John Knox Manor - Retirement Community Remote jobs

As Aledade's Lead of Operations Excellence, you'll spearhead transformative process improvement initiatives that directly impact our payer operations landscape, identifying breakthrough opportunities to streamline workflows, eliminate inefficiencies, and elevate performance standards across multiple operational functions. In this strategic role, you'll leverage data-driven insights and innovative methodologies to architect solutions that enhance productivity, reduce costs, and deliver measurable results, while collaborating with cross-functional teams to implement sustainable changes that position our organization for continued growth and operational excellence. Candidates should be comfortable working remotely/work from home anywhere within the US. Primary Duties:Process Transformation Lead end-to-end transformation initiatives for payer operations, with a primary focus on practice rostering, provider enrollment, and network management processes Design, implement, and monitor process improvements that enhance operational efficiency, reduce manual interventions, and ensure maximum roster accuracy Collaborate with cross-functional teams to identify process gaps and implement sustainable solutions Establish performance metrics and KPIs to measure transformation success and ongoing process reliability Implement quality assurance protocols to minimize rostering errors and compliance risks Streamline provider data management workflows and establish automated validation processes Data Analysis Utilize data analysis techniques to identify trends, patterns, and opportunities for process enhancement Perform complex data manipulation and analysis using spreadsheet applications and other analytical tools Create comprehensive reports and dashboards to track operational performance and transformation progress Present data-driven recommendations to senior leadership and stakeholders Leadership & Collaboration Lead project teams and mentor staff on process improvement methodologies Facilitate training sessions on new processes Serve as subject matter expert for rostering operations Partner with Product and Technology teams to identify and implement technology solutions that support process optimization Provide escalation support and guidance for complex operational issues Roster Curation & Administration Perform hands-on roster maintenance and data curation activities, especially during peak periods, system implementations, or staff shortages Execute complex roster updates, bulk data modifications, and exception handling as needed Conduct detailed roster audits and data validation exercises to ensure accuracy and compliance Project-manage roster issues from identification to resolution, minimizing operational disruption. Maintain expert-level proficiency in roster management systems and processes through direct operational involvement Other duties as assigned Minimum Qualifications: Bachelor's degree in Business Administration, Operations Management, Healthcare Administration, Public Health, or related field Six Sigma certification or must complete within the first 6 months of employment 5+ yrs experience in payer operations, healthcare operations, or similar operational roles 3+ yrs experience leading process improvement or transformation initiatives Hands-on experience with data management systems and processes (i.e. provider rosters), including data entry, validation, and maintenance activities Demonstrated expertise in process mapping, workflow optimization, and change management Advanced proficiency in Google Sheets (or Microsoft Excel), including complex formulas, pivot tables, and data visualization Excellent communication skills; Demonstrated ability to influence decision makers. Strong analytical and problem-solving skills Ability to balance strategic work with operational support Preferred Qualifications: Master's degree PMP Certification Experience with project management and workflow management systems (Monday.com, Jira, Miro, etc.) Healthcare insurance or managed care background Proficiency in additional data analysis tools (SQL, Tableau, Power BI, etc.) 2+ years experience with systems and resources utilized in roster management activities (e.g., CAQH, payer portals, NPPES) Knowledge of healthcare regulations and compliance requirements (CAQH, CMS, state regulations) Physical Requirements: Prolonged periods of sitting at a desk and working on a computer. Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation. Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************

Job Description Are you a driven recruiter looking to build your own book of business with full support from industry experts? HealthPlus Staffing is growing, and we're looking for an experienced Full-Desk Recruiter to join our team! This is a fully remote, 100% commission-based role, offering one of the most competitive commission structures in the industry. Our recruiters average $120,000+ annually, with unlimited earning potential. What You'll Do: Source, recruit, and place Physicians, Advanced Practice Providers, and/or Dentists in permanent positions nationwide Manage the full desk: client development + candidate recruitment Build and maintain relationships with C-level healthcare decision-makers Negotiate contracts and close deals Use CRM and recruiting tools to manage workflow efficiently What We're Looking For: 1+ years of experience in a third-party recruiting agency Proven background in healthcare recruiting (physicians, APPs, or dentistry preferred) Full-time availability: Mon-Fri, 9AM-5PM EST Strong skills in business development, cold calling, and contract negotiation Comfortable working with ATS/CRM platforms and modern recruiting tools Self-starter who thrives in a commission-only environment with support Why Join Us? Full autonomy + training and mentorship from senior industry leaders Highly competitive commission plan - average $120K/year, top earners significantly more Tight-knit, supportive remote team Fast-growing firm with national reach and a strong reputation in healthcare staffing If you're ready to take control of your career and income, we want to talk to you. Apply now or email recruitment@healthplusstaffing.com to learn more.

