Quality Analyst - Remote
Missoula, MT jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
• Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
• Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
• Assist the center with taking calls as needed to support operations and maintain service levels.
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
• Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
• Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
• Maintain strong organizational skills to effectively track monitors across different lines of business
• Collaborate in the development and revision of procedures in response to operational changes.
• Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
• Make recommendations based on data analysis to enhance performance and service delivery.
• Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
• Assist in training initiatives aimed at improving agent performance and overall quality scores.
• Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
• Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
• Take calls as needed to support center operations and maintain service levels.
• Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
• Perform other duties as assigned by management.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
50,000.00
Maximum Salary
$
61,000.00
Easy ApplySupervisor, Customer Service
Helena, MT jobs
Cardinal Health Sonexus Health Pharmacy Services helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Sonexus Health Pharmacy, our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**Job Summary**
The Supervisor, Customer Service Management directly supervises staff that are performing customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for overseeing the staffing schedule, training, and monitoring of key performance indicators to meet the requirements as outlined by client contracts and internal standard operating policies. Through effective supervision, the Pharmacy Operations Supervisor contributes to high quality customer service and long-term retention of customers.
**Responsibilities**
The Supervisor, Customer Service Management leads program staff performing actions including: customer service, and other patient services.
+ Oversee daily operations for patient access support contact center team of up to 20 team members and provide daily support ensuring team members can perform job responsibilities.
+ Coach, teach, train, and mentor team members in a 100% remote setting while monitoring individual and team performance.
+ Create and maintain creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Coordinate and deliver recurring (weekly, monthly, and quarterly) reviews of program metrics / dashboards while proactively sharing results with internal and external senior leaders.
+ Assess/Test / Solution / Approve program changes including those related to Information Technology, platform upgrades, and modifications to program business rules.
+ Report system issues that can impact our client relationship management system (CRM) and/or productivity in a timely manner.
+ Manage employee timecards in addition to standard HR responsibilities as a people leader.
+ Open job requisitions, conduct interviews, and provide personnel recommendations to senior leaders.
+ Coordinate with senior leadership and Advice and Counsel Center to determine appropriate corrective action, not limited to termination when applicable.
+ Continually monitor program adherence, quality, attendance and address accordingly.
+ Report Corrective and Preventative Actions in a timely manner.
+ Coordinate with fellow supervisors and collaborate with business partners to provide effective responses and resolutions to complex program related issues.
+ Conduct recurring development-based 1x1s with team members focused on both performance and goal setting.
+ Effectively manage time and independently prioritize work responsibilities to meet key deadlines.
+ Maintain regular contact with client/3rd party partners by leveraging excellent verbal and written communication skills.
+ Contribute to the building and presentation of quarterly business reviews to clients (either virtually or in-person).
+ Proactively seek and implement process efficiencies to reduce team manual work.
+ Host recurring (bi-weekly/monthly) team meetings to discuss updates, process changes, team SLAs/KPIs, QA, trends, etc.
+ Work well independently and in a team setting by collaborating across different departments.
**Qualifications**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related fields of patient support programs preferred
+ Previous management experience preferred
+ Strong communication, presentation, and time management skills
+ Commitment to the continued development of oneself and team members
+ Advanced computer skills and proficiency in Microsoft Office including but not limited to Word (e.g. inserting tables, mail merge, tracking changes, updating headers and footers), Teams, Outlook, PowerPoint (e.g. updating slide layout, adding slides, adding & updating charts, and graphs, and updating themes), and preferred Excel capabilities including pivot tables, graphing, and graphing, and basic formulas
+ Travel may be needed to perform your duties up to 10%.
**What is expected of you and others at this level**
+ Coordinates and supervises the daily activities of operations or business staff
+ Administers and exercises policies and procedures
+ Ensure employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT the first week of employment. Attendance is mandatory. You must be on camera for all training. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of 8am - 7pm CT and overtime when required.
**REMOTE DETAILS** : All U.S. residents are eligible to apply to this position. You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $67,500.00 - $86,670.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Client Relationship Manager
Helena, MT jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client.
+ Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented.
+ Monitors all program's activities and IT projects associated with the program
+ Includes setting due dates and responsible parties
+ Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met
+ Regular reporting out of all program's activities
+ Solicit feedback from the activity/task owners on sub-tasks
+ Maintain up-to-date activity timeline, articulate progresses and delays
+ Develops and manages activities timelines to ensure all deliverables are completed on schedule.
