Independent Health Remote jobs - 223 jobs

Health Solutions is a premier wellness center focused on whole-person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, case managers, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We're looking for an Outpatient Clinician to join the Youth & Family Services team at 1012 W. Abriendo in Pueblo. What You'd Be Doing As a Home-Based Clinician at Youth & Family Services you would be a vital member of a multidisciplinary team working to promote healthy youth and families in an outpatient and home environments. Your work in case management and outpatient therapy for individuals and families means you would have rewarding opportunities to directly enhance the wellbeing of clients, their families, and our community both now and in the future. Specifically, the Home-Based Clinician Provides intake and assessment, including professional interpretation and clinical analysis to develop treatment plan; Provides individual and family services in the home; Provides case management services, collaborative and integrative services with resources in the community; Provides assessments and treatment planning for clients who are seeking residential treatment; Monitors client placement, discharge planning and identifying step-down services to youth and their family; Keeps accurate, complete and up-to-date records with 100% compliance with Center standards; Maintains competency and proficiency with the agency's Electronic Health Record; Works in collaboration with community providers as well as health care professionals; Requires some evening and on-call hours. Performs other job-related duties as assigned by a Program Director or Supervisor. Physical requirements include the following Frequently remains active with clients for prolonged periods Frequently moves within and between facilities Occasionally moves equipment and/or materials up to 20 pounds Frequently exposed to stressful or emergent situations Constantly communicates with clients and other staff members Occasionally exposed to communicable diseases or bodily fluids Frequently uses computer and other office equipment to enter, manage or look up data What You'll Like About Us Competitive pay. $60,000-$76,458 per year, depending on license, with the potential for additional compensation based on productivity Generous benefits package. For most positions, includes paid holidays, PTO, EAP, tuition reimbursement, retirement, insurances, FSA, and a premier wellness program Insurance: Medical, Dental, and Vision, with low deductibles. Also, Wellness benefits program available. HS Funded: EAP, LifeLock, Direct Path, Life and AD&D, LTD Retirement 403(b) with employer match up to 6% Additional Insurance: FSA, Voluntary Life, Sun Life Voluntary benefits School age daycare Flexible work schedule Potential for qualified onsite supervision for your pursuit of a professional license Employee recognitions and celebrations Warm and friendly work environment in which staff respect and learn from one another Opportunities to serve our neighbors in Pueblo What We're Looking For-The Must-Haves * Graduate degree in social work, psychology, or a closely related field * Colorado professional license (i.e., LPC, LCSW, LMFT) or license eligible * Demonstrated computer proficiency and experience with electronic health records * Colorado driver's license and access to transportation during work hours What We'd Like to See in You-The Nice-to-Haves * At least one year of mental healthcare experience treating children/adolescents * Previous experience working in a home-based program * Spanish language skills Health Solutions expects all staff to * Adapt to change in the workplace and use change as an opportunity for innovation and creativity; * Take ownership of problems, brainstorm resolutions, use sound judgment in selecting solutions to problems, and then demonstrate consistent follow through; * Possess the job knowledge and skills to perform the fundamental job functions, and willingly assume greater responsibility over time regarding the scope of work; * Inspire and model collaborative teamwork; and * Demonstrate accommodation, politeness, helpfulness, trust building, appropriate boundaries, and flexibility in customer service. Open Until 02/28/26 EOE M/F

A leading health company is seeking a Lead Experience Researcher to inform experience strategy by identifying customer needs and translating insights into actionable recommendations. This role requires expertise in qualitative and quantitative research, and collaboration with product and design teams. Ideal candidates have a background in research design and a passion for human-centered innovation. The position is remote, requiring collaboration during central or eastern hours, and includes an attractive compensation package of $138,900 - $191,000 per year. #J-18808-Ljbffr

A leading healthcare organization seeks an Associate Director for Finance Data Management to oversee data configuration and implement policies. This role requires a Bachelor's degree, at least 6 years of finance-related experience, and management expertise. Candidates should be proficient in SQL and familiar with Oracle Fusion Cloud and cloud platforms like Databricks. The position offers a pay range of $129,300 to $177,800 annually and is eligible for a bonus based on performance. #J-18808-Ljbffr

A leading health services company is seeking a Risk Management Lead responsible for oversight of risk adjustment operations. The role includes advising on risk management strategies, compliance, and project management. The ideal candidate should have significant experience in project leadership and risk analysis, with a passion for enhancing consumer experiences. This remote position requires strong initiative and the ability to manage multiple projects simultaneously. Interested candidates are encouraged to apply for a rewarding opportunity focused on health improvement. #J-18808-Ljbffr

A leading healthcare provider in Hawaii seeks an Actuary Analytics/Forecasting professional. The role involves analyzing and forecasting financial data to support strategic decisions. Ideal candidates will hold relevant degrees and possess strong communication skills with experience in modeling and pricing. This remote position offers a competitive salary range between $129,300 and $177,800, along with comprehensive benefits and a bonus incentive plan. #J-18808-Ljbffr

