Work From Home Florence, MS jobs - 296 jobs

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We're looking for Customer Support Product Testers across the US to work from home and help top brands improve their products before they hit the market.

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies. We guarantee 15-25 hours per week with an hourly pay of between $25/hr. and $45/hr., depending on the In-Home Usage Test project. No experience required. There is no payment required in order to apply or to work as an In-Home Usage Tester. You don't have to buy products or pay for shipping, everything is paid by our company. In-Home Usage Testers are considered independent contractors, we pay weekly every Wednesday by direct deposit or by cheque. Online Consumer Panels America is a consulting firm that specializes in product testing and product development work. We design and conduct In-Home Usage Testing (IHUT) locally and nationally to provide actual user feedback in real-time to companies and market research firms to evaluate products to ensure proper product certification and greater market access. It is important to note that during your application process, reputable market research companies will determine your demographics and consumer profile to establish what products would be suitable for you to test. Market research companies that partner with us will use questionnaires to identify and target certain types of consumers, to ensure that the right participants are engaged and to achieve the representative sample needed. Participation in these product testing and consumer panels is always free, secure and private. In-Home Usage Testing is a quick, easy and fun way to make extra cash by telling big brands what you think about their upcoming products and services in the American market. Main Duties: Properly document In-Home Usage Tests as instructed in the In-Home Usage Test Daily Schedule (screenshots, audio recordings, videos, product journal entries, etc.) Take care of the product being tested and use it responsibly Read and strictly follow the In-Home Usage Test Daily Schedule provided with each product testing project (may include tasks such as unpacking, reading instructions, journal entries, online or mobile feedback, usage of product for a certain amount of time, writing reviews, taking pictures, etc.) Some In-Home Usage Tests projects may require participants to use MFour's Mobile In-Home Use Test Technology (cutting-edge smartphone technology to capture Point-of-Emotion insights to gain unparalleled depth of responses) There are times when the product being tested may be discussed in a private chat room that is opened by a market research firm Write reviews as requested in the In-Home Usage Test Daily Schedule for each project Requirements: Ability to follow specific instructions Excellent attention to detail and curious spirit Be able to work 15-25 hours per week and commit to a certain routine Have access to a computer and a reliable internet connection Have access to a digital camera or cell phone that takes pictures -Be honest and reliable -Good communication skills are an asset -18 years or older A paid Product Tester position is perfect for those looking for an entry-level opportunity, flexible or seasonal work, temporary work or part-time work. The hours are completely flexible and no previous experience is necessary. Benefits: Very competitive pay rate Weekly pay Work around your own schedule Learn about an exciting industry Telecommute (you can work from home, work or school) Most of the time you can keep the product you tested

Job DescriptionThis role offers leadership experience with long-term income potential. You will oversee remote teams, improve service systems, and support employee development. Management bonuses increase with performance and stability. What We Provide Training & mentorship (no experience required) Access to reputable insurance carriers Optional third-party benefits and incentive opportunities Remote work with flexible scheduling Trips, bonuses, and optional benefits are performance-based and not guaranteed. Requirements Life Insurance License (or willing to obtain - state timelines vary) Authorized to work in the U.S. Must pass a background check Self-motivated and comfortable working independently Prior sales, service, or leadership experience is helpful but not required Compensation Commission paid directly by partnered carriers Earnings are based on individual sales performance Opportunities for higher commission tiers and bonuses based on results How to Apply If you're looking for a flexible, sales-driven career helping families protect their financial future, apply today to schedule a short introductory call.

