skills Strong interpersonal, time management and analytical skills. EDUCATION & EXPERIENCE: Medical background and/or workers' compensation experience Call center experience a plus but not required PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $16.90 - $22.89 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CorVel CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

The Utilization Review (UR) Intake Specialist provides staff support services including typing reports and correspondence, file handling and forms completion in addition to answering incoming telephone calls, supporting the goals of the Utilization Review / Case Management department, and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Takes calls relating to precertification requests Verifies that all patient, provider and facility information entered in system is accurate and up to date Enters notes and service requests in CareMC system Communicates with stakeholders in a timely and professional manner Additional duties as assigned KNOWLEDGE & SKILLS: Ability to handle multiple priorities in a high-volume, fast-paced, team-oriented environment Excellent written and verbal communication skills Ability to meet designated deadlines Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to remain poised in stressful situations and communicate diplomatically via all methods of communication Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: High School diploma or equivalent required A.A. degree or equivalent preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $16.36 - $26.31 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI_Remote

The Indemnity Claims Specialist manages within company best practices lower-level, non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional, supporting the goals of claims department and of CorVel. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claims, confirms policy coverage and acknowledgment of the claim Determines validity and compensability of the claim Establishes reserves and authorizes payments within reserving authority limits Manages non-complex and non-problematic medical only claims and minor lost-time workers' compensation claims under close supervision Communicates claim status with the customer, claimant and client Adheres to client and carrier guidelines and participates in claims review as needed Assists other claims professionals with more complex or problematic claims as necessary Additional duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to learn rapidly to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize Microsoft Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to meet or exceed performance competencies Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: Bachelor's degree or a combination of education and related experience Minimum of 1 year of industry experience and claims management preferred State Certification as an Experienced Examiner PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,807 - $83,551 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

The Provider Data Specialist is responsible for maintaining the accuracy of data in CorVel's national provider database (NDB). This database contains provider demographic information that drives the National PPO lookup and plays a crucial role in the bill review process. The is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Provider Requests - Responsible for researching credentialing, NPI, specialty, licenses and certifications required prior to adding providers and contracts, as requested through the Provider Request Manager housed within MedCheck (provider add and network review requests). It is essential that the Provider Requests be processed within 24 hours for live bills Responsible for notifying PPO staff via email when items need to be escalated due to being beyond the limitations of the Provider Data Specialists knowledge, skills, ability or authority Responsible for adding and terminating providers to the PPO within 5 days of receiving via SharePoint and/or group mailbox Responsible for updating and maintaining PPO Roster, performing all necessary changes within 30 days of receiving via SharePoint Responsible for updating Provider Portal within 30 days of receipt via the Provider Request manager housed within MedCheck Correct historical errors, or errors made in day-to-day NPDB, in manual reports as requested by manager Ensure data integrity by merging or removing duplicate records created by the PPO loading process Requires regular and consistent attendance Complies with all safety rules and regulations during working hours in conjunction with the Injury and Illness Prevention Program (“IIPP”) Additional projects and duties as assigned KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment EDUCATION & EXPERIENCE: High school diploma or equivalent Minimum 1 year experience in a professional office environment PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $16.36 - $26.31 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

