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CBRE

Transition Coordinator - Remote /  Eastern Time Zone

Overview Are you looking for a rewarding career? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay $135,000.00 - $145,000.00 Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. What's in it for you A full benefits package with choice of affordable PPO or HSA medical plans. Paid time off. Up to $1,000 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan. Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa services, gym memberships, sports, hobbies, pets and more.* Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program. 401(k) with a company match. Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave. And more. Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. **For full-time caregivers meeting certain requirements. Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Don’t just take it from us “I have worked here just shy of a year and it’s the best job I’ve ever had! We have an awesome team and administration is very supportive. I never felt so appreciated.” – Amedisys caregiver Responsibilities You will be responsible for designing, implementing, evaluating, and overseeing learning programs that enhance the skills, knowledge, and competencies of employees and volunteers in conjunction with clinical and operational business leaders. This position plays a pivotal role in shaping the growth and professional development of clinical staff and care center leadership. Strategic Planning: <ul> <li>Partners with the clinical operations leadership team, actively supporting and advancing the company's overall business goals and strategic direction.</li> <li>Works closely with the Business Leadership Team to develop a comprehensive learning and</li> <li>development strategy that aligns with the business unit, overall learning strategy, and company mission and values.</li> <li>Identifies key learning priorities and creates a roadmap for continuous improvement.</li> <li>Provides crucial support to decision-markers in clinical operations by aligning educational initiatives with organizational goals and regulatory requirements.</li> </ul> Program Design and Implementation: <ul> <li>Designs content aligned with strategy.</li> <li>Directs and implements learning content, workshops, and training sessions.</li> <li>Utilizes the e-learning platform effectively to deliver accessible, engaging training content.</li> <li>Ensures that learning programs address both organizational needs and individual employee development plans while adhering to adult learning principles and includes consideration of appropriate content, format, length, and timing.</li> </ul> Staff Development: <ul> <li>Collaborates with departmental managers and stakeholders to assess learning needs across various roles (clinical, administrative, and support staff).</li> <li>Develops targeted training programs to enhance skills, competencies, and overall performance.</li> <li>Fosters a culture of continuous learning and professional growth through innovative blended learning offerings (in-person, virtual, and self-paced training).</li> <li>Assists enterprise leadership in planning, directing, organizing, and facilitating individual and group education across the organization. Aligns training program development and delivery with business needs and goals.</li> <li>Mentors and coaches employees to achieve their defined goals and objectives, utilizing performance assessments and feedback to drive accountability.</li> </ul> Quality and Continuous Improvement: <ul> <li>Monitors the effectiveness of learning programs through continuous feedback, assessments, and performance metrics, making data-driven adjustments to improve program outcomes.</li> <li>Stays informed about industry trends and best practices in learning and development to ensure programs remain relevant and impactful.</li> <li>Communicates program success metrics, feedback, and recommendations to stakeholders.</li> </ul> Compliance and Regulatory Training: <ul> <li>Ensures all staff members receive mandatory training related to business unit regulations, safety, compliance and organizational required learning content and training.</li> <li>Collaborates with relevant departments to maintain compliance with state and federal requirements, as well as the Amedisys Compliance Program and other internal policies and procedures.</li> </ul> Collaboration: <ul> <li>Partners with the People Team to integrate learning initiatives into overall talent management processes.</li> <li>Builds and maintains meaningful relationships with stakeholders to understand its training and educational needs and gain buy-in for strategic plans.</li> <li>Leads and develops a high-performing team, fostering collaboration, accountability, and professional growth to achieve organizational goals.</li> <li>Collaborates with external training providers, educational institutions, and industry associations to supplement internal capabilities.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Required: <ul> <li>Current, unencumbered license to practice as a Registered Nurse.</li> <li>Bachelor's degree in education, business, or a related field.</li> <li>Ten (10+) years of experience in learning and development, preferably in healthcare or home health/hospice settings.</li> <li>Five (5+) years' supervisory experience.</li> <li>Strong understanding of adult learning principles and instructional design.</li> <li>Proficiency in utilizing e-learning platforms and development research tools.</li> <li>Excellent communication, leadership, and collaboration skills.</li> <li>Passion for supporting the growth and well-being of staff.</li> <li>Ability to manage and balance multiple, highly visible projects simultaneously.</li> </ul> Preferred: <ul> <li>Master's degree in education, health or business or related field.</li> <li>Experience working with electronic documentation systems and/or other home health software systems.</li> </ul> Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Amedisys

