Claims Analyst jobs at Kelsey-Seybold Clinic - 10 jobs

Why Canopy USA? HSCP Service Company LLC is a subsidiary of Canopy USA, LLC, a leading vertically integrated, multi-state operator in the United States cannabis industry. With the transition of Acreage Holdings to Canopy USA, LLC in December 2024, Canopy USA, LLC is now positioned to consolidate operations across its three business units - Wana, Jetty, and Acreage - realizing synergies, cost savings, and supporting growth in state-legal markets across the U.S. Through coverage of key market segments including flower via Superflux, vape and concentrates via Jetty, edibles and beverages via Wana, and retail through The Botanist, Canopy USA, LLC is well positioned to accelerate growth with an emphasis on the Midwestern and Northeastern U.S. markets. As newly formed Canopy USA, LLC, we are building a stronger, more agile organization that will unlock greater opportunities across the growing US cannabis market. Who you'll work for: HSCP Service Company LLC Our Culture: Here at Canopy USA, LLC, we believe in people first. We value our people and encourage continuous opportunities to learn, develop, and grow. We pride ourselves in innovation and passion for the cannabis industry. We are always looking for motivated people who share our vision to join our team. Think you have what it takes? Then come grow with us! About the Role: The FP&A team is focused on supporting the firm in achieving its business goals from a financial viewpoint. To that end, the Financial Analyst is responsible for creating financial models, analyzing business results, and delivering insights into the business. Working in partnership with the Director of FP&A, the Financial Analyst will focus on effective business planning, resource allocation, and business performance. How you'll make a difference: * Reporting and analytics involving financials and other key performance indicators critical to operational management of the businesses * Participate and support FP&A projects and drive standardization and improvement of activities to generate efficiency both through logic building and automation * Develop financial models and management reporting packages to support business planning and execution * Participate in the annual budgeting and periodic forecasting processes. * Analyze financial results and provide commentary as required * Collaborate with other departments and cross-functional teams in measuring and analyzing projects and initiatives * Articulate financial concepts to non-finance business partners in a clear and concise manner * Perform other related duties as assigned Skills to be Successful: * Bachelor's degree in Finance, Accounting, or closely related field * Three or more years of relevant experience * Able to operate in a remote working environment * Exceptional verbal and written communication skills * 'Can-do' attitude - willing to contribute at all levels in a small but high performing team environment with strict deadlines and multiple demands * Knowledge of the Cannabis industry or Retail experience is preferred Computers and Technology * Highly proficient in Microsoft Word, Excel, PowerPoint * Experience with NetSuite, Microsoft Dynamics, Power BI, or Domo encouraged Perks & Benefits: * Full suite of medical, dental, and vision insurance * Paid parental leave * 401 (k) * Paid Time Off * Short Term and Long-Term Disability * Employee Assistance Program * Employee life insurance and supplemental life * Spouse and child life and AD&D * Pet insurance * FSA and HSA available * Based on eligibility. Schedule: * Monday-Friday Subject to change as business needs. Work Environment and Physical Demands: The work environment characteristics and physical demands described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be requested to enable individuals with disabilities to perform the essential functions. Manufacturing environment that requires extended time standing, walking, bending and reaching. Ability to carry up to 50lbs for up to a distance of 100ft may be required. Occasional extended and repetitive use of arms, hands and fingers to cut and manipulate small objects. Ability to work in a humid and pollinated environment. E-Verify Participation Notice This Employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. What is E-Verify? E-Verify is an internet-based system that compares information from and employee's Form I-9, Employment Eligibility Verification, to data from the U.S. Department of Homeland Security and Social Security Administration records to confirm employment eligibility. Code of Conduct: All employees are expected to represent the values and maintain the standards contained in the Code of Conduct. HSCP Service Company LLC is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, sexual orientation, disability, or protected Veteran status. We appreciate your interest in HSCP Service Company LLC. If you need assistance with completing an online application due to a disability, please send a request to **************************. Please be sure to include "Accommodation Request" in the subject line.

