5400 S 16th St, Lincoln, NE 68512 US Spectrum Outside Sales Representative - Residential Connectivity (Virtual Interviews, June 6-8, 2023) Join us for a Spectrum Outside Sales Virtual Hiring Event$49k-63k yearly est.5d ago
Licensed Clinical Social Worker (LCSW) - Remote
Talkspace is an online platform that will connect mental health therapists and counselors with clients in their licensed state(s) through an easy-to-use and HIPAA-compliant app. Note: Talkspace therapists and counselors only work with clients in the state(s) where they are licensed and allowed to practice. You can become a Talkspace therapist in just a few days. Evidence-based: Published studies by researchers at Columbia University, Yale University, and NYU have shown the efficacy of Talkspace as a mental health treatment.$67.9 hourly4d ago
Project Manager/Change Mgmt Liaison - Remote Nebraska ONLY
Plans and directs schedules as well as project budgets. Monitors projects from inception through business readiness and delivery. May engage and oversee the work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/process/program management, rather than the application of expertise in a specialized functional field of knowledge although they may have technical team members.
KNOWLEDGE/SKILLS/ABILITIES
• Manages all aspects of assigned projects throughout the project lifecycle including project scope, schedule, resources, quality, costs and change.
• Develops and maintains detailed project plan to include milestones, tasks, and target/actual dates of completion.
• Revises project plans as appropriate to meet changing needs and requirements.
• Prepares and submits project status reports to management.
• Schedules and conducts project meetings to include logistics, agendas, and meeting minutes.
*Ensure successful hand off from project status to business as usual status.
JOB QUALIFICATIONS
Required Education
Associate degree or equivalent combination of education and experience
Required Experience
3-5 years
Preferred Education
5-7 years
Medicaid project management experience
Process management experience
Microsoft Sharepoint and Teams experience
Preferred Experience
5-7 years
Preferred License, Certification, Association
PMP or Six Sigma Green Belt certification
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $60,414 - $117,808/year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
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#LI-BEMORE
#LI-Remote$60.4k-117.8k yearly12d ago
Writer/Journalist Internship
The Borgen Project is an innovative, national campaign that is working to make poverty a focus of U.S. foreign policy. This is a 12-week, part-time, unpaid internship. Articles submitted will appear on BORGEN Magazine or The Borgen Project Blog .$31k-38k yearly est.6d ago
Sr Business Analyst, Vendor/Program Oversight (Remote Nebraska)
(Purpose of the Job & high-level summary):
This is a remote job position and the employee must reside in Nebraska.
Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Identifies and interprets trends and patterns in datasets to locate influences. Constructs forecasts, recommendations and strategic/tactical plans based on business data and market knowledge. Creates specifications for reports and analysis based on business needs and required or available data elements. Collaborates with clients to modify or tailor existing analysis or reports to meet their specific needs. May participate in management reviews, including presenting and interpreting analysis results, summarizing conclusions, and recommending a course of action. This is a general role in which employees work with multiple types of business data. May be internal operations-focused or external client-focused. Represent the Nebraska Healthplan SLT as the vendor oversight liason ensuring all contracted or delegated services provided to our members are delivering the required/expected service levels.
JOB DUTIES
(Main duties & responsibilities of the role):
• Elicit requirements using interviews, document analysis, and requirements workshops, business process descriptions, use cases, business analysis, task and workflow analysis.
• Interpret customer business needs and translate them into application and operational requirements
• Communicate and collaborate with external and internal customers to analyze and transform needs, goals and transforming in to functional requirements and delivering the appropriate artifacts as needed.
• Work with operational leaders within the business to provide recommendations on opportunities for process improvements, medical cost savings or revenue enhancements.
• Create Business Requirements Documents, Test Plans, Requirements Traceability Matrix, User Training materials and other related documentations.
• Actively participates in all stages of project and program oversight development including research, design, programming, testing and implementation to ensures the released product meets the intended functional and operational requirements
JOB QUALIFICATIONS
Required Education
Bachelor's Degree or equivalent combination of education and experience
Required Experience
5-7 years of business analysis experience,
6+ years managed care experience.
Demonstrates proficiency in a variety of concepts, practices, and procedures applicable to job-related subject areas.
Preferred Education
Bachelor's Degree or equivalent combination of education and experience
PREFERRED EXPERIENCE
:
•3-5 years of formal training in Project Management
* Experience with faciliating joint operationing committee oversight meetings with external and internal business partners.
