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Location (mandatory): Boone/ McHenry Counties, Southside/Westside of Chicago and DuPage County in Illinois State. Shift: Avg 27.5 hours per week over a 2-week period, every other weekend would be required. The Field Case Management Coordinator utilizes a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs through communication and available resources to promote optimal, cost-effective outcomes. Experience with case management is preferred. Position will require travel to members' homes. Must live near areas listed due to travel requirement and will work at home in between visits. We want someone who is organized, efficient, and can work independently.
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
Location : Pleasanton CA 94588. Shift: 8am – 5pm The CRM Marketing Manager will lead the development and execution of comprehensive marketing strategies designed to engage customers. This role will focus on driving customer engagement and increasing lifetime value by managing personalized campaigns across key digital channels, including email, push notifications, and SMS. The CRM Marketing Manager will collaborate with cross-functional teams in a matrix organization to optimize the customer journey, ensuring a seamless, personalized experience across all touchpoints. This position is ideal for a seasoned digital marketing professional with experience in lifecycle & CRM marketing, who is eager to contribute to a customer-centric and innovative retail brand.
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.).
This job is responsible for efficiently recruiting and maintaining the Independent Service Network for clients In-home Service Delivery team. Reporting directly to the VP, Home Warranty Partnership Operations, this role involves sourcing, onboarding, and supporting independent service providers to ensure a seamless experience for client’s customers. In addition to learning and utilizing all databases and applications relevant to recruitment and contract management, the individual in this role will contribute to the overall success of client’s service delivery operations through adept technology use and effective communication skills.
Join the dynamic Group Retiree Solutions sales organization within the client’s company, supporting analytics platform migrations and enhancements. The role involves working with advanced technical tools such as Tableau, Alteryx, and Dataiku to assist with migrating workflows, improving dashboard reporting, and handling analytics inquiries. Experience with healthcare data, including PHI and PII, and data platform migrations is highly valued. This position is fully remote with a typical Monday to Friday schedule.