CT Team Leader - Acute
Ohiohealth
Columbus, OH
We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more - in our careers and in our communities. Summary: Responsible for the oversight and coordination of CT personnel and students to ensure quality patient care for Emergency Department patients, inpatients and outpatients in area of specialty. Responsible for training of staff and students and assignments. Assists in departmental QC/QA. Sets and reinforces daily the example of performance, professionalism, and customer service expected of all staff. Responsibilities And Duties: 1. Coordinate the activities and personnel within the department daily. 2. Performs as a CT Technologist within their specialty area. Maintains the required knowledge and skills necessary to perform the procedures in their specialty area of supervision. 3. Assigns duties to ensure provision of high quality service and timely completion of procedures. 4. Actively supports director in the attainment of strategic departmental goals and objectives. Plays an active role in improving the quality of services provided, reducing the overall cost of departmental services and promoting/enhancing customer Patient, referring physician, radiologist, visitor, etc. and employee satisfaction. 5. Orients new staff, assists in evaluations of staff and interviews prospective staff as requested by director. 6. Assists in the clinical instruction of CT students. 7. Provides input into selection of capital equipment and provides input to Director re: budgetary issues. 8. Responsible for quality assurance and quality control activities within the area. 9. Updates staff in safety regulations and procedures changes. 10. Responsible for maintaining equipment and notifying Director of equipment malfunction. 1 1. Responsible for maintaining accreditation requirements which involves QA/QC documentation, as applicable. 12. Responsible for implementing, communication monitoring and resolving employee safety issues and concerns. 13. Assists with the preparation of a variety or reports, analyses and summaries as requested by department director. May present report findings orally or in writing to requesting parties. 14. Performs other duties as assigned, some of which may be essential to the position: Quality Services, Employee Satisfaction. 15. Prepare work schedules. 16. Regularly disseminate information to their individual modality in the form of a staff meeting or memos. 17. Provides on-call coverage as needed. 18. Maintains a safe and therapeutic patient care environment. 19. Demonstrates competence in providing care and services to patients based on the patients age specific and/or functional needs. 20. All employees shall abide by the Health Insurance Portability & Accountability Act HIPA a regulations, which help protect the privacy, security, & confidentiality of patient health information. 2 1. Responsible for ensuring that personal performance reflects the Mission, Vision and Service Pride Standards. 22. Responsible for introductory and annual evaluations and disciplinary actions. 23. Maintains a safe and therapeutic patient care environment. Other Job Functions 1. Perform any other duties necessary in the operation of the department, Marion General Hospital. 2. Types patient information into computer. 3. Orders and stocks necessary supplies. 4. Attends and completes all mandatory in-services. 5. Ensure that staff attends and completes all mandatory in-services. Minimum Qualifications: High School or GED (Required) BLS - Basic Life Support - American Heart Association Additional Job Description: Work requires knowledge normally gained in 2- 3 years of education/training after High school, 2- 3 years previous Experience plus 3 -6 months of time on the job. Registration by the American Registry of Radiologic Technologists and in X-Ray and CT. Must have permanent license from the Ohio Department of Health. Work requires the ability to analyze and solve problems that require the use of basic scientific, clinical or technical principals. Examples at this level include reconciling journals and ledgers, performing relatively complex laboratory and diagnostic tests. Work requires individual contributions as well as occasional or regular direction of other employees. Work Shift: Evening Scheduled Weekly Hours : 40 Department Administration - Radiology Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment$29k-47k yearly est. 1d agoProgram Management Office Manager
Us Tech Solutions
Columbus, OH
Summary: As a PMO Manager, you can contribute your skills as we harness the power of technology to help our clients improve the health and well-being of the members they serve - a community's most vulnerable. Connect your passion with purpose, teaming with people who thrive on finding innovative solutions to some of healthcare's biggest challenges. The PMO Manager integrates project management and aspects of DevOps practices to ensure the successful delivery of software development projects. This client-facing, strategic role combines organizational, technical, and leadership skills to oversee project teams, and drive continuous improvement. Roles & Responsibilities: • Team Leadership & Collaboration o Manages client relationship. o Oversee project management team (10+ members), fostering collaboration, mentorship, and a culture of continuous improvement. o Provide periodic performance feedback and mentorship to team members, ensuring alignment with organizational goals. • Project & Process Management o Coordinate status reporting for internal and external stakeholders, ensuring clarity and compliance with requirements. o Proactively identify, mitigate, and manage project risks and issues, including response strategies and status tracking. o Integrate and coordinate efforts with internal and external leadership, internal and external project managers, and system managers. o Develop, maintain, and enforce processes related to system implementation. o Enforce change management and governance policies for both the organization and clients. o Collaborate with software development, QA, and IT teams to align priorities, requirements, and improve overall delivery performance. Required Skills & Experience: • Project Management: Minimum 3 years (preferably 6+) in similar roles; PMI certification; knowledge of PMBOK and best practices. • 9+ years' experience in project management both waterfall and agile methodologies • 7+ years' experience with healthcare delivery, health insurance management, managed care management or pharmacy benefit management. • Demonstrates advanced knowledge of project management methodologies and tools, client relations, IT industry, accounting, risk management, change management, and effort tracking. • Healthcare/IT Experience: Experience supporting healthcare claims, financial processing, or pharmacy benefits manager projects for state governments, hospitals, or insurance companies. • Technical Proficiency: Skilled in using laptops, Microsoft products, and project scheduling tools (e.g., Microsoft Project). • Leadership & Communication: Excellent verbal and written communication; ability to train, guide, and mentor personnel; effective with technical and non-technical stakeholders. • Attention to Detail: Strong compliance orientation and ability to analyze data and processes. • Advanced Planning: Project management skills to keep deliverables on track during review cycles. • Bachelor's degree in a relevant field (e.g., Computer Science, Information Technology, Business Administration). • Project Management Professional (PMP) certification required. Skills: Project Management, Medicaid, PMBOK, PMP, PMO, MS Products Education: Bachelors' Degree About US Tech Solutions: US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit ************************ US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran. Recruiter Details: Name: Akib Email: *************************** Internal Id: 25-52840$35k-45k yearly est. 3d agoMedical Director
Ascendo Resources
Remote job
Medical Director - Medicare Programs Remote | Approx. $300,000 base + significant bonus potential About the Opportunity: A leading national healthcare contractor is seeking a Medical Director to provide clinical leadership and decision-making support for Medicare operations. This position plays a critical role in developing and enforcing coverage determinations, reviewing complex claims, and promoting evidence-based medical policy. The role is ideal for a physician, especially those with a background in Physical Medicine and Rehabilitation (PM&R), who wishes to transition from direct patient care into a leadership position influencing medical necessity and healthcare compliance at scale. Key Responsibilities: Clinical Leadership: Provide medical expertise for claim reviews, appeals, and Medicare policy development. Serve as a subject matter expert across multiple specialties. Policy Development: Collaborate with the Centers for Medicare & Medicaid Services (CMS) and other contractors to create, revise, and maintain Local Coverage Determinations (LCDs) and related guidance. Program Integrity: Identify trends in billing or compliance issues and work with investigative teams to address improper claims. Medical Review & Appeals: Oversee quality assurance in pre- and post-payment medical review determinations and assist with administrative law proceedings when necessary. Provider Education: Lead outreach and training for healthcare providers and professional associations to ensure adherence to Medicare policies and evidence-based practices. Travel is minimal (approximately 3-4 weeks per year), and the position is fully remote with occasional in-person meetings or conferences. Required Qualifications: MD or DO from an accredited institution. Active, unrestricted medical license in at least one U.S. state (must be eligible for additional licensure where required). Board Certification in a specialty recognized by the American Board of Medical Specialties (minimum three years). At least three years of experience as an attending physician. Prior experience within the Medicare, health insurance, or utilization review environment. Strong understanding of clinical evidence evaluation and medical necessity determination within fee-for-service structures. Excellent communication and collaboration skills across technical, regulatory, and clinical teams. Computer proficiency (MS Office, data analysis tools, virtual collaboration platforms). Preferred Qualifications: Background in PM&R, Internal Medicine, Oncology, Radiology, Ophthalmology, or Infectious Disease. Five or more years of clinical practice experience. Prior experience as a Medical Director in a Medicare or commercial payer organization. Familiarity with HCPCS, CPT, and ICD-10 coding standards. Advanced degree or coursework in healthcare administration or systems management (MBA, MHA, MS). Experience performing systematic literature reviews or using GRADE methodology. Compensation & Benefits: Base salary: Approximately $300,000, flexible depending on experience. Bonus structure: Significant performance-based bonuses. Benefits: Comprehensive health coverage, generous retirement contributions, paid time off, and strong professional development support. Schedule: Full-time, remote position with flexible hours. Why Join: This is an opportunity to move beyond clinical work while continuing to make a direct impact on patient access and policy integrity at a national level. Join a mission-driven organization that values medical expertise, promotes collaboration, and advances fairness and compliance within the U.S. healthcare system.$300k yearly 2d agoCustomer Experience Advocate
Cymbiotika
Remote job
At Cymbiotika, we believe that wellness starts with trust. That's why we're committed to creating supplements that are not only effective but also transparent. From the moment you pick up one of our products, you'll know exactly what's inside-no hidden ingredients, no confusing labels. We take pride in using only the highest-quality ingredients, carefully sourced and backed by science, to ensure you're getting the best of nature and innovation in every supplement. We understand that health is personal, which is why our supplements are designed to work with your body, not against it. By focusing on bioavailability and using advanced liposomal delivery systems, we ensure that your body can absorb and use the nutrients to their fullest potential. Our goal is simple: to help you feel your best, with products you can trust, made with ingredients you feel good about. With Cymbiotika, you're not just taking a supplement-you're joining a community of people who value wellness, science, and the power of transparency. We're here to empower you on your journey to better health, every step of the way. We are looking for a motivated and experienced Customer Experience Advocate to join our Cymbiotika team! As a Customer Experience Advocate, you will be tracking all points of customer engagement, addressing customer queries, and identifying ways to improve our customer services. Role Overview As a Customer Experience Advocate, you are the voice of the company, specializing in extensive product knowledge, record keeping, and problem solving. Working alongside multiple departments, you will answer customer questions and concerns with confidence and a positive attitude. Responsibilities: Provide customers with order verification, updates regarding shipment, product availability and pricing. Work closely with cross-functional departments to enhance customer services and brand awareness. Provide analytical and specialized administrative support with general instructions. Inform customers about new products and usage. Analyze customer feedback on new and existing products, as well as preparing reports. Respond to customer queries in a timely and effective manner, via phone, email, or social media. Participate in weekly meetings that are structured to aid in the enhancement of professional development. Maintain accurate records and document all customer service activities and discussions. Requirements: At least 1 year of relevant experience Exceptional communication, collaboration, and problem-solving skills. Exceptional interpersonal skills and a client-centered approach. Great organizational and time management abilities. Proficiency in Google and customer service softwares What We Offer: Welcome Package: Receive a curated selection of Cymbiotika products to kickstart your wellness journey with us at your 45th day. Exclusive Employee Discounts: Enjoy 70% off all products for yourself and 50% off for friends and family. Flexible Fridays: Work from home Fridays to ease into your weekend with balance and flexibility. Catered Team Lunches: Connect with your colleagues over delicious catered lunches every Wednesday. Beverage Perks: Cold brew, coffee, and fridge full of drinks. Snacks: Variety of snacks to keep you fueled. Wellness Facilities: Unwind in our on-site meditation room or recharge with red-light therapy. VIP Access: Enjoy exclusive suite access at Petco Park for San Diego Padres home games. Fitness Perks: Complimentary ClassPass membership for access to fitness classes and wellness activities. Paid Time Off: Enjoy 13 paid company holidays, a generous PTO policy that grows with your tenure, and dedicated sick time to support your health and work-life balance. Comprehensive Health Benefits: Dental, vision, and health insurance plans with 100% employer-paid coverage options. Exclusive Lifestyle Discounts: Special offers through partners like Farmers Insurance, hotels, movie theaters, theme parks, and more. Team-Building Activities: Join regular team outings and events that foster collaboration, creativity, and fun. Retirement Plan: 401(k) plan with matching contributions to help secure your financial future. Community Engagement: Participate in company-sponsored volunteer events and give back to causes that matter.$40k-55k yearly est. 4d agoRight-of-Way Agent