As a Support Manager, you will lead a technical support team to ensure the seamless operation of the Aledade App and its data interfaces. This role involves both people management and hands-on problem-solving, focusing on overseeing Service Level Agreements, managing ticket lifecycles, and optimizing systems. You will provide escalation support, implement workflow solutions, and supervise support processes to enhance operations through improvements and automation. Regular reporting on team performance and operational efficiency is essential, offering a chance to impact healthcare delivery while developing technical and leadership skills in a collaborative environment. Candidates should be comfortable working remotely/work from home anywhere within the US. Team Leadership & Mentorship Lead and Develop Support Team: Manage a team of Support Analysts and Specialists, overseeing their daily activities and promoting their professional development. Drive Performance and Accountability: Monitor Key Performance Indicators (KPIs) for the team, offering regular feedback and coaching to ensure continuous improvement and accountability. Foster Talent and Collaboration: Onboard, train, and mentor new and existing team members to cultivate a high-performing, cohesive, and collaborative team environment. Optimize Team Operations: Develop and implement tools to effectively monitor and manage team capacity and performance, ensuring optimal resource allocation and productivity. Technical Operations & Incident Management Monitor SLAs: Oversee Service Level Agreements (SLAs) for troubleshooting issues, ensuring alignment with daily operational practices and standards. Own Incident Management Lifecycle: Manage the complete life cycle of incident management, from initial alert through resolution and post-mortem analysis, guaranteeing timely remediation and transparent communication with all stakeholders, including practice teams. Develop and Operationalize Runbooks: Create and maintain detailed runbooks for recurring issues and establish standard operating procedures to promote consistent and efficient incident response. Optimize Monitoring Systems: Utilize and refine monitoring tools such as Datadog and PagerDuty to proactively detect and mitigate potential issues before they impact our operations. Lead High-Priority Incident Resolution: Facilitate high-priority incident resolution calls, guiding cross-functional teams in swiftly addressing and resolving issues. Interface & Application Support Serve as a Point of Escalation: Act as the escalation point for the support team, addressing complex technical issues that require in-depth knowledge of our applications, Tableau, and data interfaces. Manage Mirth Interface Engine: Apply and authorize configuration changes in the Mirth production interface engine to troubleshoot existing issues or revise existing data feeds. Resolve Complex Issues: Investigate and resolve unprecedented issues, ensuring all findings and solutions are thoroughly documented for future reference. Oversee Ticket Management: Supervise the team's ticket queue to prevent backlogs and ensure all support requests are processed within the established SLAs. Process Improvement & Automation Drive Support Program Initiatives: Lead initiatives as part of our Scalable Support Program, contributing insights and executing projects to enhance the efficiency and effectiveness of our support operations. Identify and Implement Automation Opportunities: Seek out opportunities to automate processes, reducing manual efforts and streamlining team workflows for greater productivity. Provide Leadership Updates: Deliver regular reports to leadership on the current state of support operations, highlighting successes, identifying risks, and proposing opportunities for further improvement. Minimum Qualifications: 4+ years of experience as a Technical Support Manager in a healthcare or technology setting Strong leadership and communication skills, with an ability to collaborate and negotiate effectively with cross-functional partners Experience leading a team and managing team performance Demonstrated experience in a technical operations role with a deep understanding of Incident Management frameworks (e.g., ITIL) Proven ability to define, implement, and manage SLAs Hands-on experience with enterprise monitoring and alerting systems (e.g., Datadog, PagerDuty) Experience creating and maintaining operational runbooks and documentation Competency in healthcare data standards (e.g., HL7 SIU/ADT, HIPAA X12 837, or CCDA) Proficiency in constructing new and complex SQL queries for troubleshooting and analysis Proven experience using Python, AWS CLI, and Bash Preferred KSA's: Bachelor's degree in Information Technology, Health Informatics, or a related field Direct experience with modern data platforms like Databricks and streaming technologies like Kafka, or a demonstrated ability to learn new, complex technical systems quickly. Prior experience working as a Mirth Interface Engineer ITIL or other relevant incident management certification Experience with building or supporting interfaces in the Mirth interface engine Who We Are:Aledade, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place. What Does This Mean for You?At Aledade, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission. In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members: Flexible work schedules and the ability to work remotely are available for many roles Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Robust time-off plan (21 days of PTO in your first year) Two paid volunteer days and 11 paid holidays12 weeks paid parental leave for all new parents Six weeks paid sabbatical after six years of service Educational Assistant Program and Clinical Employee Reimbursement Program 401(k) with up to 4% match Stock options And much more! At Aledade, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation. Privacy Policy: By applying for this job, you agree to Aledade's Applicant Privacy Policy available at *************************************************

