11 Healthcare Support Staff jobs in Lithonia

RESPONSIBLE FOR:

The staff nurse provides nursing care to patients from birth through the lifecycle utilizing nursing processes to assess, plan, implement, and evaluate the care for patients. He/she functions within the framework of the policies and procedures of the organization and demonstrates professional growth and accountability. The staff nurse is responsible for maintaining standards of practice, coordinating patient care activities of all assigned staff in the provision of quality nursing care.

MINIMUM EDUCATION REQUIRED:

Graduate of a nursing program

MINIMUM EXPERIENCE REQUIRED:

New Graduates of a nursing program eligible

MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:

Current License in the State of Georgia as a Registered Nurse or NLC/eNLC Multistate License. BLS certification required.

ADDITIONAL QUALIFICATIONS:

Advanced certification in field of specialty, if applicable. Bachelor's degree preferred. Nursing Experience in Hospital Setting Preferred.

**XR Regional Clinical Sales Support Specialist - req1516**
**OVERVIEW**
The Clinical Sales Support Specialist (CSSS) role will report into the XR BU and will be a clinical and solution subject matter expert to support the sales of XR Imaging Modality Solutions within CMSU. They will strategically plan product demonstrations and solution consulting based on the information provided to them by their Business Unit, CMSC, and input from field sales and modality specialists. This information will be used to deliver effective demonstrations both virtually and in person at Canon customer Regional and National Show Site Visits with the objective of closing sales opportunities. Assist sales teams in presenting the clinical/technical and competitive advantages of the product being promoted and to address clinical/technical questions raised by attending healthcare professionals. Involved directly in the development and maintenance of the existing customer reference sites and the Key Account list. As subject matter experts to provide direct and continuing âœhands on❠product training to the Sales Team and Applications Team as necessary.
**RESPONSIBILITIES**
This is a remote field based position. The qualified candidate will need to reside in the USA.
SALES & SALES SUPPORT
+ Support modality sales opportunities to drive competitive modality differentiation.
+ Provide customer consultation on the clinical & technical aspects of the Canon Solution.
+ Participate in applications and sales meetings, training and seminars.
+ Work with sales team to create strategic approach plan for product demonstration events and demonstrate the product for potential customers as outlined by the sales strategy.
+ SITE VISITS & KEY ACCOUNTS
+ Responsible for maintaining National and Regional show sites/key accounts and customer relationships to ensure ongoing and positive references.
+ Work collaboratively with host site in developing and training technologist in how to host a potential customer the Canon way, follow up with those sites on quarterly basis, observe their workflow to fill in training gaps, and to keep the clinical/sales touch current.
+ Provide clinical advice to improve utilization of the system and ancillary equipment in an effort to improve the customer's business.
+ Work with National and Regional Show Sites to ensure the Canon product and images will be presented optimally during the demonstration process.
+ Work with Show Site staff to ensure site readiness for customer visit.
+ Keep the show site customers up to date on current product and marketing positioning.
+ Interface with service to address any issues as it relates to show sites.
+ The show/demo sites are a reference list for potential customers (site/physicians/staff) to call for a Reference/expert opinion, engage with the RBM team to keep the Master Reference list and demo site profile literature current.
+ TRADE SHOW SUPPORT
+ Participate at Trade Shows as booth staffing, virtually and/or in person, as demo specialist and subject matter experts for sales support, as required.
+ Supplement the Applications team covering booth assignments.
+ KEY PRODUCT PRESENTATIONS
+ Represent CMSU as the clinical expert solutions expert at customer sales meetings to ensure healthcare professionals questions are answered satisfactorily.
+ Product overview presentations and image review at the specific request of field sales organization.
+ TRAINING / INTERNAL TRAINING / MEETINGS
+ Participate in RBM, BU, applications and sales meetings, training and seminars.
+ Maintain industry and product knowledge to be able to address competitive issues as it relates to the customer site visits, marketing, product demonstration and sales process.
**QUALIFICATIONS**
+ Previous CMSU or industry sales/applications experience desirable.
+ Commercial experience in healthcare informatics and advanced visualization technologies desirable.
+ Excellent verbal and written communication skills.
+ Excellent Platform/Presentation skills.
+ Previous applications experience a plus.
+ Computer proficiencies required, Microsoft Office, DICOM Viewers, email.
+ Based on Modality Supported: (XR) ARRT RT(R)
+ Must maintain active motor vehicle/driverâs license from the state where the specialist resides.
+ 2 Year Associate's Degree Radiology technology or diagnostic/digital imaging or equivalent.
+ 5 years Clinical experience at a hospital or imaging center.
+ Commercial experience in healthcare informatics and advanced visualization technologies.
+ Previous CMSU or industry sales/applications experience.
+ Pay Information: Min. $97,900 base to max $157,500 plus performance incentive with upside potential.
**_About us!_**
_Canon Medical Systems USA, Inc., a world leader in diagnostic imaging, is in search of qualified candidates to fill our open positions. Canon Medical Systems offers a competitive salary and benefits package, we support a diverse workplace and are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, sexual orientation, gender identity, religion, national origin, protected veteran status, or on the basis of disability. We invite you to join and become part of our Canon family._