Retina Consultants of Texas (RCTX) is seeking a Visual Acuity Examiner to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing standardized refraction and visual acuity examinations as required by various study protocols and manual of procedures. Day-to-day activities may include all or some of the essential functions listed below, depending upon individual experience/knowledge and the needs of the organization, which are subject to change from time to time. This position will be based at our Schertz Clinic. Candidates must be able to meet the needs of the patients and providers, and support the Research Department's hours of 6:30am -5pm Monday through Friday. Schedules are provided weekly and are based on the provider's clinic, patient, and surgery schedules. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care, and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience. In addition to being highly challenged professionally, upon joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions (both Roth and Traditional options) from starting date of hire. Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and (8) paid holidays + (1) floating holiday annually. RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law. Responsibilities Communicates/coordinates subject flow with other members of the study team. Performs manifest refraction and best corrected visual acuity with loose lenses per protocol, low luminance and speed-reading testing (MN Read and Radner) in a timely manner, and with accuracy, per the study protocols. Performs Pelli-Robson or MARS Contrast Sensitivity, Color Vision testing, and any other vision testing that suits the needs of the clinical trials such as AST Performs study/protocol procedures in a detailed, accurate manner Familiar with the vision portion of all protocols and schedule of assessments Correctly utilize the manual lensometer to read RX's from glasses. Performs auto-refraction and keratometry Obtains intraocular pressure (tonopen and goldman applanation) and instills dilation drops per the study protocols. Obtain various sponsor-required certifications within a timely manner Maintain and status of certifications (i.e. not letting a certification expire) Responsible for ensuring the visual acuity lane is properly certified and is kept to the certification requirements Maintains all equipment, lenses, and charts required for Visual Acuity testing Maintains and updates records of all certified equipment (i.e., burn-in logs and the record of light bulbs changes for primary and back-up bulbs) and provides sponsors and Clinical Trial staff with updated information Maintains good relationships with vendors and sponsors and addresses deviations in a timely manner Assists the Clinical Research Coordinators and Clinical Research Director and other duties as assigned Additional testing (i.e microperimetry, microscopy, etc.) allowed by protocol Accurately files and can locate study essential study documents as requested by study team. Assists with a variety of projects and performs other duties as assigned. A certain degree of creativity and latitude is expected. Qualifications Education: High School diploma or equivalent, with significant relevant experience Experience / Knowledge / Skills: Ophthalmology and/or Optometry experience preferred Refracting experience preferred Effective oral and written communication Delivers safe and appropriate care to subjects in addition to the requirements outlined by study protocols

We're looking for a Supervisor of the Claims Department, someone who's ready to grow with our company. In this position you will serve as a front-line supervisor by managing and directing the activities of a team of Claims Examiners and Claims Benefits Specialists. To handle claims processing concerns and issues requiring a high degree of appropriate knowledge, creativity, research, and communication with internal and external resources to achieve timely resolution. To ensure resources are utilized efficiently, in accordance with Claims Administration objectives that consistently promotes internal and external customer quality and satisfaction. Assists the Manager of the Claims Department by monitoring the daily workflow for team members in reference to claim volume, receipts, and processing. To act as a communication conduit between the Claims Examiners, Claims Benefits Specialists, and management Think you've what it takes? Job Duties & Responsibilities • Provides direct supervision of the daily operations for Claims Examiners and Claims Benefits Specialists. • Proactively identifies and solves problems with timely resolution of complex issues referred by Claims Examiners and Claims Benefits Specialists. Identifies the most appropriate course of action for problem resolution and effectively communicates the plans to those impacted. These issues frequently require research, collaboration with other departments, communications with external resources, and response creation. • Provides daily management support to Claims Examiners and Claims Benefits Specialists. • Participates in new-hire interviews and makes recommendations for candidate selection. • Regularly monitors Claims Examiners and Claims Benefits Specialists using the weekly productivity log to ensure Claims Examiners and Claims Benefits Specialists are performing within Claims Administration's production goals and identify any individual coaching or group training for long-term performance improvement and teamwork. Identify opportunities and recognize positive behaviors of Claims Examiners and Claims Benefits Specialists. • Monitors available resources, system reports to facilitate the day-to-day operations to ensure that Claims Examiners and Claims Benefits Specialists are productive and have the necessary tools and information to perform their job. Responds to internal system trouble notifications and coordinates the involvement of other departments to facilitate problem resolution. • Maintains visibility to Claims Examiners and Claims Benefits Specialists. Walks around periodically to perform live monitoring of Claims Examiners and Claims Benefits Specialists and provides support to those needing assistance. • Responsibility B: Provides daily monitoring for Claims Examiners and Claims Benefits Specialists production stats. • Provides front line for answers to questions and research. • Performs post training follow up and review. • Participates in quality initiatives and performance management. • Initiates and completes check run process. Skills & Requirements • Required H.S. Diploma or GED • 5 years of claims processing experience