**Become a part of our caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the provider experience and achieving path-to-value goals. The Value-Based Programs Lead provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. The Value-Based Programs Lead works with senior executives to develop and drive segment or enterprise-wide functional strategies with key national value-based provider partners. Advises one or more areas, programs or functions and provides recommendations to senior executives on matters of significance, and as an advanced subject matter expert, competent to work at very high levels in multiple knowledge and functional areas across the enterprise. + Advises market executives to develop functional strategies on matters of significance for provider contracting and performance management + Consults and leads the internal and external provider engagement strategy + Leads national joint operating committee with internal and external leadership + Possess a solid understanding of how organization capabilities interrelate across department(s) **Use your skills to make an impact** **Required Qualifications** + 3+ years of experience with provider performance management and/or value-based contracting + Strong understanding of key value-based financial components including revenue drivers, expense (DOFR) components, benefit and sales process. + Experience working with senior leadership + Experience facilitating cross departmental projects + Strong communication and presentation skills, including experience developing polished presentations to influence key decision makers + Strong project management experience on mid to large scale projects + Flexible, dynamic personality who works well in a team environment **Preferred Qualifications** + Provider contracting and/or provider relations experience + Working knowledge of Service Fund reports + Advanced Degree (Bachelor's, Master's) + Experience with data extraction and analysis technologies + Experience preparing contracts and knowledge of Medicare and other reimbursement methodologies + Financial acumen with proficiency in analyzing and synthesizing provider financial trends into actionable insights + Solid experience building templates, standard documentation, and disseminating best in class knowledge **Additional Information** This role is "remote/work at home" and can be based anywhere in the United States. **Work at Home Information** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. + Satellite, cellular and microwave connection can be used only if approved by leadership. + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $104,000 - $143,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-11-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Patient Support Representative (Full-Time) Birmingham, AL MainStreet Family Care operates over 50 clinics across Alabama, Florida, Georgia, and North Carolina, with ambitious expansion plans. As a rapidly growing company aiming to double its size by 2024, MainStreet is dedicated to enhancing healthcare access in the Southeastern US. The ideal candidate excels in customer service, manages inbound calls efficiently, and thrives in a team setting. As the first point of contact for patients, you'll help shape our company's image by providing prompt, accurate assistance and facilitating financial transactions. Location Requirements: - Birmingham, AL 35203: Must reliably commute or plan to relocate before starting work; this is also a remote position Responsibilities: - Answer incoming calls and provide a welcoming first impression of the company - Respond promptly and courteously, following established policies and procedures - Properly triage calls according to company guidelines - Assist patients and responsible parties with account inquiries - Process patient payments and set up payment plans per billing policies - Verify patient insurance coverage and benefits - Manage emails and faxes via Outlook group email - Provide comprehensive administrative support including scanning, copying, and data entry - Prepare and submit medical records to insurers and other requesters - Support the Revenue Cycle Management department and undertake additional duties as assigned Schedule: This position follows a rotating 5/2 shift schedule: - Week 1: Monday, Tuesday, Friday, Saturday, Sunday - Week 2: Wednesday and Thursday - Weekday Shift: 8:30 AM - 8:30 PM - Weekend Shift: 1:30 PM - 9:30 PM Qualifications: - High School Diploma or GED required - Proficiency in Microsoft Office Suite required - One (1) year of professional office experience preferred - Strong verbal communication skills, especially over the phone - Knowledge of insurance verification processes preferred - Attention to detail and accuracy in data entry - Ability to work independently and collaboratively within a team Compensation and Benefits: - Starting salary of $18 / hr - Health, dental, and vision benefits - Supplemental insurance options - 401K retirement plan - Paid time off Next Steps in the Recruitment Process - If you are chosen to be moved forward in our recruitment process, the next steps will include: - Recruiter Phone Screening - Pre-Employment Assessment - Final Interview with Hiring Managers Join MainStreet Family Care and contribute to our mission of providing excellent patient support as part of a growing healthcare network. Apply today to be part of our dynamic team in Birmingham! Package Details

Description & Requirements Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES. - Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Conduct an orientation training with newly contracted providers via a communication platform. - Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis. - Conduct report review sessions with providers. - Detect and summarize trends of errors in reports. - Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership. - Provide in depth feedback on progress to providers via phone correspondence. - Evaluate and approve providers to open scheduling when appropriate. - Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments. - Ability to work a shift of 8:00am-4:30pm CST Monday-Friday required Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (1) ****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US - In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities. Minimum Requirements - Associate degree required; Bachelor's degree preferred. - 1 year previous VES Quality Analyst experience. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 23.00 Maximum Salary $ 30.30