The Advanced Technology Strategic Sourcing Leader will be responsible for developing and influencing strategy across the buying and delivery teams within ATO Sourcing. There will be a specific focus on developing a dedicated advanced combat supply base and progressing suppliers from one-off development to full rate production. This role involves driving initiatives horizontally across the Edison Works Sourcing team to eliminate waste and enhance efficiencies. The individual will collaborate cross-functionally with leaders across the Edison Works organization (Including, but not limited to: Engineering, Manufacturing, Quality, Program, Finance, Product Operations and Compliance) to influence policy and drive business outcomes through the application of GE Aerospace Flight Deck Lean principles. It is preferred that this person sit out of the Evendale, OH office but could consider remote. **Job Description** **Roles and Responsibilities** + Optimize the part & material definitions at R&D stage to make it easier to source + Requires specialized depth and/or breadth of expertise within their discipline. May require strong commercial awareness, and is expected to influence the development of strategy within own area, including control of resources and influences policy formulation. + May lead functional teams or projects with minimal resource requirements, risk, and/or complexity. Communicates difficult concepts and may influence others' options on particular topics. May guide others to consider a different point of view. + Impacts the team's ability to achieve service, quality and timeliness of objectives. Work is subject to functional policy objectives. Regularly advises management in the function and/or in the business. Has a supportive role in decision making about important subjects. High levels of evaluative judgment are required to achieve outcomes required. + Uses high level of judgment to make decisions and handle complex tasks or problems that impact the function. Has ability to assess quality of information given and ask pertinent questions to stakeholders. Able to offer new solutions to problems outside of set parameters and is able to construct and provide recommendations. Uses multiple internal and some external sources outside of own function to help arrive at a decision. **Required Qualifications** + Bachelor's Degree from an accredited university or college + Minimum of 5 years of sourcing, procurement, or related experience + Must be a US Citizen + Ability to obtain and maintain a security clearance **Desired Characteristics** + Optimizing part & material definitions at R&D stage to make it easier to source. + Strong oral and written communication skills. + Strong interpersonal and leadership skills. + Demonstrated ability to analyze and resolve problems. + Demonstrated ability to lead programs / projects. + Ability to document, plan, market, and execute programs. + Established project management skills. + Strong Lean background + Humble: respectful, receptive, agile, eager to learn + Transparent: shares critical information, speaks with candor, contributes constructively + Focused: quick learner, strategically prioritizes work, committed + Leadership ability: strong communicator, decision-maker, collaborative + Problem solver: analytical-minded, challenges existing processes, critical thinker The salary range for this position is $116,000 - 154,000. The specific salary offered to a candidate may be influenced by a variety of factors including the candidate's experience, their education, and the work location. In addition, this position is eligible for a performance bonus/variable incentive plan. This posting isexpected to close on January 5, 2026.GE Aerospace offers comprehensive benefits and programs to support your health and, along with programs like HealthAhead, your physical, emotional, financial and social wellbeing. Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach from GE Aerospace; and the Employee Assistance Program, which provides 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Aerospace Retirement Savings Plan, a 401(k) savings plan with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness. GE Aerospace (General Electric Company or the Company) and its affiliates each sponsor certain employee benefit plans or programs (i.e., is a "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual. _This role requires access to U.S. export-controlled information. Therefore, employment will be contingent upon the ability to prove that you meet the status of a U.S. Person as one of the following: U.S. lawful permanent resident, U.S. Citizen, have been granted asylee or refugee status (i.e., a protected individual under the Immigration and Naturalization Act, 8 U.S.C. 1324b(a)(3))._ **Additional Information** GE Aerospace offers a great work environment, professional development, challenging careers, and competitive compensation. GE Aerospace is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law. GE Aerospace will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable). **Relocation Assistance Provided:** No \#LI-Remote - This is a remote position GE Aerospace is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.

**Become a part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program Management Lead, Offshore Coding Operations works on problems of diverse scope and complexity ranging from moderate to substantial. The **Program Management Lead, Offshore Coding Operations** optimizes the effectiveness of the offshore coding (post-visit) team. The lead analyzes the performance of the offshore coding team and creates strategies to maximize associate output. The **Program Management Lead, Offshore Coding Operations** works on problems of diverse scope and complexity ranging from moderate to substantial. **Relationship Building:** + Cultivate relationships with onshore and offshore coding teams including leaders. + Serve as liaison and primary point of contact with the offshore (vendor) leaders. + Strategy: Advises coding leaders to develop functional strategies (often segment specific) on matters of significance. + In partnership with Coding Operational Excellence and Regional Coding Leaders, develop strategies for continuous improvement of offshore coding processes and quality. + Post-Visit/Offshore Coding Collaboration: + Partner with analytics to develop quality assurance program on post-visit reviews. (Frequency and sampling methodology to be determined). **Qualitative and Quantitative Analyses:** + Analyze trends and share results with coding leaders/teams. + Monitor quality and address performance gaps. + Research and interpret correct coding guidelines and internal business rules to respond to inquiries and issues. + May participate in coder education programs on coding compliance. + Follows state and federal regulations as well as internal policies and guidelines while analyzing coding information and medical records. **Mergers and Acquisitions:** + Partner with coding teams (consultative coders) on the special handling of Mergers & Acquisitions: + Other Duties: + Lead Special Projects for onshore and offshore coding teams. + Participate in chart reviews to identify educational opportunities. + Conduct research as needed. + Participate in Payer calls/chart reviews. + May participate in provider education programs on coding compliance. + Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. **Use your skills to make an impact** **Proposed Requirements:** + Bachelor's degree in a relevant field (e.g., Health Information Management, Business Administration, Healthcare Administration) + Active professional certification required: RHIA, RHIT, CCS, CRC, or CPC + Minimum 5 years' progressive experience in medical coding operations + Minimum of 3 years' direct experience managing or optimizing offshore coding teams and vendor partnerships + Demonstrated success leading cross-functional initiatives and continuous improvement efforts in large, matrixed healthcare organizations + Experience collaborating with analytics, training, and operational excellence teams to drive quality and efficiency in coding workflows + Prior exposure to supporting mergers & acquisitions in a coding operations context preferred **Preferred Qualifications** + Master's degree preferred. **Knowledge, Skills, and Abilities** + Advanced understanding of medical coding guidelines, healthcare regulations (including HIPAA, state and federal compliance), and payer requirements + Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint) and relevant coding/audit software + Strong business acumen with proven strategic and critical thinking skills + Ability to analyze complex quantitative and qualitative data, synthesize findings, and communicate actionable insights to leadership + Outstanding verbal and written communication skills, with the ability to present to and influence diverse stakeholder groups + Effective relationship-building skills with both onshore and offshore teams, including vendor management and leadership liaison + Proven ability to work successfully in a fast-paced, dynamic, and matrixed environment + Commitment to continuous improvement, operational excellence, and collaborative problem-solving + Public speaking and group presentation experience required + Demonstrated ability to educate and mentor staff on coding compliance and best practices **Additional Information** + Preferred work hours: EST + Up to 20% travel nationally within CenterWell markets **Work at Home Requirements** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-27-2026 **About us** About Conviva Senior Primary Care: Conviva Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. As part of CenterWell Senior Primary Care, Conviva's innovative, value-based approach means each patient gets the best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can impact our patients' well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Centerwell, a wholly owned subsidiary of Humana, complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our full accessibility rights information and language options *************************************************************

