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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 SummaryUtilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours.<ul> <li>Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members.</li> <li> Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care</li> <li>Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs</li> <li>Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization</li> <li>Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.</li> <li>Typical office working environment with productivity and quality expectations.</li> <li>Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor.</li> <li>Sedentary work involving periods of sitting, talking, listening.</li> <li>Work requires sitting for extended periods, talking on the telephone and typing on the computer. Ability to multitask, prioritize and effectively adapt to a fast paced changing environment.</li> <li>Position requires proficiency with computer skills which includes navigating multiple systems and keyboarding.</li> <li>Effective communication skills, both verbal and written</li> </ul>Required Qualifications - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must have active current and unrestricted RN licensure in state of residence- Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours Preferred Qualifications - 2+ years of clinical experience required in med surg or specialty area - Managed Care experience preferred, especially Utilization Management- Preference for those residing in ET, CT zones EducationAssociates Degree requiredBSN preferredAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$29.10 - $62.32This 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: 06/16/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Utilization Management Nurse Consultant

Your work days are brighter here.At Workday, it all began with a conversation over breakfast. When our founders met at a sunny California diner, they came up with an idea to revolutionize the enterprise software market. And when we began to rise, one thing that really set us apart was our culture. A culture which was driven by our value of putting our people first. And ever since, the happiness, development, and contribution of every Workmate is central to who we are. Our Workmates believe a healthy employee-centric, collaborative culture is the essential mix of ingredients for success in business. That’s why we look after our people, communities and the planet while still being profitable. Feel encouraged to shine, however that manifests: you don’t need to hide who you are. You can feel the energy and the passion, it's what makes us unique. Inspired to make a brighter work day for all and transform with us to the next stage of our growth journey? Bring your brightest version of you and have a brighter work day here.At Workday, we value our candidates’ privacy and data security. Workday will never ask candidates to apply to jobs through websites that are not Workday Careers. Please be aware of sites that may ask for you to input your data in connection with a job posting that appears to be from Workday but is not.In addition, Workday will never ask candidates to pay a recruiting fee, or pay for consulting or coaching services, in order to apply for a job at Workday.About the TeamWorkday’s Consulting teams are driven by a passion for our products and the success of our customers in implementing our best in class cloud solutions. We’re a diverse group of people, with an invaluable mix of experience and backgrounds, located across multiple locations within the region. We are often remote from one another but that doesn’t stop our sense of collaboration, supportiveness, and fun.About the RoleWe are looking for a hardworking, innovative and collaborative Absence / Time Tracking / Scheduling Consultant to join our team. In this role you will ensure the successful implementation of the Workday Absence, Time Tracking and Scheduling solutions with customers through product and implementation expertise. The ideal candidate for this position should have extensive experience implementing or supporting Absence / Time Tracking / Scheduling systems, requirements capturing, configuration, data conversion, and testing. You should be detail oriented, self-motivated, proactive, results-oriented and able to successfully partner with customers and your project team. Be ready to be challenged and have fun!<ul> <li>Master at least two of the following Workday modules: Absence, Time Tracking, Scheduling.</li> <li>Perform the following on a client engagement: understand client business requirements, configure the Workday solution, demonstrate the configurations through the development of prototype systems, assist the client in testing the Workday solution.</li> <li>Work with the client to help convert legacy data into Workday.</li> <li>Assist the Integration team in helping to configure and test integrations between Workday and third party/custom solutions.</li> <li>Understand Workday’s Implementation Methodology and use it on all client engagements.</li> <li>Ensure the client takes advantage of Workday's proven solutions.</li> <li>Mentor and share product knowledge with other consultants.</li> <li>Help deliver successful project outcomes and lasting client relationships.</li> </ul>About You"Proven mentorship skills, with the ability to foster individual growth and development through effective communication, constructive feedback, and goal setting, are highly valued." "Strong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, are crucial." Basic Qualifications: Senior Absence/Time Tracking/Scheduling Functional Consultant<ul> <li>A minimum of 5 years implementing two of the following solutions: Absence, Time Tracking, Scheduling.