Sr Director, Clinical Learning & Development - Home Health

Overview Are you looking for a rewarding career as a Payor Contract Manager? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay <ul> <li>$80 - $112K</li> <li>Bonus eligible</li> </ul> Enjoy many perks and benefits <ul> <li>A full benefits package (with affordable health insurance options.)</li> <li>401k with a match.</li> <li>Up to $500 in wellness rewards and up to $1,200 in free healthcare services paid for by Amedisys yearly.</li> <li>Mental health support.</li> <li>Infertility coverage, adoption reimbursement and paid parental leave.</li> <li>Paid time off and paid holidays.</li> <li>And more.</li> </ul> Don't just take it from us "After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous."- Amedisys employee Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities <ul> <li>Responsible for achieving prioritized contracting targets for market.</li> <li>Collaborates with director and payor contracting to achieve regional/market goals and contract targets.</li> <li>Accountable for a service line strategy (e.g., home health, hospice, personal care or ACO), including understanding and informing standard rate logic, language, and business requirements to inform and influence portfolio strategies.</li> <li>Ensures successful execution of projects for the payor contracting team including, but not limited to, payor contracting initiatives that are associated with global contract/coding updates and merger/acquisition activity.</li> <li>Completes contracting efforts associated with addition/termination of locations/markets.</li> <li>Reviews, vets, and prioritizes requests for new contracts.</li> <li>Preps initial due diligence documentation and recommended action plan for regional leadership team/director/senior vice president as required.</li> <li>Conducts market research to proactively identify risks/opportunities to inform market strategies.</li> <li>Maintains relationships with vendors, payors and other third parties in order to enhance strategic relationships.</li> <li>Monitors and maintains database and related contracting information system payor files for accurate and timely claims processing.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications Requirements <ul> <li>Bachelor's degree in business or related field.</li> <li>Five years of experience in managed care contracting and contract-related accountabilities in or around home health, hospice, health plan or large health care system.</li> </ul> Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

Payor Contract Manager - Remote

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.Effectively manages competitive and complex contractual relationships with TPAs and/or business partners in Europe, APAC, Africa and Middle East excluding Americas region in support of international network, medical cost management and overall claim/customer service strategies. Provide concierge level of service to our members via timely provision of required network access and proactive management of network relationships to ensure seamless direct settlement access. Job Responsibilities:<ul> <li>Manage TPA relationship with external vendors and own overall relationship with assigned TPAs in Europe, Africa, Middle East and APAC region.</li> <li>Oversee and manage contractual relationship with assigned TPA(s).</li> <li>Manage Third Party Risk Governance process for your assigned TPA(s).</li> <li>Manage ongoing Aetna compliance review process for your assigned TPA(s).</li> <li>Manage monthly billing / submission of TPA invoices for timely payment</li> <li>Ensure TPA networks are timely reviewed and uploaded on internal Aetna systems.</li> <li>Ensure TPA guides, country guides and other internal materials are timely updated and up to date.</li> <li>Ensuring streamline member experience at each country level. Evaluate network options, network efficacies and optimize network utilization to increase direct billing.</li> <li>End to end ownership of operational issues originating from assigned TPAs and work towards swift resolutions.</li> <li>Effectively negotiates and manages complex, competitive contractual relationships with providers/vendors according to prescribed guidelines in support of global and regional network strategies. Expand International provider network by contracting new direct pay providers and manage overall contracting process.</li> <li>Act as a Subject matter expert to assist internal sales, account management and sales support team on network and TPA questions / inquiries. Support sales as a subject matter expert on external broker / client calls.</li> <li>Oversee and manage any operational issues and queries regarding your assigned TPA(s).</li> <li>Manage day to day provider operations, either direct or through network business partners. Ensures operational efficiency for all network processes and infrastructure through proactive provider education and collaboration with Aetna International Service Operations</li> <li>Executes regional-specific strategies and tactics in response to market expectations</li> <li>Executes client-specific strategies and tactics for key expatriate clients.</li> <li>Responsible for understanding and managing medical cost issues and initiating appropriate action from the provider perspective</li> <li>Key contributor to enhanced provider service solution like provider portal and other digital solution, including development and/or management of process and technical support.</li> <li>Initiate legal reviews as needed; ensure all required reviews completed by appropriate functional areas</li> </ul>Required Qualifications:<ul> <li>Benefits Management/Interacting with Medical Professionals</li> <li>Strong project management skills</li> <li>Prior client facing experience.</li> <li>Managing vendor relationships</li> <li>General Business/Demonstrating Business and Industry Acumen</li> <li>Sales/Managing Competitive Networks</li> </ul>Preferred Qualification:<ul> <li>Leadership/Fostering a Global Perspective</li> <li>Health Insurance understanding / business negotiations</li> <li>Service/Demonstrating Service Discipline</li> </ul>Education<ul><li>Bachelors degree preferred or a combination of professional work experience and education.</li></ul>Pay RangeThe typical pay range for this role is:$67,900.00 - $199,144.00 This 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. This position also includes an award target in the company’s equity award program. 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: 06/21/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