+ Obtain consensus for activities risks, decisions and closures
+ Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities.
+ Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met.
+ Escalate delayed activities to program's leadership
+ If activity owners are missing deadlines consistently and/or are unresponsive.
+ Managing contract amendments and project change requests for the client.
+ Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client.
+ Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams.
+ Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors.
+ Oversee daily operations and ensure alignment with client expectations and internal standards
+ Supports audits and regulatory reviews as needed
+ Ensure financial billing accuracy
+ Contact healthcare professionals for clarifications and information as needed
**_Qualifications_**
+ Min 5 years related client services experience, preferred
+ Min 5 years' experience in managing complex program activities with high accountability, preferred
+ Bachelor's degree preferred
+ Ability to travel - less than 25%
+ Proven product knowledge in business area
+ Licensed pharmacy technician in Texas preferred
**_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 program activities.
+ Own and develop tracking tools to achieve specific program management goals and activities.
+ Create and participate in recurring business review presentations
+ Recommends new practices, processes, metrics, or models
+ 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
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $80,900.00 - $92,400.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Business Analyst, Operations & Process Improvement (Remote)
Billings, MT jobs
Description & Requirements We are seeking a Business Analyst, Operations & Process Improvement to support program activities by gathering and interpreting business requirements, optimizing operational processes, and delivering actionable insights to guide management decisions. The ideal candidate demonstrates strong analytical reasoning, works collaboratively with business owners and operational teams, and develops innovative solutions to improve system performance and efficiency.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Apply strong analytical reasoning to understand end user's requirements and transform them into operational applications.
- Acquire deep knowledge of working systems and bring efficient and effective changes for better performance across programs.
- Extract, analyze, and report data to support program activity and assist in management decision making.
- Audit, evaluate, track, and report performance activity for Performance Management and contract compliance purposes (e.g., alignment with the program's service-level agreements,)
- Work closely with operations staff to define requirements, test criteria, and identify success factors.
- Collect, review, and document business requirements, specifications, and recommendations related to new processes, functionality, and proposed solutions.
- Extract, tabulate, and analyze data to support program activity and assist in management decision-making.
- Work closely with business owners, operations, users, and systems staff to improve business efficiency and deliver effective solutions.
- Collaborate effectively with internal and external business partners to ensure successful solution delivery.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years of relevant professional experience
- Experience documenting business requirements, processes, and recommendations.
- Proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
- Ability to collaborate effectively with internal and external stakeholders.
- Strong presentation skills and ability to communicate findings to non-technical audiences.
- Strong analytical and problem-solving skills.
Preferred Requirements
- 3 years of experience gathering and interpreting information to support process or operational improvements
- 5 years of experience working with data to identify trends, support decision-making, or evaluate program performance
- 3 years of experience in business analysis, operations support, or a related analytical role.
- Advanced proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#HotJobs1209LI #HotJobs1209FB #HotJobs1209X #HotJobs1209TH #TrendingJobs
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyRemote Diagnostic Radiologist
Anaconda-Deer Lodge, MT jobs
Job Description & Requirements Remote Diagnostic Radiologist
This facility is seeking a Remote Diagnostic Radiologist for locum tenens support as they look to fill a current need.
Details and requirements for this opportunity:
· Job Settings: Hospital/Telemedicine
· Modalities: Computed Tomography, Magnetic Resonance Imaging, Ultrasound, Plain Radiographic Films, Dual-Energy X-ray Absorptiometry
· Shift/Schedule/Hours: Friday - Tuesday 7:00 AM - 9:00 PM
· Dates Needed: Starting January 1, 2026 for an ongoing need
· Credentialing Timeframe: 2 Months but with a MT license, DEA, Application and proof of liability- temp privileges can be granted immediately.
· Certifications Required: Board Certified or Eligible
#DOX
Job Benefits
AMN Healthcare typically arranges medical or dental malpractice insurance for the contractor providers we match to client opportunities. In addition, our locum tenens can receive highly competitive pay and a dedicated team that handles all travel, lodging, rentals and transportation needs. Additionally, our Physician Mobility initiative decreases the amount of time you must wait to work at a facility where you are presented or have worked from 24 months to 6 months.
About the Company
At AMN Healthcare, we strive to be recognized as the most trusted, innovative, and influential force in helping healthcare organizations provide quality patient care that continually evolves to make healthcare more human, more effective, and more achievable.
