Health Services Manager remote jobs - 666 jobs

Prior Authorization Medical Director Physician Opportunity in the Los Angeles Area Please consider this unique opportunity to join a well-established and respected group of innovators in value-based care. This group of thought-leaders are in search of physician leaders to work alongside them to move the organization forward. Requirements MD/DO degree required Remote position, but candidate must live in the greater L.A. area for onsite meetings. Minimum of five years of prior clinical experience required, with at least two years of managed-care or health-plan experience preferred About the Opportunity Understand, promote, and manage the principles of medical management to facilitate the right care for patients at the right time and in the right setting. Review prior authorization requests for medical necessity using appropriate clinical guidelines. Identify high-risk patients and help coordinate care with the Employer's high-risk team. Participate in meetings to review, develop, and continually improve internal quality improvement and peer review processes and programs. Perform prior authorization functions for various Employer campuses, should the need arise in cross coverage, secondary/tertiary review, or medical director decision-making. Perform retroactive claims review for outpatient and inpatient care, as needed. Compensation and Benefits Competitive salary and aggressive incentives Comprehensive benefits including medical, dental, vision, and 401k Sign on bonus Ample paid time off About the Area Live in the entertainment capital of he world and enjoy dynamic mix of amenities that include outdoor adventures, fine dining, theme parks, the arts, world-class sports teams, and access to a major international airport Unmatched cultural amenities in one of the most diverse areas of the world Excellent public and private schooling options as highly respected colleges and universities World-class beaches and mountain resorts are within a short drive Enjoy a warm climate with over 300 sunny days a year

Medical Director - Medicare Programs Remote | Approx. $300,000 base + significant bonus potential About the Opportunity: A leading national healthcare contractor is seeking a Medical Director to provide clinical leadership and decision-making support for Medicare operations. This position plays a critical role in developing and enforcing coverage determinations, reviewing complex claims, and promoting evidence-based medical policy. The role is ideal for a physician, especially those with a background in Physical Medicine and Rehabilitation (PM&R), who wishes to transition from direct patient care into a leadership position influencing medical necessity and healthcare compliance at scale. Key Responsibilities: Clinical Leadership: Provide medical expertise for claim reviews, appeals, and Medicare policy development. Serve as a subject matter expert across multiple specialties. Policy Development: Collaborate with the Centers for Medicare & Medicaid Services (CMS) and other contractors to create, revise, and maintain Local Coverage Determinations (LCDs) and related guidance. Program Integrity: Identify trends in billing or compliance issues and work with investigative teams to address improper claims. Medical Review & Appeals: Oversee quality assurance in pre- and post-payment medical review determinations and assist with administrative law proceedings when necessary. Provider Education: Lead outreach and training for healthcare providers and professional associations to ensure adherence to Medicare policies and evidence-based practices. Travel is minimal (approximately 3-4 weeks per year), and the position is fully remote with occasional in-person meetings or conferences. Required Qualifications: MD or DO from an accredited institution. Active, unrestricted medical license in at least one U.S. state (must be eligible for additional licensure where required). Board Certification in a specialty recognized by the American Board of Medical Specialties (minimum three years). At least three years of experience as an attending physician. Prior experience within the Medicare, health insurance, or utilization review environment. Strong understanding of clinical evidence evaluation and medical necessity determination within fee-for-service structures. Excellent communication and collaboration skills across technical, regulatory, and clinical teams. Computer proficiency (MS Office, data analysis tools, virtual collaboration platforms). Preferred Qualifications: Background in PM&R, Internal Medicine, Oncology, Radiology, Ophthalmology, or Infectious Disease. Five or more years of clinical practice experience. Prior experience as a Medical Director in a Medicare or commercial payer organization. Familiarity with HCPCS, CPT, and ICD-10 coding standards. Advanced degree or coursework in healthcare administration or systems management (MBA, MHA, MS). Experience performing systematic literature reviews or using GRADE methodology. Compensation & Benefits: Base salary: Approximately $300,000, flexible depending on experience. Bonus structure: Significant performance-based bonuses. Benefits: Comprehensive health coverage, generous retirement contributions, paid time off, and strong professional development support. Schedule: Full-time, remote position with flexible hours. Why Join: This is an opportunity to move beyond clinical work while continuing to make a direct impact on patient access and policy integrity at a national level. Join a mission-driven organization that values medical expertise, promotes collaboration, and advances fairness and compliance within the U.S. healthcare system.

Become a part of our caring community and help us put health first The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

Medical Director (Utilization Management) The Medical Director plays a key role in ensuring coverage and payment determinations are clinically appropriate, compliant, and aligned with plan benefits and contractual agreements with participating provider networks. This position requires sound clinical judgment, collaborative leadership, and a strong understanding of healthcare delivery, population health, and payer operations. Key Responsibilities Provide physician leadership and clinical guidance to Utilization Management and Care Management functions Render coverage and payment determinations in accordance with health plan benefits, medical policies, and provider contracts Apply evidence-based clinical guidelines and best practices to support consistent, high-quality decision-making Exercise informed medical judgment grounded in clinical medicine, patient safety, quality management, and population health principles Collaborate effectively with clinical teams, operational leaders, senior management, and external partners Promote efficient, cost-effective care delivery across all lines of business Support organizational initiatives related to quality improvement, compliance, and healthcare outcomes Required Qualifications & Experience Medical Doctor (MD) or Doctor of Osteopathy (DO) from an accredited medical or osteopathic medical school recognized by AAMC, AOA, or WHO Unrestricted and active Pennsylvania medical or osteopathic license Current board certification through ABMS or AOBMS (Family Medicine or Internal Medicine preferred) Ability to successfully complete organizational credentialing requirements Strong knowledge of Utilization Management, healthcare delivery systems, and payer-based medical decision-making Work Location Fully Remote: This position is designated as fully remote Work must be performed within the Tri-State Area (Pennsylvania, New Jersey, or Delaware)

