Customer Service Representative - Remote - 50k-60k/Year
Work from home job in LaSalle, IL
We're looking for enthusiastic, self-driven, individuals to assist existing and prospective clients within our organization. This position will work with multiple clients throughout the day providing outstanding service and product knowledge.
Duties:
• Distributes all benefit enrollment materials and determines eligibility.
• Handle incoming customer service calls
• Dispatch incoming customer phone calls
• Accept customer calls and return customer
• Respond to client requests for coverages while representing their best interests.
• Create and explain individualized policies via our Needs Analysis system.
• Work and learn from management teams to stay up to date on new products, services, and policies.
Job Benefits:
• Full training provided
• 100% work from home.
• Competitive compensation.
• Paid weekly along with earned bonuses.
• Career advancement opportunities.
• Full benefits after 3 months.
• Values a healthy work-life balance
Stop Loss Claims Operations Manager, Remote
Work from home job in Ohio, IL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryJoin Meritain, a subsidiary of CVS Health as the Manager of Stop Loss/Reinsurance Operations.
In this high impact role, you will lead a team of about 12-15 colleagues who are responsible for the filing of Stop Loss claims to partner Managing General Underwriter (MGU) and Stop Loss Carriers, follow up, reconciliation and posting of Stop Loss reimbursements.
As Manager, you will lead day to day colleague management, as well as issue resolution.
You will be responsible for partnering across the Meritain organization, representing Meritain in conversation with Stop Loss carrier partners and for overall departmental performance.
We are seeking an operational innovator who thrives in a high-energy, fast-paced, and high-growth environment.
The ideal candidate will demonstrate the ability to seamlessly transition between strategic initiatives and tactical execution, while consistently delivering results.
Strong verbal and written communication skills are essential, along with a proven capacity to influence and collaborate across all levels of the organization.
Additional Responsibilities:• Receives and investigates escalated and complex cases and works with Management and other departments to bring about resolution.
• Provides direction for the Stop Loss staff in meeting their developmental goals.
• Oversees the daily workflow and priorities to ensure business objectives are maintained.
• Maintains monthly reporting statistics for Management• Participates in weekly prioritization process for system enhancements• Develops and maintains inter-departmental relationships necessary for teamwork and completion of objectives and goals.
• Responsible for managing training requirements for new and existing staff• Build and maintain relationships with stop loss carriers to expedite urgent or special issues.
• Fosters environment of compliance per Aetna requirements.
• Functions as back-up to staff and peers as necessary Required Qualifications • Minimum 5 years operations (claims, eligibility, plan setup, implementation) or related field; stop loss/reinsurance experience highly preferred• Progressive leadership experience managing projects and/or teams• Health Care or Insurance setting Preferred Qualifications• Prior experience managing large teams• Medical Claims Operations exposure Educationbachelor's degree preferred/specialized training/relevant professional qualification.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$54,300.
00 - $159,120.
00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Sales Leader, Career and Professional (Remote)
Work from home job in Ohio, IL
We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innovation that helps millions of learners improve their lives and achieve their dreams through education.
Our culture values inclusion, engagement, and discovery
Our business is driven by our strong culture, and we know that creating an inclusive workplace is absolutely essential to the success of our company and our learners, as well as our individual well-being. We recognize the value of diverse perspectives in everything we do, and strive to ensure employees of all levels and backgrounds feel empowered to voice their ideas and bring their authentic selves to work. We achieve these priorities through programs, benefits, and initiatives that are integrated into the fabric of how we work every day. To learn more, please see ***********************************************************
As the Sales Leader of Career/Professional, you will lead a high-energy, goal-oriented team of professionals who believe in the power and joy of learning. This leadership position drives the sales performance of one field sales district and two distance sales districts, along with a Sales Support team. Each District consists of a District Manager, Sales Growth Specialists, and Account Executives or Strategic Account Managers, totaling $70M in sales. This position drives sales performance by providing strategic direction and support to field sales teams, holding their teams accountable for sales growth and goal achievement.
At the direction of the VP - Head of Institutional Sales, the Sales Leader builds and develops high performing sales regions capable of exceeding sales revenue targets with a strong focus on talent development, share growth, and digital sales, usage and retention. The Sales Leader executes programs designed by the VP - Head of Adoption Institutional Sales in recruiting and hiring, talent development, and accurate pipeline management and forecasting.
What you'll do here:
* Provides leadership to assigned personnel, carrying Company and Go to Market priorities defined by the Vice President through to execution, and holds their sales districts accountable for achieving sales goals
* Coordinates with and supports regional leadership teams under the VP of Business Development or Sales Leader of Account Relationships as required to secure high-value, departmental or institutional sales
* Actively tracks and handles opportunity pipeline for assigned area and ensures District Managers and Account Executives/Strategic Account Managers are using the CRM as part of daily workflow for pipeline, planning, and forecasting
* Provides clear pipeline visibility and forecast to VP Head of Adoption Institutional Sales and Go-to-Market leadership through effective and efficient usage of CRM and business review tools, as well as PowerBi reporting
* Proactively reports key activities and progress towards goals; prepares high-level updates for business review in-flights on a regular basis
* Works collaboratively with District Managers to help them implement strategies for increasing Cengage market share by targeting high value adoptions in defined discipline segments
* Ensures District Leadership works collaboratively with Customer Success team to implement programs that ensures support, drives base growth, and ensures renewal of large digital adoptions
* Carries out programs in partnership with Sales Programs & Talent Development to acquire strong talent, coach up current members of the team, and build a culture of learning and improvement
* Recruits, develops, and retains sales talent at all levels of the organization
* Maintains Master Services Agreements (MSA) templates for negotiated Inclusive Access and other purchasing models; partners with legal to ensure annual updates of legal Terms & Conditions; partners with Operations to get discount approvals when necessary for new business or MSA renewals; drafts business terms and ensure accuracy of contracts before customer review
* Manages travel distribution amongst teams and partners with VP on allocated budget allotment to ensure successful execution under cap
* Leads Institutional account strategy, meeting with key executives (Presidents, CFO's, CIO's Provosts, VPAA's, etc.) to further institutional partnerships and strengthen customer relationships from the top down
* Travels to key events focused on the For-Profit sector, mainly Career Education Colleges and Universities (CECU) Annual Conference, Leadership Event, and Executive Summit, in addition to other regional events as required
* Maintains clear record of parent company to affiliate institution relationships, tracks alignments in CRM and PowerBi systems for accuracy on a quarterly basis
* Provides meaningful and effective coaching through ongoing performance feedback while supporting continuous employee discovery, growth and development.
Skills you will need here:
(Required)
* Minimum 8 years of dynamic experience in Sales, Marketing, or Management with at least 4 of those years in a Leadership role in education, publishing, or related information delivery industry
* Experience leading a sales team with a consistent track record in sales, sales management, and leadership
* Experience mentoring and developing others
* Strong business understanding and excellent team-building skills
* Superior time management skills to handle multiple tasks and shifting priorities
* Highly developed verbal and written communication skills with high energy (people want to be around you), and strong interpersonal skills with ability to establish relationships with partners, including staff and customers
* Proactive approaches to problem-solving with strong decision-making capability and ability to work in a group and reach decisions by consensus
* Forward looking thinker who actively seeks opportunities and proposes solutions, and demonstrated ability to anticipate needs and situations
* Desire for continuous learning and improvement
* Demonstrated ability and quantifiable success in leading corporate initiatives before they are fully developed
* Highly resourceful team-player, with the ability to be effective independently
* Ability to handle confidential information with discretion
* Deadline driven in a fast-paced environment
* Passionate learner who seeks feedback and consistently expands skills
* Superior organization skills and strong attention to detail and diligent follow up
* Flexible and adaptable to change
* Proficient in Microsoft Office (Outlook, Word, Excel and PowerPoint), Adobe Acrobat, and social media web platforms
* Proficient in CRM system workflows and data, particularly in pipeline management and forecasting (Salesforce preferred)
* Ability to travel 30-40% overnight by both auto and air
* Located within the assigned sales region.
Preferred:
* BA or BS degree
* Sales experience in academic publishing, services, or other higher education sales; For-Profit market experience preferred
* Digital product training experience in educational settings; direct digital training experience in a higher education setting highly desired
Cengage Group's Higher Education business, Cengage, supports learning and student success by providing materials and digital solutions to faculty and students enrolled in two-year, four-year and vocational programs. We currently serve more than 10 million of the 18 million students in US higher ed. Setting a new standard of service for our customers, we deliver quality, easy-to-use course materials from textbooks and eBooks to courseware such as MindTap and WebAssign. In the US, we offer Cengage Unlimited and Cengage Unlimited for Institutions. We help instructors be better teachers, we help institutions solve problems and we empower students to leverage the power and joy of learning to transform lives.