Teleradiologist, Teleradiology, Radiologists, Teleradiology Specialist, Telemedicine, Hospital, radiology,, radiology, radiologist
AMN Healthcare is a digitally enabled workforce solutions partner focused on solving the biggest challenges affecting healthcare organizations today. We offer a single-partner approach to optimize labor sources, increase operating margins, and provide technologies to expand the reach of care.
Compensation Information:
$339.50 / Hourly - $367.50 / Hourly
Senior Investigator, Special Investigations Unit (Aetna SIU)
Helena, MT jobs
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.
This position can be work from home anywhere in the United States.
**Position Summary**
We are seeking an experienced Senior Healthcare Fraud Investigator to join our Special Investigations Unit (Aetna SIU), dedicated to a specific self-funded plan sponsor. In this role, you will manage complex investigations into suspected and known acts of healthcare fraud, waste and abuse (FWA).
**Key Responsibilities**
+ Conduct high level, complex investigations of known or suspected acts of healthcare fraud, waste and abuse.
+ Conduct Investigations to prevent payment of suspect or fraudulent claims submitted by insured's, providers, claimants, and customers.
+ Research and prepare cases for clinical and legal review.
+ Document all appropriate case activity in case tracking system.
+ Prepare written case summaries and make referrals to State and Federal Agencies within the timeframes required by Law.
+ Facilitate the recovery of company and customer money lost as a result of fraud, waste and abuse.
+ Cooperate with federal, state, and local law enforcement agencies in the investigation and prosecution of healthcare fraud.
+ Demonstrate high level of knowledge and expertise during interactions with internal and external partners.
+ Provide trial testimony in support of criminal or civil proceedings.
+ Give frequent presentations to internal and external customers regarding ongoing case investigations.
+ Respond quickly and accurately to questions and leads from internal and external customers.
+ Exercises independent judgment and uses available resources and technology to develop evidence in support of case investigations.
**Required Qualifications**
+ 3-5 years investigative experience in the area of healthcare fraud, waste and abuse.
+ Experience in in Microsoft Word, Excel, and Outlook products, open source database search tools, social media and internet research.
+ Ability to travel approximately 10% of time for business purposes.
**Preferred Qualifications**
+ Certified Professional Coder (CPC), AHFI, CFE
+ Knowledge of CVS/Aetna's policies and procedures
+ Understanding of self-funded insurance plan operations
+ Strong communication and customer service skills and the ability to effectively interact with Aetna's customers.
**Education**
+ Bachelor's degree preferred or equivalent work experience.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$46,988.00 - $122,400.00
This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
**Great benefits for great people**
We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **Benefit solutions that address the different needs and preferences of our colleagues** including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *****************************************
We anticipate the application window for this opening will close on: 01/03/2026
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
Care Advisor - Remote
Helena, MT 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.
Non-Acute Pharmaceutical Sales Specialist
Helena, MT jobs
**This role will be 100% remote.** Be a part of the fast-paced Non-Acute pharmaceutical sales team- responsible for winning, maintaining and growing customer relationships. This direct sales and customer account management role is responsible for day-to-day activities like order resolution, placement, and account maintenance as well customer initiatives, sales presentations and more.
**_Responsibilities:_**
+ Wins and retains new business in assigned sales region.
+ Responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers and strategic accounts.
+ Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity.
+ Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Qualifications:_**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 2-4 years of account management or sales experience, preferred
+ Strong communication and organizational skills
+ Strong working knowledge of Microsoft Excel and Outlook
+ Experience using Salesforce or other CRM systems, preferred
**Anticipated pay range:** $57,000 - $81,600
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being starting on day one of employment.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan & employer match
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/29/2025 and may close sooner depending on the number of applicants. If interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-JC1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Director of Operations
Helena, MT jobs
Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and simplifying the channel for specialty products. Our mission is: together, we will lower the cost of specialty products for our customers.
**Position Summary:**
Reporting directly to the General Manager (GM) of Averon, the Director of GPO Operations plays a pivotal and strategic role within the organization. This position carries full responsibility and accountability for the development and execution of all operating processes essential to delivering high-quality services.
A key responsibility of the Director is to ensure consistency in operational procedures, promote efficient workflows, and conduct regular evaluations to identify opportunities for ongoing improvement. The Director is responsible for creating, tracking, and reporting important success metrics to leadership, ensuring clear communication and alignment with the organization's goals.
In addition to these core duties, the Director will be responsible for identifying, securing, and managing operations related to strategic partnerships. These partnerships are critical for driving enterprise value and delivering competitive advantages that benefit both customers and the business.