FP&A Analyst Are you ready to develop the future of retail? As the world's leader in IoT and data technologies for commerce, our mission is to help retailers and brands use digitalization to become more efficient, more intelligent, and more sustainable-and in doing so, enable more positive commerce. VusionGroup is a fast-growing, fast-paced retail tech company. We believe that by thinking big and working together as one team-agile thinkers, tech makers, and change agents-we can build the largest retail IoT platform in the world. Job Description We build. We create impact. The FP&A Analyst will play a key role in the North American region. You will report to the VP - Finance Americas and will be part of the FP&A team based in North America but with colleagues and stakeholders across multiple time zones. This role is uniquely positioned to partner with the business to contribute significantly to the strategic planning and growth of the business. This is a varied role in scope, entailing tracking and understanding daily/weekly/monthly financial performance, as well as producing monthly forecasts, reports, and annual budgets. Lead and support the preparation of sales forecasts and budgeting processes in North American region. Work closely with sales and operation teams to ensure the alignment of financial plans with business objectives. Analyze historical trends, market conditions, and other relevant data to provide actionable insights for accurate sales forecasting. Create strong business partnerships with various functions (Sales, operations, manufacturing…) and with a broad and diverse group of business partners, including C- levels and senior members of management. Provide guidance on financial implications of sales plans and recommend improvements for cost optimization and revenue growth. Understand, impact, and influence business decisions through detailed financial analysis. Leverage data visualization techniques to present financial data in an easily digestible format for stakeholders at all levels. Define and report on KPIs for business partners, bringing insights to help inform strategic decisions. Identify opportunities for streamlining sales planning, forecasting, and reporting processes. Implement best practices and continuous improvement initiatives to drive efficiency and accuracy in financial operations. Perform monthly business reviews to provide team visibility, facilitate financial projections and provide value-added financial knowledge. Collaborating with Accounting SSC in Paris to ensure proper monthly closing: cut-off entries, reconciliation of inventory positions with sales and purchasing, and accruals on calculated expenses. Perform ad-hoc financial analysis and special projects as requested by senior leadership. Qualifications Qualification we're looking for: Experience : 2+ years of experience of relevant experience in FP&A or strategic finance, preferably at high growth, enterprise software, SaaS business with a strong focus on sales planning and forecasting. Experience ideally with a combination of finance and operations experience (e.g., FP&A/ corporate finance, management consulting, or other highly analytical roles). Skills: Advanced excel skills, proficiency with ERP systems (SAP), Power BI, and financial modeling. Analytical Skills: Ability to work independently, think objectively, and interpret meaningful and insightful narratives from both quantitative as well as qualitative data. Abilities: Financial and Business Acumen: Ability to evaluate financial and business indicators and translate as well as distill data into actionable information to drive results. Ability to influence at all levels, including the most senior executives in the company, with a demonstrated aptitude to work effectively within a matrixed team across multiple functional areas and be assertive in driving successful management strategies. Ability to manage multiple tasks in a deadline-driven environment while maintaining a high level of precision and accuracy. Education: Bachelor's degree in finance, accounting, economics or a related field. We innovate. We help communities thrive. VusionGroup has an international presence in 19 countries. In joining us, you'll be part of a globally distributed team of intellectually curious, committed, and collaborative co-workers. The work is fast paced, challenging, and ambitious. Here, you will feel valued for your contributions as we reinvent modern commerce-together. We feel supported. You will too. VusionGroup is a place where people feel safe, happy, and respected. We offer programs and benefits to support you in whatever comes next in your life, including: Generous paid time off (PTO ): 35 days PTO to enable work/life integration and promotes a culture of trust. Health & Wellness : Eligibility for benefits starting day one, plus retirement savings plans. Financial future : While retirement savings plans vary by country, we help you plan for your future. Family-First Support : Navigate family challenges with our assistance, securing time for both your loved ones and self-care. Hybrid work : Find your balance with two days working from home, three days in the office, plus the freedom to work anywhere for up to two weeks a year. Time off to volunteer and give back to your community. Career Growth: E-learning opportunities and workshops, and global mobility potential Commute benefits : up to $100/month per employee for commuting expenses. Philanthropy : Our company matches employee donations up to $500 per year for causes close to your heart. Additional Information All your information will be kept confidential according to EEO guidelines.