</li> <li>Previous consulting experience with a consulting/software company required.</li> <li>Experience implementing Workday or similar applications.</li> </ul>Basic Qualifications: Principal Absence/Time Tracking/Scheduling Functional Consultant<ul> <li>A minimum of 10 years implementing two of the following solutions: Absence, Time Tracking, Scheduling.</li> <li>Previous consulting experience with a consulting/software company required.</li> <li>Experience implementing Workday or similar applications.</li> </ul>Other Qualifications<ul> <li>Functional experience - Workday Absence, Time Tracking and/or Scheduling.</li> <li>Excellent verbal, written, and interpersonal communication skills are a must, including active listening and the ability to tailor communication style to diverse audiences.</li> </ul><ul> <li>Strong industry knowledge is essential, including staying abreast of current trends, competitive landscapes, and regulatory environments to contribute to strategic planning, risk management, and identifying new opportunities.</li> <li>Strong influencing skills, including persuasive communication and the ability to drive consensus and effectively collaborate with stakeholders, are crucial.</li> <li>Proven mentorship skills, with the ability to foster individual growth and development through effective communication, constructive feedback, and goal setting, are highly valued.</li> <li>Comprehensive product knowledge, including a thorough understanding of product features, benefits, applications, and market positioning, is essential.</li> <li>Exceptional relationship management skills are crucial, with a focus on building and maintaining strong relationships with clients, partners, and colleagues to foster collaboration, loyalty, and a positive work environment.</li> <li>Proven ability to effectively gather and analyze requirements through various techniques, ensuring project clarity and alignment with stakeholder needs, is critical.</li> <li>Proven project management experience and a passion for customer service.</li> <li>Strong solutions design skills, with the ability to analyze business challenges and develop effective solutions that leverage technology and optimize resources, are highly desired.</li> <li>Expertise in strategic business consulting, including market analysis, financial acumen, and strategic planning, to drive organizational growth and performance, is strongly desired.</li> <li>Excellent task management skills, with a proven ability to prioritize, organize, and execute tasks effectively to enhance workflow and productivity, are essential.</li> <li>Exceptional teamwork skills, including collaboration, communication, and contributing to a positive and productive work environment, are vital.</li> <li>Excellent time management skills, with the ability to prioritize, organize, and effectively manage workload to meet deadlines and enhance productivity, are key to success in this role.</li> <li>Experience deploying multiple implementation projects simultaneously a plus.</li> <li>Bachelor's degree or relevant experience required.</li> <li>Ability to travel up to 30% of the time.</li> </ul> Workday Pay Transparency StatementThe annualized base salary ranges for the primary location and any additional locations are listed below. Workday pay ranges vary based on work location. As a part of the total compensation package, this role may be eligible for the Workday Bonus Plan or a role-specific commission/bonus, as well as annual refresh stock grants. Recruiters can share more detail during the hiring process. Each candidate’s compensation offer will be based on multiple factors including, but not limited to, geography, experience, skills, job duties, and business need, among other things. For more information regarding Workday’s comprehensive benefits, please <a href="https://workdaybenefits.com/us/welcome-to-workday-benefits/prospective-workmates" target="_blank">click here</a>.Primary Location: USA.IL.Chicago Primary Location Base Pay Range: $147,400 USD - $221,100 USD Additional US Location(s) Base Pay Range: $133,300 USD - $236,800 USDIf performed in Colorado, the pay range for this job is $140,400 - $210,500 USD based on min and max pay range for that role if performed in CO.The application deadline for this role is the same as the posting end date stated as below: 06/09/2025 Our Approach to Flexible Work With Flex Work, we’re combining the best of both worlds: in-person time and remote. Our approach enables our teams to deepen connections, maintain a strong community, and do their best work. We know that flexibility can take shape in many ways, so rather than a number of required days in-office each week, we simply spend at least half (50%) of our time each quarter in the office or in the field with our customers, prospects, and partners (depending on role). This means you'll have the freedom to create a flexible schedule that caters to your business, team, and personal needs, while being intentional to make the most of time spent together. Those in our remote "home office" roles also have the opportunity to come together in our offices for important moments that matter.Pursuant to applicable Fair Chance law, Workday will consider for employment qualified applicants with arrest and conviction records.Workday is an Equal Opportunity Employer including individuals with disabilities and protected veterans.Are you being referred to one of our roles? If so, ask your connection at Workday about our Employee Referral process!