Emerald Energy and Exploration Land Company
Columbus, OH
Emerald Energy and Exploration Land Company, one of the fastest-growing land management and acquisition agencies in the country, is looking for Right of Way Agent in the Columbus, OH area. Experience in Right-of-Way Acquisition is required. Ohio Real Estate License is required. CHARACTERISTICS OF THE JOB: These are not intended to be a comprehensive list. Here's what we are looking for: Tenacious, outgoing, and extroverted individuals, investment sales experience a plus Good communication and listening skills as well as patience Time management skills with the ability to prioritize tasks Must be detail-oriented and organized Knowledge in all aspects of right of way including acquisition, title, permitting, due diligence, public and community outreach Right of Way acquisition experience preferred Negotiations experience preferred Sharp, curious and driven self-starters seeking an alternative to a mundane office job Experience with MS Office Suite, specifically Outlook, Word, and Excel Here are some of the things you'll be doing: Working directly under the direction of the Right-of-Way Supervisor or Program Manager Working under tight deadlines with analytical, problem-solving, and negotiation skills Identifying property ownership and determining property valuations Obtaining permission from property owners for various types of surveys Preparing documents necessary for acquisition of property rights Negotiating acquisition of property rights Settling damage claims Acquiring the necessary licensing and permits Reviewing progress of projects Construction support liaison responsibilities Appraisal Negotiation Relocation Assistance Experience: Right of way: 2 years (Required) License/Certification: Driver's License (Required) Ohio Real Estate License (Required) Benefits: Dental insurance Flexible schedule Health insurance Health savings account Life insurance Paid time off Professional development assistance Relocation assistance Vision insurance Critical Illness Insurance Hospitalization Insurance Accidental Insurance Willingness to travel: 75% (Preferred) Work Location: Home based with field work as needed. ADDITIONAL REQUIREMENTS: Employees in this position will be required to maintain a valid driver's license and may be required to drive a licensed vehicle. This status may be necessary for the length of time in this position. Employees in this job title may be required to submit to a drug screening test and background check. UNIQUE PHYSICAL REQUIREMENTS: Walking over rough and hilly terrain may be required. Work typically involves extensive contact with the public. Work is performed in all types of weather conditions. Emerald Energy and Exploration Land Company is an equal opportunity employer.$29k-63k yearly est. 1d agoAssociate General Counsel - Remote - 2317909
Unitedhealth Group
Remote job
At UnitedHealthcare, we're simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together The Associate General Counsel works with the health plan, state regulatory and enforcement agencies, and trade associations to foster effective communication and collaborative relationships. This role ensures regulatory alignment by coordinating with internal colleagues to maintain operational and procedural compliance with state and federal requirements. This individual will work with internal teams and regulators to address inquiries, clarify regulatory requirements, and facilitate constructive dialogue on the interpretation and application of health insurance laws, regulations, and regulatory guidance. This individual will also assist in the collection, analysis, and presentation of written discovery in administrative enforcement matters and relevant information for required reports, including license filings, appeals and complaints reporting, surveys and routine scheduled examinations. The Associate General Counsel will provide strategic guidance and triage complex compliance issues escalated by internal teams to ensure timely and effective resolution. The ideal candidate will demonstrate solid regulatory expertise, exceptional communication skills, and the ability to manage cross-functional initiatives in a dynamic regulatory environment. You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. For all hires in the Minneapolis or Washington, D.C. area, you will be required to work in the office a minimum of four days per week. Primary Responsibilities Execute delivery of legal services and related support to Employer and Individual business Collaborate with colleagues across the UnitedHealth Group legal department Proactively identify and resolve legal and related matters Assist in the review, preparation and negotiation of various products, documents and contracts Develop best practices for addressing emerging legal and business risks Support the development and delivery of new products and pharmacy initiatives Counsel senior management on strategic business initiatives Foster key regulatory relationships You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications Juris Doctorate degree with an active license to practice law in at least one state 4+ years of professional legal experience Demonstrated relevant legal experience in health, law, commercial insurance, pharmacy, litigation, provider or health care legal support Demonstrated expertise, judgement and presence to advise senior leadership on legal matters Ability to provide timely and responsive legal support for business partners Preferred Qualifications Experience with regulatory agencies and administrative experience with state insurance regulations Excellent understanding of health insurance and/or managed care industry Legal experience in commercial health insurance Demonstrated understanding of business problems and ability to evaluate and determine appropriate legal course of action to meet business unit needs Proven success in collaborating across a large, matrixed business and legal environment Advanced negotiation skills Ability to build and maintain rapport with superiors, peers, subordinates, and external company contacts Ability to drive results Ability to gain acceptance from others on a plan or idea and achieve bottom line results for the company Ability to work effectively in an ambiguous environment Ability to work in a fast-paced, results-oriented workplace Ability to prioritize and work effectively under time constraints Soft Skills Excellent work ethic Well-developed written and verbal communication skills Comfortable taking ownership and accountability for projects *All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $110,200 to $188,800 annually based on full-time employment. We comply with all minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission. UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #J-18808-Ljbffr$110.2k-188.8k yearly 1d agoRN, Registered Nurse Appeals
Quantum-Health
Dublin, OH
is located at our Dublin, OH campus with hybrid flexibility. Multistate Licensure: Quantum Health nurses must be willing and able to obtain and maintain nursing licensure in multiple states, as required by the business. All application and filing fees will be paid by Quantum Health. Who we are Founded in 1999 and headquartered in Central Ohio, w e're a privately-owned , independent healthcare navigation organization . We believe that no one should have to navigate the cost and complexity of healthcare alon e, and w e're on a mission to make healthcare simpler and more effective for our millions of members . Our big-hearted, tech-savvy team fight s to ensure that our members get the care they need, when they need it, at the most affordable cost - that's why we call ourselves Healthcare Warriors . We're committed to building diverse and inclusive teams - more than 2,000 of us and counting - so if you're excited about this position, we encourage you to apply - even if your experience doesn't match every requirement. About the role The Registered Nurse (RN) - Appeals is responsible for managing all clinical appeal requests according to Quantum Health's defined process for the receipt, logging, preparing for review, evaluation and response. This critical clinical subject matter expert works to increase the consistency, efficiency and appropriateness of responses for all appeal service requests. What you'll do Review and process all appeal requests; Prepare requests for review by researching Specific Plan Detail (SPD) provisions, applicable criteria, analyzing the basis for appeal and preparing a written summary of each case. Assure timely processing and response to appeal requests. Communicate with member , provider, facility, and all internal work groups regarding appeal requests/outcomes. Collaborate with Medical Directors, Physician reviewers, External Medical Directors, and Independent Review Organization (IRO) to process all requests requiring physician review. Identify care coordination and case management opportunities. Maintain a working knowledge of all clinical processes and workflows, employer benefit plans and related documentation. Participate in educational training with clinical staff regarding the appeal process; Partner with the clinical operations managers to identify coaching opportunities for the clinical services team, identify trends, and improve processes. Assist pre-certification team as needed with medical reviews, assist with pre-certification training, serve as enhanced pre-certification trainer for new nurses, provide coaching to care coordination nurses on appeal cases, etc. All other duties as assigned. What you'll bring Licensure: Active and current license in good standing as a Registered Nurse (RN) in the State of Ohio required . Education: Bachelor of Science in Nursing (BSN) degree in nursing preferred 3+ years of clinical experience with direct patient care in a hospital setting required. Experience working in the clinical review and/or appeal process, ideally in a health insurance setting preferred. Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. Excellent verbal and written communication skills. Comfortable communicating with members and providers via phone regularly throughout the day. Trustworthy and accountable behavior, capable of viewing and maintaining confidential personal information daily. Ability to communicate effectively with members and providers in implementing clinical services; Translate complex clinical concepts for non-clinical audiences. Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently. Trustworthy and accountable behavior, capable of viewing and maintaining confidential information daily. What's in it for you Compensation: Competitive base and incentive compensation Coverage: Health, vision and dental featuring our best-in-class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more. Retirement: 401(k) plan with up to 4% employer match and full vesting on day one. Balance: Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more. Development: Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development. Culture: Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision. Environment: A modern workplace with a casual dress code, open floor plans, full-service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry-cleaning services and more! What you should know Internal Associates: Already a Healthcare Warrior? Apply internally through Jobvite. Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check. Diversity, Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers, we're committed to empowering our ERGs, and we're proud to be an equal opportunity employer . Tobacco-Free Campus: To further enable the health and wellbeing of our associates and community, Quantum Health maintains a tobacco-free environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds. Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidate's unique combination of experience and qualifications related to the position. Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship. Agencies: Quantum Health does not accept unsolicited resumes or outreach from third-parties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition, we will not approve payment to any third party. Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process, or in order to complete the essential duties of the position upon acceptance of a job offer, click here to submit a recruitment accommodation request. Recruiting Scams: Unfortunately, scams targeting job seekers are common. To protect our candidates, we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB), Social Security Number (SSN), banking/direct/tax details, etc. via email or any other non-secure system, nor will we instruct you to make any purchases related to your employment. If you believe you've encountered a recruiting scam, report it to the Federal Trade Commission and your state's Attorney General .$60k-92k yearly est. 18h agoFinancial Services Representative
Pyramid Consulting, Inc.