Reports Jointly To: Chief Executive Officer and Chief Medical Officer Clinical Specialty: MD, Board Certified in Sports Medicine (primary board specialty flexible) ViewFi is a nationwide virtual musculoskeletal (MSK) practice bringing high-quality orthopedic, sports-medicine, and physical-therapy care directly to patients in both traditional and non-traditional markets. We serve a diverse set of partners including personal injury/med-legal groups, self-insured employers, risk-based payers, and digital health collaborators in the sports and fitness markets through technology enabled, evidence-based clinical care. We are redefining what excellent MSK care looks like in a virtual environment. Position Summary The Medical Director will serve as the clinical leader of ViewFi's physician team and a core partner to our physical therapy, product, operations, and business teams. This role requires a practicing, board-certified Sports Medicine physician who can balance patient care with 30-40% administrative/leadership responsibilities. The Medical Director will ensure clinical excellence, maintain high-quality and consistent clinical pathways, represent ViewFi as the medical voice of the organization, and advance the science and evidence behind virtual MSK care. Key Responsibilities Clinical Leadership & Oversight Lead, oversee, and support the national team of physicians delivering virtual MSK care. Maintain and update clinical pathways, treatment standards, and practice guidelines across all ViewFi service lines. Partner closely with the Physical Therapy leadership team to ensure integrated, cohesive care between MDs and PTs. Ensure consistent, high-quality clinical documentation, coding accuracy, and compliance across markets. Oversee peer review, quality assurance activities, and clinical performance metrics. Participate in recruitment, onboarding, and ongoing development of new clinicians. Patient Care (70-80%) Actively see patients in a virtual setting, providing MSK consults and follow-ups. Model best-in-class virtual care workflows and contribute to continuous improvement of the patient experience. Support escalated or complex cases requiring senior clinical judgment. Strategic & Administrative Leadership (20-30%) Serve as the medical voice of ViewFi at conferences, webinars, panels, and partner meetings. Collaborate with executive leadership on product development, new service lines, geographic expansion and clinical innovation initiatives. Guide medical input for payers, partners, self-insured employers, and med-legal groups. Participate in strategic planning related to national expansion, licensure strategy, and resource allocation. Work cross-functionally with operations and technology teams to enhance clinical workflows. Provide medical insight and feedback on ViewFi's technology roadmap, including clinical decision support, AI integration, and general telehealth tools. Research, Publishing & Thought Leadership Lead or collaborate on clinical research demonstrating the efficacy of virtual MSK care, including both MSK MD consults and virtual PT. Publish and present outcomes, case series, and efficacy studies at relevant medical and industry conferences. Help build ViewFi's reputation as the leader in evidence-based virtual MSK care. Quality, Compliance & Risk Management Ensure the practice meets state and federal clinical guidelines, telehealth regulations, and licensure requirements. Maintain oversight of clinical incident review processes, risk-mitigation protocols, and outcome tracking. Drive continuous improvement in clinical quality, patient safety, and service reliability. Qualifications MD with Board Certification in Sports Medicine (primary board: FM, IM, EM, PM&R, etc. is flexible). Multi-state licensure required; willingness to pursue additional licensure required. Minimum 10 years of clinical experience; virtual care experience strongly preferred. Demonstrated leadership experience in a clinical or medical director role. Strong collaboration skills with PTs, operational teams, and cross-functional partners. Excellent communication and presentation skills; comfortable representing ViewFi publicly. Passion for virtual care, musculoskeletal medicine, and innovative delivery models. What We Offer Opportunity to lead a national MSK practice at the forefront of technology enabled virtual healthcare Collaborative environment with clinical and operational teams aligned around quality care and aggressive growth Competitive compensation with protected administrative time Support for conference travel, research, publishing, and clinical innovation Commitment to clinical excellence, patient outcomes, and provider support

When you join the team at Unum, you become part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client companies to thrive throughout life's moments. And this starts with ensuring that every one of our team members enjoys opportunities to succeed both professionally and personally.

Clinical Program Manager RN Hybrid. Candidates residing in the areas of Portland, OR, Spokane, WA or Lubbock, TX are encouraged to apply. In collaboration with the Division Director, the Clinical Practice Manager RN supports nursing practice, quality initiatives, and clinical improvement efforts across the division. This role is responsible for leading teams in developing and implementing evidence-based nursing and clinical practices, utilizing established standards, research findings, and quality improvement principles. Providence caregivers are not simply valued - they're invaluable. Join our team at Providence Strategic And Management Services and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them. Required Qualifications: Bachelor's Degree: Nursing Master's Degree: Nursing (Practice or Education) 5 years - Nursing experience in an acute care setting. 3 years - Clinical practice development, quality, or education experience. active RN License for WA, OR or TX Preferred Qualifications: Ph.D.: Nursing or DNP (Doctor of Nursing Practice) Salary Range by Location: Oregon: Portland Service Area: Min: $59.39, Max: $93.75 Texas: Min: $45.30, Max: $71.51 Washington: Eastern: Min: $52.85, Max: $83.42 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. 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. Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidate's placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts 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. About the Team Providence Shared Services is a service line within Providence that provides a variety of functional and system support services for our family of organizations across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. We are focused on supporting our Mission by delivering a robust foundation of services and sharing of specialized expertise. Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement. Requsition ID: 403508 Company: Providence Jobs Job Category: Clinical Administration Job Function: Clinical Support Job Schedule: Full time Job Shift: Day Career Track: Nursing Department: 4007 SS CNTRL DIV EDU ADMIN Address: OR Portland 4400 NE Halsey St Work Location: Providence Health Plaza (HR) Bldg 1-Portland Workplace Type: Hybrid 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. PandoLogic. Category:Healthcare, Keywords:Healthcare Program Manager, Location:Ransom Canyon, TX-79366

