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Work From Home Jennings, LA jobs

- 25 jobs
  • Remote Out of Office Position / Data Entry

    Maxion Research

    Work from home job in Eunice, LA

    Hiring: Part-time Research Study Personnel (Pay up to $790/wk.) Due to demand, we are now accepting applications for personnel to participate in our local in-person and nationwide remote research studies. Description This gig is perfect for those looking for temporary, remote, part-time work. The hours are flexible and no previous experience is needed. Participants willhave the option to choose particular studies based on their ability to participate either online, in person or over the telephone. Participants are needed on a wide range of topics such as: Health Issues (Research for cures and new medications to treat ailments) Consumer Products (Your experience with consumer products) Shopping (Shopping experiences) Internet Usage (How you use the internet) Vehicles (recreational vehicles and automobiles) Employment (Various types of jobs or career fields) Food & Beverages (the consumption of various foods and beverages) Entertainment (About TV, movies or video games) Social Media (the use of different social media platforms) Financial (Banking and investing) Retirement (Planning what, when and how) Gender (studies based on your gender) Housing (Renters or Homeowners) Compensation: Up to $250+ (Per 1hr. Focus Group Study Session) Up to $3000+ (Multi-Session Studies) Benefits: Flexibility to take part in discussions online or in-person. No commute needed if you choose to work from home. No minimum hours. You can do this part-time or full-time Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products. You get to review and use new products or services before they are launched to the public. Qualifications: Speak and/or read English Must be 18yrs old or older Must have either a phone, computer or tablet with internet connection Experience: No prior study experience is required Education: Varies by study (GED or High School Diploma recommended but not necessary) Application Steps Follow the steps below to get started. STEP 1: Apply We accept all applications that meet the minimum requirements STEP 2: Complete Complete the optional steps for your best chance of acceptance to a paid study. STEP 3: Verify Some steps require an email verification in order to complete the study approval process. STEP 4: Be Patient Some studies require manual review to be sure you meet specific criteria before acceptance. STEP 5: Earn Upon successful completion of the research study your compensation will be issued via a Check, Paypal, Visa gift card or other form of compensation.RequiredPreferredJob Industries Other
    $790 weekly 1d ago
  • Executive Leadership Opportunities - Vertical Market Software (VMS)

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    As an Executive Leader within our organization, you will play a pivotal role in shaping the strategic direction and driving the success of a business unit serving the Utilities and Telecommunications sectors. You will lead a multidisciplinary organization spanning Sales, Support, Product Development, and Professional Services, fostering a culture of collaboration, innovation, and accountability. We are building a pipeline of proven Vertical Market Software (VMS) executives who are passionate about growth, operational excellence, and people leadership. With the expansion of our portfolio through acquisition, we are seeking forward-thinking leaders who can translate strategic vision into measurable results. Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available. Base salary range: $175,000 to $200,000, plus TTC based on new revenue generated and an additional performance bonus. What your impact will be: * Set the long-term strategic and technology direction for your business unit * Lead, coach, and inspire an executive team to achieve growth and profitability targets * Drive operational excellence across all functions to deliver exceptional customer outcomes * Manage full P&L responsibility with focus on sustainable revenue and EBITDA growth * Build leadership capability across the organization through mentorship and development * Represent your business to senior corporate leaders, providing strategic and financial updates What we are looking for: * 10+ years of senior leadership experience within a VMS organization * Deep understanding of Utilities and/or Telecommunications industries preferred * Demonstrated success leading large, multi-functional teams (25+ employees) * Proven track record managing $10M+ P&L and delivering sustained growth * Strong communication, strategic thinking, and customer partnership skills * A passion for sales and a growth-oriented, hands-on leadership style What we can offer: * 3 weeks' vacation and 5 personal days * Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment * Employee stock ownership and RRSP/401k matching programs * Lifestyle rewards * Remote work and more! About Harris: Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses. #LI-remote
    $175k-200k yearly Auto-Apply 53d ago
  • Service Advocate - Fully Remote

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryAre you passionate about helping others and have a talent for problem-solving? Join our team as a Service Advocate. In this role, you will work alongside peers who handle Medicare individual inbound calls, serving as a crucial support system for Customer Service Representatives (CSRs). Your role will involve assisting CSRs with questions and workflows during active calls, providing accurate and timely support. You will also directly handle escalated member issues, working to de-escalate and resolve concerns efficiently. As the Single Point of Contact for handling escalated member service inquiries, you will act with fast knowledge using integrated service tools, engaging, consulting, and educating members based on their unique needs and preferences. Key Responsibilities:Provide support and guidance to CSRs during active calls, helping them navigate questions and workflows. Handle escalated member service inquiries and issues, working to de-escalate and resolve concerns efficiently. Engage with and educate members based on their unique needs and preferences, using integrated service tools. Act as a knowledge resource for CSRs, helping to improve their performance and understanding of company services. Required Qualifications1+ years of Customer experience Strong problem-solving skills with demonstrated ownership qualities. Empathy, compassion, and excellent listening skills. Ability to de-escalate situations and remain calm under pressure. Exceptional verbal and written communication skills. Leadership abilities and experience in dealing with member escalations. Ability to mentor, train, and motivate employees, offering feedback for performance improvement. Ability to multitask, identify trends, and maintain attention to detail. Experience in leading and promoting change within organizational structures. Preferred Qualifications1+ years of Medicare experience. Intermediate skills with Windows-based applications. Previous experience handling escalated member issues. Effective communication and documentation skills. Quick learner with the ability to apply new skills quickly. Strong analytical skills focusing on accuracy and attention to detail. Understanding of medical terminology and strong problem-solving and negotiation skills. Computer literacy to navigate internal/external systems. Bilingual SpanishEducationHigh School diploma or equivalent. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$17. 00 - $34. 15This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/15/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $17 hourly 4d ago
  • Claims Specialist II, Workers Compensation