Columbus, OH
Immediate need for a talented Financial Services Representative. This is a 06+ months contract opportunity with long-term potential and is located in Colombus, OH (Hybrid). Please review the job description below and contact me ASAP if you are interested. Job ID: 25-93606 Pay Range: $18.50 - $19/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan. Key Responsibilities: Hours: 8 hrs. per day || 40 hrs. in a week Credit Check: Due to the fiduciary accountabilities within this job, a valid credit check and/or background check will be required as part of the selection process Start date is flexible. Looking for contingent worker to work 12 PM to 5 PM Monday through Friday. Training will be in office but will only be required to come in 2 days per week either Monday and Tuesday or Tuesday and Wednesday after training is completed. Provides prompt efficient service for assigned product and/or service center internal and external customers. Follows up with appropriate internal administrative areas for completeness and accuracy of the end policy/account product. Reviews, underwrites, and processes applications for client contracts, client withdrawals, and life withdrawals in accordance with government regulations, contract provisions, and internal procedures and controls. Requests additional information when necessary. Communicates with customers, other departments, regional and/or field offices and other industry companies through oral and written communications. Maintains appropriate records. Provides quality customer service by demonstrating and understanding customer needs and emphasizing timely responses. Researches and corrects errors. Demonstrates the initiative and flexibility to identify situations that require exception processing and seek alternatives from more experienced personnel. Performs other duties as requested. Key Requirements and Technology Experience: Key Skills; Customer Service, technical proficiency I.e MS office and excel, problem Solving Four years of work experience. Work experience with undergraduate studies preferred. Knowledge: General office practices, customer service, and office equipment. Information systems and insurance/financial services industry practices (i.e. annuities, mutual funds) preferred. Basic mathematics and problem-solving techniques. Excel skills preferred. Ability to prioritize own work within standards. Effective written and oral communication skills to interact with customers, team members, and management. Decision making skills necessary for customer contacts. Ability to identify and evaluate problems and analyze customer inquiries and determine the appropriate action. Decision making skills necessary for problem identification and correction. Proven ability to operate a CRT and PC. Education: High school diploma. Undergraduate diploma desirable. Participation in technical coursework such as LOMA, CLU, ChFC desirable. Our client is a leading Financial Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration. Pyramid Consulting, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here.$18.5-19 hourly 4d agoComputerized Tomography (CT) Technician- 26 Weeks full contract Assignment in Columbus, OH.
ATC Marietta
Columbus, OH
Job Description The CT TECHNOLOGIST, under the direct supervision of a radiologist, performs specialized computerized tomographic procedures using ionizing radiation scanning equipment. ABOUT US For more than 40 years, ATC Healthcare has provided leading nurses and healthcare professionals to hospitals and facilities nationwide. Healthcare systems around the U.S., including municipal health systems, multi-unit senior care companies, governments, school systems, VMS and MSP vendors trust us to deliver more than 100,000 nurses and other healthcare professionals on-demand. If you have a track record of success in healthcare, we want you to join us! We offer the following benefits: Medical insurance Dental insurance Vision insurance Referral program Tuition reimbursement 401k Plan Flexible Schedules Life insurance Disability insurance Identity theft insurance Compensation $66/hour EDUCATION Graduate of an AMA approved CT program of study at the associate's or bachelor's degree level. LICENSURE State specific; current and unrestricted license or registration to practice as an CT technologist in the state of practice, as applicable. ARRT registration. EXPERIENCE One year of current CT technologist experience in the clinical setting. CREDENTIALS Current CPR; and other health and screening tests as required by specific facilities and/or regulatory agencies. ENVIRONMENTAL WORKING CONDITIONS Various client facility settings; possible exposure to blood, bodily fluids, and other potentially infectious materials. REPRESENTATIVE DUTIES AND RESPONSIBILITIES Complies with ATC policies/procedures. Complies with client facility policies/procedures. Documents accurately and completely services provided. Maintains confidentiality relative to patient care and facility practices in accordance with the Health Insurance Portability and Accountability Act. Provides patient care in a non-judgmental, non-discriminatory manner that considers cultural diversity and age appropriateness so that autonomy, rights, and dignity are preserved. Communicates information effectively to appropriate personnel. Maintains competency by participating in continuing education programs and meets state specific requirements. Sets up and explains procedure to patient. Operates or administers intravenous contrast injectors/injections. Evaluates CT Scans to determine if additional scanning is needed. Perform 3 dimensional reformations of CT scans on computer. Monitors patient safety and comfort and views images of area being scanned on video display screen to ensure quality of pictures. Performs other related duties as assigned. Other Duties: Please note this job summary is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may vary by assignment and may change at any time with or without notice. Equal Opportunity Employer: ATC Healthcare Services is an Equal Opportunity Employer. All applicants will be considered for employment without regards to race, color, religion, age, sex, sexual orientation, gender identity, national origin, veteran or dis bility status or any other category protected by Federal, State or local law. M/F/D/V EOE ADD TAG$66 hourly 9d agoHR Wellness Coordinator (Nutritionist/Dietitian)
Hillsborough County
Remote job
Salary: $62,100 - $65,000 annually Hillsborough County is committed to supporting the health and wellbeing of the people who serve our community. The Human Resource Wellness Coordinator (Nutrition-Focused) plays a key role in that mission by designing and delivering engaging wellness programs that help employees eat well, feel better, and prevent chronic disease. In this role, you'll blend your expertise in nutrition with corporate wellness program management to create budget-friendly cooking classes, evidence-based education, and creative wellness initiatives that support the County's Well4Life programs. You'll help employees make informed choices about their health while supporting a culture of wellbeing across the organization. How You'll Make an Impact Wellness Program Management Develop, plan, and implement wellness initiatives that support the County's overall HR and benefits strategy. Monitor, evaluate, and report on wellness metrics, including employee participation and health outcomes. Partner with the County's health plan (e.g., Cigna) and other vendors to enhance preventive health and lifestyle management programs. Research best practices and trends in workplace wellness and recommend new ideas. Assist the Wellness Manager with policies, procedures, and incentive programs that encourage healthy behaviors. Nutrition Education & Programming Design and deliver nutrition-focused programs to support employees managing or preventing conditions such as diabetes, high blood pressure, and high cholesterol. Create interactive workshops, seminars, and digital content on topics like healthy eating, meal planning, label reading, and portion control. Plan and lead budget-friendly healthy cooking demonstrations and classes aligned with wellness themes (e.g., heart health, stress management, mindful eating). Develop and share practical educational materials (for example: “Fuel for Energy,” “Eat Smart on a Budget,” “Healthy Lunches at Work”). Collaborate with local chefs, vendors, and community partners to expand nutrition and cooking offerings. Collaboration & Communication Serve as the subject matter expert in nutrition and wellness for HR and County departments. Lead internal communications for nutrition and wellness campaigns (e.g., Meal Prep Mondays, Tasty Tuesdays, Eat Well-Work Well content on COIN). Work closely with HR Benefits, Communications, and other departments to ensure programs align with County goals and employee needs. Coordinate and support the Wellness Influencers network with resources, education, and friendly wellness challenges. Help support, monitor, and promote the use of on-site wellness and fitness spaces. Evaluation & Reporting Track participation and outcomes for wellness and nutrition initiatives using data and analytics. Prepare clear, professional reports and presentations for leadership to demonstrate progress toward wellness goals. Recommend program improvements based on trends, outcomes, and employee feedback. Ideal Candidate Profile Passionate about public service and improving the health of a diverse workforce. Strong background in nutrition, dietetics, or public health, with an understanding of how nutrition affects chronic disease and preventive health. Comfortable presenting to groups, engaging different audiences, and making complex health concepts easy to understand. Collaborative, relationship-focused, and able to work across departments and with external partners. Data-informed and comfortable using metrics to evaluate program success and make recommendations. Minimum Qualifications Education: Bachelor's degree in Nutrition, Dietetics, Public Health, or a related field; OR Credentialed as a Registered Dietitian (RD/RDN) or Certified Nutrition Specialist (CNS). Experience: At least two (2) years of experience in health promotion, nutrition education, or corporate/employee wellness programming. Licenses/Requirements: Possession of a valid Florida Driver's License. Reliable transportation to travel to various County worksites and field locations as needed. Preferred Qualifications Experience working in a corporate or employee wellness setting. Experience designing and delivering cooking demonstrations or hands-on nutrition programs. Familiarity with wellness technology platforms and digital engagement tools. Knowledge, Skills & Abilities Strong knowledge of nutrition, dietetics, and wellness promotion practices. Understanding of the relationship between nutrition, chronic disease management, and prevention. Familiarity with federal and state regulations impacting wellness programs (e.g., HIPAA, EEOC, GINA, ADA). Excellent presentation, public speaking, and group facilitation skills. Ability to research, analyze data, and evaluate program effectiveness. Strong interpersonal skills and the ability to build partnerships inside and outside the organization. Proficiency with Microsoft Office and comfort using wellness and digital engagement platforms. Physical & Work Conditions Regularly required to talk, hear, stand, walk, and use hands to handle or reach. Occasionally required to sit, climb, or kneel; must be able to lift up to 50 pounds (e.g., program materials, equipment). Classified as Medium Work - exerting up to 50 pounds occasionally and/or 20 pounds frequently to move objects. Emergency Management Responsibilities In the event of an emergency or disaster, an employee may be required to respond promptly to duties and responsibilities as assigned by the employee's department, the County's Office of Emergency Management, or County Administration. Such assignments may be for before, during or after the emergency/disaster. When you join Hillsborough County, you join a team dedicated to public service and making a difference in the community we serve. In addition to meaningful work, eligible employees enjoy a comprehensive benefits package that may include: Generous paid time off and holiday schedule Multiple health insurance plan options Dental and vision coverage Health Savings and Flexible Spending Accounts Life insurance and disability coverage Employee Assistance Program (EAP) Retirement plans and deferred compensation options Tuition reimbursement and professional development opportunities$62.1k-65k yearly Auto-Apply 6d agoProject Management Office (PMO) Manager