Cengage Group is committed to working with broad talent pools to attract and hire strong and most qualified individuals. Our job applicants are considered regardless of race, national origin, religion, sex, sexual orientation, genetic information, disability, age, veteran status, and any other classification protected by applicable federal, state, provincial or local laws.
Cengage is also committed to providing reasonable accommodations for qualified individuals with disabilities including during our job application process. If you are an applicant with a disability and require reasonable accommodation in our job application process, please contact us at accommodations.ta@cengage.com or at *****************.
About Cengage Group
Cengage Group, a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready. For more than 100 years, we have enabled the power and joy of learning with trusted, engaging content, and now, integrated digital platforms. We serve the higher education, workforce skills, secondary education, English language teaching and research markets worldwide. Through our scalable technology, including MindTap and Cengage Unlimited, we support all learners who seek to improve their lives and achieve their dreams through education.
Compensation
At Cengage Group, we take great pride in our commitment to providing a comprehensive and rewarding Total Rewards package designed to support and empower our employees. Click here to learn more about our Total Rewards Philosophy.
The full base pay range has been provided for this position. Individual base pay will vary based on work schedule, qualifications, experience, internal equity, and geographic location. Sales roles often incorporate a significant incentive compensation program beyond this base pay range.
$117,100.00 - $152,200.00 USD
Auto-Apply1099 Telemedicine Endocrinologist | Ohio License
Work from home job in Ohio, IL
Allara is a comprehensive women's health provider that specializes in expert, longitudinal care that supports women through every life stage. Trusted by over 40,000 women nationwide, Allara makes expert healthcare accessible by connecting patients with multidisciplinary care teams that have a deep understanding of hormonal, metabolic, and reproductive care. Allara provides ongoing support for hormonal conditions like PCOS, chronic conditions like insulin resistance, and life stages like perimenopause, helping patients see improved health outcomes. As one of the fastest-growing women's health platforms in the U.S., Allara is bridging long-overlooked gaps in healthcare for women.
The Opportunity
We're seeking board-certified Endocrinologists to provide comprehensive, empathetic, and collaborative care to women-including diagnosis, treatment, and management of chronic and acute conditions.
Location: Fully remote within the U.S.
Your Impact
* Conduct thorough patient assessments and develop personalized treatment plans via video visits.
* Collaborate with a multidisciplinary team to deliver the highest standards of care.
* Complete required trainings and adhere to company policies and best practices.
* Promote preventative care and overall well-being through education and evidence-based strategies.
* Maintain accurate and up-to-date patient records.
* Dedicate a minimum of 10 patient-facing hours per week, including consults, prescribing medications when appropriate, and providing necessary medical guidance.
* Charting, addressing patient questions, and responding to administrative tasks and messages.
Required Qualifications
* Required Medical License: MD or DO degree from an accredited institution.
* Required Certification: Active ABIM certification in Endocrinology.
* Required Experience: Minimum of 2 years of consecutive, recent experience as an Endocrinologist.
* Women's health experience is a plus!
* Independence: Ability to operate effectively as an independent provider with strong diagnostic and problem-solving abilities.
* Communication Skills: Exceptional written and verbal communication with a focus on clarity and compassion.
* Webside Manner: Strong ability to connect with patients virtually and provide empathetic care.
* Commitment to Evidence-Based Care: Dedication to delivering treatments grounded in the latest research.
* Technical Proficiency: Highly skilled in navigating multiple computer screens and proficient in tools such as EMR, text expanders, Gmail, Google Calendar, Zoom, and scheduling platforms.
* Telemedicine: Experience is a plus!
* State Licensure Requirements: An active, unrestricted, and unencumbered state license in at least one of the following states:
* Ohio, Illinois, California, Pennsylvania, Florida, Georgia, Texas, Maryland, New Jersey, New York, Michigan, Massachusetts, or Connecticut.
We collect all active state licenses in our application process, and if we do not have an immediate need for your specific license(s), we can easily revisit opportunities in the future if your experience aligns.
What Allara Offers
* Compensation: We offer competitive per-visit rates, plus additional pay for charting, administrative tasks, and other patient-related tasks.
* Fully Remote Role: Work from anywhere in the US.
* 1099 Contract Agreement: Enjoy the flexibility and independence of a contractor role.
* Flexible Schedules: Set the hours that best fit your lifestyle and availability.
* Malpractice Insurance: Comprehensive coverage provided.
* Mission-Driven Impact: Join us in transforming healthcare for women, making a meaningful difference every day.
* Collaborative Community: Engage with and learn from a network of dedicated Allara providers.
* Inclusive Work Environment: Be part of a supportive, diverse, and collaborative team that values innovation and inclusion.
At Allara, we believe in celebrating everything that makes us human and are proud to be an equal-opportunity workplace. We embrace diversity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. We believe that the more inclusive we are, the better we can serve our members. We're an Equal Opportunity Employer and do not discriminate against candidates or patients based on race, color, gender, sexual orientation, gender identity or expression, age, religion, disability, national origin, protected veteran status, or any other status protected by applicable federal, state, or local law.
Auto-ApplyRemote BCBA (OH) - COBA
Work from home job in Ohio, IL
Job Description
We're seeking Board Certified Behavior Analysts (BCBAs) who are ready to make a meaningful impact while being supported every step of the way.
Please Note: We do not provide training for BCBA certification. Applicants must already hold active BCBA certification. Our training program is designed to support certified BCBAs in excelling within our company.
What We Offer
Competitive Pay: $55-$80/hr
Start Part-Time: Transition to full-time after 90 days
Work Options: In-person or hybrid roles
Structured 6-Month Training & Onboarding: Paid training program (13 hours across 6 months) to help you grow, connect, and thrive as part of our team
Free Licensure in All States We Operate In: We'll cover the cost of your LBA so you can work across multiple states under our company
Same Day Pay for flexibility
Full-Time Benefits (after 90 days): Health, dental, vision, life insurance, 401K with match, PTO, holiday pay
Growth Opportunities: Free CEUs, mentorship, leadership paths
No Non-Compete / No Set Caseloads
What You'll Do
Conduct assessments & create behavior plans
Supervise ABA programs and staff
Support and train caregivers & RBTs
Collaborate with a team of experienced BCBAs
Requirements
Active BCBA certification (required)
Experience supervising RBTs/technicians
Strong clinical and decision-making skills
Growth mindset & cultural responsiveness
Apply today and join a supportive team that values your expertise, flexibility, and professional growth.
Program Account Manager (Remote)
Work from home job in Sterling, IL
Job DescriptionDescription:
We are HALO! We connect people and brands to create unforgettable, meaningful, and lasting experiences that build brand engagement and loyalty for our over 60,000 clients globally. Our nearly 2,000 employees and 1,000 Account Executives located in 40+ sales offices across the United States are the reason HALO is the global leader in branded merchandise, uniform programs, and recognition and incentive solutions.
HALO is looking for a Program Account Manager to join its Program Account Management team. This role will serve as a direct point of contact for Account Executives (AEs) and Clients on Program Accounts assigned as they liaise between AE/Client and internal HALO Departments, including: Inventory Management, AR, Marketing, etc. This role will be responsible for managing the program to meet or exceed the program requirements outlined in the Contract and Business Requirement Docs and will lead strategy meetings with technology resources to identify and execute to the processes outlined. Additionally, the person in this role must understand the profitability goals of the programs being managed and manage said programs to meet or exceed profitability - reducing inventory, staff expense, manual process removal, etc.
Note: If you reside within 30 miles of the Sterling, IL Corporate Office, 1x a week visit would be required.
Responsibilities:
Program Management
Collaborate with the clients, Account Executives, sales & program management, and internal departments to develop and maintain the life cycle of ecommerce programs:
Have a thorough understanding of how to manage the program to meet requirements outlined in the Business Requirement Docs and Contract
Have an in-depth knowledge of brand guidelines, marketing direction, fulfillment and billing requirements
Own all client-related calendars (marketing, merchandising, product load/refresh) and manage timeline benchmarks
Prepare internal and external program reviews on a monthly, quarterly, and annual basis
Resolve issues, delays and conflicts between internal departments
Collect, analyze, and communicate all pertinent project details, deliverables, and changes to the client and internal stakeholders.
Manage client expectations and communicate project processes, approvals, and timelines
Manage and communicate changes to existing programs, new programs and marketing initiatives to internal staff
Lead strategy meetings with technology resources to identify and execute to the processes outlined
Understand, analyze and communicate findings from sales, inventory and usage reports to provide oversight to demands on inventory, guide informed decisions about item and program performance, and optimize established ship complete, inventory turn, and obsolescence goals
Account Profitability
Manage to the profitability goals of each program.
