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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.
What does the ideal candidate look like? • Experience in IP or Optical network deployment, with a focus on program management, process improvement, and technical expertise. • Proven track record of delivering large-scale IP or Optical network infrastructure projects on time, within budget, and to required quality standards. • Strong technical expertise in IP or Optical networking protocols, architectures, and technologies. Excellent leadership, communication, and interpersonal skills. • Ability to work in a fast-paced environment, prioritizing multiple projects and deadlines. • Strong analytical and problem-solving skills, with experience in data-driven decision making. Day to day: • Provide technical and operational guidance and oversight to IP or Optical network deployments ensuring that projects are delivered on time and with quality. • Facilitate technical discussions with cross-functional teams to identify solutions, mitigate risks, and drive innovation. • Build and execute comprehensive deployment program scope, schedules, resource allocation, and ensure successful delivery of IP or Optical network deployment projects. • Define, track, and analyze key performance indicators (KPIs) such as deployment speed, quality, efficiency, and SLAs to measure program success. • Manage relationships with vendors and partners, ensuring that they meet contractual obligations and deliver high-quality services. • Collaborate with internal stakeholders including Data center engineers, Network engineers, and operations, to ensure alignment and effective communication throughout the project lifecycle. • Establish and maintain regular reporting to senior management and stakeholders, providing insights into program performance, risks, and opportunities. The ideal candidate will have: • Technical expertise with IP or Optical networking protocols, architectures and technologies including BGP, TCP/IP, SNMP, GRE, or MPLS. • Operational Efficiency to manage large-scale network deploy
We are seeking a skilled Data Analyst with 4-6 years of experience to support and enhance our centralized NDA and TPA tracking processes. The ideal candidate will have strong technical skills in data manipulation, reporting, and automation, along with excellent stakeholder collaboration and problem-solving abilities. This role involves supporting program management, building dashboards, and enabling a replatformed tracking system to streamline vendor onboarding and compliance workflows.
To complete a variety of specialized duties that support functional operations in Military. Works with military team and customers to assist with replenishment planning and purchase orders, communication with vendors, customers, warehouse team, freight forwarders and brokers. Provides recurring reports and develops ad hoc reports needed to monitor company and customer businesses. Analyzes data, prepares and presents results in order to identify and/or resolve business problems as well as drive business actions in often-critical areas.
The Data Assurance Associate (GPV) plays a vital role in ensuring the accuracy, compliance, and quality of case processing activities within Pharmacovigilance. This role involves active communication with internal teams, external partners, and vendors to address case-related queries, oversee case corrections, and support training initiatives. The associate will contribute to maintaining the highest standards in pharmacovigilance operations while driving process improvements and compliance with global regulatory requirements.
The Loss Draft Specialist performs an important role in helping guide the customer/claimant through the claims process and helping them get their lives back in order following property damage or loss. They are responsible for accurately processing documents related to property damage claims including ordering and reviewing inspection reports of damage and resolving any issues. This could include tasks such as responding to requests, inquiries, and complaints from various parties involved in the claims process.
Location (remote): Cumberland, RI. Shift: Mon-Friday Between 7:00 A.M - 6:00 P.M CST/ Training Hours-8:00- 4:30 P.M CST This is a fully remote call center position. Candidates can reside anywhere in the U.S. They must have a private home office with a door to ensure HIPAA compliance
Location (mandatory): Rhode Island/ Remote Shift: Hours required are M - F 8am - 5 pm EST with some flexibility for start/ stop times. Coordinator I Prior Auth & Appeals will be responsible for performing non-clinical activities and functions in accordance with policies and procedures, under the supervision of the Clinical Supervisor. Responsible for reviewing and maintaining compliance with ERISA, CMS, Medicaid, and client specific requirements. Works as part of the team to meet business unit objectives.
Shift: Sun-Thu or Tue-Sat 10:30a-7pCT, 11a-7:30pCT, 11:30a-8pCT, and Training M-F 8a-4:30p. A broadband connection and a smartphone are required. The Pharmacist/Clinician is an operation-based role that conducts criteria based & clinical review of medical data collected to perform prior authorization as per policy and procedure. The Pharmacist/Clinician will apply clinical knowledge to plan approved criteria for reviews of cases. This role will work from supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Authorization team and member services department, as well as provide on-call after hours availability for urgent PA requests as needed
Shift: 7:00 am -3:00 pm, 7:30 am - 4:00 pm, or 8:00 am - 4:30 pm (will work at least 4 hours 1 Saturday a month) An Accounts Receivable (AR) Administrator manages the money owed to a company by its customers for goods or services, ensuring timely payments and accurate financial records. Key duties include creating and sending invoices, posting customer payments, updating customer accounts, following up on overdue payments, and reconciling accounts. They
The Infrastructure Engineer is responsible for planning and designing the services and solutions in collaboration with the service provider and mapping the business requirements to systems/technical requirements to ensure they are in line with Standards, Architecture, quality and security requirements. A focus of the role will be IT Infrastructure in the OT context (shopfloor, building management systems, laboratory systems, etc.).