As the leader of GPO Operations, the Director must demonstrate strong business acumen, executive presence, and exceptional customer engagement and presentation skills. The ability to recognize emerging trends, provide informed guidance regarding their impact, and propose actionable solutions to seize new opportunities is essential. Furthermore, the role requires influential leadership capabilities, including the ability to lead and affect change across groups without direct reporting lines, and to interact effectively at all organizational levels.
**Location** - Fully remote
**Expectations**
+ Ability to apply advanced knowledge and understanding of GPO concepts, principles, and technical capabilities to manage a wide variety of projects.
+ Define and develop policies and procedures for the GPO operation's team.
+ Define and develop metrics on measuring outcomes and what is success.
+ Work on or lead complex projects of large scope.
+ Understand current GPO operational processes and be able to adapt to support future growth.
+ Manage, support and mentor less experienced colleagues.
**Responsibilities**
+ Oversee the development, implementation, and continual improvement of Operations strategy by leveraging expertise in the specialty pharmaceutical market and GPO operations.
+ Support cross-functional teams to refine operational processes and technology solutions for Wholesaler Contract Load, Contract Alignment, and Membership Management (including roster management, manufacturer notifications, participant contract performance, etc.).
+ Stay informed about competitors and identify areas for unique positioning.
+ Collaborate with other departments to determine necessary changes to processes and technology, then create and deploy effective solutions.
+ Supervise all aspects of the GPO operating model and team, ensuring efficient and productive workflows.
+ Develop metrics, dashboards, and reports to track performance and keep senior leadership informed.
**Qualifications**
+ **Experience** :
+ Targeting 5+ years of relevant professional experience.
+ 5+ years of leadership and team management demonstrated, including supervision of direct reports.
+ Experience with pharmaceutical Group Purchasing Organizations (GPOs) and strategic partnerships.
+ Firsthand knowledge of specialty pharmaceutical manufacturers and trade concepts.
+ Strong understanding of GPO operations, including work with Manufacturer partners and Wholesalers.
+ Proven entrepreneurial skills in strategy development and team building.
+ Solid grasp of pharmaceutical distribution systems.
+ Successful history leading cross-functional teams and managing complex programs.
+ **Technical Skills** :
+ Advanced Microsoft Office Skills (Excel, PowerBI, MS Teams, SharePoint, etc.).
+ Proficiency with Contract Management software (willingness to learn).
+ **Analytical Skills** :
+ Proven ability to efficiently and effectively use advanced analytical skills to gather insights and data from multiple platforms to support business analyses.
+ **Soft Skills** :
+ Demonstrated ability to manage multiple workstreams.
+ Strong collaborator with solid communication skills.
+ Customer service, problem-solving, and analytical skills.
+ Strong attention to detail and process driven.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Coordinator, Individualized Care
Helena, MT jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans.
+ Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
+ Meets key performance indicators including service levels, call volumes, adherence and quality standards.
+ Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
+ Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
+ Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.
**_Qualifications_**
+ 1-3 years of experience, preferred
+ High School Diploma, GED or equivalent work experience, preferred
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (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 hourly range:** $18.10 per hour - $25.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/20/2026 *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 (***************************************************************************************************************************
Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Missoula, MT jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyDirector, Information Security and Risk (Identity & Access Management)
Helena, MT jobs
**_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments.
The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes.
**Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings.
**Responsibilities**
+ Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs
+ Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization.
+ Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews).
+ Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data.
+ Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls.
+ Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers.
+ Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient.
+ Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions.
+ Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities.
+ Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership.
+ Lead training and awareness programs related to IAM policies, secure access practices, and identity governance.
**Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred.
+ Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred.
+ Proven track record of executing enterprise IAM programs with measurable business impact.
+ Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred.
+ Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD).
+ Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.).
+ Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM).
+ Certifications such as CISSP, CIAM, or CISM preferred.
+ Strong analytical, relationship management, and communication skills (both written and verbal).
+ Ability to collaborate across functions and influence stakeholders to achieve IAM program success.
**What is expected of you and others at this level**
+ Provides leadership to managers and experienced professional staff; may also manage front line supervisors
+ Manages an organizational budget
+ Develops and implements policies and procedures to achieve organizational goals
+ Assists in the development of functional strategy
+ Decisions have an extended impact on work processes, outcomes, and customers
+ Interacts with internal and/or external leaders, including senior management
+ Persuades others into agreement in sensitive situations while maintaining positive relationships
_\#LI-LP_
_\#LI-Remote_
**Anticipated salary range:** $135,400 - $228,910
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/25/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Managing Director/Program Manager - Justice and Compliance (REMOTE)
Billings, MT jobs
Description & Requirements We are currently seeking a remote Managing Director/Program Manager - Justice and Compliance for an upcoming federal contract (pending award). This Program will provide clerical, administrative, and professional services to support nationwide Justice, Accounting and Compliance agencies.