Our company has moved to 100% virtual, work-from-home positions. This position allows you to build your career around your life, rather than being forced to build your life around your career! We're looking for enthusiastic, self-driven individuals to assist existing and prospective clients within our organization. In this position, you will work with multiple clients throughout the day, providing outstanding service and product knowledge. Preferred Skills:- Excellent communication skills, including active listening and problem-solving- Ability to learn, adapt, and adjust on-the-go- Work well with others and individually- Possess a strong work ethic and drive to succeed What You Can Expect:- Flexible schedule- 100% Remote position- Weekly trainings led by top leaders- Life insurance- Health insurance reimbursement- Industry-leading resources and technology

Job DescriptionEpic Wisdom Analyst We are seeking a skilled Epic Wisdom Analystto support our Dental and Oral Health applications. The ideal candidate will have proven experience in Epic WISDOM build, configuration, and optimization, with a strong understanding of clinical workflows and integration with other Epic modules. Key Responsibilities: Configure, build, and maintain the Epic WISDOM module to support dental operations and workflows. Partner with dentists, hygienists, and clinical staff to gather requirements and translate them into effective system solutions. Perform system testing, validation, and troubleshooting for upgrades, patches, and new implementations. Develop reports, dashboards, and workflows that improve efficiency and patient experience. Ensure compliance with HIPAA and organizational policies for patient data security. Collaborate with other Epic teams (Cadence, Resolute, MyChart, etc.) to support integration and cross-module workflows. Provide go-live and post-go-live support, including training and end-user assistance. Document workflows, build changes, and maintain system-related knowledge base. Qualifications: 3+ years of experience as an Epic Analyst, with at least 12 years specializing in Epic WISDOM. Epic WISDOM Certification (required). Strong understanding of dental/oral health workflows. Experience with clinical documentation, scheduling, and billing workflows in Epic. Ability to perform system testing, troubleshoot issues, and deliver end-user support. Excellent communication, problem-solving, and stakeholder management skills. This is a remote position.

Remote Insurance Sales Opportunity The Summers Agency is hiring motivated individuals for a fully remote insurance sales role. This is a commission-based position with strong earning potential and clear advancement opportunities. We provide warm leads, full training, and ongoing mentorship. Your role is to meet with clients virtually, assess their needs, and help them secure appropriate coverage. Highlights Work from home Warm leads provided Flexible schedule Training and mentorship included Advancement into leadership available Compensation $500-$700 per family protected (avg.) First-year income $70k-$125k+ Leadership income and residuals available Apply today to begin the interview process. Please note that the success, earnings, and production results mentioned are not typical, average, or guaranteed. Your level of success will depend on various factors, including your efforts, your ability to follow our training and sales systems, engage with our lead system, and the insurance needs of customers in your chosen geographic areas.

