Customer Service Representative (Pharr TX or Brownsville TX area) Remote
Omaha, NE jobs
Description & Requirements Maximus is looking for customer service representatives in and around the Pharr Texas/Brownsville TX areas. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs
Must reside within a 75 radius of the Brownsville or Pharr Texas area.
This position is fully remote; however, you must be able to go onsite to the Maximus Pharr Texas location to pick up equipment.
This position will require a favorable Federal suitability clearance post-hire as mandated by the client.
*Position is contingent upon contract award*
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are basic and routine.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
- Experience in a call center environment highly preferred
- Must Be a US Citizen
- This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US.
- Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client.
- Must be able to pick up equipment at the Maximus Pharr, TX Location.
Minimum Requirements
- High School diploma or equivalent with 6 months of customer service experience.
- Must be able to speak and read English clearly, professionally and fluently.
#HotJobs1104LI #HotJobs1104FB #HotJobs1104X #HotJobs1104TH #TrendingJobs
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
16.00
Maximum Salary
$
16.00
Easy ApplyCommercial Account Manager - North Central US (Nebraska, Iowa, South Dakota)
Omaha, NE jobs
Milliken & Company is a global manufacturing leader whose focus on materials science delivers tomorrow's breakthroughs today. From industry-leading molecules to sustainable innovations, Milliken creates products that enhance people's lives and deliver solutions for its customers and communities. Drawing on thousands of patents and a portfolio with applications across the textile, flooring, chemical and healthcare businesses, the company harnesses a shared sense of integrity and excellence to positively impact the world for generations. Discover more about Milliken's curious minds and inspired solutions at Milliken.com and on Facebook, Instagram and LinkedIn.
POSITION TITLE
Commercial Account Manager - North Central US (Nebraska, Iowa, South Dakota)
POSITION OVERVIEW
Milliken Flooring is searching for a Commercial Account Manager to join the Americas Sales team covering Nebraska, Iowa, and South Dakota. The specific role manages all aspects of current contract sales and new account acquisitions in the territory. The ideal candidate should possess strong experience and knowledge of the contract sales process and preferably knowledge of the contract carpet industry. We are looking for someone with comprehensive knowledge of the local A&D industry - capable of specifying and selling through this segment, and experience in seeking and developing annuity business with end users. This person should have evidence of strategic relationships with key decision makers in the territory and the ability to see the "big picture" by assessing, prioritizing, navigating and quickly adapting to complex situations in key projects. This person also needs to have strong listening and communication skills used to identify customer needs and encourage customers to specify and purchase Milliken flooring products. In order to strengthen key relationships and secure specifications on must win projects, this person will need to be able to work flexible hours.
JOB RESPONSIBILITIES
* The successful candidate will meet and exceed all revenue and growth goals assigned.
* Develop, plan, and execute sales and marketing strategies within assigned A&D, End User, and Dealer accounts.
* Develop and maintain a detailed sales strategy for each target aimed at retention/penetration to gain targeted market share within specified segments.
* Establish, develop, strengthen, and maintain relationships at all levels of assigned A&D and End User accounts.
* Promote the Company brand in the marketplace.
* Support commercial dealer channel strategies and relationships to fully maximize contracting opportunities and market coverage.
* Manage all aspects of day-to-day account management.
* Identify winnable projects. Fill and maintain a workable pipeline.
* Be involved in industry trade organizations. IIDA/IFMA, etc.
QUALIFICATIONS - REQUIRED
* Must reside in the Omaha or Des Moines market area.
* Qualification B.S./B.A.
* 3+ years' direct industry sales or relevant experience.
* Ability to travel up to 30% within and outside assigned territory.
* Well-developed communication and execution management skills.
* Must be a self-starter, experience with working from home office with limited supervision.
* Must possess very strong personal presence and interpersonal skills.
* Must be comfortable interacting with a wide variety of customers - from technical to non-technical.
* Strong understanding of the design process.
* Ability to lift and move flooring materials up to 40lbs in weight.
The successful candidate will have strengths in the following:
* Working collaboratively through constant communication, shared vision, singular goal for the market
* Excellent communication skills, scripting presentations and public speaking
* Planning, organization, time management, and attention to detail
* Effectively utilizing technology: social media platforms, PowerPoint, CRM, etc.
#LI-EC1
Milliken is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to actual or perceived race, color, creed, religion, sex or gender (including pregnancy, childbirth or related medical condition, including but not limited to lactation), sexual orientation, gender identity or gender expression (including transgender status), ancestry, national origin, citizenship, age physical or mental disability, genetic information, marital status, veteran or military status or any other characteristic protected by applicable law.
To request a reasonable accommodation to complete a job application, pre-employment testing, a job interview, or to otherwise participate in the hiring process, please contact ******************************.