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**_What Individualized Care contributes to Cardinal Health_**
Delivering an exclusive model that fully integrates direct drug distribution to site-of-care with non-commercial pharmacy services, patient access support, and financial programs, Sonexus Health, a subsidiary of Cardinal Health, helps specialty pharmaceutical manufacturers have a greater connection to the customer experience and better control of product success. Personalized service and creative solutions executed through a flexible technology platform means providers are more confident in prescribing drugs, patients can more quickly obtain and complete therapy, and manufacturers can directly access more actionable insight than ever before. With all services centralized in our custom-designed facility outside of Dallas, Texas, Sonexus Health helps manufacturers rethink how far their products can go.
**_What is expected of you and others at this level_**
+ Effectively applies knowledge of job and company policies and procedures to complete a variety of assignments
+ In-depth knowledge in technical or specialty area
+ Applies advanced skills to resolve complex problems independently
+ May modify process to resolve situations
+ Works independently within established procedures; may receive general guidance on new assignments
+ May provide general guidance or technical assistance to less experienced team members
**Responsibilities**
+ Must demonstrate a superior willingness to help external and internal customers
+ First point of contact on inbound calls, and determines needs, and handles accordingly
+ Creates and completes accurate applications for enrollment with a sense of urgency
+ Scrutinizes forms and supporting documentation thoroughly for any missing information or new information to be added to the database
+ Conducts outbound correspondence when necessary to help support the needs of the patient and/or program
+ Conducts benefits investigations to identify patients' insurance plan coverage for medications, procedures, and travel and lodging
+ Provides detailed activity notes as to what appropriate action is needed for the Benefit Investigation processing
+ Assist with coordination of travel and lodging associated with patient therapy
+ Working alongside teammates to best support the needs of the patient population or transfer caller to appropriate team member (when applicable)
+ Resolve patient's questions and any representative for the patient's concerns regarding status of their request for assistance
+ Update internal treatment plan statuses and external pharmacy treatment statuses
+ Maintain accurate and detailed notations for every interaction using the appropriate database for the inquiry
+ Make all outbound calls to patient and/or provider to discuss any missing information and/or benefit related information
+ Notify patients, physicians, practitioners, and/or clinics of any financial responsibility of services provided as applicable
+ Responsible for placing all outbound calls to ensure the process is complete
+ Assess patient's financial ability to afford therapy and provide hand on guidance to appropriate financial assistance
+ Must follow through on all benefit investigation rejections, including Prior Authorizations, Appeals, etc. All avenues to obtain coverage for the product must be fully exhausted
+ Documentation must be clear and accurate and stored in the appropriate sections of the database
+ Must track any payer/plan issues and report any changes, updates, or trends to management
+ Ability to search insurance options and explain various programs to the patient while helping them to select the best coverage option for their situation
+ Handle all escalations and ensure proper communication of the resolution within required timeframe agreed upon by the client
+ Responsible for reporting any payer issues to the appropriate team
+ Must self-audit activities to ensure accuracy and efficiency for the program
**_Qualifications_**
+ Previous customer service experience, preferred
+ High School diploma or equivalent, preferred
+ Demonstrated high level customer service
+ Experience conducting and documenting patient health insurance benefit investigations, prior authorizations, and appeals, preferred
+ Cell/Gene therapy and/or Oncology experience, preferred
+ Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred
+ Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred
+ Knowledge of ICD9/ICD10 coding is preferred
+ Critical and creative thinking, preferred
+ Important to have a strong attention to detail
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CST, mandatory on camera attendance is required.
This position is full-time (40 hours/week). Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 8:00am- 6:00pm CST.
**REMOTE DETAILS:** You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.
+ Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated hourly range:** $21.50 per hour - $30.65 per hour
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with myFlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 10/17/2025 *if interested in opportunity, please submit application as soon as possible. The hourly range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (

Bring more to life.
Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology?
At Radiometer, one of Danaher's ( 15+ operating companies, our work saves lives-and we're all united by a shared commitment to innovate for tangible impact.
You'll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher's system of continuous improvement, you help turn ideas into impact - innovating at the speed of life.
In our line of work, life isn't a given - it's the ultimate goal. When life takes an unexpected turn, our technology and solutions enable caregivers to make informed diagnostic decisions to improve patient care. This is our shared purpose at Radiometer and what unites all +4000 of us - no matter our roles or where in the world we're located.
Radiometer is proud to work alongside a community of six fellow Diagnostics Companies at Danaher. Together, we're working at the pace of change to improve patient lives with diagnostic tools that address the world's biggest health challenges. At Radiometer, our vision is to improve global healthcare with reliable, fast, and easy patient diagnoses.
Join a team where you can be heard, be supported, and always be yourself. We're building a culture that celebrates backgrounds, experiences, and perspectives of all our associates. Look again and you'll see we are invested in you, providing the opportunity to build a meaningful career, be creative, and try new things with the support you need to be successful.
Learn about the Danaher Business System ( which makes everything possible.
The Product Marketing Manager, Clinical Decision Support, is responsible for leading our marketing efforts for Radiometer's Clinical Decision Support (CDS) portfolio. This individual will be responsible for developing and executing marketing strategies that grow revenue, generate leads, and support commercial teams with compelling tools and messaging.
This position reports to the Director, Marketing and is part of the Marketing Team and will be fully remote.
In this role, you will have the opportunity to:
+ Lead product marketing strategy, drive product awareness, and generate leads through integrated marketing campaigns
+ Develop clinical value messaging, create tailored content for clinical personas, and build tools to support sales execution
+ Collaborate with Product Management, Sales, and Clinical teams to align strategy and priorities
The essential requirements of the job include:
+ Bachelor's degree in biology, Chemistry, Biomedical Engineering, or related scientific field
+ Minimum 5 years of experience in the healthcare industry, which includes experience marketing or selling healthcare software or clinical decision support tools and creating customer facing materials and enabling sales teams, as well as a proven track record of lead generation, content development, and digital campaign success
+ Demonstrated understanding of healthcare software solutions and buying process, as well as the ability to translate clinical insights into impactful messaging
+ Proficient in digital marketing tools, such as HubSpot, Marketo, LinkedIn Ads, or similar platforms, as well as MS Office / MS 365 (especially PowerPoint, Excel), and familiarity with CRM tools (e.g. Microsoft Dynamics, Salesforce, etc.)
+ Primarily language English
Travel, Motor Vehicle Record & Physical/Environment Requirements: if applicable for role
+ Approximately 30% travel, including some international
+ Additional languages beyond English
It would be a plus if you also possess previous experience in:
+ Familiarity with ICU, ED, or Laboratory clinical environments
Radiometer, a Danaher operating company, offers a broad array of comprehensive, competitive benefit programs that add value to our lives. Whether it's a health care program or paid time off, our programs contribute to life beyond the job. Check out our benefits at Danaher Benefits Info ( .
At Radiometer we believe in designing a better, more sustainable workforce. We recognize the benefits of flexible, remote working arrangements for eligible roles and are committed to providing enriching careers, no matter the work arrangement. This position is eligible for a remote work arrangement in which you can work remotely from your home. Additional information about this remote work arrangement will be provided by your interview team. Explore the flexibility and challenge that working for Radiometer can provide.
The salary range for this role is $115,000 - $125,000. This is the range that we in good faith believe is the range of possible compensation for this role at the time of this posting. This range may be modified in the future. This job is also eligible for bonus/incentive pay.
We offer comprehensive package of benefits including paid time off, medical/dental/vision insurance and 401(k) to eligible employees.
Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.
Join our winning team today. Together, we'll accelerate the real-life impact of tomorrow's science and technology. We partner with customers across the globe to help them solve their most complex challenges, architecting solutions that bring the power of science to life.
For more information, visit .
Danaher Corporation and all Danaher Companies are committed to equal opportunity regardless of race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender identity, or other characteristics protected by law.
The U.S. EEO posters are available here ( .
We comply with federal and state disability laws and make reasonable accommodations for applicants and employees with disabilities. 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:1- or .