Workday

Principal Absence Time Tracking Scheduling Functional Consultant

Work Flexibility: Field-basedThe RSM position holds the responsibility for developing and managing sales operations in the region. This is a field based, customer facing role that leads to ensure account managers have the support and resources to gain or increase acceptance of Inari’s products and technology to our customers. Responsibilities<ul> <li>Contribute regional sales information and recommendations to strategic plans and prepare and complete action plans. This requires planning and strategy not just within the region but nationally, while having consistent communication with senior sales leadership and executive team.</li> <li>Maintain and expand customer base by leading account managers, assisting with problem identification - helping find solutions toward building and maintaining rapport with key customers; as well as identifying new customer opportunities and utilizing resources.</li> <li>Strategically recruit, onboard, and train account managers, to ensure top talent hires and new hire retention.</li> <li>Develop talent of account managers by having open, often, and clear communications, providing coaching and opportunities for mentorship.</li> <li>Create an environment of collaboration, inspiration, and accountability through regular communication with the team, on company performance goals, plan execution, and company vision.</li> <li>Provide regular and ongoing communication with account managers, including providing counseling, and in some situations dealing with ambiguity and the need to deliver difficult messages and/or provide developmental feedback.</li> <li>Responsible for key account, KOL, and faculty development</li> <li>Evaluate new products or enhancements to devices to provide information and feedback to the Product Development and Marketing departments.</li> <li>Work with customers to introduce, promote, and increase the usage of products throughout a customer facility.</li> <li>Assist with the collection and dissemination of information or feedback provided by customers.</li> <li>Represent company at various trade shows or educational meetings and complete all necessary reports.</li> <li>Continuously increase knowledge of new developments within the assigned market as well as company products to perform as a subject matter expert.</li> <li>Develop and disseminate information to internal executives and staff regarding issues related to customer acceptance of company’s technology and products during the pre-sale and evaluation process.</li> <li>Participate in preparing budget, sales plan, quota for territories; analyze variances; initiate corrective actions.</li> </ul> Qualifications<ul> <li>The strongly preferred candidate resides in the territory area.</li> <li>Minimum of 6 years of experience in medical device sales.</li> <li>Bachelor’s degree in business, marketing, or related field.</li> <li>Preferred leadership experience or demonstration of leadership in current role.</li> <li>Preferable, previous experience and/or knowledge with recruiting processes, e.g., situational-based interview techniques, clearly outlining job expectations, and ensuring successful onboarding and training interactions.</li> </ul> Inari Medical offers competitive health and wealth benefits for our employees. The base pay range for this position is $150,000. A range of factors, including location, skills, and experience, will be considered. Actual compensation may vary. #LI-REMOTETravel Percentage: NoneStryker Corporation is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, ethnicity, color, religion, sex, gender identity, sexual orientation, national origin, disability, or protected veteran status. Stryker is an EO employer – M/F/Veteran/Disability.Stryker Corporation will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information.Stryker is driven to work together with our customers to make healthcare better. Employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required, depending on customer requirements, to obtain the COVID-19 vaccination as an essential function of their role.