A leading healthcare company in the United States seeks a Market Vice President of Pharmacy Professional Practice to oversee compliance across pharmacies. This role involves ensuring adherence to regulations while leading a team of professionals. The ideal candidate will possess a Bachelor's degree in Pharmacy, an active pharmacist license, and have substantial experience in pharmacy compliance. Competitive compensation includes a salary range of $223,800 - $313,100 per year with bonus eligibility and comprehensive benefits. #J-18808-Ljbffr

Job Description HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: HMA is seeking a highly organized, proactive and service oriented Office Manager to ensure the smooth, efficient operation of HMA's office while providing high-level administrative support to designated leader(s). As the Office Manager, you will manage all aspects of facilities and office operations, maintaining a Class “A” in-office experience. Additionally, you will manage complex calendars, coordinate meeting logistics, event support, and provide administrative support including documentation, travel arrangements, expense processing, and follow-up on action items. This role handles confidential information with discretion and models professionalism, customer service and operational excellence What YOU will do: Office Operations & Facilities: Investigate, track and resolve safety and facility concerns; coordinate repairs with property management/vendors. Serve as SME for mail/shipping operations and optimization efforts. Support execution of BCDR/Emergency response plan and employee safety programs. Assist with planning and execution of company events hosted by Compliance/Facilities. Support annual SOC audit execution for internal controls assigned to Facilities Administrative Support: Anticipate scheduling conflicts and propose solutions. Collect and prepare briefing materials for meetings; ensure leaders are fully prepared. Collaborate on presentations and reports; edit and format documents. Monitor governance and operational deadlines; proactively ensure compliance. Support Record Management Program execution Coordinate follow-up on action items across departments. Serve as the go-to resource for new team members joining the Compliance and Facilities team. Requirements Knowledge, Experience and Attributes for Success: AA or BA degree in Communications, Business Administration, Healthcare Administration preferred. 3-5+ years of experience in administration support or office support roles. Proficient experience in Microsoft Suite (Outlook, Word, Teams, SharePoint, PPT, etc) Experience with mail operations and facility management best practices. Experience drafting and finalizing internal and external communications as well as creating decks to present Proven track record managing complex calendars, coordinating travel, and handling confidential information. Familiarity with organizational safety protocols, record management programs. Ability to manage budgets, expenses reporting and cost control. Experience working cross-functionally in mid-sized or large organizations. Proactive problem-solver with strong prioritization skills. High emotional intelligence and cultural sensitivity. Able to manage up and across with professionalism and diplomacy. Professional demeanor and responsiveness to staff and visitors. Ability to adjust to changing priorities and environments. Ability to lift, push, carry and pull objects weighing more than 15 pounds on a regular basis. Frequent bending, standing and walking throughout the workday. Must be able to move safely and efficiently in an office environment Ability to perform repetitive motions and maintain physical stamina for extended periods. Available to respond to critical situations outside of standard business hours, including evenings, weekends and holidays as needed. Benefits Compensation: The base salary range for this position in the greater Seattle area is $77,000-$94,000 and varies dependent on geography, skills, experience, education, and other job or market-related factors. Performance-based incentive bonus(es) is available. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit *****************

Commonwealth Care Alliance (CCA) is a nonprofit, mission-driven health plan and care delivery organization designed for individuals with the most significant needs. As an affiliate of CareSource, a nationally recognized nonprofit managed care organization with over 2 million members across multiple states, CCA serves individuals enrolled in Medicaid and Medicare in Massachusetts through the Senior Care Options and One Care programs and its care delivery enterprises. CCA is dedicated to delivering comprehensive, integrated, and person-centered care, powered by its unique model of uncommon care, which yields improved quality outcomes and lower costs of care. Job Summary: inst ED provides patient-centered, high-quality acute care in place to adults with complex medical needs. Reporting to the Manager, Network Delivery, the inst ED Mobile Health Coordinator (MHC) is the first point of contact for patients who are seeking an inst ED visit. The Mobile Health Coordinator warmly greets all callers and completes a thorough and accurate intake for callers requesting a referral for an inst ED visit. The MHC assigns the visit to one of inst ED's paramedic partners based on geography and availability and monitors the physician assignment algorithm. In addition, the MHC monitors visit progression to ensure timely service delivery. Finally, the MHC assists the nursing team with non-clinical administrative support and serves as the main point of contact for paramedic partner dispatchers, paramedics, and the inst ED Virtual Medical Control (VMC) team for all non-clinical issues. Essential Functions: Answer incoming phone calls in a timely manner using a cloud-based platform. Collect accurate patient information and document in the inst ED NOW platform and Athena medical record to process an inst ED referral. Collect, review, and accept written consent from patients, upload consents from paramedics. Verify patient eligibility using inst ED NOW, Athena, or external payor portals. Collect payment(s) from patients (e.g., copay, co-insurance). Assign visits to one of inst ED's ambulance partners based on geography and availability; collaborate with nursing staff to prioritize high acuity patients. Communicate with the dispatchers from the ambulance partners to facilitate throughput of inst ED visits; convey clinical concerns/questions to the nursing team. Maintain awareness of all ambulance partner vehicle's status and location. Call patients if mobile health providers are unable to reach patients with an updated ETA; escalate to the nursing team when patients cannot be reached via phone. Make recommendations to improve the inst ED NOW platform. Monitor that VMC providers are checked in and out of inst ED NOW in a timely manner and outreach to them if this does not occur. Monitor VMC auto-assignments and manually re-assign if needed when a VMC provider is nearing the end of shift and cannot complete a visit. Complete an end of shift report before logging off at the end of a shift. Ensure that mobile health providers have completed all documentation by the end of their shift and outreach to the paramedic partner when there is outstanding documentation. Perform any other job related duties as requested. Education and Experience: High School or GED required Associates degree preferred Five (5) years professional work experience in a healthcare setting with at least one (1) year of remote work experience required Customer service experience via phone communications, preferably in a health care call center setting interacting with patients required Process improvement experience required Experience working closely with colleagues at all levels of a company including front-line staff to senior leaders required Medical assistant, or other related experience in an urgent care, emergency or home care setting preferred Administrative support to clinicians in healthcare setting preferred 911 Telecommunicator or Emergency Medical Dispatcher Certification preferred Mobile integrated health experience preferred Competencies, Knowledge and Skills: Ability to communicate effectively without judgment to a diverse patient population while demonstrating empathy Highly adaptable to frequent workflow changes in a fast-paced environment Willing to learn and utilize several different software applications (e.g., proprietary inst ED NOW platform, Teams, etc.) Proficient with Microsoft Outlook Superb verbal communication skills and strong written communication skills Computer and phone system proficiency (e.g., Ring Central or other cloud communications platform) Power BI or other business intelligence software knowledge preferred Proficient in Excel preferred Process improvement training (e.g., lean, six sigma, etc.) preferred Medical terminology preferred Athena (electronic medical record) knowledge preferred Bilingual (Spanish), bicultural preferred Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Must be willing to work weekends, evenings, and holidays Travel is not typically required Compensation Range: $41,200.00 - $66,000.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Hourly Competencies: - Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