Execute long-range sales and marketing plans to generate increased overall revenue growth of assigned accounts
Identify new sales opportunities and engage appropriate personnel as needed
Collaborate with clients to identify and create accurate metrics, sales and revenue projections to measure ongoing success of each program
Work within program expense budgets, including sample and marketing spend
Manage the program to meet or exceed profitability - reducing inventory, staff expense, and continually improve efficiencies of internal processes
Requirements:
Associate's Degree required
Minimum of 3+ year of account or program management experience required
Previous experience in the promotional products industry preferred
Outstanding verbal and written communication skills
Proficient in Microsoft Office applications
Excellent time-management and organizational skills
Positive, professional attitude and pleasant personality in all situations
Discipline to work productively under minimal direct supervision
Courage to take initiative, share ideas and suggest improvements
Desire to succeed in a fast-paced, deadline driven environment
Strong problem solving skills and ability to make decisions
Analytical thinking to comprehend and utilize business reports
Flexibility to work with a team, take on new responsibilities and work overtime when required
Basic marketing, accounting, knowledge
Compensation: The estimated base salary range for this position is between $47,000 - $60,000 annually. Please note that this pay range serves as a general guideline and reflects a broad spectrum of labor markets across the US. While it is uncommon for candidates to be hired at or near the top of the range, compensation decisions are influenced by various factors. At HALO, these include, but are not limited to, the scope and responsibilities of the role, the candidate's work experience, location, education and training, key skills, internal equity, external market data, and broader market and business considerations.
Benefits: At HALO, we offer benefits that support all aspects of your life, helping you find a work-life balance that's right for you. Our comprehensive benefits include nationwide coverage for Medical, Dental, Vision, Life, and Disability insurance, along with additional Voluntary Benefits. Prepare for your financial future with our 401(k) Retirement Savings Plan, Health Savings Accounts (HSA), and Flexible Spending Accounts (FSA).
Application Information: To apply to this opportunity, click the APPLY button at the top right or very bottom of the screen to complete our online application. A resume is optional, so you may choose to upload and have the application prefill with your information. There are 5 sections to complete in total, including General information, Work History, Education, Compliance, and optional demographic questions. Once you have successfully submitted your application, you will receive a submission confirmation email from our system.
Application Deadline: Applications are reviewed and processed only when there is a specific need or opportunity, rather than on a fixed schedule or at a set deadline. Because they are reviewed on an as-needed basis, a job posting will be removed once the position has been filled or is no longer available.
More About HALO:
At HALO, we energize our clients' brands and amplify their stories to capture the attention of those who matter most. That's why over 60,000 small- and mid-sized businesses partner with us, making us the global leader in the branded merchandise industry.
Career Advancement: At HALO, we're passionate about promoting from within. Internal promotions have been key to our exponential growth over the past few years. With so many industry leaders at HALO, you'll have the opportunity to accelerate your career by learning from their experience, insights, and skills. Plus, you'll gain access to HALO's influential global network, leadership opportunities, and diverse perspectives.
Culture: We love working here, and we're confident you will too. At HALO, you'll experience a culture of ingenuity, inclusion, and relentless determination. We push the limits of possibility and imagination by staying curious, humble, and bold breaking through yesterday's limits. Diversity fuels our creativity, and we thrive when each of us contributes to an inclusive environment based on respect, dignity, and equity. We hold ourselves to a high standard of excellence with a commitment to results and supporting one another with accountability, transparency, and dependability.
Recognition: At HALO, your success is our success. You can count on us to celebrate your wins. Colleagues across the company will join in recognizing your milestones and nominating you for awards. Over time, you'll accumulate recognition that can be converted into gift cards, trips, concert tickets, and merchandise from your favorite brands.
Flexibility: Many of our roles offer hybrid work options, and we pride ourselves on flexible schedules that help you balance professional and personal demands. We believe that supporting our customers is a top priority and trust that you and your manager will collaborate to create a schedule that achieves this goal.
HALO is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We insist on an environment of mutual respect where equal employment opportunities are available to all applicants without regard to race, color, religion, sex, pregnancy (including childbirth, lactation and related medical conditions), national origin, age, physical and mental disability, marital status, sexual orientation, gender identity, gender expression, genetic information (including characteristics and testing), military and veteran status, and any other characteristic protected by applicable law. Inclusion is a core value at HALO and we seek to recruit, develop and retain the most talented people.
HALO participates in E-Verify. Please see the following notices in English and Spanish for important information: E-Verify Participation and Right to Work.
HALO is committed to working with and providing reasonable accommodations to individuals with disabilities. If you need reasonable accommodation because of a disability for any part of the employment process - including the online application and/or overall selection process - you may email us at ***********. Please do not use this as an alternative method for general inquiries or status on applications as you will not receive a response. Reasonable requests will be reviewed and responded to on a case-by-case basis.
Easy ApplyTeam Lead- Customer Service
Work from home job in Ohio, IL
Facility: Work From Home - Ohio Department: Patient Financial Services Schedule: Full time Hours: 40 Job Details: Work with manager to provide day-to-day support to team by facilitating problem solving through collaboration with internal and external customers. Serve as a mentor to all point of service operations employees. Coach and develop team members using patient access standards, rules and training methods. Assist supervisor and manager in developing methods that aid process improvement and efficiencies resulting in accurate pre-registration, registration and denial prevention. Assist supervisor and manager in optimizing processes for registration, pre-registration, pre-service estimate and point of service collections, and optimal patient experiences. Participate in developing departmental quality improvement initiatives. Effectively communicate with all departments and clinics (internal/external) to Dayton Children's. Engage both internal and external customers with DCH approved de-escalation techniques in the absence of manager or supervisor. Work in accordance with the hospitals mission and vision statement, values, guiding behaviors and strategic goals.
Primary Duties and Responsibilities reflect the general duties considered necessary to describe the principal functions of the job as identified and should not be considered a detailed description of all the work requirements that may be inherent to the position
Department Specific Job Details:
Shift
* Monday-Friday
* 8:00am-4:30pm
* No weekends or holidays
* Hybrid role located in Dayton, OH
Education
* High school diploma is required
* Associates degree is preferred
* Clarivate Certified Access Specialist Certification completion within one year of hire
Experience
* 1+ years of experience in patient access or large hospital/medical front office
* Strong communication and interpersonal skills
* Ability to work tactfully with patients, staff, and interdepartmental customers
* Proficient in customer service and data collection processes
* Ability to lead and motivate a team
* Knowledge of healthcare billing regulations, insurance and compliance requirements
* Excellent organizational and time-management skills
Education Requirements:
GED, High School (Required)
Certification/License Requirements:
Auto-ApplyWind Hub Technician - $7500 Sign-on Bonus - GSG (West Brooklyn, IL)
Work from home job in Tiskilwa, IL
GE's Onshore wind power capacity is growing fast and will continue to rise steadily in the coming years. As we continue to grow and develop new and existing wind sites, Onshore Wind has an ongoing need to build our field teams with the right individuals that possess a willingness to learn, contribute and grow. As part of the GE family, training and development, safety, and career progression lead our initiatives to provide opportunity and growth in all areas.
The Wind Technician position requires local travel within the hub. The Wind Technician is a critical and active role to maintain optimal function and output at the wind site by working daily on turbine operations, safety, quality control and warranty repair(s). The Wind Technician partners and communicates with the Site Lead and Manager to execute on contract requirements and timelines and ensures alignment with GE excellence!
**Job Description**
**Please note:** This is an on-site position requiring residence within 60 minutes of the location or willingness to relocate. While this is not a travel-based role, occasional travel within the local hub may be required.
Essential Responsibilities
As the Wind Technician you will:
+ Work with site & hub leadership to execute contractual obligations per customer requirements and activities set forth with on a daily basis, which include any portion of the electrical and mechanical equipment used in the GE wind turbine generator;
+ Perform maintenance, repair or replacement of parts to correct malfunctions;
+ Troubleshoot complex mechanical, hydraulic, and electrical problems on variable pitch & variable speed turbines;
+ Help in all areas of site operations as directed by manager with minimal supervision; observing all safety requirements;
+ Perform some diagnostic electrical analysis;
+ Document all work performed using computer based service reporting procedures and
+ Work with and respond to GE's remote operations center when necessary.
**Qualifications/Requirements**
+ High School Diploma or GED, and
+ Minimum of 1 year(s) experience as a Wind Technician/Wind Mechanic, or completed Wind Certificate Program/Associates Degree in Energy, or 2 years of electrical work experience
**Eligibility Requirements**
+ Passing a Technical Knowledge Assessment, and Basic computer skills Must have and maintain a valid driver's license
+ Ability and willingness to lift repetitive weight of up to 45 lbs. unassisted and climb towers of 300+ feet regularly.