    Nationwide 4.5company rating

    Work from home job in Iowa, LA

    If you're passionate about helping people protect what matters most to them, as well as innovating and simplifying processes and operations to provide the best customer value, then Nationwide's Property and Casualty team could be the place for you! At Nationwide, "on your side" goes beyond just words. Our customers are at the center of everything we do and we're looking for associates who are passionate about delivering extraordinary care. Work Environment: The location of this position is flexible and open to virtual and/or remote based applicants. What to expect: This individual will manage a varying degree of workers compensation claim complexity for all Nationwide channels; inclusive but not limited to: Agribusiness, Standard Commercial, and E&S. Members are unique in that they could be commercial business owners, farms, small businesses, or amusement parks. The ideal candidate will have: * Strong workers compensation, or loss time claims experience is highly preferred. * Demonstrated Texas, Arizona, and Oklahoma Workers Compensation claims handling experience is highly preferred. * Prior litigation and insurance experience is preferred. * Strong customer service, written & verbal communication skills. Summary Do you have a strong desire to provide prompt, courteous and fair service to customers? Are you a skilled investigator, negotiator and communicator? If you thrive in an environment where you can problem-solve workers' compensation claims resolution, while following processes that provide fair resolution, customer satisfaction and cost management, then we want to hear from you! As a Claims Specialist, you'll investigate and handle medical and/or loss-of-time workers compensation claims from multiple states to determine compensability, entitled benefits, average weekly wage and benefit rate according to applicable state workers' compensation statute. We'll count on you to promote and provide exemplary customer service. Key to success will be your ability to establish timely and appropriate case reserves aligned with Best Practices and manage claims to appropriate resolution. You'll also communicate frequently with customers, injured workers and medical providers. Job Description Key Responsibilities: * Provides appropriate notices to policyholders and injured employees according to applicable state workers' compensation statute and obtains appropriate forms and documentation to verify employee/employer relationship and average weekly wage. Completes and files appropriate first and second notice of injury as required by individual state workers' compensation statute and electronic data interchange reporting regulations. * Employs appropriate claims management techniques and direct intervention (e.g., independent medical examinations, referral for rehabilitation, utilization review, etc.) to manage each claim. Maintains contact with policyholders and injured worker and pursues return to work initiatives. Utilizes effective Telephonic Nurse Case Manager or Field Nurse Case Management services to assist with managing medical care and return to work activities. Consults with internal Claims Medical Specialist for future care needs and issues of life expectancy. Evaluates exposures, manages ongoing case reserves in alignment with best practices and negotiates settlements as appropriate. Documents significant activity and decisions in each claim via on-line claim system. * Evaluates all pertinent information and works in conjunction with claimant/client to pursue most appropriate claims resolution. * Investigates and pursues third party recoveries and any applicable deductibles. May utilize the services of Nationwide recovery unit, and/or partner with designated outside counsel/trial division, or by giving notice of lien to plaintiff counsel handling third party litigation. Claim Zone Field assist referrals and/or outside consulting expert may be utilized to gather, obtain and secure critical information. * Manages litigated claim issues in alignment with Best Claims Practices. Obtains appropriate litigation budgets and develops appropriate power of attorney in partnership with counsel. Manages litigation expenses of Nationwide Trial Division or approved outside counsel. * Manages assigned claims with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures. Adheres to high standards of professional conduct consistent with the delivery of superior service. * Submits severe incident reports, reinsurance reports and other information to home office, claims management, and underwriting. * Reviews files for Medicare reporting obligations and submits appropriate Medicare query, Ongoing responsibility for Medicals (ORM) and Total Payment Obligation to claimant (TPOC) reports. Responsible for claims involving Medicare Set Aside at time of settlement and which may be funded by a structured settlement. * Partners with Special Investigative Unit (SIU) and Subrogation to identify fraud and subrogation opportunities. * Delivers a positive customer service experience to all internal, external, current and prospective Nationwide customers. * May periodically conduct customer/account visits to review reserves and discuss status of significant claims. May also present educational workshops to client personnel. May perform other responsibilities as assigned. Reporting Relationships: Reports to Supervisor/Manager. No direct or indirect reports. Typical Skills and Experiences: Education: Undergraduate studies in business administration or related field preferred and/or relevant Workers' Compensation experience. License/Certification/Designation: State licensing where required. Successful completion of required/applicable claims certification training/classes. Experience: Three to five years prior experience in workers' compensation claims. Knowledge, Abilities and Skills: Advanced knowledge of insurance theory and practices, insurance contracts and their application. Familiarity with claims processing and claims best practices and procedures preferred. Proven knowledge of insurance contracts, medical terminology, workers compensation, and the legal aspects of court procedures affecting legal liability for all lines of insurance. Knowledge of claims systems. Excellent customer focus and proven ability to proactively meet customer needs. General knowledge of insurance theory and practices, insurance contracts and their application. Familiarity with claims processing and claims best practices and procedures preferred. Knowledge of insurance contracts, medical terminology, workers compensation, and the legal aspects of court procedures affecting legal liability for all lines of insurance. Knowledge of claims systems. Analytical skills necessary to make decisions and resolve conflict in such areas as application of coverage to submitted claims, application of laws of jurisdiction to investigation facts, application of policy exclusions and exceptions. Ability to establish repair requirements and cost estimates for extensive losses and serves as a subject matter expert on respective claims projects. Proven organizational skills to effectively prioritize increased and more complex workloads. Demonstrates strong but flexible standards to balance the conflicting demands of the position. Excellent written and verbal communication skills necessary to effectively communicate and/or negotiate with policyholders, claimants, attorneys, agents, and general public. Demonstrated leadership capabilities to effectively train, coach, and provide feedback to less experienced associates. Other criteria, including leadership skills, competencies and experiences may take precedence. Staffing exceptions to the above must be approved by the hiring manager's leader and HR Business Partner. Values: Regularly and consistently demonstrates the Nationwide Values. Job Conditions: Overtime Eligibility: Exempt (Not Eligible) Working Conditions: Normal office environment. May require ability to sit and use telephone and personal computer for extended periods of time. Must be willing to work irregular hours and to travel with possible overnight requirements. Must be available to work catastrophes (CAT) requiring travel to CAT site with multiple on-site responsibilities and/or for extended periods of time. Extended and/or non-standard hours as required. ADA: The above statements cover what are generally believed to be principal and essential functions of this job. Specific circumstances may allow or require some people assigned to the job to perform a somewhat different combination of duties. Credit/Background Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process. Benefits We have an array of benefits to fit your needs, including: medical/dental/vision, life insurance, short and long term disability coverage, paid time off with newly hired associates receiving a minimum of 18 days paid time off each full calendar year pro-rated quarterly based on hire date, nine paid holidays, 8 hours of Lifetime paid time off, 8 hours of Unity Day paid time off, 401(k) with company match, company-paid pension plan, business casual attire, and more. To learn more about the benefits we offer, click here. Nationwide is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive culture where everyone feels challenged, appreciated, respected and engaged. Nationwide prohibits discrimination and harassment and affords equal employment opportunities to employees and applicants without regard to any characteristic (or classification) protected by applicable law. #claims Smoke-Free Iowa Statement: Nationwide Mutual Insurance Company, its affiliates and subsidiaries comply with the Iowa Smokefree Air Act. Smoking is prohibited in all enclosed areas on or around company premises as well as company issued vehicles. The company offers designated smoking areas in which smoking is permitted at each individual location. The Act prohibits retaliation for reporting complaints or violations. For more information on the Iowa Smokefree Air Act, individuals may contact the Smokefree Air Act Helpline at ************. NOTE TO EMPLOYMENT AGENCIES: We value the partnerships we have built with our preferred vendors. Nationwide does not accept unsolicited resumes from employment agencies. All resumes submitted by employment agencies directly to any Nationwide employee or hiring manager in any form without a signed Nationwide Client Services Agreement on file and search engagement for that position will be deemed unsolicited in nature. No fee will be paid in the event the candidate is subsequently hired as a result of the referral or through other means.
    $45k-59k yearly est. Auto-Apply 3d ago
  • Navigator, Social & Health Equity - Hybrid Must reside in IA

