Sr Specialist, Government Contracts - Remote in Omaha, NE area.
Remote - Candidate must reside in the Omaha, NE area.
Responsible for the strategic development and administration of contracts with State and/or Federal governments for Medicaid, Medicare, Marketplace, and other government-sponsored programs to provide health care services to low income, uninsured, and other populations.
Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports for filings; reviewing Plan submissions for quality, accuracy, and timeliness; and ensuring Plan meets contractual and regulatory requirements.
Reviews Provider Agreement, EOC/ Member Handbook, Provider Directory, marketing materials, and other contract reporting deliverables for compliance with contractual and regulatory requirements prior to submission.
Assesses information received from government contracting agencies and regulators and disseminates to impacted Plan staff.
Participates in meetings related to Molina government run programs with State agencies and Molina Corporate departments and disseminates relevant information to staff and management.
Oversees/maintains the department's documentation and archive system, ensuring submitted reports are archived for historical and audit purposes. Ensures system is updated and complete.
High School diploma or equivalent
3 years' experience in a managed care environment.
Experience demonstrating strong: communication and presentation skills; analytical/reasoning ability; detail orientation; organizational and interpersonal skills.
Proficient in compiling data, creating reports, and presenting information, using Crystal Reports (or similar reporting tools), SQL query, MS Access, and MS Excel.
Bachelor's Degree in Business Administration, Healthcare, or related field.
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
Pay Range: $45,390 - $88,511 a year*
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
$45.4k-88.5k yearly5d ago
Outside Sales Executive
Job DescriptionOutside Sales Executive duties and responsibilities Outside Sales Representatives are responsible for increasing sales by developing and maintaining relationships with customers and clients. Duties may include identifying prospective customers, following up on potential sales leads and maintaining relationships with existing customers. Outside Sales Representatives may also recommend marketing strategies designed for a target market. Examples of Outside Sales Representative duties and responsibilities include: * Identify and establish contact with potential customers * Schedule and perform product demonstrations with potential customers * Develop and maintain relationships with existing customers * Attend industry trade shows to identify potential sales leads and make meaningful contact with existing customers * Follow industry trends to identify new opportunities for potential sales * Recommend marketing strategies to target a specific region or demographic * Generate and submit sales reports to management Outside Sales Executive Skills and Qualifications A successful Outside Sales Representative candidate will have various skills and qualifications to perform the required duties, including effective communication, public speaking and presentation skills. Additionally, an Outside Sales Representative candidate should have knowledge of industry trends, marketing strategies and consumer psychology. Examples of Outside Sales Representative skills and qualifications include: * Demonstrated ability in meeting sales objectives * Impeccable interpersonal communication skills * Thorough understanding of the industry and industry trends * Familiarity with marketing strategies and consumer psychology * Proficiency with the word processing, spreadsheet and presentation software * Ability to work on commission only plus monthly bonus' * Ability and willingness to travel for trade shows, demonstrations and client meetings INCOME RANGE: $92,345 - $155,860 Work from Home Position, Flexible Hours, Full-time Desired Skills: Sales, CRM, Customer Service, Management$54k-81k yearly est.12d ago
The Project Engineer role leads client relationships as well as groups of design teams in finding, scoping, and delivering design projects. About us: Interstates meets the electrical and automation needs of companies around the world. The Project Engineer leads collaboration with other disciplines, projects, and coaches all team members, including field leaders. At Interstates we treat each other like family, because the foundation of our success is our team.$63k-78k yearly est.7d ago
Software Engineer Senior - Progress
Responsibilities: The Software Engineer's primary function will be to design, development, maintenance, and support of custom web-based applications. Location : Machesney Park, IL, Sioux Falls, MD, Atlanta, GA(100% remote) Software Engineer - Ruby - SOFTW02309 - Machesney Park, IL$82k-108k yearly est.14d ago
Physician / Pediatrics / South Dakota / Locum or Permanent / Telemedicine Opportunities Job
As a part of our carefully selected elite team of WellVia telehealth physicians, you will be able to consult current and new patients via phone along with web-based platform for reviewing patient records and images. WellVia telehealth platform empowers you to provide your excellent standard of care to patients all across the country.$30k-200k yearly2d ago