Thriveworks is currently seeking Licensed Clinicians to provide telehealth sessions in the evenings and on weekends in Alabama. At Thriveworks, we're not just growing a practice-we're building a movement to transform mental health care. Founded and led by clinicians, we understand what it takes to support our team so they can focus on what they do best: delivering exceptional care. Who We Are Thriveworks is a trusted mental health provider with 340+ locations and a nationwide hybrid care model. We serve over 175,000 clients annually through more than 1.7 million sessions, and those numbers are growing. As a clinician-founded and clinician-led organization, we offer the tools, support, and community you need to build a fulfilling, long-term career. What We're Looking For We're hiring independently licensed clinicians in Alabama who are ready to make a difference and grow with us. We're especially interested in: Providers willing to see 10-15 sessions per week Behavioral health generalists (open to seeing couples/children, with our support) Clinicians who value autonomy and also enjoy being part of a team Those interested in clinical leadership or supervisory roles Strong character matters - we value integrity, openness, and a commitment to quality care Qualifications: Active and unrestricted LICSW, LMFT, LPC, or Licensed Psychologist in Alabama Must live and be licensed in the state where services are provided Compensation: The range for this position is $25,000 - $37,600 per year, based on licensure type/level, session volume, and bonus opportunities. What We Provide We do the heavy lifting so you can focus on care. As a W2 employee, you'll receive: Guaranteed, bi-weekly pay (no need to wait on reimbursement) Paid orientation and annual pay increases PTO and flexible scheduling (7am-10pm, 7 days/week) No-show protection and caseload build within 90 days of credentialing Credentialing, billing, scheduling, and marketing support CEU reimbursement and free in-house training Opportunities for paid resident supervisory roles A vibrant clinical community-online and in person Monthly peer consultations and professional development A clear path for career growth and internal promotion A Place to Belong and Thrive Thriveworks is a certified Great Place to Work and a community built on inclusion, growth, and support. Whether you're seeking mentorship, advancement, or a place where your impact matters, you'll find it here. 93% of our team reports feeling included, and 87% say their work has purpose-and we think that says a lot. Ready to Join Us? Apply today to become part of a team that's changing mental health care for clients and clinicians alike. #LI-Remote #LI-MS1 Interested in joining Team Thriveworks? We're thrilled to meet you! With Job scams becoming more and more frequent, here's how to know you're speaking with a real member of our team: Our recruiters and other team members will only email you from ************************* or an @thriveworks.com email address. Our interviews will take place over Google Meet (not Microsoft Teams or Zoom) We will never ask you to purchase or send us equipment. If you see a scam related to Thriveworks, please report to ***********************. You can contact ************************** with any questions or concerns. Thriveworks is an Equal Opportunity Employer. Our people are our most valuable assets. We embrace and encourage differences in age, color, disability, ethnicity, gender identity or expression, national origin, physical and mental ability, race, religion, sexual orientation, veteran status, and other characteristics that make our employees unique. We encourage and welcome diverse candidates to apply for any position you are qualified for to bring your unique perspective to our team. By clicking Apply, you acknowledge that Thriveworks may contact you regarding your application.

Description & Requirements Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA"). A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA. Due to contract requirements, only US Citizens or a Green Card holder can be considered for this opportunity. This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available. Essential Duties and Responsibilities: - Review MDE (Medical Disability Examination) requests for consistency with the DBQ. - Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness. - Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA. - Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences. - Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report. - Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken. - Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider. - Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA. - Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.) - This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available. - Must be willing and able to work overtime as needed - Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. - Must currently and permanently reside in the Continental US - In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source Minimum Requirements - Associate degree required; Bachelor's degree preferred. - Two (2) years of Quality experience may substitute for educational requirement. - Experience in Healthcare, Quality preferred. - Intermediate knowledge of medical terminology. - Excellent written and oral communication skills. - Excellent analytical skills and attention to detail. - Excellent multi-tasking skills. - Excellent organizational and prioritization skills. - Proficient in the use of Microsoft Office Products. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 21.64 Maximum Salary $ 30.30

**Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** **Cardiovascular Utilization Management Reviewer (Interventional Cardiologist)** Are you ready to make a meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the delivery of high-value, evidence-based case reviews. Enjoy improved work-life balance while contributing to better health outcomes in an environment that fosters collaboration, continuous learning, and impactful peer-to-peer discussions. **What We Offer:** + A meaningful way to contribute to patient care beyond the clinical setting. + Opportunities for collaboration with a dynamic team of physicians, leaders, and clinical professionals. + A role that values innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a flexible schedule and both part-time and full-time options available.** **What You'll Do:** + Provide expert reviews for cardiovascular cases, serving as a specialty-matched expert reviewer for invasive/interventional cardiology cases (e.g., cardiac catheterizations, coronary interventions, endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter expert. + Conduct peer-to-peer discussions with treating providers to ensure appropriate, high-value care aligned with clinical guidelines. + Collaborate with leadership, management, and clinical staff to address complex cases and support decision-making. + Act as a key resource for Initial Clinical Reviewers, offering guidance and expertise to ensure the application of best practices. + Provides clinical rationale for standard and expedited appeals. + Discusses determinations (peer to peer phone calls) with requesting physicians or ordering providers, when available, within the regulatory timeframe of the request. + Utilizes medical/clinical review guidelines and parameters to assure consistency in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National Committee for Quality Assurance (NCQA) guidelines. + Ensures documentation of all communications with medical office staff and/or MD provider is recorded in a timely and accurate manner. + Participates in on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining medical licenses in the state you reside, as well as, other state licensure required per business needs + Active Board Certification in Interventional Cardiology **or** may be substituted for one of the following: + Active Board Certification in Cardiology **and** proof of prior board certification in Interventional Cardiology + Active Board Certification in Cardiology **and** proof of active practice as an Interventional Cardiologist for 5+ years + Strong clinical, management, communication, and organizational skills + Energetic and curious with a passion for quality and value in health care + Computer Proficiency + Minimum of five (5) years' experience in the practice of Cardiology is preferred + Not under current exclusion or sanction by any state or federal health care program, including Medicare or Medicaid, and is not identified as an "excluded person" by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by Medicare. + No history of a major disciplinary or legal action by a state medical board To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo ID. We conduct identity verification during interviews, and final interviews may require onsite attendance. All candidates must complete a comprehensive background check, in-person I-9 verification, and may be subject to drug screening prior to employment. The use of artificial intelligence tools during interviews is prohibited and monitored. Misrepresentation will result in immediate disqualification from consideration. **Technical Requirements:** We require that all employees have the following technical capability at their home: High speed internet over 10 Mbps and, specifically for all call center employees, the ability to plug in directly to the home internet router. These at-home technical requirements are subject to change with any scheduled re-opening of our office locations. **Evolent is an equal opportunity employer and considers all qualified applicants equally without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, or disability status.** **If you need reasonable accommodation to access the information provided on this website, please contact** ************************** **for further assistance.** The expected base salary/wage range for this position is $120-$135/hr. This position is also eligible for a bonus component that would be dependent on pre-defined performance factors. As part of our total compensation package, Evolent is proud to offer comprehensive benefits (including health insurance benefits) to qualifying employees. All compensation determinations are based on the skills and experience required for the position and commensurate with experience of selected individuals, which may vary above and below the stated amounts. Don't see the dream job you are looking for? Drop off your contact information and resume and we will reach out to you if we find the perfect fit!