    Molina Healthcare Inc. 4.4company rating

    Work from home job in Iowa, LA

    Must be Certified in CADC or IADC Provides support to team responsible for creating program initiatives to support to members in addressing social conditions that impact health outcomes - providing education, assistance, resources and best practices to members in relation to navigating the health care system. Works collaboratively with other departments to identify population social determinants of health needs, and works to find solutions via partnerships with community organizations and/or other agencies. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Works directly with members to reduce barriers and social determinants of health (SDOH) issues to improve health care access and member quality of life. * Educates members on SDOH and assists with navigating various systems. * Promotes awareness of how SDOH affect member health outcomes. * Conducts SDOH assessments to determine member needs and prioritizes based on member preference. * Participates in interdisciplinary care team (ICT) meetings. * Identifies local and national resources to facilitate staff, business owner, and department understanding of health disparities, inequities, and social risk factors impacting members. * Assists with coordination of SDOH related activities at the health plan. * Works with SDOH innovation team to pilot programs to address SDOH barriers for Molina members. * Collaborates with various departments within the health plan to implement pilot SDOH initiatives and programs. * Collaborates with SDOH innovation team to ensure all SDOH initiatives, processes, and outputs are aligned and standardized as appropriate. * Promotes integration of services including behavioral health care, long-term services and supports (LTSS), as well as other appropriate services. * Coordinates partnerships with other departments to ensure seamless care for members. * Local travel may be required (based upon state/contractual requirements). Required Qualifications * At least 2 years experience in public health, social services or similar field, or equivalent combination of relevant education and experience. * Clinical licensure and/or certification required ONLY if required by state contract, regulation or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice. * Ability to coalesce diverse entities around a common goal. * Advanced understanding of social determinants of health (SDOH), health disparities, inequities and social risk factors. * Knowledgeable about and respectful of cultural issues on an individual member level. * Strong organizational skills, ability to prioritize and multitask. * Critical thinking skills, including the ability to interpret SDOH data that informs the implementation of targeted interventions to identified populations. * Ability to build strong relationships with key internal and external stakeholders through active participation in community-based initiatives. * Ability to maintain confidentiality and Comply with Health Insurance Portability and Accountability Act (HIPAA). * Excellent verbal and written communication skills. * Microsoft Office suite/applicable software program(s) proficiency. Preferred Qualifications * Licensed in social work, counseling or other related field. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V #PJCorp Pay Range: $22.8 - $46.81 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $22.8-46.8 hourly 3d ago
  • Medical Director - Medical Affairs (Oncology)

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryCVS Health, a Fortune 6 company, has an outstanding opportunity for a Medical Director - Medical Affairs (Oncology) We need a Board Certified Oncologist for this opportunity. This is a remote based from from home role. The Medical Affairs department provides clinical business support to the entire enterprise and provides clinical oversight and mentorship for CVS Health clinical programs, PBM Clinical Quality activities, consultative support to the P&T process, formulary development, drug information services and pipeline activities, and provision of clinical leadership to various internal departments (e. g. , specialty pharmacy services, clinical product development, Enterprise Analytics, Compliance, Legal, Accreditation) and clients. The Medical Director (Medical Affairs) will report into the Medical Affairs Department and is responsible for clinical support and consultative activities across the PBM. In this role you may provide consultative clinical support to Account Management in support of Key Clients as assigned. The Medical Director transacts Utilization Management UM activities (prior authorization and appeals) and responds to prescriber inquiries related to UM transactions and more generally related to CVS Health coverage policies. Medical Directors at CVS Health are encouraged to model the highest levels of clinical integrity, knowledge and cross functional thinking and decision making. Medical Directors represent the clinical decision making and professional thought process of the prescriber as a partner across the enterprise's decisions and planning. - Each Director is responsible for providing oversight of a portion of CVS Health's clinical programs and commercial client program support. Will share in reviews of utilization management (PA) criteria and clinical policy revisions/reviews. - Directors will spend a portion of most days completing assigned medication utilization reviews (PA) and/or medical necessity appeals for commercial clients, governmental (Medicare/Medicaid) programs and individual client requested coverage determinations or appeals when appropriate. - Medical Directors will participate in inter-rater review activities and other quality oversight processes for internal Director UM decisions. If specifically assigned to one business segment (i. e. , Medicare clients), each director will become sufficiently skilled in various UM programs to support other segments (including commercial and Medicaid) on evening and weekend coverage. -In this role you'll perform a share of special clinical investigations and research as requested by the Senior Medical Director, Medical Affairs. These projects can include brief reviews of published literature around specific pharmaceutical questions or more in-depth projects requiring collaboration with pharmacists within Medical Affairs and in business units outside of the Department. CVS Health, a Fortune 5 company, has an outstanding opportunity for a Medical Director (Medical Affairs). Required Qualifications* Minimum of 5 years clinical experience in direct patient care. * Board Certified in Hematology/Oncology. * 2 or more years proven experience in clinical outcomes, with a solid understanding of medical statistics, regulatory agencies, and analytic programs. *Unrestricted license to practice medicine in the state in which the candidate is located. Preferred Qualifications* Additional Board Certification in Internal Medicine is highly preferred. * Combination of five years of management and/or clinical experience in a managed care environment and health administration, including adequate clinical experience in direct patient care and working with professionals at different levels as a teammate (e. g. , RNs, PharmDs, etc. ). * Master's Degree in Public Health Administration, MBA, and/or UM/QA certification. * Proficiency in MS Office Suite, including Teams and Outlook. Education* M. D. or D. O. , Current and Active Board Certification in ABMS or AOA recognized specialty; Oncology, Internal Medicine. * Possess an unrestricted active license to practice medicine in a State, Territory, Commonwealth of the United States, or the District of Columbia. * Up to date in Continuing Medical Education (CME) requirements for board certification(s) and licensure (must remain skilled in medical and management areas during employment). Pay RangeThe typical pay range for this role is:$174,070. 00 - $374,920. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/31/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $174.1k-374.9k yearly 19d ago
  • Lead Delivery Engineer (Remote)

