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Claims Analyst jobs at Kelsey-Seybold Clinic

- 13 jobs
  • Analyst, Claims Extract

    Navitus 4.7company rating

    Remote

    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 $22.74 - USD $27.08 /Hr. STAR Bonus % (At Risk Maximum) 0.00 - Ineligible Work Schedule Description (e.g. M-F 8am to 5pm) M-F 8am to 5pm 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, Claims Extract to join our team! The Analyst, Claims Extract ensures efforts are in alignment with the Claim Adjudication Operations (CAO) team to leverage technology and process improvement for the purpose of meeting the business needs of Navitus customers, clients, members, and pharmacies by accurately administering benefits. This role is responsible for the ongoing management of client claims extract processes and will function as the lead resource for assigned clients, as well as a back-up resource for peer analysts when needed. This position may include after-hour and/or weekend hours depending on workload. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Oversees, manages and maintains claims extract data processes and services for clients of low to moderate complexity. This includes understanding client needs, plan designs, standard and custom data file layouts, monitoring of electronic file deliveries and subsequent reports. Interprets client specific rules, translates data elements, provides technical mapping specifications to IT programmers and fully tests all changes to ensure quality and accuracy of extract files. Functions as both a business and technical liaison between requesting business areas and Data Services programming resources. Participates in existing client changes of low to moderate complexity, acting as the subject matter expert for claims extracts in all related meetings and communications. Collaborates directly with client and/or Client Services team to report data file delivery issues on an agreed upon client schedule. Gains a working knowledge of claims processing in order to review processed claims and reversals, plan design, drug tiers and issues clients encounter loading Rx claims into their systems. Uses sound business judgment and reporting expertise to contribute toward the creation of root cause analysis of issues. Independently assesses business needs and participates in process improvement, cost reduction and automation efforts. Educates others on the claims extract process, providing talking points to Client Services and Government Programs for client and plan sponsor discussions. Adapts to industry changes and evolving technology, maintaining a basic to intermediate level of understanding of both legacy and emerging products and systems. Assists in the creation and ongoing maintenance of departmental training materials, work instructions and policies. Conducts system enhancement and regression testing for low to moderately complex claims extract related processes to ensure compliance with state, federal and client regulations/ standards. Other duties as assigned. Qualifications What our team expects from you? Associate's degree or equivalent work experience required. Minimal experience and/or training to begin learning skills, systems, and processes of the role with ability to perform tasks with close supervision. Experience on basics and gaining familiarity with the role and company. Basic experience with Microsoft Office, specifically Word and Excel. 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
    $22.7-27.1 hourly Auto-Apply 33d ago
  • FP&A Analyst

    Hypermarcas S/A 4.2company rating

    Coppell, TX jobs

    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.
    $58k-88k yearly est. 12h ago
  • Research Visual Acuity Examiner

    Retina Consultants of Houston 4.0company rating

    Schertz, TX jobs

    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
    $35k-52k yearly est. Auto-Apply 20d ago
  • ERWIN Governance Analyst

    Genoa Employment Solutions 4.8company rating

    Dallas, TX jobs

    Overview of project: The resource will be working on implementing best practices and accelerating adoption of the tool. Client will use ERWIN for Metadata Management, implementing Centralized Data Dictionaries, and more usage as a DI product. Data Modeling is also in the horizon for later in 2021. Immediate need is around Data Governance using ERWIN Skills Required: 2-3 years' experience with Erwin Erwin Metadata management Erwin Data Governance
    $56k-85k yearly est. 60d+ ago
  • Pharmacy Claims Adjudication Specialist