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. PIP Nurse Assessor - Remote Monday to Friday - 09:00 - 17:00 £36,000 Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse Functional Assessor at Maximus, you'll use your clinical expertise to understand how a person's disability or health condition affects their daily life. You'll work on complex cases involving physical and mental health conditions and chronic pain disorders, while your compassion and experience helps customers move forward with their lives. The role can be both challenging and rewarding, which is why we provide a tailored training programme* to help you thrive. You'll begin with formal training before assessing customers and have ongoing support and mentorship in your role with us. Duties and responsibilities Conduct telephone, video or face-to-face assessments to understand how a person's disability or health condition affects their daily life Produce Personal Independence Payment (PIP) reports to help the Department for Work and Pensions (DWP) determine a person's eligibility for benefits Develop your clinical knowledge and assessment skills with the support of regular feedback and supervision Requirements Valid NMC registration number At least 1 year of broad post-registration adult or mental health experience gained within or outside of the NHS You MUST have the right to work in the UK - we cannot offer sponsorships Excellent oral and written communication skills Comfortable using computer software to type and produce detailed reports What we offer £36,000 salary Flexible working - full-time and part-time No bank holidays, evenings or weekends A recognised accreditation with the University of Salford upon completion of training* Leading maternity and paternity paid leave Bank holidays plus 25 days' holiday with the option to buy or sell 5 days Ongoing CPD, clinical development and reimbursed validation fees £2,000 for referring a friend Life insurance and Medicash Healthcare Cash Plan In-person clinical conferences held annually Join us and become part of a team that's making a real difference to people's lives. EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal well-being and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for an interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 36,000.00 Maximum Salary £ 36,000.00

