Customer Service Representative (Pharr TX or Brownsville TX area) Remote
Boise, ID jobs
Description & Requirements Maximus is looking for customer service representatives in and around the Pharr Texas/Brownsville TX areas. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs
Must reside within a 75 radius of the Brownsville or Pharr Texas area.
This position is fully remote; however, you must be able to go onsite to the Maximus Pharr Texas location to pick up equipment.
This position will require a favorable Federal suitability clearance post-hire as mandated by the client.
*Position is contingent upon contract award*
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are basic and routine.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
- Experience in a call center environment highly preferred
- Must Be a US Citizen
- This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US.
- Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client.
- Must be able to pick up equipment at the Maximus Pharr, TX Location.
Minimum Requirements
- High School diploma or equivalent with 6 months of customer service experience.
- Must be able to speak and read English clearly, professionally and fluently.
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EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
16.00
Maximum Salary
$
16.00
Easy ApplyQuality Analyst - Remote
Idaho Falls, ID jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
• Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
• Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
• Assist the center with taking calls as needed to support operations and maintain service levels.
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
• Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
• Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
• Maintain strong organizational skills to effectively track monitors across different lines of business
• Collaborate in the development and revision of procedures in response to operational changes.
• Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
• Make recommendations based on data analysis to enhance performance and service delivery.
• Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
• Assist in training initiatives aimed at improving agent performance and overall quality scores.
• Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
• Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
• Take calls as needed to support center operations and maintain service levels.
• Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
• Perform other duties as assigned by management.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
50,000.00
Maximum Salary
$
61,000.00
Easy ApplyDirector of Operations
Boise, ID jobs
Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and simplifying the channel for specialty products. Our mission is: together, we will lower the cost of specialty products for our customers.
**Position Summary:**
Reporting directly to the General Manager (GM) of Averon, the Director of GPO Operations plays a pivotal and strategic role within the organization. This position carries full responsibility and accountability for the development and execution of all operating processes essential to delivering high-quality services.
A key responsibility of the Director is to ensure consistency in operational procedures, promote efficient workflows, and conduct regular evaluations to identify opportunities for ongoing improvement. The Director is responsible for creating, tracking, and reporting important success metrics to leadership, ensuring clear communication and alignment with the organization's goals.
In addition to these core duties, the Director will be responsible for identifying, securing, and managing operations related to strategic partnerships. These partnerships are critical for driving enterprise value and delivering competitive advantages that benefit both customers and the business.
As the leader of GPO Operations, the Director must demonstrate strong business acumen, executive presence, and exceptional customer engagement and presentation skills. The ability to recognize emerging trends, provide informed guidance regarding their impact, and propose actionable solutions to seize new opportunities is essential. Furthermore, the role requires influential leadership capabilities, including the ability to lead and affect change across groups without direct reporting lines, and to interact effectively at all organizational levels.
**Location** - Fully remote
**Expectations**
+ Ability to apply advanced knowledge and understanding of GPO concepts, principles, and technical capabilities to manage a wide variety of projects.
+ Define and develop policies and procedures for the GPO operation's team.
+ Define and develop metrics on measuring outcomes and what is success.
+ Work on or lead complex projects of large scope.
+ Understand current GPO operational processes and be able to adapt to support future growth.
+ Manage, support and mentor less experienced colleagues.
**Responsibilities**
+ Oversee the development, implementation, and continual improvement of Operations strategy by leveraging expertise in the specialty pharmaceutical market and GPO operations.
+ Support cross-functional teams to refine operational processes and technology solutions for Wholesaler Contract Load, Contract Alignment, and Membership Management (including roster management, manufacturer notifications, participant contract performance, etc.).
+ Stay informed about competitors and identify areas for unique positioning.
+ Collaborate with other departments to determine necessary changes to processes and technology, then create and deploy effective solutions.
+ Supervise all aspects of the GPO operating model and team, ensuring efficient and productive workflows.
+ Develop metrics, dashboards, and reports to track performance and keep senior leadership informed.
**Qualifications**
+ **Experience** :
+ Targeting 5+ years of relevant professional experience.
+ 5+ years of leadership and team management demonstrated, including supervision of direct reports.
+ Experience with pharmaceutical Group Purchasing Organizations (GPOs) and strategic partnerships.
+ Firsthand knowledge of specialty pharmaceutical manufacturers and trade concepts.
+ Strong understanding of GPO operations, including work with Manufacturer partners and Wholesalers.
+ Proven entrepreneurial skills in strategy development and team building.