Description & Requirements

Maximus is seeking a part-time Clinical Recovery Support Specialist (RN ) to support our Montana Recovery Program (MTRP). In this role, you will be a key member of the clinical team, responsible for conducting check-in calls with participants, reviewing lab results and medications, and assisting participants in finding treatment options in Montana. You will also connect participants with resources and support groups. You will serve as the point of contact for the board, providing status updates on participants when requested, and offering crisis management support when necessary.

Strong knowledge of mental health, behavioral health, and substance use disorders is essential for success in this role. If you have this expertise, we encourage you to apply!

* This is a part-time remote position, requiring 24 hours per week, scheduled on Tuesday, Wednesday, Thursday, and Friday.

About the Program :

The Montana Recovery Program (MTRP) is a monitoring program contracted with the Montana Department of Labor and Industry. We support the healthcare professionals afflicted with substance use disorder, mental health, and/or chronic physical illness to return to safe professional practice. We work with the State Boards of Medical Examiners, Pharmacy, Dentistry and Nursing.

Why Maximus?

- Work/Life Balance Support - Flexibility tailored to your needs!

- • Competitive Compensation - Bonuses based on performance included!

- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).

- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.

- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.

- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.

- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.

- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.

Essential Duties and Responsibilities:
- Manages participants through their period of participation in the Program by monitoring overall program compliance, oversight of recovery activities, recommendations for treatment, and liaison with the Board.

- Conducts remote, telephonic assessment and reassessments of healthcare professional licensees to evaluate their status, overall compliance with program requirements, and progress in recovery.

- Contacts the participant, the appropriate Board/Committee (or their designee) or treatment providers, facilities and labs in response to participant non-compliance with the Program Agreement.

- Meets with applicant/participant telephonically weekly until seen by Review Committee, and monthly thereafter, to review compliance and progress in recovery.

- Responds to incoming calls on the toll-free line, as needed, and after-hour, weekend, and holiday calls on a rotating basis with other Program staff.

- Evaluates incoming information submitted by treatment providers, facilities, participants, and labs to monitor participant's progress and compliance with the Program Agreement.

- Reviews data in the History and Profile (H&P) reports to ensure accuracy prior to submission to Program Managers (PMs).

- Works on issues where analysis of situation and of data requires review of relevant factors: Exercises judgment within defined procedures and policies to determine appropriate action.

- Engages in quality assurance monitoring and evaluation for the Program, as necessary.

Minimum Requirements

- Bachelor's degree from an accredited college or university in Business, Behavioral Science, or related field strongly preferred.
- Clinical licensure requirements are based on program contract requirements and are outlined in job posting

- Associate's degree

- Minimum of 1 to 3 years of experience in a behavioral health care setting focused on chemical dependency, recovery, and/or mental health.

- Minimum 3 years of experience and a strong level of comfort working in substance abuse and/or mental health treatment settings.

- Must have computer literacy, including a strong working knowledge of Word and Excel.

- Excellent organizational, interpersonal, written, and verbal communication skills.

- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.

- Ability to successfully execute many complex tasks simultaneously.

- Ability to work as a team member, as well as independently.