Job DescriptionSr. Data Scientist (100% remote) ARC Group is currently seeking a Sr. Data Scientist to join a global leader in shipping and enterprise logistics services. The Data Scientist will be an integral part in helping the organization by working with numerous departments to develop solutions for customers, make sure products are as needed, and that quality and performance of products are met. This is NOT a junior position nor a developer role, it is a need for a Data Scientist that will look at arrays of capture points and customer data, model and analyze date to create better solutions and solve problems. This requires you to have permanent work authorization and not need sponsoring now or in the future. (No C2C, no brokering). Data Scientist Responsibilities: Align with SMEs to outline analytic requirements and devising the analytics that meet the requirements Develop data models top optimize and improve work of e-commerce functions Understand the flow of data in the domestic product portfolio and define new solutions to capture the right data to help measure performance Recognize emerging machine learning and pattern recognition algorithms and work with the team to integrate state-of-the-art algorithms into various solutions including product performance Become a SME for all domestic product portfolio data sources and help define interfaces across various data points to consolidate to produce required analytics Gain industry knowledge to understand and lead analyses of customer injection, market trends and competitive landscape Data Scientist Requirements: Bachelor's (master's is a plus) or higher from an accredited college or university in a quantitative discipline (e.g., statistics, mathematics, operations research, engineering, data science or computer science). Must have data modeling, predictive analytics and/or machine learning experience 5 years of related work experience in two or more of the following: designing/implementing machine learning, data mining, advanced analytical algorithms, advanced statistical analysis, artificial intelligence, or software engineering with data analysis software MUST HAVE experience in Azure and Azure Data Lake Storage / ADLS Hands-on work with Azure tools: Power BI, Azure Synapse and Azure Data Explorer, SQL. You should know how to build a report off Azure and link it to Power BI This is not a developer position, but you must possess strong SQL coding skills Experience in data mining and understanding of machine-learning and operations research is an advantage Analytical mind and business acumen with a problem-solving aptitude and the communication skills to utilize these skills Nice to have: Experience in data mining and understanding of machine-learning and operations research is an advantage Proficiency in Excel, PowerPoint, MS Access is a plus Knowledge of using machine learning workflow/toolkits i.e., Kubeflow and analytics engine i.e. Spark Any familiarity with other data analytics tools, data frameworks (e.g., Hadoop) is an asset Knowledge of Python will be a plus Would you like to know more about our new opportunity? For immediate consideration, please apply online while viewing all open jobs at ******************* . ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and clients' needs and goals and serving both with integrity and a shared desire to succeed. We are proud to be an equal-opportunity workplace dedicated to pursuing and hiring a diverse workforce.

We're seeking an experienced and entrepreneurial Head of Corporate Development to design and lead our acquisition strategy. You'll be responsible for identifying, evaluating, and executing acquisitions that expand our technology capabilities, accelerate innovation, and strengthen our market position. This is a high-impact, hands-on role ideal for a strategic thinker who thrives on building relationships, mapping markets, and executing deals from origination to integration. This is a remote position. Key Responsibilities Strategy & Leadership: Develop and continuously refine our M&A and partnership strategy aligned with corporate objectives. Build a structured acquisition roadmap targeting technology-driven companies that enhance our products, data, or technical capabilities. Present acquisition theses, valuation frameworks, and deal recommendations to executive leadership. Target Sourcing & Pipeline Development: Identify, research, and prioritize acquisition targets - from early-stage innovators to scalable niche players. Build and maintain a living market map of emerging technologies, competitors, and adjacent solutions. Establish strong relationships with founders, venture capital funds, accelerators, and M&A advisors. Deal Execution: Lead the end-to-end transaction process: evaluation, financial modeling, due diligence, negotiation, and closing. Coordinate internal and external resources (finance, legal, technology, HR) to execute transactions efficiently. Manage NDAs, LOIs, term sheets, and integration planning in collaboration with functional leaders. Integration & Value Realization: Partner with business unit leaders to ensure smooth post-acquisition integration and realization of synergies. Track and report on deal performance metrics, including capability impact, cultural fit, and financial outcomes. Qualifications: 3+ years of experience in corporate development, M&A, private equity, or investment banking, ideally with exposure to technology or software sectors. Proven ability to source and close deals independently, not just manage a process. Strong analytical and financial modeling skills; comfort with valuation of early-stage and IP-driven businesses. Excellent relationship builder - able to engage founders, investors, and executives with credibility. Demonstrated experience in technology assessment, product integration, or innovation strategy is a major plus. Entrepreneurial mindset: scrappy, curious, and persistent in finding “off-market” opportunities. What Success Looks Like in the First Year: A defined acquisition playbook and deal-sourcing funnel is established. Multiple high-quality targets under active evaluation or NDA. A repeatable framework for diligence, valuation, and integration built and operationalized. Recognized internally as the go-to voice for inorganic growth strategy. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $95,950 - $149,210 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CorVel: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

