Manager, provider relations work from home jobs

. The Provider Relations Representative works with Crestline's Health Plan clients to engage with and assist Medicare providers. Responsibilities Develop and maintain positive working relationships with assigned providers; Assist with provider onboarding/training/communications; Respond to and address provider inquiries/issues; Assist with provider data collection/review as requested. Additional Information: Full time hours, worked within normal business hours, either Eastern, Central, and/or Mountain time zones. This is a consultant position without benefits. Longevity of project is not guaranteed. Consultants are onboarded as 1099 and required to pay their own taxes. Client will provide the equipment (laptop) necessary to complete the work. Rate: Monthly fixed fee of $7,800.00. References: Must be available upon request Qualifications Required Experience: Five years of experience in provider relations roles within managed care settings. Preference for individuals with provider relations experience with Medicare networks in Georgia, Illinois, and/or Colorado. Knowledge: A strong understanding of insurance industry terminology, healthcare regulations, and provider-specific processes is required. Skills: Excellent communication, customer service, and interpersonal skills are essential. Strong organizational, research, and problem-solving abilities are also critical. Proficiency with office software like Microsoft Office Suite is needed. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)

Join us for an exciting career with the leading provider of supplemental benefits! Our Promise Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards. At Avesis, the Provider Relations Representative plays a vital role in connecting our dental provider community with the resources, education, and support they need to thrive. As a key member of our Provider Relations Department, you'll be the bridge between Avesis and our participating provider network, ensuring that our partners are equipped, informed, and engaged every step of the way. If you're a self-driven communicator who thrives on building relationships and solving problems, this is the role for you. Your expertise and passion will directly contribute to Avesis' mission of delivering high-quality, accessible dental care to our members, while also supporting and nurturing the growth of our provider community. Join us in making a meaningful impact in the healthcare space! In this role, you will combine the flexibility of a hybrid work environment with the opportunity to build lasting partnerships both remotely and in the field. You will lead efforts to foster the best-in-class provider education, tackle provider inquiries and issues, and manage a variety of initiatives that enhance our relationships with the provider network. Our chosen candidate must reside within the state of Kentucky due to the travel component of this role. Functional Competencies: Provider Relations encompasses several diverse provider administrative duties to improve the Avesis provider experience including direct provider engagement and training with the goal of resolution of issues. Conduct provider outreach via in-person/video/phone or email by providing training, orientation, and coaching for performance improvement within provider practices. Provide guidance through education to enable Avesis network providers to become more self-sufficient in confirming eligibility, claims submission and payment by use of available tools. Consistently documents all provider interactions, including calls, emails, virtual and in-person visits, in accordance with departmental standards. Ensures that notes are clear, timely, and accurately reflect the nature of the communication to support ongoing relationship management, issue resolution, and continuity of service across teams. Maintains thorough and timely records to ensure accountability, transparency, and effective information sharing across teams. Conduct monthly and/or quarterly meetings with provider groups documenting discussions, issues, attendees, action items, researching claims or prior authorization issues on site and routing to the appropriate party for resolution. Owns and manages relationship and performance of assigned provider groups. Serves as the primary point of contact for assigned providers. Communicate and shares provider claims and directory reporting both internally and externally and additional reporting as necessary. Complete provider orientation via phone, email, in-person and/or virtually for all applicable product lines to train, resolve issues, and educate staff/providers. Perform onsite facility reviews, when applicable and conduct quarterly face-to-face visits within the assigned territory and/or market. Work closely and coordinates with Avesis Claims, Customer Service, Utilization Management, Clinical Management, Credentialing, Recruitment, Account Management, and other staff to develop operational solutions for various provider network projects. Educate providers regarding state program, group policies, and/or health plan policies and procedures and state/federal regulation for compliance requirements. Investigate and respond to complex provider related issues and initiate change of provider demographic related database information. Responds to general provider contract inquiries, provider education and non-routine claim issues. Attend work-related events/conferences while representing the organization and brand in a professional manner. Coaches, mentors, and develops junior team members as applicable. Core Competencies: Knowledge of health plan operations. Knowledge of provider/health plan contracts/agreements. Microsoft applications and other windows-based applications to include an intermediate level in Microsoft Excel and databases. Knowledge of and intermediate ability to use various computer programs such as Microsoft Office including spreadsheets, databases, word processing and presentation software and programs/systems utilized in data analysis. Behavioral Competencies Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth. Initiative: readiness to lead or take action to achieve goals. Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing. Member-focused: going above and beyond to make our members feel seen, valued, and appreciated. Detail-oriented and thorough: managing and completing details of assignments without too much oversight. Flexible and responsive: managing new demands, changes, and situations. Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task. Integrity & responsibility: acting with a clear sense of ownership for actions, decisions and to keep information confidential when required. Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties. Minimum Qualifications: High School Diploma or equivalent. 1 to 2+ years of Dental office experience. Comprehension of Medical/Dental Terminology. Must reside within the state of Kentucky. A valid driver's license with proof of auto insurance and the ability to use your own vehicle. The ability to travel up to 50% is required to meet prospective clients, existing customers, attend trade shows and other meetings as needed. Travel times may vary and can range from short overnight trips to extended stays. As this role is a remote role, you are required to maintain internet service that allows you to complete your essential job duties without issue. Rates of 50 Mbps download and 10 Mbps upload while hardwired and not on a VPN are sufficient. Preferred Qualifications: Bachelor's degree Previous Provider Relations Experience Dental Assisting National Board (DANB) certified or Certified dental assistance (CDA). 1 year of experience with provider credentialing and contracting processes. 1 year of dental insurance claim experience, as well as the ability to analyze data to resolve provider claim issues. At Avēsis, we strive to design equitable, and competitive compensation programs. Base pay within the range is ultimately determined by a candidate's skills, expertise, or experience. In the United States, we have three geographic pay zones. For this role, our current pay ranges for new hires in each zone are: Zone A: $46,080.00-$76,800.00 Zone B: $50,220.00-$83,700.00 Zone C: $54,050.00-$90,080.00 FLSA Status: Salary/Exempt This role may also be eligible for benefits, bonuses, and commission. Please visit Avesis Pay Zones for more information on which locations are included in each of our geographic pay zones. However, please confirm the zone for your specific location with your recruiter. We Offer Meaningful and challenging work opportunities to accelerate innovation in a secure and compliant way. Competitive compensation package. Excellent medical, dental, supplemental health, life and vision coverage for you and your dependents with no wait period. Life and disability insurance. A great 401(k) with company match. Tuition assistance, paid parental leave and backup family care. Dynamic, modern work environments that promote collaboration and creativity to develop and empower talent. Flexible time off, dress code, and work location policies to balance your work and life in the ways that suit you best. Employee Resource Groups that advocate for inclusion and diversity in all that we do. Social responsibility in all aspects of our work. We volunteer within our local communities, create educational alliances with colleges, drive a variety of initiatives in sustainability. How To Stay Safe Avēsis is aware of fraudulent activity by individuals falsely representing themselves as Avēsis recruiters. In some instances, these individuals may even contact applicants with a job offer letter, ask applicants to make purchases (i.e., a laptop or gift cards) from a designated vendor, have applicants fill out W-2 forms, or ask that applicants ship or send packages of goods to the company. Avēsis would never make such requests to applicants at any time throughout our job application process. We also would never ask applicants for personal information, such as passport numbers, bank account numbers, or social security numbers, during our process. Our recruitment process takes place by phone and via trusted business communication platform (i.e., Zoom, Webex, Microsoft Teams, etc.). Any emails from Avēsis recruiters will come from a verified email address ending in @ Avēsiscom. We urge all applicants to exercise caution. If something feels off about your interactions, we encourage you to suspend or cease communications. If you are unsure of the legitimacy of a communication you have received, please reach out to ********************. To learn more about protecting yourself from fraudulent activity, please refer to this article link (************************************************** If you believe you were a victim of fraudulent activity, please contact your local authorities or file a complaint (Link: ******************************* with the Federal Trade Commission. Avēsis is not responsible for any claims, losses, damages, or expenses resulting from unaffiliated individuals of the company or their fraudulent activity. Equal Employment Opportunity At Avēsis, We See You. We celebrate differences and are building a culture of inclusivity and diversity. We are proud to be an Equal Employment Opportunity employer that considers all qualified applicants and does not discriminate against any person based on ancestry, age, citizenship, color, creed, disability, familial status, gender, gender expression, gender identity, marital status, military or veteran status, national origin, race, religion, sexual orientation, or any other characteristic. At Avēsis, we believe that, to operate at the peak of excellence, our workforce needs to represent a rich mixture of diverse people, all focused on providing a world-class experience for our clients. We focus on recruiting, training and retaining those individuals that share similar goals. Come Dare to be Different at Avēsis, where We See You!