Care Advisor - Remote
Lincoln, NE jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Training Coordinator
Omaha, NE jobs
Description & Requirements Maximus is seeking adaptable and detail-oriented Training Coordinators to support virtual training delivery across a variety of contact center programs. In this role, Training Coordinators serve as key operational support for virtual training sessions, monitoring attendance, resolving technical issues, escalating classroom concerns, and assisting learners with system access and navigation challenges. Ideal candidates will be comfortable working in fast-paced virtual environments and using Microsoft Teams to ensure smooth and effective training experiences.
*Position is contingent upon contract award*
This is a fully remote role.
Equipment will be provided but must meet the remote position requirement provided below.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Coordinate logistics for instruction events, including scheduling classes, reserving classrooms, and preparing workstations.
- Determine resource readiness for courses, including materials, training room, technology, and collection and entry of training data.
- Maintain records of training activities, participant progress, and program effectiveness.
- Provide production floor support and answer questions.
• Provide real-time support across multiple virtual training sessions, ensuring smooth delivery and learner engagement.
• Troubleshoot technical issues related to audio, connectivity, and platform access.
• Escalate classroom concerns and technical disruptions to appropriate teams for resolution.
Minimum Requirements
- High School diploma or equivalent with 1-3 years of experience.
- Bachelor's degree preferred.
- May have additional training or education in area of specialization.
• Experience supporting virtual training sessions using Microsoft Teams preferred.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
17.83
Maximum Salary
$
29.50
Easy ApplyTier 2 Specialist (CSR Operations)
Omaha, NE jobs
Description & Requirements Maximus Federal is proactively seeking top talent in anticipation of a potential upcoming contract with the Defense Travel Management Office (DTMO) Travel Assistance Center (TAC). This is a full-time fully remote position. Why Join Maximus?
Becoming part of Maximus means joining a team that offers:
- Comprehensive benefits, including medical/dental/vision, paid time off, and more
- Opportunities for career advancement and professional development
- A collaborative, respectful work environment with supportive leadership and mentorship
As a Tier 2 Analyst, you will provide advanced customer service support for the Defense Travel Management Office, handling escalated inquiries and serving as a subject matter expert for travel-related systems and policies.
This position offers pay and benefits in accordance with the Service Contract Act (SCA) regulations.
Essential Duties and Responsibilities:
- Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).
- Calls are predominantly routine, but may require deviation from standard screens, scripts, and procedures.
- Uses computerized system for tracking, information gathering, and/or troubleshooting.
- Provides feedback when needed, provide input on call trends, processes, procedures, and training.
- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.
Job-Specific Essential Duties and Responsibilities
- Provide customer service for basic and escalated inquiries and problems via multiple channels (telephone, emails, web chats)
- Receive and resolve escalations from Tier 1 support staff
- Support updates to Standard Operating Procedures (SOPs)
- Provide feedback when needed, including input on call trends, processes, procedures, and training
- Use computerized systems for tracking, information gathering, and troubleshooting
- Handle high volume inbound calls, chats, and emails
- Provide subject matter expertise regarding the DoD Government Travel Charge Card Program (GTCC), the Defense Travel System (DTS), and Travel Policy
- Ensure escalations are in compliance with travel regulations
- Receive, analyze, comprehend and respond to information inquiries and requests through various communication channels
- Other duties as assigned
Job-Specific Minimum Requirements:
- High School diploma or equivalent
- At least six months of related experience
- Ability to meet deadlines and goals, strong communication skills, detail orientated, strong attention to detail
- Ability to work as part of a team with strong problem/situation analysis capabilities
- US Citizenship (no dual citizenship)
- Ability to obtain Public Trust clearance
- Previous DTMO TAC experience (preferably as Tier 2 Analyst)
Minimum Requirements
- High School diploma or equivalent with 6 months of customer service experience.
- May have additional training or education in area of specialization.
Preferred Skills & Experience
- Active Public Trust clearance
#techjobs #VeteransPage
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
19.00
Maximum Salary
$
26.50
Easy ApplySenior Coordinator, Individualized Care
Lincoln, NE jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**_Responsibilities_**
+ Investigate and resolve patient/physician inquiries and concerns in a timely manner
+ Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate
+ Proactive follow-up with various contacts to ensure patient access to therapy
+ Demonstrate superior customer support talents
+ Prioritize multiple, concurrent assignments and work with a sense of urgency
+ Must communicate clearly and effectively in both a written and verbal format
+ Must demonstrate a superior willingness to help external and internal customers
+ Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable)
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Must self-audit intake activities to ensure accuracy and efficiency for the program
+ Make outbound calls to patient and/or provider to discuss any missing information as applicable
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome
+ Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties
+ Support team with call overflow and intake when needed
+ Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner.
**_Qualifications_**
+ 3-6 years of experience, preferred
+ High School Diploma, GED or technical certification in related field or equivalent experience preferred
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.70 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/4/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Supervisor, Support Center Operations - Remote (Bilingual Spanish) PST Hours
Nebraska jobs
+ Provides customer support and stellar service to meet the needs of our Molina members and providers. + Resolves issues and addresses needs fairly and effectively, while demonstrating Molina values in their actions. + Provides product and service information and identifies opportunities to improve our member and provider experiences.