Onboarding new employees fully into all Vista Care's systems; ensures data integrity throughout the processes and ensures all fields are completed. The Talent Specialist/Recruiter will research, develop, and implement effective recruiting and staffing strategies to attract a diverse pool of qualified and capable talent for the organization. The position will be reporting to the Talent Acquisition Manager at Vista Care. Readily reviews Vista Care open position list and places an emphasis on higher priority positions. The location of the position will be based in Pierre, SD at Vista Care's Regional Office but the position will be able to work remotely twice (2x) a week or at a designated affiliated location as established by the Talent Acquisition Manager.$30k-42k yearly est.5d ago
All Progressive hardware you receive needs to be connected to a surge protector Energage recognizes Progressive as a 2022 Top Workplace for: Innovation, Purposes & Values, Work-Life Flexibility, Compensation & Benefits, and Leadership.$21 hourly3d ago
Senior Quality Assurance Administrator
Location: Sioux Falls, SD$29.8 hourly8d ago
Licensed Property & Casualty Insurance Agent - Remote USA
Continuing education paid for by TTEC Our TTEC community is here for you as one dynamic, global family. Bringing smiles is what we do at TTEC hellip; for you and the customer. Licensed Property & Casualty Insurance Agent Our TTEC work-from-home team has 41 preferred residency states.$38k-44k yearly est.4d ago
Data Entry Clerk Remote Customer Service 34 HR
We are looking for a Remote Customer Service Representative able to work various shifts starting between $34per hr based on experience. Weekend availability is required
This is a remote position - you can work from your own home! There are career advancement opportunities - we are a company that strongly believes in promoting from within.
Duties and Requirements:
• Making outbound calls to provide and confirm information regarding scheduled services
• Receiving inbound calls from customers regarding our services
• The first line of contact presenting the value of our services and closing the sale
• Supporting the overall operations of the Contact Center
• Making sure customers are serviced quickly and accurately, to ensure first call resolution
• Must have adequate work from home conditions with dedicated workspace
• One year remote call center experience preferred
FULL BENEFITS PACKAGE: Full-Time positions eligible for:
• Medical, Dental, and Vision coverage.
• 401(k) retirement program with company match.
• Paid time off vacation, sick/personal time.$34 hourly1d ago
Remote Sales Representative - Sioux Falls, SD
Our company is looking to fill a full-time position for a Sales Representative. LunaMD's exceptional Anti-aging Peptide is the outcome of 20+ years of devoted research and development spearheaded by distinguished experts in science, medicine, and product engineering.$60.3k-69.5k yearly4d ago
* Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. A career at Sedgwick means experiencing our culture of caring. Compliance Manager - Workers Compensation | CO/AZ/UT Jurisdictions A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.$62k-78k yearly est.35d ago
- Paid training for this class will be from 8:00am to 5:00pm CST for the first (6) weeks of your employment with 100% required attendance. - Yankton, SD 332 Broadway Ave 57078$51k-60k yearly est.Easy Apply9d ago
Financial Accounting Manager - Hybrid Remote in Yankton, SD
degree in Accounting and five or more years related experience and/or training; or equivalent combination of education and experience. * Direct the installation and maintenance of accounting records for transaction activity. Astec is a global, environmentally focused infrastructure and manufacturing company of asphalt road building and aggregate processing. About this Financial Accounting Manager Role Primary Duties and Responsibilities - Financial Accounting Manager * Direct internal audits involving review of accounting and administrative controls. * Assist in the development and implementation of goals, policies, priorities, and procedures relating to financial management, budgeting, and accounting. Qualifications - Financial Accounting Manager * Direct the installation and maintenance of new accounting, property, and other related procedures and controls. Word processing, Spreadsheets, Accounting software, General Ledger, Payroll, Accounts Payable, Internet software, E-mail, Manufacturing software, Database software. Apply principles of financial management to (1) provide information assuring that day-to-day operations are carried out in accordance with established accounting principles, policies, and objectives, (2) supervise the day-to-day operation of the Accounts Payable and General Ledger accounting areas, and (3) identify management informational needs, and refine accounting structures or reports accordingly. This position is located at our Yankton, South Dakota office with potential to be hybrid-remote.$85k-116k yearly est.36d ago
Part Time Sales - Work from Home - Flexible Schedules
Our company that has been around for over 40 years is looking to fill immediate sales positions, flexible schedules with an option to set your own schedule. Previous sales or work experience not required, we provide all of the training needed. Request an interview today – start work within the week!
