Vera French Community Mental Health Center Remote jobs

Description & Requirements Maximus is looking for customer service representatives in and around the Pharr Texas/Brownsville TX areas. The role - provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). May support multiple Federal government agencies on critical programs Must reside within a 75 radius of the Brownsville or Pharr Texas area. This position is fully remote; however, you must be able to go onsite to the Maximus Pharr Texas location to pick up equipment. This position will require a favorable Federal suitability clearance post-hire as mandated by the client. *Position is contingent upon contract award* Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are basic and routine. - Uses computerized system for tracking, information gathering, and/or troubleshooting. - Provides feedback when needed, provide input on call trends, processes, procedures, and training. - May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff. - Experience in a call center environment highly preferred - Must Be a US Citizen - This position requires all work to be performed within the Continental US. Must currently live in and have permanent residence within the Continental US. - Must be able to successfully obtain a favorable Federal suitability clearance post-hire as mandated by the client. - Must be able to pick up equipment at the Maximus Pharr, TX Location. Minimum Requirements - High School diploma or equivalent with 6 months of customer service experience. - Must be able to speak and read English clearly, professionally and fluently. #HotJobs1104LI #HotJobs1104FB #HotJobs1104X #HotJobs1104TH #TrendingJobs EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 16.00 Maximum Salary $ 16.00

Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement. *Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. Equipment will be provided but must meet the remote position requirement provided below. Remote Position Requirements: - Hardwired internet (ethernet) connection - Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ****************** - Private work area and adequate power source Essential Duties and Responsibilities: - Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met. - Collaborate in developing new procedures and update existing procedures when changes occur. - Analyze reports on operational performance and provide solutions to identified issues. - Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues. - Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project. - Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate. - Assist with monitoring performance and meeting contractual requirements using system applications. - Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows. - Assist with staff training for the purpose of achieving and maintaining quality program goals. - Analyze effectiveness of key initiatives and quality improvement efforts. - Perform other duties as assigned by management. • Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team. • Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting. • Assist the center with taking calls as needed to support operations and maintain service levels. Minimum Requirements - Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience. • Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback. • Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets. • Maintain strong organizational skills to effectively track monitors across different lines of business • Collaborate in the development and revision of procedures in response to operational changes. • Analyze operational and quality data to identify trends, gaps, and opportunities for improvement. • Make recommendations based on data analysis to enhance performance and service delivery. • Participate in and contribute to calibration sessions to ensure consistency in quality evaluations. • Assist in training initiatives aimed at improving agent performance and overall quality scores. • Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents. • Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making. • Take calls as needed to support center operations and maintain service levels. • Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics. • Perform other duties as assigned by management. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 50,000.00 Maximum Salary $ 61,000.00

**Become a part of our caring community and help us put health first** The Fraud and Waste Professional 2 is responsible for conducting comprehensive investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring appropriateness of billing practices. Prepares complex investigative and audit reports. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or equivalent work experience + Strong clinical experience to include multiple practice areas + At least 2 years of healthcare fraud investigations and auditing experience + Knowledge of healthcare payment methodologies + Strong organizational, interpersonal, and communication skills + Inquisitive nature with ability to analyze data to metrics + Computer literate (MS, Word, Excel, Access) + Strong personal and professional ethics + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Graduate degree and/or certifications (MBA, J.D., MSN, Clinical Certifications, CPC, CCS, CFE, AHFI). + Understanding of healthcare industry, claims processing and investigative process development. + Experience in a corporate environment and understanding of business operations **Additional Information** **Work at Home Requirements** - At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested - Satellite, cellular and microwave connection can be used only if approved by leadership - Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. - Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. - Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **Scheduled Weekly Hours** 40 **Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $65,000 - $88,600 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 12-26-2025 **About us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. **Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our ***************************************************************************

Description & Requirements The Health Specialist-Coordinator role will support our CDC INFO program. Provides advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations from medical and other health care professionals, educators, and government agencies. - Must hold a current, active RN license - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Computer equipment is not provided for this project. See below for equipment requirements - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST - Must pass a bilingual Spanish/English assessment Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents, reports, and correspondence. - Documents all incoming inquiries. - Participates in special projects as required. - Provide subject matter expertise on CDC topics covered by CDC-INFO which includes, for example, HIV/AIDS, Immunizations, Environmental Health, NIOSH; Tuberculosis and Statistics. - Respond to inquiries resulting from current events, such as food outbreaks, natural disasters and other events. - Perform advanced database searches - Perform assigned work in accordance with quality assurance measures - Respond to medical personnel and clinicians in both verbal and written formats Education and Experience Requirements: - Bachelor's Degree in Nursing and current RN license is required. - The ability to Read, Speak and Write in both English and Spanish is required. - Experience in medical, scientific and public health discipline - Clinical knowledge of and experience in CDC related topics. - Proficient internet search skills. - Working knowledge of Microsoft Office and ability to learn and utilize software applications - Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills - Ability to work independently and communicate effectively - Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks - For this position you are required to provide your own home office equipment, personal computer or laptop. NOTE *Tablets, iPads, and Chromebooks are not permitted. OS for Windows - Windows 10 or Windows 11 OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3) Home Office Requirements: - Hardwired internet (ethernet) connection. - Required Internet speeds - Minimum download 25mbps or higher and minimum upload speed 10mbps or higher (you can test this by going to (1) ******************* - Private work area and adequate power source. -Video calls may be requested on occasion. Proper background and attire are required. Minimum Requirements - High School diploma or equivalent with 2-4 years of experience. - May have additional training or education in area of specialization. - Must be fluent in English and specified secondary language. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 34.85 Maximum Salary $ 68.55

Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position is also responsible for meeting daily/weekly production goals and maintaining a high level of confidentiality for provider information. **Job Duties** - Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals. - Communicates with health care providers to clarify questions and request any missing information. - Updates credentialing software systems with required information. - Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals. - Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants. - Completes data corrections in the credentialing database necessary for processing of recredentialing applications. - Reviews claims payment systems to determine provider status, as necessary. - Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals. - Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions. - Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of Medicare. - Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found. **JOB QUALIFICATIONS** **Required Education:** High School Diploma or GED. **Required Experience/Knowledge Skills & Abilities** - Experience in a production or administrative role requiring self-direction and critical thinking. - Extensive experience using a computer -- specifically internet research, Microsoft Outlook and Word, and other software systems. - Experience with professional written and verbal communication. **Preferred Experience:** Experience in the health care industry 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: $21.16 - $34.88 / HOURLY *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