Role OverviewSodexo has an exciting new opportunity for a Vice President 2, Operations - Campus, which will cover South Texas, Louisiana, and Mississippi. Reporting to the Chief Operating Officer, you will be responsible for the client retention and growth capabilities through Leadership Development, Client Partnerships and Operational Excellence. This is a remote position, and the selected candidate will live in the region. IncentivesAIP & LTIWhat You'll DoAchieving segment goals by providing the leadership, management, and oversight necessary to ensure that the business has the proper solutions, products, metrics, and talent in place to effectively grow the organization and meet/exceed defined revenue, profitability targets, and other KPIs. Achieves exceptional client relations and ensures the facility's product offerings/solutions align with client needs. Contributing to the innovation of services to expand Sodexo's Service Solutions for current and prospective clients. Overseeing proposal development activities, including positioning, strategy development, customer negotiations, contract review, and pricing/costing. Resolving client issues and concerns with agility and professionalism. Establishing organizational protocols and systems to identify client issues, trends, and opportunities and effectively integrate them into area strategies. Balancing retention efforts at current clients with new business development opportunities and reallocating resources across the territory as needed to ensure operational excellence within all accounts. Hiring, growing, and developing current and future talent. Providing positive and constructive feedback through coaching, mentoring, and counseling. In collaboration with Sales and Brand Teams, designing and implementing Strategic Partnership programs for the area that create value for clients/prospects. Responsible for the area communication and marketing plans. Establishing visibility and relevance for Sodexo in the area's industry by preparing presentations to management groups, leadership groups, and boards to explain the company's market position and initiatives. As a Change Champion, prepares the area's culture to adapt to and embrace ongoing, fundamental changes that will enable the business to grow and prosper. What We OfferCompensation is fair and equitable, partially determined by a candidate's education level or years of relevant experience. Salary offers are based on a candidate's specific criteria, like experience, skills, education, and training. Sodexo offers a comprehensive benefits package that may include: Medical, Dental, Vision Care and Wellness Programs 401(k) Plan with Matching ContributionsPaid Time Off and Company HolidaysCareer Growth Opportunities and Tuition ReimbursementMore extensive information is provided to new employees upon hire. What You BringExceptional client relations skills, strong strategic leadership, solid understanding of business diagnostics,Strong financial acumen, talent management, strong communication and project management skills. Experience in the Universities segment handling complex financial accounts as well as experience operating in a multi-cultural environment. Have a strong professional drive and passion for the industry. Who We AreAt Sodexo, our purpose is to create a better everyday for everyone and build a better life for all. We believe in improving the quality of life for those we serve and contributing to the economic, social, and environmental progress in the communities where we operate. Sodexo partners with clients to provide a truly memorable experience for both customers and employees alike. We do this by providing food service, catering, facilities management, and other integrated solutions worldwide. Our company values you for you; you will be treated fairly and with respect, and you can be yourself. You will have your ideas count and your opinions heard because we can be a stronger team when you're happy at work. This is why we embrace diversity and inclusion as core values, fostering an environment where all employees are valued and respected. We are committed to providing equal employment opportunities to individuals regardless of race, color, religion, national origin, age, sex, gender identity, pregnancy, disability, sexual orientation, military status, protected veteran status, or any other characteristic protected by applicable federal, state, or local law. If you need assistance with the application process, please complete this form. Qualifications & RequirementsMinimum Education Requirement - Bachelor's degree or equivalent experience Minimum Management Experience - 10 years Minimum Functional Experience - 10 years of multi-unit, support, or strategic leadership experience

Job DescriptionDescription: Company: T Enterprises Inc., dba 1Vision- A Direct Marketing, Printing and Promotional Products Company Why Work Here? “Forward Thinking - Pursue growth, learning and fun.” 1Vision is a leader in the print communication industry providing state of the art print production and fulfillment. We are recognized as a one of the top 300 nationwide commercial printers offering direct mail and marketing services. About Us 1Vision is a leader in the print communication and promotional products industry, offering cutting-edge print production, direct marketing, and branded merchandise solutions. We're growing and looking for a driven sales professional to join our team. Job Summary We are seeking a highly motivated Promotional Products Sales Representative to build new business, grow existing accounts, and support clients with creative promotional product and fulfillment solutions. Requirements: Responsibilities Develop new business through cold calling, networking, and referrals Manage and grow an existing book of business Recommend promotional product solutions aligned with client needs Provide quotes, presentations, and proposals Negotiate pricing and close sales Coordinate with suppliers for product sourcing and order fulfillment Develop accounts through company stores, web platforms, and fulfillment programs Achieve monthly and quarterly sales goals Qualifications 1-3 years of sales experience (promo or B2B preferred) Strong communication and relationship-building skills Able to manage multiple projects and deadlines Self-starter with strong work ethic Familiarity with ASI, SAGE, or similar tools preferred Proficient in Microsoft Office and CRM platforms Benefits Competitive compensation (Base + Commission or Commission Only) 401(k) with 15% company match Medical, dental, LTD, life insurance Paid vacation and holidays Flexible schedule options (if applicable) Schedule - Monday to Friday - Occasional evenings events) Work Location - [In-person / Hybrid / Fully Remote] - Travel may be required for trade shows or client meetings Benefits- following a wait period of 1st of the month following 30 days of employment. Competitive salary commensurate with experience 401(k) with 15% company match on employee contribution Medical & Dental insurance Long term disability insurance Employer paid life insurance Paid Vacation Paid Holidays Offer of employment contingent on successful completion of our pre-employment screening process. We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. All employment is decided based on qualifications, merit, and business need.

Work 100% remotely, set your own schedule, and earn additional income while making a real difference in men's health and lives. Hone is one of the fastest-growing health companies in the United States, and we are looking for physicians who have deep knowledge and experience in prescribing for men with hypogonadism. If you are a physician with a strong background in treating hypogonadism and experience prescribing testosterone and other hormone-optimizing pharmaceuticals, this is an opportunity to join a mission-driven team that is reshaping access to care. We treat patients with a combination of pharmaceutical products in accordance with AUA-defined protocols, supplements, and lifestyle changes. We are committed to making care more convenient and affordable for patients. Experience with weight-loss and thyroid medications is a plus, as we have expanded beyond men's hormones into these treatment areas. We have also launched services for women. Experience with women's hormone therapy allows you to see our female patients as well, but is certainly not required. We are looking nationwide and value physicians licensed in multiple states. Who We Are We're a modern health company with a simple mission: help our patients take control of their health and age with confidence. Our platform removes barriers to care through education, technology, and convenience. Our primary focus is hormone optimization for men. We are looking to add to our growing team of 150+ physicians who specialize in treating hormones and are passionate about improving patient outcomes through telemedicine. You'll join a supportive, innovative environment where you'll receive full training on our proprietary telemedicine platform, HIPAA-compliant technology, and technical support. What You'll Do Conduct video-based consultations from anywhere with an internet connection Review labs and create personalized treatment plans Prescribe and titrate medications based on clinical findings Educate patients on safe and effective hormone optimization Provide feedback to help us continuously enhance the patient experience What We're Looking For MD or DO with an active license (multi-state licenses preferred) Minimum 2 years of experience in Endocrinology, Urology, Family Medicine, or Hormone Therapy DEA license with authority to prescribe Schedule III medications Strong communication skills and a passion for patient-centered care Comfort with technology and willingness to learn telemedicine workflows Availability for at least 8 hours per week A prescribing philosophy that values holistic care and hormone optimization, not just prescribing testosterone to everyone Help men regain their health and confidence - from anywhere. If you are passionate about hormone health, thrive in innovative environments, and want to help men live their best lives, we would love to hear from you.

