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  • Quality Analyst - Remote

    Maximus 4.3company rating

    North Platte, NE jobs

    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
    $53k-78k yearly est. Easy Apply 3d ago
  • Supervisor, Customer Service

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    Cardinal Health Sonexus Health Pharmacy Services 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. Sonexus Health Pharmacy, 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.** **Job Summary** The Supervisor, Customer Service Management directly supervises staff that are performing customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for overseeing the staffing schedule, training, and monitoring of key performance indicators to meet the requirements as outlined by client contracts and internal standard operating policies. Through effective supervision, the Pharmacy Operations Supervisor contributes to high quality customer service and long-term retention of customers. **Responsibilities** The Supervisor, Customer Service Management leads program staff performing actions including: customer service, and other patient services. + Oversee daily operations for patient access support contact center team of up to 20 team members and provide daily support ensuring team members can perform job responsibilities. + Coach, teach, train, and mentor team members in a 100% remote setting while monitoring individual and team performance. + Create and maintain creating and maintaining Standard Operating Procedures and work instructions specific to the program. + Coordinate and deliver recurring (weekly, monthly, and quarterly) reviews of program metrics / dashboards while proactively sharing results with internal and external senior leaders. + Assess/Test / Solution / Approve program changes including those related to Information Technology, platform upgrades, and modifications to program business rules. + Report system issues that can impact our client relationship management system (CRM) and/or productivity in a timely manner. + Manage employee timecards in addition to standard HR responsibilities as a people leader. + Open job requisitions, conduct interviews, and provide personnel recommendations to senior leaders. + Coordinate with senior leadership and Advice and Counsel Center to determine appropriate corrective action, not limited to termination when applicable. + Continually monitor program adherence, quality, attendance and address accordingly. + Report Corrective and Preventative Actions in a timely manner. + Coordinate with fellow supervisors and collaborate with business partners to provide effective responses and resolutions to complex program related issues. + Conduct recurring development-based 1x1s with team members focused on both performance and goal setting. + Effectively manage time and independently prioritize work responsibilities to meet key deadlines. + Maintain regular contact with client/3rd party partners by leveraging excellent verbal and written communication skills. + Contribute to the building and presentation of quarterly business reviews to clients (either virtually or in-person). + Proactively seek and implement process efficiencies to reduce team manual work. + Host recurring (bi-weekly/monthly) team meetings to discuss updates, process changes, team SLAs/KPIs, QA, trends, etc. + Work well independently and in a team setting by collaborating across different departments. **Qualifications** + Bachelor's degree or equivalent work experience preferred + 3-5 years of experience in related fields of patient support programs preferred + Previous management experience preferred + Strong communication, presentation, and time management skills + Commitment to the continued development of oneself and team members + Advanced computer skills and proficiency in Microsoft Office including but not limited to Word (e.g. inserting tables, mail merge, tracking changes, updating headers and footers), Teams, Outlook, PowerPoint (e.g. updating slide layout, adding slides, adding & updating charts, and graphs, and updating themes), and preferred Excel capabilities including pivot tables, graphing, and graphing, and basic formulas + Travel may be needed to perform your duties up to 10%. **What is expected of you and others at this level** + Coordinates and supervises the daily activities of operations or business staff + Administers and exercises policies and procedures + Ensure 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 **TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT the first week of employment. Attendance is mandatory. You must be on camera for all training. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of 8am - 7pm CT and overtime when required. **REMOTE DETAILS** : All U.S. residents are eligible to apply to this position. 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:** $67,500.00 - $86,670.00 **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:** 1/2/2026 *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 (***************************************************************************************************************************
    $67.5k-86.7k yearly 39d ago
  • Client Relationship Manager