At ACT, Your Work Makes a Difference Education has power - a power that changes lives forever. It creates opportunities that lift up individuals, their families, and sparks societal change that echoes through generations to come. From our grassroots we have fought the good fight for equity in education, and we remain devoted to helping anyone who struggles to access that power. This is what matters to us and we must do better -- we've never been more sure of our purpose. ACT team members are part of an organization dedicated to a mission that has never been more important: Helping people achieve education and workplace success. Advancing that mission within our organization, by helping our team members achieve education and workplace success of their own, is core to our values. ACT values a diverse workplace and is committed to fostering an inclusive, equitable environment in which every team member has an opportunity to grow. We want our team members to have the well-being and confidence they need to do their best work, in an environment where both they and ACT thrive. To support this, our total rewards include company paid life insurance, medical, dental, vision, flexible health and dependent spending accounts, 401(k) retirement savings with company match, paid holidays, paid time off, and so much more. You can find a comprehensive list of our benefits here. We are seeking a Senior Program Director, State Chief Liaison to help us fulfill that mission. The Senior Program Director, State Chief Liaison will focus on connecting K-12 Commissioners, Deputy Commissioners, and Boards of Education to ACT's policy-driven strategies that influence revenue and long-term positioning. The finalist will be hired at the salary and level commensurate with their qualifications. For this position, we anticipate offering an annual salary in the range of $120,000 to $160,000. ACT manages salaries within the range based on relevant factors including, skills, experience, and internal equity. Location: This is a remote position, based in the United States. Applicants must be authorized to work in the U.S. without the need for visa sponsorship. What you will be working on: * Build and maintain relationships with state-level decision-makers (Commissioners, Boards of Education, Deputy Commissioners). * Advise on policy trends and accountability shifts impacting assessment and readiness programs. * Serve as ACT's policy liaison for executive-level discussions, ensuring ACT solutions align with state priorities. * Influence and guide RFP executive summaries and "model" frameworks to reflect policy priorities. * Provide strategic intelligence on state education policy changes and their implications for ACT's offerings. * Collaborate with Government Relations (GR) to ensure unified messaging without duplicating lobbying efforts. * Success Metrics: * Overall revenue generation and growth of assigned states (indirect / influence). * Number of quality strategic policy engagements at commissioner/board level. * Influence on RFP language and executive summaries. * Policy-driven opportunities identified and converted into actionable business strategies. * Number of ACT solutions added to state level pathways/requirements. Role Progression: At the end of 3 months you will have: * Become familiar with ACT products and services and internal/external stakeholders. * Establish relationships across the organization where there are common goals. * Identify states, create a territory map to include decision makers, history and vulnerabilities. Within 6 months you will: * Begin developing strategic initiatives and how to deliver on them. * Identify RFPs and deliver multi-level plans for opportunities to flip states. * Monitor legislation via tracking system and document actions and progress. Within 9 months you will: * Achieve successful outcomes via legislative process and Governor-led initiatives. * Influence RFP language to align with ACT products. * Start seeing tangible results -- additional states using our products and blocking competition. This could be the job for you if you have (minimum requirements): * At least 10 years of progressively responsible experience in education industry. * Experience serving in a leadership role at a State Department of Education, a State Higher Education Executive Officers (SHEEO) agency, or a State Department of Labor, in roles such as Commissioner, Deputy Commissioner, Assistant Commissioner, Chief of Staff, State Director, or equivalent executive leadership roles. * Demonstrated ability to engage and influence senior state officials. * Deep understanding of state education policy, accountability systems, and governance structures. * Proven experience translating complex policy landscapes into strategic organizational action. * Exceptional communication skills, especially in executive-level environments. * Ability to travel frequently (approx. 30%-40%) and manage executive relationships across multiple states. * Ability to gain and apply in depth product knowledge of ACT's products and services, including how the products and services are collectively used to provide solutions to state customers. * Demonstrated ability to influence and engage key state executives. * Ability to gather and use competitive intelligence to create strategies that advance and/or protect ACT's interests. * Ability to work effectively and build relationships with individuals within the organization. * Strong communication skills including ability to communicate effectively across all levels in the organization, as well as outstanding presentation skills. * Strong analytical abilities and the ability to determine logical solutions to complicated problems. * Ability to set goals and priorities and manage to completion. * Strong negotiation skills. * Skills and knowledge required for success in this position attained through experience and education (Bachelor's degree in Education, Business, or related area of study), or a combination of both. It's a plus if you have: * Assessment industry experience. * Account management or sales experience. * Previous experience and demonstrated success leading, managing, and building teams. About ACT When ACT was founded in 1959, it disrupted the assessment industry with a new approach to helping students better understand their readiness so they could take steps to improve it. By leveraging our expertise and authority in assessment and research, we will again disrupt the industry-helping more people learn, better measure their progress, and improve their navigation through life's transitions. More than ever before, ACT is fulfilling its mission of helping people achieve education and workplace success. We're doing it by pushing the boundaries of learning innovation through the work of our people, who we call team members because we're all in this together. We know transformation does not come without challenge. That's why ACT invests in a variety of experiences for team members to strengthen their connections, explore ideas, learn from customers, and celebrate success. Learn more about working at ACT at act.org! ACT is an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. ACT participates in E-verify. ACT's online position announcements are intended only to provide general descriptions of employment opportunities; none of the information provided for any position should be interpreted as a commitment by ACT to specific terms and conditions for employment. Completion of the ACT National Career Readiness Certificate is recommended. Find a testing site near you to register for the WorkKeys assessments. Finalists for this position will be subject to a criminal background check as a condition of employment. If you have received an ACT employment-related communication from an email address that is not affiliated with @act.org and/or that requests personal or financial information, please do not reply. Instead, reach out to us at *************** with the details. ACT's recruitment team appreciates your interest in working with us to transform college and career readiness pathways for all learners and wishes you the best of luck in your career journey.