    Onco360 3.9company rating

    Houston, TX jobs

    We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy in Houston, TX. This will be a Full-Time position. This position must be located within driving distance to our pharmacy, with a hybrid work style. Onco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Starting salary from $20.00 an hour and up Sign-On Bonus: $5,000 for employees starting before February 1, 2026. We offer a variety of benefits including: Medical; Dental; Vision 401k with a match Paid Time Off and Paid Holidays Tuition Reimbursement Company paid benefits - life; and short and long-term disability Pharmacy Adjudication Specialist Major Responsibilities: The Pharmacy Adjudication Specialist will adjudicate pharmacy claims, review claim responses for accuracy. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360... Practices first call resolution to help health care providers and patients with their pharmacy needs, answering questions and requests. Provides thorough, accurate and timely responses to requests from pharmacy operations, providers and/or patients regarding active claims information.. Ensures complete and accurate patient setup in CPR+ system including patient demographic and insurance information. Adjudicates pharmacy claims for prescriptions in active workflow for primary, secondary, and tertiary pharmacy plans and reviews claim responses for accuracy before accepting the claim. Contacts insurance companies to resolve third-party rejections and ensures pharmacy claim rejections are resolved to allow for timely shipping of medications. Performs outreach calls to patients or providers to reschedule their medication deliveries if claim resolution cannot be completed by ship date and causes shipment delays Ensures copay cards are only applied to claims for eligible patients based on set criteria such as insurance type (Government beneficiaries not eligible) Manages all funding related adjudications and works as a liaison to Onco360 Advocate team. Assists pharmacy team with all management of electronically adjudicated claims to ensure all prescription delivery assessments are reconciled and copay payments are charged prior to shipment. Serves as customer service liaison to patients regarding financial responsibility prior to shipments, contacts patients to communicate any copay discrepancy between quoted amount and claim and collects payment if applicable. Document and submit requests for Patient Refunds when appropriate. Pharmacy Adjudication Specialist Qualifications and Responsibilities... Education/Learning Experience Required: High School Diploma or GED. Previous Experience in Pharmacy, Medical Billing, or Benefits Verification, Pharmacy Claims Adjudication Desired: Associate degree or equivalent program from a 2 year program or technical school, Certified Pharmacy Technician, Specialty pharmacy experience Work Experience Required: 1+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Desired: 3+ years experience in Pharmacy/Healthcare Setting or pharmacy claims experience Skills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills Desired: Knowledge of Foundation Funding, Specialty pharmacy experience Licenses/Certifications Required: Registration with Board of Pharmacy as required by state law Desired: Certified Pharmacy Technician (PTCB) Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills #Company Values: Teamwork, Respect, Integrity, Passion
    $20 hourly 13d ago
  • PLM Analyst

    Eurofins Scientific 4.4company rating

    Houston, TX jobs

    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 PLM Analyst prepares and analyzes environmental samples according to the required methodology and company compliance. As an analyst you will gain experience of both job-specific routine and complex analyses. The analyst team also validates and reviews data for accuracy, uploads laboratory data into the LIMS system, and ultimately will prepare and generate required reports to our clients. As a member of our analyst team you will also oversee sample scheduling and work to meet sample due dates and hold times. Analyst responsibilities include, but are not limited to, the following: * Prepare and analyze environmental samples * Accurately enters and reports analytical data using the LIMS * Performs independent data reviews for other analysts' work * Performs analysis of reference materials, proficiency samples and other quality control samples as needed * Provides high-level client service and technical support as needed * Assists the QA manager in development, implementation and data collection of QA processes for the different analytical tests * Performs confirmation of lab results as requested by client services personnel * Performs and completes all analytical testing QA related tasks as requested * Assists in pursuing, receiving and maintaining necessary laboratory accreditations * 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 * 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 * 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 * Supports other departments within the lab (mycology, asbestos, bacteriology, and other) when appropriate and as needed Qualifications Basic Minimum Qualifications: * BS or BA in a closely related science plus 1-2 years of laboratory experience * Authorization to work in the United States indefinitely without restriction or sponsorship The ideal candidate would possess: * Environmental methodologies * General regulatory requirements * Analytical laboratory techniques * Laboratory QA requirements * Knowledge of computers, spreadsheets, and databases * Strong computer, scientific, and organizational skills Additional Information Candidates located within commutible distance of Houston, TX are eligible to apply. This role is a full time opportunity. Monday - Friday 8 AM- 5 PM This role has a salary range of $20-22 an hour with health, dental and vision benefits as well as a company matching 401K plan and PTO plan. Professional working proficiency in English is a requirement, including the ability to read, write and speak in English 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 section, and geographic location 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 Environment Testing Businesses in the US are routinely engaged in Federal Contracts. Federal Government vaccination mandates may apply to staff working in these businesses. Successful applicants may be required to confirm vaccination status or demonstrate eligibility for medical or religious exemptions prior to commencing employment. In addition, certain positions require travel for which vaccination is required in accordance with Eurofins policy. Eurofins USA Environment Testing is a Disabled and Veteran Equal Employment Opportunity employer.
    $20-22 hourly 52d ago
  • Research Visual Acuity Examiner

