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The Advisory Market Account Implementation Manager, primarily handles complex and large group implementations, providing overall coordination and support to employers and brokers during the onboarding and set-up of customer’s new benefit plans/policies. This includes owning the implementation timeline, gathering required information, ensuring accurate data entry into systems, as well as coordinating with other departments to ensure a smooth transition for the new customer/policy.You will<ul> <li>Attend Finalist meetings when required and facilitate regularly scheduled meetings with the customer, broker, and internal teams throughout the implementation process.</li> <li>Serve as the single point of contact for internal and external partners throughout the implementation process, answer inquiries, resolve issues timely and ensure effective transition to service teams at the end of the implementation.</li> <li>Evaluate the needs of new customers and provide consultative solutions during implementation to ensure details are understood and documented and that the plan administration setup fully meets customer expectations.</li> <li>Develop, communicate, maintain, and manage the detailed implementation project plan, ensuring deadlines and milestone dates are met and hold partners accountable to meet agreed upon dates.</li> <li>Maintain knowledge and awareness of all Guardian group products (Life, Disability, Absence (including State Paid Leave programs), Supplemental Health, Dental, Vision etc.), processes and system capabilities to effectively educate customers and communicate service capabilities.</li> <li>Facilitate the timely gathering of implementation information and enrollment data to ensure the ability to pay claims by the agreed upon effective date and accuracy of the first bill.</li> <li>Effectively collaborate and coordinate with internal and external teams (e.g., Data Exchange team, Ben Admin partners, Enrollment Technology Consultants, Sales and Client Management teams, Case Set-Up team, billing, and enrollment teams etc.) to ensure a successful implementation and that administrative systems and vendor platforms are set up timely and correctly.</li> <li>Use standard methods for own and teamwork, finding ways to enhance processes and improve customer experience.</li> <li>Manage complex implementations and monitor customer satisfaction throughout the implementation process.</li> <li>Mentor and assist with training of team members as needed.</li> <li>Participate in department and strategic initiatives as needed.</li> </ul>You have<ul> <li>3-+ years of experience in the group insurance industry; implementation or client management experience preferred.</li> <li>Experience managing complex implementations for employer groups with 1000+ employees.</li> <li>Knowledge and experience with FMLA and PEO implementations.</li> <li>Knowledge of Benefit Administration platforms and data exchange formats.</li> <li>Project management skills.</li> <li>Excellent written and verbal communication skills.</li> <li>The ability to work independently and make decisions.</li> <li>The aptitude to promote consumer centric decision making and the ability to lead and adopt change.</li> <li>Bachelor’s Degree preferred or equivalent work experience in business, operations, or related field.</li> </ul>Location This is a mobile (remote) position.Salary Range:$57,810.00 - $86,715.00The salary range reflected above is a good faith estimate of base pay for the primary location of the position. The salary for this position ultimately will be determined based on the education, experience, knowledge, and abilities of the successful candidate. In addition to salary, this role may also be eligible for annual, sales, or other incentive compensation.Our PromiseAt Guardian, you’ll have the support and flexibility to achieve your professional and personal goals. Through skill-building, leadership development and philanthropic opportunities, we provide opportunities to build communities and grow your career, surrounded by diverse colleagues with high ethical standards.Inspire Well-BeingAs part of Guardian’s Purpose – to inspire well-being – we are committed to offering contemporary, supportive, flexible, and inclusive benefits and resources to our colleagues. Explore our company benefits at <a href="http://www.guardianlife.com/careers/corporate/benefits" target="_blank">www.guardianlife.com/careers/corporate/benefits</a>. Benefits apply to full-time eligible employees. Interns are not eligible for most Company benefits.Equal Employment OpportunityGuardian is an equal opportunity employer. All qualified applicants will be considered for employment without regard to age, race, color, creed, religion, sex, affectional or sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.AccommodationsGuardian is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. Guardian also provides reasonable accommodations to qualified job applicants (and employees) to accommodate the individual's known limitations related to pregnancy, childbirth, or related medical conditions, unless doing so would create an undue hardship. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact <a href="#">applicant_accommodation@glic.com</a>.Current Guardian Colleagues: Please apply through the internal Jobs Hub in Workday.