+ Meet specified manufacturer weight limits not to exceed 300lbs including required gear
+ Ability and willingness to work in range of environments to include but not limited to industrial facilities, manufacturing facilities, and power industry facilities
+ Effectively prioritize work according to contract obligations
+ Ability and willingness to take initiative, and work without direct supervision, and
+ Flexibility to work rotating shift schedules, and on-call per site needs.
+ Occasional overnights may be required per hub needs.
**Desired Characteristics**
+ Associate's or Bachelor's Degree in a Technical, Electrical, or Electronics field from an accredited college or university
+ Technical Certification in Wind Energy or Electrical / Electronic field
+ Ability to work with a wide variety of personnel at all levels inside and outside of the Wind Farm
+ Wind turbine experience
+ Ability and willingness to take initiative, and work without direct supervision
+ Electrical, mechanical, and/or hydraulic experience
+ Experience using hydraulic power tools
+ Experience with heavy equipment required for facility maintenance with a working knowledge of crane and rigging requirements
The base pay range for this position is $25.96 - $34.96. The specific pay offered may be influenced by a variety of factors including the candidate's experience, education, and skill set. This position is also eligible for annual merit increases based on performance. This posting is expected to close on _4/24/25_ or thereafter.
Healthcare benefits include medical, dental, vision, and prescription drug coverage; access to a Health Coach, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling, and referral services. Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability insurance, life insurance, and paid time-off for vacation or illness.
GE Vernova, Ropcor, Inc., their successors, and in some cases their affiliates, each sponsor certain employee benefit plans or programs (i.e., is a "Sponsor"). Each Sponsor reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a Sponsor's welfare benefit plan or program. This document does not create a contract of employment with any individual.
\#LI-AP3
**Additional Information**
GE Vernova offers a great work environment, professional development, challenging careers, and competitive compensation. GE Vernova is an Equal Opportunity Employer (****************************************************************************************** . Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
GE Vernova will only employ those who are legally authorized to work in the United States for this opening. Any offer of employment is conditioned upon the successful completion of a drug screen (as applicable).
**Relocation Assistance Provided:** No
\#LI-Remote - This is a remote position
For candidates applying to a U.S. based position only:
*The Company pays a geographic differential of 110%, 120% or 130% of salary in certain areas.
This posting is expected to remain open for at least seven days after it was posted on December 02, 2025.
Available benefits include medical, dental, vision, and prescription drug coverage; access to Health Coach from GE Vernova, a 24/7 nurse-based resource; and access to the Employee Assistance Program, providing 24/7 confidential assessment, counseling and referral services. Retirement benefits include the GE Vernova Retirement Savings Plan, a tax-advantaged 401(k) savings opportunity with company matching contributions and company retirement contributions, as well as access to Fidelity resources and financial planning consultants. Other benefits include tuition assistance, adoption assistance, paid parental leave, disability benefits, life insurance and 12 paid holidays. New hires also two weeks of annual vacation (which may be pro-rated based on start date).
GE Vernova Inc. or its affiliates (collectively or individually, "GE Vernova") sponsor certain employee benefit plans or programs GE Vernova reserves the right to terminate, amend, suspend, replace, or modify its benefit plans and programs at any time and for any reason, in its sole discretion. No individual has a vested right to any benefit under a GE Vernova welfare benefit plan or program. This document does not create a contract of employment with any individual.
GE Vernova is an Equal Opportunity Employer. Employment decisions are made without regard to race, color, religion, national or ethnic origin, sex, sexual orientation, gender identity or expression, age, disability, protected veteran status or other characteristics protected by law.
Utilization Management Nurse Consultant - Work at Home
Work from home job in Ohio, IL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position Summary SummaryAssesses and monitors patient health, administering medications and treatments, performing medical procedures, and collaborating with physicians and other healthcare professionals to develop and implement patient care plans.
Educates patients and their families about healthcare management and assists in maintaining a safe and supportive healthcare environment.
Primary Job Duties & ResponsibilitiesDrives effective utilization management practices by ensuring appropriate and cost-effective allocation of healthcare resources and facilitating appropriate healthcare services/benefits for members.
Conducts routine utilization reviews and assessments, applying evidence-based criteria and clinical knowledge to evaluate the medical necessity and appropriateness of requested healthcare services.
Collaborates with healthcare providers, multidisciplinary teams, and payers to develop and implement care plans that optimize patient outcomes while considering the efficient use of healthcare resources.
Applies clinical expertise and knowledge of utilization management principles to influence stakeholders and networks of healthcare professionals by promoting effective utilization management strategies.
Reviews and analyzes medical records, treatment plans, and documentation to ensure compliance with guidelines, policies, and regulatory requirements, subsequently providing recommendations for care coordination and resource optimization.
Consults with and provides expertise to other internal and external constituents throughout the coordination and administration of the utilization/benefit management function.
Communicates regularly with internal and external stakeholders to facilitate effective care coordination, address utilization management inquiries, and ensure optimal patient outcomes.
Provides IC-related coaching and guidance to nursing staff and other healthcare professionals, sharing knowledge and expertise to enhance their understanding of utilization management principles and improve their clinical decision-making.
Contributes to the development and implementation of utilization management strategies, policies, and procedures that aim to improve patient care quality, cost-effectiveness, and overall healthcare system performance.
EducationBachelor's degree preferred/specialized training/relevant professional qualification.
Prior Relevant Work Experience3-5 years Essential QualificationsWorking knowledge of problem solving and decision making skills.
Working knowledge of medical terminology.
Working knowledge of digital literacy skills.
Ability to deal tactfully with customers and community.
Ability to handle sensitive information ethically and responsibly.
Ability to consider the relative costs and benefits of potential actions to choose the most appropriate option.
Ability to function in clinical setting with diverse cultural dynamics of clinical staff and patients.
Registered Nurse (RN) required.
Licensed Clinical Social Worker (LCSW) preferred.
Requisition Job DescriptionPosition SummaryThis Utilization Management (UM) Nurse Consultant role is 100% remote and the candidate can live in any state.
Normal Working Hours: Monday through Friday 8:30am-5:00pm in the time zone of residence.
Shift times may vary occasionally per the need of the department.
Rotational late shift 9:30-6CST.
No travel is required.
As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.
You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times.
This includes reviewing written clinical records.
The UM Nurse Consultant job duties include (not all encompassing):Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program.
Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure, and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.
Required QualificationsRN with active and unrestricted state licensure in their state of residence2+ years of acute hospital clinical experience as an RN with preference for medical-surgical and ICU experience (team is not accepting applicants whose only acute care experience is in behavioral health) Preferred Qualifications1+ years' experience Utilization Review experience1+ years' experience Managed Care Strong telephonic communication skills1+ years' experience with Microsoft Office Suite (PowerPoint, Word, Excel, Outlook) Experience with computers toggling between screens while using a keyboard and speaking to customers.
Ability to exercise independent and sound judgment, strong decision-making skills, and well-developed interpersonal skills Ability to manage multiple priorities, effective organizational and time management skills required Ability use a computer station and sit for extended periods of time EducationAssociate Degree in Nursing is minimum required, BSN preferred.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29.
10 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Automation Engineer - Electric Power Systems (Remote)
Work from home job in Ohio, IL
Your Work Shapes the World at Caterpillar Inc. When you join Caterpillar, you're joining a global team who cares not just about the work we do - but also about each other. We are the makers, problem solvers, and future world builders who are creating stronger, more sustainable communities. We don't just talk about progress and innovation here - we make it happen, with our customers, where we work and live. Together, we are building a better world, so we can all enjoy living in it.
About EPD
Caterpillar's Electric Power Division (EPD) offers integrated solutions, parts, and services to meet the needs of our various commercial and industrial electric power customers. EPD supports a wide range of customer applications across the globe, including providing back-up power to hospitals, providing emergency power when natural disasters strike, and supporting critical infrastructure for data centers, municipalities, and more. With a rich history of more than 95 years in the electric power business, our team has world-class expertise and a proven ability to adapt to changing demands. We're committed to providing sustainable and reliable solutions to our customers. Join our team to help build a better, more sustainable world for future generations!
Job Summary:
Join the Electric Power Division at Caterpillar as an Automation Engineer and play a key role in shaping the future of generator control switchgear systems! In this dynamic role, you'll design, develop, and implement cutting-edge software solutions that power critical electric systems. You'll work with a mix of established guidelines and innovative thinking to bring projects to life-often independently, but with the support of a collaborative team when needed. If you're passionate about automation and ready to make an impact, this is the opportunity for you!
What You Will Do:
* Identify retrofit opportunities, scope projects, and support proposal creation via Dealer and Factory teams
* Perform technical risk management for field performance of assigned projects.
* Convert legacy PLC projects to new platforms and validate for accuracy.
* Execute and support design, test, manufacture and commissioning of low and medium voltage switchgear controls retrofits for systems that control multiple generators which parallel to one or more utility sources.