**KNOWLEDGE/SKILLS/ABILITIES**
+ Supervises a team of employees. Trains, coaches, monitors, and manages the team's performance to meet or exceed company and department performance expectations.
+ Effectively manages escalations within the department by ensuring appropriate accountability, sense of urgency, communication and follow through to closure.
+ Ensures compliance with Contractual and Regulatory requirements.
+ Addresses more complex member inquiries, questions and concerns in all areas including enrollment, claims, benefit interpretation, and referrals/authorizations for medical care.
+ Provides exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public.
+ Achieves individual performance goals as it relates to call center objectives.
+ Demonstrates personal responsibility and accountability and leads by example through individual performance.
+ Support projects and special initiatives as appropriate.
**JOB QUALIFICATIONS**
**Required Education**
Associate degree or equivalent combination of education and experience
**Required Experience**
+ 3-5 years' experience in a call center environment
+ 1-2 years supervisory experience
**Preferred Education**
Bachelor's Degree or equivalent combination of education and experience
**Preferred Experience**
5-7 years
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: $45,390 - $84,086 / ANNUAL
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Provider Relations Manager HP
Lincoln, NE jobs
must reside in the state of Nebraska Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service.
Job Duties
This role serves as the primary point of contact between Molina Health plan and the Plan's Complex Provider Community that services Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts. It's a provider-facing, remote position with up to 20% travel (mostly daytime) throughout Nebraska, requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership.
* Under general supervision, works directly with the Plan's external complex providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service.
* Resolves complex provider issues that may cross departmental lines including Contracting, Finance, Quality, Operations, and involve Senior Leadership.
* Responsible for Provider Satisfaction survey results.
* Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise.
* Facilitates strategic planning and documentation of network management standards and processes. Effectiveness is tied to financial and quality indicators.
* Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an emphasis on developing and implementing standards and best practices sharing across the organization.
* MCST matrix team environmental support including, but not limited to: New Markets Provider/Contract Support Services, PCRP & CSST resolution support, and National Contract Management support services.
* Serves as a subject matter expert for other departments.
* Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members.
* Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship.
* Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters.
* Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. For example, such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding.
* Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's).
* Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include: administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.).
* Trains other Provider Relations Representatives as appropriate.
* Role requires up to 20% travel, majority being daytime travel.
Job Qualifications
REQUIRED EDUCATION:
Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience.
REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:
* 4-6 years provider network relations and management experience in a managed healthcare setting.
* Working experience servicing complex providers with various managed healthcare provider compensation methodologies, including but not limited to: fee-for service, value-based contracts, capitation and various forms of risk, ASO, etc.
PREFERRED EDUCATION:
Master's Degree in Health or Business related field
PREFERRED EXPERIENCE:
* 5 years experience in managed healthcare administration.
* Specific experience in provider services and/or operations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals).
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: $57,394 - $117,808.76 / ANNUAL
* Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
About Us
Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Special Needs Plan- Support Social Services
Lincoln, NE jobs
**Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action.
The Care Manager, Telephonic Behavioral Health 2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to help promote and support member health and well-being.
This role requires the use of structured assessments along with critical thinking skills to determine appropriate interventions such as care coordination, health education, connection to community resources, full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the interdisciplinary team to address member needs.
The Support SSs daily job duties include making outbound call attempts to members with social determinants of health (SDOH) needs to assess and assist with coordinating care with available plan benefits and/or appropriate community resources in a telephonic, call center, work from home environment. This role does not carry a caseload but may require additional member follow-up to ensure that all needs have been assessed and addressed. The Support SS may also receive inbound calls from members needing additional assistance. This role is also responsible for assessing the member to determine if a referral to any other discipline is needed depending on member's individualized needs.
Creating and updating member care plans may be required. Documentation in the member's record is required to ensure CMS compliance, and accurately reflect work with members, providers, and other members of the interdisciplinary care team.
**Use your skills to make an impact**
**Required Qualifications**
+ Master's degree in social work from an accredited university
+ Current, unincumbered, social work license; **LMSW, LCSW, LICSW**
+ Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level)
+ Minimum 3 years of experience working as a social worker in a medical healthcare setting
+ Proficient in Microsoft applications including Word, Outlook, Excel
+ Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously
+ Must be willing to obtain/maintain social work licensure in multiple states, based on business need
**Preferred Qualifications**
+ Experience working with geriatric, vulnerable, and/or low-income populations
+ Licensure in LA, MD, MI, MS, NV, NM, OK, VA
+ Bilingual English/Spanish
+ Bilingual English/Creole
+ Experience working with Medicare and Medicaid
**Additional Information**
**Work-At-Home Requirements:**
To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
**Social Security Notification:**
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website.
**HireVue Interview Process:**
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.
**Benefits Day 1:**
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
**START DATE after completion of background/onboarding-**
*Projected start dates for these positions will be throughout Feb 2026 with all interviews being conducted Dec/Jan
**Schedule:**
+ Hours for this position are Monday - Friday 9:30am - 6pm EST.