Guardian Life

Implementation Manager - Advisory Markets (Group Benefits Insurance)

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview Join our team as a day shift, PRN, Scheduler in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul><li> Thrive: We empower our team with career growth opportunities and resources that support your wellness, education, and financial well-being. </li></ul> <ul><li> People-First: We prioritize your well-being with a supportive, inclusive culture where you are valued and cared for. </li></ul> <ul><li> Make Healthcare Better: We use advanced technology to support our team and enhance patient care. </li></ul> Get to Know Your Team: <ul><li>Oklahoma Heart Institute offers 24/7 catheterization labs, cardiac rehabilitation and a heart failure center. In addition, OHI is involved in over 200 cutting-edge research studies across the vast amount of specialties within the system.</li></ul> Responsibilities Responsible for scheduling a wide variety of diagnostic and therapeutic procedures at numerous locations as dictated by provider, and instructs the patient and/or family with steps of the procedure. Qualifications Job Requirements: <ul><li>High School Diploma or GED</li></ul> Preferred Job Requirements: <ul> <li>Graduation from a business school/college and/or business courses.</li> <li>Prefer one year experience in a medical office or hospital setting.</li> </ul>

Hillcrest Healthcare System

Scheduler

City of Tulsa

SENIOR ENVIRONMENT MONITORING TECHNICIAN

<h2>About the team</h2>The Engagement Data Warehouse team at Zillow is a member of the Analytics Data Engineering organization and works closely with product and analytics teams. Your work will have a direct impact on the design and implementation of data engineering solutions that improve the efforts of our Data Science teams, thus enhancing Zillow's offerings for customers. This dedicated team is vital in supporting Zillow's Growth and Shopping business areas.<h2>About the role</h2>The Senior Software Development Engineer, Big Data role at Zillow presents an outstanding opportunity to be at the forefront of brand-new data engineering work. Your day to day responsibilities will include the following:<ul> <li>Design and implement scalable data pipelines to collect, process, and store large volumes of critical data from various sources.</li> <li>Provide data reliability and uptime by monitoring and troubleshooting data pipeline performance and scalability to ensure efficient operations.</li> <li>You are a “lazy” engineer - continuously seeking to improve the team’s efficiency by automating repeatable processes.</li> <li>Facilitate engineering discussions with collaborators, customers, partners, and team members from various departments to understand business needs and convert them into technical requirements.</li> <li>You are a fast learner with strong business insight and can collaborate with various product partners to quickly acquire a deep understanding of the business processes that feed into our team’s data pipelines</li> <li>Authoritatively translate business use cases into well-thought-out data models that are easy to evolve with the business.</li> <li>Communicate technical concepts effectively to non-technical audiences.</li> <li>You are a bar-raiser for engineering best practices - carefully reviewing specifications, designs, pull requests and providing constructive/helpful feedback to raise the quality of our team’s output</li> <li>Consistently write high-quality code, refactor, and optimize for better scalability, performance, and readability.</li> <li>Provide leadership within the team and mentor junior engineers.</li> </ul>This role has been categorized as a Remote position. “Remote” employees do not have a permanent corporate office workplace and, instead, work from a physical location of their choice, which must be identified to the Company. U.S. employees may live in any of the 50 United States, with limited exceptions.In California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC the standard base pay range for this role is $158,200.00 - $252,800.00 Annually. This base pay range is specific to California, Colorado, Connecticut, Hawaii, Illinois, Maryland, Minnesota, Nevada, New York, Washington state, and Washington DC and may not be applicable to other locations.In addition to a competitive base salary this position is also eligible for equity awards based on factors such as experience, performance and location. Actual amounts will vary depending on experience, performance and location.