Eurofins Scientific is an international life sciences company, providing a unique range of analytical testing services to clients across multiple industries, to make life and our environment safer, healthier and more sustainable. From the food you eat, to the water you drink, to the medicines you rely on, Eurofins laboratories work with the biggest companies in the world to ensure the products they supply are safe, their ingredients are authentic, and labelling is accurate. Eurofins is dedicated to delivering testing services that contribute to the health and safety of society and the planet, and to its corporate responsibility to protect the environment and ensure diversity, equity, and inclusion across the entire network of Eurofins companies. Job Description The Analyst prepares and analyzes environmental samples according to scientific methodology in compliance with company Quality Assurance programs and SOP's, and must be knowledgeable of both job-specific routine and complex analyses. Essential Duties and Responsibilities: Prepare and analyze environmental samples Accurately enters and completes reporting using the LIMS Performs independent reviews for other analysts' work Performs analysis of reference materials, proficiency samples and other quality control samples as needed Maintains client service and provides technical support as needed Assists the Quality Assurance (QA) manager in development, implementation and data collection of QA processes for the different analytical tests Performs confirmation of lab results as needed by client services personnel Performs and completes all analytical testing QA related tasks as needed Assists in pursuing, receiving and maintaining necessary laboratory accreditation Maintains and updates all necessary Training and QA documents onsite as necessary Co-ordinates and manages projects according to their rush status and due time for timely delivery Assists co-workers on analytical questions, as necessary Participates in Lean initiatives and projects when called upon Follows company policies and procedures Manages and maintains the inventory of re-sale supply items and laboratory consumables and takes necessary steps to re-order supplies as needed Manages and disposes analyzed samples as needed Trains new mycology or bacteriology or asbestos or other analytical testing Analysts as needed Recommends and coordinates sample transfer as necessary Establishes and maintains laboratory stock culture and reference samples Performs root cause analysis and determines and implements corrective actions for errors and issues as necessary Maintains all equipment properly and co-ordinates servicing of all equipment used in the laboratory, as needed Routinely communicates available capacity to senior management Supports other departments within the lab (mycology, asbestos, bacteriology, and other) when appropriate and as needed Other responsibilities as deemed necessary by the Supervisor/Manager Qualifications BS or BA in a closely related science Authorization to work in the United States indefinitely without restriction or sponsorship Professional working proficiency in English is a requirement, including the ability to read, write and speak in English Experience: 1-2 years work laboratory experience Environmental methodologies General regulatory requirements Analytical laboratory techniques Laboratory QA requirements Knowledge of computers, spreadsheets, and databases Additional Information Position is full-time, Monday-Friday 9:00 AM- 6:00 PM, with weekend rotation as needed. Position starting pay range is $21.00 /hr. Eurofins Environment Testing (USA) provides a compensation range for informational purposes, the actual base salary may vary based upon, but not limited to, relevant experience and skill set, base salary of internal peers, business sector, and geographic location. As a Eurofins employee, you will become part of a company that has received national recognition as a great place to work. We offer excellent full-time benefits including comprehensive medical coverage, life and disability insurance, 401(k) with company match, paid holidays, paid time off, and dental and vision options. We support your development! Do you feel you don't match 100% of the requirements? Don't hesitate to apply anyway! Eurofins companies are committed to supporting your career development. We embrace diversity! Eurofins network of companies believe in strength and innovation through diversity, being an Equal Opportunity Employer. We prohibit discrimination against employees or applications based on gender identity and/or expression, race, nationality, age, religion, sexual orientation, disability, and everything else that makes employees of Eurofins companies unique. Sustainability matters to us! We are well on our way to achieving our objective of carbon neutrality by 2025, through a combination of emission reduction and compensation initiatives. We encourage our laboratory leaders to make sustainable changes at their local level, and in addition to their initiatives we also count on our dedicated carbon reduction team to help us to achieve this goal! Find out more in our career page: ***************************** Eurofins USA Environment Testing is a Disabled and Veteran Equal Employment Opportunity employer.