It's an exciting time to join the WellSense Health Plan, a growing regional health insurance company with a 25-year history of providing health insurance that works for our members, no matter their circumstances. Job Summary: The Provider Relations Consultant - NH will act as the primary liaison between Provider Relations Consultants and internal Plan departments such as Claims, Benefits, Audit, Member and Provider Enrollment and Clinical Services to effectively identify and resolve claim issues. This individual will also work closely with the leadership team to identify issues and report trends. Our Investment in You: Full-time remote work Competitive salaries Excellent benefits Key Functions/Responsibilities: Investigate, document, track, and assist with claims resolution Interact with various operational departments to assure accurate and timely payment of claims in accordance with the plan's policies and procedures Identify system changes impacting claims processing and work internally on resolution Identify systematic issues and trends and research for potential configuration related work Analyze trends in claims processing and assist in identifying and quantifying issues Run claim reports regularly to support external provider visits Develop and enhance our physician, clinician, community health center and hospital relationships through effective business interactions and outreach Act as liaison for all reimbursement, issues with providers Facilitates resolution of complex contractual and member/provider issues, collaborating with internal departments as necessary Provides general education and support on WellSense products, policies, procedures and operational issues as needed Manages flow of information to and from internal departments to ensure communication regarding Plans changes and updates May outreach to providers according to Plan initiatives Facilitates problem resolution Initiates Plan interdepartmental collaboration to resolve complex provider issues Identifies system updates needed and completes research related to provider data in Onyx and Facets Processes reports as needed to support provider education, servicing, credentialing and recruitment Ensures quality and compliance with State Agencies and NCQA Other responsibilities as assigned Understands and implements Plan polices & procedures Qualifications: Education: Bachelor's degree in Business Administration, related field or an equivalent combination of education, training and experience is required Experience: 2 or more years of progressively responsible experience in a managed care or healthcare environment is preferred Experience with Medicare and Medicaid Reimbursement Methodologies Understanding of provider coding and billing practices Certification or Conditions of Employment: Must have valid driver's license and access to a car Competencies, Skills, and Attributes: Experience with ICD-10, CPT/HCPCS Codes, and billing claim forms Ability to work as a team member, to manage multiple tasks, to be flexible, and to work independently and possess excellent organizational skills Proven expertise utilizing Microsoft Office products Effective communication skills (verbal and written) Strong follow-up skills Proficient in multi-tasking Ability to set and manage priorities Working Conditions and Physical Effort: Travel up to 50% Compensation Range: $57,500- $83,500 This range offers an estimate based on the minimum job qualifications. However, our approach to determining base pay is comprehensive, and a broad range of factors is considered when making an offer. This includes education, experience, skills, and certifications/licensure as they directly relate to position requirements; as well as business/organizational needs, internal equity, and market-competitiveness. In addition, WellSense offers generous total compensation that includes, but is not limited to, benefits (medical, dental, vision, pharmacy), merit increases, Flexible Spending Accounts, 403(b) savings matches, paid time off, career advancement opportunities, and resources to support employee and family wellbeing. Note: This range is based on Boston-area data, and is subject to modification based on geographic location. About WellSense WellSense Health Plan is a nonprofit health insurance company serving more than 740,000 members across Massachusetts and New Hampshire through Medicare, Individual and Family, and Medicaid plans. Founded in 1997, WellSense provides high-quality health plans and services that work for our members, no matter their circumstances. WellSense is committed to the diversity and inclusion of staff and their members. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status. WellSense participates in the E-Verify program to electronically verify the employment eligibility of newly hired employees

The Role The CE & Power Platform Practice Manager will play a key role in ensuring the successful delivery of projects, maintaining high levels of employee engagement, and contributing to the growth of the CE & Power Platform practice. This role will uphold Western Computer's gold standard of customer satisfaction, drive forward the Customer Engagement functional area, manage team performance, and collaborate with peers and leadership to maintain and improve the overall health of the practice. In 2026, we look forward to expanding this practice to be the connector for a customer's business applications, establishing a strong foundation for the use of AI. Experience in Power, CoPilot, and integrations or a passion for learning these areas will drive success in this role. Key Responsibilities Drive Practice Success * Partner with the Practice Director to identify and drive strategic initiatives that improve delivery efficiency, profitability, and client satisfaction. * As we focus on growth in CE, Power, and Integrations, we will be filling the Director role. There will be an interim period prior to the Director being added to the team. * Collaborate with senior leaders to define and design the future state of the CE and Power teams, ensuring alignment with Microsoft's strategic initiatives * Monitor and react to KPIs to ensure customer satisfaction, employee engagement, and overall practice health. * Contribute to the creation and achievement of annual OKRs for the practice. * Collaborate across practices to ensure consistent delivery methodology and alignment with company goals. Maintain Project Health * Uphold the gold standard of customer satisfaction across assigned projects. * Partner with Solution Architects and Project Managers to ensure timely, high-quality project delivery aligned with client expectations. * Monitor active projects to identify risks, proactively addressing potential delivery or resource challenges. * Assist in resolving project escalations by developing "get-to-green" recovery plans, negotiating financial adjustments when needed, and rebuilding client trust and confidence. Client Management * Develop and maintain strong relationships with clients to ensure consistent communication and satisfaction. * Support the management of escalated client issues and ensure resolution aligns with Western's delivery standards. * Champion the client experience by gathering feedback and driving continuous improvement across delivery teams. Team Management * Lead and coach assigned team members including Project Managers, Consultants, and Solution Architects. * Oversee team performance and engagement through consistent feedback, performance discussions, and career path planning. * Manage employee satisfaction issues promptly and effectively, fostering an environment of trust and accountability. * Evaluate team skillsets to identify training opportunities, capacity needs, and potential expansion areas. Process Improvement * Contribute to the enhancement of delivery processes and methodologies to drive standardization, efficiency, and quality across projects. * Collaborate with peers to identify gaps and implement best practices that strengthen delivery consistency. * Promote knowledge sharing and encourage cross-team collaboration within the practice Support Sales Processes * Provide presales support by assisting with scoping, estimating, and reviewing Statements of Work (SOWs). * Collaborate with Sales and Solution Architects to ensure proposals reflect achievable project plans and align with client needs. * Engage with prospects as a subject matter expert, articulating the CE & Power solutions, project approach, and value proposition with confidence. * Understand when integrations will need custom development tools and determine feasibility. * Understand integration trends and customer needs and work with the team to create scalable solutions to deliver results in an efficient way Qualifications * 8+ years of experience leading or delivering Microsoft Dynamics 365 CE (CRM) and Power Platform implementations. * Proven experience in practice management, people management, project management, or consulting leadership within a professional services environment. * Experience with Celigo, Dual Write, and Power Automate or other integration and automation tools * Strong leadership and interpersonal skills with the ability to mentor, motivate, and develop high-performing teams. * Experience in CE sales is a plus. * Excellent communication, presentation, and negotiation abilities. * Skilled in conflict resolution and driving results through collaboration. * Deep understanding of project management methodologies and change management principles. * Passion for delivering innovative CE & Power solutions that drive measurable business value for clients. The Perks: * Stellar Salary: Get ready to be rewarded handsomely, with a competitive OTE ranging from $150k - $170k USD per year. Your skills and experience are pure gold, and we want to show you the appreciation you deserve. * Super Healthcare Benefits: Say goodbye to worries about medical, dental, and vision costs. We've got your back with access comprehensive healthcare coverage, and yours is covered! * Retirement Treasure: Invest in your future with access to a 401(k)-retirement plan. Your financial security is important, and we're here to help you build it. * Time to Chill: We believe in the power of relaxation. Enjoy generous paid time off for vacations, holidays, and those inevitable sick days. Work hard, but don't forget to play hard! * Remote Work Magic: Embrace the freedom to work remotely from the location of your choice. Who we are: We've been on an exciting mission since 1987 to partner with customers as they transform and grow their businesses. As a Microsoft Solution Partner, we're recognized as a top partner. We owe that success to our team of 150+ Microsoft Dynamics 365 and Power Platform solutions experts who pair business needs with system capabilities to create the recipe for success. We are continuously innovating to maximize our customers' technology investments. From our IP products to our teams who always have a little fun, we are not your average ERP company. We encourage you to apply even if you feel that you do not meet all of the above qualifications. Frequently cited statistics show that women and underrepresented groups are more likely to only apply to jobs if they meet 100% of the listed qualifications. Western Computer encourages you to break that statistic and to apply. No one ever meets 100% of the requirements. We look forward to your application!