Stryker

Regional Sales Manager - Virginia/DC/Maryland - Inari Medical

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 Network Relations Sr Analyst supports our Medicaid Provider Experience programs to maintain provider risk management and positive relationships supporting high value initiative activities with our Provider network. The Network Relations Sr Analyst will assist in driving coordination of internal and external solutions to achieve Best-in-Class provider satisfaction, affordability and quality improvements as set by each Medicaid Health Plan.<ul> <li>Deploy and support the Medicaid Provider Engagement program including onsite meetings at Aetna offices as required</li> <li>Reviews, learns and participates with operations teams regarding policy and procedures related to claims/providers.</li> <li>Assist with the monitoring of executed provider contracts to ensure Network Access meets State requirements</li> <li>Coordinates provider information with Provider Data Services including Member Services and other internal departments as requested as Provider Demographics are updated</li> <li>Supports providers by resolving problems and advising providers of new protocols, policies, and procedures</li> <li>Deliver training materials for staff and provider network. Participates as need for initial and ongoing provider in-services and provider education. </li> <li>Participates, when requested, in Grievance and Appeals meetings, and/or assists with tracking and trending provider grievances,</li> <li>Assists as requested for responses for all governmental, regulatory and quality assurance provider complaints; timely and continuous reconciliation of provider records; oversees Provider Access and Availability by reviewing Appointment Availability Audits conducted by staff</li> <li>Provides support and maintenance assistance for websites, portals, directories, manuals, and dashboards; plans, coordinates, and conducts provider forums and monthly webinars; develops communications including newsletters</li> <li>Provides assistance and support to other departments, as needed, to obtain crucial or required information from Providers, such as HEDIS, Credentialing, Grievance and Appeals, SIU, etc. Coordinates provider status information with member services and other internal department</li> <li>Promotes and educate providers on cultural competency</li> </ul> Required Qualifications<ul> <li>Minimum of 3 to 5 years’ experience in Provider Relations; experience in Medicaid servicing or managing non-standard relationships with providers with exposure to benefit plan design and/or contract interpretation</li> <li>Excellent interpersonal skills and the ability to work with others at all levels </li> <li>Knowledge of Medicaid Regulatory Standards for Network Access, Credentialing, Claims Processing, Provider Appeals &amp; Disputes and Network Performance Standards</li> <li>Excellent problem-solving skills</li> <li>Strong communication skills</li> <li>Candidates are to reside within applicable state with ability to travel as needed to provider sites and Aetna office locations as required</li> </ul> EducationBachelor’s degree or an equivalent combination of formal education and experienceAnticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$46,988.00 - $122,400.00This 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: 07/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Analyst, Network Relations