<h2>Who you are</h2><ul> <li>A degree (BS+) in Computer Science or a related field</li> <li>5+ years of experience building and maintaining data-intensive applications.</li> <li>Experience developing sophisticated data pipelines scaling to billions of rows with production quality deployment, monitoring and reliability</li> <li>Extensive experience with modern data technologies such as Spark and Airflow.</li> <li>Strong proficiency in programming languages such as Python, Java, or Scala.</li> <li>Extensive experience with SQL</li> <li>Proven data modeling experience, translating business requirements into clean and easily evolvable data models.</li> <li>Excellent interpersonal skills and a passion for collaborating across organizational boundaries.</li> </ul>Nice to have:<ul> <li>Experience working with cloud services (AWS/Azure/GCP)</li> <li>Experience with Databricks</li> <li>Understanding of data visualization tools (e.g., Tableau, Power BI).</li> </ul>Here at Zillow - we value the experience and perspective of candidates with non-traditional backgrounds. We encourage you to apply if you have transferable skills or related experiences.<h2>Get to know us</h2>Zillow is reimagining real estate to make home a reality for more and more people.As the most-visited real estate website in the United States, Zillow® and its affiliates help movers find and win their home through digital solutions, first class partners, and easier buying, selling, financing and renting experiences. Millions of people visit Zillow Group sites every month to start their home search, and now they can rely on Zillow to help make it easier to move. The work we do helps people get home and no matter what job you're in, you will play a critical role in making home a reality for more and more people.Our efforts to streamline the real estate transaction are supported by a deep-rooted culture of innovation, our passion to redefine the employee experience, a fundamental commitment to Equity and Belonging, and <a href="https://www.zillow.com/careers/benefits/" target="_blank">world-class benefits</a>. These benefits include comprehensive medical, dental, vision, life, and disability coverages as well as parental leave, family benefits, retirement contributions, and paid time off. We’re also setting the standard for work experiences of the future, where our employees are supported in doing their best work and living a flexible, well-balanced life. But don’t just take our word for it. Read recent reviews on <a href="https://www.glassdoor.com/Overview/Working-at-Zillow-EI_IE40802.11,17.htm" target="_blank">Glassdoor</a> and recent recognition from multiple organizations, including: the 100 Best Companies to Work For, Glassdoor Employees’ Choice Award, Bloomberg Gender-Equality Index, Human Rights Campaign (HRC) Corporate Equity Index, and TIME <a href="http://time.com/100companies" target="_blank">100 Most Influential Companies</a> list.Zillow Group is an equal opportunity employer committed to fostering an inclusive, innovative environment with the best employees. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. If you have a disability or special need that requires accommodation, please contact your recruiter directly.Qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable state and local law.Applicants who receive job offers from Zillow Group will be asked to sign a Proprietary Rights Agreement which includes confidentiality, intellectual property assignment, customer and employee non-solicitation, and non-competition provisions. If you are contacted for a role at Zillow Group and wish to review a copy of the Proprietary Rights Agreement prior to receiving an offer, you may request a copy from your Recruiter.