The CERIS Professional Review Nurse provides analysis of medical services to determine appropriateness of charges on multiple types of medical bills and review of medical reports to determine appropriateness of medical care. Clinical and/or technical expertise is utilized to address the provision of medical care and to identify inappropriate billing practices and errors inclusive of, but not limited to; duplicate billing, unbundling of charges, services not rendered, mathematical and data entry errors, undocumented services, reusable instrumentation, unused services and supplies, unrelated and/or separated charges, quantity and time increment discrepancies, inconsistencies with diagnosis, treatment frequency and duration of care, DRG validation, service/treatment vs. scope of discipline, use of appropriate billing protocols, etc. This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Identify the necessity of the review process and communicate any specific issues of concern to the claims examiner/client and or direct reporting manager Collect supporting data and analyze information to make decisions regarding appropriateness of billing, delivery of care and treatment plans Completely document work and final conclusions in designated computer program Adhere to regular and consistent work attendance Comply with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP) and other requirements as outlined in the Employee Handbook Responsive to additional Professional Review job duties as assigned by management or determined by legislative changes and/or market changes KNOWLEDGE & SKILLS: Must be able to communicate concisely and effectively in writing and verbally Must have the ability to interface with the claims adjusters, attorneys, physicians and their representatives, and advisors/clients, and co-workers Must have the ability to effectively promote all Professional Review products with attorneys, claims examiners, customers and management Must also have a strong ability to negotiate provider fees effectively Must be computer literate Knowledge of worker's compensation claims preferred EDUCATION & EXPERIENCE: Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of 4 years clinical experience A minimum of an Associate Degree in Nursing as well as have a thorough knowledge of both C.P.T. and I.C.D.10 codes is preferred Medical bill auditing experience preferred Experience in the clinical areas of O.R., I.C.U., C.C.U., E.R., and orthopedics preferred Prospective, concurrent and retrospective utilization review experience preferred PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $47,061 - $70,236 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. About CERIS CERIS, a division of CorVel Corporation, a certified Great Place to Work Company, offers incremental value, experience, and a sincere dedication to our valued partners. Through our clinical expertise and cost containment solutions, we are committed to accuracy and transparency in healthcare payments. We are a stable and growing company with a strong, supportive culture along with plenty of career advancement opportunities. We embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

PROVIDER AUDIT AND REIMBURSEMENT LEAD AUDITOR (CMS) - REMOTE ARC Group has an immediate opportunity for a Provider Audit and Reimbursement Lead Auditor (CMS)! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Job Description: The Provider Audit and Reimbursement Lead utilizes advanced knowledge of Medicare laws, regulations, instructions from the Centers for Medicare and Medicaid Services (CMS), and provider policies to perform desk reviews and audits of the annual Medicare cost reports, as well as interim rate review/reimbursement, and/or settlement acceptance/finalization for all provider types, including complex and organ transplant hospitals, as both a preparer and reviewer of work product based on established performance goals. The position will mentor and train Auditors and In-Charge Auditors and oversee daily workload of unit team. ESSENTIAL DUTIES & RESPONSIBILITIES Lead Accountabilities (60%): Coordinates with management by overseeing the unit's daily workload. Routinely uses independent judgment and discretion to make decisions for self and less experienced auditors with regard to additional time and procedures; identifies and raises errors to the attention of supervisor and/or provider and identifies and communicates actions to correct same. Prioritizes auditor work and ensures that audit work is completed on time. Recognizes data needs for self and other auditors; develops plan of work for less experienced auditors (10%) Analyzes working papers and cost reports for errors. (10%) Reviews workpapers of auditors for correctness, control and adherence to Generally Accepted Accounting Practices (GAAP), Generally Accepted Accounting Standards (GAAS) and Government Auditing Standards (GAS) as required. Examines and reviews workpapers upon completion of the audit to ensure compliance with CMS Uniform Desk Review (UDR), policy, or technical direction and reflects proper reference, clear and concise conclusion of the major audit categories and assembly of working papers into logical sequence. (10%) Reviews, evaluates and approves the disbursement of tentative cost settlements in compliance with Federal and State Government regulations for each class/type of provider within area of responsibility. (5%) Develops technical competence and constructive work attitudes in self and less experienced auditors; strives to build an effective team and to develop the growth needs of individual