Bickham Services Unlimited, LLC
Remote job
Title: Project Management Office (PMO) Manager Temp-to-Perm Purpose: Lead the PMO team to deliver complex software development projects on time and on budget. Integrates project management, DevOps practices, and healthcare domain expertise to ensure operational excellence. Key Responsibilities Team Leadership & Management Manage a project management team of 10+ members, fostering collaboration, mentorship, and continuous improvement. Provide periodic performance feedback and guidance to align with organizational goals. Project Oversight Coordinate status reporting for internal and external stakeholders. Identify, mitigate, and manage project risks and issues. Integrate efforts with leadership, project managers, and system managers. Process & Governance Develop, maintain, and enforce system implementation processes. Enforce change management and governance policies for both organization and clients. Collaborate with software development, QA, and IT teams to align priorities and improve delivery. Client Engagement Manage client relationships, ensuring communication clarity and compliance with requirements. Required Skills & Competencies Proficiency with laptops, MS Office, and project scheduling tools (e.g., MS Project). Excellent verbal and written communication; ability to train and mentor team members. Strong compliance orientation; ability to analyze data and processes. Skilled in both waterfall and agile project management methodologies. Required Experience & Qualifications Education: Bachelor's in Computer Science, IT, Business Administration, or related field. Certifications: PMP required; PMI knowledge; familiarity with PMBOK best practices. Project Management Experience: 9+ years overall, with minimum 3-6+ years in a PMO or similar leadership role. Healthcare/Industry Experience: 7+ years in healthcare delivery, health insurance, managed care, or pharmacy benefit management. Additional Skills: Knowledge of client relations, IT industry, accounting, risk management, change management, effort tracking. Citizenship: US Citizen or Green Card holder. Location Details Remote: 100% work-from-home$98k-139k yearly est. 26d agoQuality Outreach Specialist
Honest Health
Remote job
Who You Are You're a collaborative professional, driven by the potential to make a meaningful impact in healthcare. The challenges of healthcare don't deter you-instead, you see them as opportunities to find innovative solutions that benefit the partners, people, and communities we serve. Honest Health's commitment to purpose, innovation, communities, and kindness resonates with you, inspiring you to bring commitment, creativity, and compassion into your work. You're ready to join a team focused on reimagining primary care for a healthier future that benefits all. Does this sound like you? If so, we should talk. Who We Are At Honest Health, we believe in purpose and partnership to lead the transformation in primary care. Our team of healthcare experts and clinicians collaborates with a range of stakeholders-from health systems, physician organizations, and payers to providers, practices, and patients - to deliver innovative solutions that elevate care, control costs, and support long-term health. Guided by our core values, we're creating a value-driven model that creates lasting benefits for everyone, now and into the future. For us, that's just an Honest day's work. Your Role The Quality Outreach Specialist will be a key part of improving Star Ratings and the ACO REACH quality programs by removing barriers to achieving high quality health outcomes. As the Quality Outreach Specialist, you will identify and remove patient barriers to accessing and receiving care, like patient medication adherence outreach, connecting patients with care providers and available services, and medical record review to identify gaps in care. Additionally, you will work with the quality team to develop initiatives and educational materials for our providers, patients, and internal market teams. Primary Functions of the Quality Outreach Specialist Include: Patient outreach calls to understand root causes of barriers to medication non-adherence and offer solutions Patient outreach calls to connect patients with important care and services to close critical gaps in care Follow up with patients' care team on findings from patient conversations, when necessary. Complete medical record reviews to find evidence of clinical gap in care closure Prepare and submit gap in care closure details to the payor and joint venture partners. Provision of subject matter expertise on educational tools and learning sessions development. Identify learning opportunities for practices and providers based on medical record review, outreach call, and other initiative outcomes. Support the development of initiatives to support patient care and gap in care closure. Support the creation and review of educational materials and learning sessions for external provider partners on themes and findings from outreach programs and initiatives. Perform other related responsibilities as assigned. How You Qualify You reviewed the Who You Are section of this job posting and immediately felt the need to read on. This makes you a match for our innovative culture. You accept things change quickly in a startup environment and are willing to pivot quickly on priorities. Medical Assistant, Licensed Practical Nurse, Certified Nursing Assistant, , Emergency Medical Technician, Pharmacy Technician license or certification required Bachelor's/ Undergraduate degree preferred 3+ years of experience in a role for which closing Healthcare Effectiveness Data and Information Set (HEDIS) measures and/or Star Rating gaps were primary responsibilities Prior quality measure chart review experience Experience complying with Health Insurance Portability and Accountability Act (HIPAA) Inpatient or outpatient clinical experience, including strong electronic medical records (EMR) experience preferred Ability to manage deadlines and handle multiple tasks simultaneously Detail orientated, organized and self-motivated Ability to handle sensitive and/or confidential material and information appropriately Strong verbal and written communication skills Ability to work with large files and data sets Proficient in Microsoft Office Suite : PowerPoint for presentations, Excel for mathematical formulas, charts, tables; Word and Outlook for communication to patients, healthcare insurance companies and internal company personnel The base pay range for this role is $25.72 - $28.89. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, and organizational needs. Base pay is just one piece of the total rewards program offered by Honest. Eligible roles also qualify for short-term incentives and a comprehensive benefits package. How You are Supported Full time team members may be eligible for: Competitive Compensation Attractive base salary with performance-based bonuses and rewards 401(k) plan with a generous company match, fully vested from day one Comprehensive Health and Wellness Benefits Flexible health, dental, and vision insurance options tailored to your needs Company contribution towards health savings accounts (HSA) for high-deductible health plan (HDHP) participants 100% company-paid short-term disability and life insurance Wellness programs and resources to support your physical and mental health Work-Life Balance Generous paid time off, including vacation, sick leave, and paid holidays annually Two paid volunteer days to support causes you're passionate about Flexible work arrangements to accommodate your lifestyle Professional Development Robust onboarding program and ongoing training opportunities Reimbursement for role-related continuing education and certifications Family-Friendly Policies Paid parental leave for new parents Dependent care flexible spending accounts Support for work-life integration Collaborative and Purpose-Driven Environment Work alongside professionals who share your commitment to Honest's high-quality, value-based care model Opportunities to contribute to meaningful projects and initiatives Additional Perks Team member recognition programs Team-building events and social activities Join us and experience a rewarding career where your contributions are valued and your growth is supported. Honest Health is committed to ensuring fairness, opportunity, strong teams, and full integration of team members into the organization. We take proactive steps to ensure all applicants are considered for employment based on merit, without regard to race, color, religion, sex, national origin, disability, Veteran status, or other legally-protected characteristics. Honest Health is committed to working with and providing reasonable accommodations to job applicants with physical or mental disabilities. Applicants with a disability who require a reasonable accommodation for any part of the application or hiring process should email *********************** for assistance. Reasonable accommodation will be determined on a case-by-case basis. Honest Health values a secure and transparent recruitment process. We contact candidates through our official recruiting platform, email, or text message. When working directly with candidates, Honest Health will always use an HonestHealth.com email address. Our hiring process includes a live phone call or in-person interview before any formal offer is extended. To safeguard your personal information, Honest Health will never ask for confidential details-such as social security numbers, bank accounts, or routing numbers-before making a formal offer. We will also never request financial transactions, PINs, passwords, or security access details through email, text, Venmo, or any social media platform. We encourage all candidates to verify the contact information of individuals they interact with during the recruitment process. If you have any questions about the authenticity of a communication, please reach out to our team at ***********************.$25.7-28.9 hourly Auto-Apply 18d agoMedical Biller
Workit Health
Remote job