+ Hours for the first 2 weeks of training are M-F 8:30am-5pm EST
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
**Scheduled Weekly Hours**
40
**Pay Range**
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$59,300 - $80,900 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
**Description of Benefits**
Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 12-21-2025
**About us**
Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.
**Equal Opportunity Employer**
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************
Easy ApplyClinical Dietitian 2 REMOTE
Lincoln, NE jobs
**Healthy Weight Coach** **REMOTE - Monday through Friday, no weekends** **Preferred Experience** - Chronic disease (weight loss, diabetes) - Strong behavioral change interest and/or experience - Digital/virtual health coaching experience **Preferred Training**
- Licensed RD
- Experience with MNT for obesity, diabetes, HTN, Lipid disorders
- NBC-HWC
- Mastery of the coaching process, foundational theories/principles of behavior change
- Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam
- Only coaching credential recognized by the National Board of Medical Examiners
* **No Credentialing required***
**JOB SUMMARY**
The Clinical Dietitian 2 provides nutrition therapy and education to patients, families and the community. Performs nutritional assessments of patients and develops care plans. Develops and conducts educational programs and in service training programs. Participates in multi disciplinary patient rounds and patient case conferences.
**ESSENTIAL FUNCTIONS OF THE ROLE**
Conducts patient nutrition assessments on a combination of low and higher acuity patients within scope of practice, which may include both inpatient and outpatient. Utilizes assessment techniques which take into consideration the various needs of age specific populations as well as cultural, religious and ethnic concerns.
Provides appropriate and timely documentation that summarizes the nutrition care plan in the patient's medical record, including nutrition assessment, diagnosis, plan, implementation, and progress toward goals in the course of performing primary duties.
Assesses educational needs and the presence of barriers to learning. Provides nutrition counseling for individuals and groups, taking into consideration any adaptations to teaching methods necessary to meet patient learning needs. Provides education to both low and higher acuity patients within practice scope. Facilitates education to ensure compliance with food safety, sanitation and overall workplace safety standards within the Food and Nutrition Department, if applicable.
Evaluates achievement of learning objectives by the patient and family. Provides appropriate follow-up in accordance with the patient's treatment goals, and refers patient for outpatient counseling, community, or home health services, as appropriate. Conducts ongoing evaluations to lead to a correct nutritional diagnosis of the patient's problems and progress while maintaining safety and professional standards.
Interacts with medical staff as well as food and nutrition staff to ensure conformance with medical nutrition therapy. Interacts effectively with multidisciplinary teams to provide patient care that is integrated and compatible with the patient focused medical and nutritional goals.
Leads team conferences and provide food and nutrition related in services to other medical staff as required.
Assists in developing nutritional care and research protocols. Participates in quality assurance program by assisting in development of patient care criteria and analyzing actual care delivered.
Participates in organizing and executing health fairs and other related community events.
Assists in the development, research and revision of facility policies.
**KEY SUCCESS FACTORS**
Accountable for the proper use of patient protected health information.
Ability to deal with complex situations and resolve patient and customer service concerns.
Ability to give clear, concise and complete education and instructions.
Works well in a patient-centered environment as an integral team player.
Ability to adapt communication style to suit different audiences. Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful. Ability to calm upset patient in a composed and professional demeanor.
Licensed Registered Dietitian preferred.
**BENEFITS**
Our competitive benefits package includes the following
- Immediate eligibility for health and welfare benefits
- 401(k) savings plan with dollar-for-dollar match up to 5%
- Tuition Reimbursement
- PTO accrual beginning Day 1
Note: Benefits may vary based upon position type and/or level
**QUALIFICATIONS**
- EDUCATION - Masters'
- EXPERIENCE - 2 Years of Experience
- CERTIFICATION/LICENSE/REGISTRATION -
Registered Dietitians (RD)
* **No Credentialing required***
**Preferred Experience**
- Chronic disease (weight loss, diabetes)
- Strong behavioral change interest and/or experience
- Digital/virtual health experience
**Preferred Training**
- Licensed RD
- Experience with MNT for obesity, diabetes, HTN, Lipid disorders
- NBC-HWC
- Mastery of the coaching process, foundational theories/principles of behavior change
- Requires completing an approved training program (minimum 400 hours), documented coaching sessions, and passing a board exam
- Only coaching credential recognized by the National Board of Medical Examiners
As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Outpatient Program Specialist
Nebraska jobs
As the Outpatient Program Specialist, you will be responsible for overseeing and ensuring the success of quality improvement initiatives, including chronic disease management, behavioral health, and data reporting initiatives across our region. This is a remote position and the ideal candidate lives in Colorado, Idaho, Iowa, Kansas, Montana, Missouri, Nebraska, Oregon, or Wyoming. However, Telligen will consider internal candidates in other states.Essential Functions
You will support a team of Quality Improvement Advisors (QIAs) to ensure the delivery of effective technical assistance (TA), achievement of project goals, and compliance with deliverables.
You will serve as a subject matter expert in topic areas related to outpatient primary care practice, such as patient safety, risk assessments, process mapping, documentation and billing, and data reporting. You will facilitate the team's ability to identify opportunities for improvement, address challenges, and ensure the alignment of interventions with organizational and project-wide goals.
