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Community Health and Counseling Services Remote jobs - 208 jobs

  • Inspection Associate

    South East Asia 3.8company rating

    Maine jobs

    Компанія BUREAU VERITAS була заснована у 1828 р. На сьогоднішній день представлена в 140 країнах світу. BUREAU VERITAS UKRAINE входить до складу міжнародної групи BUREAU VERITAS, що є світовим лідером у наданні широкого спектра послуг із сертифікації, класифікації, інспекції, проведення лабораторних випробувань, управління ризиками та навчання. Ми спеціалізуємося на якості, здоров'ї та безпеці, навколишньому середовищі та соціальній відповідальності (QHSE), допомагаючи підприємствам підвищити продуктивність і досягти відповідності міжнародним стандартам і місцевим нормам. Завдяки інноваційним рішенням і експертним послугам ми підтримуємо наших клієнтів у забезпеченні відповідності їхніх продуктів, інфраструктури та процесів найвищим галузевим стандартам Certified Welding Inspector - Maine The inspector is responsible for quality assurance on behalf of Bureau Veritas's client, in addition to on- site inspections during the construction phase. The ideal candidate must demonstrable experience in a similar position. Requirements: Communicating with the Project Managers to determine the specific requirements of a given work order, including the scope of work, deliverables, schedule, and budget for a particular assignment Communication with the Project Managers, fabrication shops, contractors, BV employees, and other third parties to resolve issues Reliable High Speed Internet connection Valid Driver's license, and a clean driving record Ability to successfully pass a background check and drug screen Ensure that the services provided are performed in accordance with the project requirements and contract with the client Fiscal ability to pay travel expenses for 1-2 weeks in advance. Travel expenses may include, but not limited to: lodging, meals, flights, rental cars, parking, tolls, public transportation, etc. Generate, process, and/or respond to the following (included, but not limited to): timesheets, billing reports, expense reports, emails, instant messages, and inspection reports in an expeditious/thorough manner, complying with all applicable deadlines. All reports must be submitted typewritten using Microsoft Word/Adobe Acrobat and must be electronically transmitted to the Project Manager Communicate information from the fabrication facility regarding upcoming assignments and potential work that Bureau Veritas could perform Maintain a positive relationship between Bureau Veritas, the fabrication facility, and the client Ability to work remotely, on-site, and or from established Bureau Veritas offices/work sites Client oriented approach with emphasis on understanding and fulfilling the needs of the client; Detail oriented with a dedication to the quality control and quality assurance process; ability to understand and read complex design and fabrication plans and specifications; Excellent communication and documentation skills, with ability to communicate technical issues to the Project Manager, clients, BV Employees, and the fabrication facilities. Proficiency with Desktop Computers/Laptops/Tablets and Microsoft Office Applications (including, but not limited to: Outlook, MS Teams, Word, Excel, and MS Calendar) required; along with knowledge of Adobe Acrobat and other word processing/document control software as needed Ability to multi-task and properly execute multiple simultaneous assignments without sacrificing efficiency or quality of the work; Team player willing to work with clients, field staff, other Bureau Veritas offices, and the world wide Bureau Veritas organization Use of PPE: Ability to identify situations where additional PPE (outside of standard issue) is required. Use of a camera (smartphone) and ability to insert photos into a document for client reports - Physical Requirements: Must be able to remain in a stationary position for long periods of time. The person in this position needs to occasionally move about inside the work space to access required areas Constantly operates a computer and other productivity equipment, and/or machinery. Included, but not limited to: smartphone, tablet, calculator, copy machine, and computer printer, etc. Frequently ascends/descends a ladder, and/or stairs to access required workspace Constantly positions self to access elevated or lowered work spaces The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations. The ability to observe details at close range (within a few feet of the observer or at a distance) Current AWS CWI Certification Required NDT Level II Preferred NACE Level II Preferred Compensation: $35-$45 Hourly - -
    $35-45 hourly 54d ago
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  • Quality Analyst - Remote

    Maximus 4.3company rating

    Portland, ME 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
    $59k-82k yearly est. Easy Apply 5d ago
  • Member Services Associate

    Better Life Partners 3.6company rating

    Portland, ME jobs

    Who we are:At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose. If you're looking to roll up your sleeves and meet hard challenges head-on, then we're looking for you. The Role: As a Member Services Associate, you will play an integral role in the provision of care and services to our members. The Member Services Associate is a critical first line of contact with our members, setting the tone for how our services are experienced and accessed. The role focuses on connecting our members to the appropriate care teams, scheduling appropriate services, answering questions and troubleshooting our members' telehealth experience in addition to interacting with community partners, pharmacies, and labs. The Member Services Associate helps members navigate the services and teams within BLP and paves the way for members to receive timely services. To be successful in this role, you have a passion for understanding the needs of others, problem-solving and finding solutions, thrive in a fast-paced, dynamic environment, and succeed at providing excellent customer service. You are flexible, adapt well to change, and most importantly, you are excited about our mission and committed to helping people through a sometimes difficult system. Unless otherwise specified, this position is remote (work from home). Candidates must reside in one of the following states: Maine, Maryland, Massachusetts, New Hampshire, New Jersey, North Carolina, Florida, Georgia, Pennsylvania, Rhode Island, or Connecticut.What you will do: Demonstrate and communicate the core values of Better Life Partners; Love, Act, Partner, Advocate, and Grow Act as a concierge for our services Promptly, professionally, and accurately respond to calls, emails, and text messages Coordinate meetings over Zoom between our members and providers or counselors. Accurately collect or verify member demographic, insurance, and additional information to ensure the member's profile is accurate and up to date in our proprietary electronic medical record platform Quickly identify member needs, clarify information, and transfer member calls to the right department Offer assistance and guidance to members in navigating their treatment plan, scheduling and rescheduling appointments, and liaising with clinical staff as needed Provide personalized support to members throughout their recovery journey, addressing any questions or concerns with compassion and understanding Exhibit cooperation, and flexibility, and provide assistance when interfacing with members, colleagues, and external partners Uphold the highest level of discretion and confidentiality when handling member information Continuously seek opportunities to enhance the member experience You are a good fit if you have: High school diploma or GED required Skills of handling complex inquiries normally obtained through 3 or more years of customer service experience (either via telephone, email and/or text) Proven experience working effectively in a remote work environment Strong computer literacy with the ability to multitask in a fast-paced environment is required Previous experience working with individuals diagnosed with substance use disorders is a plus Willingness and eagerness to learn, be flexible, and assist members and colleagues as needed Strong interpersonal and communication skills, with the ability to interact effectively with members from diverse backgrounds Excellent time management and strong attention to detail Exceptionally strong work ethic Bilingual ability is a plus but not required It will also be great if you have: A college degree Great listening skills with a passion for helping others. Delight and act with urgency solving problems for others and anticipating needs, with empathy and compassion for the unique needs of our members The ability to be a team player with an “all hands on deck” attitude Work location requirements: BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they're located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs. When working from home, the requirements include: Must have reliable internet service with a fast upload/download ability Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions In addition to a competitive compensation package, we're offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose. We're a recovery-friendly workplace that values family life, diversity, equity, and inclusion.
    $33k-75k yearly est. Auto-Apply 38d ago
  • Project Manager - Strategic Workforce Analytics (Remote)