+ Solid grasp of pharmaceutical distribution systems.
+ Successful history leading cross-functional teams and managing complex programs.
+ **Technical Skills** :
+ Advanced Microsoft Office Skills (Excel, PowerBI, MS Teams, SharePoint, etc.).
+ Proficiency with Contract Management software (willingness to learn).
+ **Analytical Skills** :
+ Proven ability to efficiently and effectively use advanced analytical skills to gather insights and data from multiple platforms to support business analyses.
+ **Soft Skills** :
+ Demonstrated ability to manage multiple workstreams.
+ Strong collaborator with solid communication skills.
+ Customer service, problem-solving, and analytical skills.
+ Strong attention to detail and process driven.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Mental Health Counselor
Boise, ID jobs
Job DescriptionBenefits:
401(k)
Competitive salary
Dental insurance
Health insurance
Paid time off
Vision insurance
Primary Behavioral Health Services is a new outpatient mental health agency Boise, ID. Primary Behavioral Health Services goal is to offer the highest quality, outpatient behavioral healthcare to our community in order to promote a high level of independence, empowerment, and support.
Our office is looking for a part-time or full-time therapist to take on new clients as they are rapidly being referred to our office. You will begin as part-time and will build into full-time as your client load builds, which should not take too long.
We are seeking Mental Health Counselors (LCSW, LCPC, LPC, LMSW, LMFT) to join our team and grow with us. Our focus is providing outpatient services to children, teenagers, and adults.
As a mental health counselor, you will be required to provide/complete Comprehensive Diagnostic Assessments, treatment plans, psychotherapy sessions, along with completing clinical notes/required paperwork in a timely manner while following HIPAA privacy laws.
*Remote or in-office positions available
Our work environment includes:
Safe family work environment
Relaxed atmosphere
Casual work attire
On-the-job training
Professional development
QUALIFICATIONS:
Licensed within the State of Idaho or ability to become licensed - LMSW, LCSW, LPC, LCPC, LMFT
Masters degree required
Ability to pass enhanced background check
Benefits:
Health Insurance and Vision, 401k, Dental, and 401k
Paid time off
Cancellations Bank Accrual
Clinical Supervision
Free CEUs
Phone/Hotspot Reimbursement
7 Paid Holidays
Flexible work from home options available.
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Idaho Falls, ID jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplySenior Coordinator, Individualized Care
Boise, ID jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Proactive follow-up with various contacts to ensure patient access to therapy
+ Demonstrate superior customer support talents
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Must communicate clearly and effectively in both a written and verbal format
+ Must demonstrate a superior willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Must self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
+ Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Support team with call overflow and intake when needed
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED or technical certification in related field or equivalent experience preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/4/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Quality Control Analyst (January 2026) - Veterans Evaluation Services
Idaho Falls, ID jobs
Description & Requirements Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA"). A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.
Due to contract requirements, only US Citizens or a Green Card holder can be considered for this opportunity.
This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available.
- Must be willing and able to work overtime as needed
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
- Must currently and permanently reside in the Continental US
- In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
Minimum Requirements
- Associate degree required; Bachelor's degree preferred.
- Two (2) years of Quality experience may substitute for educational requirement.
- Experience in Healthcare, Quality preferred.
- Intermediate knowledge of medical terminology.
- Excellent written and oral communication skills.
- Excellent analytical skills and attention to detail.
- Excellent multi-tasking skills.
- Excellent organizational and prioritization skills.
- Proficient in the use of Microsoft Office Products.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
21.64
Maximum Salary
$
30.30
Easy ApplyNon-Acute Pharmaceutical Sales Specialist
Boise, ID jobs
**This role will be 100% remote.** Be a part of the fast-paced Non-Acute pharmaceutical sales team- responsible for winning, maintaining and growing customer relationships. This direct sales and customer account management role is responsible for day-to-day activities like order resolution, placement, and account maintenance as well customer initiatives, sales presentations and more.
**_Responsibilities:_**
+ Wins and retains new business in assigned sales region.
+ Responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers and strategic accounts.
+ Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity.
+ Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Qualifications:_**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 2-4 years of account management or sales experience, preferred
+ Strong communication and organizational skills
+ Strong working knowledge of Microsoft Excel and Outlook
+ Experience using Salesforce or other CRM systems, preferred
**Anticipated pay range:** $57,000 - $81,600
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being starting on day one of employment.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan & employer match
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/29/2025 and may close sooner depending on the number of applicants. If interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-JC1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Supervisor, Customer Service
Boise, ID jobs
Cardinal Health Sonexus Health Pharmacy Services helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Sonexus Health Pharmacy, our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**Job Summary**
The Supervisor, Customer Service Management directly supervises staff that are performing customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for overseeing the staffing schedule, training, and monitoring of key performance indicators to meet the requirements as outlined by client contracts and internal standard operating policies. Through effective supervision, the Pharmacy Operations Supervisor contributes to high quality customer service and long-term retention of customers.
**Responsibilities**
The Supervisor, Customer Service Management leads program staff performing actions including: customer service, and other patient services.
+ Oversee daily operations for patient access support contact center team of up to 20 team members and provide daily support ensuring team members can perform job responsibilities.
+ Coach, teach, train, and mentor team members in a 100% remote setting while monitoring individual and team performance.
+ Create and maintain creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Coordinate and deliver recurring (weekly, monthly, and quarterly) reviews of program metrics / dashboards while proactively sharing results with internal and external senior leaders.
+ Assess/Test / Solution / Approve program changes including those related to Information Technology, platform upgrades, and modifications to program business rules.
+ Report system issues that can impact our client relationship management system (CRM) and/or productivity in a timely manner.
+ Manage employee timecards in addition to standard HR responsibilities as a people leader.
+ Open job requisitions, conduct interviews, and provide personnel recommendations to senior leaders.
+ Coordinate with senior leadership and Advice and Counsel Center to determine appropriate corrective action, not limited to termination when applicable.
+ Continually monitor program adherence, quality, attendance and address accordingly.
+ Report Corrective and Preventative Actions in a timely manner.
+ Coordinate with fellow supervisors and collaborate with business partners to provide effective responses and resolutions to complex program related issues.
+ Conduct recurring development-based 1x1s with team members focused on both performance and goal setting.
+ Effectively manage time and independently prioritize work responsibilities to meet key deadlines.
+ Maintain regular contact with client/3rd party partners by leveraging excellent verbal and written communication skills.
+ Contribute to the building and presentation of quarterly business reviews to clients (either virtually or in-person).
+ Proactively seek and implement process efficiencies to reduce team manual work.
+ Host recurring (bi-weekly/monthly) team meetings to discuss updates, process changes, team SLAs/KPIs, QA, trends, etc.
+ Work well independently and in a team setting by collaborating across different departments.
**Qualifications**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related fields of patient support programs preferred
+ Previous management experience preferred
+ Strong communication, presentation, and time management skills
+ Commitment to the continued development of oneself and team members
+ Advanced computer skills and proficiency in Microsoft Office including but not limited to Word (e.g. inserting tables, mail merge, tracking changes, updating headers and footers), Teams, Outlook, PowerPoint (e.g. updating slide layout, adding slides, adding & updating charts, and graphs, and updating themes), and preferred Excel capabilities including pivot tables, graphing, and graphing, and basic formulas
+ Travel may be needed to perform your duties up to 10%.
**What is expected of you and others at this level**
+ Coordinates and supervises the daily activities of operations or business staff
+ Administers and exercises policies and procedures
+ Ensure employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT the first week of employment. Attendance is mandatory. You must be on camera for all training. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of 8am - 7pm CT and overtime when required.
**REMOTE DETAILS** : All U.S. residents are eligible to apply to this position. You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $67,500.00 - $86,670.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Medical Director (Behavioral Health) - Idaho
Boise, ID jobs
Seeking a licensed, board certified psychiatrist. This is a remote position and will require Idaho license.
This position supports the clinical vision for the health plan(s) for all lines of business (Medicaid, Medicare, and Commercial) and implements programs to support this vision. May serve multiple health plans managed by the Clinical Center of Excellence.
Provides clinical leadership to the interdisciplinary Medical Management team, which includes clinical/medical oversight of clinical team members and consultation and training with care managers in order to address cost and quality of care. Provides day to day physician oversight to an assigned interdisciplinary UM team, including regular involvement in the case management of at-risk cases and medical necessity decisions. Follows high risk cases throughout treatment continuum from inpatient, rehabilitation, partial hospitalization, outpatient and other levels of care. Ensures that persons with severe, complex, and/or treatment resistant illnesses receive medically necessary coordinated care throughout the episode of treatment. Continues physician oversight of at-risk patients deemed appropriate for complex case management and timely completion of all utilization management activities. Involvement in the development of case management plans.
Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality of patient care, ensuring that patients receive the most appropriate care at the most cost-effective setting. Evaluates the effectiveness of UM practices and criteria. Actively monitors for over- and under-utilization. Assumes a leadership position relative to knowledge, implementation, training and supervision of the use of the medical necessity criteria.
Along with the Corporate Clinical team, implements clinical practice standards and policies developed by Magellan corporate and participates in management of activities. Develops, implements and interprets medical policy, technology assessments, and medical necessity guidelines.
Develops effective working relationships with practitioners, provider facilities, treatment programs, and may establish relationships and/or consult with client organizations. Confers directly with psychiatrists and other practitioners regarding the care of patients with severe, complex, and/or treatment resistant illnesses through peer review and educational interventions. Identifies and immediately follows up any quality of care concerns with practitioners and provider facilities and treatment programs involved in the member's care. Ensures that contract requirements, accreditation standards (e.g. NCQA), state policies and federal policies are implemented specific to each Magellan client. Works with teams on continuous quality improvement to ensure ongoing compliance in utilization and case management.
Participates in and maintains the integrity of the appeals process, both internally and externally. Responsible for the investigation of adverse incidents and quality of care concerns. Participates in preparation for NCQA and URAC certifications. Develops and provides leadership for NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead senior medical director, and quality improvement staff. May participate in various committees or project teams as directed by the senior medical director or vice-president.
Supports senior medical director in designing and implementing medical action plans.
Supports senior medical director in parity analyses and documentation.
Participates in committee work and JOC (Joint Operations Committee).
Maintains licensure requirements for other states as assigned by senior medical director and CMO.
Provides after hours coverage.
May need to work beyond typical business hours to meet health plan and Magellan deliverables.
Other duties as assigned.
The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.
Other Job Requirements
Responsibilities
Targeted specialties are Psychiatry, Psychiatric sub-specialty, Primary Care, Geriatrics, Palliative Care or Physical Medicine.
Doctor of Medicine (MD) degree OR Doctor of Osteopathic Medicine (DO) degree OR Bachelor of Medicine, Bachelor of Surgery (MBBS) international degree with successful completion of United States based internship and residency (and successful completion of United States based fellowship for subspecialists) required.
Successful completion of the ECFMG and FLEX examinations.
Full training in a residency program in the United States or Canada that is approved by the Accreditation Council for Graduate Medical Education (ACGME).
Post-residency experience of at least 3 years involving substantial direct patient care during this period at multiple levels of care.
Clinical experience pertinent to the patient population(s) being managed.
Unrestricted current and valid license or certification to practice medicine in a state or territory of the United States.
Ability and desire to lead through and effect appropriate changes.
Experience with cost-benefit analysis, medical decision analysis, credentialing, quality assurance and continuous quality improvement (CQI) processes. (Preferred, but not required for MRx MMUM).
After Hours coverage may be required.
General Job Information
Title
Medical Director (Behavioral Health) - Idaho- Remote
Grade
36
Work Experience - Required
Clinical
Work Experience - Preferred
Education - Required
DO, MBBS, MD
Education - Preferred
License and Certifications - Required
DO - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - PhysicianPhysician, MBBS - Bachelor of Medicine, Bachelor of Surgery - PhysicianPhysician, MD - Physician, State Licensure and Board Certified (ABMS or Specialty Board) - PhysicianPhysician
License and Certifications - Preferred
Salary Range
Salary Minimum:
$200,280
Salary Maximum:
$360,500
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
Auto-ApplyOutpatient Program Specialist
Idaho jobs
As the Outpatient Program Specialist, you will be responsible for overseeing and ensuring the success of quality improvement initiatives, including chronic disease management, behavioral health, and data reporting initiatives across our region. This is a remote position and the ideal candidate lives in Colorado, Idaho, Iowa, Kansas, Montana, Missouri, Nebraska, Oregon, or Wyoming. However, Telligen will consider internal candidates in other states.Essential Functions
You will support a team of Quality Improvement Advisors (QIAs) to ensure the delivery of effective technical assistance (TA), achievement of project goals, and compliance with deliverables.
You will serve as a subject matter expert in topic areas related to outpatient primary care practice, such as patient safety, risk assessments, process mapping, documentation and billing, and data reporting. You will facilitate the team's ability to identify opportunities for improvement, address challenges, and ensure the alignment of interventions with organizational and project-wide goals.
You will also be responsible for state, regional, and national partner engagement across the region, including ongoing support of relationships and collaborative activities.