Shift: Days (United States of America) Scheduled Weekly Hours: 40 Worker Type: Regular Exemption Status: Yes We are seeking a strategic and experienced leader to oversee our Reimbursement Services team. This role is responsible for guiding the planning, analysis, and implementation of reimbursement methodologies for healthcare providers. The ideal candidate will manage both short- and long-term reimbursement initiatives, collaborate with senior leadership to align financial strategies, and lead forecasting efforts to assess the impact of reimbursement changes. Additionally, this position provides daily support for coding and reimbursement needs across negotiations, claims processing, and provider setup. A minimum of one certification is required: CPC, CRC, or RHIT. Job Duties: Oversees the Reimbursement Services team members who lead the planning, analysis, consultation and direction of the reimbursement methodology for healthcare providers. Oversees short and long term reimbursement initiatives with the ability to work closely with senior management to develop strategic goals and implement reimbursement initiatives. Leads the forecasting process related to changes in reimbursement methodology and associated financial impact. Oversees daily coding and reimbursement support to negotiations, claims processors and provider set-up representatives. A minimum of one certification is required: CPC, CRC, or RHIT. Coordinates and provides oversight for the ongoing analysis and planning of industry reimbursement changes. Coordinates ongoing physician fee changes and primary care capitation analysis. Provides impact analysis as fee changes occur. Coordinates the ongoing fee revision process. Ensures efficient and timely processing of problem claims for all lines of business and all markets, including new and expansion markets. Monitors and evaluates provider-specific payment waivers and distinctive edit exclusions negotiated within the provider network. Consultative activities with internal and external customers to assist with the development of reimbursement strategies related to TPA or new market relationships. Provides consultative support on all financial planning issues related to provider reimbursement. Evaluates reimbursement initiatives and changes in payment to control medical expense. Leads implementation of new or existing predictive modeling software tools, as well as, supports the accuracy and integrity of reimbursement related information. Assists with presentations to provider network managers to educate on industry trends in reimbursement, reimbursement changes and tools and templates available for requesting reports on historical provider reimbursement. Ensures that accurate predictive modeling is done by line of business (Medicare versus Commercial). Recommends reimbursement opportunities by utilizing statistical reports, reimbursement summary documents and industry information to conduct review and analysis of coding practices or fee levels. Determines appropriateness of provider coding and charging practices and associated claims processing payment accuracy to validate actual provider payment against contracted payment terms. Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job. #LI-REMOTE Position Details: Education: Bachelor's Degree- (Required), Bachelor's Degree-Business Administration/Healthcare Management (Preferred) Experience: Minimum of 3 years-Managing people, processes, or projects (Required) Certification(s) and License(s): Certified Professional Coder - American Academy of Professional Coders (AAPC), Certified Risk Adjustment Coder - American Academy of Professional Coders (AAPC), Registered Health Information Technician (RHIT) - American Health Information Management Association Skills: Builds Relationships, Computer Literacy, Manages Conflict And Crisis, Manages Projects And Functions, Mathematics OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family. We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.

If you got into healthcare to make a difference, you're in the right place. We're looking for a values-driven, mission-focused, dynamic Salesforce Health Cloud Administrator (Contract) who is passionate about working with seniors (and their families), especially those navigating challenges with dementia. Someone who is searching for a workplace and culture that is as committed to them as they are their patients. If that's you, read on! What's Rippl? At Rippl, we are a passionate, impatient, slightly irreverent, people-obsessed group of optimists & doers intent on building a movement to bring dementia care to our aging population. We believe there is no more noble mission than caring for people at this critical stage of life, and we're ready to take action. We're reimagining what dementia care for seniors can be. By leveraging an obsession with supporting our clinicians, a new care model and disruptive technology, we are pioneering an entirely new way to democratize senior access to high quality, wrap-around dementia care, for seniors and their families and caregivers. Helping them stay healthier, at home longer, and out of the ER and hospital. Our Mission The Rippl Mission is to enable more good days for those living with dementia and their families. Our Core Values At Rippl, we live and breathe a set of shared, core values that help us build the best team to serve our patients, families and caregivers. We're fed up. Today's dementia care isn't working. Too many families are struggling to find the support they need, and too many seniors are left without the care they deserve. We know it can be done better-so we're doing it. We're changemakers. We're pioneering a new, better care model that actually works for people living with dementia and their families. We use evidence-based care, technology, and human connection to deliver the support that people need-when and where they need it. And we're proving it works. We're in a hurry. The need for high-quality dementia care has never been greater. The number of people living with dementia is growing at an unprecedented rate. Families need help now, and we refuse to wait. We start with yes. We don't let barriers stop us. When faced with a challenge, we figure it out-together. We're problem-solvers, innovators, and doers who find a way to make things happen for the people who need us. We care for those who care for others. Great care starts with the people delivering it. We are obsessed with supporting our care team-because when they feel valued and empowered, patients and caregivers get the care they deserve. Join the movement We're looking to find other changemakers who are ready to join our movement. The Role: Rippl is transforming dementia care with a technology platform that supports patients, caregivers, and clinical teams. Salesforce and Health Cloud sit at the center of how we operate, and we are looking for an experienced Health Cloud Administrator to support and evolve our environment. This is a contract role focused on high-impact configuration work, workflow design, and supporting integrations across our clinical and operational stack. You will work closely with engineering and cross-functional teams to ensure Salesforce is reliable, secure, and ready to scale. We are flexible with hours for the right candidate, ideally anywhere from 25 to 40 hours per week. What You Will Do Configure, administer, and optimize Salesforce with a focus on Health Cloud Implement Health Cloud capabilities including patient timelines, care plans, householding, and provider relationship management Design and build automations using Flow, validation rules, and native tools Partner with engineering on API driven integrations with our EHR, telehealth platforms, analytics tools, and marketing systems Manage user access, data security, and role based permissions aligned with HIPAA requirements Maintain clean documentation for workflows, data models, and system changes Support release readiness, sandbox management, and regression testing for releases Provide training and guidance to internal teams on best practices What You Bring Salesforce Administrator certification Three or more years of hands-on Salesforce administration experience Experience with Salesforce Health Cloud configuration or implementations Strong understanding of healthcare data models and patient caregiver provider workflows Proficiency with Salesforce configuration including Flow, page layouts, roles, permission sets, and custom objects Experience partnering with engineering teams on API integrations Familiarity with HIPAA aligned data security practices Excellent communication and documentation skills Bonus Points Advanced Admin, Platform App Builder, Business Analyst, or Health Cloud Accredited Professional certifications Background supporting care coordination, clinical operations, or value based care workflows What's in it for you Flexible work environment and the opportunity to work from home Competitive compensation Flexible schedule, up to 40 hours a week (flexible 25-40 hours for the right fit!) Opportunity to work with a compassionate and mission-driven team Insight into a high-growth startup revolutionizing dementia care Pay Range Details The pay range(s) below are provided in compliance with state specific laws. Pay ranges may be different in other locations. Exact compensation may vary based on skills, experience, and location. Compensation: $41 - $55 per hour, commensurate with experience. Employment Type: 1099 Contractor We are going to make some very big waves starting with a small Rippl - come join us!