    Maximus 4.3company rating

    Portland, ME jobs

    Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics. The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting. Essential Duties and Responsibilities: - Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines. - Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors. - Maintain resource management workflows and monitor data quality, applying compliance standards and established processes. - Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas. - Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies. - Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices. - Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas. - Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs. - Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations. - Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals. -Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow). -Partner closely with Solution Architects to get timely insights into future talent demands and capabilities. -Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness. Minimum Requirements - Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience. -Project Management or consulting experience. -Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform. -Proficiency in data visualization tools and advanced analytics platforms -Strong understanding of data workflows, integrations, and process automation -Excellent facilitation, communication, and stakeholder engagement skills -Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models) -Stakeholder Management & Change Leadership -Proven ability to balance strategic thinking with operational execution. Preferred Experience: -Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks -Background with enterprise transformation projects -Workforce planning/resource management experience -HR Technology Fluency: RM platforms, HRIS, CRM systems -Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan) -PMP certification, Agile/Scrum methodologies is a plus #LI-JH1 #maxcorp #HotJobs1223LI #HotJobs1223FB #HotJobs1223X #HotJobs1223TH #TrendingJobs #c0rejobs #HotJobs0113LI #HotJobs0113FB #HotJobs0113X #HotJobs0113TH #HotJobs0121LI #HotJobs0121FB #HotJobs0121X #HotJobs0121TH 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 $ 90,780.00 Maximum Salary $ 122,820.00
    $78k-108k yearly est. Easy Apply 3d ago
  • Care Advisor - Remote

    Sharecare 4.4company rating

    Augusta, ME jobs

    Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** . **Job Summary:** CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers. As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you. **Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week. **Job Type:** Full-Time, Hourly **Essential Job Functions:** + Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment. + Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction + Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system + Work collaboratively and professionally with other team members and teams within CareLinx + Exhibit excellent verbal and written communication skills via phone, email, and text **Specific Skills/ Attributes:** + Effective time management skills and high attention to detail + Excellent verbal and written communication skills + Superior organization and multitasking capabilities + Goal-driven, problem solver + Professional, confident, outgoing demeanor + Experience working with Microsoft Office Suite + Ability to maintain strict confidentiality, and exercise good judgment + Care Advisors are expected to meet performance goals set forth per CareLinx guidelines + Additional job duties may be assigned on an as-needed basis **Qualifications:** + High school diploma or equivalent, required + Military experience is a plus but not required + Some college-level coursework, preferred + At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment. + Previous healthcare experience preferred Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law. Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
    $95k-129k yearly est. 10d ago
  • Radiologist - Portland Maine

    Spectrum Healthcare Partners 3.9company rating

    Portland, ME jobs

    Radiologist Opportunity Spectrum Healthcare Partners, Maine's premier radiology group, is seeking a Board-Certified or Board-Eligible Teleradiologist to join our dynamic and growing team. Enjoy the flexibility of remote work while being part of a robust, physician-owned and -led practice offering clinical excellence, collaboration, and work-life balance. About the Role: · Position: Teleradiologist (Remote) · Schedule: Flexible shifts, including evenings · Coverage: Acute care and general radiology (CT, XR, US; optional MR and NM) · Team Support: 40+ radiologists in subspecialty and generalist roles · Platform: State-of-the-art PACS/RIS with voice recognition and IT support Why Spectrum? · Physician-owned, independent practice · Serving Maine's only Level 1 trauma center · Competitive salary and vacation time · Generous benefits, malpractice with tail, CME, and 401(k) with match · Full clinical integration with hospitals and specialty practices · Opportunity to work with a teaching affiliate of Tufts University School of Medicine Ideal Candidate: · Board Certified or Eligible in Diagnostic Radiology · Fellowship training welcomed but not required · Comfortable interpreting cross-sectional and plain film studies · Strong communication and teamwork skills · Eligible for Maine licensure (support provided) About Spectrum: Spectrum Healthcare Partners is the largest multi-specialty, physician-led healthcare organization in Maine. Our Radiology Division is known for its strong hospital partnerships, innovation in care delivery, and commitment to high-quality imaging services across the state. Apply today and experience the freedom of remote reading with support of a premier radiology group. Location: Remote (practice based in Portland, Maine)
    $106k-203k yearly est. Auto-Apply 60d+ ago
  • Case Builder Auditor - Veterans Evaluation Services

    Maximus 4.3company rating

    Portland, ME jobs

    Description & Requirements Maximus is currently hiring for a Case Builder Auditor to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Case Builder Auditor is responsible for reviewing Disability Benefits Questionnaires ("DBQs") built by Case Builders on the "Build Team" so that Veterans may be evaluated on behalf of the Department of Veterans Affairs (the "VA"). Auditors are responsible for providing guidance and instructions to Case Builders with questions on VA specific build criteria and also second reviews and audit cases built to ensure builds meet VA specific build criteria for VBA exams. An Auditor works closely with the of Auditors and Builders, as well as with the Case Builder Manager, to maintain a respectful, positive, and high sense of urgency work environment and to make sure the Case Building Department is producing the highest quality exams possible. Due to contract requirements, only US Citizens or Green Card holders can be considered for this opportunity. Essential Duties and Responsibilities: - Enter any missed build information into the software for the doctor to be able to utilize during and after the appointment. - Ensure providers have the necessary documentation and medical records to properly evaluate Veterans. - Research medical conditions and new information when necessary in order to assist builders with any case questions during the build process. - Identify and confirm that all relevant worksheets and diagnostics were added during the build process as requested by the VA. - Track Case Builder (CB) errors and monitor progress of assigned builders through weekly audit reports and master error log. - Communicate with CB supervisors when patterns of concern regarding quality and production are identified. - Communicate with other departments to share relevant information when necessary in order to best complete the case. - Thoroughly checks over and approves Case Builder's work when in audit, to make sure the build is sufficient. - Complete audits as assigned by Supervisor or Case Building Management. - Assists with clarification response (CR) updates when a CB on the build team is out of office. - Complete one-on-one conferencing with assigned Case Builders to review error trends and provide build feedback with the goal of improving assigned Case Builder quality. - Responds promptly and appropriately to messages from supervisors, co- workers, and other departments. Please note upon hire, Veterans Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfill the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements using Maximus-Provided Equipment: - Internet speed of 20 mbps 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 home router - Private work area and adequate power source - 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 your are required to remain at your designated home location for all work activities. Minimum Requirements - High school graduate or GED required. - Minimum of 2 years of related experience. - Minimum of 1 year of Case Building experience, to include high productivity and low error percentage, during time as a Case Builder. - 2 or more years previous Case Building experience is strongly preferred. 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 $ 26.45 Maximum Salary $ 35.35
    $30k-40k yearly est. Easy Apply 1d ago
  • Sr Business Consultant (Remote and Temporary)