Requirements
Bachelor's degree in nursing, public administration, public policy, public health, or a related field, required
Proven ability to design, implement, and support a regional technical assistance strategy tailored to providers' unique needs.
Comprehensive knowledge of primary care delivery, chronic disease management processes, and data reporting requirements. Direct experience in an outpatient setting preferred.
In-depth understanding of clinical quality measures and QI methodologies to identify gaps in care, including supporting implementation of evidence-based interventions that will improve outcomes and knowledge of barriers and drivers for improvement in key focus areas.
Proven ability to design and deliver effective training programs, workshops, and learning collaboratives to build capacity in quality improvement practices among healthcare professionals.
Preferred Skills/Experience
Clinical licensure (e.g., RN, LPN, MSW, PharmD).
Master's degree in public health, quality improvement science, health informatics, or related field.
Proven experience mentoring multidisciplinary teams, including quality improvement professionals or equivalent roles.
Proven ability to manage project timelines, meet deadlines, and produce detailed written reports.
Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences.
Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Auto-ApplyClinical Dietitian 2 REMOTE
Boise, ID jobs
**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training**
- Licensed RD
- Experience with MNT for obesity, diabetes, HTN, Lipid disorders
- NBC-HWC
- Mastery of the coaching process, foundational theories/principles of behavior change
- Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam
- Only coaching credential recognized by the National Board of Medical Examiners
* **No Credentialing required***
**JOB SUMMARY**
The Clinical Dietitian 2 provides nutrition therapy and education to patients, families and the community. Performs nutritional assessments of patients and develops care plans. Develops and conducts educational programs and in service training programs. Participates in multi disciplinary patient rounds and patient case conferences.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Conducts patient nutrition assessments on a combination of low and higher acuity patients within scope of practice, which may include both inpatient and outpatient. Utilizes assessment techniques which take into consideration the various needs of age specific populations as well as cultural, religious and ethnic concerns.
Provides appropriate and timely documentation that summarizes the nutrition care plan in the patient's medical record, including nutrition assessment, diagnosis, plan, implementation, and progress toward goals in the course of performing primary duties.
Assesses educational needs and the presence of barriers to learning. Provides nutrition counseling for individuals and groups, taking into consideration any adaptations to teaching methods necessary to meet patient learning needs. Provides education to both low and higher acuity patients within practice scope. Facilitates education to ensure compliance with food safety, sanitation and overall workplace safety standards within the Food and Nutrition Department, if applicable.
Evaluates achievement of learning objectives by the patient and family. Provides appropriate follow-up in accordance with the patient's treatment goals, and refers patient for outpatient counseling, community, or home health services, as appropriate. Conducts ongoing evaluations to lead to a correct nutritional diagnosis of the patient's problems and progress while maintaining safety and professional standards.
Interacts with medical staff as well as food and nutrition staff to ensure conformance with medical nutrition therapy. Interacts effectively with multidisciplinary teams to provide patient care that is integrated and compatible with the patient focused medical and nutritional goals.
Leads team conferences and provide food and nutrition related in services to other medical staff as required.
Assists in developing nutritional care and research protocols. Participates in quality assurance program by assisting in development of patient care criteria and analyzing actual care delivered.
Participates in organizing and executing health fairs and other related community events.
Assists in the development, research and revision of facility policies.
**KEY SUCCESS FACTORS**
Accountable for the proper use of patient protected health information.
Ability to deal with complex situations and resolve patient and customer service concerns.
Ability to give clear, concise and complete education and instructions.
Works well in a patient-centered environment as an integral team player.
Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to calm upset patient in a composed and professional demeanor.
Licensed Registered Dietitian preferred.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Masters'
- EXPERIENCE - 2 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Dietitians (RD)
* **No Credentialing required***
**Preferred Experience**
- Chronic disease (weight loss, diabetes)
- Strong behavioral change interest and/or experience
- Digital/virtual health experience
**Preferred Training**
- Licensed RD
- Experience with MNT for obesity, diabetes, HTN, Lipid disorders
- NBC-HWC
- Mastery of the coaching process, foundational theories/principles of behavior change
- Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam
- Only coaching credential recognized by the National Board of Medical Examiners
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Director, Information Security and Risk (Identity & Access Management)
Boise, ID jobs
**_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments.
The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes.
**Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings.
**Responsibilities**
+ Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs
+ Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization.
+ Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews).
+ Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data.
+ Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls.
+ Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers.
+ Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient.
+ Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions.
+ Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities.
+ Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership.
+ Lead training and awareness programs related to IAM policies, secure access practices, and identity governance.
**Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred.
+ Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred.