Zillow

Senior Software Development Engineer, Big Data

<h3 dir="ltr">About Us </h3> FreeWorld is a fully remote, tech-enabled, nonprofit organization in the US that helps individuals affected by the justice system obtain high-income careers to end the cycle of recidivism and generational poverty brought on by our country's mass incarceration problem. Each FreeWorld team member is incredibly passionate about what we do and cares deeply for our program participants (called Free Agents) and our team. All applicants should share our passion for the mission and truly believe that everyone deserves a real second chance! Serious applicants, please read our <a href="https://drive.google.com/file/d/1O2Qoz0Oz2E_uh3cz_hSM96TdivyWCI94/view?usp=drive_link" target="_blank">FreeWorld Culture FAQ</a> and <a href="https://drive.google.com/file/d/1psk8hS7uUQqZ5Y8JI0gYyYduIIJYo8kW/view?usp=drive_link" target="_blank">FreeWorld Core Values</a> before applying. <h3 dir="ltr"> Our Mission ‍ </h3> FreeWorld’s mission is to end generational poverty and recidivism through economic mobility. We do this by: <ul> <li>Placing returning citizens into high-wage careers at scale.</li> <li>Embracing technology and automation to expand our reach.</li> <li>Developing a self-sustaining revenue model to accelerate our growth. </li> <li>Investing in our team and maintaining a culture of honesty, vulnerability, and trust. </li> <li>Creating systemic change by leveraging our deep layers of graduate data in partnership with the Criminal Justice System to become the Gold Standard for re-entry.</li> </ul> <h3 dir="ltr">Job Description</h3> As our first Principal Designer, you’ll lay the foundation for design excellence across our entire product suite—from the mobile app that returning citizens use to launch new lives, to the internal case management tools that support them, to the dashboards that connect us to workforce boards, trucking companies, and educational partners. This role blends individual craft with operational leadership. You’ll be designing key flows yourself while building a scalable design practice that can serve many stakeholders for years to come. We’re especially focused on innovative UX for users with low technical literacy, and we see AI/agentive UX as a key part of the future. <h3 dir="ltr">What you’ll do (Job Responsibilities)</h3> <ul> <li>Design end-to-end product experiences across mobile, web, and dashboard tools</li> <li>Lead user research, usability testing, and participatory design with nontraditional users</li> <li>Build an accessible and maintainable design system from scratch</li> <li>Incorporate genAI/agentive design patterns into our core product UX</li> <li>Create documentation, rituals, and workflows for a future team of designers</li> <li>Collaborate with engineers, PMs, coaches, and end users to prioritize and ship features</li> <li>Advocate for user dignity and simplicity at every stage of the design process</li> <li>Help recruit, onboard, and mentor future design teammates</li> </ul> <h3 dir="ltr">What you’ll have (Minimum Qualifications) </h3> <ul> <li>6+ years experience in UX or product design, including mobile</li> <li>Portfolio showing intuitive, modern, and inclusive design</li> <li>Demonstrated experience with design systems and accessibility best practices</li> <li>Experience designing for complex or multi-sided products</li> <li>Passion for AI-native design thinking</li> <li>Empathy for users from marginalized backgrounds</li> </ul> Bonus Points if… (Preferred Qualifications) ‍‍ <ul> <li>Experience working with non-native English speakers or users with low digital literacy</li> <li>Personal connection to the criminal justice system or re-entry</li> <li>Experience in a tech-based nonprofit or public-sector adjacent org</li> <li>Familiarity with ReactNative, Figma Tokens, or prototyping tools (e.g. Framer, ProtoPie)</li> </ul> <h3 dir="ltr">Hiring Process</h3> <ol> <li> Read our <a href="https://drive.google.com/file/d/1O2Qoz0Oz2E_uh3cz_hSM96TdivyWCI94/view?usp=drive_link" target="_blank">FreeWorld Culture FAQ</a> and our <a href="https://drive.google.com/file/d/1psk8hS7uUQqZ5Y8JI0gYyYduIIJYo8kW/view?usp=drive_link" target="_blank">FreeWorld Core Values</a>, and if you still think you are a fit… </li> <li>Submit an application and cover letter. If your qualifications are a match… </li> <li>We have a short introductory call. If we love each other, then…</li> <li>You'll have a call with the CTO to walk through your work history, highlighting your proudest triumphs and the biggest mistakes you've made (i.e. the mistakes that made you).</li> <li>One hour take-home exercise. </li> <li>Three one-hour panel interviews over video, focusing on Design Systems &amp; Operational Excellence, Human-Centered Design &amp; Accessibility, and Cross-Functional Collaboration &amp; Product Thinking.</li> <li>References- we talk to a few of your previous managers to learn more from the folks who knew you best.</li> <li> We agree to terms, and get to work! ‍ </li> </ol> <h3 dir="ltr">Compensation and Benefits</h3> This is a full-time position. Compensation is based on experience, but we are targeting the compensation range provided below. FreeWorld is dedicated to caring for our team. For an up-to-date list of employee benefits, view our <a href="https://drive.google.com/file/d/17hcG72s3iA9DxEytt96n4KorpSxAkc4f/view?usp=drive_link" target="_blank">2025 FreeWorld Benefits</a>. A few key benefits are listed below: <ul> <li>Remote flexibility</li> <li>A supportive, mission-driven culture</li> <li>Medical, dental, vision, and mental health insurance</li> <li>401k and high-yield savings</li> <li>Unlimited PTO, 14+ holidays, and paid parental leave</li> <li>Quarterly wellness stipend &amp; professional development fund</li> </ul>