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    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_** + Responsible for regularly reviewing weekly, monthly & quarterly - program activities with the client. + Attend all program and client meetings, takes detailed meeting notes during client interactions and internal strategy sessions, ensuring all key points and decisions are documented. + Monitors all program's activities and IT projects associated with the program + Includes setting due dates and responsible parties + Follows up on action items from meetings, ensuring that responsibilities are clear, and deadlines are met + Regular reporting out of all program's activities + Solicit feedback from the activity/task owners on sub-tasks + Maintain up-to-date activity timeline, articulate progresses and delays + Develops and manages activities timelines to ensure all deliverables are completed on schedule. + Obtain consensus for activities risks, decisions and closures + Coordinates cross-functional teams to ensure alignment and timely completion of tasks related to program activities. + Facilitates communication between internal teams and external clients to ensure all activities objectives are understood and met. + Escalate delayed activities to program's leadership + If activity owners are missing deadlines consistently and/or are unresponsive. + Managing contract amendments and project change requests for the client. + Coordinates customer interactions with internal & external partners to meet the evolving business needs of the client. + Responsible for sharing and presenting current and future program expectations during weekly meetings with client leadership in addition to Quarterly Business Review meetings with client's Access and Marketing teams. + Manages client access to internal applications including client-facing data reports and data streams with 3rd party vendors. + Oversee daily operations and ensure alignment with client expectations and internal standards + Supports audits and regulatory reviews as needed + Ensure financial billing accuracy + Contact healthcare professionals for clarifications and information as needed **_Qualifications_** + Min 5 years related client services experience, preferred + Min 5 years' experience in managing complex program activities with high accountability, preferred + Bachelor's degree preferred + Ability to travel - less than 25% + Proven product knowledge in business area + Licensed pharmacy technician in Texas preferred **_What is expected of you and others at this level_** + Applies advanced knowledge and understanding of concepts, principles, and technical capabilities to manage a wide variety of program activities. + Own and develop tracking tools to achieve specific program management goals and activities. + Create and participate in recurring business review presentations + Recommends new practices, processes, metrics, or models + Projects may have significant and long-term impact + Provides solutions which may set precedent + Independently determines method for completion of new projects + Receives guidance on overall project objectives + Acts as a mentor to less experienced colleagues **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 salary range:** $80,900.00 - $92,400.00 **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:** 1/19/2026 *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 (***************************************************************************************************************************
    $80.9k-92.4k yearly 22d ago
  • Quality Improvement Advisor - Nebraska

    Telligen 4.1company rating

    Nebraska jobs

    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 Nebraska 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.
    $70k-91k yearly est. Auto-Apply 22d ago
  • Sr. Knowledge Analyst - Contact Center Content Specialist (Remote)

    Maximus 4.3company rating

    Omaha, NE jobs

    Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources. *Position is contingent upon contract award* This is a fully remote role. Must have the ability to pass a federal background check. 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: - Build and maintain knowledge base in SharePoint. - Build document management processes and procedures. - Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current. - Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content. - Create hierarchy and ownership structure to sustain knowledge management. - Empower contributions from key stakeholders to improve the knowledge base. - Design and implement work flows to manage documentation process. - Establish standard templates for all documentation for the teams to utilize in document creation. - Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base. - Create, promote and apply best practices for writing, style and content in Microsoft style. - Create training material in support of the Knowledge management process. - Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article. - Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint. • Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations. • Serve as a bilingual subject matter expert (English and Spanish) for contact center content development. • Support the creation and refinement of training materials for contact center agents. • Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials. • Represent the contact center perspective in content-related discussions and decisions. • Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards. • Manage and develop knowledge articles, chat quick text scripts and email templates. • Conduct audits of knowledge articles and procedures to ensure accuracy and relevance. • Identify emerging contact center trends and coordinate content updates to address urgent needs. • Collaborate with client content teams to create, update, and review contact center-specific content. • Serve as a subject matter expert for assigned customer agencies. • Salesforce and SharePoint experience preferred. • Call center knowledge and experience preferred. Minimum Requirements - Bachelor's degree with 5+ years of experience. - Advanced degree or professional designation preferred. - Develops solutions to a variety of complex problems. - Work requires considerable judgment and initiative. - Exerts some influence on the overall objectives and long-range goals of the organization. • Developing website content experience • Self-motivated and able to work independently 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 $ 65,000.00 Maximum Salary $ 85,200.00
    $55k-64k yearly est. Easy Apply 3d ago
  • NE Licensed Registered Dietitian - 1099/PT/Remote

    Telemed2U 3.6company rating

    Nebraska jobs

    About the role The Registered Dietician serves as an expert and resource for in the area of nutrition and diabetes self-management assessment, education, and follow up. The position operates in the clinical setting and works directly with patients one on one. The main goal for the RD/CDE is to equip the patient with knowledge and tools needed to manage his or her disease. The efforts of the individual in this position directly impacts the overall health of the patient, the health care resources consumed by the patient, and ultimate quality outcomes, while taking ownership and responsibility for the structure of the program and curriculum used. The individual in this role works collaboratively with other team members to assist in the development of an effective, patient-centered program that promotes optimal patient outcomes. What you'll do Performs nutrition assessment, reassessment, and patient/family education. Performs all responsibilities/duties required by Registered Dietitian as defined in the scope of practice, to ensure that the needs of patients are addressed. Implement personalized, age specific and culturally appropriate nutrition strategies. Conducts and coordinates nutritional counseling sessions and services. Follows ADA Medical Nutrition Therapy and other appropriate nutrition counseling protocols. Complete required documentation and maintain organized files for client charts, participation data, and communication logs. Maintains client relationships. Updates and applies professional knowledge. Qualifications Must be a Registered Dietitian (RD) - Licensed in Nebraska At least two years of related experience. Experience delivering health education and support to patients with chronic disease. Knowledgeable in clinical disease processes and medical management Effective oral and written communication skills Compensation Job Type - Contractor Opportunity for Part - Time Pay: $37.50 - $75.00 per hour
    $47k-56k yearly est. 26d ago
  • Director of Operations