members of his/her team. (10%) Coordinates the assignments and subsequent development of auditors based on their training needs; explains work to be performed and principle or objective of procedure; provides accurate and constructive coaching, mentoring, and training of team members. Identifies training needs within the team and/or department. (5%) Manages, implements and coordinates an internal quality control program in conjunction with the Internal Quality Control (IQC) department and provides reasonable assurance that the Provider Audit and Reimbursement Department has established, as well as is following, adequate policies, procedures, and is following applicable auditing standards. (5%) Facilitates the development of Quality Management System (QMS) policies and procedures. (5%) Auditor Accountabilities (40%) Performs audit functions including those which are non-routine; keeps track of instructions for many projects simultaneously. Presents and defends adjustments and workpapers to provider with minimal consultation from manager. (10%) Coordinates large audits and/ or diverse audits independently while seeking help on truly unusual or major items. (10%) Uses professional communication techniques in own and auditor's work and in conclusions drawn from the work. (5%) Establishes and maintains constructive provider relations by demonstrating a professional approach, expressing positive corporate image. Advises providers on Medicare policy questions and directs other questions to responsible departments or personnel. (5%) Conducts entrance and exit conferences and meetings away from office as needed. (5%) Perform other duties as the manager may deem necessary (5%) REQUIRED QUALIFICATIONS Bachelors' degree or a combination of education and experience in disciplines such as auditing, accounting, analytics, finance or similar experience in lieu of a degree In addition to having a thorough understanding of the Medicare cost report, including the step-down method, the candidate must possess the required work experience to independently perform the duties of the position. To demonstrate the necessary experience, the candidate must have performed the following tasks at a sufficiently successful level to show understanding of the work, judgment, and the ability to perform these tasks independent of supervision, which is generally gained through 2.5 to 3 years of Medicare cost report auditing experience: A Uniform Desk Review (UDR) and an audit for a large or complex hospital, as the in-charge auditor A review of Medicare Bad Debts, inclusive of all relevant sample selection and testing according to CMS standards A review of DSH, inclusive of all relevant sample selection and testing according to CMS standards A review of IME/GME, inclusive of reviewing rotation schedules, bed count and all relevant testing according to CMS standards A review and appropriate approval of an audit's scope A supervisory review and approval of all work papers* Sample testing, transferring of testing to the audit adjustment report, and explaining the adjustments to a provider with the achievement of understanding by the provider* Assistance to audit management in the assignment and monitoring of workload, as well as leading junior team members Additionally: The auditor must display leadership skills by being integrally involved in junior auditor formal training or assisting on special projects, or have been a Subject Matter Expert (SME)* The auditor must be able to prepare workpapers according to CMS standards The auditor must have a good working knowledge of all applicable software applications The auditor must be able to serve as an effective mentor for less experienced staff The auditor must demonstrate engagement, commitment to departmental success, and professionalism by completing their work within prescribed deadlines, taking ownership of their work and setting an example for more junior auditors and staff by consistently and reliably working the time necessary to properly complete their duties, timely attending meetings, providing adequate notice to management and co-workers when unexpected issues arise, and ensuring work is properly covered in the auditor's absence. Demonstrated oral and written communications skills Demonstrated ability to exercise independent judgement and discretion Demonstrated attention to detail PREFERRED QUALIFICATIONS 3 to 4 years of Medicare cost report auditing experience Demonstrated work experience to independently perform: A review of Nursing & Allied Health Education (NAHE), inclusive of calculating the additional add-on payment and all relevant testing A review of Organ Acquisition costs, inclusive of all relevant testing Requirements This opportunity is open to remote work in the following approved states: AL, AR, FL, GA, ID, IN, IO, KS, KY, LA, MS, NE, NC, ND, OH, PA, SC, TN, TX, UT, WV, WI, WY. Specific counties and cities within these states may require further approval. In FL and PA in-office and hybrid work may also be available. Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke ******************** or apply online while viewing all of our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