FreeWorld

Principal Designer

Ready to be a Titan?We are seeking a strategic and results-driven Program Manager to lead critical initiatives within our Product &amp; Technology organization. This high-impact role demands a seasoned executive capable of orchestrating complex, cross-functional programs, driving M&amp;A integration, and ensuring alignment between strategic objectives and operational execution. The ideal candidate will possess a strong business acumen, exceptional leadership skills, and a proven track record of delivering transformative outcomes in a fast-paced environment.What You’ll Do:<ul> <li>Strategic Program Leadership: Spearhead the end-to-end management of strategic programs, including scope definition, objective setting, timeline management, and deliverable execution.</li> <li>Cross-Functional Orchestration: Drive alignment and synergy across product, engineering, design, and other key stakeholder groups to ensure seamless program execution and effective communication.</li> <li>Strategic Planning &amp; Execution: Develop and implement comprehensive program plans, proactively manage dependencies and risks, and ensure adherence to budgetary and resource allocation parameters.</li> <li>M&amp;A Integration &amp; Synergy: Lead the integration of acquired entities into ServiceTitan's product and technology ecosystem, maximizing synergy and ensuring a cohesive operational framework.</li> <li>Outcome-Driven Management: Define and monitor key performance indicators (KPIs) to ensure programs achieve intended business outcomes, with a focus on value realization and return on investment (ROI).</li> <li>Program Management Excellence: Mentor and guide program management personnel, fostering a culture of continuous improvement and operational excellence within the organization. </li> </ul>What You’ll Bring:<ul> <li>Extensive Program Management Expertise: 10-15+ years of progressive experience in managing complex, large-scale programs within a product and technology context.</li> <li>Strategic Business Acumen: Demonstrated ability to translate high-level strategic objectives into actionable execution plans, with a focus on delivering measurable business results.</li> <li>Executive Leadership Skills: Exceptional leadership, communication, and stakeholder management skills, with the ability to influence and drive alignment at all organizational levels.</li> <li>M&amp;A Integration Proficiency: Proven experience in leading M&amp;A integration efforts, including process alignment, cultural integration, and value capture.</li> <li>Financial &amp; Analytical Acuity: Strong financial acumen, including budget management, resource allocation, and ROI analysis, coupled with advanced analytical and problem-solving skills.</li> <li>Technical &amp; Agile Expertise: Deep understanding of software development lifecycles, agile methodologies, and technology concepts</li> </ul>Be Human With Us:Being human isn’t about checking every box on a list. It’s about the experiences we have, people we meet, and the perspectives we share. So, if you have the skills but are hesitant to apply because of your background, apply anyway. We need amazing people like you to help us challenge the conventional and think differently about the problems that we’re solving. We’re in this together. Come be human, with us. What We Offer: When you join our team, you’re not just accepting a job. You’re making a career move. Here’s how we’ll support you in doing some of the most impactful work of your career:<ul> <li>Flextime, recognition, and support for autonomous work: Flexible time off with ample learning and development opportunities to continue growing your career. We offer a comprehensive onboarding program, leadership training for Titans at all levels, and other programs and events. Great work is rewarded through Bonusly, peer-nominated awards, and more.</li> <li>Holistic health and wellness benefits: Company-paid medical, dental, and vision (with 100% employer paid options and 90% coverage for dependents), FSA and HSA, 401k match, and telehealth options including memberships to One Medical.</li> <li>Support for Titans at all stages of life: Parental leave and support, up to $20k in fertility services (i.e. IUI and IVF), surrogacy, and adoption reimbursement, on demand maternity support through Maven Maternity, free breast milk shipping through Maven Milk, pet insurance, legal advisory services, financial planning tools, and more.</li> </ul>At ServiceTitan, we celebrate individuality and uniqueness. We believe that the convergence of fresh perspectives and experiences from all walks of life is what makes our product and culture so great. We strongly encourage people from underrepresented groups to apply. We do not discriminate against employees based on race, color, religion, sex, national origin, gender identity or expression, age, disability, pregnancy (including childbirth, breastfeeding, or related medical condition), genetic information, protected military or veteran status, sexual orientation, or any other characteristic protected by applicable federal, state or local laws.ServiceTitan is committed to fair and equitable compensation for all of our employees. We thoughtfully consider a wide range of factors when determining individual compensation. The expected salary range for this role for candidates residing in the United States is between $124,400 USD - $166,400 USD. Compensation for candidates residing outside the United States will vary by location and the specific salary range will be discussed during the hiring process. Actual compensation for an individual may vary depending on skills, performance over time, qualifications, experience, and location. In addition to the base salary, the total compensation package also includes an annual bonus, equity and a holistic suite of benefits.