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **_Responsibilities_** + Investigate and resolve patient/physician inquiries and concerns in a timely manner + Mediate effective resolution for complex payer/pharmacy issues toward a positive outcome to de-escalate + Proactive follow-up with various contacts to ensure patient access to therapy + Demonstrate superior customer support talents + Prioritize multiple, concurrent assignments and work with a sense of urgency + Must communicate clearly and effectively in both a written and verbal format + Must demonstrate a superior willingness to help external and internal customers + Working alongside teammates to best support the needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry + Must self-audit intake activities to ensure accuracy and efficiency for the program + Make outbound calls to patient and/or provider to discuss any missing information as applicable + Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance + Documentation must be clear and accurate and stored in the appropriate sections of the database + Must track any payer/plan issues and report any changes, updates, or trends to management + Handle escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client + Ability to effectively mediate situations in which parties are in disagreement to facilitate a positive outcome + Concurrently handle multiple outstanding issues and ensure all items are resolved in a timely manner to the satisfaction of all parties + Support team with call overflow and intake when needed + Proactively following up with various partners including the insurance payers, specialty pharmacies, support organizations, and the patient/physician to facilitate coverage and delivery of product in a timely manner. **_Qualifications_** + 3-6 years of experience, preferred + High School Diploma, GED or technical certification in related field or equivalent experience preferred **_What is expected of you and others at this level_** + Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments + In-depth knowledge in technical or specialty area + Applies advanced skills to resolve complex problems independently + May modify process to resolve situations + Works independently within established procedures; may receive general guidance on new assignments + May provide general guidance or technical assistance to less experienced team members **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CT. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. **Dial-up, satellite, WIFI, Cellular connections are NOT acceptable** . Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated hourly range:** $21.50 per hour - $30.70 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 2/11/2026 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Customer Service Operations Supervisor will oversee program staff performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, copay enrollment and other patient services. + Collaboratively oversees daily operations for an inbound and outbound patient access support team of 70+ team members + Ability to maintain development/training goals for team members in a 100% remote setting + Responsible for creating and maintaining Standard Operating Procedures and work instructions specific to the program. + Responsible for conducting weekly, monthly, and quarterly reviews of program metrics and reporting out results to senior leadership + Responsible for testing/solutioning/approving program changes including those related to Information Technology, platform upgrades and modifications to program business rules + Handles creation, editing, and approval of employee timecards in accordance with time-keeper manager responsibilities in addition to other standard HR responsibilities as a people leader + Conducts development-based biweekly/monthly/quarterly 1x1s with team members and holds responsibility for providing effective coaching and feedback on both performance improvement and goal setting + Collaborates with internal business partners to provide effective responses and resolutions to complex program related issues + Effectively manages time and independently prioritizes work responsibilities to meet key deadlines as assigned by manager + Maintains daily contact with client/3rd party partners by leveraging excellent verbal and written communication skills **_Qualifications_** + Bachelor's degree or equivalent work experience preferred + 3-5 years of experience in related field preferred + Previous management experience preferred + Strong communication and presentation skills + Commitment to the continued development of oneself and team members **_What is expected of you and others at this level_** + Coordinates and supervises the daily activities of operations + Administers and executes policies and procedures + Ensures employees operate within guidelines + Decisions have a direct impact on work unit operations and customers + Frequently interacts with subordinates, customers, and peer groups at various management levels + Interactions normally involve information exchange and basic problem resolution + Consistently demonstrate the Cardinal Health values (What we value): + Integrity - We hold ourselves to the highest ethical standard + Accountable - We bring passion, determination, and grit to deliver on our commitments + Inclusive - We embrace differences to drive the best outcomes + Mission Driven - We serve the greater goal of healthcare + Innovative - We develop new ways of thinking, operating, and serving customers + Regularly practice the Cardinal Heath behaviors (The way we act): + Invites curiosity + Builds partnerships + Inspires commitment + Develops self and others **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. **REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following: Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issued equipment **Anticipated salary range:** $66,500 - $94,900 **Bonus eligible: No** **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** **02/09/2026** *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Description & Requirements The Project Manager-Strategic Workforce Analytics will lead the design, implementation, and continuous improvement of Resource Management (RM) processes and system, primarily leveraging Eightfold and integrated platforms with a goal of establishing Resource Management as a structured, enterprise-wide program. This role primarily supports Strategic Workforce Planning (SWP) but is matrixed to support Learning & Organizational Development (L&OD), HRIS, and Operations, driving a strategic, scalable approach to resource management and workforce analytics. The position combines program management expertise, technical systems fluency, and analytical capabilities to deliver accurate resource planning, actionable insights, and enable proactive workforce decisions such as redeployment, reskilling, and capacity forecasting. Essential Duties and Responsibilities: - Manage system administration and configuration for Eightfold Resource Management, ensuring accurate user access and timely release updates within established guidelines. - Coordinate integration activities across assigned platforms (e.g., Salesforce, Kantata, HRIS) in partnership with IT and vendors. - Maintain resource management workflows and monitor data quality, applying compliance standards and established processes. - Prepare and deliver workforce planning reports and dashboards to support decision-making for assigned business areas. - Conduct routine audits and maintain compliance dashboards ensuring adherence to organizational policies. - Onboard and provide guidance to Resource Managers and stakeholders on resource management processes and best practices. - Facilitate regular workforce planning meetings focused on capacity and resource allocation within assigned business areas. - Collaborate with Talent Acquisition, Learning & Development, Finance, and Operations teams to execute workforce planning activities aligned with business needs. - Identify opportunities for process improvement and implement automation solutions within the scope of resource management operations. - Support departmental initiatives that contribute to workforce planning objectives, ensuring alignment with organizational goals. -Deliver recurring workforce planning dashboards, forecasts, and skills intelligence - partner with stakeholders on future talent strategies based on data (build, bot, buy, borrow). -Partner closely with Solution Architects to get timely insights into future talent demands and capabilities. -Support enterprise initiatives such as reskilling programs, AI accelerator communities, and future workforce readiness. Minimum Requirements - Bachelor's degree in relevant field of study and 5+ years of relevant professional experience required, or equivalent combination of education and experience. -Project Management or consulting experience. -Hands-on experience with Eightfold or other Talent Intelligence and/or Resource Management platform. -Proficiency in data visualization tools and advanced analytics platforms -Strong understanding of data workflows, integrations, and process automation -Excellent facilitation, communication, and stakeholder engagement skills -Data & Analytics experience (such as: SQL, Python, Power BI/Tableau, and forecasting models) -Stakeholder Management & Change Leadership -Proven ability to balance strategic thinking with operational execution. Preferred Experience: -Familiarity with data warehousing concepts and skills-based workforce planning, redeployment, and reskilling frameworks -Background with enterprise transformation projects -Workforce planning/resource management experience -HR Technology Fluency: RM platforms, HRIS, CRM systems -Experience with skills taxonomies and workforce analytics platforms (Eightfold, OneModel, SAP Analytics Cloud, Anaplan) -PMP certification, Agile/Scrum methodologies is a plus #LI-JH1 #maxcorp EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 90,780.00 Maximum Salary $ 122,820.00