    Broadridge 4.6company rating

    Work from home job in Iowa, LA

    At Broadridge, we've built a culture where the highest goal is to empower others to accomplish more. If you're passionate about developing your career, while helping others along the way, come join the Broadridge team. We're hiring a Lead Delivery Engineer to manage complex, multi-workstream client implementations from discovery through launch and stabilization. In this role, you will translate enterprise requirements into scalable solutions and integrations, drive program governance and stakeholder alignment, and serve as a senior delivery liaison to Product and Engineering. Responsibilities: * Lead complex, multi‑workstream client implementations from discovery through production launch and stabilization, meeting scope, timeline, quality, and budget goals. * Translate enterprise requirements into scalable configurations and integration designs (APIs, SSO, data feeds), ensuring performance, observability, security, and compliance. * Establish and run program governance: plans, milestones, KPIs, change control, executive status reporting; managing stakeholder alignment and expectations. * Serve as a senior delivery liaison to Product and Engineering: shape backlog priorities, write clear tickets and acceptance criteria, drive sprint commitments, validate outcomes. * Own risk management and escalation paths; anticipate dependencies, remove blockers, and resolve cross‑functional issues rapidly; provide weekly status and escalate risks. * Lead client demos, solution walkthroughs, UAT planning/execution, training, and handoffs to Support and Customer Success with complete runbooks and documentation. * Optimize implementation and rollout processes; champion automation, templates, and tooling; lead scoping and subsequent pricing for engagements. Qualifications: * 5+ years of experience in delivery engineering, implementation, or technical program management in a SaaS or enterprise software environment, including leading complex client programs. * Proven track record managing multiple concurrent implementations and cross‑functional teams in an agile setting (up to 3 engagements simultaneously). * Undergraduate degree or equivalent combination of training and experience. * Hands‑on experience configuring web/SaaS products and orchestrating integrations and custom implementations; ability to document business rules and ensure proper configuration. * Strong client‑facing communication, negotiation, and executive‑level status reporting skills; ability to convey complex information between business and technical stakeholders. * Exceptional organization, analytical, and problem‑solving skills; ability to operate in fast‑paced, high‑pressure environments and make data‑driven decisions. Preferred qualifications: * Deep familiarity with agile practices (epics, stories, acceptance criteria), sprint planning, backlog management, and day‑to‑day project delivery. * Enterprise integration and data expertise: API design/consumption, SSO, data mapping/ETL; formats such as JSON/XML; data validation and troubleshooting. * Exposure to CI/CD, release management, and observability for production readiness and post‑launch monitoring. * Experience leading UAT, training, change management, and promoting education services to drive onboarding and readiness. * Practical knowledge of SEO, data modeling, and integration best practices to improve ROI throughout engagements. * Experience partnering with internal stakeholders; contributing to process improvements, automation opportunities, and execution playbooks; assisting with internal training. Compensation Range: The salary range for this position is between $85.000.00-$95,000.00. Broadridge considers various factors when evaluating a candidate's final salary including, but not limited to, relevant experience, skills, and education. Bonus Eligibility: Bonus Eligible Benefits Information: Please visit ************************** for information on our comprehensive benefit offerings for this role. All Colorado employees receive paid sick leave in compliance with the Colorado Healthy Families and Workplaces Act and other legally required benefits, as applicable. Apply by clicking the application link and submitting your information. The deadline to apply for this role is December 15th, 2025. #LI-DS1 #LI-Hybrid We are dedicated to fostering a collaborative, engaging, and inclusive environment and are committed to providing a workplace that empowers associates to be authentic and bring their best to work. We believe that associates do their best when they feel safe, understood, and valued, and we work diligently and collaboratively to ensure Broadridge is a company-and ultimately a community-that recognizes and celebrates everyone's unique perspective. Use of AI in Hiring As part of the recruiting process, Broadridge may use technology, including artificial intelligence (AI)-based tools, to help review and evaluate applications. These tools are used only to support our recruiters and hiring managers, and all employment decisions include human review to ensure fairness, accuracy, and compliance with applicable laws. Please note that honesty and transparency are critical to our hiring process. Any attempt to falsify, misrepresent, or disguise information in an application, resume, assessment, or interview will result in disqualification from consideration. US applicants: Click here to view the EEOC "Know Your Rights" poster. Disability Assistance We recognize that ensuring our long-term success means creating an environment where everyone is welcome, where everyone's strengths are valued, and where everyone can perform at their best. Broadridge provides equal employment opportunities to all associates and applicants for employment without regard to race, color, religion, sex (including sexual orientation, gender identity or expression, and pregnancy), marital status, national origin, ethnic origin, age, disability, genetic information, military or veteran status, and other protected characteristics protected by applicable federal, state, or local laws. If you need assistance or would like to request reasonable accommodations during the application and/or hiring process, please contact us at ************ or by sending an email to ************************.
    $98k-125k yearly est. Auto-Apply 60d+ ago
  • Telephonic Transition of Care Coach (RN) - Must Reside in Texas

    Molina Healthcare Inc. 4.4company rating

    Work from home job in Iowa, LA

    Opportunity for TX licensed RN to join our DSNIP team to work with our members who are hospitalized and ready to be discharged. The RN hired for this position will work with the hospital discharge team to make sure that all the appropriate resources, doctor appointments, etc. are ready so that the transition out of the facility occurs smoothly, At this time, this position is fully remote, working from home, BUT there is a chance that, in the future, you will have to go into the field to complete assessments on those members on your case load. Preference will be given to candidates with experience working as a Transition of Care Coach with another MCO like Molina. Additional pluses - experience with the LTSS or Behavioral Health populations. Bilingual is also a plus. Solid experience with Microsoft Office Suite is necessary, especially with Outlook, Excel, Teams, and One Note. Job Summary Provides support for care transition activities. Facilitates transitional care processes and coordination for member discharge from hospital admission to all other settings. Strives to ensure that best possible services are available to members at time of hospital discharge, and focuses on goal to reduce member readmissions. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Follows member throughout a 30 day program that starts at hospital admission and continues oversight through transitions from acute setting to all other settings, including nursing facility placement/private home, with the goal of reduced readmissions. * Ensures safe and appropriate transitions by collaborating with the hospital discharge planner, as well as collaborating with hospitalists, outpatient providers, facility staff, and family/support network. * Ensures member transitions to setting with adequate caregiving and functional support, as well as medical and medication oversight support. * Works with participating ancillary providers, public agencies or other service providers to make sure necessary services and equipment are in place for safe transition. * Conducts face-to-face visits of all members while in the hospital and, home visits high-risk members post-discharge as needed. * Coordinates care and reassesses member needs using the Coleman Care Transition model post-discharge. * Educates and supports member focusing on seven primary areas (Transition of Care Pillars): medication management, use of personal health record, follow-up care, signs and symptoms of worsening condition, nutrition, functional needs and or home and community-based services, and advance directives. * Uses motivational interviewing and Molina clinical guideposts to educate, support and motivate change during member contacts. * Assesses for barriers to care, provides care coordination and assistance to member to address concerns. * Facilitates interdisciplinary care team meetings (ICT) and collaboration. * Provides consultation, recommendations and education as appropriate to non-behavioral health care managers. * 40-50% local travel may be required (based upon state/contractual requirements). Required Qualifications * At least 2 years experience in health care, with at least 1 year of experience in hospital discharge planning, care management or behavioral health setting, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in state of practice. * Valid and unrestricted driver's license, reliable transportation, and adequate auto insurance for job related travel requirements, unless otherwise required by law. * Knowledge of or experience using the Care Transitions Intervention (CTI) or similar model. * Background in discharge planning and/or home health. * Demonstrated knowledge of community resources. * Proactive and detail-oriented. * Ability to work within a variety of settings and adjust style as needed - working with diverse populations, various personalities and personal situations. * Ability to work independently, with minimal supervision and demonstrate self-motivation. * Responsive in all forms of communication, and ability to remain calm in high-pressure situations. * Ability to develop and maintain professional relationships. * Excellent time-management and prioritization skills, and ability to focus on multiple projects simultaneously and adapt to change. * Excellent problem-solving, and critical-thinking skills. * Excellent verbal and written communication skills. * Microsoft Office suite/other applicable software program(s) proficiency. Preferred Qualifications * Transitions of care sub-specialty certification and/or Certified Case Manager (CCM). * Hospital discharge planning or home health experience. To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V Pay Range: $26.41 - $61.79 / HOURLY * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $29k-36k yearly est. 5d ago
  • (Remote) Business Development, M&A