A leading healthcare company is looking for a Workforce Management Professional to apply analytics and people metrics to strategic workforce decision-making. The role involves assessing staffing needs and ensuring the alignment of organizational strategies. Candidates should have at least 2 years of relevant experience and excel in communication and analytical problem-solving. This position offers a competitive salary and benefits and requires occasional travel for training. A bachelor's degree is preferred. #J-18808-Ljbffr

A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr

The Media Relations Specialist III is responsible for maximizing earned media opportunities in both traditional news and across a variety of platforms, tracking the benefits of these efforts to drive awareness and business goals. Essential Functions: Responsible for identifying new story opportunities to position CareSource with media outlets and build brand awareness with target audiences Develop and manage content for media and external audiences, including news stories, news releases and other communications Manage agencies in markets to support company initiatives Respond to media inquiries in a timely and appropriate manner Provide support during crisis situations with strategic communications Monitor daily local, regional and national news coverage about CareSource, health care and related issues Manage ongoing earned media intelligence platforms and develops quarterly reports Support social media strategy Responsible for promoting CareSource locally in all markets and nationally including developing award entries, coordinating media events and providing support to company spokespeople/ presenters Develop and maintain relationships with key internal stakeholders, including executives, to ensure successful collaboration Responsible for ensuring all external materials are consistent with brand positioning, established guidelines Serve as a liaison with key departments to provide effective communication strategy Maintain a leadership role on project teams Perform any other job duties as requested Education and Experience: Bachelor's degree or equivalent in Communications, Public Relations, Journalism, or related field or equivalent work experience is required Minimum of five (5) years of experience in media relations is required; healthcare communications experience is preferred Previous professional writing experience is preferred as demonstrated by portfolio Competencies, Knowledge and Skills: Intermediate proficiency level with Microsoft Office Intermediate proficiency level with visual software programs, such as PowerPoint or other related software program is required Ability to communicate effectively through oral and written communications Ability to articulate thoughts with all levels of management and in pressure intense situations Ability to handle sensitive and confidential matters with discretion. Effective decision making and problem resolution skills Strong critical listening and thinking skills Advanced writing and editing skills Experienced technical writing skills preferred Ability to work on and meet tight deadlines Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time May require minimal travel Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-RW1