    Retina Consultants of Houston 4.0company rating

    Katy, TX jobs

    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
    $35k-52k yearly est. Auto-Apply 60d+ ago
  • Privacy Analyst II (Compliance)

    Navitus 4.7company rating

    Remote

    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 $55,151.00 - USD $66,447.00 /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 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 Privacy Analyst II to join our Compliance team! The Analyst II, Compliance position is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs. In addition, the Analyst II is responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst II will coordinate breach and disclosure assessment, HHS OCR reporting, tracking and client reporting. The Analyst will remain current on HIPAA Privacy and regulatory compliance environment changes directly or indirectly impacting Navitus or Lumicera. The Analyst II will also assist the Senior Manager, Compliance and SIU with duties related to privacy, compliance committee, metrics calculation and reporting of results. The Analyst II works closely with the Regulatory Affairs, SIU, IT and all key functional departments to ensure and measure the quality and integrity of work product and eliminate/reduce re-work. The Analyst II will assist with FWA activities, as needed. In addition, the Analyst II has responsibility for supporting and preparing documentation for compliance-related audits and identifying issues adversely impacting the respective process. The Analyst II will follow through on deliverables and assignments timely with no prompting. Reporting shall be done by preparing written report and providing and facilitating recommendations for corrective action and process improvement. This role requires strong knowledge of both the technical and operational sides of the business. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Leads the investigation, resolution, and documentation of privacy issues, privacy breaches and disclosures consistent with government reporting and client contractual requirements Assist the Compliance and SIU Manager with duties and presentation of information related to privacy, compliance committee, policy and procedure evaluation and monitoring, other compliance activities, audits and reporting of results Ensure tracking and monitoring of compliance documentation, policies, versions, and reviews including availability on Compass, timely completion, and consistent classification Assists SIU as deemed necessary with activities such as the OIG/EPLS exclusion program, policy and procedure maintenance, investigation support, and FWA education, etc Prepare written analysis of findings and communicate recommendations for corrective action and process improvement Supports, facilitates, and develops compliance education and awareness efforts, documentation, and educational content development Responds to and facilitates corporate compliance guidance research, interpretation and clarification as requested and appropriate along with preparation of cited documentation Facilitates and/or participates in process re-design, service improvement, cost reduction and automation including work instructions and forms with minimal editing needed Assists in compliance and privacy risk analysis process Other duties as assigned Qualifications What our team expects from you? Bachelor's degree or equivalent work experience is required. Privacy or compliance certification preferred. 2-4 years' experience in a role with direct responsibility of privacy and/or compliance duties is required. Knowledge of state and federal privacy laws is required. 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
    $55.2k-66.4k yearly Auto-Apply 6d ago
  • Research Visual Acuity Examiner

    Retina Consultants of Houston 4.0company rating

    Katy, TX jobs

    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
    $35k-52k yearly est. Auto-Apply 60d+ ago
  • PLM Analyst