Retina Consultants of Texas (RCTX) is seeking a Visual Acuity Examiner to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing standardized refraction and visual acuity examinations as required by various study protocols and manual of procedures. Day-to-day activities may include all or some of the essential functions listed below, depending upon individual experience/knowledge and the needs of the organization, which are subject to change from time to time. This position will be based at our Schertz Clinic. Candidates must be able to meet the needs of the patients and providers, and support the Research Department's hours of 6:30am -5pm Monday through Friday. Schedules are provided weekly and are based on the provider's clinic, patient, and surgery schedules. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care, and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience. In addition to being highly challenged professionally, upon joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions (both Roth and Traditional options) from starting date of hire. Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and (8) paid holidays + (1) floating holiday annually. RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law. Responsibilities Communicates/coordinates subject flow with other members of the study team. Performs manifest refraction and best corrected visual acuity with loose lenses per protocol, low luminance and speed-reading testing (MN Read and Radner) in a timely manner, and with accuracy, per the study protocols. Performs Pelli-Robson or MARS Contrast Sensitivity, Color Vision testing, and any other vision testing that suits the needs of the clinical trials such as AST Performs study/protocol procedures in a detailed, accurate manner Familiar with the vision portion of all protocols and schedule of assessments Correctly utilize the manual lensometer to read RX's from glasses. Performs auto-refraction and keratometry Obtains intraocular pressure (tonopen and goldman applanation) and instills dilation drops per the study protocols. Obtain various sponsor-required certifications within a timely manner Maintain and status of certifications (i.e. not letting a certification expire) Responsible for ensuring the visual acuity lane is properly certified and is kept to the certification requirements Maintains all equipment, lenses, and charts required for Visual Acuity testing Maintains and updates records of all certified equipment (i.e., burn-in logs and the record of light bulbs changes for primary and back-up bulbs) and provides sponsors and Clinical Trial staff with updated information Maintains good relationships with vendors and sponsors and addresses deviations in a timely manner Assists the Clinical Research Coordinators and Clinical Research Director and other duties as assigned Additional testing (i.e microperimetry, microscopy, etc.) allowed by protocol Accurately files and can locate study essential study documents as requested by study team. Assists with a variety of projects and performs other duties as assigned. A certain degree of creativity and latitude is expected. Qualifications Education: High School diploma or equivalent, with significant relevant experience Experience / Knowledge / Skills: Ophthalmology and/or Optometry experience preferred Refracting experience preferred Effective oral and written communication Delivers safe and appropriate care to subjects in addition to the requirements outlined by study protocols

We're looking for a Supervisor of the Claims Department, someone who's ready to grow with our company. In this position you will serve as a front-line supervisor by managing and directing the activities of a team of Claims Examiners and Claims Benefits Specialists. To handle claims processing concerns and issues requiring a high degree of appropriate knowledge, creativity, research, and communication with internal and external resources to achieve timely resolution. To ensure resources are utilized efficiently, in accordance with Claims Administration objectives that consistently promotes internal and external customer quality and satisfaction. Assists the Manager of the Claims Department by monitoring the daily workflow for team members in reference to claim volume, receipts, and processing. To act as a communication conduit between the Claims Examiners, Claims Benefits Specialists, and management Think you've what it takes? Job Duties & Responsibilities * Provides direct supervision of the daily operations for Claims Examiners and Claims Benefits Specialists. * Proactively identifies and solves problems with timely resolution of complex issues referred by Claims Examiners and Claims Benefits Specialists. Identifies the most appropriate course of action for problem resolution and effectively communicates the plans to those impacted. These issues frequently require research, collaboration with other departments, communications with external resources, and response creation. * Provides daily management support to Claims Examiners and Claims Benefits Specialists. * Participates in new-hire interviews and makes recommendations for candidate selection. * Regularly monitors Claims Examiners and Claims Benefits Specialists using the weekly productivity log to ensure Claims Examiners and Claims Benefits Specialists are performing within Claims Administration's production goals and identify any individual coaching or group training for long-term performance improvement and teamwork. Identify opportunities and recognize positive behaviors of Claims Examiners and Claims Benefits Specialists. * Monitors