Save lives, from the workplace to anyplace. The National Safety Council is America's leading nonprofit safety advocate. We focus on eliminating the leading causes of preventable injuries and deaths. Through leadership, research, education, and advocacy, NSC focuses on areas where most unintentional injuries and deaths occur. We are currently looking for a Director, NSC Networks to join us in our mission to save lives and prevent injuries. Position Highlights: This is a unique opportunity to spearhead a dynamic team of tenured EHS professionals, amplify member engagement, and forge lasting network connections. Join us in the role of Senior Director, where you will assist corporate members in the advancement of their EHS programs, coordinate with fellow EHS professionals and share knowledge cutting-edge global EHS programs and techniques. Picture this: You, at the helm of NSC Networks, leading EHS activities that not only attract and retain members but also nurture relationships that help enhance their EHS programs and protect their employees and the environment . But it doesn't stop there! Your expertise in Health, Safety, and Environment (HSE) leads the team, and informs the broader National Safety Council to setting world-wide professional standards in excellence. So, if you're a trailblazer with a knack for weaving harmony amidst complexity, a leader to deliver unparalleled member satisfaction, and a technical expert in HSE, then step onto this stage. The spotlight awaits - are you ready to lead the way? What You'll Do: Lead the NSC Networks team, including Campbell Institute, to continue to drive collaboration, innovation, and a customer-centric approach. Develop and implement a comprehensive and innovative strategy that aligns with the company's growth objectives and market trends. Develop and maintain NSC Network customer offering, inclusive of Campbell Institute, that aligns and is coordinated with the overarching NSC Membership offering. Lead networking meetings and serve as the face and center of excellence of the group. Maintain and expand a strong team of H&S SME's who can foster deep relationships and support for the membership. Analyze and optimize customer-centric processes for a deep networking experience, implementing improvements, and prioritizing the members' needs. Collaborate with members and cross-functional teams to develop and implement H&S projects that will drive health and safety in all workplaces. Create a strong relationship between NSC Networks, Campbell Institute, Consulting & Assessments, and Membership that will coordinate peer-reviewed research, policy work, and tools for organizations to deploy. Represent the company as an EHS leader, ensuring alignment with senior executive(s) and programmatic teams. Have responsibility for the P&L of the NSC Networks with a growth mindset. Identify global Health, Safety, and environmental issues, and lead compliance strategies. Collaborate with the shared service teams to streamline and clearly communicate support services requirements necessary for running the NSC Networks. Continuously gather competitive insights and analyze member needs to incorprate into informed decision-making and strategic planning. Lead cross-functional initiatives prioritized by the Executive Leadership Team, driving collaboration and execution. Create and conduct presentations and updates for stakeholders and members on special projects, representing the company in industry events and conferences We're Looking for Someone with: Master Degree in EHS, engineering or a closely related field. Minimum of 10 years of relevant HSE experience. Experience at a corporate/regional level is strongly preferred. CIH and/or CSP certification. Proven work experience as a leader of EHS programs at the senior manager or director level. Global experience implementing and developing EHS programs. Excellent communication, leadership, and interpersonal skills, with the ability to build strong relationships and influence outcomes. Strategic and analytical thinking, with a focus on data-driven decision-making and problem-solving. Proven ability to drive results, manage priorities and allocate time effectively, with limited guidance and direction. Demonstrable experience making decisions within guidelines and policies that impact business performance and growth. Ability to identify and challenge guidelines and policies that do not add value to support the overall mission. This is a remote position with travel. Salary for this role is $202,000 This role is open to internal applicants at this time. Reasons You'll Love it here: NSC cares about the safety, health, and overall well-being of our employees. We offer competitive benefits, resources, and tools to promote a work-life balance that supports employees during all phases of life. We offer the following: At least 20 PTO days accrued 1 st year and 11 paid holidays Flexible work arrangements Comprehensive medical, dental, vision, and life insurance plans Flex spending accounts for medical and dependent care 403(b) & Roth 403(b) with employer match up to 6% Reimbursable training Dress for your day Our hiring process is designed to give you the opportunity to shine at each step. It starts with an assessment where you really showcase your drive for the role. From there, candidates selected for the first interview will discuss their skills and how they fit with our team. If you're a match, the second interview takes a deeper dive into your background and how you can contribute to our goals. After that, we'll make our final decision and let you know the outcome. This is our usual process, and we're excited to get to know you along the way! NSC is a Recovery-Friendly Workplace. We support individuals in or seeking recovery from substance use disorder by fostering a culture of respect, inclusion, and support. We provide access to confidential resources, reasonable accommodations, and a work environment that values your journey and contributions. NSC is an equal opportunity employer.

About N-Power MedicineN-Power Medicine aims to establish a new paradigm in drug development by reinventing the ‘how' and transforming clinical trials through better integration with clinical practice, ensuring broader participation by physicians and patients. We are building an exceptional multi-disciplinary team with diverse expertise spanning healthcare, engineering, technology and regulatory, and with people who share our core value of Empowering Community through generosity, curiosity and humility. We are working with urgency to uniquely enable community oncology practices to become high-performing clinical trial centers, enabling a new ecosystem that brings better therapies to patients faster than ever before. Position OverviewHead of Network Business Development will report to the Head of Network Services and be a critical member of N-Power Medicine's Network Leadership Team. They will provide leadership and direction of N-Power's execution for building a large community cancer network utilizing the N-Power Platform with a goal of achieving a Network scale of over 100 sites and 20 logos by 2028. The overriding responsibility of this leader will be to recruit new practices to the N-Power network. This leader will be a dynamic sales executive who can present a compelling vision for why a variety of healthcare providers should embrace joining the Network. The leader will be comfortable communicating with physician and research leadership in oncology practices as well as C-suite executives spanning legal, IT, compliance, within large and complex integrated healthcare networks. The candidate demonstrates the ability to thrive and deliver results in a fast paced environment. The candidate will be expected to remain closely aligned with the evolving strategy of the pharma facing business development team to ensure the strategy and goals and needs of the pharma customers can be met by the growing scale and capabilities of the physician network. Finally, collaborating across the organization, the candidate will participate in the development of strategic and tactical plans to achieve the corporation's goals and objectives. This is a remote position within the United States with intermittent in-person team meetings and travel to key customer or potential customer sites. Role Objectives and Responsibilities-Lead with a focus of sourcing, meeting, and recruiting new sites and logos to join the N- Power Network. -Collaborate with the Head of Network Operations and Medical Affairs to align on refining and articulating the value proposition of the N-Power Platform to the prospective Network sites.-Collaborate with the Head of Network Operations and Medical Affairs to ensure the smooth on-boarding of the new logos towards full implementation of the N-Power Platform. -Develop strategic partnerships with various organizations that offer an opportunity to connect with prospective customers who reside in the community cancer center ecosystem.-Understand the needs of the health systems that have Network practices in terms of key accreditation, strategic initiatives, or operational challenges for which N-Power is well positioned to provide critical assistance.-Work closely with the CMO, and physicians on the Clinical Science team, as well as leaders in Clinical Operations, VPP services, DHS services, Medical Affairs, and Network Operations to aid in recruiting opportunities when necessary. -Assist in the vetting and recruitment of additional selected positions in the Network Service organization.-Work closely with Pharma facing commercial team and company leadership on forecasting future growth targets of the Network.-Participate in the development of enabling technologies and services that will increase the value of the Network to prospective practices considering joining the N-Power Medicine Network. -Represent N-Power Medicine externally at conferences.-Foster effective cross-functional collaboration by promoting open communication, knowledge sharing, and teamwork.-Other activities as they may be assigned. Education, Experience, Behavioral Competencies & Skills-6+ years experience in sales in healthcare, ideally in community oncology network facing activities plus 3+ years managing a sales team preferred. -Bachelor's degree preferred.-Proven track record of opening new markets and building a larger funnel across a variety of archetypes or sales channels.-Experience working with highly integrated teams.-Experience working with a CRM.-Excellent leadership and people management skills, with a demonstrated ability to build and motivate high-performing teams.-Strong communication and presentation skills, with the ability to convey complex information to healthcare leaders and physicians.-Ability to work effectively in a fast-paced and dynamic environment, managing multiple priorities simultaneously.-Generous, Curious & Humble. Travel Requirements ● Up to 30% of time required to travel in role Pay InformationThe expected salary range for this position is $180,000 and $200,000. Actual pay will be determined based on experience, qualifications, geographic location, and other job-related factors permitted by law. N-Power Medicine (NPM) offers equity at hire as well as a discretionary annual bonus which may be available based on Company performance. This position is eligible for company benefits. About Us:We are a mission-driven, well-funded, rapidly growing company, eager to attract passionate professionals offering a highly attractive compensation package with a balanced and flexible work environment, competitive industry benefits as well as a 401K plan and other great company “perks.” We are an Equal Opportunity Employer and value diversity at our company. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. Please note that state-specific background checks and screenings may be required for this role. Employment is contingent upon successfully passing all applicable screenings. Applicants must be currently authorized to work in the U.S. on a full-time basis. The Company will not sponsor applicants for work visas. Notice on fraudulent job offers: Only positions posted on ****************************************** site are legitimate. Please be mindful of recruitment fraud and job scams.