**Become a part of our caring community and help us put health first** Humana Finance Organization is seeking a Senior Technology Implementation Professional to provide system implementation and production support for vended solutions in Finance. In this role, you will collaborate with Finance business and IT partners to review requirements, document system issues, and implement systems functionalities or provided resolutions to resolve issues. The Senior Technology Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Senior Technology Implementation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.The Senior Technology Implementation Professional gathers and documents business system and functional requirements, influences system design, often in collaboration with IT, to optimize support and ensures solutions meet the business objectives and requirements. Completes and/or coordinates implementation of design and requirements, testing, operational readiness, and provide system support for finance applications. Also, begins to influence department's strategy and makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** **Required Qualifications** - Bachelor's degree in Accounting, Finance, Management Information System or a related field. - 3+ years of Blackline system implementation experience or systems support. - Knowledge of business acumen regarding financial/system data flow, reconciliations and general knowledge of basic accounting - Experience with systems support and execution including artifacts development, collaboration with cross functional teams' effort and effective communication at various levels, including senior leaders. - Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies and system testing. - Experience in problem solving, consultation within complex environments and managing multi priorities relating to project/assignments. - Proficient with Microsoft Suite of products including Excel, Word, Outlook, Power Point and Projects. Preferred Qualifications - Master's Degree of Business Administration, Computer Science or a related field - Experience in Oracle EBS or Oracle Cloud Fusion ERP - Skilled in detail design and process documentation - Experience in analysis, design, data modeling in Microsoft SQL Server, development of Access databases/applications and general data management **Additional Information** SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. WAH Internet Statement To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $80,900 - $110,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-16-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Description & Requirements We are currently seeking qualified and motivated professionals interested- in joining our team in support of an upcoming federal contract (pending award). This position will play a key role in delivering high-quality services to our government client and will be contingent upon contract award. As part of this project, you will support a federally funded initiative that provides essential medical readiness services-such as exams, screenings, dental care and preventive care-to individuals in remote or underserved areas. Services are delivered through a network of providers and mobile teams, with remote coordination and scheduling. The program ensures consistent access to care across dispersed populations and contributes to broader public service goals. This project is currently in the bidding phase, we're eager to consider strong candidates who may be a great fit for this opportunity. The REMOTE Lead Enterprise Recruiter, Provider Partner Management is a strategic partner leading high-impact provider recruitment efforts. This position focuses on developing and managing relationships with key provider organizational partners, designing, and executing scalable recruitment strategies. The role also ensures alignment with business goals and serves as a trusted advisor to both internal stakeholders and external partners. PLEASE NOTE: Experience managing candidates developed from strategic partnerships with healthcare provider staffing agencies/large medical groups is required. Remote Work Requirements HIPPA compliant workspace--private and secure workspace away from others, noise and distractions. Be available by company collaboration tools such as chat, email, Microsoft Teams calling, etc. during working hours. Reliable high-speed internet-ethernet/hard wired connection (no Wi-Fi or Hotspots). Minimum internet speed download of 25 Mbps minimum for a single user, download of 50 Mbps for shared internet connectivity, and 5 Mbps minimum upload speed (you can test this by going to ******************* Essential Duties and Responsibilities: - Lead enterprise-level recruitment initiatives, managing candidates developed from strategic partnerships with large medical groups, staffing agencies, and affiliated organizations. - Serve as the primary point of contact for high-value recruitment accounts, ensuring seamless communication, alignment of expectations, and delivery of top-tier provider talent. - Develop and execute customized recruitment strategies for each partner group, leveraging data insights, market trends, and business objectives. - Collaborate cross-functionally with operations, credentialing, legal, and compliance teams to ensure smooth onboarding and adherence to regulatory standards. - Build and maintain strong relationships with key decision-makers at partner organizations to proactively address workforce needs and optimize provider flow to the business. - Track and report on recruitment performance metrics, partner engagement, and pipeline health to inform strategic planning and continuous improvement. - Represent the organization at industry events, conferences, and networking forums to strengthen brand visibility and attract new provider partnerships. - Ensure all recruitment activities comply with employment laws, contractual obligations, and internal policies. Minimum Requirements - Bachelor's degree and 7 years of related experience to include 5 years of developing and cultivating provider recruitment partnerships (or equivalent combination of education and work experience). - Exceptional interpersonal and communication skills, with the ability to build rapport and influence across internal teams and external partner organizations. - Proficiency in applicant tracking systems (ATS), recruitment platforms, and digital sourcing tools, with a data-driven approach to talent acquisition. - Strong organizational and time management abilities, with a proven capacity to manage multiple priorities and deliver results under tight deadlines. - Strategic thinker with a proactive mindset toward problem-solving, process optimization, and continuous improvement. - Ability to work independently and collaboratively across cross-functional teams in a remote work environment. #HotJobs1118LI #HotJobs1118FB #HotJobs1118X #HotJobs1118TH #TrendingJobs #maxcorp #LI-JH1 #c0rejobs #HotJobs1202LI #HotJobs1202FB #HotJobs1202X #HotJobs1202TH EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 106,300.00 Maximum Salary $ 156,300.00

EAMC MISSION At East Alabama Medical Center, our mission is high quality, compassionate health care, and that statement guides everything we do. We set high standards for customer service, quality, and keeping costs under control. POSITION SUMMARY This is a clinical nurse recruiter. They will be responsible for recruiting RNs, LPNs and NPs. This a hybrid position. Partners with Directors and Managers to recruit and retain qualified employees. Identifies recruitment and retention trends as related to assigned positions. Ensures compliance with TJC standards. Ensures accurate interpretation of organizational and HR policies. Enhances personal and professional development by seeking various educational opportunities. POSITION QUALIFICATIONS Minimum Education Bachelor's degree in related field or comparable HR experience Minimum Experience 3-5 years Recruiting experience Required Registration/License/Certification N/A Preferred Education N/A Preferred Experience Previous experience with Healthcare Source or other ATS Preferred Registration/License/Certification HR Certification Other Requirements N/A