We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a "keep-the-lights-on" role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) * North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. * Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. * AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. * Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. * Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. * Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities * Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. * Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. * AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. * Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. * Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. * Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications * 10+ years in enterprise architecture/technology strategy experience. * Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) * Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. * Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). * Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). * Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. * Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). * Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have * Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). * Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. * Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies * Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload. For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Clover Care Services organization delivers proactive support and care to our members through our clinical Clover Home Care teams, and quality improvement services to our aligned providers through our Managed Care Organization. Clover has built one of the most proactive, data-driven health care services platforms and is excited about how technology impacts our ability to bring transformative results to both patients and providers. The Manager, Practice Support leads and develops a team responsible for the operational backbone of Clover's In Home Care delivery. This leader oversees new patient enrollment, appointment scheduling, and administrative coordination functions to ensure seamless access, outstanding member experiences, and efficient clinical team support. The Manager, Practice Support is a compassionate, process-oriented leader who thrives in fast-paced, mission-driven environments and is motivated by improving healthcare operations for seniors and vulnerable populations. As a Manager, Practice Support, you will: Own the day-to-day operations of patient enrollment, scheduling, and administrative coordination to ensure efficiency and high-quality member and provider experiences. Support cross-functional collaboration between clinical, operational, and technology teams to improve workflows and streamline communication. Lead a team of enrollment specialists, schedulers, and administrative coordinators, including hiring, training, performance management, and career development. Implement operational best practices and process improvements that enhance access to care, drive performance metrics, and improve member satisfaction. Monitor key performance indicators (KPIs) for scheduling accuracy, response times, enrollment conversion, and patient satisfaction, using data insights to guide improvements. Collaborate closely with clinical leadership, care coordination, and technology teams to ensure alignment between practice operations and patient care delivery. Foster a culture of accountability, empathy, and continuous improvement across all practice support functions. You should get in touch if: You have 5+ years of experience in healthcare operations, preferably in primary care, home-based care, or value-based care settings. You bring 2+ years of leadership experience managing multi-functional administrative or operational teams. You possess strong analytical and process improvement skills, with experience using data to drive operational decisions. You are an empathetic leader who can motivate teams through change, ambiguity, and growth. You thrive in a rapidly evolving organization and healthcare landscape. You possess superior operational excellence: Ability to design, measure, and improve workflows to achieve operational goals efficiently. You have proven success in managing and developing distributed teams with empathy and accountability. You have a patient/member-centered mindset and a commitment to enhancing access, experience, and outcomes for patients and their families. About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover's inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one's identity. All of our employee's points of view are key to our success, and inclusion is everyone's responsibility. Benefits Overview: Financial Well-Being: Our commitment to attracting and retaining top talent begins with a competitive base salary and equity opportunities. Additionally, we offer a performance-based bonus program, 401k matching, and regular compensation reviews to recognize and reward exceptional contributions. Physical Well-Being: We prioritize the health and well-being of our employees and their families by providing comprehensive medical, dental, and vision coverage. Your health matters to us, and we invest in ensuring you have access to quality healthcare. Mental Well-Being: We understand the importance of mental health in fostering productivity and maintaining work-life balance. To support this, we offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy. Additionally, we embrace a remote-first culture that supports collaboration and flexibility, allowing our team members to thrive from any location. Professional Development: Developing internal talent is a priority for Clover. We offer learning programs, mentorship, professional development funding, and regular performance feedback and reviews. Additional Perks: Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities Reimbursement for office setup expenses Monthly cell phone & internet stipend Remote-first culture, enabling collaboration with global teams Paid parental leave for all new parents And much more! #LI-Remote Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. A reasonable estimate of the base salary range for this role is $117,000 to $143,000 Final pay is based on several factors including but not limited to internal equity, market data, and the applicant's education, work experience, certifications, etc.

Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health-and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment-and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We're committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role Overview We are seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services. You will oversee day-to-day clinical operations, drive performance management for your team, and serve as a critical bridge between the clinical team and organizational leadership-translating strategy into action through strong communication, sound judgment, and operational excellence. Working in a startup telehealth environment requires flexibility and adaptability, while offering the unique opportunity to shape and refine clinical workflows. The ideal candidate is both a skilled Nurse Practitioner and an empathetic leader-comfortable mentoring others, managing tough conversations, and steering the team through change with grace and accountability. You'll excel at building trust within your remote team, fostering a culture of continuous improvement, and ensuring that every patient receives timely, evidence-based care delivered with empathy and respect.Qualifications 5+ years of clinical experience as a NP or CNM with 1+ years in reproductive or sexual health 2+ years of experience managing clinical teams, preferably in telehealth, reproductive healthcare, or a startup environment Proven ability to motivate, mentor, and support clinical staff with a focus on team morale, development, and accountability Proven ability to foster collaboration, trust, and a supportive team culture Experience documenting protocols, implementing process updates, and training teams through changes in clinical or operational systems Strong interpersonal and communication skills, with the ability to collaborate effectively across clinical, operational, and leadership teams Knowledge of healthcare compliance, regulatory requirements, and quality assurance frameworks Ability to analyze clinical and performance data and translate insights into actionable improvements Deep understanding of trauma-informed care principles Comfortable working in a fast-paced, mission-driven startup environment Able to travel to on-site location at least once a quarter At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare-and bring that same vision to our workplace. We're an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility. Must hold an LCSW, LPC, or RN license with Psych/ Behavioral Health experience. Travel required 3 days per week Service Delivery Area: Waco, TX Monday - Friday: 8 am - 5 pm (CST); no evenings, no weekends, no On-Call Position Purpose: Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations with significant mental/behavioral health needs, to enable quality, cost-effective healthcare outcomes. Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on services and benefits available to meet member needs. Evaluates the needs of the most complex and high risk members with mental/behavioral health needs, and recommends a plan of care for the best outcome Acts as liaison and member advocate between the member/family, physician, and facilities/agencies Supports members with primarily mental/behavioral health needs, such as those with (or a history of) major depression, bipolar disorders, schizophrenia, borderline personality disorder, post-traumatic stress disorder, substance use disorder, self-injurious behavior, psychiatric inpatient admissions, etc Performs frequent home and/or other site visits (once a month or more), such as to assess member needs and collaborate with resources, as required Provides and/or facilitates education to long-term care members and their families/caregivers on topics such as preventive care, procedures, healthcare provider instructions, treatment options, referrals, prescribed medication treatment regimens, and healthcare benefits. Provides subject matter expertise and operational support for relevant mental and behavioral health-focused activities, such as the handling of crisis calls, mental health first aid training, field safety and de-escalation practices, psychotropic and other medication monitoring, etc Educates on and coordinates community resources, to include medical, behavioral and social services. Provides coordination of service authorization to members and care managers for various services based on service assessment and plans (e.g., meals, employment, housing, foster care, transportation, activities for daily living) Ensures appropriate referrals based on individual member needs and supports the identification of providers, specialists, and community resources. Ensures identified services are accessible to members Maintains accurate documentation and supports the integrity of care management activities in the electronic care management system. Works to ensure compliance with clinical guidelines as well as current state and federal guidelines Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner Performs other duties as assigned Complies with all policies and standards Education/Experience: Requires a Master's degree in Mental Health or Social Work or Graduate from an Accredited School of Nursing and 2 - 4 years of related experience. License/Certification: Licensed Behavioral Health Professional or RN based on state contract requirements e.g., LCSW, LPC, or RN with Behavioral Health experience is required Preferred Experience: • 3+ years of case management, care coordination, discharge planning with adult populations (ages:18 - 65) • 2+ years of experience coordinating and managing healthcare/behavioral health services and personal assistance/social services, and providing patient advocacy and education to Medicaid members • Experience in FIELD-BASED Social Worker or Case Managers role in-patient behavioral health hospital, community health, outpatient mental health, substance abuse/ detox recovery treatment, or state social services settings (MHAs, LIDDA) is preferred. Pay Range: $26.50 - $47.59 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Department Escalon Tax Practice Employment Type Full Time Location Remote Workplace type Fully remote What You'll Bring Why You'll Enjoy Working at Escalon: More about us: About Escalon Services, LLC.

We are seeking a strong leader (Band 6) in Enterprise Architecture to own and advance the end‑to‑end architecture strategy and be a consultative lead in two of our core segments: Pharmacy & Pharmacy Benefit Services (PBS). This role sets the north‑star architectural vision, guides multi‑year platform and data strategies, and influences senior leaders across technology and the business to accelerate transformation. The position requires executive presence to engage senior leadership, balancing high enterprise influence with support from a talented and focused team reporting to role. This is not a “keep-the-lights-on” role-this is for a transformational leader who thrives on challenging the status quo, building modern architecture, and enabling innovation across teams. Key Outcomes (first 12-18 months) North‑Star Architectural Vision for PBS & Pharmacy: Publish a business‑aligned target state and pragmatic multi‑wave sequence (platforms, data, integration, security), with measurable runway for core products and operations. Governance that Accelerates Delivery: Stand up/strengthen EA governance (principles, guardrails, decision logging) that reduces decision latency, aligns portfolio spend to goals, and increases adoption of reference patterns across Pharmacy/PBS domains. AI‑First Patterns in Priority Journeys: Operationalize responsible AI/GenAI patterns for experience enablement, digital personalization, and create new levels of efficiency in partnership with partners across technology and business. Step Function Change on Costs: Find roadmap to create new levels of effectiveness from operational and technology functions, creating lasting differentiation in client value proposition. Executive Advising & Alignment: Provide clear trade‑off narratives (cost, risk, velocity) to SLT/CIO partners; create durable alignment at major forks (build/buy/retire; sequencing; investment cases); become a trusted partner across enterprise, leading with vision and influence. Security & Compliance by Design: Ensure architectures and golden paths conform to Cigna Information Protection (CIP) standards and policies without burdening delivery teams. Key Responsibilities Strategy & Roadmap: Leveraging talent on team, define and maintain PBS and Pharmacy capability maps, platform strategy (buy/build/retire), reference architectures (cloud, data, API/eventing, streaming), and modernization waves tied to business outcomes. Governance & Decisioning: Establish and chair/participate in pragmatic architecture reviews; codify principles and decision records; instrument decision SLAs to remove bottlenecks and improve transparency. AI‑First Enablement: Embed responsible AI/GenAI designs (safety, observability, model governance) in pharmacy and PBS operations (e.g., clinical capabilities), digital experiences, and analytics products. Security, Risk & Compliance: Integrate CIP standards (e.g., change management, supplier security, data handling) into architecture guardrails and developer‑facing guidance; track adoption and exceptions. Delivery Partnership: Ensure architectures ship: define golden paths, reusable assets, and tooling; pair with engineering on first implementations; measure adoption and outcome impact. Talent & Community: Mentor principal architects and high‑potential ICs; curate communities of practice; maintain a living pattern library and decision log for learn‑once/use‑many scale. Qualifications 10+ years in enterprise architecture/technology strategy experience. Depth in modern architectures: public cloud (Azure/AWS), data platforms (warehouse/lake/lakehouse; streaming), API & event‑driven integration, zero‑trust, resilience/observability. (Market‑norm for distinguished‑level EA.) Demonstrated record designing and landing multi‑year platform and data strategies at enterprise scale. Executive presence with the ability to simplify complex decisions and drive change through influence (high enterprise impact with a lean direct span). Experience operationalizing corporate security & compliance standards within engineering practices (e.g., CIP). Excellent storytelling, facilitation, and stakeholder management with SLT and cross‑functional leaders. Experience in high-growth or transformational environments (startups, M&A, platform rebuilds). Systems thinker who balances ideal-state architecture with real-world execution. Nice to Have Prior PBM/specialty pharmacy platform knowledge (e.g., claims/benefit management, care coordination, specialty workflows). Earlier hands‑on engineering (software, data, or platform) before moving into architecture leadership. Industry credentials (e.g., TOGAF, Azure/AWS architecture) and/or published architecture patterns. Leadership Competencies Strategic Mindset, Drives Results, Collaborates, Instills Trust, Manages Complexity, Tech Savvy If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an annual salary of 203,500 - 339,100 USD / yearly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus and long term incentive plan. We want you to be healthy, balanced, and feel secure. That's why you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k) with company match, company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, visit Life at Cigna Group. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.