Unless otherwise noted, all positions are fully remote with work permitted from the following states: CA, CO, HI, IL, MA, MD, NJ, NM, NY, OR, and WA. We are living through a pivotal moment for reproductive and sexual health-and Hey Jane is uniquely positioned to help. From day one, we've been committed to providing safe, discreet medication abortion treatment-and have helped more than 100,000 people get the care they need. Today, we offer a range of reproductive and sexual health care services from the comfort and convenience of your phone. Our in-house clinical care team, composed of board certified doctors, advanced practice clinicians, nurses, and patient care advocates, is just a text message away. We're committed to helping our patients get safe, discreet, judgment-free virtual health care, from a team that truly cares. Role Overview We are seeking a compassionate, detail-oriented, and experienced APC Manager who thrives in a fast-paced clinical environment and is motivated by the opportunity to expand access to high-quality, patient-centered care. In this role, you will lead and manage a team of nurse practitioners and certified midwives, ensuring the delivery of safe, compliant, and compassionate care across all aspects of our services. You will oversee day-to-day clinical operations, drive performance management for your team, and serve as a critical bridge between the clinical team and organizational leadership-translating strategy into action through strong communication, sound judgment, and operational excellence. Working in a startup telehealth environment requires flexibility and adaptability, while offering the unique opportunity to shape and refine clinical workflows. The ideal candidate is both a skilled Nurse Practitioner and an empathetic leader-comfortable mentoring others, managing tough conversations, and steering the team through change with grace and accountability. You'll excel at building trust within your remote team, fostering a culture of continuous improvement, and ensuring that every patient receives timely, evidence-based care delivered with empathy and respect.Qualifications 5+ years of clinical experience as a NP or CNM with 1+ years in reproductive or sexual health 2+ years of experience managing clinical teams, preferably in telehealth, reproductive healthcare, or a startup environment Proven ability to motivate, mentor, and support clinical staff with a focus on team morale, development, and accountability Proven ability to foster collaboration, trust, and a supportive team culture Experience documenting protocols, implementing process updates, and training teams through changes in clinical or operational systems Strong interpersonal and communication skills, with the ability to collaborate effectively across clinical, operational, and leadership teams Knowledge of healthcare compliance, regulatory requirements, and quality assurance frameworks Ability to analyze clinical and performance data and translate insights into actionable improvements Deep understanding of trauma-informed care principles Comfortable working in a fast-paced, mission-driven startup environment Able to travel to on-site location at least once a quarter At Hey Jane, we work towards the vision of having equitable healthcare, changing the status quo, and rebuilding the way people experience healthcare-and bring that same vision to our workplace. We're an equal opportunity employer committed to building an inclusive environment, and encourage all applicants from every background and life experience.

Vālenz Health is the platform to simplify healthcare - the destination for employers, payers, providers and members to reduce costs, improve quality, and elevate the healthcare experience. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey - from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About Our Opportunity As a Provider Relations Representative, you will educate providers and members about specific plan designs while also addressing their inquiries related to reimbursement, appeals, and network access. To be successful in this role, you will have a passion for customer care-or customer love as we say! Things You'll Do Here: Facilitate inquiries from providers regarding reimbursement rates. Negotiate ongoing and single case agreements (SCAs) Direct members to in-network or RBP accepting providers. Focus on the member journey and minimizing disruption to providers. Develop trust with members and providers to ensure long-term relationships. Anticipate and identify issues and escalate to the appropriate manager or team leader. Ensure that the best possible solutions are offered by adhering to established rules regarding client rate structures, turn-around-times, and success rates. Facilitate the appeals process. Maintain compliance with company policies and procedures. Performs related duties as assigned by supervisor. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You'll Bring to the Team: 1+ years of experience in customer service. Experience working independently and completing assignments within given instructions, routines, and accepted practices. Excellent verbal and written communication skills. Ability to work in a fast-paced, customer focused, and deadline-driven environment. A plus if you have: Experience working in healthcare environment with providers. Where You'll Work: This is a fully remote position, and we'll provide all the necessary equipment! Work Environment: You'll need a quiet workspace that is free from distractions. Technology: Reliable internet connection-if you can use streaming services, you're good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America's fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare . With this commitment, you'll find an engaged culture - one that stands strong, vigorous, and healthy in all we do. Benefits Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card. Spending account options: HSA, FSA, and DCFSA 401K with company match and immediate vesting Flexible working environment Generous Paid Time Off to include vacation, sick leave, and paid holidays Employee Assistance Program that includes professional counseling, referrals, and additional services Paid maternity and paternity leave Pet insurance Employee discounts on phone plans, car rentals and computers Community giveback opportunities, including paid time off for philanthropic endeavors At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our team. This role is responsible for defining, implementing, and maintaining a compliant, effective, and efficient transportation provider network within assigned markets. The Director will oversee all programs across these markets, ensuring consistent, high-quality service delivery and operational leadership. This role will also manage client relationships and client contracts for their region. This position will drive key strategies related to provider performance, compliance, and risk mitigation, while also cultivating a culture of engagement and continuous improvement. This position will ultimately be on-site in the Little Rock area. This role… Establishes and monitors key performance indicators (KPIs) for transportation providers and prepares performance and compliance reports for leadership review. Acts as an escalation point for complex provider issues and facilitates resolutions. Provides operational guidance, compliance support, and technology training to transportation providers. Ensures provider quality standards are met and swiftly addresses any deficiencies. Leads provider relations efforts across markets in alignment with regional and corporate objectives. Partners with the Network team to execute network expansion strategies and risk mitigation plans. Oversees provider credentialing compliance and collaborates with credentialing teams to streamline processes. Coordinates with internal business units (e.g., Safety, Network Planning, Product, Finance, IT, HR, and CI) to align initiatives and secure support. Administers corrective action plans for provider contract deficiencies and approves liquidated damages when appropriate. Remains informed on industry trends, competitor activity, and regulatory developments to inform strategic direction. Champions employee engagement and development through proactive talent planning and mentoring. Creates an environment of innovation and continuous improvement through Lean initiatives and process enhancements. Leads talent strategy across state reports including succession planning, employee engagement, and performance management. Serves as main point of contact for clients and manages the client contract. May lead projects and perform other duties as assigned. Requires some local travel to meet with clients. We are interested in speaking with individuals with the following… Bachelor's degree required. Ten (10) plus years of experience in NEMT, logistics, or healthcare preferred. Five (5) plus years of leadership experience. Advanced industry experience preferred. Contract and client management experience strongly preferred. Tableau experience preferred. Or equivalent combination of education and/or experience. Ability to lead development, execution, and deployment of provider network initiatives. Strong organizational planning and budgetary administration skills. Proficient in statistical and financial analysis techniques. High proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint). Excellent relationship management and process improvement abilities. Effective written and verbal communicator with strong presentation skills. Strong listening and interpersonal skills with a customer-focused, results-oriented mindset. Salary: $111,000 - $149,900 Bonus eligible based on individual and company performance. Modivcare's positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings. We value our team members and realize the importance of benefits for you and your family. Modivcare offers a comprehensive benefits package to include the following: Medical, Dental, and Vision insurance Employer Paid Basic Life Insurance and AD&D Voluntary Life Insurance (Employee/Spouse/Child) Health Care and Dependent Care Flexible Spending Accounts Pre-Tax and Post --Tax Commuter and Parking Benefits 401(k) Retirement Savings Plan with Company Match Paid Time Off Paid Parental Leave Short-Term and Long-Term Disability Tuition Reimbursement Employee Discounts (retail, hotel, food, restaurants, car rental and much more!) Modivcare is an Equal Opportunity Employer. EEO is The Law - click here for more information Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at ***************************