+ Proven track record of executing enterprise IAM programs with measurable business impact.
+ Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred.
+ Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD).
+ Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.).
+ Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM).
+ Certifications such as CISSP, CIAM, or CISM preferred.
+ Strong analytical, relationship management, and communication skills (both written and verbal).
+ Ability to collaborate across functions and influence stakeholders to achieve IAM program success.
**What is expected of you and others at this level**
+ Provides leadership to managers and experienced professional staff; may also manage front line supervisors
+ Manages an organizational budget
+ Develops and implements policies and procedures to achieve organizational goals
+ Assists in the development of functional strategy
+ Decisions have an extended impact on work processes, outcomes, and customers
+ Interacts with internal and/or external leaders, including senior management
+ Persuades others into agreement in sensitive situations while maintaining positive relationships
_\#LI-LP_
_\#LI-Remote_
**Anticipated salary range:** $135,400 - $228,910
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/25/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Community Based Rehabilitation Specialist/Case Manager
Boise, ID jobs
Primary Behavioral Health Services is a new outpatient behavioral health agency serving our growing number of Idaho residence with one vision. To embark on a path with our community and to ensure compassion, acceptance, respect, empowerment, and sincerity with each step we take together.
Primary Behavioral Health Services goal is to offer the highest quality, outpatient behavioral healthcare to our community in order to promote a high level of independence, empowerment, and support.
DUTIES/RESPONSIBILITIES:
Provides skill building and service delivery in accordance with the objectives specified/authorized in the individualized treatment plan and in accordance with Optum. The goals of this service is to aide clients in work, school, family, community, or other issues related to mental health to include one or more of the following: assistance in gaining/utilizing skills necessary to undertake school; employment; independence; interventions in social skills training/interpersonal behavior; assistance with receiving/accessing necessary services; development of skills as necessary for community integration and crisis prevention. These services are based in the community.
CBRS providers helps individuals within the community with their mental health and/or behavioral health needs while working towards obtainable goals.
Maintains appropriate documentation for service delivery, treatment reviews, and staffing requirements in accordance with Optum/payer sources.
Must be in possession of a laptop, or other device that is capable of running web based applications in order to document services with clients while working in the community.
Other duties as assigned or necessary to support the program and/or the company
Other Requirements:
Ability to work with diverse population
Responsible for timely completion of mandated paperwork and maintaining productivity standards
Complete all required training
Flexibility and ability to manage ever-changing priorities
Conduct assessments, crisis intervention, individual and family services
Maintain HIPAA, ethical standards and professional boundaries
Open to professional growth
Provide the best care possible
Education and Certification Requirements
Bachelor's degree from a national accredited university or college. . Requirement is dependent on client base served. Background in Social Work not required but would be applicable.
Must pass a criminal background check conducted by the DHW.
Proof of: valid ID driver's license, valid auto insurance coverage as well as proof of education are required.
Job Types: Full-time, Part-time
Salary: $23.00 per hour
Benefits:
401(k)
Dental insurance
Flexible schedule
Health insurance
Vison insurance
Paid time off
Professional development assistance
Opportunity for advancement within the company
Schedule:
Self-determined schedule
Flexible Schedule
Education:
Bachelor's (Required)
Flexible work from home options available.
Compensation: $23.00 per hour
Primary Behavioral Health Services is an outpatient behavioral health agency serving our growing number of Idaho residence with one vision. To embark on a path with our community and to ensure compassion, acceptance, respect, empowerment, and sincerity with each step we take together.
Primary Behavioral Health Services goal is to offer the highest quality, outpatient behavioral healthcare to our community in order to promote a high level of independence, empowerment, and support.
Our services includes: Psychotherapy, Community Based Rehabilitation Services (CBRS), Case Management, and Peer Support.
Our focus is on quality of care and service to our clients though:
C ompassion- towards the community we serve.
Acceptance-of everyone's right to compassionate care.
Respect- of everyone's unique path towards their own healing.
Empowerment-for everyone to have a voice and participate in their own care.
Sincerity- in how we treat each other every day.
How are we different?
We make every effort to pair a staff member who can best meet the needs of the client.
We work with the client and their support system to better assist with treatment.
We build relationship through constant involvement with client.
We maintain a low client/provider ratio to provide specialized attention to the client
Auto-ApplyCoder II - OP Physician Coding (Ortho Surgery)
Boise, ID jobs
** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair
**- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty
**- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment)
**- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations
**Lower Extremity:**
**- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy
**- Pelvis:** Fracture repairs
**- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs
**- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy
**- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain
**WORK MODEL/SALARY**
Days: Monday - Friday
Hours: 8hrs a day, 80hrs a pay period
100% Remote
The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience.