Preferred Requirements

- Montana Resident

- Prior case management

- Prior experience with conducting telephonic intakes

Home Office Requirements

-Maximus provides company-issued computer equipment

-Reliable high-speed internet service

-Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity

-Minimum 5 Mpbs upload speeds

-Private and secure workspace

EEO Statement

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Pay Transparency

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Minimum Salary

$

25.00

Maximum Salary

$

32.00

You are welcome to apply if interested! You will be asked to create an account, which takes less than one minute and requires only a username and password. The entire application takes no more than 5-7 minutes to complete.
IQVIA takes the approach to helping customers drive healthcare forward in this challenging, fast-paced environment. We help customers accelerate results, improve patient outcomes, and unleash new opportunities.
**Responsibilities:**
The **Care Guide** role will allow you to utilize your customer service experience to support our customers' sponsorship of a clinical trial. Qualified customer service professionals will be responsible for providing proactive phone, email, and chat support to clinical trial participants and clinical trial site staff to increase engagement. While there will be some inbound call management, a large part of the role will be focused on remote outbound calls. A part-time shift is currently available. Depending on your current schedule, this type of role can work in conjunction with your current position. Additionally, you will receive exposure to the medical device industry with the potential for long-term career growth in the field. This remote position will require access to the internet and the availability to work non-business hours.
+ Answer inbound calls from participants and provide basic customer service or technical support.
+ Be a liaison on additional support required between end users and representatives from a medical device manufacturer.
+ Be available during non-business hours.
+ Availability to work M-F (4:00 pm - 8:00pm EST) with specific shifts being Monday and Wednesday. Must be willing to pick up other weekdays or a weekend shift if needed
**Job Requirements:**
+ High school degree or GED with 3+ years of patient interaction experience OR a 4 yr. degree from an accredited college with 1+ year of patient interaction experience
+ Very strong interpersonal skills, including excellent customer service skills and phone demeanor
+ Must be organized and provide best document practices.
+ Experience working with sensitive patient populations, i.e., schizophrenia.
**Strong consideration will also be given to the candidates that meet the following profile**
+ Ability to work effectively and document actively in Zendesk platform.
+ Adherence to program SLA and training
+ Ability to maintain professionalism and guide participants through the required processes.
+ Work both independently and collaboratively with internal and external customers.
+ Strong communication skills both written and verbal are highly preferred.
+ Good clinical practice training preferred.
+ Experience working with people diagnosed with schizophrenia OR other mental illness is a plus.
+ Clinical trial experience of at least 3-5 yrs. is a plus+ Experience in the medical industry device industry (education or customer support) is a plusYou will have a flexible schedule, an opportunity to gain experience and expand into new opportunities while earning supplemental income and learning the medical device industry.
IQVIA is a leading global provider of advanced analytics, technology solutions and clinical research services to the life sciences industry. We believe in pushing the boundaries of human science and data science to make the biggest impact possible to help our customers create a healthier world.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $28 - $30 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
EEO Minorities/Females/Protected Veterans/Disabled

Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start **Caring. Connecting. Growing together.**
Clinical Advocacy & Support has an unrelenting focus on the customer journey and ensuring we exceed expectations as we deliver clinical coverage and medical claims reviews. Our role is to empower providers and members with the tools and information needed to improve health outcomes, reduce variation in care, deliver seamless experience, and manage health care costs.
The Medical Director provides physician support to Enterprise Clinical Services operations, the organization responsible for the initial clinical review of service requests for Enterprise Clinical Services. The Medical Director collaborates with Enterprise Clinical Services leadership and staff to establish, implement, support, and maintain clinical and operational processes related to benefit coverage determinations, quality improvement and cost effectiveness of service for members. The Medical Director's activities primarily focus on the application of clinical knowledge in various utilization management activities with a focus on pre-service benefit and coverage determination or medical necessity (according to the benefit package), and on communication regarding this process with both network and non-network physicians, as well as other Enterprise Clinical Services.
The Medical Director collaborates with a multidisciplinary team and is actively involved in the management of medical benefits for all lines of business. The collaboration often involves the member's primary care provider or specialist physician. It is the primary responsibility of the medical director to ensure that the appropriate and most cost-effective quality medical care is provided to members.
You'll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges.
**Primary Responsibilities:**
+ Conduct coverage reviews based on individual member plan benefits and national and proprietary coverage review policies, render coverage determinations
+ Document clinical review findings, actions, and outcomes in accordance with policies, and regulatory and accreditation requirements
+ Engage with requesting providers as needed in peer-to-peer discussions
+ Be knowledgeable in interpreting existing benefit language and policies in the process of clinical coverage reviews
+ Participate in daily clinical rounds as requested
+ Communicate and collaborate with network and non-network providers in pursuit of accurate and timely benefit determinations for plan participants while educating providers on benefit plans and medical policy
+ Communicate and collaborate with other internal partners
+ Call coverage rotation
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
**Required Qualifications:**
+ M.D or D.O.
+ Active unrestricted license to practice medicine
+ Board certification in an ABMS specialty
+ 5+ years of clinical practice experience after completing residency training
+ Sound understanding of Evidence Based Medicine (EBM)
+ Proven solid PC skills, specifically using MS Word, Outlook, and Excel
+ Ability to participate in call coverage rotation
**Preferred Qualifications:**
+ Licensed in AZ, CA, MN, TX, KY, MD or HI
+ Board certified in family medicine or internal medicine
+ Experience in utilization and clinical coverage review
+ Proven excellent oral, written, and interpersonal communication skills, facilitation skills
+ Proven data analysis and interpretation aptitude
+ Proven innovative problem-solving skills
+ Proven excellent presentation skills for both clinical and non-clinical audiences
*All employees working remotely will be required to adhere to UnitedHealth Group's Telecommuter Policy.
Compensation for this specialty generally ranges from $238,000 to $357,500. Total cash compensation includes base pay and bonus and is based on several factors including but not limited to local labor markets, education, work experience and may increase over time based on productivity and performance in the role. We comply with all minimum wage laws as applicable. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
**Application Deadline:** This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission._
_UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations._
_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