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    Harris Computer, the largest operating group of Constellation Software Inc. (TSX:CSU), is looking for a Business Development professional, based in the USA or Canada, to join our expanding team on the mergers and acquisitions (M&A) team. This team works closely with Harris' senior management in continuing the company's success in acquiring software businesses. This role is a full-time, remote, work from home position. We will consider candidates from anywhere in North America. As a member of the Harris Business Development team, you will report to the Manager of Business Development. This role requires travel of up to 10% in North America, and a valid passport is required. In this role you will be responsible for sourcing new acquisitions, developing relationships with key decision makers, and performing investment opportunity origination activities related to vertical market software businesses. You will be successful in this role if you are a people-person, have solid business acumen, love to continuously learn, experiment, and have a passion for creating and maintaining relationships. Prior business development experience is helpful but not necessary. Financial literacy, solid interpersonal abilities, and understanding of software and technology businesses are considered assets. What your impact will be: * Directly engage with the decision makers of software businesses in specifically identified vertical markets to identify, maintain, and nurture acquisition opportunities for Harris by using a suite of communication and customer relationship management tools. * Continue relationships with our existing network of acquisition targets. * Become the senior account manager for Harris' M&A relationships in your area of coverage. * Effectively communicate Harris' investment strategy, while ensuring that the investment process is handled with care and professionalism. * Support the M&A team in qualifying potential company targets. * Track activities and maintain relevant information in Salesforce. * Generate and report on leads, set up qualified investment opportunities, and move opportunities through the M&A pipeline to our M&A transactions team. What we are looking for: * 5+ years of related business experience. Sales, business development, consulting, banking, investing, M&A sourcing, technology/software, investor relations or entrepreneurship/start-up experience are all considered valuable experience and will be highly considered. * Aptitude and passion for business development and relationship management. * Exceptional people skills, organizational, written and verbal communication skills. * Self-starter with excellent prioritization and multi-tasking abilities who thrives on new challenges and takes initiative. * Experimentation is part of what we do at Harris. All candidates will be considered, if you think you may be a good fit for the role, we want to hear from you. What we can offer: * Attractive compensation package consisting of base salary, quarterly and annual variable bonus incentives. * Comprehensive Medical, Dental and Vision coverage from your first day of employment. * Flexible, remote work. About Harris Harris Computer - based in Ottawa, Ontario - acquires vertical market software businesses, manages them using industry best practices, and builds them for the future. Through acquisitions, Harris has grown extensively from its roots in the utilities, local government, education, and healthcare sectors to operate over 200 businesses globally across more than twenty industries. Harris is the largest operating group of Constellation Software Inc. (TSX: CSU), the most effective acquirer of Software business globally. #LI-DNI
    $63k-81k yearly est. Auto-Apply 60d+ ago
  • Clinical Case Manager Behavioral Health (DSNP) - Work at Home

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryFully remote in the USA; Shift Monday through Friday standard business hours, 8am to 5pm. No weekends and no holidays. Utilizes advanced clinical judgment and critical thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider coordination/collaboration, and coordination of psycho social wraparound services to promote effective utilization of available resources and optimal, cost-effective outcomes. Assessment of Members:Through the use of clinical tools and information/data review, conducts comprehensive assessments of referred member's needs/eligibility and determines approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and address complex clinical indicators which impact care planning and resolution of member issues. Using advanced clinical skills, performs crisis intervention with members experiencing a behavioral health or medical crisis and refers them to the appropriate clinical providers for thorough assessment and treatment, as clinically indicated. Provides crisis follow up to members to help ensure they are receiving the appropriate treatment/services. Required Qualifications3 years of direct clinical practice experience post master's degree, e. g. , hospital setting or alternative care setting such as ambulatory care or outpatient clinic/facility3 years required knowledge of mental health and substance abuse disorders 3 years experience, must be able to talk on the telephone and type at the same time3 years experience using Motivational Interviewing and good technological skills Valid unrestricted independent professional behavioral health clinical license to practice per state regulations in the state they reside in/ one or more or equivalent is required:(LCSW Licensed Clinical Social Worker, LISW Licensed Independent Social Worker, LCPC Licensed Clinical Professional Counselor, LP Licensed Psychologist, LMFT Licensed Marriage and Family Therapist, LMHC Licensed Mental Health Counselor) Must be willing and able to work Monday through Friday, 8:00am to 5:00pm in time zone of residence Preferred QualificationsCrisis intervention skills preferred Managed care/utilization review experience preferred Case management and discharge planning experience preferred Managed care/utilization review experience preferred EducationMasters Degree in Social Work or Counseling required Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$60,522. 00 - $129,615. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/29/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $41k-56k yearly est. 12d ago
  • Sales Executive

    Oscar Health Insurance 4.6company rating

    Work from home job in Iowa, LA

    Hi, we're Oscar. We're hiring a Sales Executive to join our Sales team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves-one that behaves like a doctor in the family. About the role: The Sales Executive plays a crucial role in driving the sales efforts for the business by identifying and qualifying potential leads. This individual is the first point of contact for prospects, responsible for generating interest and setting up meetings for our sales team. You will report into a Director, Sales. Work Location: This is a remote position based in the field, open to candidates who reside in Iowa. Your daily work will involve a blend of work from your home office and frequent travel for client meetings. Occasional travel may be required for team meetings and company events. #LI-Remote Pay Transparency: The base pay for this role is: $69,600 - $91,350 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and sales commissions. Responsibilities: * Conduct research to identify potential leads and target accounts. * Reach out to prospects via phone calls, emails, and social media * Qualify leads by understanding their needs and determining their potential fit with our products/services. * Schedule meetings or demos for the sales team with qualified leads. * Collaborate with the marketing team to align on lead generation strategies and campaigns. * Maintain accurate and up-to-date records of all interactions in the CRM system. * Representing our product in the market at events / conferences as needed, which may take place during evening and/or weekend hours * Continuously improve sales skills and product knowledge through training and feedback * Identify areas where we can improve tools and processes * Compliance with all applicable laws and regulations * Other duties as assigned Requirements: * 3+ years of healthcare industry experience in a sales role or sales organization * 2+ years of experience presenting and communicating with stakeholders at all levels * Must be a licensed insurance professional or obtain within the first 90 days Bonus points: * Bachelor's Degree or 4 years of relevant experience * Proficient in Salesforce Travel Required: * Up to 50% This is an authentic Oscar Health job opportunity. Learn more about how you can safeguard yourself from recruitment fraud here. At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team (accommodations@hioscar.com) to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.
    $69.6k-91.4k yearly Auto-Apply 6d ago
  • Work From Home Payment Specialist