You will also be responsible for state, regional, and national partner engagement across the region, including ongoing support of relationships and collaborative activities.
Requirements
Bachelor's degree in nursing, public administration, public policy, public health, or a related field, required
Proven ability to design, implement, and support a regional technical assistance strategy tailored to providers' unique needs.
Comprehensive knowledge of primary care delivery, chronic disease management processes, and data reporting requirements. Direct experience in an outpatient setting preferred.
In-depth understanding of clinical quality measures and QI methodologies to identify gaps in care, including supporting implementation of evidence-based interventions that will improve outcomes and knowledge of barriers and drivers for improvement in key focus areas.
Proven ability to design and deliver effective training programs, workshops, and learning collaboratives to build capacity in quality improvement practices among healthcare professionals.
Preferred Skills/Experience
Clinical licensure (e.g., RN, LPN, MSW, PharmD).
Master's degree in public health, quality improvement science, health informatics, or related field.
Proven experience mentoring multidisciplinary teams, including quality improvement professionals or equivalent roles.
Proven ability to manage project timelines, meet deadlines, and produce detailed written reports.
Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences.
Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise.
Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions.
Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health.
Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed.
While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate.
Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants.
Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms.
Auto-ApplyRemote BCBA (Board Certified Behavior Analyst)
Kearney, NE jobs
Full-time Description
** Must Reside in the State of Nebraska to be Considered**
Looking to make a change in 2025? Rediscover the joy in your BCBA role with Lighthouse Autism Center!
Are you feeling like something is missing in your current BCBA position? At Lighthouse, you can say goodbye to the stress of administrative overload and hello to a role where you're empowered to focus on making a difference in the lives of your learners.
What to expect in the role:
Overseeing a caseload of learners by creating, monitoring, and continuously evaluating individualized treatment and behavior intervention goals/plans, making modifications as needed
Establishing and maintaining rapport with parent(s)/caregiver(s) for each learner on caseload and conducting monthly parent/caregiver trainings in the center, home, or community
Conducting initial and ongoing assessments for new learners as needed and completing corresponding insurance documents
Strategizing and communicating with other members of the clinical team for overall center management
Why join us?
LAC believes in ongoing progression in the field of ABA and stays on top of the latest research and clinical techniques to ensure our BCBAs are continuously improving their skillsets. We emphasize the importance of individualized, comprehensive treatment packages, and accomplish this through our collaborative approach. In addition to our BCBAs, our team consists of dually certified SLP-BCBAs, SLPs, and OTs that contribute to the success of our learners. Our state-of-the-art centers allow for endless programming opportunities, from naturalistic teaching through play, to daily living skills, to transition-readiness skills!
What sets LAC apart from the rest?
Support for your hard-earned certification: Enjoy free CE opportunities, an annual CE stipend, and paid recertification + licensure fees
Extra rewards for doing what you love: Earn robust, monthly bonuses for completing your day-to-day tasks
Work-life flexibility: Take advantage of work-from-home days for added convenience
We've got you covered: Company-dedicated funds for learner reinforcers, center materials, and staff appreciation
Peace of mind: Comprehensive liability insurance so you can focus on making an impact
Flexibility when you need it: Flexible schedules allow for appointments, family events, and life's unexpected moments
LAC is proud to offer benefits that support your health, financial well-being, and work-life balance:
Heath, vision, and dental coverage starting day 1 - HSA & FSA options available
Generous time off structure - 3 weeks accrued in your first year
401K eligibility after 30 days of employment with up to 4% employer match
Short and long-term disability
8 paid holidays
Paid parental leave
Employee Assistance Program
Annual performance review + salary increase
Join a team that's as dedicated to your success as you are to your learners. At Lighthouse Autism Center, we'll support and provide the opportunities you need to grow while making a lasting impact on those we serve!
Requirements
Master's Degree in ABA, Psychology, Education, or related field
Board Certified Behavior Analyst (BCBA)
Must have state licensure or be eligible to obtain state licensure
2 to 3 years of experience in ABA field, working with a variety of ages
2 to 3 years management/supervision experience
Demonstrates exemplary leadership, mentoring, and organization skills
Completely independent with ABA programming and implementing evidence based intervention strategies
Meets all expectations of SR PM position based on checklist attached
Salary Description Up to $85,000 + monthly bonus opportunities
Client Relationship Manager
Lincoln, NE jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client.
+ Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented.
+ Monitors all program's activities and IT projects associated with the program
+ Includes setting due dates and responsible parties
+ Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met
+ Regular reporting out of all program's activities
+ Solicit feedback from the activity/task owners on sub-tasks
+ Maintain up-to-date activity timeline, articulate progresses and delays
+ Develops and manages activities timelines to ensure all deliverables are completed on schedule.
+ Obtain consensus for activities risks, decisions and closures
+ Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities.
+ Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met.
+ Escalate delayed activities to program's leadership
+ If activity owners are missing deadlines consistently and/or are unresponsive.