CVSHealth

Senior Network Vendor 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<ul> <li>Reviews and adjudicates complex, sensitive, and/or specialized claims in accordance with plan processing guidelines. </li> <li>Acts as a subject matter expert by providing training, coaching, or responding to complex issues. </li> <li>May handle customer service inquiries and problems.</li> </ul>Additional Responsibilities <ul> <li>Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. </li> <li>Applies medical necessity guidelines, determines coverage, completes eligibility verification, identifies discrepancies, and applies all cost containment. measures to assist in the claim adjudication process.</li> <li>Handles phone and written inquiries related to requests for pre-approval/pre-authorization, reconsiderations, or appeals.</li> <li>Insures all compliance requirements are satisfied and all payments are made against company practices and procedures.</li> <li>Identifies and reports possible claim overpayments, underpayments and any other irregularities.</li> <li>Performs claim rework calculations.</li> <li>Distributes work assignment daily to junior staff.</li> <li>Trains and mentors claim benefit specialists.</li> <li>Makes outbound calls to obtain required information for claim or reconsideration.</li> </ul>Required Qualifications<ul> <li>2+ years medical claim processing experience.</li> <li>Experience in a production environment.</li> <li>Demonstrated ability to handle multiple assignments competently, accurately and efficiently.</li> </ul> Preferred Qualifications<ul> <li>Self funded medical claim processing experience.</li> <li>DG system knowledge.</li> </ul>Education<ul> <li>High School Diploma or GED required.</li> <li>Preferred Associates degree or equivalent work experience.</li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$18.50 - $42.35This 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: 05/23/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Senior Claim Benefit Specialist

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 SummaryCVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program. You would be responsible for ensuring the member is receiving the appropriate care at the appropriate time and at the appropriate location, while adhering to federal and state regulated turn-around times. This includes reviewing written clinical records. Key Responsibilities of the UM Nurse Consultant (Includes but is not limited to)<ul> <li>Reviews services to assure medical necessity, applies clinical expertise to assure appropriate benefit utilization, facilitates safe and efficient discharge planning and works closely with facilities and providers to meet the complex needs of the member.</li> <li>Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities.</li> <li>Develops, implements and supports Health Strategies, tactics, policies and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work.</li> <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>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.</li> <li>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> </ul>Required Qualifications<ul> <li>Registered Nurse (RN) with current unrestricted US licensure required.</li> <li>2+ years clinical practice experience as an RN required.</li> <li>2+ Years Utilization Management experience.</li> <li>Must be willing to travel to the local office as needed if living within approximately 45 minutes/miles.</li> </ul>Preferred Qualifications<ul> <li>Bilingual proficiency in Arabic, Korean, or Spanish preferred.</li> <li>1+ year(s) experience utilizing multiple computer systems and applications including Microsoft Word, Excel, Outlook, and web-based applications.</li> </ul>Education<ul> <li>Associate’s degree in Nursing.</li> <li>BSN preferred.</li> </ul>Anticipated 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: 06/02/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Utilization Management Nurse Consultant