Internship Program The CareSource Intern is responsible for providing support on special projects, initiatives, and specific activities which will vary by assignment. We offer a 12-week, paid summer internship program for college students who want to separate themselves from the pack. This is an exciting opportunity to obtain real-world experience and prepare yourself for your career after college. The program offers: The opportunity to work on projects that truly impact the company Journey-to-the-Job seminars with CareSource leaders to network and learn about their career paths An assigned mentor and access to former interns who earned full-time positions with CareSource An opportunity to test what you have learned and discover where you want to go The satisfaction of working with smart and motivated people while building new skills Essential Functions: Project Development & Implementation - Lead the design and execution of a listening session with an underrepresented Medicaid membership population to gain insight and ensure effective outreach and engagement strategies are in place. Data Analysis - Conduct thorough analyses of membership data to evaluate retention strategies, assess marketing campaign effectiveness and identify health equity gaps including actionable insights. Round Table Facilitation - Organize and facilitate a monthly roundtable meeting with call center staff to discuss trends, gather insight, and suggest improvements for the overall member experience based on this real time feedback. Education and Experience: High School Diploma or equivalent is required Current Rising Junior or Senior in an accredited degree program or graduated within the last 6 months is required Competencies, Knowledge and Skills: Proficient with Microsoft Office Suite to include Outlook, Word, Excel and PowerPoint Good written and verbal communication skills Ability to work in a fast-paced environment Ability to work independently and within a team environment Effective listening and critical thinking skills Dependable, flexible and ability to maintain confidential information Effective problem-solving skills with attention to detail Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Personalized orientation and mentoring programs Company and job-specific training Feedback opportunities throughout your first 90 days Inclusive culture with employee resource groups Flexible work environment with remote opportunities and paid volunteer hours Performance and personal growth goals with defined success metrics Ongoing feedback process with your manager to discuss your progress and identify actions for continued growth Potential for internal and external training and development programs, stretch assignments, expanded responsibilities and more Compensation Range: $35,200.00 - $56,200.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Hourly Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-JH1

The Quality Analyst II is responsible for analyzing and interpreting complex healthcare data. This role will collaborate with cross-functional teams, providing analytical insight to inform strategy and interventions to drive improved quality performance. Essential Functions: Generate graphics that effectively describe, explore and summarize analyses for communication to appropriate parties Responsible for completing the analysis process to determine best course of action for each inquiry/problem Review reports and data for pattern identification, special cause variation identification, trend analysis, or other techniques and provide management level summaries that explain key findings Collaborate with team members on technical specifications and coding tactics Assist in quality dashboard development and reporting using Power BI and other visual data tools Gathers and understands requirements for analytic requests Perform any other job duties as assigned Education and Experience: Bachelor of Science/Arts degree in Management Information Systems (MIS), computer science or related field or equivalent work experience is required Minimum of two (2) year experience of HEDIS or similar quality healthcare performance metrics experience is required. 2 years Prior programming experience (i.e. SQL, SAS, Python or DAX) is required Health care delivery and/or payer experience is preferred Clinical experience is preferred Competencies, Knowledge and Skills: Proficient with Microsoft Office Suite Proficient in minimum one of the programming skills (i.e., SAS, SQL, or DAX) required Analytic skills for solving multi-dimensional business questions Graphic development & presentation skills Exposure to statistical concepts preferred Critical listening & thinking skills Effective verbal and written communication skills Problem Solving skills Knowledge of managed care and health care data coding Ability to work with IT teams, familiarity with MDS and data architecture Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation Range: $62,700.00 - $100,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1

The Manager, LTSS Program Operations assists the Duals team with open projects and progress towards completion, program enhancements, development, and execution activities related to implementation and ongoing design and standardization for the Dual eligible and LTSS model. Essential Functions: Collaborate with markets to implement business strategies and operational plans to ensure core functionality, scalability, and ongoing department management to support LTSS (HCBS and NH) model Support the translation of business and program vision and strategy into operational tactics - collaborating to build the necessary organizational support and infrastructure Support post implementation strategy and goals to mitigate program risks Support the evaluation of operational process effectiveness for accomplishing market goals and objectives; manage operation process improvement activities in collaboration with market teams Coordinate, translate, and execute key strategies for functional/ operational requirements Provide leadership and support for product expansion Incorporates industry standard, best practice project management tools and techniques in market initiatives Recognizes and proactively manages operational dependencies and risks across market operations initiatives portfolio through effective change and risk management controls Works closely with leadership to establish, communicate, and perpetuate the corporate vision, ensuring appropriate communication to stakeholders Monitors performance across markets LTSSS/HCBS programs to leverage best practice and knowledge sharing for the purpose of improving outcomes through the standardization of evidence-based practices Assists the dual eligible President with the monitoring of legislative/governmental activities with the goal of advocating for the full integration LTSS/HCBS standard model, identifying opportunities and issues Interacts heavily within Dual Eligible, LTSS program business partners, and builds strong working relationships with all markets Engages stakeholders to ensure alignment Leads activities ensuring the delivery of high quality, consistent initiatives that result in optimum outcomes for members, providers, and program goals Perform any other job related duties as requested. Education and Experience: High School or GED required Bachelor's degree preferred Four (4) years of clinical operations/healthcare administration experience required Four (4) years of experience driving performance and process improvements, is in the health care insurance industry required Three (3) years Experience with Government-regulated (Federal and/or State) health insurance products including Medicaid, Managed Care Waiver, FFS and Medicare preferred Three (3) years Experience implementing programs with focus on integration preferred Three (3) years Project management experience preferred Competencies, Knowledge and Skills: Able to effectively identify business problems, assess proposed solutions, and understand the needs of business partners and stakeholders Ability to communicate effectively with all levels of leadership Develops effective working relationships with business partners and stakeholders Strong organizational, time management, analysis, and problem-solving skills Ability to manage a project from start to finish Strong relationship building skills and leadership qualities Training and teaching skills/change agent Ability to think critically and lead with strategy Comprehensive knowledge base crossing all the following areas: Clinical Operations, Market Groups, Business Development, Network, and Operations Hands on proficiency in Microsoft Office tools, including Project, Outlook, Word, PowerPoint, and Excel Business acumen and politically astute ability to act with diplomacy and sensitivity to cultural diversity Licensure and Certification: None Working Conditions: General office environment; may be required to sit or stand for extended periods of time Up to 15% (occasional) travel based on the needs of the department may be required Compensation Range: $94,100.00 - $164,800.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-GB1