    Eurofins USA Environment Testing 4.4company rating

    Houston, TX jobs

    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 PLM Analyst prepares and analyzes environmental samples according to the required methodology and company compliance. As an analyst you will gain experience of both job-specific routine and complex analyses. The analyst team also validates and reviews data for accuracy, uploads laboratory data into the LIMS system, and ultimately will prepare and generate required reports to our clients. As a member of our analyst team you will also oversee sample scheduling and work to meet sample due dates and hold times. Analyst responsibilities include, but are not limited to, the following: Prepare and analyze environmental samples Accurately enters and reports analytical data using the LIMS Performs independent data reviews for other analysts' work Performs analysis of reference materials, proficiency samples and other quality control samples as needed Provides high-level client service and technical support as needed Assists the QA manager in development, implementation and data collection of QA processes for the different analytical tests Performs confirmation of lab results as requested by client services personnel Performs and completes all analytical testing QA related tasks as requested Assists in pursuing, receiving and maintaining necessary laboratory accreditations 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 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 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 Supports other departments within the lab (mycology, asbestos, bacteriology, and other) when appropriate and as needed Qualifications Basic Minimum Qualifications: BS or BA in a closely related science plus 1-2 years of laboratory experience Authorization to work in the United States indefinitely without restriction or sponsorship The ideal candidate would possess: Environmental methodologies General regulatory requirements Analytical laboratory techniques Laboratory QA requirements Knowledge of computers, spreadsheets, and databases Strong computer, scientific, and organizational skills Additional Information Candidates located within commutible distance of Houston, TX are eligible to apply. This role is a full time opportunity. Monday - Friday 8 AM- 5 PM This role has a salary range of $20-22 an hour with health, dental and vision benefits as well as a company matching 401K plan and PTO plan. Professional working proficiency in English is a requirement, including the ability to read, write and speak in English 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 section, and geographic location 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 Environment Testing Businesses in the US are routinely engaged in Federal Contracts. Federal Government vaccination mandates may apply to staff working in these businesses. Successful applicants may be required to confirm vaccination status or demonstrate eligibility for medical or religious exemptions prior to commencing employment. In addition, certain positions require travel for which vaccination is required in accordance with Eurofins policy. Eurofins USA Environment Testing is a Disabled and Veteran Equal Employment Opportunity employer.
    $20-22 hourly 7d ago
  • Analyst, Privacy (Compliance)

    Navitus 4.7company rating

    Remote

    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 $51,123.00 - USD $60,860.00 /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-5pm 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 The Compliance Analyst is responsible for organizing aspects of the Navitus and Lumicera Corporate Compliance and HIPAA Privacy Programs and be responsible for performing regularly scheduled policy, risk assessment and documentation reviews to ensure adherence with HIPAA Privacy and other regulatory compliance areas. The Analyst will coordinate breach and disclosure assessment, tracking and client reporting and remain current on HIPAA Privacy and regulatory compliance environment changes directly or indirectly impacting Navitus or Lumicera. The Analyst will assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, metrics calculation and reporting of results. The Analyst will work closely with the Legal and Regulatory Affairs, SIU, IT and all key functional departments to ensure the quality and integrity of work product and eliminate/reduce re-work. The Analyst will assist with FWA activities, as needed and have responsibility for supporting compliance-related audits and identifying issues adversely impacting the respective process. The Analyst will follow through on deliverables and assignments timely with limited prompting. Reporting shall be done by preparing written report and providing recommendations for corrective action and process improvement. This role requires good knowledge of both the technical and operational sides of the business. Is this you? Find out more below! Responsibilities How do I make an impact on my team? Serve as the primary contact for actual or suspected privacy breaches and disclosures reported to Navitus Leads the investigation, resolution, and documentation of privacy issues, privacy breaches and disclosures consistent with government reporting and client contractual requirements Supports response to member and client inquiries related to HIPAA privacy rights and responsibilities Assist the Associate Director, Compliance and SIU with duties related to privacy, compliance committee, policy and procedure evaluation and monitoring, other compliance activities, audits and reporting of results Ensure tracking and monitoring of compliance documentation, policies, versions, and reviews including availability on Compass, timely completion, and consistent classification Assists SIU as deemed necessary with activities such as the OIG/EPLS exclusion program, policy and procedure maintenance, investigation support, and FWA education, etc Supports and facilitates compliance education and awareness efforts, documentation, and educational content development Responds to and facilitates corporate compliance guidance research and clarification as requested and appropriate Facilitates and/or participates in process re-design, service improvement, cost reduction and automation Other duties as assigned Qualifications What our team expects from you? College degree preferred Must be willing and able to work towards professional designations related to privacy and/or compliance 2 years with working compliance awareness and knowledge in a pharmacy benefits management, patient, or member services role Knowledge of state and federal privacy laws and protocols a plus Participate in, adhere to, and support compliance program objectives The ability to consistently interact cooperatively and respectfully with other employees #LI-Remote Location : Address Remote Location : Country US
    $51.1k-60.9k yearly Auto-Apply 60d ago
  • Mold Analyst

    Eurofins Scientific 4.4company rating

    Houston, TX jobs

    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.
    $21 hourly 45d ago
  • Mold Analyst

    Eurofins USA Environment Testing 4.4company rating

    Houston, TX jobs

    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.
    $21 hourly 14d ago

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