ServiceTitan

Lead Program Manager, Special Projects

River Spirit Casino

Sales Group Coordinator - 1054

<h2 id="jobDescriptionHeading"> Job Description </h2> Overview You may be eligible for a sign-on bonus up to $11,000. You may also be eligible for relocation assistance. Join our team as a night shift, full-time, Post-Partum Couplet Care Registered Nurse (RN) in Tulsa, OK. Why Join Us? Thrive in a People-First Environment and Make Healthcare Better <ul> <li> Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being. </li> <li> People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for. </li> <li>Make Healthcare Better: We use advanced technology to support our team and enhance patient care.</li> </ul> Get to Know Your Team: <ul><li>Hillcrest Medical Center is a 656-bed hospital that includes The Alexander Burn Center, The Peggy V. Helmerich Women’s Health Center, Kaiser Rehabilitation Center, the latest technology for the treatment of cancer, and the Oklahoma Heart Institute.</li></ul> Responsibilities <ul> <li>Individuals within this job classification are accountable for assessing, planning, implementing, evaluating and documenting care activities in accordance with HHS standards in order to deliver efficient, effective and quality patient care.</li> <li>The Registered Nurse (RN) must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on the assigned unit.</li> <li>This individual must demonstrate knowledge of the principles of growth and development over the life span, possess the ability to assess data reflective of the patient’s status, interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs.</li> <li>The RN is to plan for the provision of patient care including the development, modification and implementation of the plan of care in accordance with HHS standards in order to deliver efficient, effective and quality patient care as described in the Patient Care policies and procedures.</li> <li>He/she is expected to adhere to and abide by the rules and regulations set forth by the Oklahoma Nursing Practice Act</li> </ul> Qualifications Job Requirements: <ul> <li>Associates Degree in Nursing (ADN)</li> <li>Current OK RN License</li> <li>Basic Life Support (BLS) Certified</li> <li>NRP (must be obtained within 6 months of RN hire or transfer date)</li> <li>Unit-specific certificates</li> </ul>