    Maximus 4.3company rating

    Portland, ME jobs

    Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes. - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST -You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed. Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3 Essential Duties and Responsibilities: - Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects. - Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques. - Assist in establishing standards for information systems procedures. - Develop solutions to a variety of complex problems. - Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses. - Follow Information Management guiding principles, cost savings, and open system architecture objectives. Responsibilities: - Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes. - Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction. - Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies. - Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times. - Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders. - Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable. - Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives. This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed. Home Office Requirements: - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ****************** - Minimum 5mpbs upload speed - Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router - Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3) - Private and secure work area and adequate power source - Must currently and permanently reside in the Continental US Minimum Requirements - Bachelor's degree in related field. - 5-7 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. 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 $ 120,000.00 Maximum Salary $ 130,000.00
    $83k-106k yearly est. Easy Apply 9d ago
  • Technical Account Manager

    Cardinal Health 4.4company rating

    Augusta, ME 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. **Job Description** As the leading provider of comprehensive pharmaceutical commercialization services, Sonexus Health empowers pharmaceutical manufacturers by integrating innovative distribution models with patient access, adherence programs and reimbursement services. Patients start therapy faster and stay compliant longer, while manufacturers own their provider relationships and gain actionable, real-time visibility into how, when and why their products are used. **Position Summary** Technical Account Management (TAM) is responsible for playing a key/critical role in realizing business value through the application of project management knowledge, skills, tools, and techniques to meet project objectives. The TAM will also use their rich healthcare domain expertise, along with project management and proactive consulting skills, to solve complex technical challenges for some of the largest pharmaceutical manufacturers in the country. To our clients, this individual will be an expert in combining our technology platform and solutions with their programs to provide maximum benefit to their business and patients. **Role contribution and responsibilities:** + Demonstrates advanced knowledge of Cardinal Health and customer industry, including key competitors, terminology, technology, trends, challenges, reimbursement and government regulation; demonstrates working knowledge of how Cardinal Health technical offerings match with a customers' unique business needs + Demonstrates knowledge of the project management initiating, planning, executing, monitoring/controlling, and closing processes. + Monitors performance and recommends scope, schedule, cost or resource adjustments + Connects short-term demands to long-term implications, in alignment with the supporting business case. + Prioritizes multiple tasks while meeting deadlines + Communicates project status (health, forecast, issues, risks, etc.) to stakeholders in an open and honest fashion. + Effectively balances competing project constraints including but not limited to scope, quality, schedule, funding, budget, resources, and risk, to manage project success. + Connects project objectives to broader organizational goals. + Provides input to contracts, reviews contracts to ensure completeness of scope and appropriate accountability based on role and/or responsibility. + Negotiates with stakeholders to obtain the resources necessary for successful project execution. + Partners with stakeholders and technologist to implement/automate/operationalize models into day-to-day business decision making. + High level of client contact in an Account Management portfolio approach. **What is expected of you and others at this level** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Participates in the development of policies and procedures to achieve specific goals + Recommends new practices, processes, metrics, or models + Works on or may lead complex projects of large scope + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues + Identifies and qualifies opportunities within service portfolio (including but not limited to technology, program design, services expansion, etc....) with existing client and develops plans for introducing new solutions through collaborative relationships **Accountabilities in this role** + Analyze and recommend technical solutions related to new product launches, product discontinuations, vendor integrations, and operational efficiencies among other potential services + Acts as single technical liaison for the client + Daily interactions with client to assess and advise client needs and requests + Analyze client program, needs and propose solutions and options that provide value to client + Recommend technical changes/updates/enhancements to current platform and vendor integration landscape to further align with client's strategy and industry advancements. + Manage client deliverables, timelines, and artifacts + Monitor team backlog and prioritize activities to deliver on time, on budget, on scope + Anticipate client needs and proactively make program recommendations to enhance service value + Perform necessary project administration, project status, and risk, issue management _Qualifications_ + Master's Degree preferred + 3-5 years' experience of client relationship management experience at the account management level preferred + Prior experience working in a Specialty Pharmaceutical HUB environment, preferred + 8+ years' experience in professional services, healthcare, or related field preferred serving in a technical capacity preferred + Proficiency in Microsoft Office products preferred + Strong oral and written communication skills, with executive facing presentation experience + Strong project management skills + Proven ability to learn an application of advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of projects + Travel requirement up to 10% 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 (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 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 salary range:** $105,100-$150,100 **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:** 03/15/2026 *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 (***************************************************************************************************************************
    $105.1k-150.1k yearly 9d ago
  • Psychotherapist (LCSW, LCPC or LMFT) -Behavioral Health Connection

    Penobscot Community Health Center 4.1company rating

    Brewer, ME jobs

    Penobscot Community Health Care is seeking a psychotherapist to work in and support our growing Behavioral Health Connection service, based at PCHC's Brewer Medical Center. Care for your own patient panel and partner with care teams across the PCHC organization providing intakes for new patients. The Behavioral Health Connection (BHC) Therapist supports PCHC's mission by promoting timely access to care for the whole person, continuity of care, and the enhancement of well-being for everyone, regardless of life circumstance. LCSW, LCPC, LMFT and Conditionally licensed providers are encouraged to apply. Advanced degree in MH Counseling, Social Work or Marriage and Family Therapy required. Must be licensed or eligible for licensing in the state of Maine to provide mental health counseling. Highlights: This position is planned for full-time 40 hours per week, generally Monday - Friday, 9 AM - 5:30 PM. Availability for some in-person work is required at Brewer Medical Center in Brewer, ME. Mostly remote schedule will be available once fully ramped. The BHC Therapist practices and collaborates with peer PCHC therapists embedded in outpatient primary care practices across the organization for effective, efficient service delivery. In addition to providing two psychiatric assessments per day, the BHC Therapist will serve as an empaneled provider, offering individual, couples and group counseling and mental health triage. Must be able to work with diverse populations across the lifespan. The BHC therapist should be well versed and skilled in a variety of counseling modalities that include solution focused as well as long-term therapy work and be comfortable in a dynamic and growing professional environment. Why Penobscot Community Health Care? Federally Qualified Health Center offering an integrated Medical Home Model Experienced care teams Collegial professional atmosphere with informed leadership and superb support Engaged and supportive patient population Student loan repayment Relocation assistance available Competitive compensation and generous benefits Penobscot Community Health Care: PCHC is comprised of seventeen practices and program service sites in the Greater Bangor area, in Old Town, Belfast, Winterport and Jackman. We offer a wide range of services including family medicine, dental, pediatrics, geriatrics, behavioral health, substance use disorder and specialty services, primary care pharmacy, and healthcare for the unsheltered. Our integrated medical home model supports our mission and vision in which everyone has access to quality, cost effective health care, regardless of life circumstance. Our services support and empower people to advocate for their personal goals and needs and connect with community-based resources. Our success is measured when the health of our community encompasses physical and emotional wellness, personal dignity, and a sense of belonging. Greater Bangor, Maine: A historic riverside city less than one hour from Maine's gorgeous Acadia National Park and Maine's storied mid-coast region. Enjoy the amenities of a good-sized metro without the hassle - and be inspired by all of Maine's natural beauty and resources at your doorstep! Maine's third largest metro, with its own international airport - it's a short drive to Boston and Portland's quaint Old Port. Limitless 4-season outdoor recreational opportunities, a wide variety of arts, cultural and entertainment venues coupled with great family-centered neighborhoods and excellent schools make the Greater Bangor Region highly desirable for professional families. Curious, or interested in learning more? Apply today! You can request a full copy of the detailed job description by emailing ********************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, or any other characteristic protected by law.
    $57k-70k yearly est. Easy Apply 27d ago
  • Repair Technician