* Provide direction to CAD designers to create wiring and assembly drawings for generator paralleling controls.
* Utilize templates or modify PLC programs for control of generator paralleling switchgear.
* Modify template HMI programs to coincide with project-specific PLC programs.
* Provide Engineering/Technical support to AES (Advanced Electrical Services) Sales Group.
* Submit daily project reports and expenses in a timely manner.
* Assist the Product Support Center help desk to resolve customer issues that cannot be handled locally.
* As needed, assist or train technicians, and both internal and external customers, in preventative maintenance, troubleshooting, repair, and testing of equipment under contract with Caterpillar Switchgear.
What You Will Have:
* Experience in dealing with multiple disciplines such as contractors, consultants, engineers, end users, etc.
* Working knowledge of the following:
* Installation, troubleshooting, and design of switchgear, ATS, and generator systems.
* Reading schematics and blueprints for power control and automation at a Power Systems level
* Installation, troubleshooting, design and programming of automated control systems using Programmable Logic Controllers (PLC's), Human Machine Interfaces (HMI's), PC controls, and distributed processing.
* Computer and software troubleshooting
* PLC Software Experience
* Modicon / Schneider Electric
* Rockwell / Allen Bradley
* Siemens
* GE
* HMI Software Experience (a plus, but not required)
* Rockwell - RSView / FactoryTalk
* Siemens
* Vijeo
* iFix
* Wonderware
Additional Requirements:
* Bachelor of Science degree in Electrical Engineering (BSEE), Bachelor of Science in Electrical Engineering Technology (BSEET)
* Minimum of 2 years of experience or minimum of 4 years equivalent work experience.
* Valid driver's license with an acceptable driving record
Additional Information:
* This is a remote position based in the U.S.
* Company vehicle provided, including insurance, towing, and personal use
* Phone allowance included
* Hourly exempt role with paid overtime
* Travel required: (estimated) 35-50% to support projects and team members
* Relocation assistance is NOT available
* Sponsorship is NOT available
Driving Innovation Through These Product Lines:
* Caterpillar Switchgear - Utilizing various manufacturers' low and medium voltage switchgear, Caterpillar Switchgear provides systems that integrate switchgear with Caterpillar engine-generators.
* Caterpillar Automatic Transfer Switches - For simpler emergency power requirements Cat ATSs provide a cost-effective means of powering critical loads during power outages.
* Caterpillar Advanced Electrical Services - From service contracts to complete renovations, CAT Switchgear AES insures that customer sites are safe and operational when needed.
Caterpillar Switchgear Products are designed using state-of-the-art automation products and are operated from color touchscreens. All automation and Human/Machine Interface (HMI) graphics are programmed and tested at our Alpharetta facility.
Caterpillar believes in hiring exceptional talent. We pride ourselves on creating an exciting, innovative workplace. We invite you to embark on your next journey with us at Caterpillar Switchgear Americas, LLC.
Please ensure you frequently check the e-mail account you provided on your application, including the junk/spam folder, as this is the primary correspondence method in our recruiting process.
Summary Pay Range:
$36.85 - $55.25
Compensation and benefits offered may vary depending on multiple individualized factors, job level, market location, job-related knowledge, skills, individual performance and experience. Please note that salary is only one component of total compensation at Caterpillar.
Benefits:
Subject to plan eligibility, terms, and guidelines. This is a summary list of benefits.
* Medical, dental, and vision benefits*
* Paid time off plan (Vacation, Holidays, Volunteer, etc.)*
* 401(k) savings plans*
* Health Savings Account (HSA)*
* Flexible Spending Accounts (FSAs)*
* Health Lifestyle Programs*
* Employee Assistance Program*
* Voluntary Benefits and Employee Discounts*
* Career Development*
* Incentive bonus*
* Disability benefits
* Life Insurance
* Parental leave
* Adoption benefits
* Tuition Reimbursement
* These benefits also apply to part-time employees
Posting Dates:
December 5, 2025 - January 8, 2026
Any offer of employment is conditioned upon the successful completion of a drug screen.
Caterpillar is an Equal Opportunity Employer, Including Veterans and Individuals with Disabilities. Qualified applicants of any age are encouraged to apply.
Not ready to apply? Join our Talent Community.
Auto-ApplySales Engineer - Ohio
Work from home job in Ohio, IL
Harness is led by technologist and entrepreneur Jyoti Bansal, founder of AppDynamics (acquired by Cisco for $3.7B). The company has raised ~$570M in Series E venture funding, is valued at $5.5B, and backed by top investors including Goldman Sachs, Menlo Ventures, IVP, Google Ventures, J.P. Morgan, Capital One Ventures, Citi Ventures, ServiceNow, Splunk Ventures and more. Harness is building the industry's leading AI-powered software delivery platform, enabling teams worldwide to build, test, and deliver software faster, safer, and more reliably. Writing code is only 30-40% of the engineering lifecycle - the rest involves testing, deployments, security, compliance, and optimization. Harness brings AI and automation to this outer loop, turning complex, time-consuming workflows into streamlined processes at massive global scale.
The platform includes industry leading products in CI/CD, Feature Flags, Cloud Cost Management, Service Reliability, Chaos Engineering, Software Engineering Insights, Internal Developer Experience, and API discovery, observability, governance, and runtime protection. Over the past year, Harness powered 128M deployments, 81M builds, 1.2T API calls protected, and $1.9B in cloud spend optimized, helping customers like United Airlines and Choice Hotels accelerate releases by up to 75% and achieve 10x DevOps efficiency. With employees in over 25 countries, Harness is shaping the future of AI-driven software delivery - and we're looking for exceptional talent to help us move even faster.
Position Summary
The Sales Engineer lives and works in the intersection between sales and engineering. The ideal candidate must be able to articulate technology and product positioning at the executive, business and technical levels. Sales Engineers are the primary technical support for the sales force and are responsible for actively driving and managing the technology evaluation stage of the sales process. They are there to ensure success with all Harness customers and strategize with their sales counterparts to steer customers to a commercial relationship.
About The Role
* World class presentation skills in delivering presentations/demos of our platform
* Able to work with customers directly to debug common errors
* Ability to tie business problems to technical solutions
* Capable of understanding and articulating technology value propositions
* Drive complex technical engagements with customers to prove the value of Harness solutions
About You
* You will be responsible for delivering a great product demonstration which tells a story of how our software provides value to our customer
* You will be responsible for representing the product to customers and at field events such as conferences, seminars, etc.
* You will remain knowledgeable and up-to-date on changes and developments on our technologies
* You either actively develop software, have a prior background as a developer, or worked with developers in a DevOps role
* Strong cloud knowledge, you worked with infrastructure automation such as Terraform
* You are able to respond to functional and technical elements of RFIs/RFPs
* You are able to convey customer requirements to Engineering teams
* You are able to travel throughout a sales territory with minimal restrictions and occasionally on short notice
Location
* This role will be remote based out of Ohio
What You Will Have At Harness
* Competitive salary
* Comprehensive healthcare benefits
* Flexible Spending Account (FSA)
* Employee Assistance Program (EAP)
* Flexible Time Off and Parental Leave
* Quarterly Harness TGIF-Off / 4 days
* Monthly, quarterly, and annual social and team-building events
* Recharge & Reset Program
* Monthly internet reimbursement
* Commuter benefits
Factors that may be used to determine your actual pay rate include your specific skills, experience, qualifications, location, and comparison to other employees already in this role. In addition to the base salary, certain roles may qualify for a performance-based incentive and/or equity, with eligibility depending on the position. These rewards are based on a combination of company performance and individual achievements.
The OTE Range is $265,000 - $285,000.
A valid authorization to work in the U.S. is required
Harness in the news:
* Accelerating Our Mission to Bring AI to Everything After Code
* Goldman Sachs leads investment in software delivery startup Harness at $5.5 billion valuation
* How Harness runs 16 "startups within a startup" at scale | Jyoti Bansal
* Harness Research Shows AI Visibility Crisis Fueling Security Nightmare
* Harness has been named to the Inc. Power Partner list for software delivery success
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex or national origin.
Note on Fraudulent Recruiting/Offers
We have become aware that there may be fraudulent recruiting attempts being made by people posing as representatives of Harness. These scams may involve fake job postings, unsolicited emails, or messages claiming to be from our recruiters or hiring managers.
Please note, we do not ask for sensitive or financial information via chat, text, or social media, and any email communications will come from the domain @harness.io. Additionally, Harness will never ask for any payment, fee to be paid, or purchases to be made by a job applicant. All applicants are encouraged to apply directly to our open jobs via our website. Interviews are generally conducted via Zoom video conference unless the candidate requests other accommodations.