Registered Nurse / RN Post Partum

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.Position Summary:The Clinical Pharmacist is an operation-based role that conducts criteria based &amp; 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 CVS Caremark supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations, internally support the Prior Auth team and member services department, as well as provide on-call after hours availability for urgent PA request as needed.This position is responsible for assisting front-line colleagues (i.e. Staff Pharmacists, LPN's and Pharmacy Technicians) with oncology process/procedural support by acting as a subject matter expert (SME) and performing any other complex tasks or addressing any escalation cases assigned by leadership. This includes providing on-the-job (OJT) training, answering questions from front-line colleagues, production support, and providing recommendations/solutions to effectively streamline systems and processes. The Pharmacist will be responsible for maintaining the most current oncology therapy knowledge through self-education.Responsibilities:1.) Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval &amp; denial management processes. 2.) Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements. Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations.3.) Responsible for assisting front-line colleagues (i.e. Staff Pharmacists, LPN's and Pharmacy Technicians) with oncology process/procedural support by acting as a subject matter expert (SME) and performing any other complex tasks or addressing any escalation cases assigned by leadership.4.) Assist with standard or client specific oncology review process changes as needed. 5.) Assist with writing Work Instructions when needed.6.) Works collaboratively with internal and external business partners to provide solutions for customers, colleagues, and clients.7.) Provide feedback of trends pertinent to oncology reviews.8.) Maintains professional and technical knowledge of drug and disease states for the Specialty and Non-Specialty Pharmacy programs administered within the Commercial Prior Authorization and Case Review Unit (CRU) line of business.9.) Performs other related projects and duties as assigned, including attending training sessions and development meetings, and providing on-call and after-hours pharmacist availability as needed.This is a remote role, open to qualified candidates within the United States.Essential Functions: 1. Regular and predictable attendance2. Colleague may be required to work mandatory overtime/extended work week when needed3. Colleague may be required to travel when needed4. Comply with departmental, company, state, and federal requirements when processing all information to ensure accuracy of information being provided to internal and external customers.5. Adhere to all policies and procedures6. Attend on going training and development meetingsPhysical Requirements:1. Sits at desk for long periods of time (up to 100%)2. Talking on phone for extended periods of time (up to 100%)3. Computer use for extended periods of time (100%)4. Reading a computer screen (up to 100%)5. Light lifting of less than 10 lbsWork EnvironmentColleague is responsible for maintaining a HIPAA-compliant remote workspace. Must be able to provide a quiet, uninterrupted work environment. Must have a workstation that is not accessible to common traffic and is secure from unintentional access. Must have stable personal high-speed internet and ability to hard-wire into company computer (cannot use wireless internet)Education: BS in Pharmacy or PharmD requiredBoard Certified Oncology Pharmacist (BCOP) requiredActive, unrestricted pharmacist licensure in state of residence requiredRequired Skills &amp; Other Minimum Required Qualifications: <ul> <li>Licensed Registered Pharmacist</li> <li>Board Certified Oncology Pharmacist (BCOP) required</li> <li>2+ years clinical pharmacist experience, inclusive of prior authorization experience</li> <li>Knowledge of Microsoft Office Suite: Excel and Word required; Access, Outlook, PowerPoint, Visio preferable. Keyboard skills essential.</li> <li>Must be able to multitask and utilize multiple system applications simultaneously.</li> <li>Must be able to utilize available resources independently and provide high quality work.</li> <li>Must demonstrate problem solving ability and attention to detail.</li> <li>Ability to adapt and change with workflow and shifting priorities.</li> <li>Ability to work effectively in a team environment and provide mentorship to non-clinical staff on the PA team.</li> <li>Must possess excellent written, verbal, grammar, and listening communication skills.</li> <li>Must be able to effectively communicate with a diverse customer base (internal and external) in a friendly and confident manner.</li> <li>Ability to maintain confidentiality of PHI (Protected Healthcare Information).</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$45.43 - $101.54This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.Great benefits for great peopleWe take pride in our comprehensive and competitive mix of pay and benefits – investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:<ul> <li>Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.</li> <li>No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.</li> <li>Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility.</li> </ul>For more information, visit <a href="https://jobs.cvshealth.com/us/en/benefits" target="_blank">https://jobs.cvshealth.com/us/en/benefits</a>We anticipate the application window for this opening will close on: 05/12/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

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