    Steris 4.5company rating

    Portland, ME jobs

    At STERIS, we help our Customers create a healthier and safer world by providing innovative healthcare and life science product and service solutions around the globe. Repair Technician When surgical instruments are sharpened and working properly, surgeons can focus on providing the best care for their patients. STERIS offers a variety of repair solutions to meet the needs of the Customer including onsite mobile repair services, in house repair lab services, or one of five national repair centers. You do not have to have previous instrument repair experience to be considered. This is an entry level job - we will train you! In this position, you will perform surgical instrument inspection, repair, and refurbishment in a field-based setting. You will work on a mobile repair truck at Customer sites. Technicians deliver superior Customer Experience by providing timely and quality repairs to meet compliance standards. This role requires daily travel by driving a company vehicle. If offered this position, STERIS will run a 7 year driving record check, as part of our onboarding process. What You Will Do As a Repair Technician Perform basic to intermediate inspection and repairs on surgical instrumentation using grinding wheels, buffing wheels, various hand and power tools, soldering, etc. Complexity of repairs and level of intricacy will vary. You will work in the field on a mobile repair truck, inside a repair lab or inside a hospital, based on the needs of the Customer within the assigned territory. Provide invoicing and documentation based on business need. Provide support various locations within assigned territory depending on the service agreements, Customer needs, and staffing levels. What STERIS Offers Competitive pay and quarterly incentive plan Overtime opportunity Annual review with merit increase opportunity Uniforms and all necessary tools provided Extensive hands-on training and development Career progression path with STERIS Instrument Management Services and growth opportunities in other parts of STERIS Medical, vision, dental, life insurance, 401(k) with a company match, tuition assistance, and paid vacation time and paid holidays The Experience, Skills, and Abilities Needed • High school diploma or GED required • 2+ years of work experience, including at least 1 year of relevant experience*, or 1 year of experience at STERIS. All experience must be verifiable. • Must be able to meet flexible schedules with early/late hours and occasional overnight/out of state travel, based on Customer and business needs. • Must be able to pass a DOT medical/ physical exam and comply with all DOT regulations. • Must have a valid driver's license with an acceptable driving record (CDL not required) and maintain required vaccines. • Ability to drive DOT regulated vehicle and conduct basic box truck safety checks. • Must be at least 21 years old to meet the FMCSA age requirement for commercial interstate driving. • Must be able to lift up to 25 pounds at times and push instrument carts ranging from 10-150 pounds at times. • Must be able to be compliant with hospital/customer credentialing requirements *What is relevant work experience? • Hands-on repair, assembly, or product testing and use of small hand tools is a plus. Examples are small engine repair, cell phone and electronics repair, testing, or re-builds, carpentry, circuit board assembly and repair, sterile processing, industrial sewing, and jewelry repair. Maintenance, construction, welding, fabrication, and automotive repair can also be relevant. #LI-AC1 Pay range for this opportunity is $18.49 - $23.93. This position is eligible for bonus participation. Minimum pay rates offered will comply with county/city minimums, if higher than range listed. Pay rates are based on a number of factors, including but not limited to local labor market costs, years of relevant experience, education, professional certifications, foreign language fluency, etc. STERIS offers a comprehensive and competitive benefits portfolio. Click here for a complete list of benefits: STERIS Benefits Open until position is filled. STERIS is an Equal Opportunity Employer. We are committed to equal employment opportunity to ensure that persons are recruited, hired, trained, transferred and promoted in all job groups regardless of race, color, religion, age, disability, national origin, citizenship status, military or veteran status, sex (including pregnancy, childbirth and related medical conditions), sexual orientation, gender identity, genetic information, and any other category protected by federal, state or local law. We are not only committed to this policy by our status as a federal government contractor, but also we are strongly bound by the principle of equal employment opportunity. This is a remote based customer facing position. To support and service our customers in this assigned territory candidates must be based out of one of the following state(s): Maine.
    $18.5-23.9 hourly 60d+ ago
  • Systems Specialist (Help Desk) - Hybrid

    Martin's Point Health Care 3.8company rating

    Portland, ME jobs

    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Systems Specialist, will be the frontline point of contact for end-users, providing technical support and assistance for IT issues, incidents, and service requests. They will ensure that end-users receive timely and effective support, troubleshoot and resolve technical problems, and deliver a high level of customer service. In addition, the position is expected to participate in routine after hours work as needed. Job Description Key Outcomes: Provides technical support and assistance to end users, including diagnosing and resolving hardware and software issues, setting up user accounts, and providing training and guidance on IT systems and applications. Participates in the installation, configuration, monitoring and technical support of all physical endpoints. This includes laptops, desktops, thin clients, printers, and mobile devices. Participates in the deployment and license management of all supported software. Provides Level One support to troubleshoot and resolve incidents. Accurately perform new user account creation, management, and deletion within Active Directory, according to documented IT processes and procedures. Manages print queues and drivers according to documented processes and procedures. Provides excellent customer support to all technology users. Ensures workstation adherence to all security requirements per the Acceptable Use and Information Security Policies. Participates in the rotating “on call” schedule with other members of the team for providing support to the business and partners after hours and on weekends Adheres to all established hardware configuration standards. Documents and maintains technical documentation, including system configurations, troubleshooting procedures, and user guides, to ensure accurate and up-to-date information for IT systems and operations. Education/Experience: Associates degree in Computer Science, Information Systems or equivalent combination of education and experience. 1+ years of experience in a technical support role, preferably in a helpdesk or service desk environment. Experience with troubleshooting and resolving IT issues related to hardware, software, networking, and other IT systems. Required License(s) and/or Certification(s): MCP, ITIL, A+ Certifications are desirable but not required. Skills/Knowledge/Competencies (Behaviors): Demonstrates an understanding of and alignment with Martin's Point Values. Strong communication and problem-solving skills Excellent customer service skills Time management: The ability to use your time productively and efficiently. Collegiality: Being helpful, respectful, approachable and team oriented, for building strong working relationships and a positive work environment Coachability: Being receptive to feedback, willing to learn, embracing continuous improvement. Working knowledge with laptops, desktops, and thin clients. Working knowledge with mobile devices, including iOS and Android. Working knowledge with desktop and server operating systems. Working knowledge with Microsoft Active Directory. Working knowledge of permissions and group policies. Working knowledge of the Microsoft Office Suite. Working knowledge with virtual desktop environments. Working knowledge with audio visual systems, including displays and basic sound system connections. Working knowledge of networking, including Wi-Fi and LAN connections. Working knowledge of desktop patching processes. Working knowledge of database systems. Working knowledge of published applications. Working knowledge of remote access systems, including VPN. May require travel to sites throughout Maine, New Hampshire, Vermont, and New York State. There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position. This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
    $72k-96k yearly est. Auto-Apply 4d ago
  • Access Supervisor, Inside Sales (Remote)