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and simplifying the channel for specialty products. Our mission is: together, we will lower the cost of specialty products for our customers. **Position Summary:** Reporting directly to the General Manager (GM) of Averon, the Director of GPO Operations plays a pivotal and strategic role within the organization. This position carries full responsibility and accountability for the development and execution of all operating processes essential to delivering high-quality services. A key responsibility of the Director is to ensure consistency in operational procedures, promote efficient workflows, and conduct regular evaluations to identify opportunities for ongoing improvement. The Director is responsible for creating, tracking, and reporting important success metrics to leadership, ensuring clear communication and alignment with the organization's goals. In addition to these core duties, the Director will be responsible for identifying, securing, and managing operations related to strategic partnerships. These partnerships are critical for driving enterprise value and delivering competitive advantages that benefit both customers and the business. As the leader of GPO Operations, the Director must demonstrate strong business acumen, executive presence, and exceptional customer engagement and presentation skills. The ability to recognize emerging trends, provide informed guidance regarding their impact, and propose actionable solutions to seize new opportunities is essential. Furthermore, the role requires influential leadership capabilities, including the ability to lead and affect change across groups without direct reporting lines, and to interact effectively at all organizational levels. **Location** - Fully remote **Expectations** + Ability to apply advanced knowledge and understanding of GPO concepts, principles, and technical capabilities to manage a wide variety of projects. + Define and develop policies and procedures for the GPO operation's team. + Define and develop metrics on measuring outcomes and what is success. + Work on or lead complex projects of large scope. + Understand current GPO operational processes and be able to adapt to support future growth. + Manage, support and mentor less experienced colleagues. **Responsibilities** + Oversee the development, implementation, and continual improvement of Operations strategy by leveraging expertise in the specialty pharmaceutical market and GPO operations. + Support cross-functional teams to refine operational processes and technology solutions for Wholesaler Contract Load, Contract Alignment, and Membership Management (including roster management, manufacturer notifications, participant contract performance, etc.). + Stay informed about competitors and identify areas for unique positioning. + Collaborate with other departments to determine necessary changes to processes and technology, then create and deploy effective solutions. + Supervise all aspects of the GPO operating model and team, ensuring efficient and productive workflows. + Develop metrics, dashboards, and reports to track performance and keep senior leadership informed. **Qualifications** + **Experience** : + Targeting 5+ years of relevant professional experience. + 5+ years of leadership and team management demonstrated, including supervision of direct reports. + Experience with pharmaceutical Group Purchasing Organizations (GPOs) and strategic partnerships. + Firsthand knowledge of specialty pharmaceutical manufacturers and trade concepts. + Strong understanding of GPO operations, including work with Manufacturer partners and Wholesalers. + Proven entrepreneurial skills in strategy development and team building. + Solid grasp of pharmaceutical distribution systems. + Successful history leading cross-functional teams and managing complex programs. + **Technical Skills** : + Advanced Microsoft Office Skills (Excel, PowerBI, MS Teams, SharePoint, etc.). + Proficiency with Contract Management software (willingness to learn). + **Analytical Skills** : + Proven ability to efficiently and effectively use advanced analytical skills to gather insights and data from multiple platforms to support business analyses. + **Soft Skills** : + Demonstrated ability to manage multiple workstreams. + Strong collaborator with solid communication skills. + Customer service, problem-solving, and analytical skills. + Strong attention to detail and process driven. _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 (***************************************************************************************************************************
    $94k-124k yearly est. 23d ago
  • Senior Coordinator, Individualized Care

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    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:** 1/4/2026 *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 (***************************************************************************************************************************
    $21.5-30.7 hourly 37d ago
  • Special Needs Plan- Support Social Services