Founded in 2004, NetBrain is the leader in no-code network automation. Its ground-breaking Next-Gen platform provides IT operations teams with the ability to scale their hybrid multi-cloud connected networks by automating the processes associated with Diagnostic Troubleshooting, Outage Prevention and Protected Change Management. Today, over 2,500 of the world's largest enterprises and managed services providers leverage NetBrain's platform. What We Need We are seeking an experienced and strategic Director, Network Automation Training to lead the enablement initiatives for both NetBrain's internal teams and external customers. This leadership role will be responsible for translating our no-code automation platform innovations into actionable knowledge, ensuring both our customer engineers and internal teams are fully equipped to maximize the platform's value. As the Director, you will develop and execute enablement strategies that drive adoption, create efficiencies, and enhance the overall experience for customers and internal stakeholders. You will work closely with Product, R&D, and Customer Success teams to ensure seamless knowledge transfer and skill development. What You'll Do You will develop and drive a comprehensive enablement strategy for both internal teams and external customers, ensuring successful adoption of NetBrain's no-code automation platform. Create and execute scalable training programs to empower customer engineers to build their own automation solutions. Design and implement a tiered customer enablement framework, addressing the needs of End Users, Power Users, and Super Users through a mix of web-based, in-person, and self-guided learning methodologies. Lead the initiative to translate product innovations from R&D to customer-facing teams, ensuring technical advancements are effectively communicated and operationalized. Work closely with Product, Engineering, Sales, and Customer Success teams to align enablement strategies with business goals and drive customer success. Establish key performance indicators (KPIs) to measure the effectiveness of enablement programs and continuously optimize strategies based on data-driven insights. Who You Are You have 10+ years of experience in customer enablement, technical training, or product enablement, with at least 5 years in a leadership role. Strong understanding of enterprise network operations. Proven track record of developing and executing large-scale enablement strategies for both internal teams and external customers. Exceptional ability to translate complex technical concepts into digestible, actionable learning materials. Strong analytical mindset with experience in defining and measuring enablement success. Excellent communication and presentation skills, with the ability to engage both technical and non-technical audiences. What We Offer Our comprehensive compensation package is vital in how we recognize our people for the impact they make on us reaching our goals as a company. For this role, the estimated base salary range is between $165,000 - $200,000 + Bonus. The actual salary may vary based on a range of factors, including market and individual qualifications objectively assessed during the interview process. The range listed above is a guideline, and may be modified. People Experience offers a comprehensive benefits package in addition to cash compensation that includes, but is not limited to, 401k and medical/dental coverage. Speak with your Recruiter for more details on our Total Rewards philosophy. NetBrain invites all interested and qualified candidates to apply for employment opportunities. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status, or other characteristics protected by law. If you have a disability that prevents or limits your ability to use or access the site, or if you require any other accommodation in the application process due to a disability, you may request a reasonable accommodation. To make a request, please contact our People Team at: *********************** and we will be happy to assist you. In compliance with applicable laws, NetBrain conducts holistic, individual background reviews in support of all hiring decisions. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.

The Patient Access Manager (PAM) II-Adherence Specialist is a non-sales regional, field-based position that will work directly with patients, families, and their provider(s) to address barriers, through information and education, to patient starting on therapy and staying on therapy, if appropriate. This role demonstrates superior customer facing skills working directly with multiple external and internal stakeholders including patients, prescribers, and advocacy groups. The PAM II is a subject matter expert in navigating insurance coverage and assisting in securing reimbursement through prior authorizations and appeals. The PAM II will also provide patient education, disease state and product education as well as general support for the patients and their caregivers. This role will appropriately interact and engage internal and external with teams but will serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy. This position will also serve as the primary source for all regional patient advocacy activities. The PAM II will leverage his/her overall business acumen, therapeutic area knowledge, and patient access expertise to provide developmental guidance to their Patient Access Manager I colleagues. Location: Nationwide Remote Responsibilities Upon confirming a valid consent, meet and work closely with patients/families to work through the steps required to gain access to therapy (insurance navigation, understanding of payer policy and procedure for prior authorization, denial appeals, disease and product education, site of care logistics, and other support services). Provide education and information through the prior authorization/appeal processes and coordinate the delivery of appropriate documentation to achieve and maintain coverage. Complete a comprehensive assessment of the individual needs of the patient. This assessment will include understanding the individual's payer policies, plan designs, including Medicaid coverage if applicable, as well as the healthcare system local to the patient. Develop and offer solutions to the family, when necessary, that may also include communication of alternative insurance options and how families can best connect to available resources including charitable organizations such as PAF and NORD. Appropriately interact with and engage internal teams including commercial and medical and external teams including patients and/or their caregivers; payers; specialty pharmacy, physician offices, charitable organizations and patient advocacy organizations; Serve as the point person responsible for identifying and resolving issues impacting treatment initiation and ongoing therapy Provide support for the caregivers and collaborate with them in a way that allows for forward progress. Be knowledgeable of any changes in the payer access environment to identify issues that may impact access and communicate information appropriately to colleagues. Facilitate rare disease network/relationships through local advocacy groups, rare disease related events, and attending national conferences. Support organizing and participating in patient-to-patient meetings and programs. Maintains up-to-date knowledge on product resources available to support patients/caregivers at the regional level and applies this knowledge in a way that supports patient care. Offers subject matter expertise on trends, compliance, and other disciplines that impact the Patient Access role to help elevate the overall performance of the Patient Access team. May support the Manager, Patient Access Readiness, in identifying and implementing strategies and programs that help the PAM team be maximally effective in their roles. Coaches and mentors new members of the team. Qualifications BS/BA or relevant four-year degree. Advanced degree preferred. Minimum of 5 years' total business experience in the healthcare or biotech industry with at least 3 years' field-based experience in account management, sales, or field reimbursement. Experience working directly with patients and caregivers and in rare disease experience a plus. A deep understanding of insurance products and medication reimbursement process with a successful track record in field reimbursement, clinical education or in pharmaceutical sales/management of products that required significant payer and reimbursement involvement Seasoned, mature pharmaceutical/biotech professional with a comprehensive understanding of field / patient reimbursement, charitable funding, non-profit organizations Experience leading cross functionally and influencing without authority Case management experience in rare disease a plus including experience dedicated to assisting patients/caregivers Must be familiar with relevant legal and regulatory environment in biotech industry such as the Food Drug and Cosmetic Act, Anti-Kickback Stature, HIPAA and other patient privacy guidance and regulations. Competencies: Written and Verbal Communications, Problem Solving, Presentation skills, Teamwork & Collaboration, Customer Service focus, Teamwork & Collaboration, Adaptability, Professionalism Working Conditions: Position may require periodic evening and weekend work, as necessary to fulfill obligations. Periodic overnight travel. Ability to Travel up to 10%. #LI-REMOTE As an equal employment opportunity and affirmative action employer, Xeris Pharmaceuticals, Inc. does not discriminate on the basis of race, color, religion, sex, gender identity, sexual orientation, national origin, age, disability, veteran status, genetics or any other characteristic protected by law. It is our intention that all qualified applications are given equal opportunity and that selection decisions be based on job-related factors. The anticipated base salary range for this position is $100,000 - $180,000. Final determination of base salary offered will depend on several factors relevant to the position, including but not limited to candidate skills, experience, education, market location, and business need. This role will include eligibility for bonus and equity. The total compensation package will also include additional elements such as multiple paid time off benefits, various health insurance options, retirement benefits and more. Details about these and other offerings will be provided at the time a conditional offer of employment is made. Candidates are always welcome to inquire about our compensation and benefits package during the interview process. NOTE: This job description is not intended to be all-inclusive. Employee may perform other related duties as negotiated to meet the ongoing needs of the organization.

