60146 specialist jobs found

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Pharmacy Operations Specialist III - Remote Position Purpose: This role will focus on ensuring that the administration of the pharmacy program is accurate and compliant by supporting various operational tasks. This role will serve as the subject matter expert supporting various pharmacy operations tasks including but not limited to claims, formulary, benefit, and networks. • Define and develop all hierarchy levels in PBM system for client benefit plan configuration and construction • Review, interpret and verify benefit plan change requests and ensure plan setup and modified setup is aligned with client objectives • Support quality reviews and testing of all benefit setup prior to client...

You could be the one who changes everything for our 26 million members by using technology to improve health outcomes around the world.  As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. This position is considered an “On site” position, therefore it is a requirement to go into our Long Island City, NY office for the majority of the time. There is some flexibility and occasional work from home opportunities. Position Purpose: Serve as contact in providing remote customer service and complex technical support to internal partners and vendors. Act as a technical resource for other IT Support Specialists. Provide second-level remote support of customers’ software and minor operating system modifications requests. Investigate, research, and resolve complex IT issues  Respond to requests and document tickets in Service Now following Centene’s Information...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member’s care, including referrals to community resources. ** The preferred location for this role is Council Bluffs, Iowa as this position requires approximately 75% local travel primarily in Cass, Adair, Pottawattamie, and Audubon counties. Applicants would be able to work from home the remaining time. ** Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members...

You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.  Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. • Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. • Verify eligibility and benefits • Answer phone queues and process faxes within established standards • Data enters authorizations into the system. Education/Experience: High school diploma or equivalent. 2+ years of customer service experience. Knowledge of medical terminology preferred. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules...

You could be the one who changes everything for our 26 million members as a Customer Care professional at Centene. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility.  Position Purpose: Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. • Initiate authorization requests for outpatient and inpatient services in accordance with the prior authorization list. Route to appropriate staff when needed. • Verify eligibility and benefits • Answer phone queues and process faxes within established standards • Data enters authorizations into the system. Education/Experience: High school diploma or equivalent. 2+ years of customer service experience. Knowledge of medical terminology preferred. Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: The Membership Retention Specialist is responsible for activities related to strengthening customer relationships through member education relative to benefits and Plan usage and for local “high touch” outreach to improve membership retention of current and new Health Net Medicare Advantage, Part D members, CalMediConnect Members, etc. • Acts as local resource and member advocate for members, supplementing the service work performed by the Customer Contact Center team. • May research CMC call sources, place outbound calls to CMC member or other service providers (e.g. pharmacist, physician office, etc.) to try and obtain updated contact information for the member. •...

Job SUMMARY: The Account Specialist for Spasticity and Movement Disorders promotes BOTOX ® to community practices and health systems, with a focus on the focal spasticity and cervical dystonia indications and partners with the Account Specialist for Chronic Migraine counterparts for the promotion of the Chronic Migraine indication. Customer accounts may include community/private practices, community-based hospitals, academic medical centers, military treatment facilities, and Veteran's Affairs Medical Centers. The Account Specialist for Spasticity and Movement Disorders develops and maintains relationships within various departments and specialties such as neurology, physical medicine and rehabilitation, pain medicine, and pharmacy. KEY DUTIES AND RESPONSIBILITIES: % of Time or Importance Promote BOTOX ® to meet/exceed sales goals in community/private practices as well as hospitals/health systems. Identify/uncover customer needs (training, clinical, operational,...

Summary The duties and responsibilities for the Rehab Patient Access Specialist, Lead consists of oversight of all front desk operations, registration, and point of service payment collection. This person insures that we are providing optimum internal and external customer satisfaction. They also have responsibility for maintaining the financial integrity of the Rehab accounts scheduled for their facility. This position requires knowledge of HMOs, PPOs, Commercial Payers, HSAs, Cobra, Medicaid, STAR plans, CSHCN, CHIP and hospital financial assistance programs. The incumbent is responsible for maintaining knowledge of JCAHO, HIPPA, Patient Rights and Responsibilities, and departmental/System policies and procedures. They act as the resource by providing administrative and operational support for department therapists and the clinic manager. Education & Experience High school diploma or equivalent. Minimum 5 Years in a patient registration position. Strong...