    Humana 4.8company rating

    Lincoln, NE jobs

    **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to help promote and support member health and well-being. This role requires the use of structured assessments along with critical thinking skills to determine appropriate interventions such as care coordination, health education, connection to community resources, full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the interdisciplinary team to address member needs. The Support SSs daily job duties include making outbound call attempts to members with social determinants of health (SDOH) needs to assess and assist with coordinating care with available plan benefits and/or appropriate community resources in a telephonic, call center, work from home environment. This role does not carry a caseload but may require additional member follow-up to ensure that all needs have been assessed and addressed. The Support SS may also receive inbound calls from members needing additional assistance. This role is also responsible for assessing the member to determine if a referral to any other discipline is needed depending on member's individualized needs. Creating and updating member care plans may be required. Documentation in the member's record is required to ensure CMS compliance, and accurately reflect work with members, providers, and other members of the interdisciplinary care team. **Use your skills to make an impact** **Required Qualifications** + Master's degree in social work from an accredited university + Current, unincumbered, social work license; **LMSW, LCSW, LICSW** + Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level) + Minimum 3 years of experience working as a social worker in a medical healthcare setting + Proficient in Microsoft applications including Word, Outlook, Excel + Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously + Must be willing to obtain/maintain social work licensure in multiple states, based on business need **Preferred Qualifications** + Experience working with geriatric, vulnerable, and/or low-income populations + Licensure in LA, MD, MI, MS, NV, NM, OK, VA + Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees 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 employees 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. **Social Security Notification:** Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. **HireVue Interview Process:** As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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. **Benefits Day 1:** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities **START DATE after completion of background/onboarding-** *Projected start dates for these positions will be throughout Feb 2026 with all interviews being conducted Dec/Jan **Schedule:** + Hours for this position are Monday - Friday 9:30am - 6pm EST. + Hours for the first 2 weeks of training are M-F 8:30am-5pm EST 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. $59,300 - $80,900 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: 12-21-2025 **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 ***************************************************************************
    $28k-32k yearly est. Easy Apply 37d ago
  • Outpatient Program Specialist

    Telligen 4.1company rating

    Nebraska jobs

    As the Outpatient Program Specialist, you will be responsible for overseeing and ensuring the success of quality improvement initiatives, including chronic disease management, behavioral health, and data reporting initiatives across our region. 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 related to outpatient primary care practice, such as patient safety, risk assessments, process mapping, documentation and billing, and data reporting. You will facilitate the team's ability to 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, required Proven ability to design, implement, and support a regional technical assistance strategy tailored to providers' unique needs. Comprehensive knowledge of primary care delivery, chronic disease management processes, and data reporting requirements. Direct experience in an outpatient setting preferred. In-depth understanding of clinical quality measures and QI methodologies to identify gaps in care, including supporting implementation of evidence-based interventions that will improve outcomes and knowledge of barriers and drivers for improvement in key focus areas. 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. Proven experience mentoring multidisciplinary teams, including quality improvement professionals 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.
    $42k-53k yearly est. Auto-Apply 7d ago
  • Director, Information Security and Risk (Identity & Access Management)

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    **_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments. The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes. **Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings. **Responsibilities** + Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs + Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization. + Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews). + Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data. + Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls. + Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers. + Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient. + Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions. + Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities. + Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership. + Lead training and awareness programs related to IAM policies, secure access practices, and identity governance. **Qualifications** + Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred. + Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred. + Proven track record of executing enterprise IAM programs with measurable business impact. + Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred. + Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD). + Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.). + Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM). + Certifications such as CISSP, CIAM, or CISM preferred. + Strong analytical, relationship management, and communication skills (both written and verbal). + Ability to collaborate across functions and influence stakeholders to achieve IAM program success. **What is expected of you and others at this level** + Provides leadership to managers and experienced professional staff; may also manage front line supervisors + Manages an organizational budget + Develops and implements policies and procedures to achieve organizational goals + Assists in the development of functional strategy + Decisions have an extended impact on work processes, outcomes, and customers + Interacts with internal and/or external leaders, including senior management + Persuades others into agreement in sensitive situations while maintaining positive relationships _\#LI-LP_ _\#LI-Remote_ **Anticipated salary range:** $135,400 - $228,910 **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:** 12/25/2025 *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 (***************************************************************************************************************************
    $135.4k-228.9k yearly 10d ago
  • Triage Nurse - Medical Communication Center - Work From Home