    Colony Brands, Inc. 4.4company rating

    Work from home job in Iowa, LA

    SC Data Center, Inc. participates in the Department of Homeland Security U.S. Citizenship and Immigration Services' E-Verify program * This position is only open to candidates 18 years or older living in Alabama, Arkansas, Georgia, Iowa, Kansas, Louisiana, Missouri, North Carolina, or Wisconsin.* Work at Home! As a Payment Specialist you are responsible for maintaining positive customer relations by effectively negotiating customer relations while answering incoming phone calls. You will also address various types of customer inquiries and concerns pertaining to account information and credit status. Working from home entails a high level of computer knowledge as you will be required to navigate through multiple systems and enter information using your keyboard including function keys while speaking with customers on the phone. SC Data Center Inc., offers flexible schedules, paid training, employee discounts up to 50% and Booster Discount Certificates that allow employees to purchase company products for free. As a Home Agent you will be able to work from the ease of your own home provided that your computer meets our minimum technical requirements (see below). Your next opportunity is just a few steps away! Preferred Computer Requirements A PC or Laptop with: * Current and supported MS Windows 11 Operating System (No Mac, Vista, Chromebook, or XP) * Processor * AMD Ryzen 2nd Generation or newer OR * INTEL i-series 8th Generation or newer with 4 or more cores and must be 2018 or newer * 8GB RAM or installed memory * 10GB of Free Hard Disk Space Dedicated High Speed Internet: * Internet Download Speed: 10.0 MBPS * Internet Upload Speed: 5.0 MBPS * Wired Internet with a cable connection (Dial-up, Wi-Fi, Hotspots, and Satellite are not allowed) Minimum Computer Requirements A PC or Laptop with: * Current and supported MS Windows 11 Operating System (No Mac, Vista, Chromebook, or XP) * Processor * AMD 2.1GHZ or higher OR * INTEL 1.8GHZ or higher, OR * INTEL 1.7GHZ or lower; must be i3, i5, i7, or Pentium with 4 or more cores and be 2016 or newer * 4GB RAM or installed memory * 10GB of Free Hard Disk Space Dedicated High Speed Internet: * Internet Download Speed: 4.0 MBPS * Internet Upload Speed: 2.0 MBPS * Wired Internet with a cable connection (Dial-up, Wi-Fi, Hotspots, and Satellite are not allowed) Other Requirements * Keyboard: Function Keys (F-Keys) * Wired USB Headset * Webcams are recommended (not required) * Dual monitors recommended (not required) * Minimum monitor size of 17+ inches recommended (not required) * External mouse recommended (not required) Training Requirements (Mandatory): * 1st Shift Training - 1 week and 4 days (M-F), 8:30am-3:30pm * 2nd Shift Training - 2 weeks (M-F), 5:00pm-10:00pm * Weekend Training - 3 weekends (Sa-Su), 8:00am-4:00pm Most communication throughout the hiring process will be conducted via email. Please ensure you enter a valid email address that you check regularly when completing the application. You can expect emails from **************************** and **************************. To prevent these emails from ending up in your junk/spam folders, we ask that you set your email filter to unblock, whitelist, or accept emails from these addresses. Benefits Details Temporary/Part-Time Employee Benefits/Perks: Performance Based Pay/Incentives - We provide job performance pay and incentive based pay for the majority of our Temporary/Part-Time roles Shift Premium pay for 2nd, 3rd, and Weekend shifts Holiday Pay for employees returning for their fifth consecutive season Safety and Attendance Incentives Employee Discounts - Our employee sales program offers employee discounts on items ordered from our catalogs and selected Outlet Store. Discounts range from 45% to 50% off.Employee Mini Stores - Discounted product offered at our multiple Employee Only StoresFlexible Work Schedules
    $29k-36k yearly est. Easy Apply 60d+ ago
  • (Remote) Account Manager

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    A division of Harris, Silverblaze is seeking an Account Manager. The Account Manager is responsible for the retention and account maintenance of the existing customer base, as well as revenue & customer satisfaction. The role will be responsible for Contract renewals, On-Site Customer Visits, maintaining annual maintenance cost increases, and growing existing sales opportunities with our install base. The candidate will be required to have a strong understanding of sales account management, as well as customer service and support. Working closely with Silverblaze internal teams, as well as the affiliate businesses and their Account Managers/Peers, the successful candidate will be required to identify sales growth opportunities, manage quoting and pricing requirements, and support customer escalations. The role will include a sales target exclusively focused on growing our existing customer base (IB). This will include identifying upgrade opportunities, offering new products & modules. The successful candidate expects to demonstrate the ability to be self-sufficient and to independently establish a regular cadence of engagement meetings, both in person and virtually. The position is salary-based, with performance-based incentives tied to revenue retention and growth targets. Salary and compensation are dependent on prior experience and achievement of set quarterly and annual targets. This remote role welcomes candidates anywhere in Canada and the US in the EST timezone. Up to 75% travel is required in North America. A valid passport/visa is required for the travel. What your impact will be: Customer Retention * Manage contract renewals and annual price increases * Manage and minimize customer attrition through proactive engagement and relationship management * Serve as a trusted advisor to customers, ensuring satisfaction and long-term loyalty * Proactively schedule all customers to have annual touchpoints, frequency of touch points based on revenue, customer satisfaction levels, and growth opportunities * Speak with customers quarterly, travel to customer sites regularly and consistently with the goal of generating "Raving Fans", grow a strong customer referral base, and create customer testimonials. * Responsible for Onboarding new customers (AM should be introduced at time of transition to support to ensure customers know who their 'trusted advisor' is and has contact information) * Act as the primary liaison between customers and our internal teams; specifically, product, implementation, and support to ensure that feedback is shared internally * Serve as primary escalation point for any customer issues or concerns Customer Growth * Generate a business plan along with Sales department to achieve and exceed Customer growth sales targets (IB) * Identify install base opportunities to ensure strong customer growth, managing internal programs and campaigns, and act as the primary account manager for the IB customers * Business plan to include upgrades, transition plans from on-prem solutions to cloud based solutions, from annual maintenance to annual Saas, product & module enhancements * Collaborate with the Sales team to support tradeshows, conferences, and demos both online and in person with existing customer base * Gather customer insights to drive product improvement and ensure feedback is shared with the product team Collaboration & Reporting * Work closely with Customer Support/Service and Sales team to align goals and strategies * Provide regular reporting on retention metrics, customer feedback, (IB) customer growth progress, sales targets * Record ALL customer activities in CRM (Salesforce).Ensure every customer has a next action date with NO exceptions * Create & manage monthly reports for presentation in monthly review meetings, Business Strategic Review meeting Travel * Up to 75% of travel will be required, in order to be successful in the role * Visit existing customers on a regular basis to strengthen relationships and identify growth opportunities * Represent the company at industry events, conferences, and tradeshows Required Skills & Experience * 3-5 years of experience in Direct, Channel, and Indirect Sales * Proven ability to calculate Sales Velocity, perform Sales Forecasting, and consistently meet or exceed sales goals * Established relationship-building skills, with the ability to create, nurture, and maintain relationships with decision-makers and C-Suite executives within the IB channel * Strong customer negotiation skills, with the ability and willingness to have direct, open, and consistent customer conversations * Demonstrated ability to maintain a regular cadence of engagement with customers * Must have a strong understanding of both the utility channel and customer engagement solutions, as well as knowledge of the competitive landscape * Excellent communication, presentation, negotiation, and interpersonal skills * Ability to travel up to 75% of the time Compensation & Incentives * Base salary with performance incentives tied to Customer Retention and Sales Growth Targets * This is not a commission-based role * Achieving retention target and sales growth target will result in an agreed-upon annual performance incentive Core Competencies * Customer Focus: Builds strong relationships and delivers customer-centric solutions * Business Acumen: Understands market dynamics, utility channel operations, and competitive positioning * Negotiation & Influence: Skilled in driving outcomes through persuasive communication and strategic engagement * Results Orientation: Demonstrates accountability for achieving sales and retention goals * Collaboration: Works effectively across teams to align strategies and deliver results * Adaptability: Thrives in a fast-paced environment with frequent travel and changing priorities What we can offer: * 3 weeks' vacation and 5 personal days * Comprehensive Medical, Dental, and Vision benefits starting from your first day of employment * Employee stock ownership and RRSP/401k matching programs * Lifestyle rewards * Remote work and more! About Harris: Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses. About Silverblaze: SilverBlaze Solutions is award-winning software innovation, development and consulting firm. Founded in 1999, SilverBlaze provides utilities with value-focused, highly-customizable web self-service portal and smart forms software. As a leader in customer engagement and collaboration, we specialize in providing self-service portal and intelligent form software to electric, water, gas, telecom and multi-service utility companies. Over the past 20 years, SilverBlaze has successfully empowered clients throughout the United States, Canada, and the Caribbean to maximize customer engagement. Visit ******************* to learn more about the diverse roster of clients SilverBlaze has helped succeed. #LI-remote
    $41k-71k yearly est. Auto-Apply 4d ago
  • Utilization Management Nurse Consultant (Weekend)