Summary The duties and responsibilities for the Rehab Patient Access Specialist, Lead consists of oversight of all front desk operations, registration, and point of service payment collection. This person insures that we are providing optimum internal and external customer satisfaction. They also have responsibility for maintaining the financial integrity of the Rehab accounts scheduled for their facility. This position requires knowledge of HMOs, PPOs, Commercial Payers, HSAs, Cobra, Medicaid, STAR plans, CSHCN, CHIP and hospital financial assistance programs. The incumbent is responsible for maintaining knowledge of JCAHO, HIPPA, Patient Rights and Responsibilities, and departmental/System policies and procedures. They act as the resource by providing administrative and operational support for department therapists and the clinic manager. Education & Experience High school diploma or equivalent. Minimum 5 Years in a patient registration position. Strong...

Summary The Insurance Pre-certification Specialist will obtain insurance verification, referral authorization, processing and follow up of insurance claims and collections as required. Insurance Pre-certification Specialist is expected to have knowledge of all front office procedures and adhere to all policies and procedures. Education & Experience: High School Diploma 2 Years Billing and Insurance Experience 2 Years Front Office Practice Operations Experience Understanding of General Accounting Principles Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer. Additional Information CCMC

Honeywell is charging into the Industrial IoT revolution with the establishment of Honeywell Connected Enterprise (HCE), building on our heritage of invention and deep, on-the-ground industry expertise. HCE is the leading industrial disruptor, building and connecting software solutions to streamline and centralize the assets, people and processes that help our customers make smarter, more accurate business decisions. Moving at the speed of software, we are creating, innovating and delivering solutions fast, challenging the way things have always been done, piloting new ways for all of us to work, and expecting our successes to set new standards for our customers and for Honeywell. We are looking for experienced lead to provide end-to-end IT Service Management (ITSM)  ownership, delivering business results through effective incident and problem management. You oversee and support the execution of operations required to ensure the stability, quality and reliability of critical...

Innovate to solve the world's most important challenges The future is what you make it. When you join Honeywell, you become a member of our global team of thinkers, innovators, dreamers and doers who make the things that make the future. Are you ready to help us make the future? As a Sr. Project Specialist, you will be joining a team of development program professionals to support dev programs within one of Honeywell's businesses. You will help implement program plans, budgets, schedules and execute a programmatic MOS, support forecasting & capacity analysis related to delivery requirements. You will play an important role in the IPDS process and strategies to achieve committed business performance. You will support business leaders and present programmatic details, requirements, actions, and status as assigned. You will also be working under moderate supervision of the Sr. Program Manager to execute within scope, on-schedule, and meeting cost targets.   Key...

Join a team recognized for leadership, innovation and diversity Provide reliable technical assistance to internal and external customers. You will provide professional coverage of Technical Support Helpdesk. You will support focus on accuracy, timely feedback, and customer satisfaction. You will drive timely identification, investigation, resolution, root cause analysis and replication of technical issues. You will develop broad understanding of customer needs. You will support the knowledge-sharing mindset, methodology, and tools. You will help develop Technical Support processes. You will ensure proper documenting and recording of all activity and communication. Key Responsibilities Facilitate issue identification and analysis Investigate and resolve technical issues Track requests resolution Provide technical training Build relationships with customers Test products & software Develop and share knowledge YOU MUST HAVE High School Diploma, or equivalent. Some...

You could be the one who changes everything for our 26 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Assist with aspects of the member’s care, including referrals to community resources. ***Position is REMOTE*** Identify special needs members through the completion of health screens and other resources Work with community outreach/member advocates to coordinate member care Educate providers and community resources on program components and available support services Educate members with special needs to foster compliance with program and positively impact outcomes Conduct site visits as appropriate for programs and provide support to other special programs Develop and modify care plans in conjunction with...