Overview Are you looking for a rewarding career as an RN OASIS and coding specialist? If so, we invite you to join our team at Amedisys, one of the largest and most trusted home health and hospice companies in the U.S. Attractive pay <ul><li>$70,000-$75,000</li></ul> Enjoy many perks and benefits <ul> <li>A full benefits package with choice of affordable PPO or HSA medical plans.</li> <li>Paid time off.</li> <li>Up to $1,300 in free healthcare services paid by Amedisys yearly, when enrolled in an Amedisys HSA medical plan.</li> <li>Up to $500 in wellness rewards for completing activities during the year. Use these rewards to support your wellbeing with spa/massage/salon services, gym memberships, fitness classes, sports, hobbies, pets and more. *</li> <li>Mental health support, including up to five free counseling sessions per year through the Amedisys Employee Assistance program.</li> <li>401(k) with a company match.</li> <li>Family support with infertility treatment coverage*, adoption reimbursement, paid parental and family caregiver leave.</li> <li>And more.</li> </ul> Please note: Benefit eligibility can vary by position depending on shift status. *To participate, you must be enrolled in an Amedisys medical plan. What's in it for you <ul> <li>Community-based care centers with a supportive and inclusive work environment.</li> <li>Better work/life balance and increased flexibility compared to other settings.</li> <li>Job stability and the opportunity to advance with a growing company. </li> <li>The opportunity to make a meaningful impact on the lives of patients and their families providing much needed care where they want to be - in their homes.</li> </ul> Don't just take it from us "After working for Amedisys for almost 5 years I feel that from the CEO on down, there is a culture of sincerely wanting to be a great employer - and it shows. The pay is above average, the benefits are great, and the paid time off is generous." - Amedisys employee Why Amedisys Amedisys is a leading provider of home health, hospice, and high-acuity care, dedicated to helping patients and families navigate the complex healthcare system. With a focus on compassionate, patient-centered care, you would be joining a team of professionals committed to improving the lives of those they serve. Responsibilities <ul> <li>Receives and reviews patient OASIS assessments for assigned care centers.</li> <li>Reviews OASIS patient status items compared to other related patient documentation to verify completeness and accuracy.</li> <li>Assists in evaluating needs of the patient and suggests referrals to other disciplines as indicated by the patient's needs.</li> <li>Identifies need for OASIS/documentation education and communicates group needs to care center leadership and supervisor.</li> <li>Communicates any delays in processing assessments to supervisor and care center.</li> <li>Performs other duties as assigned.</li> </ul> Qualifications <ul> <li>Current unencumbered license to practice as an RN.</li> <li>One year ICD-9 or ICD-10 coding and OASIS experience.</li> <li>HCSD or BCHH-C ICD-10 certification.</li> <li>OASIS (COS-C/HCS-O) certification.</li> </ul> Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience. Amedisys is an equal opportunity employer. All qualified employees and applicants will receive consideration for employment without regard to race, color, religion, sex, age, pregnancy, marital status, national origin, citizenship status, disability, military status, sexual orientation, genetic predisposition or carrier status or any other legally protected characteristic.