*Please Note: The selected candidate must be clearable for up to a Top-Secret security clearance.
Essential Duties and Responsibilities:
- Approve and oversee the implementation of new contracts or modifications to existing contracts, to supply necessary services as needed.
- Implement procedures relating to the investigative program, and provide operational and policy guidance.
- Plan, direct, provide guidance, control and evaluate for the efficient and cost effective operations of the carrying out of the Support Contract duties.
- Responsible for analysis, development, implementation, maintenance and periodic evaluation of group activities.
Minimum Requirements
- Bachelor's degree from an accredited college or university; Master's degree in a related field preferred.
- A minimum five years' experience in a management position
- Excellent organizational, interpersonal, written and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- The ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently.
- Excellent people management.
- Demonstrated ability to manage large scale projects.
- Computer literate.
- Preferred qualifications include proven ability establishing and maintaining relationships with community groups, including stakeholder and advocacy organizations.
Job Specific Requirements:
-Master's Degree or equivalent experience as a Program Manager, with emphasis on oversight of multiple projects that emphasize analytical processes and legal assistance, training, and recruitment, in a Criminal Justice or Law Related Field.
- A minimum of 5 years of program management experience with similar programs within the Federal Government.
-10 years of supervisory experience. This role will oversee: Regional Directors, Agency Managers,
and Project Directors.
-10 years of experience in finance/accounting and proven record of strong financial controls and risk mitigation.
- Proven financial leadership including capital resources, forecasting, treasury, financial services, accounting, and payroll.
- Experience managing multiple contract types, especially where work is organized into task orders.
- Demonstrated ability to manage large scale projects.
- Ability to Implement the Contractor's quality control program and approve hiring of all supervisory level Contractor employees.
- Ability to manage the Contractor's training program.
- Excellent organizational, interpersonal, written and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
-The ability to successfully execute many complex tasks simultaneously.
- Able to work as a team member, as well as independently.
- Ability to travel approximately 25% nation-wide
- Must be clearable for up to a Top-Secret security clearance.
#maxcorp #LI-JH1 #HotJobs1202LI #HotJobs1202FB #HotJobs1202X #HotJobs1202TH #TrendingJobs #c0rejobs
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
$
212,500.00
Maximum Salary
$
287,500.00
Easy ApplyCoordinator II, Performance Monitoring
Helena, MT jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**What Performance Monitoring contributes to Cardinal Health:**
Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality.
**Responsibilities:**
+ Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit.
+ Conduct case audits to ensure correct process steps have been followed for the "patient journey"
+ Monitor calls and provide effective written feedback
+ Maintain knowledge of the client's program and product/service offerings.
+ Interpret and transcribe inbound and outbound calls from patients and health care providers.
+ Identify adverse events when monitoring calls.
+ Ensure documentation is in order following client regulatory guidelines.
+ Identify trends and training needs from call monitoring and escalate appropriately.
+ Work effectively with dynamic, integrated task teams
+ Maintain a work pace appropriate to the workload
**Qualifications**
+ HS Diploma, GED or technical certification in related field or equivalent experience, preferred.
+ 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset.
+ 2 years' quality review experience preferred.
+ Knowledge of medical terminology preferred.
+ Exceptional listening skills required.
+ Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.)
+ Multi-tasking, time management and prioritization skills considered an asset.
+ Bilingual Spanish would be an asset.
**What is expected of you and others at this level**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**Training and Work Schedules** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (8-hour shifts, 40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 8:00pm CST.
**Remote Details:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $18.35 per hour - $26.40 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026. If interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Product Documentation Specialist, (Remote)
Missoula, MT jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyOutpatient Program Specialist
Montana jobs
As the Outpatient Program Specialist, you will be responsible for overseeing and ensuring the success of quality improvement initiatives, including chronic disease management, behavioral health, and data reporting initiatives across our region. This is a remote position and the ideal candidate lives in Colorado, Idaho, Iowa, Kansas, Montana, Missouri, Nebraska, Oregon, or Wyoming. However, Telligen will consider internal candidates in other states.Essential Functions
You will support a team of Quality Improvement Advisors (QIAs) to ensure the delivery of effective technical assistance (TA), achievement of project goals, and compliance with deliverables.