Description Location: Albany, NY (hybrid) or Holland, OH (hybrid) Compensation: $22.50 per hour Schedule: 8:00AM-4:30PM MST M-W onsite, Th-F remote Why Workit:Workit Health is an industry-leading provider of on-demand, evidence-based telemedicine care. Our programs are based in harm reduction, and bring together licensed clinicians who really listen, FDA-approved medication, online recovery groups and community, interactive therapeutic courses, and care for co-existing conditions. Workit Health's patient-centered telemedicine model is improving clinical outcomes and eliminating barriers to treatment, making long-term recovery accessible to individuals who need it, without disrupting their daily lives. We're excited to expand our team as our impact and coverage areas continue to grow. Our team members are dedicated and passionate about our mission of making exceptional, judgment-free care for addiction more accessible. We believe everyone deserves respectful, effective treatment for substance use disorder at the moment they're ready for it. We're looking for driven and compassionate individuals who share this goal. Join us in reducing stigma, saving lives, and changing the way addiction is treated in America.Job Summary: Workit Health is seeking a full-time Medical Biller to work rejections and denials as they come in and escalate any denial or rejection trends as they are identified. Candidate ideally has experience billing for addiction medicine and/or outpatient medication-assisted treatment OR experience in billing for telemedicine services. Experience in both is a plus but is not required. Experience with calling health insurance plans a must. Excellent customer service skills. Candidates will demonstrate patient and empathetic communication to our members, be able to work accounts promptly and be open to workflow changes. Workit Health is a fast-paced, fluid environment where changes are frequent and employee input is highly valued.Core Responsibilities: Have a working knowledge of medical software, insurance websites, and EHR Ability to identify and solve claims processing issues Contact third-party insurance payers for resolution of claims Generate appeals or reprocess claims as necessary for problem resolution Communicate effectively with patients, physicians, management, employees, and third-party representatives Adhere to professional standards, company policies and procedures, federal, state, and local requirements, and HIPAA standards Ability to manage a high volume of claims and meet productivity levels Qualifications: 2-3 years previous Medical Billing experience Payment Posting is a plus but not required Must be able to work independently and rely on personal knowledge/experience for problem-solving. Must have experience with MS Word and Google Sheets Must be detail-oriented and have excellent organizational and time management skills Candidates must excel at providing a high level of customer service and be able to work in a team environment Requires strong analytical skills and attention to detail, including writing and verbal communication skills and a professional positive attitude Preferred - Coding/Billing certification from AAPC, Practice Management Institute or AHIMA (CPC, CMC preferred) with current maintenance of continuing education/membership. Benefits & Rewards: 5 weeks PTO (includes your birthday, 2 mental health days, and 2 floating holidays!) 11 paid holidays Comprehensive health, dental, pharmacy, and vision insurance with options to fit your family's needs Company contributions to dependent premiums at higher than market rates (65%) 12 weeks paid Parental Leave after 1 year of employment (includes maternity, paternity, adoption, and all ways in which our people build modern families) 401k + 4% discretionary matching Healthcare & dependent care Flexible Spending Accounts (FSA) Health Savings Accounts (HSA) Employee assistance program, complete with financial coaching and counseling sessions Professional development allowance for healthcare providers Opportunities for professional development and growth within the company Fully remote roles company-wide Vibrant, employee-driven cultural initiatives including multiple ERG groups Colleagues who care deeply about closing health disparity gaps within the addiction space for underserved populations As we are an addiction recovery company founded by people in recovery, those in addiction recovery themselves are encouraged to apply. Workit Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics.#LI-RM1$22.5 hourly Auto-Apply 45d agoManager, Call Center Operations
Inizio
Remote job
Inizio Engage has a long-standing partnership with a leading Biotechnology company, across Commercial, Patient Solutions and Medical Affairs businesses. Responsible for managing, organizing, and coordinating outbound and/or inbound call center programs. Serve as liaison between clients, internal resources/departments, and outside vendors. The Manager, Call Center Operations, in collaboration with the Business Unit Director, must ensure that agreed client objectives are met or exceeded in a manner that is fiscally responsible for both the client and Inizio. Directly or through supervisory staff, manage team(s) of Healthcare Communicators and/or Licensed Healthcare Communicators. This is your opportunity to join Inizio Engage and represent a top biotechnology company! What's in it for you? Competitive compensation Excellent Benefits - accrued time off, medical, dental, vision, 401k, disability & life insurance, paid maternity and paternity leave benefits, employee discounts/promotions Employee discounts & exclusive promotions Recognition programs, contests, and company-wide awards Exceptional, collaborative culture Best Places to Work in BioPharma (2022, 2023, & 2024) Certified Great Place to Work (2022, 2023, 2025) What will you be doing? Ensure that all client needs are met with a high degree of quality on time and within budget. Offer recommendations to ensure successful program implementation and ongoing operation. In partnership with the Business Unit Director, manage all aspects of project start-up, including developing strategy and tactics for program implementation, creating scripts and logic flow, counseling of clients to develop programs which meet legal and regulatory guidelines and developing reporting protocols and templates. Development and delivery of initial training programs. Manage all aspects of ongoing program support including, but not limited to, call monitoring for quality, providing ongoing training support, providing client with program updates and reporting, interfacing with clients, internal departments and vendors. Provide day-to-day supervision, directly or through supervisory staff, of the Communicators or Specialists. In coordination with direct manager and supervisory staff and as dictated by program needs: implement performance standards and provide coaching and performance feedback; conduct performance evaluations for designated staff members; conduct new hire interviewing; coordinate new hire training; monitor and record absenteeism; conduct disciplinary actions, including terminations; monitor staffing levels. In the event of staff shortages, develop a contingency plan to maintain adequate coverage levels. Provide reports at designated frequency to clients, direct manager and/or others as requested. As appropriate within the environment, assist in the development of quality improvement programs as a means to increase productivity and improve service levels. As appropriate within the environment, develop call center policies and procedures. Probe, clarify and determine clients' needs to develop effective solutions. Make recommendations on the best methodology and implementation methods for client programs. Maximize staff utilization and program profitability. Must safeguard patient privacy and confidentiality by following the guidelines set forth in the Privacy and Security Rules of the Health Insurance Portability and Accountability Act (HIPAA). Organize the tasks and sequence that needs to be achieved to meet agreed upon commitments, taking into account resource requirements while scheduling, prioritizing activities, and anticipating problems and obstacles. Respond to issues, examine options and alternatives, and make informed decisions addressing problems as they arise. Convey written information clearly and effectively through both formal and informal documents. Convey information orally, in such a way that the recipient(s) comprehends the message. Ability to remain calm during all situations; provide constructive feedback; able to inspire teamwork and respect. Proficiency with managing the client and delivering program within scope and budget. What do you need for this position? RN or PharmD license required Project management experience in healthcare-related setting preferred Five years' experience supervising within a Call Center operation. Critical thinking and creative problem solving skills Ability to join frequent meetings and calls without disruption or disconnecting Solid relationship building skills Highly organized, detail-oriented Excellent communication and customer service skills Must possess the ability to train and motivate staff members. Ability to work independently, and exercise sound judgment with regards to issue escalation. Outstanding customer service, communication, and interpersonal skills. Adept at all applicable computer software, i.e., Microsoft Office, client and Inizio project specific systems and Inizio's or client call management system. Word, Excel, call management system and Outlook. Must have stable, reliable, high speed home internet. Must have a designated separate home office space that is quiet and away from distractions About Inizio Engage Inizio Engage is a strategic, commercial, and creative engagement partner that specializes in healthcare. Our passionate, global workforce augments local expertise and diverse mix of skills with data, science, and technology to deliver bespoke engagement solutions that help clients reimagine how they engage with their patients, payers, people and providers to improve treatment outcomes. Our mission is to partner with our clients, improving lives by helping healthcare professionals and patients get the medicines, knowledge and support they need. We believe in our values: We empower everyone/We rise to the challenge/We work as one/We ask what if/We do the right thing, and we will ask you how your personal values align to them. To learn more about Inizio Engage, visit us at: ********************** Inizio Engage is proud to be an equal opportunity employer. Individuals seeking employment at Inizio are considered without regards to age, ancestry, color, gender, gender identity or expression, genetic information, marital status, medical condition (including pregnancy, childbirth, or related medical conditions), mental or physical disability, national origin, protected family care or medical leave status, race, religion (including beliefs and practices or the absence thereof), sexual orientation, military or veteran status, or any other characteristic protected by federal, state, or local laws. Further, pursuant to applicable local ordinances, Inizio will consider for employment qualified applicants with arrest and conviction records. Inizio Engage is an equal opportunity employer M/F/V/D. We appreciate your interest in our company, however, only qualified candidates will be considered.$47k-77k yearly est. Auto-Apply 37d agoSenior Claims Manager (Remote) - Professional Liability Program
Washington University In St. Louis
Remote job