HMA is the premier third-party health plan administrator across the PNW and beyond. We relentlessly deliver on our promise to provide medium to large-size employers with customized health plans. We offer various high-quality, affordable healthcare plan options supported with best-in-class customer service. We are proud to say that for three years, HMA has been chosen as a ‘Washington's Best Workplaces' by our Staff and PSBJ™. Our vision, ‘Proving What's Possible in Healthcare™,' and our values, People First!, Be Extraordinary, Work Courageously, Own It, and Win Together, shape our culture, influence our decisions, and drive our results. What we are looking for: We are always searching for unique people to add to our team. We only hire people that care deeply about others, thrive in evolving environments, gain satisfaction from being part of a team, are motivated by tackling complex challenges, are courageous enough to share ideas, action-oriented, resilient, and results-driven. What you can expect: You can expect an inclusive, flexible, and fun culture, comprehensive salary, pay transparency, benefits, and time off package with plenty of personal development and growth opportunities. If you are looking for meaningful work, a clear purpose, high standards, work/life balance, and the ability to contribute to something important, find out more about us at: ***************** How YOU will make a Difference: As a Claims Specialist, you'll be at the heart of our mission to deliver exceptional service. Working alongside a dedicated team, you'll ensure the accurate and timely processing of medical, dental, vision, and short-term disability claims that HMA administers for our members. Your role goes beyond handling claims, you'll be a key player in shaping a positive healthcare experience for our members. Every claim you interact with helps someone navigate their healthcare journey with confidence, making your work both meaningful and impactful. What YOU will do: Carefully research discrepancies, process returned checks, issue refunds, and manage stop payments with precision. This ensures financial accuracy and builds trust with both clients and members. Manage high-importance claims and vendor billing with urgency and attention to detail. Review and reply to appeals, inquiries, and other communications related to claims. Work with third-party organizations to secure payments on outstanding balances. Process case management and utilization review negotiated claims Spot potential subrogation claims and escalate them appropriately. Actively contribute to team success by assisting colleagues when workloads peak, sharing knowledge, and fostering a collaborative environment. Requirements High school diploma required 3-5+ years of claims processing experience 2+ years of BCBS claims processing experience Strong interpersonal and communication skills Strong attention to detail, with high degree of accuracy and urgency Ability to take initiative and ownership of assigned tasks, working independently with minimal supervision, yet maintain a team-oriented and collaborative approach to problem solving Previous success in a fast-paced environment Benefits Compensation: The base salary range for this position in the greater Seattle area is $28/hr - $32/hr for a level II and varies dependent on geography, skills, experience, education, and other job or market-related factors. While we are looking for level II, we may consider level III for highly qualified candidates. Disclaimer: The salary, other compensation, and benefits information are accurate as of this posting date. HMA reserves the right to modify this information at any time, subject to applicable law. In addition, HMA provides a generous total rewards package for full-time employees that includes: Seventeen (IC) days paid time off (individual contributors) Eleven paid holidays Two paid personal and one paid volunteer day Company-subsidized medical, dental, vision, and prescription insurance Company-paid disability, life, and AD&D insurances Voluntary insurances HSA and FSA pre-tax programs 401(k)-retirement plan with company match Annual $500 wellness incentive and a $600 wellness reimbursement Remote work and continuing education reimbursements Discount program Parental leave Up to $1,000 annual charitable giving match How we Support your Work, Life, and Wellness Goals At HMA, we believe in recognizing and celebrating the achievements of our dedicated staff. We offer flexibility to work schedules that support people in all time zones across the US, ensuring a healthy work-life balance. Employees have the option to work remotely or enjoy the amenities of our renovated office located just outside Seattle with free parking, gym, and a multitude of refreshments. Our performance management program is designed to elevate career growth opportunities, fostering a collaborative work culture where every team member can thrive. We also prioritize having fun together by hosting in person events throughout the year including an annual all hands, summer picnic, trivia night, and a holiday party. We hire people from across the US (excluding the state of Hawaii and the cities of Los Angeles and San Francisco.) HMA requires a background screen prior to employment. Protected Health Information (PHI) Access Healthcare Management Administrators (HMA); employees may encounter protected health information (PHI) in the regular course of their work. All PHI shall be used and disclosed on a need-to-know-basis and according to HMA's standard policies and procedures. HMA is an Equal Opportunity Employer. For more information about HMA, visit: *****************