OASIS and Coding Specialist

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 SummaryBring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors™ support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable.Position SummaryHealth Concierge is the face of Aetna to provide targeted, personalized service based on a holistic view of the member, benefits, health information, and through engagement. Handles customer service inquiries and problems via telephone, internet, web-chat or written correspondence. Engages, consults and educates members based upon the member’s unique needs, preferences and understanding of Aetna plans, tools and resources to help guide the members along a clear path to care. Utilizes resources to assist customers in understanding components of the Aetna products including claims, accumulators, usage and balances, and cost sharing.<ul> <li>Answers questions and resolves issues as a “single-point-of-contact” based on phone calls, plan sponsors, PSS/ISO, members and providers.</li> <li>Provides customized interaction based on customer preference and individualized needs, creating an emotional connection with our members by understanding and engaging the member to the fullest.</li> <li>Fully understands the member’s needs by building a trusting and caring relationship with the member. Anticipates customer needs.</li> <li>Provides the customer with related information to answer the unasked questions, e.g. additional plan details, benefit plan details, member self-service tools, etc.</li> <li>Uses customer service threshold framework to make financial decisions to resolve member issues.</li> <li>Educates and assists customers on various elements of benefit plan information and available services created to enhance the overall customer service experience with the company (i.e., assistance with member self-service tools, Consultation Opportunities – Simple Steps, Cost of Care Tools, Natural Alternatives Program, etc.).</li> <li>Utilizes all relevant information to effectively influence member engagement.</li> <li>Takes immediate action when confronted with a problem or made aware of a situation.</li> <li>Takes ownership of each customer contact to resolve their issues and connect them with additional services as appropriate.</li> <li>Identifies member needs beyond the initial inquiry by answering the unasked questions.</li> <li>Resolves issues without or with limited management intervention.</li> <li>Provides education to members to support them in managing their health.</li> <li>Responds quickly to meet customer needs and resolve problems while avoiding over-committing.</li> <li>Other activities may include: providing claim status information, benefit coverage interpretations, and explaining plan eligibility.</li> <li>Processes claim referrals, new claim hand-offs, and escalates issues as appropriate through the system for grievances and appeals.</li> <li>Initiates out-reach/welcome calls to ensure constituents expectations are met or exceeded.</li> <li>Identifies trends and any emerging customer service issues and works to develop solutions to address potential problems and/or plan features of interest as an approach to improve understanding of benefit plans and increase post-enrollment member satisfaction.</li> <li>Partners with other departments to deliver client specific presentations.</li> <li>Coordinates efforts both internally and across departments to successfully resolve service issues and develop process improvement intended to enhance the overall delivery of service.</li> <li>Works collaboratively with colleagues to deliver the best customer experience Seeks to understand the customer, including circumstances, problems, expectations and needs.</li> <li>Asks probing questions to identify the underlying customer needs.</li> <li>Appropriately transitions conversations to explore possibilities for extending customer interactions.</li> <li>Guides members to the appropriate health resource Offers alternatives where appropriate.</li> <li>Acts with the best interest of customer in mind and central to all interactions.</li> <li>Collaborates with colleagues and co-workers to deliver a world class customer experience.</li> <li>Serves as SME providing technical assistance when needed on call related issues, products, and/or system applications delivery matters.</li> <li>May participate in preparation and presentation of client specific presentations.</li> <li>May track and trend data.</li> <li>Coaches, trains and assists in the development of call center staff, as required.</li> <li>Participates in and/or leads special projects/initiatives addressing service issues, as necessary.</li> <li>Provides technical or subject matter expertise concerning policies, procedures, and function-related applications/systems tools as needed.</li> <li>Delivers internal quality reviews.</li> <li>Provides appropriate support in third party audits when required.</li> <li>Documents and tracks all contacts, events, and outcomes with clients using appropriate systems and processes.</li> </ul> Required Qualifications<ul> <li>Customer Service experiences in a transaction based environment such as a call center or retail location preferred, demonstrating ability to be empathetic and compassionate.</li> <li>Effective organizational skills and ability to manage multiple tasks.</li> <li>Effective communication skills, both verbal and written</li> <li>Experience working with computers Education High School Diploma </li> </ul>Anticipated Weekly Hours40Time TypeFull timePay RangeThe typical pay range for this role is:$17.00 - $25.65This 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. 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: 05/06/2025Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Health Concierge