•Experience working with complex, often highly technical teams
PREFERRED LICENSE, CERTIFICATION, ASSOCIATION
:
Certified Business Analysis Professional (CBAP), Certification from International Institute of Business Analysis preferred
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $54,922 - $107,098/year
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
STATE SPECIFIC REQUIREMENTS
:
PHYSICAL DEMANDS
:
Working environment is generally favorable and lighting and temperature are adequate. Work is generally performed in an office environment in which there is only minimal exposure to unpleasant and/or hazardous working conditions. Must have the ability to sit for long periods. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential function.
#PJShared2
#LI-BEMORE
#LI-Remote$54.9k-107.1k yearly12d ago
Part Time Sales Rep - Entry Level - Work from Home
We have an immediate need for part time sales reps. Interview now and start within the week!$40k-49k yearly est.2d ago
Customer Service Associate
Having a degree or customer service experience is helpful. If so, consider joining our customer service team. Fidelity Investments is a privately held company with a mission Demonstrating excellent customer service skills with perseverance to resolve issues and processing transactions accurately$36k-46k yearly est.9d ago
Triage RN - Medical Communication Center - Work From Home (Part Time/Full Time)
Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.Shift:Second Shift (United States of America) Triage RN - Medical Communication Center - Work From Home (Part Time/Full Time) Position Highlights:This position has the opportunity to be able to work from home after required in-office training (6-12 weeks). Orientation consists of first shift/daytime hours (7AM - 5PM). Must live in the Omaha area ( 1hour radius) incase of outage that would require you to come into the office.Shift Differential:10% of base pay for second shift9% of base pay for weekends or holidays Shift Details: Part Time or Full Time | 0.5FTE or 1.0 FTE | 20 - 40 Scheduled Weekly HoursEvening and Weekend Hours Every 3rd weekend and Rotating HolidaysWhy Nebraska Medicine: Our shared values reflect who we are and why we're here and include, Innovation, Teamwork, Excellence, Accountability, Courage and Healing.Competitive Benefits including retirement match contribution, PTO accrual, tuition reimbursement Lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care Forbes Magazine recognizes us in their list of American's top employers and the best employer in NebraskaRecruiter ContactProvide and coordinate delivery of clinical resources to assure safe, high quality patient care and ensure continuity of care. Perform duties in an environment of care where the needs of a patient are short term, non-acute, and non-life threatening.Required Qualifications:• Bachelor's degree in nursing (BSN) required unless candidate meets all of the factors to qualify for Exception A or Exception B*.• Demonstrated effective communication skills required.• Ability to demonstrate initiative, teamwork, and flexibility required.• Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required.• Basic Life Support (BLS) certification endorsed by the American Heart Association (AHA) required.• Pediatric Advanced Life Support (PALS) department dependent required.Preferred Qualifications:• Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred.• Master's of Science in Nursing (MSN) degree preferred.• Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred.• Proficient with use of email applications preferred.• Experience with EPIC or other electronic medical records preferred.*Exception details:EXCEPTION A: Candidate must meet all of the following: (1) has current experience directly applicable to position; (2) is deemed the best candidate for the position; and (3) written approval to hire a candidate without a BSN is received from the appropriate levels of operational leadership, nursing professional practice leadership and the Chief Nursing Officer. If a candidate is hired without a BSN after meeting these criteria, the candidate must either have 30 years of experience directly applicable to the position or sign a written agreement consenting to obtain a BSN within four years from his/her hire date. EXCEPTION B: Candidate must meet all of the following: (1) is currently employed by Nebraska Medicine, or is eligible for rehire into a benefit eligible employment status at Nebraska Medicine within 364 days of the previous termination date; (2) hired by Nebraska Medicine before November 21, 2014, or hired by an entity acquired by Nebraska Medicine if the employee was hired before the acquisition; (3) has experience directly applicable to position; and (4) currently hold a Registered Nursing License.Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.$55k-71k yearly est.4d ago
Manager, Appeals and Grievances (Remote- must be located in Nebraska
Responsible for leading, organizing and directing the activities of the Grievance and Appeals Unit that is responsible for reviewing and resolving member and provider complaints and communicating resolution to members or authorized representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid
KNOWLEDGE/SKILLS/ABILITIES
Manages staff responsible for the submission/resolution of member and provider inquiries, appeals and grievances for the Plan. Ensures resolutions are compliant.
Proactively assesses and audits business processes to determine those most effective and efficient at resolving member and provider problems.
Serves as primary interface with stakeholders and business partners and ensures standard processes are implemented.