This position is responsible for inbound and outbound communication in support of case review activities including collection and confirmation of data integrity in support of clinical review services. This positions requires 5 days a week in office until training is completed, then will transition to hybrid schedule allowing 2-3 days work from home. Essential Functions You will interpret review guidelines to facilitate forward movement of the case review process including requests for clinical information, treatment plans, discharge dates and communicating the authorization for requested services. You will coordinate, distribute and tracks highly confidential medical information from multiple sources (fax, web, and phone). You will interpret and adhere to URAC standards for assigned programs as well as federal and state requirements. You will escalate issues through appropriate channels, following established hierarchical protocols between clinical and non-clinical staff members. You will ensure quality customer service by responding to phone inquiries from members, physicians, and providers. Prioritize workload to meet program or regulatory time frames. You will provide verbal and written communications of review decisions to include administrative denials. Complete service/treatment screens for accurate transmission of outcome decision. You will effectively guide members to appropriate member benefit information. You will provide general office support and performs miscellaneous duties as assigned. Requirements High school diploma or equivalent 2 years of experience working in a customer service or healthcare environment Demonstrate ability working with confidential information and in a deadline driven environment Excellent verbal and written communication skills and intermediate PC skills Experience in a health care environment preferred Medical terminology experience preferred 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 help 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.

Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the right time, in the right format. Our platform is powered by the largest, most diverse health data network in the U.S., enabling data to be secure, accessible and usable to inform better health decisions. Datavant is trusted by the world's leading life sciences companies, government agencies, and those who deliver and pay for care. By joining Datavant today, you're stepping onto a high-performing, values-driven team. Together, we're rising to the challenge of tackling some of healthcare's most complex problems with technology-forward solutions. Datavanters bring a diversity of professional, educational and life experiences to realize our bold vision for healthcare. The Provider Practice Coding Consultant role is an opportunity to make a significant impact in the field of medical coding. You will provide essential consulting services and educational support, guiding healthcare professionals on improved coding practices. Collaborating closely with key stakeholders such as clients and healthcare leaders, you'll meet and exceed customer expectations through identifying and proposing solutions, and being a responsible and reliable teammate. This role offers a unique opportunity to play a pivotal role in elevating coding quality, ensuring compliance, and optimizing service outcomes in both hospitals and alternative care settings. ****Candidates with Profee and HCC coding experience with annual wellness visits are strongly encouraged to apply!**** **What You Will Do:** + Review medical records and assign precise codes to ensure accurate coding aligned with client needs (CPT, ICD-10-CM, ICD-10 procedures, ICD-10-CM and ICD-10 PCS, HCPCS). + Conduct data quality reviews of records to assess compliance with official coding and documentation guidelines. + Communicate professionally with co-workers, management, and hospital staff regarding clinical and reimbursement issues. + Demonstrate strong written and verbal communication skills + Identify documentation improvement opportunities and coding issues + Use VPN access to ensure productive and flexible task completion + Uphold Datavant and HIM Division policies, promoting a culture of compliance and operational efficiency. + Track continuing education credits, maintaining a high standard of professional expertise. + Attend mandatory sponsored in-service and educational meetings, ensuring alignment with industry best practices for continual improvement. + Adhere to the American Health Information Management Association's code of ethics, upholding professional standards and integrity. **What You Need to Succeed:** + 1+ year of coding experience. + AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC). + Strong written and verbal communication skills, adeptness in remote work, and exceptional time management skills. + Experience in computerized encoding and abstracting software. + Required to take and pass annual Introductory HIPAA examination and other assigned testing to be given annually **What We Offer:** + Access to 20-24 free CEUs per year, provided by Datavant, to support your continuous professional development + Compensation for AAPC/AHIMA dues + Company-provided equipment including computer, monitor, mouse, etc + Comprehensive training led by a credentialed professional coding manager + Exceptional service-style management and mentorship (we're in this together!) Pay ranges for this job title may differ based on location, responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $20-$28 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by Datavant Human Resources and determined on a case-by-case basis. Depending on the state in which you will be working, exemptions may be available on the basis of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-related medical conditions, and/or religion. This job is not eligible for employment sponsorship. Datavant is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here (************************************************** . Know Your Rights (*********************************************************************** , explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, Datavant does not and will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren't even able to see whether you've responded.) Responding is entirely optional and will not affect your application or hiring process in any way. Datavant is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please request it here, (************************************************************** Id=**********48790029&layout Id=**********48795462) by selecting the 'Interview Accommodation Request' category. You will need your requisition ID when submitting your request, you can find instructions for locating it here (******************************************************************************************************* . Requests for reasonable accommodations will be reviewed on a case-by-case basis. For more information about how we collect and use your data, please review our Privacy Policy (**************************************** .