Health Information Alliance (HIA) is seeking a Remote Oncology Data Specialist (ODS) PRN Join HIA's growing team of hard working, and dedicated people, who continually grow and improve our company, and services to our clients. Our team of professionals offer abstracting services to our clients with abstracting current cases, backlogs, and reports and many more lines of specialized services. This provides a solution to our clients through outsourcing. The Oncology Data Specialist (ODS) Performs data abstraction by capturing a complete patient history, diagnosis, staging and treatment information for all patients into the cancer registry. Must be currently working at ODS, and have 2 years experience with the following abstracting the following ODS registries; Breast, Colon, Lung, Prostate and Bladder. This is a Subcontractor Position (1099) Must be able to work a minimum of 20 Hours/Per Week on a consistent basis. 100% Remote position Reliable, high-speed internet connection is required Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Responsibilities The Oncology Data Specialist (ODS) abstracts the following registries: Breast, Colon, Lung, Prostate, and Bladder. Deliver quality solutions to hospital partners across the country, approaching each hospital engagement as an opportunity to apply your expertise with precision. Reviews the medical records for each eligible patient by analyzing the patient history, physical exam, diagnostic tests, staging, medical and nursing care to complete the abstract in accordance with ACOS Cancer Program standards, and state requirements. Maintains abstracting productivity and quality rates of 98%, which is compatible with the organization and nationally established benchmark. Assists with timely monthly reporting to the State ODS, including any special studies and audits. Assists in the submission to Rapid Cancer Reporting System (RCRS). Monthly exports and submits all eligible cases for valid performance quality measures and adheres to RCRS terms and conditions. Reviews, monitors, and updates all the alerts and cases in RCRS to ensure compliance for each specific quality measure. Assist in the Annual NCDB submission.: Each year submits cases diagnosed on January 2003 or later meet the quality criteria for the annual Call for Data on initial submission. Assists in systematic methods of case finding. Enters and/or updates cases in the suspense database. Assists in maintaining a follow-up program for the life of all required abstracts by reviewing hospital documentation, and contacting physicians, state offices, and possibly patients for current follow-up information. Enters this data into a microcomputer for further analysis. Participates in ongoing studies for the American College of Surgeons and local studies. Demonstrates knowledge and skills to operate cancer registry software to perform the job. Identifies the needs of the patient population served and modifies and delivers care specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.) This process includes communicating with the patient, parent, and/or primary caregiver(s) at their level (developmental/age, educational, literacy, etc.). Collaborate with the staff at all campuses to mutually develop opportunities for improvement and action plans. Actively participates in HMH Health Cancer Registries team member meetings. Attend educational conferences to maintain their certification. Adheres to the standards identified in the Medical Center's Organizational Competencies. Qualifications Qualifications Must be currently active working as Oncology Data Specialist (ODS) Must be QUOPI, ACS, APBC Cert and Radiology Oncology Certified Must know Oncology and Epic Successful completion at minimum an Associate's degree or equivalent (60 college level credits including 2 semesters of Anatomy & Physiology) effective 1/1/2010 OR Certificate in Cancer Registry Management or Cancer Information Management form a NCRA-accredited program Minimum of 1 year in a related field; cancer, nursing, medical records, or health science. Education, Knowledge, Skills and Abilities Required Direct data abstraction experience in the Cancer Registry. Exposure to patient medical record systems (EMRs) and clinical databases. Proficiency with Epic, Oncology & MS Office (Microsoft Excel) A college degree from An accredited nursing program CAHIIM accredited program, Or Other accredited healthcare program Healthcare credential associated with their program of study Other healthcare information related abstraction and coding credentials desirable, Licenses and Certifications Required: Oncology Data Specialist (ODS) Certification Preferred Skills: Use of the tools and techniques of continuous quality improvement and computer skills for data display. Attention to detail and follow-up necessary. Strong interpersonal skills, and the ability to communicate effectively with patients, families, hospital staff, physicians and community resources required. Must be able to work independently. General Requirements: The ideal candidate must possess the following characteristics: Commitment and reliability; be able to dedicate consistent time to HIA Superb communication and responsiveness Computer literacy Must be comfortable with, but not limited to: Excel, web-browsers, email, electronic health records (non-specific) Must be familiar with various technologies such as, but not limited to: Epic, Oncology, security (e.g., Citrix), data collection/abstraction, encoders, web-based applications Self-maintenance of skillset Maintaining credentials Staying current with abstraction/coding rules, manuals, and guidelines Prior experience in position applying for Must have a minimum of 2 years of current experience in ODS Motivation; remote work can be team-based, but requires the ability to work independently Strong interpersonal skills and tactfulness to be able to effectively communicate with team members and client contacts May require Background and Drug Screening This position is for a Subcontractor (1099), who is willing to work 20 hours per week on a regular basis. This is a Remote - PRN Position (Subcontractor 1099) The specific statements shown in this description are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job