Join our team as a Clinical Talent Acquisition Partner and play a pivotal role in shaping the future of care for the children and young adults we serve at ChildServe! You'll lead innovative recruitment strategies and oversee the full hiring process for clinical roles, helping us build a team that transforms lives every day. Schedule/Location Monday through Friday, general business hours Hybrid work offered: 3 days onsite in Johnston, 2 days work from home How You'll Make an Impact Sourcing: Perform targeted clinical sourcing, manage job postings, and attend recruitment events to attract quality candidates. Build and maintain strong relationships with colleges, community groups, and professional organizations. Applicant Selection & Analysis: Independently evaluate applicant qualifications and analyze sourcing data to optimize recruitment strategies. Hiring Process: Oversee hiring processes, ensuring compliance with laws, accurate data entry, and timely applicant communication. Human Resources Partnership: Collaborate with HR team to deliver consistent advice on recruitment, selection, and wage determinations. Support practices that enhance employee satisfaction and confidentiality. Reporting & Compliance: Perform timely analysis and reporting of recruitment metrics and ensure transparency and continuous improvement in hiring practices. What You'll Need: Bachelor's Degree in Human Resources or relevant field required or currently licensed as a clinician in the state of Iowa. Three years of experience in Talent Acquisition or similar role. Two years of recruiting in a healthcare environment is a plus. Ability to understand and communicate effectively and professionally in reading, writing, and speaking the English language. Not sure if you hit 100% of the position expectations? Let's talk! Reach out to our Talent Acquisition team by emailing [email protected]. Benefits Medical, dental, and vision insurance Health Savings Account (HSA) and Flexible Spending Account (FSA) options Employee Assistance Program (EAP) 403(b) retirement plan with company match Life and disability insurance Paid Time Off (PTO) Make a Difference Every Day at ChildServe ChildServe partners with families to help children with special healthcare needs live a great life. ChildServe is a leading pediatric healthcare provider with Iowa's only children's specialty hospital, offering a variety of services and programs to meet each child's unique needs. ChildServe's four key specialty areas include: complex medical care, pediatric rehabilitation, autism and behavioral health, and community-based services. With a coordinated approach to care delivery, services are interwoven and streamlined, so families can address their child's needs in one location. Established in 1928, ChildServe proudly provides more than 30 pediatric specialty services to nearly 6,000 children in Iowa each year. ChildServe is committed to working with and providing reasonable accommodations to applicants with disabilities. To request assistance with the application process, please email [email protected]. ChildServe is an Equal Opportunity Employer.

As a Quality Improvement Advisor, you will serve as the primary liaison and coach for healthcare facilities within your state, focusing on identifying areas for improving patient care and outcomes, implementing improvement activities and achieving healthcare goals. This is a remote position but you must live in Iowa to qualify for this position.Essential Functions You will collaborate with health care providers (nursing homes, hospitals, and/or outpatient clinical practices) to identify the need for and drive measurable improvements in patient outcomes. You will partner with local, state, and national organizations to connect providers and patients to relevant initiatives and learning opportunities You will analyze state- and provider-level quality data, facilitate learning collaboratives, and provide technical assistance to facilities as they implement evidence-based practices. You will bring deep knowledge of state-specific healthcare systems, experience in quality improvement methodologies, and strong relationship-building skills to effectively engage with partners and providers across the healthcare continuum while ensuring alignment with both state and federal healthcare quality objectives. Requirements Bachelor's degree in public administration, public policy, public health, or a related field, required or equivalent experience (i.e. 10 years healthcare experience, associate's degree with 5+ years' experience, etc.). Healthcare quality improvement experience required. In-depth knowledge of the principles of quality improvement practices and methodologies used in nursing home, primary care, and/or hospital settings. Strong interpersonal and communication skills, with the ability to build productive relationships with C-suite leaders, clinicians, administrators, and other health professionals. Familiarity with state and federal regulations impacting nursing homes, hospitals, and/or physician practices, including CMS quality measures, value-based payment models, and accreditation standards. Ability to coach and facilitate improvement activities with providers and partners, providing technical assistance in designated subject matter expertise or setting-specific areas. Preferred Skills/Experience Nursing home setting experience. Master's degree in public health, quality improvement science, health informatics, or related field. Licensed RN, LPN, MSW, or CPHQ. Proven experience working with multidisciplinary teams, including physicians and nurses, pharmacists, and administrators. Proven ability to manage project timelines, meet deadlines, and produce detailed written reports. Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences. Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions. Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health. Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