    Insulet 4.7company rating

    Maine jobs

    This position supervises the day-to-day operations of the Insulet Corporation Inside Sales Access teams. The position will be responsible for leading and coaching the team, resolving escalated customer contacts, managing existing and new processes, and identifying and implementing continuous improvement opportunities through data analysis and project management within the pharmacy systems. The ideal candidate must demonstrate strong sales, customer service, computer skills, coordination, and planning abilities, and be able to work effectively in a key cross-functional role within Insulet Corporation and across external business partners. Responsibilities Provides supervision - ensuring call handling and documentation meet regulatory requirements within pharmacy guidelines. Supervise day-to-day operations for the Inside Sales Access team, serving as the primary escalation point for any questions or issues and managing processes within the pharmacy process. Define, manage, and implement enhancements to processes and systems to refine the Inside Sales structure. Preparation of daily, weekly, monthly, and quarterly reports. Manages daily call and task productivity, ensuring accountability to role expectations. Provides coaching and feedback in accordance with department and company goals. Manages Inside Sales Access quality program, conducting quality audits and calibration of quality scoring with the leadership team. Handles the most complex Customer complaints, escalations, and/or inquiries. Ensures adherence to Regulatory, Quality, Pharmacy, and accreditation standards. Reviews financial targets and is responsible for working with Sr Inside Sales Leadership to assist with meeting or exceeding goals and ensuring operating and expense commitments are met within Service Level Agreements. Participates in special projects and performs other duties as assigned. Performs other duties as assigned. Education and Experience Minimum Requirements: Bachelor's degree 5+ years of experience in an inside sales or contact center environment Preferred Skills and Competencies: Strong background in sales, the pharmacy channel, and call center operations that promote industry best practices and standards, including contact center metrics, workforce management, service quality management, and knowledge management. Customer Service experience in a medical or health-related environment is preferred. Knowledge of diabetes and experience supporting patients with diabetes is preferred. Experience providing remote support, particularly in a regulated environment. Physical Requirements: Requires sitting and standing associated with a typical office environment. Manual dexterity needed for using a calculator and computer keyboard. Lightweight lifting may be required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions. This position may require occasional travel. If you're ready to be a part of a company that's changing the future of diabetes care, we want to hear from you. Join us at Insulet Corporation, where your talent will make a real difference in people's lives. Remote/Flexible: (no days required to be onsite) This position is eligible for 100% remote working arrangements (may work from home/virtually 100%; may also work hybrid on-site/virtual as desired) Additional Information: Compensation & Benefits: For U.S.-based positions only, the annual base salary range for this role is $56,300.00 - $84,425.00 This position may also be eligible for incentive compensation. We offer a comprehensive benefits package, including: • Medical, dental, and vision insurance • 401(k) with company match • Paid time off (PTO) • And additional employee wellness programs Application Details: This job posting will remain open until the position is filled. To apply, please visit the Insulet Careers site and submit your application online. Actual pay depends on skills, experience, and education. Insulet Corporation (NASDAQ: PODD), headquartered in Massachusetts, is an innovative medical device company dedicated to simplifying life for people with diabetes and other conditions through its Omnipod product platform. The Omnipod Insulin Management System provides a unique alternative to traditional insulin delivery methods. With its simple, wearable design, the tubeless disposable Pod provides up to three days of non-stop insulin delivery, without the need to see or handle a needle. Insulet's flagship innovation, the Omnipod 5 Automated Insulin Delivery System, integrates with a continuous glucose monitor to manage blood sugar with no multiple daily injections, zero fingersticks, and can be controlled by a compatible personal smartphone in the U.S. or by the Omnipod 5 Controller. Insulet also leverages the unique design of its Pod by tailoring its Omnipod technology platform for the delivery of non-insulin subcutaneous drugs across other therapeutic areas. For more information, please visit insulet.com and omnipod.com. We are looking for highly motivated, performance-driven individuals to be a part of our expanding team. We do this by hiring amazing people guided by shared values who exceed customer expectations. Our continued success depends on it! At Insulet Corporation all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. (Know Your Rights)
    $56.3k-84.4k yearly Auto-Apply 17d ago
  • Patient Access Manager