What are important things that YOU need to know about this role based in Macon, Georgia? • Seeking a self-driven rock star that has Medicaid and dental field experience - based in Georgia (Macon area) • Given the nature of the work, the person will be in field 3 to 4 days per week and working from a home office the remainder of the time. What will YOU be doing for us? Provide support to specific market by researching, working with internal staff, and providing resolution to high value providers. Utilize knowledge of market and potential providers to resolve specific network deficiency issues through proper recruiting practices. What will YOU be working on? • Build and maintain appropriate relationships with provider network and clients by ensuring regular communications and timely problem resolution. • Develop training and presentation materials relative to market needs. • Host regular training sessions for new and existing providers to promote use of provider web portal and address questions on any other necessary procedures. • Act as resource to both client and providers in the network to resolve complex claim issues for high volume or high value provider offices. • Utilize the provider-related modules in the Enterprise System to research claim and reimbursement questions. • Accurately and timely assess issues presented from provider offices that can be handled by other internal resources and provide offices with appropriate contacts to obtain resolution. • Utilizing follow up requests from internal staff or client direction, recognize potential market deficiencies and network to obtain referrals for potential providers. • Recruit and work with potential providers to discuss potential contract terms or negotiations needed to resolve network deficiencies. • Through establishment of positive relationships with providers in the geography, arrange care with out of network providers for single case agreements including recommending a provider, negotiating the fee and securing the single case agreement contract. • Through regular networking events, maintain contact with potential clients and provide any necessary information to generate potential interest. • Work collaboratively with internal sales staff to relay potential leads for sales opportunities. • Using automated systems, maintain updated data on client owned provider networks by verifying accuracy and handling any exceptions or issues. • Coordinate and conduct provider advisory board meetings and town hall meetings. • Identify appropriate community relationships and develop partnerships designed at increasing visibility of client programs. • Build and maintain relationships within SKYGEN. • Support Credentialing and Network Development strategies. Additional Responsibilities: • Provide feedback to Provider Relations team regarding potential topics for provider training references and materials. • Field calls from medical, dental, vision, and therapy providers with questions on the provider web portal. • Assist department with administrative tasks and additional duties as needed. • Conduct site audit data collection. • Conduct mobile unit audits. • Work with Clients and Providers to analyze market, system and operational trends and develop and propose solutions and interventions to improve the client/provider/member experience and/or reduce costs. What qualifications do YOU need to have to be GOOD candidate? • Bachelor's degree in a related field or equivalent years of experience. • 3-5 years of job related experience (provider relations, account management, or managed care). • Excellent communication written and verbal communication skills. • Ability to think strategically regarding the direction of the market, provider needs and the client relationship. • Ability to build and maintain collaborative working relationships with diverse individuals. • Ability to exercise influence without formal authority. • Ability to ensure timely problem resolution despite multiple priorities. • Intermediate knowledge of Microsoft Office products including Word, Excel, and email. What qualifications do YOU need to have to be GREAT candidate? • Bachelor's Degree in Business or a related field. • Experience in a managed care environment. • Experience working in the field or with field issues. The salary range is listed below for your reference. Please keep in mind that your education and experience along with your knowledge, skills and abilities are taken into consideration when determining placement within the range.

About SynapticureAs a patient- and caregiver-founded company, Synapticure provides instant access to expert neurologists, cutting-edge treatments and trials, and wraparound care coordination and behavioral health support in all 50 states through a virtual care platform. Partnering with providers and health plans, including CMS' new GUIDE dementia care model, Synapticure is dedicated to transforming the lives of millions of individuals and their families living with neurodegenerative diseases like Alzheimer's, Parkinson's, and ALS. The RoleSynapticure is seeking a Provider Relations Manager to serve as a trusted relationship-builder and key account manager for our provider partners. This remote-first position focuses on nurturing long-term relationships with primary care and neurology practices, driving program adoption, and ensuring ongoing engagement and satisfaction. While the majority of your work will be conducted remotely, you'll travel approximately 30% of the time to meet with provider groups, attend key events, and support local engagement efforts. Some door-to-door practice outreach (10-20%) may be required to introduce Synapticure programs to new clinics and strengthen relationships in the field.This role is ideal for a relationship-driven professional with experience in healthcare account management, provider engagement, or field sales who thrives on connecting virtually and in-person to expand access to quality neurodegenerative care. Job Duties - What You'll Be Doing Build and manage strong relationships with provider partners, practice managers, and clinical leadership across assigned territories Serve as Synapticure's relationship owner, ensuring ongoing satisfaction and sustained adoption of programs Conduct virtual and in-person meetings to communicate Synapticure's mission, capabilities, and impact Identify provider needs and use a consultative approach to deliver tailored solutions that improve workflow and patient experience Track and report provider engagement activities, progress toward goals, and insights gathered from the field Coordinate with internal teams (Clinical Operations, Implementation, and Product) to resolve issues and improve program delivery Support new program rollouts through remote and in-person training sessions, onboarding, and troubleshooting Execute strategic outreach campaigns, including limited door-to-door provider engagement when introducing new markets or services Collaborate with leadership to develop growth plans and identify new opportunities for partnership Represent Synapticure at regional meetings and healthcare networking events as needed In person outreach to members Requirements - What We Look For In You 5+ years of experience in healthcare account management, provider relations, or field engagement Demonstrated success managing provider or client relationships remotely with periodic travel Excellent written and verbal communication skills; confident engaging both clinical and administrative audiences Highly organized, proactive, and adaptable to changing priorities Comfortable using CRM tools and virtual collaboration platforms (Zoom, Salesforce, etc.) Understanding of healthcare delivery models and practice operations preferred Familiarity with neurodegenerative care, behavioral health, or telehealth models is a plus Willingness to travel ~30% and perform in-person outreach (10-20%) We're founded by a patient and caregiver, and we're a remote-first company where empathy and excellence guide every interaction: Relentless focus on patients and caregivers. We are determined to deliver exceptional care and support to every individual we serve. Empathy and humanity. We meet every challenge with compassion, understanding, and hope. Curiosity and adaptability. We listen first, learn continuously, and evolve based on the needs of patients and partners. Optimism and action. We move with urgency and positivity to make meaningful change. Travel ExpectationsThis is a remote position with approximately 30% travel to provider sites, conferences, and community events. Most travel is regional and planned in advance, though limited door-to-door outreach may be required for new practice introductions.

Department Escalon Tax Practice Employment Type Full Time Location Remote Workplace type Fully remote What You'll Bring Why You'll Enjoy Working at Escalon: More about us: About Escalon Services, LLC.

About the role: We're looking for a strategic, hands-on leader to join our team as a Director, Network Engagement & Customer Success. In this role, you'll be responsible for leading our most strategic and complex partnerships, driving customer success through business and clinical outcomes. You will support growth across top network partners by ensuring seamless onboarding and integration of new partners into our dementia care model. You'll play a central role in operationalizing partners and supporting key reporting and compliance functions while also developing strategic relationships to ensure partner, provider, and patient satisfaction. Duties and Responsibilities: Positional responsibilities include, but are not limited to: Network Partner Onboarding & Integration: Together with the SVP, own the operational onboarding and integration of new partners, including those added through M&A and Medicare Advantage. Ensure partner workflows align with our dementia care operations and meet internal standards for performance and compliance. Following successful onboarding and integration, drive growth expansion within the partnership to new markets and/or service lines. Partner Relationship Management / Customer Success: Serve as the primary relationship manager for top priority network partners. Monitor partner performance and provide proactive support to ensure success within the dementia clinical program. Field Operations: Operationalize clinical programs and value-based care constructs to drive best-in-class clinical outcomes. Develop deep operational expertise to support coaching and training of operational teammates and innovate to drive more efficient and effective processes. Reporting, Billing, and Compliance Support: Support reporting, billing, and compliance tracking in addition to partner-level invoicing and operational reporting. Collaborate with Clinical Operations, BD, Growth and Finance teams to ensure timely, accurate documentation and partner performance insights. Data & Analytics Collaboration: Support the development of dashboards and reporting tools that inform BD strategy, partner performance, and internal decision-making. Assist in preparing presentations and materials for leadership and external partners and facilitate internal performance management sessions. Cross-Functional Partnership: Work closely with and influence internal clinical operations, care navigation, finance, and business development teams to align with partner insights to facilitate future growth and shape workflows, delivery, and innovation. Ideal Candidate Qualifications: 6-10+ years of experience in healthcare operations, partner engagement, or business development roles Experience in value-based care, post-acute care, or healthcare services strongly preferred Willingness to travel up to 20% for executive and partner meetings Demonstrated success leading partner onboarding, implementation, or network integration Excellent project management and communication skills Comfortable working cross-functionally with clinical, operational, and executive stakeholders Strong analytical instincts; ability to translate data into strategy and action Entrepreneurial mindset with the ability to operate independently and drive results Prior experience in a startup, high-growth, or matrixed environment a plus Location & Travel Remote or hybrid (depending on candidate location) Travel expected for partner onboarding, field support, and team collaboration Compensation & Benefits Competitive salary and title commensurate with experience Health, dental, and vision insurance Generous PTO and flexible work environment Mission-driven culture and the opportunity to improve the lives of people with dementia and their caregivers Pay Range for Posted Region$120,000-$145,000 USD