What you can expect The Head of Sales Strategy & Planning is a senior leadership role focused on driving sales strategy, planning, and performance management throughout the organization. This position bridges executive strategy, revenue operations, and execution. As a strategic advisor to the Chief Revenue Officer and executive leadership, responsibilities include strategic planning, territory design, quota setting, compensation frameworks, process optimization, and governance. Collaboration with Sales, Marketing, Finance, and Product leaders is essential to create data-driven strategies, improve sales performance, and equip the sales team to achieve revenue goals. This role is critical for aligning sales operations with organizational objectives. About the Team The Sales Strategy & Planning team establishes the framework for the sales organization's operations, planning, and success metrics. Collaboration spans Sales, Marketing, Finance, Product, and Operations to develop territories, quotas, coverage models, and performance systems informed by data and business insights. This ensures sales teams remain focused, supported, and aligned for success, enabling the company to grow effectively while navigating evolving markets and opportunities. What we're looking for + Demonstrate expertise leading sales strategy, sales/revenue operations, business operations, or consulting work within a B2B or SaaS environment. + Demonstrate extensive knowledge in sales planning and performance oversight, covering forecasting, analytics, compensation structures, territory organization, and market-entry strategies. + Demonstrate ability to connect operational execution to broader business strategy, clearly articulating the "why" behind decisions and trade-offs. + Demonstrate expertise in collaborating with senior leaders and influencing diverse teams using analytical insights and well-organized proposals. + Demonstrate extensive analytical, financial modeling, communication, and problem-solving skills, with experience using CRM and analytics tools to inform decisions. + Demonstrate expertise in building, leading, and developing teams within strategy, planning, analytics, or operations functions to achieve high performance. + Demonstrate experience building, leading, and developing high-performing teams across strategy, planning, analytics, or operations functions. + Support the scaling of a sales team during periods of rapid expansion or substantial organizational change. + Possess expertise in using planning or analytics tools like Salesforce, Tableau, or Anaplan alongside foundational CRM and reporting capabilities. Salary Range or On Target Earnings: Minimum: $184,300.00 Maximum: $403,200.00 In addition to the base salary and/or OTE listed Zoom has a Total Direct Compensation philosophy that takes into consideration; base salary, bonus and equity value. Note: Starting pay will be based on a number of factors and commensurate with qualifications & experience. We also have a location based compensation structure; there may be a different range for candidates in this and other locations At Zoom, we offer a window of at least 5 days for you to apply because we believe in giving you every opportunity. Below is the potential closing date, just in case you want to mark it on your calendar. We look forward to receiving your application! Anticipated Position Close Date: 12/25/25 Ways of WorkingOur structured hybrid approach is centered around our offices and remote work environments. The work style of each role, Hybrid, Remote, or In-Person is indicated in the job description/posting. BenefitsAs part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways. Click Learn (********************************* for more information. About UsZoomies help people stay connected so they can get more done together. We set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars.We're problem-solvers, working at a fast pace to design solutions with our customers and users in mind. Find room to grow with opportunities to stretch your skills and advance your career in a collaborative, growth-focused environment. Our Commitment At Zoom, we believe great work happens when people feel supported and empowered. We're committed to fair hiring practices that ensure every candidate is evaluated based on skills, experience, and potential. If you require an accommodation during the hiring process, let us know-we're here to support you at every step. If you need assistance navigating the interview process due to a medical disability, please submit an Accommodations Request Form (https://form.asana.com/?k=OIuqpO5Tv9XQTWp1bNYd8w&d=1***********3361) and someone from our team will reach out soon. This form is solely for applicants who require an accommodation due to a qualifying medical disability. Non-accommodation-related requests, such as application follow-ups or technical issues, will not be addressed. #LI-Remote We believe that the unique contributions of all Zoomies is the driver of our success. To make sure that our products and culture continue to incorporate everyone's perspectives and experience we never discriminate on the basis of race, religion, national origin, gender identity or expression, sexual orientation, age, or marital, veteran, or disability status. Zoom is proud to be an equal opportunity workplace and is an affirmative action employer. All your information will be kept confidential according to EEO guidelines