    Ensemble Health Partners 4.0company rating

    Maine jobs

    Thank you for considering a career at Ensemble Health Partners! Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country. Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference! O.N.E Purpose: * Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. * Embracing New Ideas: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. * Striving for Excellence: Execute at a high level by demonstrating our "Best in KLAS" Ensemble Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING * Bonus Incentives * Paid Certifications * Tuition Reimbursement * Comprehensive Benefits * Career Advancement * This position pays between $63,100.00 - $78,875.00/based on experience The Manager of Patient Access is responsible for planning, developing, organizing, and managing the Patient Access department and is responsible for performance and effectiveness of these department(s). The Manager will be responsible for the coaching and development of all staff performing these functions and implementing short and long-term plans and objectives to improve customer service and collect quality information. As a subject matter expert, this person must provide leadership and contribute to the revenue cycle and organizational goals, as well as meeting regulatory compliance requirements. The Manager of Patient Access will work closely with the Director of Patient Access to align processes and procedures with Ensemble Health Partners policies at an assigned facility or market. Essential Job Functions: * The manager is responsible for directly managing the operations for the admitting, registration, and financial services departments at the acute care locations. * Admitting staff are responsible for assigning accurate MRNs, completing medical necessity / compliance checks, providing proper patient instructions, collecting insurance information, receiving, and processing physician orders, and providing excellent customer service. * Additionally, managing Financial Service Representatives and ensuring that proper accounting processes are followed, cash drawer is balanced, money is deposited timely and posted accurately to patient accounts, and proper logs are completed and submitted as requested by financial oversight departments. * Develops and manages departmental staffing needs. * Prepare monthly reports as requested. * Establish departmental goals with the staff to optimize performance and meet organizational while improving operations to increase customer satisfaction and meet financial goals of the organization. * Coordinates employee work schedules to provide adequate daily staffing coverage. * Collects, interprets, and communicates performance data using various tools and systems, while also using this data to make decisions on how to achieve performance goals. * Works with internal and external customers to make key decisions, impacting either the whole organization or an individual patient. * Works closely with ancillary departments to establish and maintain positive relations to ensure revenue cycle goals are achieved. * Assists in the development of dyad-reporting patient access staff. Provides training, education, goal setting, and performance interventions as necessary to ensure adequate performance. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Education Level: Bachelor's Degree or Equivalent Experience Preferred Area of Study: Healthcare Management / Administration Other Preferred Knowledge, Skills and Abilities: * Minimum 2 - 3 year's management experience in healthcare industry. * Patient Access experience preferred. * Experience with Microsoft is a must. * Ability to balance numerous priorities, therefore requiring great skills in prioritization. * Ability to understand and master numerous computer applications, while also understanding information technology enough to work with the I.T. department to ensure the technological needs of the department are being met. * Patient Access experience with managed care/insurance and Call Center experience highly preferred. Join an award-winning company Five-time winner of "Best in KLAS" 2020-2022, 2024-2025 Black Book Research's Top Revenue Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in Revenue Cycle 2019-2024 Leader in Everest Group's RCM Operations PEAK Matrix Assessment 2024 Clarivate Healthcare Business Insights (HBI) Revenue Cycle Awards for strong performance 2020, 2022-2023 Energage Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great Place to Work certified 2023-2024 * Innovation * Work-Life Flexibility * Leadership * Purpose + Values Bottom line, we believe in empowering people and giving them the tools and resources needed to thrive. A few of those include: * Associate Benefits - We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. * Our Culture - Ensemble is a place where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. * Growth - We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. * Recognition - We offer quarterly and annual incentive programs for all employees who go beyond and keep raising the bar for themselves and the company. Ensemble Health Partners is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national origin, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. Ensemble Health Partners also prohibits harassment of applicants or employees based on any of these protected categories. Ensemble Health Partners provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act and applicable state and local law. If you require accommodation in the application process, please contact *****************. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-related factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry rate of pay does not typically fall at the minimum or maximum of the role's range. EEOC - Know Your Rights FMLA Rights - English La FMLA Español E-Verify Participating Employer (English and Spanish) Know your Rights
    $63.1k-78.9k yearly Auto-Apply 16d ago
  • Medical Dosimetrist

    Intermountain Health 3.9company rating

    Augusta, ME jobs

    The Medical Dosimetrist is a member of the Radiation Oncology team who has knowledge of the overall characteristics and clinical relevance of radiation oncology treatment machines and equipment. They have the education and expertise necessary to generate radiation dose distributions and dose calculations in collaboration with the Medical Physicist and Radiation Oncologist. **Medical Dosimetrist - Radiation Oncology** **Location:** Greater Salt Lake City Area (South Market) **Organization:** Intermountain Health **Join Our Growing Radiation Oncology Team** Intermountain Health is expanding its Radiation Oncology services to two new locations in 2026, and we're seeking a **Medical Dosimetrist** to join our dynamic team on-site, hybrid or fully remote. This is an exciting opportunity to work with advanced technology, collaborate with experienced professionals, and help deliver cutting-edge cancer care. **Why You'll Love This Role** + **Innovative Practice:** Participate in advanced treatment techniques including frameless SRS with HyperArc, Lattice SFRT, tattoo-free SGRT setups, cooperative group clinical trials and extensive use of SBRT & hypofractionation. + **Collaborative Environment:** Work closely with 5 physicians, 4 physicists, and 3 dosimetrists across four sites in Park City, Provo, American Fork, and Saratoga Springs. + **Flexibility & Growth:** Choose an on-site, hybrid, or fully remote schedule while benefiting from well-established workflows that foster efficiency and the chance to help shape new clinical programs. + **Lifestyle & Location:** Enjoy Utah's incredible outdoor recreation with world-class skiing, hiking, and national parks **Technology & Programs** + **Treatment Platforms:** Varian TrueBeam systems with RapidArc at all sites + **Imaging & Simulation:** VisionRT SGRT, Philips Big Bore CT simulators (3 locations) + **Software:** Eclipse v18 TPS with GPU acceleration, Aria R&V, Full Radformation suite (ClearCheck, ClearCalc, RadMonteCarlo, EZFluence, AutoContour) **Your Role** As a Medical Dosimetrist, you will: + Design and calculate accurate radiation treatment plans for a variety of techniques including IMRT, VMAT, SBRT, and SRS. + Collaborate with physicians and physicists to optimize treatment plans for safety and efficacy. + Ensure compliance with departmental protocols and regulatory standards. + Support implementation of new technologies and treatment techniques. **Qualifications** **Minimum:** + Graduate of a JRCERT-accredited Medical Dosimetry program or equivalent. + Certified Medical Dosimetrist (CMD) or eligible for certification. **Preferred:** + Experience with Eclipse TPS and Aria R&V. + Familiarity with advanced techniques such as SRS and SBRT. **Physical Requirements** + Ongoing need for employee to see and read information, labels, assess patient needs, operate monitors, identify equipment and supplies. + Frequent interactions with patient care providers, patients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, alarms, needs, and issues quickly and accurately, particularly during emergency situations. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use and typing for documenting patient care, accessing needed information, medication preparation, etc. + Expected to lift and utilize full range of movement to transfer patients. Will also bend to retrieve, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Need to walk and assist with transporting/ambulating patients and obtaining and distributing supplies and equipment. This includes pushing/pulling gurneys and portable equipment, including heavy items. Often required to navigate crowded and busy rooms (full of equipment, power cords on the floor, etc.) + May be expected to stand in a stationary position for an extended period of time. + For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing and reading signs, traffic signals, and other vehicles. **Location:** Intermountain Health American Fork Hospital, Intermountain Health Park City Hospital, Intermountain Health Utah Valley Hospital **Work City:** Park City **Work State:** Utah **Scheduled Weekly Hours:** 40 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $62.44 - $96.34 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.
    $145k-235k yearly est. 5d ago
  • RCM AR Specialist