Scheduled Hours 40 Analyzes and evaluates complex incident reports and lawsuits, reviews medical records and interviews involved individuals to obtain needed information. Prepares complex investigative analytical reports for Director and Legal Counsel regarding potentially compensable incidents covered by the Self-Insured Professional Liability Program, and other reports as requested by Senior Management. Coordinates case development, case management, and participates in office management. Job Description Primary Duties & Responsibilities: * Conducts internal claims investigations, plans defense strategies and negotiates disposition of assigned files with guidance of legal counsel. Conducts meetings with physicians, analyzes medical record information and event reports; directs approved legal counsel and other legal personnel involved in the defense; evaluates liability and financial exposure, approves expert witness reviews; responds to discovery requests and answers interrogatories; coordinates witness preparations; makes recommendations for resolution of claim; and coordinates meetings with Director, defense counsel and Office of General Counsel to perform decision tree analysis to determine case value. Attends mediation, arbitration, and/or trial. * Prepares and submits required reports to Department Heads, Office of General Counsel, Director of Risk Management, excess insurance carriers, and when applicable, coordinates with external agency investigations, i.e., professional Board inquiries. Responds to general claim inquiries. * Establishes indemnity and expense reserves based on the reserving policy. Negotiates settlements within authority. Reviews and approves defense counsel related invoices and expenses. * Provides consultation and guidance on healthcare issues such as medical record release, subpoena responses, termination/transfer of care, patient complaints, and physician billing issues including accounts in litigation. Arrange for attorneys to attend depositions with physicians when necessary. Mentors less experienced claims managers. * Performs other duties as assigned. Working Conditions: Job Location/Working Conditions * Normal office environment Physical Effort * Typically sitting at a desk or a table Equipment * Office equipment The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time. Required Qualifications Education: Bachelor's degree Certifications/Professional Licenses: No specific certification/professional license is required for this position. Work Experience: Analyzing Or Interpreting Medical Or Other Technical Evidence That Compares In Level Of Complexity To Medical Treatment (5 Years) Skills: Not Applicable Driver's License: A driver's license is not required for this position. More About This Job Preferred Qualifications: * Analytical ability to evaluate facts and formulate questions in order to define problems and critical events in the medical care rendered. * General knowledge of The Joint Commission and patient safety standards, diagnosis and treatment of human disease and injury, medical therapies, procedures and standard of medical care. * Knowledge of methods and techniques of individual case study, recording and file maintenance. * Seven years' experience in medical malpractice claims management. Preferred Qualifications Education: No additional education unless stated elsewhere in the job posting. Certifications/Professional Licenses: No additional certification/professional licenses unless stated elsewhere in the job posting. Work Experience: No additional work experience unless stated elsewhere in the job posting. Skills: Analytical Thinking, Defining Problems, Detail-Oriented, Disease Diagnosis, Disease Management, Group Presentations, Injury Treatment, Joint Commission Regulations, Organizational Savvy, Patient Safety, Report Preparation Grade G13 Salary Range $65,900.00 - $112,700.00 / Annually The salary range reflects base salaries paid for positions in a given job grade across the University. Individual rates within the range will be determined by factors including one's qualifications and performance, equity with others in the department, market rates for positions within the same grade and department budget. Questions For frequently asked questions about the application process, please refer to our External Applicant FAQ. Accommodation If you are unable to use our online application system and would like an accommodation, please email **************************** or call the dedicated accommodation inquiry number at ************ and leave a voicemail with the nature of your request. All qualified individuals must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Pre-Employment Screening All external candidates receiving an offer for employment will be required to submit to pre-employment screening for this position. The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks. All offers are contingent upon successful completion of required screening. Benefits Statement Personal * Up to 22 days of vacation, 10 recognized holidays, and sick time. * Competitive health insurance packages with priority appointments and lower copays/coinsurance. * Take advantage of our free Metro transit U-Pass for eligible employees. * WashU provides eligible employees with a defined contribution (403(b)) Retirement Savings Plan, which combines employee contributions and university contributions starting at 7%. Wellness * Wellness challenges, annual health screenings, mental health resources, mindfulness programs and courses, employee assistance program (EAP), financial resources, access to dietitians, and more! Family * We offer 4 weeks of caregiver leave to bond with your new child. Family care resources are also available for your continued childcare needs. Need adult care? We've got you covered. * WashU covers the cost of tuition for you and your family, including dependent undergraduate-level college tuition up to 100% at WashU and 40% elsewhere after seven years with us. For policies, detailed benefits, and eligibility, please visit: ****************************** EEO Statement Washington University in St. Louis is committed to the principles and practices of equal employment opportunity and especially encourages applications by those from underrepresented groups. It is the University's policy to provide equal opportunity and access to persons in all job titles without regard to race, ethnicity, color, national origin, age, religion, sex, sexual orientation, gender identity or expression, disability, protected veteran status, or genetic information. Washington University is dedicated to building a community of individuals who are committed to contributing to an inclusive environment - fostering respect for all and welcoming individuals from diverse backgrounds, experiences and perspectives. Individuals with a commitment to these values are encouraged to apply.$29k-43k yearly est. Auto-Apply 17d agoMedicare Compliance & QA Associate
Spark Advisors
Remote job
Over 20 million American seniors rely on independent Medicare brokers to navigate the healthcare system. These brokers provide support during critical life transitions - but have long lacked world-class insurance technology and services to support their own growth. Spark was founded in 2020 to close this gap. We are a technology company innovating how the best brokers acquire, enroll, and serve their clients. With our industry-leading CRM, AI workflows, and client services, brokers can finally build the business of their dreams - and help more Americans find quality healthcare. With over 8,000 brokers serving 225,000 beneficiaries, Spark is the fastest-growing Medicare brokerage in the country. We're now looking for new builders and operators to accelerate our impact. Our talent-dense team combines experience from top technology and healthcare companies like Square, Ramp, Yext, Oscar, Cedar, and Galileo. Backed by top-tier investors, including Primary Ventures and Viewpoint Ventures, we're united by a mission to build technology that solves societal needs. Well-being is a big part of our work - and it applies to our employees too. We offer generous benefits like flexible work locations, sabbaticals for tenured employees, annual company retreats, and monthly socials to keep our team connected and performing at their best. We're proud that last year, we were named one of Inc. Magazine's Best Workplaces of 2025. Join us if you're excited to redefine an industry and shape what the next era of insurance should look like. Summary Spark is hiring an Associate, Medicare Compliance & Quality Assurance responsible for supporting the organization's compliance operations by managing case intake, tracking case progress, facilitating communication between carriers and agents, and assisting with agent coaching. This role plays a critical part in ensuring timely resolution of compliance matters, maintaining accurate documentation, and promoting adherence to regulatory and internal standards. The position will report to the Medicare Compliance & Quality Assurance Supervisor and partner closely across our Platform, Contracting, Finance, and Sales teams to maintain the highest standards of compliance across our agent network. What You'll Do Compliance Case Management & Quality Assurance (80%) Manage the complete lifecycle of compliance cases, including intake, investigation, communication, resolution, and formal closure. Maintain accurate case records in the case management system and ensure timely documentation of notes, evidence, and required follow-up actions. Act as the primary liaison with agents, agencies, internal teams, and carriers to ensure clear and timely communication throughout the case process. Monitor case progress, send reminders, and escalate issues as needed to prevent delays and mitigate compliance risks. Ensure all necessary information is provided to carriers and verify that all steps are completed before closing cases to support audit readiness. Agent Coaching & Support (10%) Provide targeted coaching and guidance to agents on compliance requirements, documentation standards, and best practices based on identified risks or performance gaps. Educate agents on policies, procedures, and necessary corrective actions aligned with case findings. Identify recurring compliance issues and escalate trends to leadership for broader coaching or training initiatives. Assist agents and agencies with carrier compliance audits and provide preparation support. Support agents in navigating carrier portals through self-service guides and direct assistance. Maintain records of coaching participation, track completion metrics, and flag gaps requiring follow-up. Operational Support (10%) Maintain organized, accurate, and audit-ready records for all compliance interactions and case activities. Assist with preparing reports, summaries, dashboards, or data extracts related to compliance cases, agent performance, and key compliance indicators. Collaborate with the compliance team on special projects, process improvements, and the development or refinement of new workflows. Support additional compliance-related requests assigned by leadership, ensuring flexibility and responsiveness to priorities. Remain agile and adaptable in the continually evolving Medicare regulatory landscape, adjusting processes and support practices as standards change. What We're Looking For Required Experience & Skills Strong organizational skills with the ability to manage multiple tasks and cases accurately and efficiently. Clear and professional written and verbal communication skills for working with agents, carriers, and internal teams. Ability to quickly learn Medicare and compliance concepts and explain them to agents in simple, actionable terms. High attention to detail for documentation, case notes, and recordkeeping. Basic analytical skills to review data, identify simple trends, and support compliance monitoring. Ability to follow structured workflows, processes, and guidelines consistently. Strong judgment, professionalism, and discretion when handling sensitive or confidential information. Nice-to-Have Skills & Experience Prior exposure to Medicare, health insurance, regulatory compliance, customer support, or operations. Familiarity with quality assurance reviews, call evaluations, or enrollment processes (telephonic or field-based). Basic understanding of CMS guidelines, marketing rules, enrollment processes, CTM/complaint handling, or compliance markers such as rapid disenrollments. Experience supporting audits, assessments, or improvement projects through coursework, internships, or previous roles. Comfort learning new systems, dashboards, workflows, or performance metrics. Experience contributing to process improvements, documentation updates, or workflow development. Technical & Process Skills Comfortable using tools such as Excel, Airtable, CRM systems, or case management platforms (training provided). Ability to maintain accurate notes, records, and case information with strong attention to detail. Basic analytical abilities to assist with data reviews and quality assurance activities. Ability to learn new technology, systems, and compliance tools quickly. Personal Attributes Solution-oriented mindset with a