The Role The CE & Power Platform Practice Manager will play a key role in ensuring the successful delivery of projects, maintaining high levels of employee engagement, and contributing to the growth of the CE & Power Platform practice. This role will uphold Western Computer's gold standard of customer satisfaction, drive forward the Customer Engagement functional area, manage team performance, and collaborate with peers and leadership to maintain and improve the overall health of the practice. In 2026, we look forward to expanding this practice to be the connector for a customer's business applications, establishing a strong foundation for the use of AI. Experience in Power, CoPilot, and integrations or a passion for learning these areas will drive success in this role. Key Responsibilities Drive Practice Success * Partner with the Practice Director to identify and drive strategic initiatives that improve delivery efficiency, profitability, and client satisfaction. * As we focus on growth in CE, Power, and Integrations, we will be filling the Director role. There will be an interim period prior to the Director being added to the team. * Collaborate with senior leaders to define and design the future state of the CE and Power teams, ensuring alignment with Microsoft's strategic initiatives * Monitor and react to KPIs to ensure customer satisfaction, employee engagement, and overall practice health. * Contribute to the creation and achievement of annual OKRs for the practice. * Collaborate across practices to ensure consistent delivery methodology and alignment with company goals. Maintain Project Health * Uphold the gold standard of customer satisfaction across assigned projects. * Partner with Solution Architects and Project Managers to ensure timely, high-quality project delivery aligned with client expectations. * Monitor active projects to identify risks, proactively addressing potential delivery or resource challenges. * Assist in resolving project escalations by developing "get-to-green" recovery plans, negotiating financial adjustments when needed, and rebuilding client trust and confidence. Client Management * Develop and maintain strong relationships with clients to ensure consistent communication and satisfaction. * Support the management of escalated client issues and ensure resolution aligns with Western's delivery standards. * Champion the client experience by gathering feedback and driving continuous improvement across delivery teams. Team Management * Lead and coach assigned team members including Project Managers, Consultants, and Solution Architects. * Oversee team performance and engagement through consistent feedback, performance discussions, and career path planning. * Manage employee satisfaction issues promptly and effectively, fostering an environment of trust and accountability. * Evaluate team skillsets to identify training opportunities, capacity needs, and potential expansion areas. Process Improvement * Contribute to the enhancement of delivery processes and methodologies to drive standardization, efficiency, and quality across projects. * Collaborate with peers to identify gaps and implement best practices that strengthen delivery consistency. * Promote knowledge sharing and encourage cross-team collaboration within the practice Support Sales Processes * Provide presales support by assisting with scoping, estimating, and reviewing Statements of Work (SOWs). * Collaborate with Sales and Solution Architects to ensure proposals reflect achievable project plans and align with client needs. * Engage with prospects as a subject matter expert, articulating the CE & Power solutions, project approach, and value proposition with confidence. * Understand when integrations will need custom development tools and determine feasibility. * Understand integration trends and customer needs and work with the team to create scalable solutions to deliver results in an efficient way Qualifications * 8+ years of experience leading or delivering Microsoft Dynamics 365 CE (CRM) and Power Platform implementations. * Proven experience in practice management, people management, project management, or consulting leadership within a professional services environment. * Experience with Celigo, Dual Write, and Power Automate or other integration and automation tools * Strong leadership and interpersonal skills with the ability to mentor, motivate, and develop high-performing teams. * Experience in CE sales is a plus. * Excellent communication, presentation, and negotiation abilities. * Skilled in conflict resolution and driving results through collaboration. * Deep understanding of project management methodologies and change management principles. * Passion for delivering innovative CE & Power solutions that drive measurable business value for clients. The Perks: * Stellar Salary: Get ready to be rewarded handsomely, with a competitive OTE ranging from $150k - $170k USD per year. Your skills and experience are pure gold, and we want to show you the appreciation you deserve. * Super Healthcare Benefits: Say goodbye to worries about medical, dental, and vision costs. We've got your back with access comprehensive healthcare coverage, and yours is covered! * Retirement Treasure: Invest in your future with access to a 401(k)-retirement plan. Your financial security is important, and we're here to help you build it. * Time to Chill: We believe in the power of relaxation. Enjoy generous paid time off for vacations, holidays, and those inevitable sick days. Work hard, but don't forget to play hard! * Remote Work Magic: Embrace the freedom to work remotely from the location of your choice. Who we are: We've been on an exciting mission since 1987 to partner with customers as they transform and grow their businesses. As a Microsoft Solution Partner, we're recognized as a top partner. We owe that success to our team of 150+ Microsoft Dynamics 365 and Power Platform solutions experts who pair business needs with system capabilities to create the recipe for success. We are continuously innovating to maximize our customers' technology investments. From our IP products to our teams who always have a little fun, we are not your average ERP company. We encourage you to apply even if you feel that you do not meet all of the above qualifications. Frequently cited statistics show that women and underrepresented groups are more likely to only apply to jobs if they meet 100% of the listed qualifications. Western Computer encourages you to break that statistic and to apply. No one ever meets 100% of the requirements. We look forward to your application!