    Nebraska Medical Center 4.6company rating

    Omaha, NE jobs

    Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Shift: Second Shift (United States of America) Triage RN - Medical Communication Center - Work From Home Clinic Nurse - $1,000 Sign on Bonus * Sign On Bonus - Must Meet Eligibility* Position Highlights: Nebraska Medicine is seeking an experienced Triage RN to join the Medical Communication Team, this role is located in Omaha, NE. This position has the opportunity to be able to work from home after in-office training (6-12 weeks). Orientation consists of first shift/daytime hours (7AM - 5PM). The Triage RN will be responsible for telephone triage, care coordinator, and patient education focused on providing exceptional care through multidisciplinary collaboration. Must live in the Omaha area ( 1-hour radius) incase of outage that would require you to come into the office. If you have questions about applying for the Triage RN role, please contact Allie Bruss at **********************. Shift Details: Part Time | 0.5 FTE | 20 Scheduled Weekly Hours. Evening and Weekend Hours Every 3rd weekend and Rotating Holidays Why Work at Nebraska Medicine? * Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. * Leading Health Network Work with the region's top academic health network, partnering with UNMC to transform lives through education, research, and patient care. * Diversity and Inclusion We value diverse backgrounds and experiences, reflecting the communities we serve. * Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path. Be part of something extraordinary at Nebraska Medicine! Job Duties: Triage RN Provide and coordinate delivery of clinical resources to assure safe, high quality patient care and ensure continuity of care. Perform duties in an environment of care where the needs of a patient are short term, non-acute, acute, and potentially-life threatening. Assesses patient condition using nursing critical thinking and protocols making safe decisions on dispositioning, care advice, and or escalation of needs efficiently and accurately. Required Qualifications: Triage RN * Associate's in nursing (ADN) or Nursing Diploma required. * Demonstrated effective communication skills required. * Ability to demonstrate initiative, teamwork, and flexibility required. * Currently licensed as a Registered Nurse in the state of Nebraska or current compact state license required. * Basic Life Support (BLS) certification endorsed by the American Heart Association (AHA) required. * Pediatric Advanced Life Support (PALS) department dependent required. Preferred Qualifications: Triage RN * Based on position, prior experience in patient nursing, specialty/primary care clinic and/or telephonics preferred. * Bachelor's degree in nursing (BSN) or Master's of Science in Nursing (MSN) degree preferred. * Experience with Microsoft Office applications including Word, PowerPoint, and Excel preferred. * Proficient with use of email applications preferred. * Experience with EPIC or other electronic medical records preferred. * Specific to the Medical Call Center department; multi-state license preferred. Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans' status.
    $59k-75k yearly est. Auto-Apply 7d ago
  • Project Manager - Strategic Workforce Analytics (Remote)

    Maximus 4.3company rating

    North Platte, NE jobs

    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 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
    $57k-85k yearly est. Easy Apply 3d ago
  • Accounts Receivable Specialist

    The Well Ne 4.1company rating

    Norfolk, NE jobs

    Job Description Job Posting: Accounts Receivable Specialist - Behavioral Health Location: Norfolk, Nebraska | Employment Type: Full-Time | Pay: $21.88 - $28.00 per hour - dependent on education and experience. Are you a self-starter with strong attention to detail, excellent audit skills, and experience in behavioral health or medical billing? We are seeking an Accounts Receivable Specialist to join our mission-driven team as we expand services and prepare to become Norfolk's first Certified Community Behavioral Health Clinic (CCBHC). Your work will directly support life-changing mental health and substance use programs in Norfolk, Columbus, and West Point. About the Role As an Accounts Receivable Specialist, you'll manage invoices, receivables, and collections with precision and professionalism. You'll work both independently and as part of a collective team of three A/R Specialists, partnering with program and finance team members to ensure timely, accurate claims processing and payment reconciliation. This role is ideal for someone with strong organizational skills and a commitment to continuous learning. It also requires tenacity - someone who sees denials and delays not as roadblocks, but as challenges to solve in support of client care. At The Well, we're building more than a billing department - we're building a community of people striving to live out our core values in their day-to-day work. Here's what this looks like in this role: Grounded in Hope - You believe people can figure things out and actively set them up for success. Whether it's a coworker behind on documentation or a tough payer issue, you balance realism with optimism - removing barriers instead of placing blame. Show Up with Generosity - You offer support without being asked, because it's what's best for the team. Whether jumping in to finish a task or streamlining a process for someone else, your instinct is to help, not to be recognized. Check the Ego - You take ownership of your mistakes and approach problems with curiosity instead of defensiveness. You're not afraid to admit when something doesn't work and you see every challenge as a chance to grow and improve your work. Embrace Diversity - You genuinely value different perspectives and working styles. You know your way isn't the only way - and that a strong team draws on each member's unique strengths. You ask for help when something isn't in your skill set, and you offer support when it is. Key Responsibilities Prepare, process, and track claims and invoices in accordance with organizational requirements. Ensure timely payment collection and accurate posting of receivables. Assist with audits and maintain organized financial records. Monitor aging reports and follow up on outstanding balances. Investigate and resolve billing discrepancies. Collaborate with internal teams to improve billing systems and workflows. Adapt to changing funding sources and compliance guidelines. Qualifications Associate's or bachelor's degree in Finance, Accounting, Medical Billing (or similar field) OR 5+ years of medical/behavioral health billing experience. Experience with behavioral health or medical billing/claims management strongly preferred. Audit-ready mindset with strong attention to detail. Excellent problem-solving skills with the ability to research, troubleshoot, and resolve issues independently Proactive and resourceful - stays ahead of payer changes and seeks out new information Tenacious and persistent - willing to dig deep, follow up repeatedly, and stay with complex problems until they're resolved. Able to work independently, manage time effectively, and adapt to changing priorities. Strong communication skills and the ability to collaborate with cross-functional teams. Why Join The Well Make a meaningful impact on a dynamic, innovative nonprofit. Flexible schedule and potential for remote work. Supportive and collaborative team environment. Opportunities for growth and professional development. Apply Today! If you're detail-oriented, driven, and excited to contribute to something bigger than yourself, we'd love to hear from you. Submit your resume today!
    $21.9-28 hourly 28d ago
  • Coordinator II, Performance Monitoring