+ Managing contract amendments and project change requests for the client.
+ Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client.
+ Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams.
+ Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors.
+ Oversee daily operations and ensure alignment with client expectations and internal standards
+ Supports audits and regulatory reviews as needed
+ Ensure financial billing accuracy
+ Contact healthcare professionals for clarifications and information as needed
**_Qualifications_**
+ Min 5 years related client services experience, preferred
+ Min 5 years' experience in managing complex program activities with high accountability, preferred
+ Bachelor's degree preferred
+ Ability to travel - less than 25%
+ Proven product knowledge in business area
+ Licensed pharmacy technician in Texas preferred
**_What is expected of you and others at this level_**
+ Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities.
+ Own and develop tracking tools to achieve specific program management goals and activities.
+ Create and participate in recurring business review presentations
+ Recommends new practices, processes, metrics, or models
+ Projects may have significant and long-term impact
+ Provides solutions which may set precedent
+ Independently determines method for completion of new projects
+ Receives guidance on overall project objectives
+ Acts as a mentor to less experienced colleagues
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $80,900.00 - $92,400.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/19/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Supervisor Customer Service Management
Lincoln, NE jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
The Customer Service Operations Supervisor will oversee program staff performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, copay enrollment and other patient services.
+ Collaboratively oversees daily operations for an inbound and outbound patient access support team of 70+ team members
+ Ability to maintain development/training goals for team members in a 100% remote setting
+ Responsible for creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Responsible for conducting weekly, monthly, and quarterly reviews of program metrics and reporting out results to senior leadership
+ Responsible for testing/solutioning/approving program changes including those related to Information Technology, platform upgrades and modifications to program business rules
+ Handles creation, editing, and approval of employee timecards in accordance with time-keeper manager responsibilities in addition to other standard HR responsibilities as a people leader
+ Conducts development-based biweekly/monthly/quarterly 1x1s with team members and holds responsibility for providing effective coaching and feedback on both performance improvement and goal setting
+ Collaborates with internal business partners to provide effective responses and resolutions to complex program related issues
+ Effectively manages time and independently prioritizes work responsibilities to meet key deadlines as assigned by manager
+ Maintains daily contact with client/3rd party partners by leveraging excellent verbal and written communication skills
**_Qualifications_**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related field preferred
+ Previous management experience preferred
+ Strong communication and presentation skills
+ Commitment to the continued development of oneself and team members
**_What is expected of you and others at this level_**
+ Coordinates and supervises the daily activities of operations
+ Administers and executes policies and procedures
+ Ensures employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
+ Consistently demonstrate the Cardinal Health values (What we value):
+ Integrity - We hold ourselves to the highest ethical standard
+ Accountable - We bring passion, determination, and grit to deliver on our commitments
+ Inclusive - We embrace differences to drive the best outcomes
+ Mission Driven - We serve the greater goal of healthcare
+ Innovative - We develop new ways of thinking, operating, and serving customers
+ Regularly practice the Cardinal Heath behaviors (The way we act):
+ Invites curiosity
+ Builds partnerships
+ Inspires commitment
+ Develops self and others
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week).
Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $66,500 - $94,900
**Bonus eligible: No**
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** **02/09/2026** *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
New Provider Liaison - Veterans Evaluation Services
Omaha, NE jobs
Description & Requirements Maximus is currently hiring for New Provider Liaisons to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The New Provider Liaison (NPL) is responsible for supporting and guiding newly contracted medical providers on an individually assigned basis. NPLs are the new provider's first point of contact ultimately there to equip our providers with the tools required to become proficient in the performance of Compensation and Pension examinations. Some of the assistance may include providing specified guidance on DBQ worksheets and a comprehensive understanding of VA rating criteria, technical support for providers in the use of the Portal (to include access and research of medical records, and aiding in report completion and submission), and expand upon the initial training, given by the Provider Development and Retention Department, into a broader and more complete overview of each provider's function within VES.
- Due to contract requirements, only US Citizen or a Green Card holder can be considered for this opportunity.
Essential Duties and Responsibilities:
- Conduct an orientation training with newly contracted providers via a communication platform.
- Analyze the first 5 to 10 submitted reports for newly contracted or reactivated providers on an individual basis.
- Conduct report review sessions with providers.
- Detect and summarize trends of errors in reports.
- Conduct remedial retraining sessions with providers that have been identified as needing improvement in report quality by either VA, Medical Advisory Board or VES Leadership.
- Provide in depth feedback on progress to providers via phone correspondence.
- Evaluate and approve providers to open scheduling when appropriate.
- Work closely in cooperation with the Quality Control, Scheduling, and Recruiting departments.
- Ability to work a shift of 8:00am-4:30pm CST Monday-Friday required
Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (1) ******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
- Must currently and permanently reside in the Continental US
- In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities.
Minimum Requirements
- Associate degree required; Bachelor's degree preferred.