Job Description: At Bank of America, we are guided by a common purpose to help make financial lives better through the power of every connection. We do this by driving Responsible Growth and delivering for our clients, teammates, communities and shareholders every day. Being a Great Place to Work is core to how we drive Responsible Growth. This includes our commitment to being a diverse and inclusive workplace, attracting and developing exceptional talent, supporting our teammates’ physical, emotional, and financial wellness, recognizing and rewarding performance, and how we make an impact in the communities we serve. Bank of America is committed to an in-office culture with specific requirements for office-based attendance and which allows for an appropriate level of flexibility for our teammates and businesses based on role-specific considerations. At Bank of America, you can build a successful career with opportunities to learn, grow, and make an impact. Join us! Summary: Global Information Security (GIS) is responsible for protecting bank through Information Security strategy, policy/standards, manages the Information Security program, identifies and addresses vulnerabilities and operates global security operations center that monitor, detects and responds to cybersecurity incidents. Within GIS, Identity and Access Management (IAM) is a security discipline that enables the right individuals to access the right resources at the right times and in the right context. IAM addresses the mission-critical need to ensure appropriate access to the resources across increasingly heterogeneous technology environments, and to meet increasingly rigorous identity requirements. What you can expect in IAM: In today’s highly connected world, managing and securing the identity of users is essential to the safety and success of our workforce. The IAM team works within Global Information Services (GIS) and in close participation with all lines of business (LOB), as well as second and third line of defense partners. This role is highly visible and requires frequent interaction with senior management and key stakeholders. Are you passionate about the latest IT technologies and thrive in a fast-paced international environment? In a typical day, you may work with other team members on the book of work, operational concerns, or risk items. You will help overcome obstacles and maintain good relationships with key stakeholders across the Bank to ensure timely and effective delivery. We offer you the opportunity to collaborate with passionate competent people, experts in their field. We thrive on being challenged and everything we do is anchored in managing risk for the Bank. The IAM Information Security Controls Specialist will analyze, strengthen, and secure the company's related systems and overall security posture for identity and resource lifecycle governance. This role focuses on collaboration across all Lines of Business, CIO teams, to continuously improve the organization's adherence to security best practices, laws/rules/regulations, and policies. The Control Specialist will analyze technology, controls and various other areas to identify inefficiencies and drive designing of improvement opportunities to enable adherence. The role also will actively apply knowledge of laws, rules, regulations, and information security concepts (e.g., NIST, COBIT, ISO) to establish and maintain policies, validate alignment of processes and controls to requirements, and report on adherence to policy requirements. Job expectations include using data analytics and partnering with internal teams to verify policy compliance, identify gaps in coverage, and support remediation activities. Responsibilities: <ul> <li>Primary responsibility includes assisting IAM leads and partners along with other technology SMEs to ensure that strategic and effective solutions are adopted across the bank.</li> <li>Support leads to ensure that all related IAM requirements are appropriately measured, reported, and governed.</li> <li>Establish and maintain strong partnership with other GIS functions, Core Technology Infrastructure, Cyber Security Technology, Third Party management, Global Compliance and Operations Risk, internal audit, and regulatory agencies.</li> <li>Clearly articulate rationale and methods behind proposed changes through informative materials for educating others.</li> <li>Provide education and documentation to team members and technology partners regarding the proposed changes.</li> <li>Engage senior management to provide factual, transparent, and timely reporting on existing and emerging identity and authentication risks.</li> <li>Ensures Information Technology systems meet enterprise standards, adhere to applicable rules, laws, and regulations, and comply with appropriate treatment of risk.</li> </ul> Required Qualifications: <ul> <li>Knowledge and understanding of IAM specific laws, rules, regulations, and Guidelines such as SOX, OCC, NIST, ISO/EC, FFIEC within the financial services sector.</li> <li>Knowledge of identity and authentication methodologies, techniques, and technologies.</li> <li>Knowledge of IAM Governance Administration related tools which support, account vaulting, integration with service management tool.</li> <li>5+ years relevant hands-on experience in identity and authentication fields in a large and complex organization.</li> <li>Security knowledge which covers core technology infrastructure (Account management, servers, databases, etc.) identity management and application security practice.</li> <li>Experience with Linux, Windows, Cloud Identity, Access Management, design and architecture of authentication services or Identity Store.</li> <li>Proficient in articulating facts and data-driven plans and ability to partner with stakeholders to implement intended solutions to drive risk reductions and adherence to relevant Identity and Authentication requirement within IAM standards.</li> <li>Strong attention to detail and advanced analytical skills.</li> <li>Excellent communication and presentation skills.</li> <li>Excellent organizational skills and be able to effectively prioritize multiple tasks.</li> <li>Hands on experience and involvement in large and complex projects.</li> <li>Proficient in data management capabilities with understanding of the collection and management of metadata.</li> <li>Experience with Tableau and SQL would be an advantage.</li> <li>Previous experience with access related management tools like SailPoint, AZURE AD, ForgeRock Identity Platform, Oracle Access Management, and Cloud would be a plus.</li> </ul> This job will be open and accepting applications for a minimum of seven days from the date it was posted. Shift:1st shift (United States of America) Hours Per Week: 40