If you believe that you have been the target of an interview/offer scam by someone posing as a representative of Harness, please do not provide any personal or financial information and contact us immediately at *******************. You can also find additional information about this type of scam and report any fraudulent employment offers via the Federal Trade Commission's website (********************************************* or you can contact your local law enforcement agency.
Auto-ApplyDirector, Therapy Education TMTT (Remote US)
Work from home job in Ohio, IL
Patients are at the heart of everything we do. As part of our Medical Affairs team, you'll foster internal and external collaboration to generate and disseminate evidence-based clinical practices to help impact patient lives and advance the quality of care.
Patients with mitral and tricuspid heart valve disease often have complex conditions with limited treatment options. Our Transcatheter Mitral and Tricuspid Therapies (TMTT) business unit is boldly pursuing an innovative portfolio of technologies to address a patient's unmet clinical needs. It's our driving force to help patients live longer and healthier lives. Join us and be part of our inspiring journey.
How you will make an impact:
* Act as both leader and educator (coach & player) by balancing leadership responsibilities with active participation in program delivery
* Provide strategic leadership in planning, prioritizing, and executing therapy education programs for multiple therapies
* Develop and deliver engaging content covering clinical data, disease states, treatment options, patient selection, management and recovery to provide evidence-based education while collaborating with HCPs to improve patient workflows
* Develop, track and communicate metrics to measure program effectiveness, drive continuous improvement and support data-driven leadership decisions
* Collaborate with functional team, colleagues and external stakeholders to align on strategy, content and best practices
* Recruit, develop, and evaluate a clinical SME team to ensure functional strategies, planning, and priorities are implemented successfully
What you will need (Required):
* Bachelor's Degree or equivalent based on Edwards criteria
* Ability to travel up to 70%
What else we look for (Preferred):
* Nurse Practitioner or Physician Assistance in structural heart
* Experience as a Clinical Specialist, Therapy Development Specialist, Valve Clinic Coordinator, Clinical Education and/or equivalent within the interventional cardiology industry
* Extensive understanding of related aspects of therapy education
* Demonstrated ability to manage a team while providing direction, inspiring, creating an inclusive environment and coaching team with continuous feedback
* Proven ability to develop and maintain peer, cross functional and cross business relationships to maximize best practice sharing, optimize processes, ensure team effectiveness and influence change.
* Proven successful project management leadership skills that drive continuous feedback cycle and evolution while maintaining strict attention to detail
* Excellent problem-solving, organizational, analytical and critical thinking skills including high discretion/judgment in decision making
* Excellent written and verbal communication, presentation, relationship management and negotiation skills with ability to drive achievement of objectives
* Ability to develop, integrate and communicate key metrics for deliverables to inform and guide decision making
* Ability to interact professionally with all organizational levels and proactively escalate issues to appropriate levels of management in the organization
* Ability to work and excel within a fast paced, dynamic, and constantly changing work environment while demonstrating a sense of urgency
* Conduct business and technical briefings for senior management
* Regularly interacts with executives and/or KOLs; interactions frequently involve special skills, such as negotiating with customers or management or attempting to influence senior level leaders regarding matters of significance
Aligning our overall business objectives with performance, we offer competitive salaries, performance-based incentives, and a wide variety of benefits programs to address the diverse individual needs of our employees and their families.
The base pay range for this position is $170,00 - $241,000 (highly experienced).
The pay for the successful candidate will depend on various factors (e.g., geographic location, qualifications, education, prior experience). Applications will be accepted while this position is posted on our Careers website.
Edwards is an Equal Opportunity/Affirmative Action employer including protected Veterans and individuals with disabilities.
COVID Vaccination Requirement
Edwards is committed to protecting our vulnerable patients and the healthcare providers who are treating them. As such, all patient-facing and in-hospital positions require COVID-19 vaccination. If hired into a covered role, as a condition of employment, you will be required to submit proof that you have been vaccinated for COVID-19, unless you request and are granted a medical or religious accommodation for exemption from the vaccination requirement. This vaccination requirement does not apply in locations where it is prohibited by law to impose vaccination.
Auto-ApplySales Director
Work from home job in Ohio, IL
Job Description
THIS IS A FULLY REMOTE ROLE Why iPromo? We are a fast-growing promotional product distributor having been listed on the Inc. 5000 Fastest Growing Companies list for the last three years and the ASI Industry Best Places To Work. We also generate several thousand inbound opportunities annually through our web presence. This is a remote position.
Position Summary
The Sales Director will help develop, manage, and grow sales and the sales team. The Sales Director will be directly responsible for implementing and executing the sales strategies that consist of developing and growing year over year sales, penetrating all departments in an account, and selling into multiple product categories.
The Sales Director directs the Team's focus and cultivation most in in-line with iPromo core values, policies, protocol, procedures, and Client specific requirements to achieve the highest level of success.
Responsibilities for the Role are:
Accountable for sales revenue growth and increased market share.
Work with the Team to develop a growth and penetration strategy for leads and account(s), always seeking to understand their pain points, areas for growth and opportunity, and how to be a strategic business partner, not just a supplier.
Develop programs to generate new sales.
Establish and conduct weekly meetings with Client and internal iPromo Team to identify, prioritize and execute deliverables.
Leverage iPromo Sales Leadership team to align with client leadership and executives.
Set the strategic process for building and maintaining marketing plans to promote and identify specific Client event dates and large order opportunities.
Will be directly responsible for implementing and executing the sales strategies that consist of developing and growing year over year sales, penetrating all departments in an account, and selling into multiple product categories.
Always seek ways to proactively develop and push ideas to existing and new contacts within the organization to maximize sales results.
Work in collaboration with the reps to recognize ad hoc and online company store opportunities.
Plan and adjust for delivering revenue and gross profit targets through individual account analysis.
Drive focus and accountability on weekly, monthly, quarterly, and yearly sales targets.
Assist reps in developing account penetration strategies.
Conduct Team and individual 1:1's
Coach the Team on navigating corporate environments.
Conduct Client business reviews.
Work in conjunction with a Sales Manger and VP of Operations to ensure company online store programs are meeting and exceeding Client expectations.
Attend industry specific events, tradeshows and / or meetings to establish professional rapport in order to leverage supplier benefits on behalf of the Client.
Maintain a top-level, in-depth knowledge of relevant product, industry, and retail merchandise trends, including but not limited to industry publications, newsletters, webinars and/or events.
Background should include:
Bachelor's Degree to include Marketing, Sales, or Business.
5-10 years of sales and management experience.
Demonstrated performance driven results in sales and business development.
Working knowledge of CRM usage.
Promotional Product or Corporate Gifting experience preferred.
Why Join iPromo?
· Fast-paced, collaborative culture with room to innovate
· High-impact role with visibility across marketing and leadership teams
· Opportunity to lead and grow a full-funnel digital marketing program
· Competitive compensation and benefits package
Salary Range
· 130,000-175,000USD
Powered by JazzHR
4WIPnWS8ti
Senior Revenue Integrity Analyst
Work from home job in Ohio, IL
Facility: Work From Home - Ohio Department: Revenue Integrity Services Schedule: Full time Hours: 40 Job Details: The senior revenue integrity analyst is responsible for planning and oversight of the revenue integrity analysts' performance of essential department accountabilities, including reporting to department leadership about goal status. This position will be responsible for all aspects related to revenue integrity, including maintaining work queues, understanding, and applying yearly regulatory changes, maintaining the chargemaster, and preventing revenue leakage. The senior revenue integrity analyst works accounts in assigned Revenue Integrity work queues to facilitate accurate, compliant billing of patient accounts and assists revenue integrity analysts with completion of tasks and work queues. The position will be certified in Epic CDM Management/Revenue Integrity to create, edit, delete and research various CDM requests for all hospital departments for both hospital and professional billing.
The senior analyst is responsible for establishing and enforcing the hospitals' pricing, coding, and regulatory changes. The incumbent needs to have knowledge of how billing and the CDM interacts for chargemaster build and will assist in hospital decision making related to chargemaster requests. The position will also provide operational analytical support with regards to reimbursement, charge lag, revenue trends, and other revenue related items. The senior revenue integrity analyst will coordinate and collaborate the above actions with, but not limited to, Health Information Management, Information Systems, Billing, Finance and Operations.
Department Specific Job Details:
Education
* Bachelor's degree in Health Information Management, Finance or related field required
* Masters preferred
Experience Required
* 6-10 years of revenue integrity, analyst, etc. experience in healthcare
* Experience with EPIC electronic health record
* EPIC CDM/Revenue Integrity (HB and PB) certification within 6 months of employment required
* Ability to research CPT and regulatory requirements
* Experience with CPT and HCPCS codes and interpreting CPT guidance
* Experience in healthcare billing, CMS Medicare and Medicaid reimbursement methodologies
* Proficiency in Microsoft Office Tools (Outlook, Excel)
Preferred qualifications/skills
* Trisus (Craneware) chargemaster experience
* Strata experience
* Registered Health Information Administrator (RHIA) Certification
Education Requirements:
Bachelors (Required)
Certification/License Requirements:
Auto-ApplyClinical Team Lead - Work at Home
Work from home job in Ohio, IL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryThe Team Lead is accountable to leadership to support the day to day operations of the Behavioral Health Medicare Concurrent/ Medicare Duals teams.