- 1 year previous VES Quality Analyst experience.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
23.00
Maximum Salary
$
30.30
Easy ApplyTriage Nurse - Medical Communication Center - Work From Home
Omaha, NE jobs
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
Clinic Nurse - $1,000 Sign on Bonus
* Sign On Bonus - Must Meet Eligibility*
Position Highlights:
Nebraska Medicine is seeking an experienced Triage RN to join the Medical Communication Team, this role is located in Omaha, NE. This position has the opportunity to be able to work from home after in-office training (6-12 weeks). Orientation consists of first shift/daytime hours (7AM - 5PM). The Triage RN will be responsible for telephone triage, care coordinator, and patient education focused on providing exceptional care through multidisciplinary collaboration.
Must live in the Omaha area ( 1-hour radius) incase of outage that would require you to come into the office.
If you have questions about applying for the Triage RN role, please contact Allie Bruss at **********************.
Shift Details:
Part Time | 0.5 FTE | 20 Scheduled Weekly Hours.
Evening and Weekend Hours
Every 3rd weekend and Rotating Holidays
Why Work at Nebraska Medicine?
* Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.
* Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care.
* Diversity and Inclusion We value diverse backgrounds and experiences, reflecting the communities we serve.
* Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.
Be part of something extraordinary at Nebraska Medicine!
Job Duties: Triage RN
Provide 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, acute, and potentially-life threatening. Assesses patient condition using nursing critical thinking and protocols making safe decisions on dispositioning, care advice, and or escalation of needs efficiently and accurately.
Required Qualifications: Triage RN
* Associate's in nursing (ADN) or Nursing Diploma required.
* 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: Triage RN
* Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred.
* Bachelor's degree in nursing (BSN) or 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.
* Specific to the Medical Call Center department; multi-state license preferred.
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.
Auto-ApplyVice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)
Omaha, NE jobs
Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus.
This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area.
Key Areas of Responsibility
- Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials.
- Developing new programs for customer engagement including integrated marketing programs from concept to execution
- Drive Maximus Federal solutions and offerings.
- Manage digital and social media strategies across the federal market
- Build, manage, and coach a high-performing marketing team.
- Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports.
- Work closely with the growth leaders to align sales and marketing strategies
- Maintain brand standards and ensure compliance across all marketing and communications channels.
- Build long-term relationships with employees, clients, government officials, and stakeholders.
- Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company.
- Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement.
- Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation.
This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions.
Qualifications:
-15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team.
-Previous experience at a corporation focused on the Federal sector.
-Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered.
-MA degree in Marketing, Communication, or similar relevant field, preferred.
-Outstanding communication, presentation, and leadership skills.
-In-depth knowledge of the Federal sector.
-Critical thinker with problem-solving skills.
-Strong interpersonal and communication skills.
Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change Management
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
216,155.00
Maximum Salary
$
292,455.00
Easy ApplyCoordinator, Individualized Care
Lincoln, NE jobs
Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_Responsibilities_**
+ Maintains a current and in-depth understanding of patient therapy's, prior approval and reimbursement processes and details of health care plans.
+ Manages a queue of technical or complex therapy and reimbursement questions from customers and applies judgment in resolving service and problems falling within established limits of authority and knowledge.
+ Meets key performance indicators including service levels, call volumes, adherence and quality standards.
+ Follows up with patients, pharmacies, physicians and other support organizations as needed regarding inquiries.
+ Handles sensitive information and personal data with discretion including prescriptions, personal information, date of birth, financials and insurance information.
+ Escalates highly complex and difficult issues as needed to senior team members and Individualize Care leadership.
**_Qualifications_**
+ 1-3 years of experience, preferred
+ High School Diploma, GED or equivalent work experience, preferred
**_What is expected of you and others at this level_**
+ Applies acquired job skills and company policies and procedures to complete standard tasks
+ Works on routine assignments that require basic problem resolution
+ Refers to policies and past practices for guidance
+ Receives general direction on standard work; receives detailed instruction on new assignments
+ Consults with supervisor or senior peers on complex and unusual problems
**TRAINING AND WORK SCHEDULES** : Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
+ Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $18.10 per hour - $25.80 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/20/2026 *if interested in opportunity, please submit application as soon as possible.
The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Description & Requirements Maximus is seeking experienced Trainers to support a variety of contact center environments. Ideal candidates will have a strong background in delivering virtual training sessions using Microsoft Teams and be comfortable adapting to different operational needs. In this role, Trainers will help ensure agents are fully prepared to take calls and provide exceptional customer support.
*Position is contingent upon contract award*
This is a fully remote role.
Equipment will be provided but must meet the remote position requirement provided below.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Provide feedback regarding the design, development and distribution of training programs and materials as needed.
- Conduct, plan, and coordinate training to a variety of audiences.
- Coordinate logistics for instruction events, including scheduling classes, reserving classrooms, and preparing workstations.
- Determine resource readiness for courses, including materials, training room, technology, and collection and entry of training data.
- Maintain records of training activities, participant progress, and program effectiveness.
- Provide production floor support and answer questions.
• Collaborate with subject matter experts to ensure training content is accurate, relevant, and aligned with operational goals.