CorVel is seeking a Medical Scheduler (Scheduling Coordinator) for our Medical Scheduling Departments. The Scheduling Coordinator is responsible for participating in the daily operations and maintenance of the Medical Scheduling Departments. Primary duties include facilitating and scheduling medical services for claimants. This position is eligible to work from home. This is a remote position - candidates need to reside in Central or Eastern time zones. Shift will be Mon - Fri 1:30 PM - 10:00 PM EST A wired connection to your modem from a broadband internet network with a minimum bandwidth of at least 3 Mbps is required for this position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Proactively monitors and manages files using proprietary web based applications. Identifies potential problems and trends, proposes solutions and ensures no delay in care. Provides telephonic and written customer support services. Documents actions and correspondence between parties. Ensures files are complete with all appropriate documentation. Utilizes CorVel Intranet and SharePoint to remain current of all policies and procedures. Requires regular and consistent attendance. Complies with all safety rules and regulations during work hours in conjunction with the Injury and Illness Prevention Program (IIPP). Additional duties as required. KNOWLEDGE & SKILLS: Effective multi-tasking skills in a high-volume, fast-paced, team-oriented environment. Excellent written and verbal communication skills. Ability to meet designated deadlines. Computer proficiency and technical aptitude with the ability to utilize MS Office including Outlook and Excel. Strong interpersonal, time management and organizational skills. Ability to work both independently and within a team environment. EDUCATION & EXPERIENCE: High School diploma or equivalent required. PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $15.26 - $23.28 per hour A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

SYSTEMS ENGINEER (NESSUS) - REMOTE ARC Group has an immediate opportunity for a Systems Engineer with strong experience working with vulnerability scanning tools! This position is 100% remote working eastern time zone business hours. This is starting out as a contract position running through January 2025 with strong potential to extend longer or convert to FTE. This is a fantastic opportunity to join a well-respected organization offering tremendous career growth potential. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). Job Description: IT Systems Engineers are responsible for monitoring, installation, configuration, administration, troubleshooting and maintenance of technology solutions. IT Systems Engineers provide technical support, troubleshoot problem and perform scripting/programming to ensure stable and efficient operation of technology solutions. Essential functions: Performs installation, monitoring, testing, configuration, migration, maintenance and troubleshooting of assigned technology Manages system/application environment and ongoing operations Ensures that the technologies are updated with current, stable, and compliant architecture and applications that meet enterprise standards Researches, designs, implements and tests technology solutions Proactively monitors and reports performance and utilization of assigned technologies Troubleshoots software and/or hardware issues/failures Resolves alerts and performs remediation activities Manages problem or escalated tickets and tasks and out of cycle requests from systems/software owners Collects and presents data for reporting and planning Assists with developing tactical strategies, processes and procedures related to systems/application administration Determines migration and upgrade impacts and diagnose/resolve complex technology/application errors Collaborates with IT and business area partners on work groups and initiatives Determines best course of action for meeting business needs May provide input into infrastructure architecture designs Writes programming/scripting May participate in Disaster Recovery planning and exercises Ensures execution and alignment to architectural standards and blueprints. May contribute input to infrastructure architecture Performs on-call activities as needed for the environment and technologies Requirements: Extensive working knowledge of multiple technologies and their interfaces and integration Competent working in one or more environments highly integrated with an operating system. Extensive experience implementing and administering/managing technical solutions in major, large-scale system implementations Worked with Vulnerability tools but doing compliance with DISA STIGS or CIS Benchmark (Some examples of vulnerability tools are Eeye Retina, Tenable.SC, Tenable.io, Rapid 7, ACAS) Scripting experience with REGEX or Python Excel CISCO/Networking Experience or Unix/Linux Experience Required Experience: 3-5 years of related work experience or equivalent combination of transferable experience demonstrating proficiency and experience in design, implementation, monitoring and troubleshooting technology Musts: - Vulnerability tools (ex: Eeye Retina, Tenable.SC, Tenable.io, Rapid 7, ACAS) - Know compliance standards (STIGS or cis benchmarks) - Python/REGEX Required Education: Related Bachelor's degree in an IT related field or relevant work experience Security+ or Other Applicable Certs. Would you like to know more about our new opportunity? For immediate consideration, please apply online and view all our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