**JOB SUMMARY**
+ The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding.
+ The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery.
+ For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties.
+ Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding.
+ Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.)
+ The Coder 2 will abstract and enter required data.
**ESSENTIAL FUNCTIONS OF THE ROLE**
+ Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees.
+ Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing.
+ Communicates with providers for missing documentation elements and offers guidance and education when needed.
+ Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges.
+ Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately.
+ Reviews and edits charges.
**KEY SUCCESS FACTORS**
+ Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area.
+ Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function.
+ Sound knowledge of anatomy, physiology, and medical terminology.
+ Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits.
+ Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding.
+ Ability to interpret health record documentation to identify procedures and services for accurate code assignment.
+ Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables.
Must have one of the following Certifications:
+ Registered Health Information Administrator (RHIA)
+ Registered Health Information Technologist (RHIT)
+ Certified Coding Specialist (CCS)
+ Certified Coding Specialist Physician-based (CCS-P)
+ Certified Professional Coder (CPC)
+ Certified Outpatient Coder (COC)
+ Certified Inpatient Coder (CIC)
+ Certified Interventional Radiology Cardiovascular Coder (CIRCC)
**BENEFITS**
Our competitive benefits package includes the following:
+ Immediate eligibility for health and welfare benefits
+ 401(k) savings plan with dollar-for-dollar match up to 5%
+ Tuition Reimbursement
+ PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**MQUALIFICATIONS**
+ EDUCATION - H.S. Diploma/GED Equivalent
+ EXPERIENCE - 2 Years of Experience
+ CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed:
+ Cert Coding Specialist (CCS)
+ Cert Coding Specialist-Physician (CCS-P)
+ Cert Inpatient Coder (CIC)
+ Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC)
+ Cert Professional Coder (CPC)
+ Reg Health Info Administrator (RHIA)
+ Reg Health Information Technician (RHIT).
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Boise, ID jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyCoordinator II, Performance Monitoring
Boise, ID jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**What Performance Monitoring contributes to Cardinal Health:**
Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality.
**Responsibilities:**
+ Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit.
+ Conduct case audits to ensure correct process steps have been followed for the "patient journey"
+ Monitor calls and provide effective written feedback
+ Maintain knowledge of the client's program and product/service offerings.
+ Interpret and transcribe inbound and outbound calls from patients and health care providers.
+ Identify adverse events when monitoring calls.
+ Ensure documentation is in order following client regulatory guidelines.
+ Identify trends and training needs from call monitoring and escalate appropriately.
+ Work effectively with dynamic, integrated task teams
+ Maintain a work pace appropriate to the workload
**Qualifications**
+ HS Diploma, GED or technical certification in related field or equivalent experience, preferred.
+ 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset.
+ 2 years' quality review experience preferred.
+ Knowledge of medical terminology preferred.
+ Exceptional listening skills required.
+ Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.)
+ Multi-tasking, time management and prioritization skills considered an asset.
+ Bilingual Spanish would be an asset.
**What is expected of you and others at this level**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Training and Work Schedules** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (8-hour shifts, 40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 8:00pm CST.
**Remote Details:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $18.35 per hour - $26.40 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026. If interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Product Documentation Specialist, (Remote)
Boise, ID jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #LI-Remote
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyPreService Scheduling Specialist full-time days HYBRID (Boise, ID)
Boise, ID jobs
Saint Alphonsus Health System is hiring a PreService Specialist to support the Regional Scheduling Team. This position is responsible for scheduling patients for services within Saint Alphonsus Health System, performing insurance verification and prior authorizations, and notifying patients of their appointments prior to services being rendered.
Position Highlights and Benefits:
* Schedule Information: This position will be scheduled for 40 hours a week from 9am to 5:30pm Monday through Friday.
* Hybrid Eligibility: This role will be eligible for hybrid work after an initial training period as designated by the hiring manager.
* Day 1 Benefits for colleagues! Our comprehensive benefit package includes medical, vision, dental, paid time off, 403B, education assistance and more.
Minimum Qualifications:
* High school diploma or equivalent required.
* Associate degree or an equivalent combination of education and experience preferred but not required. Data entry skills (50-60 keystrokes per minute).
* Past work experience of at least 2 years within healthcare and/or payer environment performing patient access and/or customer service activities is highly desired but not required.