We are so glad you are interested in joining Sutter Health! Organization: SHSO-Population Health Services-Utah Aids patients in obtaining the correct level of care with the appropriate provider at the right time. Provides advance clinical telephone support to Sutter Health patients, other callers, in-basket and other remote support for physicians, and limited in-clinic support. Uses the nursing process, input from physicians, and Sutter Health's approved telephone nursing guidelines and protocols to maintain highly efficient operations, to provide quality care, and to ensure positive patient outcomes. Assesses patients' needs, appropriately dispositions cases, collaborates with the clinic and hospital-based providers to renew electronic prescriptions, identifies hospital and community resources, consultations and referrals, and preforms nursing follow-up activities. Clinical support includes assisting physician partners with message management and other communications within the electronic medical record (EMR) system, as well as limited patient care in an outpatient setting. Job Description: DISCLAIMER Applicants must be a resident of one of the following states to be eligible for consideration for this position: Utah, Idaho, Arizona, Arkansas, Louisiana, Tennessee, Missouri, Montana, or South Carolina. DISCLAIMER 2 This is a Work from Home position, therefore internet minimum speeds of 15 mbps download and 5 mbps upload are required. EDUCATION Graduate of an accredited school of nursing CERTIFICATION & LICENSURE RN-Registered Nurse of California (You can submit application without the CA RN license, but must acquire it prior to your start date if selected). RN-Registered Nurse in State of Residence PREFERRED EXPERIENCE AS TYPICALLY ACQUIRED IN: 2 years' experience of practical nursing in a hospital, clinic, urgent care, or emergency room/department 2 years' experience with several specialties and subspecialties. OB/GYN experience helpful SKILLS AND KNOWLEDGE Professional knowledge of clinical nursing protocols, regulations and institutional standards of care and risk management with an emphasis in the areas of disease processes, emergencies, health sciences and pharmacology. Advanced clinical knowledge of medical diagnoses, procedures, protocols, treatments, and terminology, including a working knowledge of state and federal regulations and guidelines. Solid analytical and project management skills, including the ability to analyze problems, situations, practices, and procedures, reach practical conclusions, recognize alternatives, provide solutions, and institute effective changes. Communication, interpersonal, and interviewing skills, including the ability to build rapport and explain medical lab results or sensitive information clearly and professionally to diverse audiences (patients). Proficient computer skills, including Microsoft Office Suite and experience working electronic medical/health records. Work independently, as well as part of a multidisciplinary team, while demonstrating exceptional attention to detail and organizational skills. Manage multiple priorities/projects simultaneously, sometimes with rapidly changing priorities, while maintaining event/project schedules. Recognize unsafe or emergency situations and respond appropriately and professionally. Ensure the privacy of each patient's protected health information (phi). Analyze possible solutions using precedents, existing departmental guidelines and policies, experience and good judgment to identify and solve standard problems. Build collaborative relationships with peers, physicians, nurses, administrators, and public to provide the highest quality of patient care. Pay Range: Starting wage is $37.19 hourly Job Shift: Varied Schedule: Full Time Shift Hours: 8/10 Blended Days of the Week: Variable Weekend Requirements: Rotating Weekends Benefits: Yes Unions: No Position Status: Non-Exempt Weekly Hours: 32 Employee Status: Regular Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans. Pay Range is $37.19 to $48.71 / hour The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.

The Internal Auditor II works in a self-directed team environment to execute internal audits as defined by management and the Audit Committee with progressive latitude for team goal setting, initiative and independent judgement on collective work products. The auditor works to identify and evaluate organizational risk, recommends and monitors mitigation action and supports the development of the annual audit plan. Essential Functions: Conduct operational, performance, financial and/or compliance audit project work including, business process survey, project planning, risk determination, test work, recommendation development and monitoring and validation of remediation Work within a self-directed team environment with limited direct supervision, employing significant creativity in determining efficient and effective ways to achieve audit objectives Actively participate in the development and implementation of a flexible risk-based, flexible annual audit plan considering control concerns identified by senior management Coordinate and collaborate on internal audit projects including assessing the adequacy of the control environment to achieve defined objectives in accordance with the approved audit program and professional standards Facilitate communication of organizational risks and audit results to business owners through written reports and oral presentations and provide support and guidance to organizational leadership on effective internal control design and risk mitigation Coordinate, monitor, and complete team tasks within agreed upon timeframes and meet individual and team project timelines, which may be aggressive at times. Influences team prioritization and scheduling of work, problem solving, assignment of tasks, and takes initiative when problems arise. Provides cross-training of team members Support management in onboarding new team members through mentorship, shadowing, and training of all required functions and processes and influence standards for expected team behaviors Assist in the coordination of external audits of CareSource by government agencies, accounting firms, etc. Develop and maintain productive professional relationships with CareSource staff and management by developing trust and credibility Significant interaction with others in the Department of differing skillsets (clinical, IT, etc.), organizational management and staff throughout CareSource, including interaction with the senior most levels Coordinate audit projects as necessary with other CareSource functions, including CareSource Assurance teams Generally conform to IIA standards and maintain all organizational and professional ethical standards, even in difficult or challenging situations Willing to accept feedback, coaching and criticism from others, including peers and management both in Internal Audit or outside of Internal Audit, reflect on the information, and adapt when appropriate Perform any other job duties as requested Education and Experience: Bachelor's degree in finance, business management, healthcare administration, accounting or related field or equivalent years of relevant work experience is required Master of Business Administration (MBA), or other graduate degree is preferred A minimum of three (3) years of finance, business management, healthcare administration, accounting or related field is required; experience in internal auditing or public accounting is preferred Knowledge of audit principles and IIA Standards and Code of Ethics required Experience in risk and control assessments is preferred Experience in thoroughly documenting process flows and controls in financial, and/or business operations cycles preferred Experience with Sarbanes Oxley 404 or Model Audit Rule preferred Experience in health care or insurance fields is preferred Competencies, Knowledge and Skills: Strong communication skills, including proper writing skills adaptable for the audience and purpose, presentation skills for internal or external audiences and senior management, and interpersonal skills sufficient to develop strong professional relationships with CareSource management and staff Solid critical thinking skills including professional skepticism and problem resolution Data analysis and trending skills and ability to compose and present reports using audit data Ability to work in a matrix environment with responsibility for multiple deliverables for multiple functional areas within CareSource Team and customer service oriented Collaborative mindset and ability to operate in a self-directed team environment with collective accountability Strong ability to adapt to changing environment Strong self-leadership, organizational and time management skills Driven to proactively seek relevant development, education and training opportunities Strong sense of integrity and ethics in performance of all duties Takes initiative to identify and influence innovative process improvement Self-driven to work independently within a team environment Success in working in a self-directed matrixed environment Advanced level experience in Microsoft products Licensure and Certification: CIA, CISA, CPA, CMA, CRMA or other appropriate finance, IT or internal audit licensure or certification is preferred Working Conditions: Most work will be performed in an office or virtual setting; however, performing onsite audits may also be necessary depending on assignments May be required to sit or stand for extended periods Compensation Range: $61,500.00 - $98,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type (hourly/salary): Salary Organization Level Competencies Fostering a Collaborative Workplace Culture Cultivate Partnerships Develop Self and Others Drive Execution Influence Others Pursue Personal Excellence Understand the Business This is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.#LI-RW1