As a member of the DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) team you will provide education and training for network providers, staff, suppliers, physicians, beneficiaries, and referral agents as necessary. You will develop and produce all training and educational materials for virtual and onsite training classes. Description Logistics: CGS (cgsadmin.com)- one of BlueCross BlueShield's South Carolina subsidiary companies. Location: This is a full-time remote position. You will work an 8-hour shift scheduled during our normal business hours of 8:00 a.m. - 5:00 p.m. Some overnight and weekend travel will be required for in-person conferences and presentations. Government Clearance: This position requires the ability to obtain a security clearance, which requires applicants to be a U.S. Citizen. What You'll Do: Develops/prepares/reviews/updates all provider education materials. These may include: web-based training, computer-based training, ACT (ask the contractor) calls, outreach presentations/proposals, listserv articles, new highlights, calendar of events, job aids, resource tools, and web page content. Conducts/facilitates meetings, workshops, training classes, teleconferences with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents. Develops relationships with providers, provider groups, staff, suppliers, physicians, beneficiaries, referral agents, state/local medical/professional associations. Responds to educational needs. Acts as liaison between division/above mentioned groups and appropriate state/federal agencies to ensure training needs are met. Responds to/resolves problems/issues identified through meetings, workshops, correspondence, etc. Performs administrative functions in support of education and training. Produces/generates various reports to management and provides feedback on activities to management. Contributes/participates/completes special projects as assigned. To Qualify For This Position, You'll Need the Following: Required Education: Bachelor's degree equivalency: 4 years job related work experience or an Associate's and 2 years job related work experience. Required Skills and Abilities: Demonstrated skills related to training materials development. Demonstrated skills related to classroom presentations to large groups. Working knowledge/understanding of government healthcare programs, HIPAA policies, procedures. Demonstrated proficiency in word processing, spreadsheet, database software. Good judgment skills. Demonstrated proficiency in spelling, punctuation, grammar skills. Demonstrated verbal and written communication skills. Analytical and critical thinking skills. Basic business math proficiency. Ability to persuade, negotiate, or influence others. Ability to handle confidential or sensitive information with discretion. Ability to identify learning objectives. Strong course design skills to include use of media/other instructional methods. Ability to evaluate progress in addition to actual delivery of training sessions. Required Software and Tools: Microsoft Office. We Prefer That You Have the Following: Preferred Skills and Abilities: Experience developing virtual and onsite training classes. Medicare knowledge and experience. DMEPOS (Durable Medical Equipment Prosthetics, Orthotics and Supplies) experience. Our Comprehensive Benefits Package Includes The Following: We offer our employees great benefits and rewards. You will be eligible to participate in the benefits the first of the month following 28 days of employment. Subsidized health plans, dental and vision coverage 401k retirement savings plan with company match Life Insurance Paid Time Off (PTO) On-site cafeterias and fitness centers in major locations Education Assistance Service Recognition National discounts to movies, theaters, zoos, theme parks and more What We Can Do for You: We understand the value of a diverse and inclusive workplace and strive to be an employer where employees across all spectrums have the opportunity to develop their skills, advance their careers and contribute their unique abilities to the growth of our company. What To Expect Next: After submitting your application, our recruiting team members will review your resume to ensure you meet the qualifications. This may include a brief telephone interview or email communication with our recruiter to verify resume specifics and salary requirements. Equal Employment Opportunity Statement BlueCross BlueShield of South Carolina and our subsidiary companies maintain a continuing policy of nondiscrimination in employment to promote employment opportunities for persons regardless of age, race, color, national origin, sex, religion, veteran status, disability, weight, sexual orientation, gender identity, genetic information or any other legally protected status. Additionally, as a federal contractor, the company maintains affirmative action programs to promote employment opportunities for individuals with disabilities and protected veterans. It is our policy to provide equal opportunities in all phases of the employment process and to comply with applicable federal, state and local laws and regulations. We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company. If you need special assistance or an accommodation while seeking employment, please email ************************ or call ************, ext. 47480 with the nature of your request. We will make a determination regarding your request for reasonable accommodation on a case-by-case basis. We participate in E-Verify and comply with the Pay Transparency Nondiscrimination Provision. We are an Equal Opportunity Employer. Here's more information. Some states have required notifications. Here's more information.

Who We Are Imagine Pediatrics is a tech enabled, pediatrician led medical group reimagining care for children with special health care needs. We deliver 24/7 virtual first and in home medical, behavioral, and social care, working alongside families, providers, and health plans to break down barriers to quality care. We do not replace existing care teams; we enhance them, providing an extra layer of support with compassion, creativity, and an unwavering commitment to children with medical complexity. The primary location for this role is remote, travel is expected to be up to 10%, and the expected schedule is Monday - Friday 8:00am - 05:00pm central. Independently licensed in TX, MO, or LA (LCSW, LPC, LMHC, or LMFT) required. What You'll Do As the Manager, Behavioral Health Longitudinal at Imagine Pediatrics you will manage a team of supervisors overseeing three roles: Behavioral Health Therapists, Behavioral Health Care Managers, and Care Team Assistants who work as an interdisciplinary team to serve a patient population experiencing severe mental illness (SMI). This role oversees a regional behavioral health care team and is responsible for team metrics and program outcomes. 90% of Manager, Behavioral Health, longitudinal role will be administrative inclusive of the following: Manage a team of regional cross functional care team members with the support of supervisors. Provide oversight to a team of supervisors including 1:1 support, quarterly feedback, and typical functions of people management Provide guidance to supervisors regarding performance management of indirect reports. Uphold team members responsible to Imagine specific policies, clinical programming requirements, and utilization targets. Partner with talent acquisition to carry out hiring plans, interviews, and onboard new team members. Assist with strategic planning for expansion into new markets for company growth. Analyze programmatic metrics and individual metrics in order to utilize staff appropriately. Hold the team accountable for working at the top of their license and utilizing team functions as efficiently as possible Identify areas for improvement within team processes, clinical care, and action on projects to make them more efficient. Serve as the Behavioral Health Longitudinal representative in leadership meetings to provide feedback, improve patient experience, and support the development of new programs and services. Acts as the liaison for behavioral health services to all stakeholders taking a lead role in process and performance improvement and the delivery of high-quality services Collaborate with clinical education team for implementation of new trainings in alignment with care team and organizational needs. Create a positive and inclusive culture of teamwork and accountability Assist behavioral health team with navigating new processes, policies, and procedures. 10% of Manager, Behavioral Health - longitudinal role will be clinical and include but are not limited to the following responsibilities. Consult with market leaders on behavioral health cases. Manage patient escalations as needed. Support service recovery calls. What You Bring & How You Qualify First and foremost, you're passionate and committed to creating the world our sickest children deserve. You want an active role in building a diverse and values-driven culture. Things change quickly in a startup environment; you accept that and are willing to pivot quickly on priorities. A qualified candidate will be empathetic, caring, organized, and has strong relationship-building skills. In this role, you will need: Master's degree in social work, Marriage and Family Therapy, Counseling, or related area Must be licensed to independently practice in TX, MO, or LA (LCSW, LPC, LMHC, LMFT), openness to cross-state licensure. 5 years of experience post independent licensure in a behavioral health setting. 3 years of experience in management/supervision of mental health providers (experience in remote/start-ups environments preferred). Experience working with children, adolescents, and their caregivers inclusive of external systems involved in a minor's care. Experience with chart auditing and training to improvement-oriented outcomes. Certification/Training in evidence-based modalities including but not limited to cognitive behavioral therapy and dialectical behavioral therapy preferred Experience working with high-risk behavioral health populations including but not limited to suicidal ideation, homicidal ideation, severe persistent mental illness (SPMI), children in the foster care system. Strong preference and comfortability conducting triage assessments and crisis interventions. Diligent regarding documentation standards and accustomed to using electronic medical records. Experience working with a diverse population or demographics. Telehealth experience Familiarity with technology, Microsoft suites, and documenting in electronic health records. Fully remote with 10% travel for training/education What We Offer (Benefits + Perks) The role offers a base salary range of $88,000 - $107,000 in addition to annual bonus incentive, competitive company benefits package and eligibility to participate in an employee equity purchase program (as applicable). When determining compensation, we analyze and carefully consider several factors including job-related knowledge, skills and experience. These considerations may cause your compensation to vary. We provide these additional benefits and perks: Competitive medical, dental, and vision insurance Healthcare and Dependent Care FSA; Company-funded HSA 401(k) with 4% match, vested 100% from day one Employer-paid short and long-term disability Life insurance at 1x annual salary 20 days PTO + 10 Company Holidays & 2 Floating Holidays Paid new parent leave Additional benefits to be detailed in offer What We Live By We're guided by our five core values: Our Values: Children First. We put the best interests of children above all. We know that the right decision is always the one that creates more safe days at home for the children we serve today and in the future. Earn Trust. We listen first, speak second. We build lasting relationships by creating shared understanding and consistently following through on our commitments. Innovate Today. We believe that small improvements lead to big impact. We stay curious by asking questions and leveraging new ideas to learn and scale. Embrace Humanity. We lead with empathy and authenticity, presuming competence and good intentions. When we stumble, we use the opportunity to grow and understand how we can improve. One Team, Diverse Perspectives. We actively seek a range of viewpoints to achieve better outcomes. Even when we see things differently, we stay aligned on our shared mission and support one another to move forward - together. We Value Diversity, Equity, Inclusion and Belonging We believe that creating a world where every child with complex medical conditions gets the care and support, they deserve requires a diverse team with diverse perspectives. We're proud to be an equal opportunity employer. People seeking employment at Imagine Pediatrics are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information, or characteristics (or those of a family member), pregnancy or other status protected by applicable law.

