Shift: Training Period: First 8 weeks – no time off or vacations allowed Shift Range: Between 8:00 AM – 8:00 PM CST Weekend Requirement: Candidates must work one weekend day (either Sunday–Thursday or Tuesday–Saturday) This position is a 100% remote, work from home opportunity and will not be patient facing however need LVN with Prior Authorization experience.

Must have North Carolina and New Jersey licenses for Nurse Practitioner along with GA, NY, PA, SC, VA any two in these states

Location: REMOTE (Tallahassee, FL) The pharmacist will be responsible for medication therapy management (MTM) services, including outbound calls for comprehensive medication reviews (CMR) and delivering in-depth consultations on statin medication use per AHA guidelines. The pharmacist will transcribe patient-specific prescription information, diagnosis information, and recommendations into a third-party, web-based application. The data to be transcribed will be either hard-copy or available from application. The data entered by the pharmacist will be used to create a standardized document that will be mailed to individual patients. The pharmacist is a member of the MTM product team

Work Schedule: Minimum 10 hours/week; up to 40hrs if business need exists in DAY or NIGHT Shift. Small Description: Nurse Practitioner Licenses in 10 of these STATES: CA, AZ, IL, MN, MO, AK, HI, OR, MT, UT, WA, NM, FL, GA, TX, TN, OH, RI, MI, MN, CT, ME, MD, NV, SC, NC, SD, ND

Nurse Practitioner Licenses in 10 of these STATES: CA, AZ, IL, MN, MO, AK, HI, OR, MT, UT, WA, NM, FL, GA, TX, TN, OH, RI, MI, MN, CT, ME, MD, NV, SC, NC, SD, ND

Telehealth Nurse Practitioner delivers patient care services through a remote technology platform. You will work in collaboration with a dedicated team of professionals as you independently provide holistic, evidenced based care inclusive of accurate assessment, diagnosis, treatment, management of health problems, health counseling, and disposition planning for our patients ranging in age 18 months and above. Encounters are documented utilizing an electronic health record (EHR). MinuteClinic Telehealth providers report directly to Enterprise Initiative Lead.

Location: REMOTE in OH State Work Schedule: Schedule is Monday – Friday, 8am-5pm, standard business hours. No required holidays or weekends This role serves as the "Front desk" to the plan. This individual will work on a variety of administrative tasks to assist the Care Coordination department that may include but are not limited to, the inbound care management queue line, responding to questions and inquiries from both members/guardians or parties assisting with services. They will be responsible for taking referrals, confirming their Medicaid eligibility and processing the referral. This role will also complete Health Risk Assessments for all members assigned. It is imperative that the CMA must be able to practice both a high level of professionalism and compassion at all times when interacting with various departments or member representatives. The CMA will also support administrative needs that involve comfortability with working in complex data systems, an Electronic Record System and/or Excel at any given time. Tasks can change with little notice to meet the demands of the health plan requiring flexibility.

Participates in the collection and review of medical records to abstract clinical information for HEDIS quality reporting. Training will be provided prior to the start of the assignment. Assist the HEDIS department with outreach calls to our Social Risk Factors population to close gaps in care.

Utility infrastructure upgrades - distribution voltages, Project management skills, budget and forecasting experience, communication. Utility, infrastructure, or construction type experience required. Electric utility experience preferred Experience with financial forecasting, managing a budget, contract management, reviewing plans, planning, scheduling, communicating, updating records and databases.

Location: Remote in EST Time zone. •Works with internal staff across multiple departments to assist with data sources, processes and activities required to meet regulatory compliance requirements with a key focus on Utilization Review (UR) /Utilization Management (UM) • Ensures accurate and complete documentation of required information to meet risk management, regulatory, and accreditation requirements. The candidate must be proficient with databases and with conducting 100% of work activities on the computer. •Data gathering requires navigation through multiple system applications. •Prior experience in performing data collection is preferred.

This position requires a bachelor's degree and 2-4 years of experience in healthcare administration, nursing, public health or in a related area. Managed care experience preferred. In collaboration with clinical and quality leaders, the Program Manager manages the implementation and administration of population health programs development, supports the state strategic pillars, drives improvements in health outcomes, and strengthens operational initiatives that are required under state contract, RFP, or other state/national standards. Reporting to Population Health Officer, the successful candidate will work directly with cross functional teams to ensure deliverables fall within the applicable scope, timeline and budget; coordinate with state, national and internal partners to ensure all programs are designed and delivered to meet goals, measures and outcomes with defined policies, procedures, workflow, training materials and reporting in accordance with corporate, state or other requirements.

• At least 4 years of experience as clinical MTM pharmacist. (Management experience preferred) • Familiar with driving Part D Star measures. Specifically, SUPD, SPC, and CMR. • Understanding of pharmaceutical and medical vocabulary • Clinical experience in medication review.