Job DescriptionMEDICAL DIRECTOR - REMOTE ARC Group has an immediate opportunity for a Medical Director! This position is 100% remote working eastern time zone business hours. This is a direct hire FTE position and a fantastic opportunity to join a well-respected organization and have a positive impact on the lives of millions of people. At ARC Group, we are committed to fostering a diverse and inclusive workplace where everyone feels valued and respected. We believe that diverse perspectives lead to better innovation and problem-solving. As an organization, we embrace diversity in all its forms and encourage individuals from underrepresented groups to apply. 100% REMOTE! Candidates must currently have PERMANENT US work authorization. Sorry, but we are not considering any candidates from outside companies for this position (no C2C, 3rd party / brokering). SUMMARY STATEMENT The Medicare Contractor Medical Director (CMD) provides medical leadership and decision making for an organization that serves as a Medicare Administrative Contractor (MAC). This role serves as a liaison between the Centers for Medicare and Medicaid Services (CMS) and stakeholders. CMDs play a vital role in developing Local Coverage Determinations (LCDs) and ensuring compliance with Medicare policies, reviewing medical claims, and promoting evidence-based healthcare. ESSENTIAL DUTIES & RESPONSIBILITIES Clinical Expertise and Consultation 30% Provide leadership in clinical program outreach to the practitioner/provider/supplier/beneficiary community. Provide direction and assistance to clinical staff in conducting provider education, as well as assist in the development of clinical guidelines as needed. Keep clinical knowledge up to date and abreast of medical practice and technology changes. Serve as a subject matter expert in medical and clinical areas relevant to the Medicare program. Provide clinical consultation to internal teams (e.g., medical review staff, appeals teams) and external stakeholders. Provide the clinical expertise, scientific literature analysis, claims data analytics to effectively focus medical polical policy and reviews on identified problem areas. Collaboration and Leadership 30% Collaborate with CMS and other Medicare Contractors (e.g., A/B or DME MACs and others) to develop and update medical policies and articles based on clinical evidence and regulatory requirements. Work with multidisciplinary teams within the MAC to improve processes and ensure compliance with CMS directives. Liaise with CMS staff, medical societies, and other stakeholders to align goals and address emerging issues. Represent the MAC at CMS meetings and industry conferences. Strengthen the quality improvement procedures with emphasis on decision consistency and clinical education of clinical staff through various mechanisms including but not limited to overseeing Inter-Reviewer Reliability (IRR) reviews. Program Integrity 20% Support program integrity initiatives, including identifying trends in inappropriate billing practices or noncompliance. Ensure the proper application of Medicare regulations, national and local coverage determinations (NCDs and LCDs), and clinical guidelines. Participate in all phases of LCD development by leading the Local Coverage Determination (LCD) process to include development, revision, retirement, education, and decision making. Collaborate with investigative teams and law enforcement when required. Medical Review (MR) and Appeals 10% Oversee medical review activities to ensure appropriate and consistent decisions on claim determinations including pre- and post-payment determinations. Provide leadership in developing and implementing MR Quality Assurance Programs. Provide leadership in effectively focusing MR and developing internal MR guidelines. Review complex or high-level appeals and provide guidance on the application of Medicare policies. Provide support to the claim appeal process including assistance in the development of position papers and participation in the administrative process when needed such as Administrative Law Judge (ALJ) hearings. Provider Education and Communication 10% Provide leadership in the provider community (including interacting with hospital/specialty associations). Educate providers, individually or as a group, regarding identified problems or medical policy. Maintain Professional and Organization Relationships Performs other duties as the supervisor may, from time to time, deem necessary. Travel within and outside the assignedjurisdictions, as needed. Expected to be no more than 3-4 weeks/year but could vary based on business needs. REQUIRED QUALIFICATIONS MD or DO degree from accredited Medical School Minimum of three years clinical practice experience as an attending physician Extensive knowledge of the Medicare program, particularly the coverage and payment rules Work experience in the health insurance industry, a utilization review firm, or another health care claims processing organization in a role that involved developing coverage or medical necessity policies and guidelines. Knowledge, skill, and experience to evaluate clinical evidence, and to develop evidence-based medical necessity standards within the Medicare fee-for-service benefit structure Ability to develop strategies and processes to ensure evidence-based decision-making for policy in the Medicare population Basic understanding of medical coding conventions Ability to effectively communicate, collaborate with, and provide education on health care policy issues to both internal team members and external entities Ability to work collaboratively with internal staff to evaluate aberrancies, determine appropriate billing, coding, pricing, and utilization of services Proficiency with effective public speaking and ability educate providers Ability to work collaboratively with clinical and non-clinical team members Ability and desire to educate team members and external entities (i.e., CMS, providers, other federal agencies, law enforcement, etc.) Computer literacy, including proficiency using word processing, spreadsheets, presentation, and virtual meeting applications Ability to complete independent or computer-based training and education Certifications, Licenses, Registration: Current, active, valid, unrestricted license to practice medicine in at least one state or territory within