** **Upper Extremity:** **- Shoulders:** Total/Hemi Arthroplasty, Arthroscopy, Rotator cuff repair, Biceps tenodesis, Acromioplasty, Distal claviculectomy, Superior Labrum Anterior to Posterior tear (SLAP) repair **- Elbows:** Cubital tunnel release, Bursectomy, Arthroplasty **- Wrist:** Carpal tunnel release, Carpectomy, TFCC debridement/repair, 4-corner fusion, De Quervain (1st dorsal compartment) **- Hands:** Trigger fingers, Ganglions, Mallet fingers, Carpometacarpal (CMC) arthroplasty, , Dupuytren's (Palmar fascial fibromatosis), Amputations **Lower Extremity:** **- Hips:** Dislocation reductions, Total/partial Arthroplasty, Femoral fracture treatments, Arthroscopy **- Pelvis:** Fracture repairs **- Femur:** ORIF neck fractures, Trochanteric repairs, shaft fracture repairs **- Knees:** Dislocation repairs/reductions, Total/hemi arthroplasty, Meniscal repairs, Ligamentous reconstructions and repairs, Arthroscopy **- Tibia/Fibula:** Plateau repairs, shaft Fracture repairs, Percutaneous repairs, Arthrodesis, Pilon/Plafond repairs, Malleolar repairs, Sprain **WORK MODEL/SALARY** Days: Monday - Friday Hours: 8hrs a day, 80hrs a pay period 100% Remote The pay range for this position is $26.66 (entry-level qualifications) - $40.00 (highly experienced) The specific rate will depend upon the successful candidate's specific qualifications and prior experience. **JOB SUMMARY** + The Coder 2 is proficient in three or more types of outpatient, Profee, or low acuity inpatient coding. + The Coder 2 may code low acuity inpatients, one time ancillary/series, emergency department, observation, day surgery, and/or professional fee to include evaluation and management (E/M) coding or profee surgery. + For professional fee coding, team members in this job code will be proficient for inpatient and outpatient, for multi-specialties. + Coder 2 utilizes the International Classification of Disease (ICD-10-CM. ICD-10-PCS), Healthcare Common Procedure Coding System (HCPCS) including Current Procedural Terminology (CPT) and other coding references to ensure accurate coding. + Coding references will be used to ensure accurate coding and grouping of classification assignment (e.g., MS-DRG, APR-DRG, APC etc.) + The Coder 2 will abstract and enter required data. **ESSENTIAL FUNCTIONS OF THE ROLE** + Examines and interprets documentation from medical records and completes accurate coding of diagnosis, procedures and professional fees. + Reviews diagnostic and procedure codes and charges in the applicable documentation system to generate appropriate coding and billing. + Communicates with providers for missing documentation elements and offers guidance and education when needed. + Reconciles billing issues by formulating the rationale for rejecting and correcting inaccurate charges. + Works collaboratively with revenue cycle departments to ensure coding and edits are processed timely and accurately. + Reviews and edits charges. **KEY SUCCESS FACTORS** + Sound knowledge of applicable rules, regulations, policies, laws and guidelines that impact the coding area. + Sound knowledge of transaction code sets, HIPAA requirements and other issues impacting the coding and abstracting function. + Sound knowledge of anatomy, physiology, and medical terminology. + Demonstrated proficiency of the use of computer applications, group software and Correct Coding Initiatives (CCI) edits. + Sound knowledge of ICD-10 diagnosis and procedural coding and Current Procedural Terminology (CPT) procedural coding. + Ability to interpret health record documentation to identify procedures and services for accurate code assignment. + Flexibility and adaptability while also balancing requirements and regulatory and accreditation guidelines that are non-negotiables. Must have one of the following Certifications: + Registered Health Information Administrator (RHIA) + Registered Health Information Technologist (RHIT) + Certified Coding Specialist (CCS) + Certified Coding Specialist Physician-based (CCS-P) + Certified Professional Coder (CPC) + Certified Outpatient Coder (COC) + Certified Inpatient Coder (CIC) + Certified Interventional Radiology Cardiovascular Coder (CIRCC) **BENEFITS** Our competitive benefits package includes the following: + Immediate eligibility for health and welfare benefits + 401(k) savings plan with dollar-for-dollar match up to 5% + Tuition Reimbursement + PTO accrual beginning Day 1 Note: Benefits may vary based upon position type and/or level **MQUALIFICATIONS** + EDUCATION - H.S. Diploma/GED Equivalent + EXPERIENCE - 2 Years of Experience + CERTIFICATION/LICENSE/REGISTRATION - Must have ONE of the coding certifications as listed: + Cert Coding Specialist (CCS) + Cert Coding Specialist-Physician (CCS-P) + Cert Inpatient Coder (CIC) + Cert Interv Rad CV Coder (CIRCC) - Cert Outpatient Coder (COC) + Cert Professional Coder (CPC) + Reg Health Info Administrator (RHIA) + Reg Health Information Technician (RHIT). As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of January 1, 2012, Baylor Scott & White Health no longer hires individuals who use nicotine products. We are an equal opportunity employer committed to ensuring a diverse workforce. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

As the Patient Safety Program Specialist, you will be responsible for overseeing and ensuring the success of patient safety related quality improvement initiatives across a designated region in the hospital, nursing home, and outpatient clinical settings. This is a remote position and the ideal candidate lives in Colorado, Idaho, Iowa, Kansas, Montana, Missouri, Nebraska, Oregon, or Wyoming. However, Telligen will consider internal candidates in other states.Essential Functions You will support a team of Quality Improvement Advisors (QIAs) to ensure the delivery of effective technical assistance (TA), achievement of project goals, and compliance with deliverables. You will serve as a subject matter expert in topic areas such as medication safety, infection prevention and control, risk assessments, and safety events/policies, working with state and regional leadership teams to standardize processes, identify opportunities for improvement, address challenges, and ensure the alignment of interventions with organizational and project-wide goals. You will also be responsible for state, regional, and national partner engagement across the region, including ongoing support of relationships and collaborative activities. Requirements Bachelor's degree in nursing, public administration, public policy, public health, or a related field. Proven ability to design, implement, and support a regional technical assistance strategy tailored to providers' unique needs. Comprehensive knowledge of patient safety topic areas and hands-on experience in nursing homes, hospitals, and/or clinician offices. In-depth understanding of quality measures and QI methodologies in key focus areas, including evidence-based interventions that will improve outcomes and knowledge of barriers and drivers for improvement. Proven ability to design and deliver effective training programs, workshops, and learning collaboratives to build capacity in quality improvement practices among healthcare professionals. Preferred Skills/Experience Clinical licensure (e.g., RN, LPN, MSW, PharmD). Master's degree in public health, quality improvement science, health informatics, or related field. Patient safety-related certifications strongly preferred (CPSS, CIC, CPSP, etc.). Proven experience mentoring multidisciplinary teams, including Quality Improvement Advisors or equivalent roles. Proven ability to manage project timelines, meet deadlines, and produce detailed written reports. Experience in translating complex data into actionable insights and meaningful narratives for multidisciplinary teams, including clinical and non-clinical audiences. Who We Are: Telligen is one of the most respected population health management organizations in the country. We work with state and federal government programs, as well as employers and health plans offering clinical, analytical, and technical expertise. Over our 50-year history, health care has evolved - and so have we. What hasn't changed is our deep commitment to those we serve. Our success is built on our ability to adapt, respond to client needs and deliver innovative, mission-driven solutions. Our business is our people and we're seeking talented individuals who share our passion and are ready to take ownership, make an impact and helth shape the future of health. Are you Ready? We're on a mission to transform lives and economies by improving health. Ownership: As a 100% employee-owned company, our employee-owners drive our business and share in our success.Community: We show up - for our clients, our communities and each other. Being a responsible corporate partner is part of who we are.Ingenuity: We value bold ideas and calculated risks. Innovation thrives when we challenge the status quo and listen to diverse perspectives.Integrity: We foster a respectful, inclusive, and collaborative environment built on trust and excellence. Thank you for your interest in Telligen!Follow us on Twitter, Facebook, and LinkedIn to learn more about our mission-driven culture and stay up to speed. While we use artificial intelligence tools to enhance our initial screening process, all applications are thoroughly reviewed by our human recruitment team to ensure a fair and comprehensive evaluation of each candidate. Telligen and our affiliates are Equal Opportunity Employers and E-Verify Participants. Telligen will not provide sponsorship for this position. If you will require sponsorship for work authorization now or in the future, we cannot consider your application at this time. We will not accept 3rd party solicitations from outside staffing firms. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.