What You Will Do:
* Responsible for pre-registering the patient for upcoming visit(s) by interviewing the patient, family member and/or guarantor.
* Validates, obtains and enters demographic, clinical, financial, and insurance information into the patient accounting system.
* Utilizes multiple modes of communication (phone, fax, patient portal/e-mail, mail, etc.) and in a professional, accurate, efficient and courteous manner to obtain information and ensure good patient relations and a smooth billing process.
* During pre-registration calls, the position will provide information regarding directions, parking, transportation service, overnight accommodations, etc. Pre-Registration may be initiated by Scheduling staff with follow-up by the Pre-Service Specialist to ensure data integrity and completeness.
* Performs insurance eligibility/benefit verification, utilizing a variety of mechanisms (primarily EDI transactions and payer web access, and in some cases by calling payers directly) and documenting information within the patient accounting system. Outcomes of the insurance eligibility/benefit verification activity will determine next steps (designation as a Self-Pay account, referral to financial counseling, etc.).
* Determines need for appropriate service authorizations (pre-certifications, third-party authorizations, referrals) and will contact the physician and Case Management/Utilization Review personnel, as necessary.
* Informs patient/guarantor of their liabilities and collects appropriate patient liabilities, including co-payments, co-insurances, deductibles, deposits and outstanding balances at the point of pre-registration. Calculates patient liabilities and provides financial education, referring the patient to financial counseling, as required. Documents payments/actions in the patient accounting system and provides the patient with a payment receipt in the collection of funds.
* Validates medical necessity (LCD/NCD review) of Medicare and Non-Medicare cases to ensure clinical and financial clearance. Contacts scheduling and/or ancillary department staff for clarification, if cases require clarification of diagnosis and/or test(s)/procedure(s).
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Data Analyst - Technical Staff
Boise, ID jobs
This remote role supports the development and deployment of data analytics at Intermountain Health. As a Data Analyst-Technical-Staff, you will be part of a team that contributes to strategic initiatives, clinical standards, and operational goals through data insights. Reporting to senior leaders in Digital Technology Services (DTS), you will collaborate with business and clinical leaders across Intermountain Health. The team ensures data applications are maintained, monitored, promoted, and used effectively.
**Position Details:**
This is a remote position. Incumbent will work Monday-Friday during regular business hours.
We offer flexible work options where noted in the posting. Candidates in California, Connecticut, Hawaii, Illinois, New York, Rhode Island, Vermont, and Washington will not be considered. All remote roles require a Microsoft Teams video interview and may include onsite interviews and meetings.
**Essential Functions**
+ Primary support for management level leadership of a system/regional business or clinical area.
+ Meet regularly with leadership to provide work updates, set project priorities, and establish deliverable timelines.
+ Partner with Healthcare Data Advisors and Data Architects to ensure the integrity and accuracy of data for the area(s) they support.
+ Receive customer requests and develop/deliver meaningful information through data exploration, interpretation, report development and visual storytelling.
+ Effectively communicate analytic findings and recommendations to both technical and business executives. T
+ Regularly schedule and provide analytic work demonstrations and hands-on training for customers to promote understanding and independent consumption of analytic work.
+ Augment technical skillset through individual learning and participation in Intermountain analytic community educational offerings.
**Skills**
+ SQL & database design
+ Data visualization tools
+ Office applications proficiency
+ Communication skills
+ Health care data expertise
+ Lifelong learner
+ Individual & team success
**Minimum Qualifications**
+ Intermediate skills in SQL and database tasks.
+ Ability to create effective visualizations and dashboards.
+ Proficiency in office applications for daily tasks
+ Good communication skills with experience presenting data insights to peers.
+ Knowledge of healthcare data through relevant projects
+ Experience collaborating with team members and contributing to group projects.
+ Proficiency in Product Management, Project Management, or Program Management philosophies and methodologies, and capable of applying them to data analytic projects to ensure alignment with business goals and efficient execution.
**Preferred Qualifications**
+ Bachelor's degree in analytics related fields such as statistics, mathematics, information systems, computer science, finance, business management, or economics and two years of relevant experience performing statistical data analysis.
+ Previous experience with databricks.
+ Experience with healthcare finance.
+ Experience developing key performance indicators for healthcare systems (LOS, CMI, Net Revenue, etc.)
**Physical Requirements:**
Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.
**Location:**
Lake Park Building
**Work City:**
West Valley City
**Work State:**
Utah
**Scheduled Weekly Hours:**
40
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$39.57 - $62.29
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.