the United States, never suspended or revoked in any state or territory of the United States Eligible for licensure within jurisdiction of enterpriseoperations Board Certified Doctor of Medicine or a Doctor of Osteopathy in a specialty recognized by the American Board of Medical Specialties for at least three years PREFERRED QUALIFICATIONS Experienced Physical Medicine and Rehabilitation (PM&R), Oncology, Radiology, Ophthalmology or Infectious Diseases professionals with five years of clinical practice MBA, MHA, MS in Management, or formal accredited coursework in medical systems management Demonstrated successful working experience in organized medicine group(s) (e.g., AMA, specialty society, state health department) as a committee chairperson or other leadership Medical Director experience in Medicare-related or commercial healthcare organization Coding and billing experience utilizing HCPCs, CPT, and ICD-10 codes Experience using GRADE methodology for literature analysis and performing systematic reviews Experience working with physician groups, beneficiary organizations, and/or congressional offices Would you like to know more about our new opportunity? For immediate consideration, please send your resume directly to John Burke at ******************** or apply online while viewing all of our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. At ARC Group, we are committed to providing equal employment opportunities and fostering an inclusive work environment. We encourage applications from all qualified individuals regardless of race, ethnicity, religion, gender identity, sexual orientation, age, disability, or any other protected status. If you require accommodations during the recruitment process, please let us know. Position is offered with no fee to candidate.

CorVel's Documentation and Training team facilitates learning transfer to improve performance across the organization. We collaborate with stakeholders across the enterprise-including product managers, software development, field operations, account management, sales, marketing, IT, and HR-to deliver high-value training materials that make a measurable difference in outcomes. We are looking for an excellent written and visual communicator who wants to work within a collaborative, creative team and operate as a sought-after, strategic business partner delivering high value training materials that make a meaningful, measurable difference in outcomes. We enjoy working on a wide range of projects in different mediums including e-learning, online help, hosted training, and video. As AI tools become more integrated into our applications, the role also requires strategic, consultative, and analytical skills alongside content creation. This is a remote position. Must be able to travel to Portland, OR 1-2 times a year. Local candidates more often ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Design and deliver instructional materials: * Consult and work closely with product managers, software developers, testers and business to identify needs, instructional requirements, and return on investment * Create, curate and keep content up to date, including e-learning, online help, job aids, explainer videos * Lead and/or participate in synchronous and asynchronous training sessions that maximize performance and knowledge transfer * Conduct focus groups and other outreach to discover usage patterns, potential issues, and enhancements to report to product management and development Support other trainers and informal trainers: * Provide guidance to people in other business units and operational departments who need help navigating the LMS or using available tools like PowerPoint and Snipping Tool LMS Administration * Help manage the LMS through creation and curation of courses, enrollments, notifications, reporting and learning plans Application integration * Work with developers to integrate help files and training materials into enterprise applications for just-in-time assistance KNOWLEDGE & SKILLS: * Healthcare experience preferred, or demonstrate strong business acumen from prior roles * Experience working with and designing materials for a wide variety of audiences and stakeholders including workers' compensation, claims professionals, case management, medical bill review, IT, HR, sales, and account management * Experience working within a software development process, including requirements analysis and communicating with developers to interpret for end-users * Exceptional written communication skills: ability to write clear, concise, grammatically correct materials, and edit/proofread your own work. * Excellent design sense and ability to create well-organized materials that conform to departmental style guidelines * Empathetic collaborator with subject matter experts able to translate complex technical and business information into content that is understandable to the relevant audience * Demonstrate strong knowledge of instructional design, delivery, and verification of understanding, including feedback loops * Exhibit adaptability and willingness to learn and adopt new tools and methodologies, especially AI-driven solutions * Ability to quickly learn and adopt new technologies, especially staying current with AI advancements in instructional design and content management applications REQUIRED EDUCATION & EXPERIENCE: * Proficiency with Microsoft Office, especially PowerPoint, Teams, and SharePoint * Proficiency with online help publishing, content management, and software simulation applications such as MadCap Flare, Articulate, Adobe Captivate, or similar software * Experience working with a learning management system (LMS) such as Docebo, Talent LMS or similar * Practical experience with AI tools such as Microsoft Copilot * Ability to work independently, manage multiple projects, and meet deadlines in a fast-paced environment * Familiarity with workers' compensation and healthcare management PAY RANGE: CorVel uses a market based approach to pay and our salary ranges may vary depending on your location. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. Our ranges may be modified at any time. For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role. The level may impact the salary range and these adjustments would be clarified during the offer process. Pay Range: $51,738 - $77,363 A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first. ABOUT CORVEL: CorVel, a certified Great Place to Work Company, is a national provider of industry-leading risk management solutions for the workers' compensation, auto, health and disability management industries. CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients. We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities. Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off. CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable. #LI-Remote

TECHNICAL SOLUTIONS ARCHITECT (REMOTE US BASED) ARC Group has an immediate opportunity for a Technical Solutions Architect for a US-based remote position to help with the technical implementation of Ivalua, ensuring successful integration with existing systems, including ERP, 3rd Party Risk Management, and catalog systems. W2 Contract Only No 1099/No C2C 100% REMOTE! Reference # 16889-1 Candidates must have permanent work authorization and work for any employer without sponsorship now or in the future. Third party candidates are not eligible for this role. Job Description Lead the technical implementation of Ivalua, ensuring successful integration with existing systems, including ERP, 3rd Party Risk Management, and catalog systems. Collaborate with business stakeholders to gather requirements, design, and develop solutions that meet business needs. Collaborate with PM to develop and execute a detailed project plan, including timelines, milestones, and resource allocation. Manage a team of IT professionals, including developers, analysts, and testers, to ensure successful project delivery. Ensure data migration, data quality, and data governance are properly addressed during the implementation. Develop and maintain technical documentation, including system design, architecture, and configuration. Collaborate with the Ivalua vendor team to ensure successful implementation, including coordination of vendor resources, and resolution of technical issues. Develop and execute testing plans, including unit testing, integration testing, and user acceptance testing (UAT). Ensure compliance with enterprise IT standards, security policies, and regulatory requirements. Provide technical support and training to end-users, including procurement teams, and other stakeholders. Develop and manage project budgets, resource allocation, and vendor contracts. Communicate project status, risks, and issues to stakeholders, including project sponsors, business leaders, and IT management. **Requirements:** Bachelor's degree in Computer Science, Information Technology, or a related field. At least 8 years of experience in IT, with a minimum of 5 years in a leadership role, leading large-scale IT projects. Proven experience with implementing cloud-based procurement or spend management systems, preferably Ivalua. Strong technical knowledge of ERP systems (Peoplesoft, Oracle, and SAP), 3rd Party Risk Management systems (Archer), and catalog systems. Excellent project management skills, with experience in Agile methodologies and IT service management frameworks (e.g., ITIL). Strong leadership and team management skills, with experience in managing cross-functional teams. Excellent communication and interpersonal skills, with ability to communicate technical information to non-technical stakeholders. Strong analytical and problem-solving skills, with ability to troubleshoot complex technical issues. Experience with data migration, data quality, and data governance. Experience in analytics, including data visualization, reporting, and business intelligence, using Microsoft tools such as Power BI, SSRS, and SSAS. Experience in code development using Microsoft stack, including.NET, C#, ASP.NET, and SQL Server. **Nice to Have:** Experience with Ivalua implementation and configuration. Knowledge of procurement processes and spend management best practices. Experience with DevOps practices and tools (e.g., Jenkins, Docker). Certification in cloud security (e.g., CCSK) or compliance (e.g., CISA). Experience with Microsoft Azure, including Azure Functions, Azure Data Factory, and Azure Data Lake Required Experience: 5+ years of related work experience or equivalent combination of transferable experience in Technology application design and development 5-8 years of work experience designing systems/applications architecture on progressively complex IT projects. Required Education: Related Bachelor's degree in an IT related field or relevant work experience Would you like to know more about our new opportunity? For immediate consideration, please apply online and view all our open positions at ******************* ARC Group is a Forbes-ranked a top 20 recruiting and executive search firm working with clients nationwide to recruit the highest quality technical resources. We have achieved this by understanding both our candidate's and client's needs and goals and serving both with integrity and a shared desire to succeed. ARC Group is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse workforce. Position offered by No Fee agency.