strong interest in problem-solving and supporting agents through compliance challenges. Eager to learn and stay current as Medicare regulations and compliance requirements evolve. Clear communicator who can break down information simply and effectively. Collaborative and team-focused, with the ability to partner across Compliance, Sales, Platform, and other internal teams. Adaptable and flexible in a fast-paced, continually changing environment. Demonstrates strong ethics, integrity, and respect for confidentiality. Compensation Our salary ranges are based on paying competitively for our company's size and industry, and are one part of the total compensation package that also includes equity, benefits, and other opportunities at Spark. In accordance with New York City, Colorado, California, and other applicable laws, Spark is required to provide a reasonable estimate of the compensation range for this role. Individual pay decisions are ultimately based on a number of factors, including qualifications for the role, experience level, skillset, geography, and balancing internal equity. A reasonable estimate of the current salary range is listed below . We expect most candidates to fall in the middle of the range. We also believe that your personal needs and preferences should be taken into consideration, so we allow some choice between equity and cash. Base Salary$60,000-$70,000 USD Why you should join our team By joining Spark, you will get in on the ground floor of a fast-moving, well-funded, and mission-driven startup where you will have a profound impact on the brokers and beneficiaries we serve. And you'll learn, grow, be challenged, and have fun with your team while doing it. We strive to help you and your family thrive. We're committed to supporting your happiness, healthiness, and overall well-being by providing a comprehensive benefits program. In addition to your base salary, we also offer: Equity compensation Health care, including dental and vision through our PEO Sequoia Flexible work location; co-working available 401k Paid Time Off Monthly Remote Work Stipend (help cover costs of home-office needs) Paid Parental Leave Up to 14 weeks for birthing parents Up to 8 weeks for non-birth parents 11 paid holidays 2 week sabbatical at 5 years of employment Wellbeing Perks through SpringHealth, OneMedical, PerkSpot, and SoFi Compliance Spark is a proud participant in E-Verify. As part of our commitment to compliance, we use the E-Verify program to confirm the employment eligibility of all employees working in the United States. For more information about E-Verify, please visit ***************** Furthermore, for security and compliance requirements, we're unable to accommodate international remote work. While we fully support travel and time off, all work must be conducted from an approved location within the U.S. At Spark, we are committed to hiring the best team to serve our clients regardless of their background. We need diverse perspectives to reflect the diversity of our problems and the population we serve. We look to hire people from a variety of backgrounds, including, but not limited to, race, age, sexual orientation, gender identity and expression, national origin, religion, disability, and veteran status.$60k-70k yearly Auto-Apply 20d agoCustomer Service Representative - State Farm Agent Team Member
Steve Rider-State Farm Agent
Remote job
Job DescriptionBenefits: Hourly Plus Commission and Bonuses Bonus based on performance Competitive salary Flexible schedule Opportunity for advancement Paid time off Training & development Health insurance *STATE FARM EXPERIENCE REQUIRED* ROLE DESCRIPTION: As a Customer Service Representative - State Farm Agent Team Member with Steve Rider - State Farm Agent, you will generate the kind of exceptional customer experiences that reinforce the growth of a successful insurance agency. Your attention to detail, customer service skills, and desire to help people make you a fit. You will enhance your career while resolving customer inquiries, coordinating with other agency team members, and anticipating the needs of the community members you support. We look forward to connecting with you if you are the customer-focused and empathetic team member we are searching for. We anticipate internal growth opportunities for especially driven and sales-minded candidates. RESPONSIBILITIES: Answer customer inquiries and provide policy information. Assist customers with policy changes and updates (billing, questions, etc.) Process insurance claims and follow up with customers. Administrative Tasks Maintain accurate records of customer interactions. QUALIFICATIONS: Communication and interpersonal skills. Detail-oriented and able to multitask. Previous customer service experience preferred. Previous experience with State Farm Active P&C and L&H License This is a remote position.$27k-35k yearly est. 27d agoHealthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish
Hcmc
Remote job
Healthcare Scheduling, Connection Advisor Intermediate, Remote, Bilingual Spanish (251598) Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc. , a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization. SUMMARYThe Connection Center is a fast-paced, high-volume inbound call center where our schedulers play a critical role in delivering exceptional service. Team members are expected to multitask efficiently-speaking with patients, scheduling appointments, documenting conversations, and resolving escalations-all while maintaining professionalism and composure in a dynamic environment. We are currently seeking a Connection Advisor Intermediate, Bilingual Spanish to join our Connection Center team. This Full-Time role (80 hours per pay period) will primarily work remotely (days). The Connection Center is open Monday through Friday, 7:30 AM to 5:30 PM. Shifts will be based on the current business needs and staff seniority. The schedule will be decided following the 4-week training period. The training period will be scheduled on Monday through Friday, 8:00 AM to 5:30 PM, and will be held on campus for only 1 week. Working remotely will start after the training period has been completed. Individuals will need a quiet working environment, high-speed internet, fire alarm, and desk space. Hennepin Healthcare will supply computers, monitors, keyboard, mouse, and phone. Employees will need to be within 100-mile radius of our downtown campus. Purpose of this position: Under general supervision, the Connection Advisor Intermediate answers incoming calls and meets caller's needs; confirms all patient demographic information is current and complete, verifies insurance information, schedules, cancels, or reschedules appointments for assigned clinic or services using call center, electronic health record and department technology. Answers inquiries and questions, troubleshoots basic and more complex issues and provides information as needed. RESPONSIBILITIESAnswers assigned calls for more complex clinics and services; prioritizes, screens, and/or redirects calls as needed. Answers questions, handles routine matters and takes messages. Schedules, cancels and reschedules appointments for patients following standard work and departmental policies and procedures Handles complex scheduling that often requires multiple appointments or with different providers andmodalities Obtains and accurately captures demographic information and patient's health insurance information provided by the patient or caller Accurately completes multiple types of patient registrations in a professional, customer-oriented,timely manner while following departmental policies and procedures Assists with shadowing and mentoring newly onboarded Connection Advisor Associate and Connection Advisor Intermediate team members Recommends and supports change and process improvement initiatives while working to upholdstandard process workflows and provide feedback as needed Completes training and continuing education courses to ensure compliance with Federal, State, and HHS guidelines and follows current best practices Completes all work assignments within the time allowed Requests and processes payments for co-pays, pre-pays, and outstanding balances Meets all key performance and call quality standards Transfers calls to Hennepin Healthcare Nurse Line and/or escalates calls to Team Coordinator or Supervisor as needed Performs other duties as assigned, but only after appropriate training QUALIFICATIONSMinimum Qualifications: High School DiplomaOne year data look-up/data entry experience Two years' experience in customer service involving complex analytical problem-solving skills One year experience in a call center with emphasis in a customer service/medical industry6 months of Connection Advisor Associate experience or specialized clinic operational experience One year of remote work experience Bilingual Spanish-OR-An approved equivalent combination of education and experience Preferred Qualifications:One year of post-secondary education Healthcare Call Center experience Working knowledge of Epic cadence and prelude Patient registration experience Knowledge/Skills/Abilities:Excellent organizational, analytical, critical thinking, and written and verbal communication skills Ability to work cohesively, effectively, and respectfully with individuals from a variety of economic, social, and culturally diverse backgrounds Ability to work in a team environment as well as independently Critical thinking skills and ability to analyze situations quickly and escalate as needed Ability to exceed quality standards, including accuracy in patient registrations, scheduling, data entry, and customer service expectations Technical proficiency in basic computer skills and applications like Microsoft Office, Outlook, and softphones Basic knowledge of medical terminology and health insurance Ability to work in a fast-paced, highly structured, and continually changing environment High level of attention to detail Active listening skills Ability to work independently and remotely Ability to become technically competent and are familiar with HHS's computerized systems and ability basic troubleshooting that support operations You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing Equal Employment Opportunities to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer. Please Note: Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements. Department: Connection CenterPrimary Location: MN-Minneapolis-Downtown CampusStandard Hours/FTE Status: FTE = 1. 00 (80 hours per pay period) Shift Detail: DayJob Level: StaffEmployee Status: Regular Eligible for Benefits: YesUnion/Non Union: UnionMin:21. 92Max: 28. 36 Job Posting: Oct-13-2025$53k-96k yearly est. Auto-Apply 8h agoRemote Verification Associate
Pafford EMS
Remote job