This position has no supervisory oversight of staff, but requires a solid understanding of the workflows, policies and procedures to ensure that both teams are producing at a successful level.
The Team Lead supports the onboarding of new staff as well as quality monitoring and assignment triage.
The Team Lead is a single point and first line of contact for staff for clinical issues.
They may lead projects as assigned.
The Team Lead provides ongoing communication and updates to leadership and contributes and participates in team meetings.
The role requires promoting cooperation and team-building between all department members.
Duties included but not limited to the following:Serve as a resource to team members Serve as a content model expert and mentor to the team regarding practice standard, quality of interventions, problem resolution and critical thinking Develop, implement and support program policies and procedures Utilize critical thinking skills to raise the level of team Performance Mentor the team; monitoring and providing feedback regarding performance relative to best practices Act as a role model for the Aetna values, particularly regarding company policies on confidentiality Communicate effectively with a variety of audiences Well organized and able to prioritize tasks Support a positive work environment that promotes the concept of teamwork Support to Supervisors as directed May have responsibility for their own case load work Respond to issues and inquiries as needed Required Qualifications2-3 years clinical and managed care experience Requires proficiency with computer skills which includes navigating multiple systems and keyboarding Active unrestricted State Licensure in applicable functional area.
(eg RN, LPC, LCSW) Preferred QualificationsProven track record of subject matter expertise Ability to mentor and support staff to meet business needs Exceptional communication skills Time efficient and highly organized EducationMaster's degree in behavioral health field; or Registered Nurse (BSN preferred) Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$60,522.
00 - $129,615.
00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 12/30/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Chronic Care Manager (Remote - Compact States)
Work from home job in Ohio, IL
Please note that this job posting is for an evergreen position and does not represent an active or current vacancy within our organization. We continuously accept applications for this role to build a talent pool for future opportunities. While there may not be an immediate opening, we encourage qualified candidates to submit their resumes for consideration when a suitable position becomes available.
Chronic Care Manager
Location: Remote
Join our mission to help transform healthcare delivery from reactive, episodic care to proactively managed patient care that prevents live-changing problems before they happen for patients with two or more chronic conditions. We believe every patient with chronic disease deserves consistent check-ins, follow-up, and support.
The position of the Nurse Chronic Care Coordinator, Remote will perform telephonic encounters with patients on behalf of our partners each month and develops detailed care plans within our care plan templates in the electronic health record. This begins as an Independent 1099 Contractor position but offers the potential to reach full-time W2 employment (with employee benefits).
Harris CCM is seeking Nurses to work part-time from their home office while complying with HIPAA privacy laws. You will set your own hours and will not be held to a daily work hour schedule. You will be contracted to work a minimum of 20hrs/wk. Harris CCM wants its team members to have the flexibility to balance their work-life with their home life. Part-time team members will typically need to dedicate an average of 20-30 hours per week to care for their assigned patients. This unique business model allows you to choose what days and what hours of the day you dedicate to care for your patients.
The Care Coordinator will be assigned a patient panel based on skill and efficiency level and is expected to carry a patient panel of a minimum of 100 patients per calendar month. Care Coordinators will be expected to complete encounters on 90 percent of the patients they are assigned.
Harris CCM utilizes a productivity-based pay structure and pays $10.00 per completed patient encounter up to 99 encounters/month, $10.25/encounter from 100-149 encounters/month, $12/encounter from 150-199 encounters/month, $14/encounter from 200-249 encounters/month, and $16/encounter for >250 encounters/month. Payment tier increases require 3 months consistency to achieve. A patient encounter will take a minimum of 20 minutes (time is cumulative).
What your impact will be:
* The role of the Care Coordinator is to abide by the plan of care and orders of the practice.
* Ability to provide prevention and intervention for multiple disease conditions through motivational coaching.
* Develops a positive interaction with patients on behalf of our practices.
* Improve revenue by creating billable CCM episodes, increasing visits for management of chronic conditions.
* Develops detailed care plans for both the doctors and patients. The care plans exist for prevention and intervention purposes.
* Understand health care goals associated with chronic disease management provided by the practice.
* Attend regularly scheduled meetings (i.e., Bi-Monthly Staff Meetings, monthly one on one's, etc.). These "mandatory" meetings will be important to define the current scope of work.
What we are looking for:
* Graduate from an accredited School of Nursing. (LPN, LVN, RN, BSN, etc.)
* Current COMPACT license to practice as an RN/ LVN/LPN held in current state of residence with no disciplinary actions noted
* A minimum of two (2) years of clinical experience in a Med/Surg, Case Management, and/or home health care.
* Hands-on experience with Electronic Medical Records as well as an understanding of Windows desktop and applications (MIcrosoft Office 365, Teams, Excel, etc), also while being in a HIPAA compliant area in home to conduct Chronic Care Management duties.
* Ability to exercise initiative, judgment, organization, time-management, problem-solving, and decision-making skills.
* Skilled in using various computer programs (If you don't love computers, you won't love this position!)
* High Speed Internet and Desktop or Laptop computer (Has to be operation system of Windows or Mac) NO Chromebooks
* Excellent verbal, written and listening skills are a must.
What will make you stand out:
* Quickly recognize condition-related warning signs.
* Organized, thorough documentation skills.
* Self-directed. Ability to prioritize responsibilities. Demonstrated time management skills.
* Clear diction. Applies exemplary phone etiquette to every call.
* Committed to excellence in patient care and customer service.
What we offer:
* Contract position with opportunity to become a full-time position, to include benefit options (Medical, Dental, Vision, 401K, Life).
* Streamline designed technology for your Chronic Care operations
* Established and secure company since 1976, providing critical software solutions for many verticals in countries ranging from North America, Europe, Asia, and Australia.
* Core Values that unite and guide us
* Autonomous and Flexible Work Environments
* Opportunities to learn and grow
* Community Involvement and Social Responsibility
About us:
For over 20 years GEMMS has been the leader in Cardiology Specific EHR technology. The product was developed in a "living laboratory" of a large Cardiology Enterprise with over 40 physicians in 28 locations. For single physician offices to large cardiovascular centers that include a diagnostic centers, ambulatory surgical center, and peripheral vascular offerings.
When physicians and Administrators evaluate GEMMS ONE, they are often impressed with the vast clinical cardiovascular knowledge content and operational aspects found in GEMMS ONE. GEMMS ONE EHR provides a rich array of functionality spanning the entire cycle of patient care. With everything from a patient portal to e-prescribing to clinical documentation to practice management including cardiovascular specific quality measurements and MIPS patient dashboard. GEMMS ONE EHR System provides all the medical records software tools needed to complete your daily tasks in the most efficient way possible.
GEMMS ONE is a fully interoperable and integrated application that allows "real time" merging of clinical processes and revenue cycle management. It also can seamlessly connect to external revenue cycle management programs that might be used in larger enterprises so that you can get the efficiency of Cardiovascular Clinical workflow while supporting the revenue cycle requirements of larger enterprises. Complying with governmental regulations and payer requirements will be simplified, while enhancing your operational and financial performance.
Auto-ApplySr ABM and Paid Social Media Manager (Remote)
Work from home job in Ohio, IL
We believe in the power and joy of learning At Cengage Group, our employees have a direct impact in helping students around the world discover the power and joy of learning. We are bonded by our shared purpose - driving innovation that helps millions of learners improve their lives and achieve their dreams through education.
Cengage Group's portfolio of businesses supports student choice by providing a range of pathways that help learners achieve their goals and lead a choice-filled life.
Our culture values inclusion, engagement, and discovery
Our business is driven by our strong culture, and we know that creating an inclusive workplace is absolutely essential to the success of our company and our learners, as well as our individual well-being. We recognize the value of diverse perspectives in everything we do and strive to ensure employees of all levels and backgrounds feel empowered to voice their ideas and bring their authentic selves to work. We achieve these priorities through programs, benefits, and initiatives that are integrated into the fabric of how we work every day. To learn more, please see ***********************************************************
Join Cengage's Infosec marketing team as a Senior ABM and Paid Social Media Manager and help us build the future of cybersecurity awareness and training! This is an outstanding opportunity to lead our world-class account-based marketing (ABM) initiatives and flawless paid social media strategies. You will collaborate with ambitious sales and marketing leaders to successfully implement high-impact programs that drive business growth.