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    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.** **What Performance Monitoring contributes to Cardinal Health:** Performance Monitoring is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution. Performance Monitoring is responsible for monitoring, analyzing and reviewing customer contact quality. **Responsibilities:** + Conduct quality reviews of Adverse Events submitted by staff before submission to client safety unit. + Conduct case audits to ensure correct process steps have been followed for the "patient journey" + Monitor calls and provide effective written feedback + Maintain knowledge of the client's program and product/service offerings. + Interpret and transcribe inbound and outbound calls from patients and health care providers. + Identify adverse events when monitoring calls. + Ensure documentation is in order following client regulatory guidelines. + Identify trends and training needs from call monitoring and escalate appropriately. + Work effectively with dynamic, integrated task teams + Maintain a work pace appropriate to the workload **Qualifications** + HS Diploma, GED or technical certification in related field or equivalent experience, preferred. + 2 years' call center or transcriptionist experience preferred. Certified Medical Transcriptionist (CMT) qualification would be an asset. + 2 years' quality review experience preferred. + Knowledge of medical terminology preferred. + Exceptional listening skills required. + Proficient in Microsoft Office (Excel, Word, PowerPoint, etc.) + Multi-tasking, time management and prioritization skills considered an asset. + Bilingual Spanish would be an asset. **What is expected of you and others at this level** + Applies acquired job skills and company policies and procedures to complete standard tasks + Works on routine assignments that require basic problem resolution + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Refers to policies and past practices for guidance + Receives general direction on standard work; receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **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 (8-hour shifts, 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- 8:00pm 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 hourly range:** $18.35 per hour - $26.40 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:** 1/2/2026. 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 (***************************************************************************************************************************
    $18.4-26.4 hourly 3d ago
  • Product Documentation Specialist, (Remote)

    Maximus 4.3company rating

    Omaha, NE jobs

    Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation. NOTE: This position focuses on operational and process documentation, not technical or engineering documentation. Why Maximus? - Work/Life Balance Support - Flexibility tailored to your needs! - • Competitive Compensation - Bonuses based on performance included! - • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance. - • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching. - •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage. - • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP). - • Recognition Platform - Acknowledge and appreciate outstanding employee contributions. - • Tuition Reimbursement - Invest in your ongoing education and development. - • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees. - • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs. - • Professional Development Opportunities-Participate in training programs, workshops, and conferences. - •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees. Essential Duties and Responsibilities: - Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation. - Perform strategic and ad-hoc data work in support of Product Managers and Product Owners - Analyze and manage moderately complex business process flows and updates to system process flows and requirements. - Create and maintain technical documentation / product development & customer education materials - Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials. - Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained. - Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence. - Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments. - Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials. - Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures. - Review and improve existing documentation to enhance clarity, usability, and compliance with standards. - Support process improvement initiatives by documenting changes, workflows, and system updates. - Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively. Minimum Requirements - Bachelor's Degree or equivalent experience and 3+ Years. - Preferred SAFe Agile Certification(s). - Preferred Jira/Confluence experience. - Preferred learning development / documentation experience. - Preferred technical writing experience. - Bachelor's degree in a related field, or an equivalent combination of education and experience. - 3 years' relevant experience with documentation and supporting process improvement initiatives. - Strong attention to detail and organizational skills. - Excellent written communication skills with the ability to create clear, concise, and accurate documentation. - Experience working collaboratively with internal stakeholders to gather information and develop documentation. - Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint). - Ability to manage multiple documentation projects simultaneously and meet deadlines. Preferred Requirements - Previous experience in product documentation, writing, or business support role. - Knowledge of process improvement methodologies Home Office Requirements - Maximus provides company-issued computer equipment and cell phone - Reliable high-speed internet service * Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity * Minimum 5 Mpbs upload speeds - Private and secure workspace #ClinicalServices #LI-Remote 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 $ 68,000.00 Maximum Salary $ 75,000.00
    $28k-35k yearly est. Easy Apply 3d ago
  • Provider Relations Manager HP