**Patient Support Medical Claims Processing Representative**
_Contract Remote Role - Location (Open to Remote US)_
As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get their therapies to the people who need them. We help customers gain insight and access to their markets and ultimately demonstrate their product's value to payers, physicians, and patients. A significant part of our business is providing patient support programs on the behalf of our customers. With the right experience, you can help provide support to patients in need of available therapies.
IQVIA has the world's largest Commercial Sales & Medical Solutions (CSMS) organization dedicated to the launch and marketing of pharmaceutical and medical products. With a focus on providing talent for patient support, field/inside sales, medical device support, clinical support, and medical affairs our CSMS division has 10,000+ field professionals in more than 30 countries addressing physician and patient needs.
We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) contact **Patient Support Medical Claims Processing Representative** to join our team. In this position, you will provide payment assistance solutions such as co-pay cards or vouchers. The **Patient Support Call Center Representative** is primarily responsible for receiving medical claims from HCPs or patients and vetting the claim against program specific business rules to determine if the claim should be paid or rejected. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
**Job Responsibilities:**
+ Primary responsibilities involve receiving medical claims from HCPs or patients, ensuring the adequate supporting documentation has been provided, interpreting the EOB/CMS1500, vetting the claim against program specific business rules and ultimately determining if the claim should be paid or rejected
+ Exceptional organizational skills are required
+ May provide support as needed for customer requests via telephone, email, fax, or other available means of contact to the Support Center
+ Requires the ability to recognize operational challenges and suggest recommendations to management, as necessary
+ Ability to work 40 hours per week (shifts available: 8:00am - 5:00pm EST or, 9:00am - 6:00pm EST or, 10:00am - 7:00pm ET or, 11:00am - 8:00pm EST) under moderate supervision
**Minimum Education & Experience:**
+ High School Diploma or equivalent
+ Experience in claim processing required
+ Medical Billing Certification required
+ Coding Certification required
+ Ability to interpret Explanation of Benefits (EOB)
+ HIPPA certified
+ Customer Service Experience preferred
+ Pharmacy Technician experience preferred
+ Bi-lingual (English/Spanish) preferred
**The pay range for this role is $23.00 per hour. To be eligible for this position, you must reside in the same country where the job is located.**
**IQVIA** is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
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IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more at is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create connections that accelerate the development and commercialization of innovative medical treatments. Everything we do is part of a journey to improve patient outcomes and population health worldwide.
To get there, we seek out diverse talent with curious minds and a relentless commitment to innovation and impact. No matter your role, everyone at IQVIA contributes to our shared goal of helping customers improve the lives of patients everywhere. Thank you for your interest in growing your career with us.
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