At Aspen Dental, we believe in doing just about anything to make our patients smile by going the extra mile. Our practices are committed to treating patients with the compassion and respect they deserve. Together, we’re making dentistry better, allowing more people to access dental care that works with their lives. We value the safety of our patients and employees with our <a href="https://www.aspendental.com/covid-19/safe-smile-promise" target="_blank">Smile Wide and Smile Safe</a> program. Salary: $115000 - $125000 / year Benefits of being part of the AspenOne Team <ul> <li>Career advancement opportunities </li> <li>Paid time off and holidays </li> <li>Health, Vision, and 401(k) savings plan </li> <li>Continuing education opportunities </li> </ul> How You’ll Make a Difference As a Territory Director, you will support practice operations for a group of Aspen Dental-branded practices within a designated territory. You will be responsible for leading the administrative and operations teams within your supported practices and drive a strong culture that will support and help enable all team members to be successful. <ul> <li>Regional travel is required to maintain a consistent presence within practices to help ensure their success </li> <li>Provide training and development support to team members to strengthen service offerings within the practices </li> <li>In partnership with the talent acquisition team and the regional manager, evaluate and communicate staffing needs to enable effective hiring and onboarding experiences for new team members </li> <li>Provide additional support as needed by practice owners </li> </ul> How You’ll Succeed <ul> <li>Ready to be part of a patient-centric team </li> <li>10 years progressive experience managing within a multi-unit retail, restaurant, or service organization </li> <li>Multi-location, retail operations management experience in customer or patient-based industry </li> </ul> <ul> <li>Experience coaching and developing others </li> <li>Excellent verbal and written communication skills and the ability to make decisions independently </li> <li>Knowledge of Microsoft Office business applications </li> <li>Bachelor’s degree </li> </ul> *As this position requires daily travel to assigned offices, you must maintain a valid non-restricted driver’s license and appropriate insurance or the ability to be insured under the employer’s fleet insurance program (for those assigned a Company fleet vehicle). The Company reserves the right to request and review your Motor Vehicle Record at any time, according to state requirements. <a href="https://careers.aspendental.com/us/en/tag-privacy-policy-for-california-employees" target="_blank">View CA Privacy Policy</a>

Aspen Dental Management Inc.