Georgia Endodontics - Duluth, a busy specialty practice in Duluth, GA, is looking for a talented and skilled Practice Manager to help us fulfill our mission of improving the lives of our patients by providing a world-class specialty experience while also providing world-class service at our Tucker and Atlanta locations. If you're passionate about delivering exceptional patient care and leading a dynamic team, we'd love to connect with you! Why Georgia Endodontics - Duluth? At Georgia Endodontics - Duluth, we believe in the power of collaboration and continuous learning. Our diverse team includes Dental Assistants, Sterilization Technicians, Specialists, Office Managers, and Patient Care Coordinators who work together to ensure exceptional patient experience and outstanding clinical results. We're committed to fostering an environment where all employees are valued, respected, and given the opportunity to thrive-at work, at home, and everywhere in between. Your Role: Practice Manager As our Practice Manager, you will play a crucial role in ensuring our operations run smoothly, efficiently, and in compliance with all regulations. You'll be responsible for mentoring team members, enhancing patient experiences, and implementing best practices across all levels of our organization. Here's what you can expect in this role: Overseeing the Tucker and Atlanta locations. Overseeing daily operations to ensure they are carried out in a cost-effective manner. Managing budgets, financial data, and forecasts to improve profitability. Purchasing materials, planning inventory, and optimizing warehouse efficiency. Ensuring the practice remains compliant with all legal and healthcare regulations. Implementing quality controls and monitoring key performance indicators (KPIs). Training and supervising staff, while fostering a culture of continuous improvement. Enhancing the quality of patient care through innovative and compassionate leadership. Coordinating and facilitating additional office responsibilities as needed. Your Background: We're looking for a resourceful and compassionate Practice Manager who excels at leading teams and achieving financial goals. You thrive on seeing patients leave our office healthier and happier, and you're a problem-solver who can adapt to changing priorities. Here's what we're looking for: 3-5 years of experience managing a dental practice. Expertise in insurance verification, claims, and resolution processes. Strong understanding of patient and insurance accounts receivable (AR) management. Proven ability to maintain positive employee relations and oversee payroll. Solid knowledge of profit and loss (P&L) management, with a focus on controlling expenses. Familiarity with standard OSHA and HIPAA practices and policies. If this describes you, you'll fit right in with our team! Your Benefits & Perks: We offer a comprehensive benefits package designed to support you in all aspects of your life, including: BCBS High Deductible & PPO Medical insurance Options VSP Vision Coverage Principal PPO Dental Insurance Complimentary Life Insurance Policy Short-term & Long-Term Disability Pet Insurance Coverage 401(k) HSA / FSA Account Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse and Inclusive Work Environment Strong culture of honesty and teamwork We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission. Position Base Pay Range$73,000-$75,000 USDSpecialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties. Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at ************************************************** Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more. Specialty1 Partners and its affiliates uses mobile messages in relation to your job application. Message frequency varies. Message and data rates may apply. Reply STOP to opt-out of future messaging. Reply HELP for help. View our Privacy & SMS Policy here. By submitting your application you agree to receive text messages from Specialty1 and its affiliates as outlined above.

Director of Medical Staff Services Our West Region: Orlando Health Wiregrass Ranch Hospital - 3000 Wiregrass Ranch Blvd, Wesley Chapel, FL 33543 (Opening Summer of 2026) Orlando Health Watson Clinic Lakeland Highlands Hospital - 4000 Lakeland Highlands Road, Lakeland, FL 33812 Bayfront Health St. Petersburg - 701 6th St S, St. Petersburg, FL 33701 Position Summary Orlando Health is seeking a dynamic and experienced Director of Medical Staff Services to lead and oversee medical staff operations across three hospitals on Florida's west coast. This remote-based role requires frequent onsite travel to the facilities and monthly meetings in downtown Orlando. The Director will manage a team of 10 Medical Staff Services professionals across these sites, ensuring alignment across all regions, regulatory compliance, and excellence in credentialing, privileging, and physician relationship management. Key Responsibilities Lead administrative and operational activities of Medical Staff Services across assigned hospitals. Ensure regional alignment of medical staff processes and standards. Own and lead the Credentialing Committee and related education initiatives. Play a key role in Joint Commission surveys and regulatory readiness. Foster strong relationships with physicians and medical staff leadership. Collaborate with legal counsel and medical affairs to maintain governance documents. Oversee investigations, fair hearing processes, and adverse action notifications. Ensure data integrity and reporting from credentialing systems. Manage departmental staffing, training, performance, and budgeting. Qualifications Bachelor's degree required; Master's degree preferred. CPMSM and/or CPCS certification preferred. 8-10 years of director level experience is highly preferred. Minimum 5 years of experience in hospital administration, credentialing, or medical staff support. Proven leadership in workflow systems, reporting, and change management. Strong interpersonal and organizational skills with attention to detail. Work Environment Remote with multiple weekly onsite visits to assigned hospitals. Monthly in-person meetings in Downtown Orlando. Must be able to travel regularly and work flexible hours as needed. Why Orlando Health? Orlando Health is consistently recognized as one of the Best Places to Work, including winning the Glassdoor Employees' Choice Award for 2025-an honor based entirely on team member feedback. Our culture is built on mutual respect, teamwork, and authenticity, where every team member is empowered to bring their whole self to work. We offer innovative benefits like free education programs, respite rooms, pet therapy, and even discounted meals and food pantries to support our team's well-being. At Orlando Health, we don't just talk about excellence-we live it. Our commitment to career development, diversity and inclusion, and work-life balance makes us a destination employer for healthcare professionals across Florida and beyond.