Essential functions:
* Partner closely with sales and cross-functional teams to integrate ABM initiatives with broader go-to-market strategies, ensuring seamless execution and measurable outcomes.
* Own the strategy, planning, execution, and measurement of strategic 1:1 and 1: Few ABM programs for target accounts. Use data-driven insights to speed up deal cycles, increase revenue growth, and grow account penetration.
* Develop and implement nurturing strategies for Sales' target accounts.
* Build personalized multi-touch campaigns with account- and persona-specific messaging.
* Build tailored marketing materials for target accounts.
* Continuously optimize programs based on data and Sales feedback.
Qualifications:
* Bachelor's degree or equivalent experience in the industry is required.
* Minimum 5 years of relevant B2B marketing experience.
* Proven success in planning and accomplishing ABM campaigns that drive pipeline and revenue.
* Strong understanding of B2B buyer journeys and enterprise sales cycles.
* Experience with ABM platforms and CRM/marketing automation tools.
* Data-driven approach with the ability to interpret metrics and optimize campaigns.
* Expertise in paid social media strategy, planning, and implementation (primarily LinkedIn).
* Experience with analytics and a passion for proving marketing results across the marketing and sales funnel.
* Excellent project management, communication, and relationship-building skills.
Cengage Group is committed to working with broad talent pools to attract and hire strong and most qualified individuals. Our job applicants are considered regardless of any classification protected by applicable federal, state, provincial or local laws.
Cengage is also committed to providing reasonable accommodations for qualified individuals with disabilities including during our job application process. If you are an applicant with a disability and require reasonable accommodation in our job application process, please contact us at accommodations.ta@cengage.com.
About Cengage Group
Cengage Group, a global education technology company serving millions of learners, provides affordable, quality digital products and services that equip students with the skills and competencies needed to be job ready. For more than 100 years, we have enabled the power and joy of learning with trusted, engaging content, and now, integrated digital platforms. We serve the higher education, workforce skills, secondary education, English language teaching and research markets worldwide. Through our scalable technology, including MindTap and Cengage Unlimited, we support all learners who seek to improve their lives and achieve their dreams through education.
Compensation
At Cengage Group, we take great pride in our commitment to providing a comprehensive and rewarding Total Rewards package designed to support and empower our employees. Click here to learn more about our Total Rewards Philosophy.
The full base pay range has been provided for this position. Individual base pay will vary based on work schedule, qualifications, experience, internal equity, and geographic location. Sales roles often incorporate a significant incentive compensation program beyond this base pay range.
In this position, you will be eligible to participate in the company's discretionary incentive bonus program. This position's bonus target amount, which is not guaranteed and is dependent on individual performance and overall company results among other factors, is provided below.
10% Annual: Individual Target
$77,100.00 - $100,200.00 USD
Auto-ApplyMedical Director (Medical Policy & Operations)
Work from home job in Ohio, IL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Position SummaryAetna, a CVS Health company, has an outstanding opportunity for a Medical Director.
Ready to take your career to the next level with a Fortune 6 company?This is a remote Work at Home position and can be located anywhere in the United States.
In this role as Medical Director MPO (Medical Policy & Operations) you will be responsible for providing clinical expertise and business direction in support of medical management programs to promote the delivery of high quality, constituent focused medical care with a focus on clinical and payment policy.
This Medical Director provides subject matter expertise to provide clinical support and business direction in these areas.
Knowledge of Aetna clinical and coding policy and experience with appeals, claim review, reimbursement issues, and coding is preferable, but a willingness to learn is essential.
The Primary Responsibilities of this Medical Director role include support of the appeal process, clinical claim review process, pre-certification, and predetermination of covered benefits in the Commercial and Medicare environment.
This Medical Director provides subject matter expertise in clinical and payment policy to provide clinical support and business direction in these areas.
In this role you will:Participate on work groups as a clinical subject matter expert to identify and promote opportunities to improve the quality and efficiency of health care services.
Apply clinical coding and reimbursement expertise to ensure alignment and correct application of Aetna policies and practices to service and payment requests.
Proactively use data analysis to identify opportunities for quality improvement and positively influence the effective delivery of quality care services.
Be a subject matter expert, internal consultant and payment policy contributor subject matter expertise and internal consultant.
Demonstrate the ability to work within and lead as necessary teams comprised of a diverse group of health delivery professionals in order to manage the business objectives of the company.
Work Collaboratively with the functional areas.
Required Qualifications*Five (5) or more years of experience in Health Care Delivery System e.
g.
, Clinical Practice and Health Care Industry.
*Active and current state medical license without encumbrances.
*M.
D.
or D.
O.
, Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Preferred Qualifications* Health plan/payor experience.
* Foundational baseline skills in Medicine, Health Policy, Coding: HCPCS / CPT, Clinical Policy, Reimbursement and Health Care Systems.
* Strong communication skills both written and verbal.
Education* M.
D.
or D.
O.
, Board Certification in an ABMS recognized specialty including post-graduate direct patient care experience Pay RangeThe typical pay range for this role is:$174,070.
00 - $374,920.
00This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.
This position also includes an award target in the company's equity award program.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits We anticipate the application window for this opening will close on: 01/30/2026Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Project Manager- Epic
Work from home job in Ohio, IL
Facility: Work From Home - Ohio Department: MIS Customer Support Schedule: Full time Hours: 40 Job Details: Responsible for organizing, leading and managing IT projects from inception to completion. Works with IT resources and customers to develop project scope, charter and project plans. Uses project management skills to manage project roles, identify resource requirements, define project deliverables, and ensure quality of projects. Ensures effective communications and relationships between customers and project team members are maintained. This role works collaboratively with internal technical and application teams as well as external consultants and vendors to define project schedule, coordinate project deliverables and meet project milestones. This role translates business requirements into technical requirements and facilitates the design and deployment of solutions that may include hardware, software, and network components.
Department Specific Job Details:
This position is focused on Epic-related implementations supporting clinical and revenue cycle initiatives.
Education
* Bachelor's degree from an accredited program required
Experience
* 3-4 years' project management experience required
* Previous end-to-end experience in project management role leading Epic software implementation preferred
* Excellent communication skills - oral and written
* Strong facilitation skills
* Self-motivated with strong problem solving skills
Education Requirements:
Bachelors (Required)
Certification/License Requirements:
Auto-ApplyUtilization Management Nurse Consultant
Work from home job in Ohio, IL
At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate.
And we do it all with heart, each and every day.
Regular business hours are 8:00 am-8:00 pm EST.
Must be available to work any 8 hour shift within this timeframe with start times ranging from 8:00 am-11:30am EST.
About Us American Health Holding, Inc.
(AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993.
We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
Position SummaryJoin our Utilization Management team as a Nurse Consultant, where you'll apply clinical judgment and evidence-based criteria to review inpatient and outpatient services.
You'll collaborate with providers, authorize care, and escalate cases when needed, all while navigating multiple systems and maintaining accurate documentation.
This role suits nurses who thrive in fast-paced environments, are highly organized, and comfortable with computer-based work.
Key ResponsibilitiesApply critical thinking and evidence-based clinical criteria to evaluate outpatient and inpatient services requiring precertification and concurrent review.
Conduct clinical reviews via phone and electronic documentation, collaborating with healthcare providers to gather necessary information.
Use established guidelines to authorize services or escalate to Medical Directors as needed.
Navigate multiple computer systems efficiently while maintaining accurate documentation.
Thrive in a fast-paced, high-volume environment with strong organizational, multitasking, and prioritization skills.
Perform sedentary work that primarily involves extended periods of sitting, as well as frequent talking, listening, and use of a computer.
Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed, ensuring continuity of care and operational support.
Participate in occasional on-call rotations, including some weekends and holidays, per URAC and client requirements.
Remote Work ExpectationsThis is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
Required QualificationsActive unrestricted state Registered Nurse licensure in state of residence required.
Minimum 5 years of relevant experience in Nursing.
At least 1 year of Utilization Management experience in concurrent review or prior authorization.
Strong decision-making skills and clinical judgment in independent scenarios.
Proficient with phone systems, clinical documentation tools, and navigating multiple digital platforms.
Commitment to attend a mandatory 3-week training (Monday-Friday, 8:30am-5:00pm EST) with 100% participation.
Preferred Qualifications1+ year of experience in a managed care organization (MCO).
Experience in a high-volume clinical call center or prior remote work environment.
EducationAssociate's degree in nursing (RN) required, BSN preferred.
Anticipated Weekly Hours40Time TypeFull time Pay RangeThe typical pay range for this role is:$29.
10 - $62.
32This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls.
The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.
Our people fuel our future.
Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.
Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be.
In addition to our competitive wages, our great benefits include:Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.
For more information, visit *************
cvshealth.
com/us/en/benefits This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.