Territory Director

<ul> <li> Job title Field Clinical Specialist - Shockwave - Washington DC - Remote </li> <li> Function <a href="#">MedTech Sales</a> </li> <li> Sub function <a href="#">Clinical Sales – Hospital/Hospital Systems (Commission)</a> </li> <li> Category Analyst, Clinical Sales – Hospital/Hospital Systems (Commission) (P4 – E24) </li> <li> Location <a href="#">Santa Clara</a> / <a href="#">Washington</a> / <a href="#">United States of America</a> </li> <li> Date posted Apr 14 2025 </li> <li> Requisition number R-009700 </li> <li> Work pattern Field-based </li> </ul> <h2>Description</h2> At Johnson &amp; Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at <a href="https://www.jnj.com" target="_blank">https://www.jnj.com</a> Job Function: MedTech SalesJob Sub Function: Clinical Sales – Hospital/Hospital Systems (Commission)Job Category:ProfessionalAll Job Posting Locations:Santa Clara, California, United States of America, US059 DC Washington - 1350 I St NWJob Description: Johnson &amp; Johnson is hiring for a Field Clinical Specialist for Shockwave Medical Inc. located in Washington. DC. This position is fully remote and you must be located n the DC area. At Johnson &amp; Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at <a href="https://www.jnj.com/" target="_blank">https://www.jnj.com/</a>. Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments. Ready to join a team that’s pioneering the development and commercialization of Intravascular Lithotripsy (IVL) to treat complex calcified cardiovascular disease. Our Shockwave Medical portfolio aims to establish a new standard of care for medical device treatment of atherosclerotic cardiovascular disease through its differentiated and proprietary local delivery of sonic pressure waves for the treatment of calcified plaque. Position Overview The Field Clinical Specialist is a visible position that will provide case support to physicians within certain territories. Case support will be done on peripheral and coronary interventional procedures in the pre-market and post-market phases of product development with the Shockwave Medical Intravascular Lithotripsy (IVL) ® technology. The Field Clinical Specialist will also play a critical role in clinical studies including device training, case support and ensuring timely data collection for clinical programs. Case support may be required to support other territories at certain times. Essential Job Functions <ul> <li>Physician and hospital staff training, and procedural case coverage to ensure the safe and effective use of medical devices.</li> <li>Effectively meet the needs of internal and external customers with a sense of urgency and drive.</li> <li>Present clinical study training materials based on investigational plans to support the safe and effective use of medical devices, inclining study protocol, instructions for use, core lab manuals and case report forms.</li> <li>Manage key study investigators; foster and maintain strong relationships through direct interactions with medical advisors and clinical leaders.</li> <li>Partner with other clinical research colleagues to meet business needs in the field including site re-training, data collection for timely database locks and resolution of critical issues.</li> <li>Administrative activities including training to procedures, manage territory travel and budgets.</li> <li>Other duties as assigned.</li> </ul> Qualifications <ul> <li>Minimum Bachelor’s Degree in business, science, nursing or related fields, or equivalent experience.</li> <li>Minimum 2 years’ experience directly supporting interventional or surgical procedures within a hospital setting OR, 1 year of industry, hospital-based life sciences, sales support experience. Cardiovascular industry experience preferred but not required.</li> <li>Working knowledge of clinical research, Good Clinical Practice (GCP) and regulatory compliance guidelines for clinical trials.</li> <li>A history of effective collaboration with regulatory agencies through clinical studies and market releases.</li> <li>Product knowledge including product vigilance and medical device reporting.</li> <li>High attention to detail and accuracy.</li> <li>Computer skills (MS Office products, word processing, spreadsheets, etc.).</li> <li>Finance and budgeting knowledge.</li> <li>Good prioritization and organizational skills.</li> <li>Excellent critical thinking skills.</li> <li>Excellent influencing and negotiation skills.</li> <li>High energy and results-oriented individual who is mature and successful in a business environment and is skilled in motivating and inspiring people.</li> <li>Entrepreneurial “hands-on” experience. Pro-active and “can do” attitude.</li> <li>Ability to consider and accept feedback and suggestions for continuous improvement.</li> <li>Works effectively on cross-functional teams. Demonstrated willingness to make decisions and to take responsibility for such.</li> <li>Effective written, verbal and presentation skills with all levels of customers and management.</li> <li>Ability to work in a fast-paced environment while managing multiple priorities</li> <li>Operate as a team and/or independently while demonstrating flexibility to changing requirements.</li> <li>There may be continuous sitting for prolonged periods (more than 2 consecutive hours in an 8 hour day)</li> <li>Significant travel &gt;50% of time requiring the employee to be effective in a remote manner.</li> <li>Employee may be required to lift objects up to 40lbs or more. Employees will be required to work in an air conditioned office space and possibly perform some tasks in our non-temperature controlled warehouse space.</li> </ul> Pay Transparency: Additional Information: <ul> <li>The base pay range for this position is $100,000.</li> <li>The Company maintains a highly competitive sales incentive compensation program. Under current guidelines, this position is eligible for participation in this program in accordance with the terms of the applicable plan.</li> <li>This position is eligible for a car allowance through the Company’s Fleet program</li> <li>Employees and/or eligible dependents may be eligible to participate in the following Company sponsored employee benefit programs: medical, dental, vision, life insurance, short- and long-term disability, business accident insurance, and group legal insurance. </li> </ul> <ul><li>Employees may be eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). </li></ul> <ul><li> Employees are eligible for the following time off benefits: <ul> <li>Vacation – up to 120 hours per calendar year</li> <li>Sick time - up to 40 hours per calendar year; for employees who reside in the State of Washington – up to 56 hours per calendar year </li> <li>Holiday pay, including Floating Holidays – up to 13 days per calendar year</li> <li>Work, Personal and Family Time - up to 40 hours per calendar year </li> </ul> </li></ul> <ul><li>Additional information can be found through the link below. <a href="https://www.careers.jnj.com/employee-benefits" target="_blank">https://www.careers.jnj.com/employee-benefits</a></li></ul> The compensation and benefits information set forth in this posting applies to candidates hired in the United States. Candidates hired outside the United States will be eligible for compensation and benefits in accordance with their local market. Johnson &amp; Johnson is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, or protected veteran status and will not be discriminated against on the basis of disability. For more information on how we support the whole health of our employees throughout their wellness, career and life journey, please visit <a href="http://www.careers.jnj.com" target="_blank">www.careers.jnj.com</a>.

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