    Better Life Partners 3.6company rating

    Maine jobs

    Who we are:At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose. If you're looking to roll up your sleeves and meet hard challenges head-on, then we're looking for you. The role:The RCM AR Specialist is responsible for all workflows related to the back-end billing and collections cycle for Better Life Partners. The position requires expertise in the life cycle of medical claims, knowledge of payer regulations, both local and national payers, and the ability to work efficiently within our internal EHR system and practice management system. To be successful in this role, you should be able to have very acute attention to detail and be able to provide excellent customer service. Strong communications skills to include direct contact to the appropriate third-party payers and members as needed. You are excited about our mission and committed to helping people through a sometimes difficult system. Unless otherwise specified, this position is remote (work from home) with expectation of attending team meetings quarterly. Candidates must reside in one of the following states: Maine, Maryland, Massachusetts, New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, or Connecticut.What you will do: Review denied claims based on assigned markets, payers and work queues within our practice management system Accurately and efficiently processes requests for denied claims information using website portals and outbound phone calls for all Commercial, Medicare and Medicaid insurance payers Researches and responds to documentation requests from insurance carriers in a timely manner Processes appeals of insurance denials and follows-up until the appeal is resolved Obtains, reviews and updates patient demographics and insurance information within both EHR and practice management billing system as needed Complete timely follow-up on claims submitted to payer, but no response or ERA after 45 days to resolve any pending issues with claim and payer within timely filing limits Documents clear and concise activities performed in the system for each account worked Adheres to all HIPAA (Health Insurance Accountability and Portability Act) guidelines and regulations Ability to consistently maintain productivity and quality expectations as defined by the leadership team Alert management to irregularities, insurance trends and areas of concern with reimbursement Completes other tasks and projects as assigned by RCM Leadership You are a good fit if you have: Bachelor's Degree or Equivalent experience 3 or more years of experience in physician group practice in a denial management role Prior experience resolving out of network denials, and value based (bundle) claims Proficient in CPT and ICD-10 coding terminology Enjoy working in a fast paced and rapidly changing environment Strong relationship building skills both external and internal Thrive on working independently It will also be great if you have: Familiar with opioid use disorders, substance abuse use disorders and other areas of behavioral health billing Certified Medical Coder, CPC or CCS, preferred but not required Deep knowledge of medical insurance payers and regulations Knowledgeable in the healthcare & mental health industries - terminology, regulations, and processes Familiar with all aspects of the RCM Life cycle as it relates to claim reimbursement Work location requirements: BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they're located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs. When working from home, the requirements include: Must have reliable internet service with a fast upload/download ability Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions In addition to a competitive compensation package, we're offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose. We're a recovery-friendly workplace that values family life, diversity, equity, and inclusion.
    $36k-46k yearly est. Auto-Apply 4d ago
  • Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)

    Maximus 4.3company rating

    Portland, ME 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
    $118k-190k yearly est. Easy Apply 2d ago
  • Substance Use Counselor - Maine (Always Accepting Applications)

    Better Life Partners 3.6company rating

    Maine jobs

    Who we are:At Better Life Partners, we provide what it takes to heal from addiction. Wherever. Whenever. We work alongside community-based organizations to meet our members where they are, no matter what recovery looks like to them. By combining virtual and in-person counseling, community support, and access to life-saving medication, we help people move beyond addiction to find belonging, love, and purpose. If you're looking to roll up your sleeves and meet hard challenges head-on, then we're looking for you. Always accepting applications: Thank you for expressing interest in joining Better Life Partners. Please note that the job posting you are currently viewing is an evergreen position, and we are not actively hiring for it at this time. However, we recognize the importance of attracting top talent, and we encourage qualified individuals like yourself to submit their applications if they believe they would be a great fit for our organization. When we reopen this role for active recruitment, we may reach out to you if your background matches our needs. We appreciate your interest in being a part of Better Life Partners, and look forward to the possibility of working together! The role: In this role, you will interact regularly with clients, referral sources, field staff, and members of the local community. You will be a resource for clients and community partners, guiding them on the path to recovery. You will work side by side with a high impact team of medical providers, recovery coaches and coordinators, helping clients to thrive. Your work is essential and your constant feedback will be expected to help clients reach the best outcome possible. This is a remote position. Unless otherwise agreed upon all candidates must reside in-market. What you will do: Demonstrating and communicating the core values of Better Life Partners Facilitating group therapy sessions for Better Life Partners clients Familiarizing with and utilizing Better Life Partners evidence-based curriculum guides and training Providing detailed feedback and maintaining clinical progress notes on clients Counseling one-on-one with clients, when deemed necessary Participating in Better Life Partners', community research and public health partners' research and data collection efforts Formulating and maintaining treatment plans for each client served Collaborating with community partners and Better Life Partners providers on case management and care coordination efforts Adhering to professional and ethical work standards, enforcing appropriate counselor/client boundaries Managing group dynamics and problem behavior with strong, professional judgement and in a way that does not jeopardize group integrity Maintaining compliance with federal, state and local regulations for licensing and billing purposes Attending and engaging in regular training, company meetings, monthly counselor consultation, and supervision as necessary You are a good fit if you have: Bachelor or Graduate degree in mental health, social work, psychology, addictions or related field Maine License as LADC, CADC, LCPC, LCSW, LMFT, LCISW; Master level preferred 2-3 years of experience working with substance use or related field Valid driver's license Willingness to travel within Maine It will also be great if you have: Availability to work Saturdays Demonstrated experience leading groups therapy sessions, interacting, engaging, and connecting with individuals and groups over telehealth/zoom Comfortable working with an EMR and/or EHR system, including updating clinical notes Willingness to travel locally within the communities we serve Must be able to have a flexible schedule, including the ability to work 1-2 evenings a week to meet our member's needs Self-motivated to help as many people as possible Team player with an “all hands on deck” positive attitude, organized/able to multitask Strong interpersonal skills and a professional demeanor Location requirements: BLP operates in hybrid and remote work environments, which allows us to better meet our members and partners where they're located. Candidates applying for this role must be willing and able to travel locally within the communities we serve and/or travel to onsite meetings as expected in coordination with their department and business needs. When working from home, the requirements include: Must have reliable internet service with a fast upload/download ability Ability to ensure any protected health or proprietary data/information is not visible (or audible) to others in any work location Must have a quiet space to speak to members, team members, or external partners with minimal background noise and distractions In addition to a competitive compensation package, we're offering the chance to be the change you wish to see in your community. Help us work toward a future where everyone can have a healthy life filled with belonging, love, and purpose. We're a recovery-friendly workplace that values family life, diversity, equity, and inclusion.
    $45k-60k yearly est. Auto-Apply 60d+ ago
  • Utilization Review Nurse - Remote