• Adapt training delivery methods to meet the needs of diverse learners, including bilingual participants.
• Monitor learner performance and provide feedback to the Training Supervisor as needed.
• Serve as a subject matter expert for assigned customer agencies.
Minimum Requirements
- High School diploma or equivalent required; Bachelor's degree preferred.
- 3 years of leadership and/or training experience required.
- May have additional training or education in area of specialization.
• Experience conducting virtual training sessions using Microsoft Teams preferred.
• Strong communication and facilitation skills, with the ability to engage remote learners effectively.
• Experience supporting training in contact center environments, including customer service, technical support, or specialized programs.
• Ability to manage multiple training sessions and priorities in a fast-paced environment.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
20.44
Maximum Salary
$
39.95
Easy ApplyNational Director of Sales, Market Access
Lincoln, NE jobs
**_What Edgepark and Advanced Diabetes Supply Group (ADSG) contributes to Cardinal Health_** Edgepark and Advanced Diabetes Supply Group (ADSG) are leading providers of direct-to-home durable medical equipment and supplies, serving a wide range of patient needs across critical therapy areas. Collectively, Edgepark and ADSG represent the insurance billing and direct-to-patient supplier arm of Cardinal Health - a Fortune 15 global healthcare services and products company headquartered in Dublin, OH.
The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for the integrated Edgepark & Advanced Diabetes Supply Group (ADSG) market access sales team. This position is a high-impact leadership role demanding the dynamic oversight of a team of nine National and Regional Account Managers. The leader is uniquely responsible for balancing traditional people management with direct, hands-on support for the team's critical frontline efforts, covering both strategic hunting and complex account management with payers and managed care organizations. By combining rigorous performance management with seasoned expertise in the managed care industry, this leader translates the overarching market access sales strategy into actionable, target-exceeding results.
Furthermore, the _National Director of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on support spans the full relationship lifecycle, managing everything from pipeline generation and dynamic contracting efforts to executing strategies that maximize reach and market penetration, and optimizing cash collections.
**Location** - Fully remote (nationwide search), with 20 - 30% travel expected
**Responsibilities**
+ Provide dynamic leadership to a team of nine National and Regional Account Managers, setting the standard for commercial excellence and strategic customer engagement
+ Strategically coach and develop the team's capabilities, equipping them with the executive presence and advanced business acumen required to successfully negotiate and drive high-impact discussions with payer organizations at the C-suite and senior leadership levels
+ Institute rigorous performance management and professional development frameworks to ensure all Account Managers consistently exceed established financial targets, partnership growth objectives, and key performance indicators
+ Mandate and oversee the consistent, high-fidelity utilization of Salesforce and enablement tools to ensure data integrity, robust pipeline visibility, and actionable insights into payer engagement lifecycle
+ Ensure consistent execution of the overarching managed care sales strategy, translating organizational objectives into clear, actionable plans for the account management team
+ Act as a direct executive contact and partner for key national and regional payers, ensuring active participation in ongoing Joint Operating Committees, quarterly business reviews, and strategic business development discussions
+ Serve as the primary internal champion and liaison, seamlessly coordinating with cross-functional teams to ensure the flawless execution and post-contract realization of payer programs and contracts
+ Drive seamless cross-functional coordination ensuring teams (e.g., Marketing, Finance, RCM, Operations) are aligned and mobilized to successfully execute on high-priority business objectives
+ Gather, synthesize, and disseminate market intelligence related to managed care trends, payer policies, and competitor actions to inform team strategy
+ Prepare and present regular performance reports, market insights, and strategic recommendations to senior leadership
+ Cultivate a high-performance learning culture through coaching, mentorship, and personalized growth plans, actively identifying and preparing top talent for future leadership roles within the organization
+ Establish and lead regular strategic development sessions focused on advanced negotiation tactics, value-based contracting complexities, and deep market analysis to continually sharpen the team's commercial and strategic acumen
**Qualifications**
+ Ideally targeting individuals with 10+ years of industry-specific experience which could include working for a national/regional payer, working in DME (durable medical equipment), working for a manufacturer, or working for a digital chronic condition management company
+ Successful track record of recruiting, mentoring, developing, and retaining high-performing teams that consistently exceed performance expectations and drive superior results
+ Experience coaching and delivering results related to negotiation, contracting strategies, and payer account management within the managed care industry
+ Experience cultivating strategic C-suite and senior executive leadership partnerships with payers and managed care organizations
+ Comprehensive understanding of the evolving managed care landscape and the impact of value-based care models
+ Robust network of strong, existing professional relationships with key decision-makers and influencers within major national and regional payer organizations
+ Extensive, hands-on experience successfully negotiating, executing, and managing preferred and exclusive payer agreements
+ Proven expertise in strategic pipeline management with a focus on maximizing team execution and driving differentiated and impactful market access wins
_\#LI-LP_
_\#LI-Remote_
**Anticipated pay range:** $235,500 - $309,800 (includes targeted variable pay)
**Bonus eligible:** Yes
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/01/2025 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************