The Manager, LMS Operations & Administration position works as part of the U.S. Ethics & Compliance Training & Documentation team to lead all components of our Learning Management System (LMS) including all non-GxP assignments and audience management, curriculum management, reporting, and tier one trouble shooting. The Manager, LMS Operations & Administration will partner with all levels of Management in both business and technology groups to advance and deliver a variety of planned and ad-hoc training initiatives. This position will have direct oversight of two Contracted Workers. **** + Responsible for the operational oversight of all LMS activities including but not limited to: + Partner with internal LMS Support Team to perform needs assessments and analysis on platform operations to ensure organizational needs are being met. Leads the incorporation, socialization, and training of resulting LMS improvements. + Owns all non-GxP LMS usage workflows and processes with business owners for suitability/fit; suggests and implements alternatives as needed + Regularly perform reviews of existing training curricula, identify gaps in course assignments and implement necessary changes. + Create, maintain, and run scheduled as well as custom reports, in a timely manner, as designated for analysis and decision making. Create new reports as requested. + Assist in managing external vendors, suppliers, and internal business partners as needed with a continuous improvement mindset. + Partner across departments as necessary to initiate timely and compliant learning initiatives + Continually enhance our methods and materials based on best practices in the industry, emerging technologies, vendor resources and products, business unit requirements and expectations, and feedback from customers, trainers and associates. + Ensure operational alignment across OAPI/OPDC learning community + Develop and deliver LMS platform training when required. + Oversee the work of two remote-based contracted resources. + Represent Field Training and Development's unique needs at governance and committee meetings/working groups **Qualifications/ Required** Knowledge/ Experience and Skills: + Bachelors degree in related field, or equivalent experience and demonstrated skills and abilities + 5+ years of Learning Management System (LMS) experience + Advanced working knowledge of LearnShare LMS + Understanding of current approaches in applying technology in learning solutions and experience implementing e-Learning and web-based programs. + Strong technical acumen; proficiency in Microsoft Office 365, SCORM; experience with Tin Can/xAPI, LRS's, and general technical troubleshooting + Ability to work in a fast-paced environment and be comfortable with consistent change + Detail-oriented with strong organizational skills + Strong written and verbal communication skills + Ability to prioritize and manage multiple responsibilities at once + Positive can-do attitude; always willing to learn + Strong analytical/technical skills + Comfortable with data management/data manipulation + Resiliency and tolerance of ambiguity **Preferred:** + Experience in pharmaceuticals/medical devices or other regulated industry + Embody a customer service mentality as you communicate and support field sales teams + Experience leading Contract Workers remotely Educational Qualifications + Bachelors degree in related field, or equivalent experience and demonstrated skills and abilities **Competencies** **Accountability for Results -** Stay focused on key strategic objectives, be accountable for high standards of performance, and take an active role in leading change. **Strategic Thinking & Problem Solving -** Make decisions considering the long-term impact to customers, patients, employees, and the business. **Patient & Customer Centricity -** Maintain an ongoing focus on the needs of our customers and/or key stakeholders. **Impactful Communication -** Communicate with logic, clarity, and respect. Influence at all levels to achieve the best results for Otsuka. **Respectful Collaboration -** Seek and value others' perspectives and strive for diverse partnerships to enhance work toward common goals. **Empowered Development -** Play an active role in professional development as a business imperative. Minimum $104,640.00 - Maximum $156,400.00, plus incentive opportunity: The range shown represents a typical pay range or starting pay for individuals who are hired in the role to perform in the United States. Other elements may be used to determine actual pay such as the candidate's job experience, specific skills, and comparison to internal incumbents currently in role. Typically, actual pay will be positioned within the established range, rather than at its minimum or maximum. This information is provided to applicants in accordance with states and local laws. **Application Deadline** : This will be posted for a minimum of 5 business days. **Company benefits:** Comprehensive medical, dental, vision, prescription drug coverage, company provided basic life, accidental death & dismemberment, short-term and long-term disability insurance, tuition reimbursement, student loan assistance, a generous 401(k) match, flexible time off, paid holidays, and paid leave programs as well as other company provided benefits. Come discover more about Otsuka and our benefit offerings; ********************************************* . **Disclaimer:** This job description is intended to describe the general nature and level of the work being performed by the people assigned to this position. It is not intended to include every job duty and responsibility specific to the position. Otsuka reserves the right to amend and change responsibilities to meet business and organizational needs as necessary. Otsuka is an equal opportunity employer. All qualified applicants are encouraged to apply and will be given consideration for employment without regard to race, color, sex, gender identity or gender expression, sexual orientation, age, disability, religion, national origin, veteran status, marital status, or any other legally protected characteristic. If you are a qualified individual with a disability or a disabled veteran, you may request a reasonable accommodation, if you are unable or limited in your ability to apply to this job opening as a result of your disability. You can request reasonable accommodations by contacting Accommodation Request (EEAccommodations@otsuka-us.com) . **Statement Regarding Job Recruiting Fraud Scams** At Otsuka we take security and protection of your personal information very seriously. Please be aware individuals may approach you and falsely present themselves as our employees or representatives. They may use this false pretense to try to gain access to your personal information or acquire money from you by offering fictitious employment opportunities purportedly on our behalf. Please understand, Otsuka will **never** ask for financial information of any kind or for payment of money during the job application process. We do not require any financial, credit card or bank account information and/or any payment of any kind to be considered for employment. We will also not offer you money to buy equipment, software, or for any other purpose during the job application process. If you are being asked to pay or offered money for equipment fees or some other application processing fee, even if claimed you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to exercise caution when you receive such an offer of employment. Otsuka will also never ask you to download a third-party application in order to communicate about a legitimate job opportunity. Scammers may also send offers or claims from a fake email address or from Yahoo, Gmail, Hotmail, etc, and not from an official Otsuka email address. Please take extra caution while examining such an email address, as the scammers may misspell an official Otsuka email address and use a slightly modified version duplicating letters. To ensure that you are communicating about a legitimate job opportunity at Otsuka, please only deal directly with Otsuka through its official Otsuka Career website ******************************************************* . Otsuka will not be held liable or responsible for any claims, losses, damages or expenses resulting from job recruiting scams. If you suspect a position is fraudulent, please contact Otsuka's call center at: ************. If you believe you are the victim of fraud resulting from a job recruiting scam, please contact the FBI through the Internet Crime Complaint Center at: ******************* , or your local authorities. Otsuka America Pharmaceutical Inc., Otsuka Pharmaceutical Development & Commercialization, Inc., and Otsuka Precision Health, Inc. ("Otsuka") does not accept unsolicited assistance from search firms for employment opportunities. All CVs/resumes submitted by search firms to any Otsuka employee directly or through Otsuka's application portal without a valid written search agreement in place for the position will be considered Otsuka's sole property. No fee will be paid if a candidate is hired by Otsuka as a result of an agency referral where no pre-existing agreement is in place. Where agency agreements are in place, introductions are position specific. Please, no phone calls or emails.