You will serve as a subject matter expert in topic areas related to outpatient primary care practice, such as patient safety, risk assessments, process mapping, documentation and billing, and data reporting. You will facilitate the team's ability to identify opportunities for improvement, address challenges, and ensure the alignment of interventions with organizational and project-wide goals.
You will also be responsible for state, regional, and national partner engagement across the region, including ongoing support of relationships and collaborative activities.
Requirements
Bachelor's degree in nursing, public administration, public policy, public health, or a related field, required
Proven ability to design, implement, and support a regional technical assistance strategy tailored to providers' unique needs.
Comprehensive knowledge of primary care delivery, chronic disease management processes, and data reporting requirements. Direct experience in an outpatient setting preferred.
In-depth understanding of clinical quality measures and QI methodologies to identify gaps in care, including supporting implementation of evidence-based interventions that will improve outcomes and knowledge of barriers and drivers for improvement in key focus areas.
Proven ability to design and deliver effective training programs, workshops, and learning collaboratives to build capacity in quality improvement practices among healthcare professionals.
Preferred Skills/Experience
Clinical licensure (e.g., RN, LPN, MSW, PharmD).
Master's degree in public health, quality improvement science, health informatics, or related field.
Proven experience mentoring multidisciplinary teams, including quality improvement professionals or equivalent roles.
Proven ability to manage project timelines, meet deadlines, and produce detailed written reports.
Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences.
Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Auto-ApplyProject Manager - Strategic Workforce Analytics (Remote)
Bozeman, MT 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
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
Easy ApplyPharmacy Business Consultant (1.0)
Billings, MT jobs
You'll want to join Billings Clinic for our outstanding quality of care, exciting environment, interesting cases from a vast geography, advanced technology and educational opportunities. We are in the top 1% of hospitals internationally for receiving Magnet Recognition consecutively since 2006.
And you'll want to stay at Billings Clinic for the amazing teamwork, caring atmosphere, and a culture that values kindness, safety and courage. This is an incredible place to learn and grow. Billings, Montana, is a friendly, college community in the Rocky Mountains with great schools and abundant family activities. Amazing outdoor recreation is just minutes from home. Four seasons of sunshine!
You can make a difference here.
About Us
Billings Clinic is a community-owned, not-for-profit, Physician-led health system based in Billings with more than 4,700 employees, including over 550 physicians and non-physician providers. Our integrated organization consists of a multi-specialty group practice and a 304-bed hospital. Learn more about Billings Clinic (our organization, history, mission, leadership and regional locations) and how we are recognized nationally for our exceptional quality.
Your Benefits
We provide a comprehensive and competitive benefits package to all full- and part-time employees (minimum of 20 hours/week), including Medical, Dental, Vision, 403(b) Retirement Plan with employer matching, Defined Contribution Pension Plan, Paid Time Off, employee wellness program, and much more. Click here for more information or download the Employee Benefits Guide.
Magnet: Commitment to Nursing Excellence
Billings Clinic is proud to be recognized for nursing excellence as a Magnet-designated organization, joining only 97 other organizations worldwide that have achieved this honor four times. The re-designation process happens every four years. Click here to learn more!
Pre-Employment Requirements
All new employees must complete several pre-employment requirements prior to starting. Click here to learn more!
Pharmacy Business Consultant (1.0)
SPECIALTY PHARMACY (Billings Clinic Main Campus)
req10865
Shift: Fully Remote
Employment Status: Full-Time (.75 or greater)
Hours per Pay Period: 1.00 = 80 hours every two weeks (Exempt)
Starting Wage DOE: $27.69 - 34.61
Job may be remote within the US or a hybrid role for someone in the Billings area.
Works effectively with Pharmacy Leadership Team, Accounting department, and 340B team to manage the pilot 340B Rebate Program. The 340B Business Consultant will be responsible for rebate accounts receivable tracking, third party vendor portal ownership, and collections follow-up for outstanding manufacturer payments. Ensures that our 340B Rebate program is organized, current, and efficient. Accountabilities include strategic planning for optimized financial capture, establishment of an effective manufacturer network, and ongoing process improvements based on incoming information and discoveries. Candidates with previous 340B and Accounts Receivable experience will be an ideal fit for this role.