available resources, system reports to facilitate the day-to-day operations to ensure that Claims Examiners and Claims Benefits Specialists are productive and have the necessary tools and information to perform their job. Responds to internal system trouble notifications and coordinates the involvement of other departments to facilitate problem resolution. * Maintains visibility to Claims Examiners and Claims Benefits Specialists. Walks around periodically to perform live monitoring of Claims Examiners and Claims Benefits Specialists and provides support to those needing assistance. * Responsibility B: Provides daily monitoring for Claims Examiners and Claims Benefits Specialists production stats. * Provides front line for answers to questions and research. * Performs post training follow up and review. * Participates in quality initiatives and performance management. * Initiates and completes check run process. Skills & Requirements * Required H.S. Diploma or GED * 5 years of claims processing experience

Company Navitus About Us Navitus - Putting People First in Pharmacy - Navitus was founded as an alternative to traditional pharmacy benefit manager (PBM) models. We are committed to removing cost from the drug supply chain to make medications more affordable for the people who need them. At Navitus, our team members work in an environment that celebrates diversity, fosters creativity and encourages growth. We welcome new ideas and share a passion for excellent service to our customers and each other._____________________________________________________________________________________________________________________________________________________________________________________________________________. Current associates must use SSO login option at ************************************ to be considered for internal opportunities. Pay Range USD $49,911.00 - USD $59,418.00 /Yr. STAR Bonus % (At Risk Maximum) 5.00 - Salaried Non-Management except pharmacists Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm, CT Remote Work Notification ATTENTION: Navitus is unable to offer remote work to residents of Alaska, Hawaii, Maine, Mississippi, New Hampshire, New Mexico, North Dakota, Rhode Island, South Carolina, South Dakota, West Virginia, and Wyoming. Overview Navitus Health Solutions is seeking an Analyst, Utilization Management to join our team! The Analyst, Utilization Management role is to be the subject matter expert for configuration in the prior authorization (PA) system(s), in addition to reporting on PA related information. The Analyst is responsible for aiding in the creation and revision of PA documents, system configuration set-up, maintenance, support, and troubleshooting PA tools (including test, demo, and production environments) related to business logic and processes, as well as understanding interfaces with other applications. This position involves maintenance of the PA criteria and/or PA notification workflow rules engine including creation of system overrides, creation and execution of notifications to external entities, management of automatic role assignment, accurate and efficient interdepartmental communication, and management of drug lists required for execution of approvals. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Requires deep subject matter expert knowledge of the PA Criteria and revision process and/or PA Notification process Understand business processes and how they relate to technical setup in the PA system, making suggestions and changes that will improve business processes Configure and test administration changes required in the systems within required turn-around times. Ensure the enhancement meets the business need and can be administered in an efficient fashion Implement new client prior authorization benefit designs Ensure clinical workflows are built and notification letters meet regulatory requirements Participate in and support capacity planning and the development of long-term strategic goals for systems and software in conjunction with end-users, third party vendors, and department managers Maintain prior authorization benefit designs with a high degree of accuracy as validated through audits and testing Audit prior authorization setup to ensure it aligns with the client's expectations, and/or government regulations Develop and maintain knowledge of Medicare D, Medicaid, and/or Exchange programs Adhere to governmental regulations (i.e., HIPAA, CMS, etc.) and processes while executing tasks, when applicable Other duties as assigned Qualifications What our team expects from you? One of the following required: College degree in a science or business-related field, CPhT, or at least 2 years' experience in a related field (PBM, Health Insurance, and/or Prior Authorization) Experience and expertise in working across multiple departments, technical and business acumen, and a “track record” of tangible success Prior experience with Prior Authorization, or within a PBM preferred Intermediate to expert knowledge of the Microsoft Office Suite Experience documenting and maintaining configuration and process information Requires detailed documentation of application changes Hands-on troubleshooting experience with a complex multi-user business application Knowledge of workflow management systems including role and document management Knowledge of prior authorization processes in a health care environment preferred Experience implementing processes to meet regulatory compliance requirements Knowledge of Medicare D regulatory requirements required prior to or soon after hire Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees What can you expect from Navitus? Top of the industry benefits for Health, Dental, and Vision insurance 20 days paid time off 4 weeks paid parental leave 9 paid holidays 401K company match of up to 5% - No vesting requirement Adoption Assistance Program Flexible Spending Account Educational Assistance Plan and Professional Membership assistance Referral Bonus Program - up to $750! #LI-Remote Location : Address Remote Location : Country US