At Author Health, we're revolutionizing how mental health care is delivered, and we want you to be part of it! Our mission is to bring compassionate, high-quality care to people with serious mental illness, substance use disorders, and dementia, including older adults. We don't just treat symptoms. We treat people - fully, holistically, and with heart! Through our virtual-first, innovative care model, we deliver community-based wrap-around outpatient mental health care inclusive of psychiatric, psychotherapeutic and care management services. We partner with primary care providers, hospitals, families, and caregivers to keep patients out of the hospital and empower them to live healthier, more connected lives. At Author, inclusivity isn't a checkbox. It's how we build trust and drive better outcomes! We honor the unique cultures, identities, and stories that shape every patient's experience, and we're creating a workplace where team members can show up as their full selves, too. If you're driven by purpose, ready to shake up the status quo, and eager to make a real impact in people's lives, we'd love to meet you. Let's build the future of mental health care together! We are seeking a dynamic and experienced Clinical Manager of Care Management Services to oversee,coordinate, and deliver comprehensive care management services across both behavioral health and medical care settings. This clinical leadership role is critical in ensuring the seamless delivery of integrated care, optimizing patient outcomes, and promoting the efficient and effective utilization of resources within our organization. This Clinical Manager is expected to split his or her time between administrative / managerial responsibilities (typically ~60% of the time) and time serving patients directly (typically ~40% of the time). WHAT IS YOUR SUPERPOWER? Administrative & Managerial Responsibilities * Develop, implement, and oversee care management policies, procedures, and protocols for behavioral health and medical care. * Lead and supervise a multidisciplinary Care Management team organized in a "pod" model where: * Care Managers (Registered Nurses and Behavioral Health Care Managers) are responsible for comprehensive care planning and clinical coordination, * Licensed Practical Nurses (LPNs) focus on post-discharge outreach, coordination, and Transitional Care Management (TCM), while * Patient Resource Specialists (PRSs) support our patients by addressing health-related social needs and social determinants of health. * Manage care coordination processes across multiple payor environments, ensuring consistent standards of care, regulatory alignment, and effective operational workflows. * Ensure compliance with regulatory requirements related to care management and patient care. * Support the design and implementation of strategic initiatives that enable Author Health to innovate by piloting modifications or new builds in our care delivery model. * Participate in interdisciplinary meetings and committees to enhance coordination and communication across departments. * Coach members of the Care Management team to enhance performance on both clinical quality and overall efficiency - do so while using a data-driven approach, and by regularly shadowing and auditing individual team members (e.g., auditing calls and documentation). * Monitor and analyze data related to care management outcomes, utilization, and quality improvement initiatives. * Promote a culture of excellence, professionalism, and continuous improvement within the Care Management team. * Perform other duties as assigned to support departmental and organizational needs. Patient Care Delivery Responsibilities * Conduct regular assessments of patient needs, develop individualized care plans, and monitor progress towards goals. * Coordinate transitions of care and ensure continuity across different levels of care and health care settings. * Collaborate closely with interdisciplinary teams of health care providers both within and outside of Author Health, including physicians, nurses, therapists, and social workers, to ensure integrated care planning and delivery. * Serve as a resource for staff, patients, and families regarding care management services, resources, and community referrals. WHAT WE ARE SEEKING: * Bachelor's degree in Nursing; Master's degree preferred. * Experience building and leading teams * Minimum of 5 years of Nursing experience in care management, preferably in behavioral health or medical care settings. * Proven leadership and supervisory experience with strong team-building skills. * Excellent interpersonal and communication skills, with the ability to collaborate effectively with diverse stakeholders. * Solid understanding of health care regulations, policies, and reimbursement practices. * Strong analytical skills and the ability to use data for decision-making and quality improvement. * Certification in Case Management (CCM, ACM, or similar) preferred WHAT WE OFFER: * Retirement savings plan (401k) Plan up to 3.5% company match * Low cost benefits package for employee and dependents ( medical/ dental/ vision/ STD/ Life Insurance) * Paid vacation * Paid sick leave * 9 paid holidays throughout the year with (2) additional flex holidays .. 11 in total! * Performance-based bonuses * and more! NEXT STEPS: * Submit an application * Upload an updated resume * Share LinkedIn profile and/or cover letter Author Health is committed to a diverse and inclusive workplace. It is the company's policy to comply with all applicable equal employment opportunity laws by making all employment decisions without unlawful regard or consideration of any individual's race, religion, ethnicity, color, sex, sexual orientation, gender identity or expressions, transgender status, sexual and other reproductive health decisions, marital status, age, national origin, genetic information, ancestry, citizenship, physical or mental disability, veteran or family status or any other basis protected by applicable national, federal, state, provincial or local law. The company's policy prohibits unlawful discrimination based on any of these impermissible bases, as well as any bases or grounds protected by applicable law in each jurisdiction. We are committed to providing an inclusive and accessible experience for all applicants. If you require any accommodations at any stage of the process, please let us know. The company is pleased to provide such assistance and no applicant will be penalized as a result of such a request. In accordance with applicable legal requirements such as the San Francisco Fair Chance Ordinance Author Health will consider for employment qualified applicants with arrest and conviction records. Monday through Friday, 8am-5pm EST