    Molina Healthcare Inc. 4.4company rating

    Omaha, NE jobs

    must reside in the state of Nebraska Molina Health Plan Network Provider Relations jobs are responsible for network development, network adequacy and provider training and education, in alignment with Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management including provider education, communication, satisfaction, issue intake, access/availability and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest level of customer service. Job Duties This role serves as the primary point of contact between Molina Health plan and the Plan's Complex Provider Community that services Molina members, including but not limited to Value Based Payment and other Alternative Payment Method contracts. It's a provider-facing, remote position with up to 20% travel (mostly daytime) throughout Nebraska, requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including senior leaders and physicians, to ensure provider satisfaction, education on key Molina initiatives, and improved coordination and partnership. * Under general supervision, works directly with the Plan's external complex providers to educate, advocate and engage as valuable partners, ensuring knowledge of and compliance with Molina policies and procedures while achieving the highest level of customer service. * Resolves complex provider issues that may cross departmental lines including Contracting, Finance, Quality, Operations, and involve Senior Leadership. * Responsible for Provider Satisfaction survey results. * Develops and deploys strategic network planning tools to drive Provider Relations and Contracting Strategy across the enterprise. * Facilitates strategic planning and documentation of network management standards and processes. Effectiveness is tied to financial and quality indicators. * Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an emphasis on developing and implementing standards and best practices sharing across the organization. * MCST matrix team environmental support including, but not limited to: New Markets Provider/Contract Support Services, PCRP & CSST resolution support, and National Contract Management support services. * Serves as a subject matter expert for other departments. * Conducts regular provider site visits within assigned region/service area. Determines own daily or weekly schedule, as needed to meet or exceed the Plan's monthly site visit goals. A key responsibility of the Representative during these visits is to proactively engage with the provider and staff to determine, for example, non-compliance with Molina policies/procedures or CMS guidelines/regulations, or to assess the non-clinical quality of customer service provided to Molina members. * Provides on-the-spot training and education as needed, which may include counseling providers diplomatically, while retaining a positive working relationship. * Independently troubleshoots problems as they arise, making an assessment when escalation to a Senior Representative, Supervisor, or another Molina department is needed. Takes initiative in preventing and resolving issues between the provider and the Plan whenever possible. The types of questions, issues or problems that may emerge during visits are unpredictable and may range from simple to very complex or sensitive matters. * Initiates, coordinates and participates in problem-solving meetings between the provider and Molina stakeholders, including senior leadership and physicians. For example, such meetings would occur to discuss and resolve issues related to utilization management, pharmacy, quality of care, and correct coding. * Independently delivers training and presentations to assigned providers and their staff, answering questions that come up on behalf of the Health plan. May also deliver training and presentations to larger groups, such as leaders and management of provider offices (including large multispecialty groups or health systems, executive level decision makers, Association meetings, and JOC's). * Performs an integral role in network management, by monitoring and enforcing company policies and procedures, while increasing provider effectiveness by educating and promoting participation in various Molina initiatives. Examples of such initiatives include: administrative cost effectiveness, member satisfaction - CAHPS, regulatory-related, Molina Quality programs, and taking advantage of electronic solutions (EDI, EFT, EMR, Provider Portal, Provider Website, etc.). * Trains other Provider Relations Representatives as appropriate. * Role requires up to 20% travel, majority being daytime travel. Job Qualifications REQUIRED EDUCATION: Bachelor's Degree in a healthcare related field or an equivalent combination of education and experience. REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES: * 4-6 years provider network relations and management experience in a managed healthcare setting. * Working experience servicing complex providers with various managed healthcare provider compensation methodologies, including but not limited to: fee-for service, value-based contracts, capitation and various forms of risk, ASO, etc. PREFERRED EDUCATION: Master's Degree in Health or Business related field PREFERRED EXPERIENCE: * 5 years experience in managed healthcare administration. * Specific experience in provider services and/or operations in a Medicare and Medicaid managed healthcare setting, ideally with different provider types (e.g., physician, groups and hospitals). 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: $57,394 - $117,808.76 / ANNUAL * Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. About Us Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.
    $57.4k-117.8k yearly 3d ago
  • Sr. Consultant, Change Management

    Cardinal Health 4.4company rating

    Lincoln, NE jobs

    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 (***************************************************************************************************************************
    $105.1k-150.1k yearly 28d ago
  • Culinary Remote Call Center PRN