Retina Consultants of Texas (RCTX) is seeking a Visual Acuity Examiner to join our innovative team with the mission of Fighting Blindness For The World To See. This position will be responsible for performing standardized refraction and visual acuity examinations as required by various study protocols and manual of procedures. Day-to-day activities may include all or some of the essential functions listed below, depending upon individual experience/knowledge and the needs of the organization, which are subject to change from time to time. This position will be based at our Katy Clinic. Candidates must be able to meet the needs of the patients and providers, and support the Research Department's hours of 6:30am -5pm Monday through Friday. Schedules are provided weekly and are based on the provider's clinic, patient, and surgery schedules. Retina Consultants of Texas is the largest and most respected retina-only ophthalmology practice in the United States. Our group consists of 26 world-renowned physicians leading the world in retinal care. While serving two major metropolitan markets (and their extensions) our combined culture allows us to best serve our patients, referral sources and our own team of physicians. RCTX also invests heavily in diagnostic equipment, providing state-of-the-art retina imaging, laser, and diagnostic capabilities to each patient. This, combined with the clinical expertise of our physicians, an outstanding and devoted staff, and 25 convenient locations to serve our patients. We worked hard to create our culture as Retina Warriors. We strongly emphasize our core values of Hard Work, Authentic Care, and Innovation in everything we do. It is our belief that by investing in our people, our people will be empowered of their own accord to provide the highest quality patient experience. In addition to being highly challenged professionally, upon joining our practice, the following competitive benefits for full-time eligible employees after a 60-day introductory period: Employee Paid Benefits such as Medical, Dental, and Vision, short-term disability, voluntary life insurance, accident, critical illness, hospital indemnity, pet insurance, HSA pre-taxed contributions, 401 (k) retirement savings contributions (both Roth and Traditional options) from starting date of hire. Employer Paid Benefits such as long-term disability, $25,000 basic life insurance policy, 3% 401(k) safe harbor contribution, HSA employer contributions, annual performance merit increases, certification opportunities, rewards & recognition platform, WellHub Starter Plan Gym Membership, paid time off, and (8) paid holidays + (1) floating holiday annually. RCTX is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, age, national origin, disability, military service, veteran status, genetic information, or any other protected class under applicable law. Responsibilities Communicates/coordinates subject flow with other members of the study team. Performs manifest refraction and best corrected visual acuity with loose lenses per protocol, low luminance and speed-reading testing (MN Read and Radner) in a timely manner, and with accuracy, per the study protocols. Performs Pelli-Robson or MARS Contrast Sensitivity, Color Vision testing, and any other vision testing that suits the needs of the clinical trials such as AST Performs study/protocol procedures in a detailed, accurate manner Familiar with the vision portion of all protocols and schedule of assessments Correctly utilize the manual lensometer to read RX's from glasses. Performs auto-refraction and keratometry Obtains intraocular pressure (tonopen and goldman applanation) and instills dilation drops per the study protocols. Obtain various sponsor-required certifications within a timely manner Maintain and status of certifications (i.e. not letting a certification expire) Responsible for ensuring the visual acuity lane is properly certified and is kept to the certification requirements Maintains all equipment, lenses, and charts required for Visual Acuity testing Maintains and updates records of all certified equipment (i.e., burn-in logs and the record of light bulbs changes for primary and back-up bulbs) and provides sponsors and Clinical Trial staff with updated information Maintains good relationships with vendors and sponsors and addresses deviations in a timely manner Assists the Clinical Research Coordinators and Clinical Research Director and other duties as assigned Additional testing (i.e microperimetry, microscopy, etc.) allowed by protocol Accurately files and can locate study essential study documents as requested by study team. Assists with a variety of projects and performs other duties as assigned. A certain degree of creativity and latitude is expected. Qualifications Education: High School diploma or equivalent, with significant relevant experience Experience / Knowledge / Skills: Ophthalmology and/or Optometry experience preferred Refracting experience preferred Effective oral and written communication Delivers safe and appropriate care to subjects in addition to the requirements outlined by study protocols