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryUtilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care. Communicates with providers and other parties to facilitate care/treatment. Identifies members for referral opportunities to integrate with other products, services and/or benefit programs. Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization. Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. UMNC meets set productivity and quality expectations. Effective communication skills, both verbal and written Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding. Ability to multitask, prioritize and effectively adapt to a fast-paced changing environment. Work requires sitting for extended periods, talking on the telephone and typing on the computer. Work from home position: During work hours, Colleagues who are working from home must be available by phone, videoconference, and email in a manner and frequency that is required by the Colleague's Leader. Colleagues must be available from time to time to come into the office or client location on a given day for work-related meetings, training sessions or other events, as directed by their Leader. Position is four 10hr days including every Weekend, both Saturday and Sunday, and two weekday shifts of 10hrs each; also includes Holiday and late rotations. Required Qualifications- 3+ years of experience as a Registered Nurse- Must have active current and unrestricted RN licensure in state of residence. - May be required to obtain additional Nursing Licenses as business needs require. - 1+ years of clinical experience in acute or post-acute setting. Preferred Qualifications- 3+ years of clinical experience preferred - 1+ years Managed Care experience preferred EducationDiploma RN acceptable; Associate degree/BSN preferred Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29. 10 - $62. 32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $29 hourly 6d ago
  • M&A Research Analyst

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    At Harris we are disciplined deployers of capital and great operators of vertical market software businesses. Our companies provide mission-critical software solutions to multiple vertical markets across the globe. We are an operating group of Constellation Software Inc. (TSX: CSU), one of the world's most active acquirers of software businesses and home to a portfolio of over 500 companies in 150 countries. As a Research Analyst you will have a critical role in supporting our M&A process. You will be successful in this role if you have a passion for research, analysis, investments, data, software, and you love to continuously learn. We are looking for someone who wants to grow their career for the long term in this role as you will become a vital component of our current and future investment strategy. WHAT WILL YOU BE DOING Majority (>80%) * Qualifying M&A Prospects - Understand and use our investment criteria for rigorous screening of prospects * Big Data - Manage, monitor and maintain the data quality of our watch-list of M&A prospects in our CRM with reports and dashboards * Research - Perform primary research on owner-operated businesses, private equity portfolio companies, as well as potential carve outs of multinational corporations * Research - market-sizing, industry trends, and competitor analysis * Research - Software M&A advisors, brokers, and investment banks * Data sources - Identify & analyze relevant 3rd party data sources such as industry tradeshows and conferences for M&A prospects * Analysis-Prepare and report on various statistics and KPIs related to our M&A pipeline Minority ( * Ad Hoc Analysis & Special Projects with our senior M&A and Corporate Development leaders to support capital deployment WHAT WE ARE LOOKING FOR * 2-4+ years of experience in finance, accounting, software, or data analysis * Bachelor's degree in Business, Finance, Accounting, or Economics (BBA/ BCom etc.) * Self-motivated individual with an ability to perform independently in a fast-paced environment * Excellent attention to detail, and the ability to manage multiple priorities and meet tight deadlines * Excellent organizational skills, written and verbal communication skills, and analytical ability * Proficient in Microsoft Office, particularly Excel and PowerPoint * Leverages AI for research and analysis * High degree of professionalism and integrity * Ability to work remotely in the U.S. or Canada
    $37k-55k yearly est. Auto-Apply 27d ago
  • Sr Mgr,Digital Product (IC)

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Position SummaryOak Street Health is a rapidly growing company of community-based healthcare centers delivering a new model of care for adults on Medicare. By providing comprehensive and integrated care, we improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager, you will be a key leader in our organization, responsible for driving the strategy and execution for a core part of our clinical operations and population health platform. You will own the product requirements for our Referrals and eConsults domain, which is focused on optimizing our ability to provide specialty care services. This work is critical for ensuring our patients are referred to the right specialists and OSH physicians have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product domain and deliver high-quality products that improve healthcare delivery. What You'll DoProduct Vision & Strategy: You will be responsible for defining the product vision and strategic direction for your domain, ensuring continuous alignment with senior business and engineering leaders. You'll translate high-level business goals into a clear, actionable product strategy. Roadmap & Backlog Management: You will partner with business stakeholders to define the product roadmap, overseeing day-to-day backlog management and prioritization to ensure alignment with your strategic vision. You will assess value and develop business cases to inform the nature and scope of new initiatives. Cross-Functional Collaboration: You will coordinate with talented technical partners from engineering, data science, and user design in a fast-paced, agile environment to build and enhance products. Your role is to bridge the gap between business needs and technical solutions, fostering a collaborative and productive atmosphere. User-Centric Design: You will work alongside our UX team to design high-quality, intuitive products for our end-users. This involves gathering and documenting detailed product requirements and ensuring the final product meets user needs and expectations. Product Launch & Improvement: You will define and manage the launch of new products, including working with our operations teams to create training materials and documentation for end-users. You will also continuously identify and act on opportunities for product improvement through quantitative analysis and user feedback. Required Qualifications7 years of experience in a product or product-adjacent field Proven Leader: You're comfortable driving strategic decisions, taking ownership, and coordinating resources to ensure successful project outcomes Highly Collaborative: You excel at working with senior-level stakeholders and can translate complex technical topics for a variety of audiences Data-Driven Mindset: You believe in using data to measure product impact and work with analytics teams to evaluate success Preferred QualificationsExperience in healthcare and/or digital health solutions4+ years as a Product ManagerExperience with data analytics and core healthcare metrics (e. g. , STARS/Quality Measures) Education:Bachelor's degree preferred/specialized training/relevant professional qualification. This is a fully remote position and can be performed from anywhere within the United States. Pay RangeThe typical pay range for this role is:$106,605. 00 - $284,280. 00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. This position also includes an award target in the company's equity award program. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits We anticipate the application window for this opening will close on: 12/19/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $102k-124k yearly est. 10d ago
  • Remote CRM Data Cleanup Intern

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    CRM Data Cleanup Intern The CRM Data Cleanup Intern will play a critical role in enhancing the accuracy, consistency, and integrity of our customer and sales data. This position will collaborate closely with representatives across Sales, Marketing, Professional Services and Support Services to analyze, update, and streamline CRM records and reporting structures. Key Responsibilities: * Review, update, and standardize CRM data within Microsoft Dynamics. * Identify and resolve duplicate, incomplete, or inaccurate records. * Assist in organizing accounts, contacts, leads, and opportunity data for improved reporting. * Support enhancements to data fields, workflows, and tagging structures. * Work with leadership to implement better reporting visibility and structure. * Document data cleanup processes and recommend improvements to ongoing data governance. * Generate periodic status updates and findings to the Sales Operations Manager, VP of Sales & Marketing, and VP of Support Services. Qualifications: * Working toward or recently completed a degree in Business, Information Systems, Data Analytics, Marketing, or related field. * Familiarity with Microsoft Office Applications * High attention to detail with strong analytical and problem-solving skills. * Comfortable working independently in a remote environment. * Excellent communication and documentation skills. * Ability to manage multiple tasks and meet deadlines What We Offer: * Flexible remote working schedule. * Opportunity to gain hands-on experience in CRM administration and cross-departmental operations. * Exposure to real-world business operations within a growth-oriented team. * A chance to make a meaningful impact by improving system efficiency and reporting accuracy. About Us: We are a diverse group of individuals dedicated to the development and support of the OBIX Perinatal Data System used in hospitals across the United States and abroad. Since 1996, we have presented our perinatal software solution as a tool for clinicians in charge of patient care. We understand that no two customers are alike - that each relationship needs to be fostered through collaboration. We continue to do research to identify other products and solutions for the perinatal space and our customers.
    $28k-37k yearly est. Auto-Apply 12d ago
  • Chronic Care Manager (Remote - Compact States)