    Intermountain Health 3.9company rating

    Lincoln, NE jobs

    Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders. Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings. **Work Schedule** + **PRN, on call or as needed** + **Remote Position, must be a Utah Resident** + **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening + **Hours of Operation:** Sunday-Saturday 0630 - 1930 + **Required:** Rotating holidays and weekends + **Benefits Eligible: No** **Essential Functions** + Takes patient meal selections and modifies them using system standards to meet provider orders. + Checks trays for accuracy during meal assembly. + Communicates clearly to both clinical and culinary caregivers. + Collects and inputs nutrition screening information + May complete calorie count and nutrition analysis as dictated by facility + Utilizes a computer to run reports and take orders. + Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels) + Performs accurate credit transactions according to system standards and independently resolves basic customer service issues. **Skills** + Nutrition + Diet Management + Computer Literacy + Interpersonal Communication + Active Listening + Coordinating tasks with others + Patient Interactions + Attention to detail **Qualifications** + Virtual Screening through Microsoft Teams before application submitted to Hiring Manager + **Residential Home address and work from home address must be within the state of Utah** + **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services) + Experience in Food Service, Nutrition Services, or healthcare call center (preferred) + Demonstrated ability to work with modified diets (preferred) + Demonstrated ability to provide exceptional customer service (preferred) **Physical Requirements:** + Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs. + Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately. + Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use. + Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items. + Remain standing for long periods of time to perform work. + Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals. **Location:** Vine Street Office Building **Work City:** Murray **Work State:** Utah **Scheduled Weekly Hours:** 0 The hourly range for this position is listed below. Actual hourly rate dependent upon experience. $18.22 - $23.68 We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged. Learn more about our comprehensive benefits package here (***************************************************** . Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status. At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process. All positions subject to close without notice.
    $34k-42k yearly est. 7d ago
  • Vice President-Federal Communications and Marketing (Hybrid Remote - McLean, VA / DC Area)

    Maximus 4.3company rating

    North Platte, NE jobs

    Description & Requirements Maximus is seeking a dynamic and experienced Vice President-Federal Communications and Marketing to join our innovative team. The ideal candidate will bridge the gap between technology, business process services and marketing in the Federal Government sector. In this role, you will be responsible for Team Leadership and Change Management in a large organization. The VP-Federal Communications and Marketing will collaborate with cross-functional teams to drive Federal solutions and offerings. If you are a strategic thinker with a passion for technology services and marketing, and if you thrive in a dynamic and collaborative environment, we invite you to apply to the position at Maximus. This is a hybrid position with the need to go into the office a minimum of 3 days per week and occasionally attend meetings and/or events in the Tyson Corners, VA/ Washington, DC area. This position requires some travel. The selected candidate must live in this geographical area. Key Areas of Responsibility - Identify, plan, develop, and oversee differentiated and impactful marketing strategies/materials. - Developing new programs for customer engagement including integrated marketing programs from concept to execution - Drive Maximus Federal solutions and offerings. - Manage digital and social media strategies across the federal market - Build, manage, and coach a high-performing marketing team. - Direct and support market research collection, analysis, interpretation of market data for short- and long- term market forecasts and reports. - Work closely with the growth leaders to align sales and marketing strategies - Maintain brand standards and ensure compliance across all marketing and communications channels. - Build long-term relationships with employees, clients, government officials, and stakeholders. - Serve as a collaborative and senior leader on the Maximus Communication & Marketing Team, helping to align strategy and outcomes across the company. - Drive the implementation of marketing campaigns that meet business objectives and drive customer engagement. - Develop relationships with associations, academia and industry partners to drive thought leadership and brand elevation. This role will develop and oversee the Maximus Federal segment marketing strategy. Responsibilities include building brand visibility in the Federal marketplace, driving customer and partner engagement to support growth goals. This position will be responsible for developing annual marketing plans building strategy, managing the cross functional team and budget and, leveraging partner relationships, driving go-to-market solutions. Qualifications: -15+ years of experience in a Federal Marketing and Industry Analysis position including 7+ years managing a team. -Previous experience at a corporation focused on the Federal sector. -Bachelor's degree in Marketing, Business, or a related field; technical background and digital marketing are a plus. Additional experience in lieu of degree will be considered. -MA degree in Marketing, Communication, or similar relevant field, preferred. -Outstanding communication, presentation, and leadership skills. -In-depth knowledge of the Federal sector. -Critical thinker with problem-solving skills. -Strong interpersonal and communication skills. Key Competencies include the following: Marketing and Communication Strategies, Team Leadership, Technical Expertise, Cross-Functional Collaboration, Content Development, Sales Enablement, Product and Solutions Positioning and Change 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 $ 216,155.00 Maximum Salary $ 292,455.00
    $77k-143k yearly est. Easy Apply 3d ago

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