Essential Job Functions
* Supports and models behaviors consistent with Billings Clinic's mission, vision, values, code of business conduct and service expectations. Meets all mandatory organizational and departmental requirements. Maintains competency in all organizational, departmental and outside agency standards as it relates to the environment, employee, patient safety or job performance.
* Understands the overall workflow to proactively solve problems, provide analysis, and evaluate trends in the revenue cycle. Displays initiative to resolve 835 remittance issues including, but not limited to: unapplied cash, claim exceptions, and partial pays. Provide claims resolution to ensure accuracy in the process.
* Assists with inventory, supply and equipment acquisition and repair, and vendor relations.
* Conducts performance and payment audits for both internal and external audits. Supervises the collection of payment data and provides recommendations and resolution to audit results. Attends, reviews, researches, and responds to payer audits. Develops audit responses and correspondences with payer and escalates adverse audits to management.
* Provides proactive and ongoing follow-up and problem solving with insurance companies and pharmacy sites to identify trends, communicate proactively, and ensure accuracy in the revenue cycle process.
* Ensures optimal revenue cycle performance through evaluation, analysis, and problem solving. Provides analysis to stakeholders and constantly analyzes operations in an attempt to improve processes in order to provide better customer service and improve the revenue cycle.
* Reviews payments for accuracy, ensure collection according to contracts, and follows-up with insurance companies to leverage the revenue process.
* Oversees the creation of analysis consisting of proformas, IRR's, capital requests, and business line opportunities.
* Collect and analyze data for fiscal impact of existing and proposed contracts, business lines, and product lines for both internal and external customers. Provide analysis, recommendations, and summary to stakeholders
* Understands contracts to achieve results and department metrics, including but not limited to: payer DSO equal or exceeds department goals, A/R percentage over 60 days equals or exceeds department goals, and timely submission of secondary payer billings equals or exceeds department goals.
* Maintains competency in all organizational, departmental and outside agency environmental, employee or patient safety standards relevant to job performance.
* Performs other duties as assigned or needed to meet the needs of the department/organization.
Minimum Qualifications
Education
* Bachelor's degree in business, economics, or other related field
* Master's degree in business or healthcare administration, preferred
Experience
* Three (3) years' experience in business operations and financial process improvement
* Prior healthcare experience, preferred
Or an equivalent combination of education and experience relating to the above tasks, knowledge, skills and abilities will be considered. Employees that require a licensed or certification must be properly licensed/certified and the licensure/certification must be in good standing.
Billings Clinic is Montana's largest health system serving Montana, Wyoming and the western Dakotas. A not-for-profit organization led by a physician CEO, the health system is governed by a board of community members, nurses and physicians. Billings Clinic includes an integrated multi-specialty group practice, tertiary care hospital and trauma center, based in Billings, Montana. Learn more at ******************************
Billings Clinic is committed to being an inclusive and welcoming employer, that strives to be kind, safe, and courageous in all we do. As an equal opportunity employer, our policies and processes are designed to achieve fair and equitable treatment of all employees and job applicants. All employees and job applicants will be provided the same treatment in all aspects of the employment relationship, regardless of race, color, religion, sex, gender identity, sexual orientation, pregnancy, marital status, national origin, age, genetic information, military status, and/or disability. To ensure we provide an accessible candidate experience for prospective employees, please let us know if you need any accommodations during the recruitment process.
Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Billings, MT jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyData Science Product Manager *Remote*
Montana jobs
Providence is seeking a full-time Data Science Product Manager to leverage a robust data science skillset as well as a customer service and process-oriented skillset to assess customer needs, design product roadmaps, lead efforts to build/test/validate/iterate, and maintain data science and analytic products. Execute data science projects, including analyzing large amounts of raw information and preprocessing structured and unstructured data. Build predictive models, conduct experimental designs and web analytics, and build machine learning algorithms using advanced technologies to support Healthcare Research Accelerator initiatives. Exhibit a strong curiosity about data and excels at harvesting insights from highly complex data across multiple data sources. Work closely with Data Engineers and establish the entire project/product life cycle. Employee has option to telecommute full-time from any state in which Providence has an office (currently: AK, WA, OR, CA, NM, MT, TX)
Applicants must have:
+ Master's degree in Data Science, Computer Science, Statistics, Mathematics, Engineering, or a similar field.
+ Three (3) years experience in data science or related.
+ Requires skills and experience in the following:
+ 3 years of experience with querying large datasets using SQL, Python and/or R, Jupyter Notebook, NumPy, Pandas, Matplotlib/Seaborn, and Spark/PySpark.