Vector Marketing customer sales reps sell Cutco products through appointments (most virtually). The products are used in the home focusing on the kitchen and some gardening tools as well. Previous experience & knowledge about kitchen tools or sales isn't needed. We work with a lot of people who are just looking to build up their resume, communication, and networking skills. We provide all of the training needed for success.
Excellent pay – $21.00 base-appt not based on sales, paid weekly. We have a commission structure set up based on performance. There is opportunity to make more, but there is still a fall back for the sales rep to make an income even if they have an off week.
Solid training – we've been training people to do well for over 40 years. Even if someone doesn't decide to stay with us long term, the sales, networking, & communication skills they build are needed for any field.
Flexible scheduling – we help our reps create a schedule that works best for them. Some work as much as possible, some work a few hours a week to earn some extra income around vacations, other jobs, or family commitments, and others just work for the summer.
Choice of location – sales reps have an opportunity to work from home after their initial training.
Enjoy working with people
All ages eighteen plus or seventeen and a high school graduate
Able to start within the next 7 – 10 days
Willing to learn and apply new skills.
Who would do well:
People who have done well with us in the past have had experience in all kinds of fields (some none at all!) - admin, retail, fast food, cashier, administrative assistant, receptionist, office work, server, landscaping, and in just about any field you can imagine. We welcome all applicants who have a positive attitude and enjoy working with people.
If you think you would be a great fit for our sales team fill out the contact information and a receptionist will follow up with you about setting up a virtual interview with a manager. We encourage applicants of all ages and experience, as we do not discriminate on the basis of an applicant's age.$45k-55k yearly est.2d ago
Board Certified Behavior Analyst (BCBA)
Mosaic's mission is Embracing God's call, Mosaic relentlessly pursues opportunities that empower people. For more than a century Mosaic is currently recruiting for a Board Certified Behavior Analyst (BCBA) to work with our Nebraska team to provide services to adults in Central to Eastern Nebraska.$57k-79k yearly est.20d ago
JDA/Blue Yonder WMS Software Engineer- Remote
Effectively partners with product managers, application developers and business users, ensuring solutions are aligned to the business and technology strategy, leveraging enterprise components, and the overall advancement of Polaris technologies. + Coach and Mentor Software Engineers to follow Polaris's standards and incorporate industry best-practices in the applications; guide them in design concepts, technical communication, and development **At Polaris Inc., we have fun doing what we love by driving change and innovation. + Documents functional capabilities of BY WMS and Material Handling software and integrations of BY WMS and Material Handling software like Exacta (AutoStore) to other Polaris's systems. ** Polaris Industries, Inc is looking for a Blue Yonder Software Engineer to work in an exciting, very fast-paced environment As a Software Engineer on the Polaris team, you would be a functional and technical contributor for Blue Yonder (BY) WMS system used in distribution centers.$71k-89k yearly est.34d ago
TKM22 - Director Of Finance Service (Remote)
Primary Location: US-SD-MitchellWork Locations: Trail King Mitchell 300 E Norway Ave Mitchell 57301Job: Finance & AccountingSchedule: Full-time Shift: 1st Shift$200k-272k yearly est.8d ago
(Remote) Claims Team Lead - Auto Liability
A career at Sedgwick means experiencing our culture of caring. * Leverage Sedgwick's broad, global network of experts to both learn from and to share your insights. Are you looking for an opportunity to join a global industry leader where you can bring your big ideas to help solve problems for some of the world's best brands? A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve.$90k-100k yearly37d ago
Senior Manager, Medical Publications, Medical Affairs
This role is internally called Senior Manager, Scientific Communications and similar roles in industry are also referred to as Senior Manager, Medical Communications. Edwards Lifesciences is the global leader in patient-focused medical innovations for structural heart disease, as well as critical care and surgical monitoring, with a rapidly growing portfolio of innovative and less invasive solutions. The Senior Manager will lead the design and implementation of scientific communication activities.$128k-181k yearly2d ago