About Us: HRK is a growing, client-focused CPA firm known for our dedication to quality service and strong client relationships. We serve a diverse portfolio of industries including manufacturing, real estate, professional services, and non-profits. Our collaborative work environment and commitment to staff development make us a great place to grow your career. Position Overview: We are seeking an experienced Audit Senior, Supervisor or Manager to lead audit engagements from planning to completion, review staff work, and ensure compliance with auditing standards. This role is ideal for professionals who are detail-oriented, technically proficient, and ready to take the next step in their career. Key Responsibilities: Lead and manage multiple audit engagements and teams simultaneously Plan, execute, and finalize audit engagements in accordance with firm policies Review audit workpapers and financial statements for quality, accuracy, and completeness Provide supervision, training, and mentoring to audit staff Maintain client relationships and act as a key point of contact throughout engagements Assist in developing firm policies and procedures related to audit methodology and efficiency Qualifications: CPA license (or in the process of obtaining) Minimum of 3 years of public accounting experience with a focus in audit and assurance Bachelor's or Master's degree in Accounting or related field Strong understanding of U.S. GAAP, GAAS, and accounting principles Experience with CCH products (e.g., Knowledge Coach, Engagement) is highly preferred Excellent organizational, communication, and leadership skills Ability to manage multiple priorities and deadlines What We Offer: Competitive salary based on experience Flexible work schedule and potential for hybrid/remote work Generous PTO and paid holidays Health, dental, and vision insurance 401(k) Continuing education and professional development support Positive, team-oriented work environment In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Some contracts require United States citizenship for employment.