+ 3 years of experience with big data, database query, and analysis languages (e.g., Python, SQL, Snowflake SQL, R, Scala, SAS, Azure DataBricks, interactive dashboarding) and data visualization tools (e.g., Power BI, Tableau).
+ 3 years of experience with Machine learning, deep learning model development, NLP model (Natural Language Processing) development, and other methods to solve complex problems using structured and unstructured data.
+ 3 years of experience with SciPy, Scikit-learn (SKLearn), Spacy, TensorFlow/Keras, and Docker.
+ 3 years of experience working with Electronic Medical Record, clinical data, Healthcare standard code sets such as ICD, CPT/HCPCS, LOINC, OMOP.
+ 3 years of experience working in Microsoft Azure or other major Cloud platforms.
+ 3 years of experience with Kubernetes, DataBricks, Snowflake, and Azure Data Factory/Airflow.
+ 3 years of Data architecture experience, including data ingestion, processing, storage and reporting in a big data environment.
+ 3 years of experience supporting healthcare research projects. Understanding of research project life cycle from planning through implementation and reporting phases.
+ 2 years of demonstrated expertise in ensuring compliance with healthcare regulations and standards. Knowledge of health data privacy guidelines, including HIPAA de-identification standards. Experience handling Protected Health Information (PHI) and Personally Identifiable Information (PII) with a focus on maintaining confidentiality and security.
+ 1 year of experience in statistical modeling, including designing and conducting hypothesis testing, survival analysis, probabilistic modeling, with the ability to interpret and present results.
+ 1 year of experience working with biomarker genomics data and understanding of genomic and proteomic data pipelines.
+ Experience in product management with a focus on data management, analytics, product design and operations support.
Salary Range by Location:
+ AK: Anchorage: Min: $48.27, Max: $76.22
+ AK: Kodiak, Seward, Valdez: Min: $50.32, Max: $79.45
+ California: Humboldt: Min: $50.32, Max: $79.45
+ California: All Northern California - Except Humboldt: Min: $56.46, Max: $89.13
+ California: All Southern California - Except Bakersfield: Min: $50.32, Max: $79.45
+ California: Bakersfield: Min: $48.27, Max: $76.22
+ Montana: Except Great Falls: Min: $40.19, Max: $61.36
+ Montana: Great Falls: Min: $40.19, Max: $58.13
+ New Mexico: Min: $40.19, Max: $61.36
+ Oregon: Non-Portland Service Area: Min: $45.00, Max: $71.05
+ Oregon: Portland Service Area: Min: $48.27, Max: $76.22
+ Texas: Min: $40.19, Max: $58.13
+ Washington: Western - Except Tukwila: Min: $50.32, Max: $79.45
+ Washington: Southwest - Olympia, Centralia & Below: Min: $48.27, Max: $76.22
+ Washington: Tukwila: Min: $50.32, Max: $79.45
+ Washington: Eastern: Min: $42.96, Max: $67.82
+ Washington: Southeastern: Min: $45.00, Max: $71.05
Why Join Providence?
Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Check out our benefits page for more information.
Equal Opportunity Employer including disability/veteran
Accepting a new position at another facility that is part of the Providence family of organizations may change your current benefits. Changes in benefits, including paid time-off, happen for various reasons. These reasons can include changes of Legal Employer, FTE, Union, location, time-off plan policies, availability of health and welfare benefit plan offerings, and other various reasons.
About Providence
At Providence, our strength lies in Our Promise of "Know me, care for me, ease my way." Working at our family of organizations means that regardless of your role, we'll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Providence offers a comprehensive benefits package including a retirement 401(k) Savings Plan with employer matching, health care benefits (medical, dental, vision), life insurance, disability insurance, time off benefits (paid parental leave, vacations, holidays, health issues), voluntary benefits, well-being resources and much more. Learn more at providence.jobs/benefits.
Applicants in the Unincorporated County of Los Angeles: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act."
Requsition ID: 397279
Company: Providence Jobs
Job Category: Data Sciences
Job Function: Information Technology
Job Schedule: Full time
Job Shift: Day
Career Track: Business Professional
Department: 4007 SS HEALTHCARE RESEARCH ACCELERATOR
Address: WA Renton 1801 Lind Ave SW
Work Location: Providence Valley Office Park-Renton
Workplace Type: Remote
Pay Range: $See Posting - $See Posting
The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.
Auto-Apply