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available. Chronic Care Manager Location: Remote Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support. The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits). Harris CCM is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Harris CCM wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients. The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned. Harris CCM utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 3 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative). What your impact will be: * The role of the Care Coordinator is to abide by the plan of care and orders of the practice. * Ability to provide prevention and intervention for multiple disease conditions through motivational coaching. * Develops a positive interaction with patients on behalf of our practices. * Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions. * Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes. * Understand health care goals associated with chronic disease management provided by the practice. * Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These "mandatory" meetings will be important to define the current scope of work. What we are looking for: * Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.) * Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no disciplinary actions noted * A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care. * Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (MIcrosoft Office 365, Teams, Excel, etc), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties. * Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills. * Skilled in using various computer programs (If you don't love computers, you won't love this position!) * High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks * Excellent verbal, written and listening skills are a must. What will make you stand out: * Quickly recognize condition-related warning signs. * Organized, thorough documentation skills. * Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills. * Clear diction. Applies exemplary phone etiquette to every call. * Committed to excellence in patient care and customer service. What we offer: * Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life). * Streamline designed technology for your Chronic Care operations * Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia. * Core Values that unite and guide us * Autonomous and Flexible Work Environments * Opportunities to learn and grow * Community Involvement and Social Responsibility About us: For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a "living laboratory" of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings. When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible. GEMMS ONE is a fully interoperable and integrated application that allows "real time" merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.
    $10 hourly Auto-Apply 40d ago
  • Sales Account Executive - New Business

    Harris Computer Systems 4.4company rating

    Work from home job in Iowa, LA

    Overview of the role: We are seeking a proven sales hunter with experience selling ambulatory healthcare SaaS solutions, specifically EHR/EMR and Practice Management (PM) systems. The ideal candidate has a successful track record of closing new business, experience working with medical billing resellers and RCM companies, and an established rolodex of industry contacts that can be leveraged to quickly generate pipeline. Responsibilities: * Drive new business development within the ambulatory EMR/PM solutions market, consistently achieving or exceeding quota. * Leverage an existing network of ambulatory practices, billing companies, and reseller relationships to accelerate sales opportunities. * Build and maintain strong relationships with medical billing resellers, RCM companies, and channel partners to extend reach and market penetration. * Manage the full sales cycle: prospecting, discovery, solution demos, proposal development, negotiation, and closing. * Apply deep knowledge of ambulatory practice operations, revenue cycle workflows, and EMR/PM adoption challenges to deliver a consultative, value-driven sales approach. * Support reseller partners with joint sales calls, enablement, and go-to-market collaboration. * Partner with marketing, product, and customer success teams to align on strategy, enablement, and customer feedback. * Provide market and partner insights to influence product roadmap and reseller program improvements. * Maintain accurate forecasting, pipeline development, and CRM reporting. * Represent the company at industry events, ambulatory-focused trade shows, and reseller conferences. Requirements: * 5+ years of SaaS sales success, with at least 3+ years selling into the ambulatory healthcare market. * Proven hunter with a track record of net-new logo acquisition and consistent quota attainment. * Demonstrated success selling EHR/EMR and Practice Management (PM) solutions. * Established rolodex of ambulatory healthcare and reseller/RCM contacts. * Direct experience working with or through medical billing resellers, RCM companies, or channel partners. * Strong knowledge of ambulatory practice workflows, revenue cycle processes, and healthcare technology adoption challenges. * Excellent communication, presentation, and negotiation skills. * Ability to manage complex sales cycles with multiple stakeholders and decision-makers. * Bachelor's degree in Business, Healthcare Administration, or a related field preferred; equivalent relevant experience in healthcare technology sales will also be considered. What We Offer: * 3 weeks' vacation and 5 personal days * Comprehensive medical, dental, and vision benefits starting from your first day * Employee stock ownership and RRSP/401k matching programs * Lifestyle rewards * Remote work and more About Us: Harris is a leading provider of mission critical software to the public sector in North America. As a wholly owned subsidiary of Constellation Software Inc. ("CSI", symbol CSU on the TSX), Harris has become the cornerstone for CSI's investment in utility, local government, school districts, public safety, and healthcare software verticals. Our success has been realized through investments in our proprietary software and market expertise. This focus, combined with acquiring businesses that build upon or complement our offerings, has helped drive our success. Harris will continue to growth through reinvestment - both in the people and products that we offer and making investments in acquiring new businesses.
    $60k-92k yearly est. Auto-Apply 60d+ ago
  • Utilization Management Nurse Consultant

    CVS Health 4.6company rating

    Work from home job in Iowa, LA

    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day. Regular business hours are 8:00 am-8:00 pm EST. Must be available to work any 8 hour shift within this timeframe with start times ranging from 8:00 am-11:30am EST. About Us American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members. Position SummaryJoin our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to review inpatient and outpatient services. You'll collaborate with providers, authorize care, and escalate cases when needed, all while navigating multiple systems and maintaining accurate documentation. This role suits nurses who thrive in fast-paced environments, are highly organized, and comfortable with computer-based work. Key ResponsibilitiesApply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review. Conduct clinical reviews via phone and electronic documentation, collaborating with healthcare providers to gather necessary information. Use established guidelines to authorize services or escalate to Medical Directors as needed. Navigate multiple computer systems efficiently while maintaining accurate documentation. Thrive in a fast-paced, high-volume environment with strong organizational, multitasking, and prioritization skills. Perform sedentary work that primarily involves extended periods of sitting, as well as frequent talking, listening, and use of a computer. Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring continuity of care and operational support. Participate in occasional on-call rotations, including some weekends and holidays, per URAC and client requirements. Remote Work ExpectationsThis is a 100% remote role; candidates must have a dedicated workspace free of interruptions. Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted. Required QualificationsActive unrestricted state Registered Nurse licensure in state of residence required. Minimum 5 years of relevant experience in Nursing. At least 1 year of Utilization Management experience in concurrent review or prior authorization. Strong decision-making skills and clinical judgment in independent scenarios. Proficient with phone systems, clinical documentation tools, and navigating multiple digital platforms. Commitment to attend a mandatory 3-week training (Monday-Friday, 8:30am-5:00pm EST) with 100% participation. Preferred Qualifications1+ year of experience in a managed care organization (MCO). Experience in a high-volume clinical call center or prior remote work environment. EducationAssociate's degree in nursing (RN) required, BSN preferred. Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29. 10 - $62. 32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan. No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching. Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit ************* cvshealth. com/us/en/benefits This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
    $29 hourly 13d ago

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