**About the role** As a **NetworX Product Consultant** , you will make an impact by providing customers with application domain expertise related to TriZetto NetworX functionality. You will be a valued member of our consulting team and work collaboratively with business and technical stakeholders to deliver high-quality solutions. **In this role, you will:** + Conduct requirements discovery and lead design sessions to configure NetworX applications to meet client needs. + Provide advanced analysis, problem-solving, and interpret application configurations to deliver optimal solutions. + Update existing configuration business rules with new contractual requirements and identify automation opportunities. + Liaise effectively with business and technical teams, transferring NetworX application knowledge to customer staff. + Collaborate with onshore/offshore teams and clearly articulate issues and alternative solutions in verbal and written form. **Work model** We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a **remote position** open to qualified applicants in the United States. Regardless of your working arrangement, we are here to support a healthy work-life balance through our various wellbeing programs. The working arrangements for this role are accurate as of the date of posting. This may change based on the project you're engaged in, as well as business and client requirements. Rest assured; we will always be clear about role expectations. **What you need to have to be considered** + 10+ years of healthcare experience, including 5+ years of recent and relevant TriZetto NetworX pricing experience. + Strong understanding of core NetworX functionality, grouping, pricing, and integration points with Facets agreements. + Proven ability to conduct requirements discovery and lead design sessions for NetworX configuration. + Advanced analytical and problem-solving skills with experience in interpreting application configurations. + Excellent communication skills for articulating issues and providing alternative solutions. **These will help you stand out** + Proficiency in NetworX data structures and automation techniques for repetitive tasks. + Experience working with onshore/offshore resource models. + Ability to create clear documentation and knowledge transfer materials for client teams. + Strong consulting skills and ability to operate effectively in a team environment. + Familiarity with healthcare payer systems and related business processes. We're excited to meet people who share our mission and can make an impact in a variety of ways. Don't hesitate to apply, even if you only meet the minimum requirements listed. Think about your transferable experiences and unique skills that make you stand out as someone who can bring new and exciting things to this role. _*Please note, this role is not able to offer visa transfer or sponsorship now or in the future*_ \#LI-NC1 **Salary and Other Compensation:** Applicants will be accepted till 12/22/2025 The annual salary for this position will be in the range of $113K-$132K depending on experience and other qualifications of the successful candidate. This position is also eligible for Cognizant's discretionary annual incentive program, based on performance and subject to the terms of Cognizant's applicable plans. **Benefits** : Cognizant offers the following benefits for this position, subject to applicable eligibility requirements: + Medical/Dental/Vision/Life Insurance + Paid holidays plus Paid Time Off + 401(k) plan and contributions + Long-term/Short-term Disability + Paid Parental Leave + Employee Stock Purchase Plan **Disclaimer:** The salary, other compensation, and benefits information is accurate as of the date of this posting. Cognizant reserves the right to modify this information at any time, subject to applicable law. cog2025 Cognizant is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

Description & Requirements Maximus is looking to fill a Sr Business Analyst position. The Sr Business Consultant position supports CDC initiatives by conducting data-driven evaluations of management and organizational structures to improve operational efficiency, customer experience (CX), and overall service quality. Assists in mapping and optimizing the customer journey using quantitative and qualitative insights to identify pain points and opportunities for improvement. Collects, verifies, and analyzes performance and survey data to uncover trends, measure customer satisfaction, and recommend actionable improvements that enhance service delivery and streamline processes. - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST -You will need to provide your own computer equipment during training. Maximus will provide computer equipment once training is completed. Please Note: This position requires a personal computer or laptop during training period(Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3 Essential Duties and Responsibilities: - Apply business process improvement practices to re-engineer methodologies/principles and business process modernization projects. - Assist in the application of activity and data modeling, transaction flow analysis, internal control and risk analysis, modern business methods, and performance measurement techniques. - Assist in establishing standards for information systems procedures. - Develop solutions to a variety of complex problems. - Develop and apply organization-wide information models for use in designing and building integrated shared software and database management systems and data warehouses. - Follow Information Management guiding principles, cost savings, and open system architecture objectives. Responsibilities: - Data Analysis & Insights: Collects and validates operational, performance, and customer satisfaction survey data; performs trend analysis and develops metrics to measure efficiency and CX outcomes. - Customer Journey & CX Optimization: Maps end-to-end customer interactions; identifies friction points and designs solutions to improve engagement and satisfaction. - Survey Analysis: Analyzes customer feedback and survey results to identify drivers of satisfaction and areas for improvement; translates insights into actionable strategies. - Process Improvement: Applies data-driven methodologies (e.g., Lean, Six Sigma principles) to redesign workflows, reduce bottlenecks, and improve turnaround times. - Reporting & Visualization: Develops dashboards, models, and reports to communicate findings; prepares presentations for leadership and stakeholders. - Facilitation & Collaboration: Leads working groups and stakeholder sessions to align on improvement strategies; ensures recommendations are actionable and measurable. - Continuous Improvement: Monitors implemented changes for impact; iterates based on performance data, survey feedback, and evolving CDC objectives. This position requires the use of your own personal computer or laptop during the training period (tablets, iPads, and Chromebooks are not permitted). Once training is complete, the program will provide the required equipment. Maximus will provide computer equipment once training is completed. Home Office Requirements: - Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ****************** - Minimum 5mpbs upload speed - Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router - Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3) - Private and secure work area and adequate power source - Must currently and permanently reside in the Continental US Minimum Requirements - Bachelor's degree in related field. - 5-7 years of relevant professional experience required. - Equivalent combination of education and experience considered in lieu of degree. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 120,000.00 Maximum Salary $ 130,000.00

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care. Key Responsibilities Review prior authorization requests for accuracy, appropriateness, and clinical necessity. Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations. Communicate approval/denial decisions clearly to providers and patients. Collaborate with physicians, nurses, and medical directors on complex cases. Document outcomes in compliance with health plan policies and CMS/state regulations. Support process improvements to streamline workflow and turnaround times. What You'll Bring Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree. Licensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply. Skills: Excellent clinical review, documentation, and communication skills. Why This Role? Flexibility: 100% remote work from home with flexible scheduling options. Impact: Directly influence patient access to safe and cost-effective medications. Growth: Build specialized skills in utilization management and managed care. Rewards: Competitive compensation, benefits, and career advancement opportunities. About Us We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations. Apply Today Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.