Utilizes clinical and coding expertise to direct efforts toward the integrity of clinical documentation through the roles of reviewer, educator and consultant. Facilitates the overall quality, completeness and accuracy of medical record documentation through extensive record review. **Our Commitment** Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are 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, veteran status, or any other status protected by federal, state, or local law. Our Commitment to Diversity and Inclusion Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions. Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity. EOE including disability/veteran

UnityPoint Health Scheduling/Billing Specialist Cardiology Clinic, Cedar Rapids, IA Full-time, 1.0 Monday-Friday, 8am-5pm The Scheduling Specialist will organize and maintain an effective system of scheduling at The Heart Care Clinic department procedures and office visits. Responsibilities include helping to maintain a productive and efficient patient schedule, and for maintaining timely and accurate management of procedures provided at the Cardiology clinic. The Scheduling specialist will report directly to the Clinic Supervisor, and will work closely with clinical teams and the Clinic Administrator. *This is a hybrid position, with time split between remote work and onsite responsibilities at the Cardiology Clinic in Cedar Rapids, IA. Why UnityPoint Health? At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members. Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few: Expect paid time off, parental leave, 401K matching and an employee recognition program. Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members. Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family. With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together. And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. Find a fulfilling career and make a difference with UnityPoint Health. Responsibilities Plans and implements schedule processes: Allocates schedule time to dental providers based on established schedule policies Determines criteria that create variable schedule demands and incorporates these into the scheduling process Works closely with the Heart Care Clinic providers, clinical staff, and the Clinic Supervisor to create, refine and improve clinic schedule Maintains friendly and courteous interpersonal communications, attempting to meet patient scheduling needs whenever possible Answers the phone promptly and courteously Acts as a care coordinator to help and provide support for families to access care Develops and maintains a positive working environment, supporting open communication and respect for all members of the health care team Helps manage providers patient panel: Maintains confidentiality of patient information at all times, following hospital and department protocol Accurately templates schedules for department services Completes patient charges in an accurate and timely manner. Works closely with the Clinic Supervisor and Clinic Administrator to maintain accurate and complete documentation of all patient scheduling. Works well with representatives from business partners within the UPH system as well as outside vendors, regarding UPH business. Qualifications High School diploma or GED equivalent Working knowledge of computer systems, including Word, Excel, Outlook, and dental software program(s) Must be able to manage multiple phone lines Ability to work with diverse populations Respects patient confidentiality in all communications Is flexible as change occurs; uses team approach to problem solve Maintains courteous and professional communication Use of usual and customary equipment used to perform essential functions of the position.

Description & Requirements The Health Specialist-Coordinator role will support our CDC INFO program. Provides advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations from medical and other health care professionals, educators, and government agencies. - Must hold a current, active RN license - Position is remote and temporary through August 31, 2026 - Must be available to work the occasional weekend or holiday depending on business needs - Computer equipment is not provided for this project. See below for equipment requirements - Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST - Must pass a bilingual Spanish/English assessment Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents, reports, and correspondence. - Documents all incoming inquiries. - Participates in special projects as required. - Provide subject matter expertise on CDC topics covered by CDC-INFO which includes, for example, HIV/AIDS, Immunizations, Environmental Health, NIOSH; Tuberculosis and Statistics. - Respond to inquiries resulting from current events, such as food outbreaks, natural disasters and other events. - Perform advanced database searches - Perform assigned work in accordance with quality assurance measures - Respond to medical personnel and clinicians in both verbal and written formats Education and Experience Requirements: - Bachelor's Degree in Nursing and current RN license is required. - The ability to Read, Speak and Write in both English and Spanish is required. - Experience in medical, scientific and public health discipline - Clinical knowledge of and experience in CDC related topics. - Proficient internet search skills. - Working knowledge of Microsoft Office and ability to learn and utilize software applications - Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills - Ability to work independently and communicate effectively - Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks - For this position you are required to provide your own home office equipment, personal computer or laptop. NOTE *Tablets, iPads, and Chromebooks are not permitted. OS for Windows - Windows 10 or Windows 11 OS for Mac - Big Sur (11.0.1+); Catalina (10.15); Monterey (12.3) Home Office Requirements: - Hardwired internet (ethernet) connection. - Required Internet speeds - Minimum download 25mbps or higher and minimum upload speed 10mbps or higher (you can test this by going to (1) ******************* - Private work area and adequate power source. -Video calls may be requested on occasion. Proper background and attire are required. Minimum Requirements - High School diploma or equivalent with 2-4 years of experience. - May have additional training or education in area of specialization. - Must be fluent in English and specified secondary language. EEO Statement Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics. Pay Transparency For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation. Accommodations Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************. Minimum Salary $ 34.85 Maximum Salary $ 68.55