Oversees preparation of narratives, graphs, flowcharts, etc. to be used for committee presentations, audits and internal/external reports; oversees necessary correspondence in accordance with regulatory requirements.
Maintains call tracking system of correspondence and outcomes for provider and member appeals/grievances; oversees monitoring of each member submission/resolution to ensure all internal and regulatory timelines are met.
JOB QUALIFICATIONS
REQUIRED EDUCATION:
Bachelor's degree or equivalent experience
REQUIRED EXPERIENCE:
Min. 6 years' experience in healthcare claims review and/or member dispute resolution.
2 years leadership experience
Experience reviewing all types of medical claims (e.g. HCFA 1500, Outpatient/Inpatient UB92, Universal Claims, Stop Loss, Surgery, Anesthesia, high dollar complicated claims, COB and DRG/RCC pricing).
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
#PJClaims
#LI-BEMORE$62k-96k yearly est.6d ago
Every colleague plays a key role in upholding this promise to our patients and their families.Shift:First Shift (United States of America) Pharmacy Technician - Medication Access Coordinator Position Highlights:Nebraska Medicine is now taking applications for a talented individual to join us as an Experienced Pharmacy Technician - Medication Access Coordinator in our Retail/Specialty Pharmacy department. This is an ideal role for someone with a passion for pharmacy but also one with problem solving skill to advocate solutions for our Nebraska Medicine patients. This position works at our Central Fill location for Nebraska Medicine.$31k-36k yearly est.43d ago
Amazon Customer Service - Work From Home $16-$35/hr
(APPLY) An Amazon Customer Service Associate is a critical part of our mission to deliver timely, accurate and professional customer service to all Amazon customers.$31k-36k yearly est.6d ago
OT Configuration Engineer
Location: Huntingdon/Lincoln - Hybrid Working 1-3 days in office weekly Our telemetry system is one of the largest in the utilities sector, providing 24/7 365 monitoring and control to 1000s of our operational sites across the Anglian Water region Anglian Water offers flexible hybrid working, this role provides you the flexibility to work from home and from an Anglian Water office, ideally working from the office an average of two days per week. We need you to bring a dynamic and forward-thinking approach with first-class interpersonal, analytical and communication skills, which will enable you to swiftly become an asset to our team, as well as the Anglian Water Business. Your base location will ideally be in Huntingdon or Lincoln.$75k-99k yearly est.10d ago
Retirement Consultant
We are excited to bring on a **Retirement Consultant** within Retirement Plan Services to join the Northeast Region ( **Wilmington, DE and Surrounding Area** ). ** At Lincoln Financial Group, we love what we do. + Support Relationship Management with retention efforts and look for opportunities to promote other Lincoln services and cross partner with appropriate internal stakeholders. As the Retirement Consultant, you will deliver retirement planning, education, and world class service to complex retirement plan sponsors and participants.$41k-60k yearly est.6d ago
System Administrator
The System Administrator's responsibilities will include implementation and administration of server-based applications The position will work closely with the Engineer Team on all aspects of the following technologies: Multi-Tiered applications, Software Deployment, Patch Management, IIS, Database administration, and application infrastructure for the enterprise network.$80k-100k yearly est.4d ago
Sales Administrative Assistant South MHS
Marriott International is the world's largest hotel company, with more brands, more hotels and more opportunities for associates to grow and succeed.$35k-40k yearly est.5d ago
R1240195 Manager Corporate and Executive Compensation - Veralto
When you join us, you'll also be joining Danaher's global organization, where 80,000 people wake up every day determined to help our customers win.$98k-126k yearly est.7d ago
Customer Service Rep
Having a degree or customer service experience is helpful. If so, consider joining our customer service team. Fidelity Investments is a privately held company with a mission Demonstrating excellent customer service skills with perseverance to resolve issues and processing transactions accurately$31k-40k yearly est.1d ago
Director, Proposals & Commercial Operations
The Director, Proposals & Commercial Operations will be responsible for the development and management of proposals in response to RFPs, RFIs, and other opportunities. As part of Evolent Health, we are on a bold mission to change the health of the nation by changing the way health care is delivered.$77k-120k yearly est.5d ago
Sales Associate-SOUTHPOINT PAVILIONS
Bath & Body works is proud to offer a competitive, performance-based compensation and benefits package to our eligible associates. We're looking for you to join our team as a sales associate. In this role, you will be the face of Bath & Body Works - understanding our customers' needs and helping them find the best products for themselves and others. Description At Bath & Body Works, everyone belongs.$28k-33k yearly est.19d ago