Bank of America

Identity & Access Management (IAM) Governance & Controls Analyst

<h2>Company Description</h2> SmartRecruiters powers Superhuman Hiring™ by freeing talent acquisition teams from legacy applicant tracking software and equipping them with next-gen AI functionality. SmartRecruiters' platform serves as the hiring operating system for 4,000 customers, including Bosch, LinkedIn, and Visa. Companies with business-critical hiring needs turn to SmartRecruiters for best-of-breed functionality, world-class support, and a robust ecosystem of third-party applications and service providers. We are a values-driven, globally focused tech employer with strong financial backing. By solving the biggest problems, we focus our efforts on what matters most, driving real impact for our organization and customers. For the past three years, we’ve been recognized as a strategic leader in recruitment technology by Fosway Industry Analysts. In 2023 and 2024, we received prestigious awards from Comparably for being a top company for Women, Perks, and Benefits, Work-Life Balance, Happiness, Compensation, Diversity, Culture, and Company Outlook. At our core, we commit and dig deep, embracing challenges with grit, curiosity, and a drive for excellence. We foster a collaborative and inclusive work environment, where trust and determination bring us together - because together, we will win. With competitive salaries, generous equity, and strong internal mobility, we ensure that high performers have meaningful growth opportunities. Our remote-friendly culture is welcoming, respectful, and built to empower every team member to thrive. <h2>Job Description</h2> We are currently looking for a US based Sales Development Representative to join our EMEA Sales Development team located on the West Coast. In this role, you will work with up to three Account Executives to create potential business opportunities for us to sell our products to enterprise level companies. What you’ll deliver: <ul> <li>Take charge of driving our top-of-funnel sales pipeline. You will own discovering, qualifying, and nurturing new business leads using cold calling and email/ social media/ marketing campaigns</li> <li>Engage prospects in meaningful conversations, identify their requirements and effectively communicate the value proposition of our products. Set up appointments for our account executives to further nurture and close deals</li> <li>Seek out leads, map accounts, and build creative/ comprehensive account strategies including but not limited to: Building outreach sequences/messaging, identifying and mapping out personas by implementing multi-touch campaigns using a combination of channels such as email, phone calls, social media and other relevant mediums to maximize prospect engagement and response rates</li> <li>Creative messaging: Develop and execute innovative and engaging messaging strategies to capture the attention of prospects and generate interest in our products</li> <li>Exude passion about learning all there is to know about sales: our industry, our client, our target buyer, to learn the history of the industry, our target buyer, best practices for qualifying prospective clients, and more</li> <li>Become an expert at using lead generation tools (Salesforce, Outreach, ZoomInfo) and LinkedIn Sales Navigator to find contacts and extract lead lists</li> <li>Collaborate to accelerate the sales cycle and be a true partner to our Account Executives so they can close more deals</li> <li>Professionally and powerfully represent the SmartRecruiters mission, brand, and values during every customer interaction</li> <li>Commit to improving every day. As a member of our Sales Development team, you will have access to continued coaching and support as you grow professionally</li> </ul> <h2>Qualifications</h2> <ul> <li>At least 2 years of professional sales experience, in a Business to Business corporate environment, to be able to talk confidently about when and how you have worked with businesses that have over 5000 employees</li> <li>Experience in the SaaS industry</li> <li>Expert-level listening skills, the ability to tell a captivating story, and proven interpersonal, written, and verbal communication skills</li> <li>Able to think on your feet, change direction quickly, and not take rejections personally</li> <li>Confidence and comfort in communicating with Managers, Directors, VPs, and C-level Executives. Broadly speaking, you should have an aptitude for building relationships while overcoming objections</li> <li>Self-disciplined with the ability to prioritize, manage time effectively, thrive in a remote environment, and know when to ask for help</li> <li>Detail-oriented and able to conduct thorough research on potential customers, industry trends, and competitive landscapes using sources such as annual reports, news articles, industry publications, and social media platforms</li> <li>Can receive and immediately implement feedback, with a genuine desire to be better than you were the day before</li> <li>Fluent verbal and written English language skills</li> </ul> <h2>Additional Information</h2> SmartRecruiters is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. your information will be kept confidential according to EEO guidelines. SmartRecruiters strives to offer equitable and engaging compensation to our employees across the globe as we always seek to attract, motivate, and retain the right talent. We utilize a data-driven approach in order to remove biases in our decisions. The pay range for this role in the US is $54,000 - $60,000. Actual compensation packages are based on several factors that are unique to each candidate, including but not limited to skill set, depth of experience, and certifications. The listed pay range reflects the available annual salary budgeted for a new hire into this role. Employee salaries may extend above or below the listed range. Depending on level and location of hire, the role may be determined to be Exempt or Salaried Non-Exempt.