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products. **Together, we can get life-changing therapies to patients who need them-faster** Are you ready to lead change at the forefront of healthcare innovation in patient access and support? Sonexus is undergoing a major transformation-scaling rapidly, reimagining how we deliver patient services, integrating emerging technologies & AI, and collaborating across the specialty pharma ecosystem. We're looking for a Senior Change & Transformation Consultant who's not just experienced but energized by the opportunity to shape the future of patient care and a rapidly growing business division of Cardinal Health. This is a high-impact role reporting to the Director of Business Transformation and Change Management. This consultant will be responsible for driving adoption, inspiring stakeholders, and embedding lasting change across complex, regulated environments. Too often, patients forego or can't complete prescribed therapy because of complicated qualification processes, unmanageable costs, or uncertainty about their medications. Cardinal Health Sonexus Access and Patient Support combines best-in-class program and pharmacy operations with smart digital tools to streamline patient onboarding and increase adherence to prescribed care. If you thrive in fast-paced settings and want to make a real difference in the lives of patients, this is your moment. **Responsibilities** · Design and execute enterprise-level change strategies that support transformation across patient services, pharmacy operations, and digital/AI innovation. · Conduct impact assessments, stakeholder analyses, and readiness evaluations to guide successful implementation. · Build strong partnerships across Patient Access, Case Management, Specialty Hubs, Pharmacy Operations, IT, and executive leadership. · Develop and facilitate dynamic workshops to elevate organizational change capability and leadership transformation IQ to scale a rapidly growing business. · Design communication strategies, plans, and craft visually appealing and compelling communications (infographics, Veeva Engage posts, slides, manager huddle scripts) tailored to diverse audiences-from frontline teams to senior leaders. · Champion AI initiatives includes building use cases, managing barriers to change and adoption, and managing the complex people-side of change for adopting AI (must have prior experience). · Monitor adoption metrics, create surveys, feedback loops, and performance indicators to ensure long-term success. · Identify risks and lead proactive mitigation strategies to keep business and AI transformation momentum strong. Leverage data and insights to refine approaches. · Contribute to the evolution of our new Transformation and Change office. **Qualifications** · Bachelor's degree in Business, Organizational Development, Healthcare Administration, or related field, preferred · Strong consulting, communication, analysis, data gathering and organizational skills. · Microsoft Office 365 (Teams, Copilot) Proficiency preferred · Ability to work in a fast-paced, collaborative environment and deliver quality results within aggressive timeframes. · Willingness to travel up to 25%. · Must be willing to work Central Time Zone business hours. Prefer candidates located in Columbus, OH or Dallas, TX area. · 6+ years of experience in change management with AI, digital business transformation experience, preferred · Prosci certification required; CCMP certification preferred with advanced certifications in digital/AI transformation, coaching, training facilitation, lean six sigma, organizational development (ODCP), etc. · Deep understanding and application of Change Management methodology end-to-end from strategy and planning to change impact analysis, communications plans and messaging, stakeholder analysis and engagement, readiness assessments, training and facilitation, change reporting and metrics, and reinforcement and sustainability. · Must be comfortable and proficient delivering change and transformation workshops and courses. · Proven success managing change for AI-driven solutions, preferred within patient services or pharmacy operations. · Solid understanding of the specialty pharma ecosystem, with highly preferred experience in Payors, PBMs, Specialty Hubs, Patient Services, Patient Assistance Programs, Medicaid, and Pharmacy Operations. · Exceptional communication, executive presence, facilitation, and stakeholder management skills. · Experience with CRM platforms like Salesforce, patient support technologies, or specialty pharmacy systems is a plus. · Can identify the differences between change and transformation, and provide work/project examples, including knowledge of transformation methodologies, models, AI strategy/transformation models, frameworks, building roadmaps. Framework examples include SAP BTM2, USAII, and CXO Transform. · Knowledge of product, agile methodologies a plus. **Why Join Us?** · Be a catalyst for change in a mission-driven organization transforming patient care. · Work alongside passionate professionals in a collaborative, forward-thinking environment. · Lead initiatives that integrate cutting-edge technologies like AI to improve outcomes and efficiency. · Make a lasting impact on how specialty pharma supports patients across the care continuum. **TRAINING AND WORK SCHEDULES:** + Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. + This position is full-time (40 hours/week). + Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST. **REMOTE DETAILS:** + You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to highspeed internet. + We will provide you with the computer, technology and equipment needed to successfully perform your job. + You will be responsible for providing high-speed internet. + Internet requirements include the following: + Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. + Download speed of 15Mbps (megabyte per second) + Upload speed of 5Mbps (megabyte per second) + Ping Rate Maximum of 30ms (milliseconds) + Hardwired to the router + Surge protector with Network Line Protection for CAH issue **Anticipated salary range:** $105,100-$150,100 **Bonus eligible:** Yes **Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to wages before pay day with my FlexPay + Flexible spending accounts (FSAs) + Short- and long-term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle programs **Application window anticipated to close:** 1/13/2026 *if interested in opportunity, please submit application as soon as possible. The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity. _Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._ _Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._ _To read and review this privacy notice click_ here (***************************************************************************************************************************

Job purpose The Clinical Services Director provides leadership of clinical services and development of new processes and procedures for ITP with the input of the Medical Director. The CSD is responsible for the consistent delivery of compliance oversight and education. The CSD will work with the Crisis Coordination team as well as the outpatient care team to deliver efficient and effective patient care . Duties and responsibilities Leads the development of clinical services Assists with Policy and Procedure development Provides expert level review of clinical records Work and Collaborate with the Crisis Services division Time system management for Crisis Services providers Review and Develop Outpatient Service processes- Managing patient scheduling, prior authorizations, pharmacy calls, missed appointments Manage Crisis Services providers schedule Ability to look at trends and forecast hiring needs for provider coverage, and forecast crisis staffing needs based on utilization data Provides collaborative leadership, and communication, for overall improvement in clinical documentation by providing proficient level review and assessment, and effectively articulating recommendations for improvement, and the rational for the recommendation Actively communicates with providers at all levels Provides face-to-face educational opportunities with physicians and staff Expert level documentation and ability to effectively communicate the need for through documentation to others Knowledge of Medicare, Medicaid and insurance requirements Qualifications Education: Master's Degree in Nursing preferred Licensure: RN Experience: Three to five years of clinical management experience Experience with regulatory survey management Experience communicating & working closely with Physicians Understanding and experience in behavioral healthcare Demonstrated skill in utilization management and review systems Ability to work independently and collaboratively with multiple disciplines Demonstrated skill in problem solving, consensus building, conflict resolution, advocacy, and team building Ability to accomplish work objectives where few precedents or guidelines currently exist Must have proficiency using a PC in a Windows environment, including Microsoft Word, Excel, Power Point and Electronic Medical Records Excellent oral and written communication skills Working conditions This job predominantly works from Des Moines office, but does require some travel to hospital/clinical locations. Incumbent will be exposed to virus, disease, infection from patients. Physical requirements While performing the duties of this job, the employee is regularly required to talk and hear. This position required intermittent physical activity, including standing, walking, bending, kneeling, stooping and crouching as well as lifting, driving and supporting patients. Direct reports Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems. Reporting structure The Clinical Services Director reports directly to Psychiatric Medical Care's Chief Clinical Officer (CCO).