    Martin's Point Health Care 3.8company rating

    Portland, ME jobs

    Join Martin's Point Health Care - an innovative, not-for-profit health care organization offering care and coverage to the people of Maine and beyond. As a joined force of "people caring for people," Martin's Point employees are on a mission to transform our health care system while creating a healthier community. Martin's Point employees enjoy an organizational culture of trust and respect, where our values - taking care of ourselves and others, continuous learning, helping each other, and having fun - are brought to life every day. Join us and find out for yourself why Martin's Point has been certified as a "Great Place to Work" since 2015. Position Summary The Utilization Review Nurse is responsible for ensuring the receipt of high quality, cost efficient medical outcomes for those enrollees with a need for inpatient/ outpatient authorizations. This position receives and reviews prior authorization requests for specific inpatient and outpatient medical services, notification of emergent hospital admissions, completes inpatient concurrent review, establishes discharge plans, coordinates transitions of care to lower/higher levels of care, makes referrals for care management programs, and performs medical necessity reviews for retrospective authorization requests as well as claims disputes. The Utilization Review Nurse will use appropriate governmental policies as well as specified clinical guidelines/criteria to guide medical necessity reviews and will use effective relationship management, coordination of services, resource management, education, patient advocacy and related interventions to ensure members receive the appropriate level of care, prevent or reduce hospital admissions where appropriate. Job Description PRIMARY DUTIES AND RESPONSIBILITIES Employees are expected to work consistently to demonstrate the mission, vision, and core values of the organization. Key Outcomes: Review prior authorization requests (prior authorization, concurrent review, and retrospective review) for medical necessity referring to Medical Director as needed for additional expertise and review. Utilize evidenced-based criteria, governmental policies, and internal guidelines for medical necessity reviews. Manage the review of medical claims disputes, records, and authorizations for billing, coding, and other compliance or reimbursement related issues Collaborates with other members of the team, the MPHC Medical Directors, healthcare providers, and members to promote effective utilization of resources. This collaboration includes timely communications with in and out of network hospitals, post-acute care facilities, other providers, and internal departments to authorize services, establish discharge plans, assist to coordinate effective, efficient transitions of care. Coordinates referrals to Care Management, as appropriate. Manages health care within the benefits structures per line of business and performs functions within compliance, contractual and accreditation regulations, e.g. Department of Defense, Centers for Medicaid and Medicare, NCQA, Employer contracts and state insurance regulations, as applicable. Maintains knowledge of applicable regulatory guidelines. Completes all documentation of reviews and decisions, in appropriate systems, according to process/ compliance requirements and within timeliness standards. Participates as a member of an interdisciplinary team in the Health Management Department May be responsible for maintaining a caseload for concurrent cases/ assisting in caseload coverage for the team Establishes and maintains strong professional relationships with community providers. Acts as a liaison to ensure the member is receiving the appropriate level of care at the appropriate place and time Mentors new staff as assigned. Meets or exceeds department quality audit scores. Meets or exceeds department productivity standards. Assists in creation and updating of department policies and procedures. Participates in quality initiatives, committees, work groups, projects, and process improvements that reinforce best practice medical management programming and offerings. Participates in the review and analysis of population data and metrics to inform development of programs and improved health outcomes. Demonstrates flexibility and agility in working in a fast-paced, team-oriented environment, able to multi-task from one case type to another. Assumes extra duties as assigned based on business needs Responsible for weekend coverage on a rotating basis. POSITION QUALIFICATION Education/Experience There are additional competencies linked to individual contributor, provider, and leadership roles. Please consult with your leader to discuss additional competencies that are relevant to your position. Education Associate's degree in nursing Bachelor's degree in nursing preferred Licensure/certification Compact RN license Experience 3+ years of clinical nursing experience as an RN, preferably in a hospital setting 2+ years Utilization Management experience in a health plan UM department Certification in managed care nursing or care management (CMCN or CCM) preferred Coding/CPC preferred Knowledge Demonstrates an understanding of and alignment with Martin's Point Values. Maintains current licensure and practices within scope of license for current state of residence. Maintains knowledge of Scope of Nursing Practice in states where licensed. Thorough understanding of healthcare policies, insurance guidelines, and regulatory standards (e.g., Medicare, NCQA, TRICARE) Familiarity with coding systems like ICD-10 and CPT preferred Skills Proficiency in conducting prospective, concurrent, and retrospective reviews using standardized criteria and guidelines like MCG Ability to review and interpret medical records, treatment plans, and clinical documentation, with a keen eye for detail and compliance with healthcare standards Technically savvy and can navigate multiple systems and screens while working cases Excellent interpersonal, verbal, and written communication skills. Critical thinking: can identify root causes and understands coordination of medical and clinical information. Computer proficiency in Microsoft Office products including Word, Excel, and Outlook. Abilities Ability to analyze data metrics, outcomes, and trends. Ability to prioritize time and tasks efficiently and effectively. Ability to manage multiple demands. Ability to function independently. This position is not eligible for immigration sponsorship. We are an equal opportunity/affirmative action employer. Martin's Point complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If a reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact ***************************** Do you have a question about careers at Martin's Point Health Care? Contact us at: *****************************
    $57k-67k yearly est. Auto-Apply 11d ago
  • Intern - System Engineering (Remote)

    Maximus 4.3company rating

    Portland, ME jobs

    Description & Requirements Maximus is seeking a motivated REMOTE Systems Engineering Intern - 10 weeks (40 hours per week). Orientation will start the last week in May of 2026. We're looking for candidates with a strong foundation in technical fundamentals, eager to apply systems thinking, automation, and analytical skills. This internship will introduce you to support real-world engineering solutions while learning from experienced engineers. Essential Duties and Responsibilities: - Work on IT assignments of moderate difficulty under the direction of a more senior mentor to build a well-rounded skillset. - Escalate issues and questions to management, as necessary. - Participate in group discussions with peers or external groups to solution problems of moderate scope. - Participate in meetings to gain process knowledge and guidance on assigned projects. - Read, understand, and perform assignments within prescribed guidelines. - Approach challenges and create solutions with a critical thinking and customer service mindset. - Prepare standard reports and presentation materials. Assist with system documentation (requirements, architecture diagrams, interface definitions) Support system integration and testing by executing test cases and documenting results Help analyze system performance, logs, and data to identify issues or trends Use engineering tools (Jira, Confluence, Git, Excel) to track work and maintain artifacts Write basic scripts (Python/Bash/PowerShell) to automate tests or data collection Collaborate with engineers in design reviews, standups, and troubleshooting sessions Minimum Requirements - High school diploma or GED required and 0-2 years of relevant professional experience required, or equivalent combination of education and experience. Systems fundamentals: basic understanding of how software, hardware, networks, and data interact Technical skills: familiarity with at least one programming or scripting language (Python preferred) Tools & documentation: experience with Excel/Sheets, Git (basic), and technical documentation Testing & analysis: ability to follow test procedures, analyze results, and identify anomalies Problem-solving: logical thinking, curiosity, and willingness to troubleshoot with guidance Communication & teamwork: clear written/verbal communication and ability to collaborate in team environments 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 $ 25.00 Maximum Salary $ 25.00
    $31k-40k yearly est. Easy Apply 5d ago

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