SmartRecruiters

Sales Development Representative

CBRE

Business Intelligence Manager

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.

Clinical Pharmacist - Prior Authorization/Oncology (BCOP Required)

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)

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry’s most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As a Data engineer you will be responsible for data extraction from DP, integration work, CDP data management, enhancing ETL processes, and integrating with the bulk pricing API. The role requires a strong background in data tools like Spark SQL and Databricks, along with API programming and SQL expertise. Experience with Azure DevOps and Infrastructure as Code is also essential. Familiarity with .NET technologies is a bonus, adding value to the integration and development tasks.Job Duties: <ul> <li>Research and develop secure, scalable, and highly available production-grade software through vision, definition, development, deployment, and sustainment stages with varying levels of abstraction.</li> <li>Partner with Product Management to ensure design, engineering and implementation is in accordance with design intention and meets business needs.</li> <li>Author technical design documentation in adherence to business and solution architecture requirements.</li> <li>Work with technology leadership to identify and implement new technologies and techniques that can improve our overall platform performance and ultimate customer experience.</li> <li>Develop, cascade and ensure engineering best practices using modern SDLC that enables CI/CD and favors automation, auditability, automated testing, infrastructure and policy as code.</li> <li>Provide technical support in relational and NoSQL database as well as application business logic code, including developing APIs encapsulating data management, data modeling and schema development</li> </ul>Skills<ul> <li>Proficiency in Spark SQL and Databricks</li> <li>Experience with data extraction, archiving, and management</li> <li>Strong understanding of SQL for data manipulation and management</li> <li>Skills in API programming and Web APIs</li> <li> Experience with Azure DevOps and implementing Infrastructure as Code (IaC) </li> </ul>For this US-based position, the base pay range is $75,504.00 - $134,521.77 per year . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.This job is eligible to participate in our annual bonus plan at a target of 10.00%The healthcare system is always evolving — and it’s up to us to use our shared expertise to find new solutions that can keep up. On our growing team you’ll find the opportunity to constantly learn, collaborate across groups and explore new paths for your career. Our associates are given the chance to contribute, think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care, but that same enthusiasm is applied to giving back to the community and taking care of our team — including offering a <a href="http://go.r1rcm.com/benefits" target="_blank">competitive benefits package.</a>R1 RCM Inc. (“the Company”) is dedicated to the fundamentals of equal employment opportunity. The Company’s employment practices , including those regarding recruitment, hiring, assignment, promotion, compensation, benefits, training, discipline, and termination shall not be based on any person’s age, color, national origin, citizenship status, physical or mental disability, medical condition, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status or any other characteristic protected by federal, state or local law. Furthermore, the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.If you have a disability and require a reasonable accommodation to complete any part of the job application process, please contact us at 312-496-7709 for assistance.CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights <a href="https://f.hubspotusercontent20.net/hubfs/4941928/California%20Consent%20Notice.pdf" target="_blank">California Consent </a>To learn more, visit: <a href="https://R1RCM.com" target="_blank">R1RCM.com</a>Visit us on <a href="https://www.facebook.com/R1RCM" target="_blank">Facebook</a>

163 Jobs in Mechanicsburg, PA, USA