**This is a mobile position which will work primarily out in the assigned communities.** Join a Mission That Moves With You: Mobile/Remote Care Management across NC Why You'll Love Working Here In 2026, the future of healthcare is in the community. As an I/DD Care Manager at Partners, you aren't just managing files-you are the architect of a better life for individuals with Intellectual and Developmental Disabilities. We offer a role that balances clinical excellence with geographic flexibility , supported by one of the most stable and competitive benefits packages in North Carolina. The Perks of Joining Our Team: Work Where You Live: Fully mobile/remote role serving the counties you live in, work in and call home. Financial Security: State Retirement Pension plan, 401(k) with employer match, company paid life and disability insurance, and an annual incentive bonus. Health & Wellness: Low-deductible medical/dental plans and generous vacation + sick time accruals. Student Loan Relief: We are a Public Service Loan Forgiveness (PSLF) Qualifying Employer -let your work pay off your education. Celebrate Life: 12 paid holidays and dedicated wellness programs. See attachment for additional details. Location: Available for Gaston, Cleveland, Rutherford NC locations; Mobile/Remote position Projected Hiring Range: Depending on Experience Closing Date: Open Until Filled Your Impact & Role As a Partners Care Manager, you will serve as the primary point of contact and navigator for members with I/DD and/or dually diagnosed members. You will lead "Team Based Care," ensuring our members receive holistic support that integrates physical health, behavioral health, and long-term supports and services. What a Typical Week Looks Like: Meet Members Where They Are: Meet members in their communities to assess their current and projected needs to build Person-Centered Care Plans/Individual Support Plans (ISP) to get them closer to achieving their vision for their lives. Integrative Leadership: Facilitate interdisciplinary team meetings to ensure doctors, specialists, providers and families are all moving in the same direction to meet the member's needs. Transition Expert: Guide members through life's big changes-moving from school to adulthood, returning home from care facilities, gaining optimal independence and finding the right combination of paid supports to maintain or increase overall health and wellness. Empowerment: Educate members and families on their rights and connect them to the array of services and our network of providers to secure their future. Who You Are A Mobile Professional: A North Carolina resident and you thrive on the road and value the autonomy of a community-based role. Travel is an essential part of how you connect with those you serve. A Systems Navigator: You understand (or are eager to master) Medicaid regulations, 1915i services, and the Tailored Plan landscape. A Person-Centered Planner: You believe there is no "one size fits all" solution in care management. You bring a voice to vulnerable individuals through your strengths of observation, connecting the dots, supporting their journey through your planning skills. Qualified Candidate to apply : You've earned your degree and put it to work! Congratulations! You are who we are looking for if one of these many different scenarios describe you… You have earned a Bachelor's degree in a human services field like psychology, social work, nursing or other relevant human services field: and you bring with you a minimum of 2 years full-time experience working with individuals with Intellectual and Developmental Disabilities and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community OR You earned a Bachelor's degree outside the human services field and you have at least 4 years full-time experience working with individuals with Intellectual and Developmental Disabilities. and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community OR You earned a Master's degree and have a minimum of 1 year full time experience working with individuals with Intellectual and Developmental Disabilities and at least 2 years of your work experience was with people with significant Long-Term Services and Supports (LTSS) needs due to their disability in a setting where they receive care in the community