Welcome! We're excited you're considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you'll find other important information about this position. Manages, coordinates, and evaluates all elements of financial, material and human resources in the provision of care coordination to assigned group of patients in accordance with the service and missions of the institution. Will have oversight of specific departmental role(s) and will work closely with other Population Health managers to ensure team continuity. MINIMUM QUALIFICATIONS: EDUCATION, CERTIFICATION, EXPERIENCE, AND/OR LICENSURE: 1. Bachelors of Science Degree in a healthcare field EXPERIENCE: 1. Five years of experience in a healthcare setting. PREFERRED QUALIFICATIONS: EDUCATION, CERTIFICATION, AND/OR LICENSURE: 1. Certified Case Manager (CCM) credential EXPERIENCE: 1. Three years of care coordination experience. 2. Two years in a leadership role. CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned. 1. Advises the Director on the hiring, retention, interviewing and recruitment of staff. 2. Initiates and maintains appropriate personnel records. 3. Assists in the development and implementation of on-going educational programs for professional and support staff which include new employee orientation, in-service continuing education, and new equipment and/or systems training which enables the staff to perform on the basis of current policy/procedures and state-of-the-art practices. 4. Provides ongoing feedback to employees concerning job performance through goal development, peer evaluation, and performance evaluations. Counsels and disciplines employees, under the direction of the Director. 5. Monitors on a continual basis all personnel and current expense budgets providing information and/or justification of variances to the Director. 6. Makes recommendations for preparation of the budget for cost center annually upon notification of the Director to assure cost effective operations. 7. Communicates effectively with physicians, nurses, and other personnel in problem identification and resolution in a timely manner. 8. Promotes customer satisfaction through response to customer perceptions of services provided in a professional and constructive manner. Ensures the establishment and implementation of a team culture that is patient centered. 9. Participates in various activities (i.e. staff meetings, in-services, etc.) to assist the Director in the dissemination of necessary information to staff, physicians, and others by written and/or verbal means. 10. Monitors current expense and human resource funds for his/her cost center cost effectively. 11. Spends funds in dollar amounts which are congruent with the departments' budget and is reflective of cost containment. 12. Maintains effective communication with fellow managers. Medical Staff, patients, staff, and other departments as necessary to assure identification of problems and provide problem resolution in support of the health system's mission of quality patient care delivery. 13. Facilitates the professional development of personnel. Oversees and participates in the orientation, training, and continuing education of the staff (departmental and interdepartmental) and other health related personnel. 14. Participates in outreach activities in the community in order to educate and/or promote good relationships. PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 1. Office setting 2. Time will be spent traveling to physician practices SKILLS AND ABILITIES: 1. Possesses excellent interpersonal communication and negotiation skills in interactions with patients, families, physicians, and health care team colleagues 2. Ability to work with people of all social, economic, and cultural backgrounds and be flexible, open minded, and adaptable to change 3. Capable of independent judgment and action regarding psychosocial needs of patients. Additional Job Description: **RN PREFERRED This leadership position is responsible for overseeing a team of ambulatory nurse case managers who collaborate closely with Primary Care Physicians, PeakHealth, and a multidisciplinary care team to support patients in achieving their health goals. As Population Health continues to expand and evolve, we are seeking candidates with experience in the following areas: Ambulatory case management Collaboration with or employment within health insurance organizations Development and implementation of policies and procedures Leadership of both remote and on-site teams Familiarity with accreditation standards, including those from NCQA or comparable accrediting bodies Proficiency in EPIC and Compass Rose Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Exempt) Company: SYSTEM West Virginia University Health System Cost Center: 415 POPH Population Health Management

Our Office, NRV Oral & Maxillofacial Surgery LTD - Blacksburg, a busy specialty practice in Blacksburg, VA, is looking for a talented and skilled Practice Manager to help us fulfill our mission of improving the lives of our patients by providing a world-class specialty experience at the Blacksburg and Radford locations. If you're passionate about delivering exceptional patient care and leading a dynamic team, we'd love to connect with you! At NRV Oral & Maxillofacial Surgery LTD - Blacksburg & Radford, we believe in the power of collaboration and continuous learning. Our diverse team includes Dental Assistants, Sterilization Technicians, Specialists, Office Managers, and Patient Care Coordinators who work together to ensure exceptional patient experience and outstanding clinical results. We're committed to fostering an environment where all employees are valued, respected, and given the opportunity to thrive-at work, at home, and everywhere in between. Your Role: Practice Manager As our Practice Manager, you will play a crucial role in ensuring our operations run smoothly, efficiently, and in compliance with all regulations. You'll be responsible for mentoring team members, enhancing patient experiences, and implementing best practices across all levels of our organization. Here's what you can expect in this role: Travel to the Radford location Overseeing daily operations to ensure they are carried out in a cost-effective manner. Managing budgets, financial data, and forecasts to improve profitability. Purchasing materials, planning inventory, and optimizing warehouse efficiency. Ensuring the practice remains compliant with all legal and healthcare regulations. Implementing quality controls and monitoring key performance indicators (KPIs). Training and supervising staff, while fostering a culture of continuous improvement. Enhancing the quality of patient care through innovative and compassionate leadership. Coordinating and facilitating additional office responsibilities as needed. Your Background: We're looking for a resourceful and compassionate Practice Manager who excels at leading teams and achieving financial goals. You thrive on seeing patients leave our office healthier and happier, and you're a problem-solver who can adapt to changing priorities. Here's what we're looking for: 3-5 years of experience managing a dental or OS practice. WinOMS experience a plus Expertise in insurance verification, claims, and resolution processes. Strong understanding of patient and insurance accounts receivable (AR) management. Proven ability to maintain positive employee relations and oversee payroll. Solid knowledge of profit and loss (P&L) management, with a focus on controlling expenses. Familiarity with standard OSHA and HIPAA practices and policies. If this describes you, you'll fit right in with our team! Your Benefits & Perks: We offer a comprehensive benefits package designed to support you in all aspects of your life, including: Sign on bonus offered! BCBS High Deductible & PPO Medical insurance Options VSP Vision Coverage Principal PPO Dental Insurance Complimentary Life Insurance Policy Short-term & Long-Term Disability Pet Insurance Coverage 401(k) HSA / FSA Account Access Identity Theft Protection Legal Services Package Hospital/Accident/Critical Care Coverage Paid Time Off Diverse and Inclusive Work Environment Strong culture of honesty and teamwork #priority We believe in transparency through the talent acquisition process; we support our team members, past, future, and present, to make the best decision for themselves and their families. Starting off on the right foot with pay transparency is just one way that we are supporting this mission. Position Base Pay Range$45,000-$55,000 USDSpecialty1 Partners is the direct employer of non-clinical employees only. For clinical employees, the applicable practice entity listed above in the job posting is the employer. Specialty1 Partners generates job postings and offer letters to assist with human resources and payroll support provided to the applicable practice. Clinical employees include dental assistants and staff assisting with actual direct treatment of patients. Non-clinical employees include the office manager, front desk staff, marketing staff, and any other staff providing administrative duties. Specialty1 Partners and its affiliates are equal-opportunity employers who recognize the value of a diverse workforce. All suitably qualified applicants will receive consideration for employment based on objective criteria and without regard to the following (which is a non-exhaustive list): race, color, age, religion, gender, national origin, disability, sexual orientation, gender identity, protected veteran status, or other characteristics in accordance with the relevant governing laws. Specialty1 Partners' Privacy Policy and CCPA statement are available for view and download at ************************************************** Specialty1 Partners and all its affiliates participate in the federal government's E-Verify program. Specialty1 further participates in the E-Verify Program on behalf of the clinical practice entities which are supported by Specialty1. E-Verify is used to confirm the employment authorization of all newly hired employees through an electronic database maintained by the Social Security Administration and Department of Homeland Security. The E-Verify process is completed in conjunction with a new hire's completion of Form I-9, Employment Eligibility Verification upon commencement of employment. E-Verify is not used as a tool to pre-screen candidates. For up-to-date information on E-Verify, go to **************** and click on the Employees Link to learn more. 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