**Become a part of our caring community and help us put health first** The Technology Solution Implementation Professional delivers new technological solutions to meet business needs within a specified scope while aligned to enterprise objectives. The Technology Solution Implementation Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. **Role Description:** Support Medicaid Implementations and Operations in electronic transmissions set-up for state regulatory partners, health information exchanges, and vendor partners. **Responsibilities:** Works with ETL developers, data stewards, project managers, and business SMEs to obtain programming specifications needed to submit information in our proprietary ticketing system that moves data from its origin to its ultimate destination. + Ensures proper documentation is completed so that the programming and testing occurs + Tracks and maintains documentation on ET work + Communicates between both IT and non-IT departments on updates, as well as educating non-IT departments on the process + Ensures proper access for authorized users and provides support to data tool users + Conducts connectivity testing when needed + Coordinates establishing connections to SFTP sites in collaboration with the State Technology Market Lead + Coordinates resolution of resolving ETL issues for the market + Participates on vendor and market calls when necessary + Produces reports and analytics outlining progress and resolution + Maintains inventory of market ET transmissions + Other duties as assigned **Use your skills to make an impact** **Required Qualifications** + Two years + experience using technology in data analysis projects or in projects that dealt with business data flows. + 1 + years of ETL experience. + Demonstrated understanding of the information needs and processing flows in healthcare environments + Experience with the SDLC phases of a project and general knowledge of project management. + Demonstrated excellent written and verbal communication skills. + Demonstrated ability to maintain confidentiality, follow directions, and use good judgment in an environment that can be ambiguous and time sensitive. + Ability to work EST + SFTP Experience + Process Improvement **Preferred Qualifications:** + Power BI, Jira and ADO training preferred + Experience with Agile Methodology and/ or Scaled Agile Methodology + Experienced in introducing new processes into a new or existing environment while minimizing disruption and mitigating risks + Experience with Medicare and/or Medicaid + Ability to coordinate with development and user teams to assess risks, goals, and needs and ensure that all are adequately addressed + Bachelor's degree in CS, Engineering, Math, Information Systems, Data Science, Data Analytics, or Statistics **Additonal Information** Candidates should be prepared to work outside regular hours when required to meet essential timelines. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informatio Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $60,800 - $82,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-14-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Benefits: 401(k) Competitive salary Health insurance Opportunity for advancement The Director of Growth & Marketing Analytics will be a key strategic partner to the CMO and a central driver of AFC's demand-generation, traffic performance, and conversion optimization efforts. This role blends deep marketing analytics expertise with cross-functional influence, connecting insights across Marketing, Digital, Operations, and Field teams to drive profitable, scalable growth across both corporate and franchise clinics. This leader will own full-funnel marketing analytics, demand forecasting, website and appointment funnel optimization, and the analytical framework behind AFC's growth strategy. They will ensure AFC's marketing efforts are tightly aligned with appointment capacity, clinic readiness, staffing levels, and website conversion - enabling AFC to unlock sustainable volume gains. Responsibilities Marketing Analytics & Performance · Lead full-funnel analytics to guide media strategy, channel allocation, acquisition efficiency, retention performance, and multi-touch impact. · Partner with FP&A on budget planning, spend allocation, forecasting, and scenario modeling to maximize marketing ROI. · Oversee analytics for paid media, SEO/SEM, referral sources, CRM, and partnerships to improve acquisition, conversion, and retention. · Define and manage AFC's marketing measurement, incrementality testing, and KPI frameworks. · Ensure strong data infrastructure, accuracy, and hygiene in partnership with IT/Data Engineering. Traffic Leadership & Cross-Functional Insights · Lead AFC's weekly cross-functional Traffic Meeting to unify insights across marketing, operations, staffing, and capacity, synthesizing the true drivers of week-over-week visit volume. · Develop frameworks that connect marketing activity to operational readiness, provider coverage, and appointment availability. · Translate insights into actionable recommendations for Marketing, Operations, and Field leadership. Capacity, Appointments & Demand Forecasting · Build and maintain a unified view of appointment inventory, capacity, utilization, and demand across corporate and franchise clinics. · Partner with Operations to align staffing, templates, and hours with expected demand, identifying bottlenecks and opportunities to unlock growth. · Ensure marketing investment is matched with bookable supply to maximize ROI and avoid wasted demand. Website & Funnel Optimization · Own website and appointment funnel analytics, including landing pages, local pages, and platform flows (e.g., Solv). · Lead conversion rate optimization (CRO) efforts, partnering with Digital/UX on testing roadmaps to improve booking starts, completions, and show rates. · Develop clear KPIs, test hypotheses, and insights that drive measurable funnel improvements. Enterprise Dashboards & Strategic Reporting · Build simple, unified dashboards that connect traffic, marketing performance, website conversion, and operational capacity. · Present insights to senior leadership, translating complex data into clear business decisions and growth strategies. Experience & Competencies · 8+ years in growth analytics, marketing analytics, performance marketing, or similar data-driven growth roles. · Strong experience with incrementality, attribution, funnel analytics, and forecasting. · Ability to connect marketing signals with operational capacity and business constraints. · Demonstrated success influencing senior leaders and driving cross-functional alignment. · Comfortable leading in fast-paced, high-growth environments. · Bachelor's degree required. This is a remote position. Compensation: $150,000.00 - $165,000.00 per year We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law. PS: It's All About You! American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient. If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides. Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more. We are an Equal Opportunity Employer.

Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 216,155.00 Maximum Salary $ 292,455.00

Description & Requirements Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES. - Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity. Essential Duties and Responsibilities: - Conduct an orientation training with newly contracted providers via a communication platform. - Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis. - Conduct report review sessions with providers. - Detect and summarize trends of errors in reports. - Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership. - Provide in depth feedback on progress to providers via phone correspondence. - Evaluate and approve providers to open scheduling when appropriate. - Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments. - Ability to work a shift of 8:00am-4:30pm CST Monday-Friday required Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (1) ****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source - Must currently and permanently reside in the Continental US - In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities. Minimum Requirements - Associate degree required; Bachelor's degree preferred. - 1 year previous VES Quality Analyst experience. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 23.00 Maximum Salary $ 30.30

Description & Requirements Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA"). A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA. Due to contract requirements, only US Citizens or a Green Card holder can be considered for this opportunity. This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available. Essential Duties and Responsibilities: - Review MDE (Medical Disability Examination) requests for consistency with the DBQ. - Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness. - Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA. - Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences. - Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report. - Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken. - Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider. - Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA. - Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.) - This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available. - Must be willing and able to work overtime as needed - Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment. - Must currently and permanently reside in the Continental US - In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities. Home Office Requirements Using Maximus-Provided Equipment: - Internet speed of 20mbps or higher required (you can test this by going to (****************** - Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router - Private work area and adequate power source Minimum Requirements - Associate degree required; Bachelor's degree preferred. - Two (2) years of Quality experience may substitute for educational requirement. - Experience in Healthcare, Quality preferred. - Intermediate knowledge of medical terminology. - Excellent written and oral communication skills. - Excellent analytical skills and attention to detail. - Excellent multi-tasking skills. - Excellent organizational and prioritization skills. - Proficient in the use of Microsoft Office Products. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 21.64 Maximum Salary $ 30.30

Description & Requirements Be part of something great Maximus is a global organisation that specialises in providing health and employment services to millions of people every year. Here in the UK we employ around 5,000 people across the country to deliver services that have a profound impact on people's lives. From assessments and health services to employability programmes and specialist support, we do work that matters with people who care. PIP Nurse Assessor - Remote Monday to Friday - 09:00 - 17:00 £36,000 Do good. Be great as a nurse. Are you a Registered Nurse, Nurse Practitioner or Registered Mental Health Nurse seeking professional growth, flexible working and a better work-life balance? About the role As a Nurse Functional Assessor at Maximus, you'll use your clinical expertise to understand how a person's disability or health condition affects their daily life. You'll work on complex cases involving physical and mental health conditions and chronic pain disorders, while your compassion and experience helps customers move forward with their lives. The role can be both challenging and rewarding, which is why we provide a tailored training programme* to help you thrive. You'll begin with formal training before assessing customers and have ongoing support and mentorship in your role with us. Duties and responsibilities Conduct telephone, video or face-to-face assessments to understand how a person's disability or health condition affects their daily life Produce Personal Independence Payment (PIP) reports to help the Department for Work and Pensions (DWP) determine a person's eligibility for benefits Develop your clinical knowledge and assessment skills with the support of regular feedback and supervision Requirements Valid NMC registration number At least 1 year of broad post-registration adult or mental health experience gained within or outside of the NHS You MUST have the right to work in the UK - we cannot offer sponsorships Excellent oral and written communication skills Comfortable using computer software to type and produce detailed reports What we offer £36,000 salary Flexible working - full-time and part-time No bank holidays, evenings or weekends A recognised accreditation with the University of Salford upon completion of training* Leading maternity and paternity paid leave Bank holidays plus 25 days' holiday with the option to buy or sell 5 days Ongoing CPD, clinical development and reimbursed validation fees £2,000 for referring a friend Life insurance and Medicash Healthcare Cash Plan In-person clinical conferences held annually Join us and become part of a team that's making a real difference to people's lives. EEO Statement Maximus is committed to developing, maintaining and supporting a culture of diversity, equity and inclusion throughout the recruitment process. We know that feeling included has a dramatic impact on personal well-being and are working to ensure that no job applicant receives less favourable treatment due to any personal characteristic. Advertisements for posts will include sufficiently clear and accurate information to enable potential applicants to assess their own suitability for the post. We are a Disability Confident Leader, thanks to our commitment to the recruitment, retention and career development of people with disabilities and long-term conditions. The Disability Confident scheme includes a guaranteed interview for any applicant with a disability who meets the minimum requirements for a job. When you complete your job application you will find a question asking you if you would like to apply under the Disability Confident Guaranteed Interview Scheme. If you feel that you have a disability and apply under this scheme, providing that you meet the essential criteria for the job, you will then be invited for an interview. YourGuaranteed Interview application will only be shared with the hiring manager and the local resourcing team. Where reasonable, Maximus will review and consider adjustments for those applicants who express a requirement for them during the recruitment process. Minimum Salary £ 36,000.00 Maximum Salary £ 36,000.00