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Develop and create company written documents and communications and assist in the maintenance of an overarching marketing & communications practice which will include project management and execution. Iowa Total Care is seeking a Senior Communications Specialist to join the Marketing & Communications team. We're looking for a strategic thinker and collaborative team player who has experience in both creating content and managing social media channels. While this position is remote, we are looking for someone who lives in Des Moines or surrounding areas. Responsibilities: Write and edit engaging content driven by strategic marketing and communication goals. Provide...

OVERVIEW Authentic. Supportive. Fun. To experience human resources at Ulta Beauty is to step out of the mundane and into an environment alive with optimistic energy. After all, success breeds opportunity, and the opportunities to help drive an organization at the top of its game to even greater heights are as uncommon as they are satisfying. It's fast, it's ambitious, it's anchored in trust. With the chance to move or flex based on new or existing interests and passions. If you want that rare culture of lived values, where "team" truly means something. Where the drive for excellence is balanced with a genuine desire to help and encourage. And where the mark you make will be seen and recognized-we challenge you to dream bigger. To imagine the possibilities. THE IMPACT YOU CAN HAVE This position will report to the HR Compliance Manager. The HR Compliance Specialist will be the subject matter expert and primary point of contact for all I-9, E-Verify and eligibility to...

Job Description Earn up to a $5,000 sign-on bonus! The Delivery Merchandising Specialist is a full-time position responsible for delivering and merchandising Frito-Lay product to various customers. This role will work an average of ~45 hours per week and hours and start times vary by assigned route. This role will typically deliver to 2-4 stores and then merchandise 1-2 stores each day. The delivery aspect of this role includes being responsible for safely operating a truck to transport product to and from specified destinations while complying with Federal Motor Carrier Safety Regulations. Please be aware that most of our locations have runs that require the loading of product cases onto carts for delivery to customer accounts and subsequent loading/unloading of carts onto and off of a truck. Required work hours may be up to the legal limits allowed by the Federal Motor Carrier Safety Administration, and dispatch at various times from late in the evening through early...

Job Description The Full-Time Delivery Specialist position is responsible for safely operating a box truck to transport product to and from specified destinations while complying with Federal Motor Carrier Safety Regulations. These positions will be delivering product on carts from our facilities to the customer and could include the loading and unloading of product from trailers and or box trucks. Most runs will be local with no layovers. Required work hours may be up to the legal limits allowed by the Federal Motor Carrier Safety Administration and may require weekend and/or holiday work. Start times will vary by route. Delivery Specialists are responsible for pre and post trip truck inspections, driver's daily logs, and loading and unloading trucks. Drivers are responsible for delivering product, obtaining signature of receipt, picking up returns and completing logs and other paperwork related to deliveries. This position offers competitive base pay plus incentives such...

This position is a 12 month fixed term full time position with a possible extension supporting the Roche Support Network. You will receive healthcare benefits, PTO, 401k, holidays and sick time. This individual is expected to work 5 days a week and this includes weekend rotations. Territory: Houston, TX and SW US Travel: 50% overnight Job Facts: This is an exciting time to join Roche Support Network! Are you hardworking and a problem solver? Then this is the position for you! As a research-focused healthcare company, Roche discovers, develops and provides innovative diagnostics and therapeutic products and services that deliver significant benefits to patients and healthcare professionals - from early detection and prevention of diseases to diagnostics, treatment and treatment monitoring. We are a successful company that can offer exciting career opportunities. We encourage and support your development in areas of your interest which will prepare you for the next level...

Infectious Disease Specialist works with GenMark's sales organization to increase the adoption rate and optimize usage of the company's products in hospital laboratories. With a strong understanding of clinical microbiology, infectious diseases and antimicrobial stewardship, the Infectious Disease Specialist will collaborate to deliver presentations to different customer audiences including laboratorians, physicians, infection preventionists, pharmacists, clinical nursing staff and other healthcare professionals. The role also entails supporting customers through their implementation process by acting as a consultant on topics related to laboratory adoption, regulatory requirements, result interpretation and clinical management. This is a field based role - the region includes Massachusetts, New York City, Connecticut, Pennsylvania, Rhode Island and Washington DC. You may live anywhere within the region. Your key responsibilities: 30-50% travel with the company's sales...