of Remote Verification Associate Job Title: Remote Verification Associate Division/Department: PMBS Reports To: Verification Team Lead-Oklahoma Full-Time Nonexempt Job Description: Verify all demographic and insurance information. Requires utilization of various electronic verification systems and making phone calls to obtain demographic and insurance information. Essential Duties and Responsibilities: Utilize various resources to locate insurance payers for ambulance transportation Contact the hospital, patient's family, and/or patient to obtain insurance information Fax partner hospitals requests for information Validate and update patient demographics in the practice management system Responsible for the accurate entry of data into the practice management system This position requires specialist to spend extended periods of time on the phone with insurance companies Performing other duties as assigned. Qualifications: Knowledge in Medicare, Medicaid and/or MVA, VA and Insurance Billing experience preferred Experience working with insurance portals Knowledge of Health Insurance Portability and Accountability Act (HIPAA) Knowledge of medical terminology Proficient with a PC Ability to work independently and with a group Working knowledge of MS Word, Excel Ability to maintain effective working relationships. Thorough knowledge of office practices Ability to type at least 35 words per minute. Ability to multi-task Proficiency using 10 key Education and Experience Requirements: High School Diploma or equivalent Other Requirements: Must have access to high-speed internet Able to travel occasionally to Oklahoma City for training and education Physical Requirements: Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards. Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards. The employee may occasionally be required to lift and/or move up to 20 pounds Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. Work may require sitting, lifting, stooping, bending, stretching, walking, standing, pushing, pulling, reaching, and other physical exertion. Must be able to talk, listen and speak clearly on telephone. Must possess visual acuity to prepare and analyze data and figures, operate a computer terminal, and operate a motor vehicle. Travel Time: Negligible NOTE: The above statements are intended to describe the general nature and level of work being performed by the person assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties, skills and physical demands required of personnel so classified.$28k-56k yearly est. 60d+ agoClient Partnership Lead - Health Plans
Health Management Associates
Remote job
Drive Strategic Growth and Deep Client Partnerships in the Health Plan Market Are you ready to strengthen relationships and accelerate growth in the payer space? As Client Partnership Lead - Health Plans, you'll manage and expand HMA's portfolio of health plan clients-spanning commercial, Medicare, and Medicaid lines of business. This role is all about building trust with executive leaders, uncovering strategic opportunities, and positioning HMA as the go-to partner for innovative solutions in areas like value-based care, digital health, analytics, and operational performance. You'll lead the account strategy, drive business development, and collaborate across practices to deliver measurable client impact. If you thrive on forging executive relationships, influencing decision-makers, and growing accounts in a dynamic healthcare landscape, this is your opportunity to make a significant difference. The ideal candidate will have at least 10 years of experience driving growth within commercial, Medicare and Medicaid lines of business. This leader will be a part of our Growth Office and must have significant experience building client relationships and increasing market share to identify opportunities to add value. Specific expectations and responsibilities are outlined below. Job Summary The Client Partnership Lead is responsible for driving strategic account growth through proactive business development, client relationship management, and internal collaboration. This role focuses on expanding and growing relationships within key accounts, identifying new business opportunities, and executing strategies that deliver measurable revenue growth. The Client Partnership Lead acts as the primary liaison between the client and HMA - developing deep understanding of client priorities, aligning HMA's capabilities to address evolving needs, and ensuring high client satisfaction and loyalty. Responsibilities Work Performed and Job Requirements Account Planning & Strategy Develop and execute a strategic account business plan to drive growth across assigned accounts. Maintain a deep understanding of client priorities, market context, and competitive positioning. Identify new opportunities to expand HMA's presence across business units and buying centers. Monitor and communicate client organization changes, business drivers, and risks to HMA leadership. Lead regular account reviews, including Quarterly Business Reviews (QBRs) and performance updates for both client and internal stakeholders. Business Development & Revenue Generation Generate and maintain a qualified pipeline sufficient to meet or exceed annual revenue goals. Lead pursuits and close deals by leveraging relationships, insights, and commercial expertise. Identify and penetrate new buying centers within existing client organizations to expand HMA's footprint. Introduce new services and solutions across the breadth of HMA that align with client needs and strategic objectives. Use commercial acumen to improve win rates and deal profitability-contribute to proposal strategy, pricing, and negotiation. Partner with pursuit teams to develop compelling proposals, presentations, and go-to-market approaches. Strategize on firm-wide outreach efforts into priority accounts; coordinate outreach into assigned accounts and conduct personal outreach to garner new business. Client Relationship Management Serve as the primary relationship manager for assigned client accounts. Meet regularly with client executives, decision-makers, and influencers to strengthen relationships and identify opportunities. Nurture existing buyer relationships while cultivating new client sponsors across levels and functions. Lead service recovery and client risk management efforts to protect relationships and revenue. Leverage procurement expertise to enhance HMA's position on preferred supplier lists (PSLs) and reduce sales cycle time. Internal Collaboration & Delivery Enablement Mobilize HMA's full breadth of capabilities to meet client needs and drive account growth. Foster cross-practice collaboration, connecting subject matter experts (SMEs) and executives to enhance solutions and delivery. Partner with delivery teams to ensure consistent, high-quality client experiences and outcomes. Provide account insights and market feedback to leadership, practice leaders, and marketing teams. Market Positioning & Thought Leadership Represent HMA at industry events, conferences, and client forums to promote brand visibility and credibility. Contribute to thought leadership initiatives, including articles, speaking engagements, and client-focused insights. Maintain a visible presence within the client's industry and contribute to the firm's market awareness. All other duties as assigned. Qualifications Education/Training Minimum of a bachelor's degree in business, marketing, or a related field; advanced degree preferred. However, we welcome candidates with significant, directly relevant work experience in place of a formal degree. Experience Minimum 10+ years of experience in account management, business development, or client leadership within a professional services or consulting environment. Proven ability to develop and execute account growth strategies that achieve measurable results, strong understanding of consulting sales processes, proposal development, and pricing strategy, demonstrated success building executive-level relationships and managing complex client portfolios, excellent communication skills. Knowledge, Skills and Abilities Strong understanding of account management, consulting sales, and business development strategies. Knowledge of client industry trends, market dynamics, and competitive positioning. Proven ability to build and sustain executive-level client relationships and drive revenue growth. Skilled in strategic planning, negotiation, and proposal development to close complex deals. Excellent communication, presentation, and influencing skills across all organizational levels. Demonstrated ability to collaborate in a matrixed environment and mobilize cross-functional teams. Strong commercial and financial acumen, with the ability to assess profitability and pricing. Agile, results-driven, and capable of translating client needs into actionable business solutions. Experience working in Salesforce. Core Competencies Strategic Execution - Drives strategic priorities through cross-functional leadership and accountability Resource Allocation - Anticipates long-term resource needs and aligns allocation with business growth Results Orientation - Leads teams to exceed performance expectations through continuous improvement and accountability Account Growth Planning: Develops and executes account growth plans aligned to client needs and firm strategy. Maintains account plans and identifies growth targets. Tracks client organization changes and evolving priorities. Collaborates with delivery and pursuit teams to execute plans. Pursuit Leadership: Leads proposals and pursuit efforts that align with client goals and firm capabilities. Shapes pursuit strategy, proposal content, and pricing approaches. Coordinates contributions across internal teams and SMEs. Delivers compelling presentations and follow-up communications. Relationship Expansion: Expands client networks across departments and functions to strengthen account presence. Build relationships with new decision-makers and influencers. Identifies and develops new buying centers within client organizations. Maintains consistent client contact to reinforce trust and credibility. EEO Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c) #LI-DM Additional Info The Client Partnership Lead - Health Plans is responsible for driving business growth within HMA's payer client portfolio, including commercial, Medicare, and Medicaid lines of business. This role focuses on developing and executing account strategies that expand client relationships, increase market share, and position HMA as a trusted strategic partner to health plan leaders. The Client Partnership Lead brings deep understanding of payers to identify opportunities where HMA's expertise can deliver measurable client value. Specific Responsibilities Account Strategy & Growth Develop and execute strategic account growth plans for assigned health plan clients and prospects. Maintain deep understanding of client business models, market drivers, and strategic priorities across the payer landscape. Identify and pursue opportunities in areas such as value-based care, digital health, analytics, network management, and operational performance. Partner with Sector and Practice Leads to align client needs with HMA capabilities and offerings. Lead account reviews and pipeline reporting to monitor progress against growth goals. Business Development & Client Engagement Generate and manage a qualified pipeline to achieve or exceed annual revenue goals. Establish and maintain executive-level relationships with payer clients, including C-suite and functional leaders. Support proposal development, pricing strategy, and deal negotiation to increase win rates and deal value. Introduce new HMA services and capabilities that address payer pain points and strategic initiatives. Represent HMA at payer-focused industry events and conferences to increase visibility and thought leadership. Develop and manage a firm-wide outreach plan for assigned accounts, including direct personal outreach from the CPL. Internal Collaboration & Delivery Enablement Coordinate with consulting teams, SMEs, and practice leaders to mobilize the full breadth of HMA capabilities. Support delivery excellence and client satisfaction through ongoing collaboration and issue resolution. Share market insights and client feedback to inform service development, marketing, and go-to-market strategy. Preferred Expertise and Knowledge Extensive experience in the health insurance or managed care industry, with deep understanding of commercial, Medicare, and Medicaid lines of business. Proven success managing payer client relationships and driving account growth within complex organizations. Strong business development, negotiation, and proposal management skills. Recognized market awareness and credibility within the health plan community. Performance Emphasis Success in this Business Sector area is measured through Account portfolio revenue in aggregate.$77k-111k yearly est. Auto-Apply 5d ago
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