45 Healthcare jobs in Montgomery
Business Transformation, Healthcare Provider Operations Consulting_Manager
Posted 3 days ago
Job Viewed
Job Description
Location: Anywhere in Country
At EY, we're all in to shape your future with confidence.
We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world.
Business Transformation, Healthcare Provider Operations Consulting_Manager
#Healthconsulting
Today's healthcare environment in the post-COVID era is undergoing rapid change and transformation. As healthcare organizations seek to stabilize operations and plan for a financially sustainable future, they are challenged to integrate transformative technology (Artificial intelligence, automation, etc.), adjust to patient-focused operations, and maintain operational discipline to withstand increasing financial pressures. As a manager within our Health consulting practice, you'll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You'll use your industry knowledge and relationship skillsets to assist our clients in transforming operations to meet the evolving demands of today's healthcare market.
The opportunity
As part of EY's Health consulting practice, you will work with these clients across the country in solving complex problems in today's rapidly changing healthcare environment? We currently are seeking a highly motivated Manager, with a focus on provider operations, to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts.
Your key responsibilities
You'll spend most of your time teaming with our provider team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including hospitals, healthcare systems, physician practices and academic medical centers, to assess and redesign clinical processes.
As a Manager in our Health consulting group focused on Provider Operations, you'll work with clients across the following areas:
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Operational improvement
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Benchmarking and financial quantification
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Cost reduction/revenue enhancement
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Workflow redesign
Skills and attributes for success
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Effectively manage and motivate client engagement teams with diverse skills and backgrounds Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization
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Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes
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Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks
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Demonstrate in-depth technical capabilities and professional knowledge
To qualify for the role you must have
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A bachelor's degree and approximately 5 years of related work experience; or a master's degree and approximately 4 years of related work experience
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Approximately 4 years of healthcare consulting experience, preferably with prior experience as a manager (or above), in a consulting firm or in a management role within industry
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Ability to read and interpret hospital financial statements and contract terms, utilize complex financial models, experience with operational process mapping and experience with healthcare cost reduction planning and implementation
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Experience with healthcare organization M&A, physician alignment, or financial margin improvement initiatives
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Experience in selling and delivering projects that cover the full life cycle of assessment, design and implementation support
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Assist in generating revenue within existing healthcare clients and in developing new prospects at the "C" level of large healthcare companies
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Ability to manage a team of staff/senior consulting professionals
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Ability to work collaboratively in a team environment (knows when to lead and when to follow)
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Strong analytical and problem-solving skills, as well as excellent oral and written communication skills
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A willingness to travel to meet client needs; travel is required as neede by the client.
Ideally you'll also have
- A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH
What we look for
We're interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you
What we offer you
At EY, we'll develop you with future-focused skills and equip you with world-class experiences. We'll empower you in a flexible environment, and fuel you and your extraordinary talents in a diverse and inclusive culture of globally connected teams. Learn more .
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We offer a comprehensive compensation and benefits package where you'll be rewarded based on your performance and recognized for the value you bring to the business. The base salary range for this job in all geographic locations in the US is $127,100 to $33,000. The base salary range for New York City Metro Area, Washington State and California (excluding Sacramento) is 152,500 to 264,800 Individual salaries within those ranges are determined through a wide variety of factors including but not limited to education, experience, knowledge, skills and geography. In addition, our Total Rewards package includes medical and dental coverage, pension and 401(k) plans, and a wide range of paid time off options.
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Join us in our team-led and leader-enabled hybrid model. Our expectation is for most people in external, client serving roles to work together in person 40-60% of the time over the course of an engagement, project or year.
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Under our flexible vacation policy, you'll decide how much vacation time you need based on your own personal circumstances. You'll also be granted time off for designated EY Paid Holidays, Winter/Summer breaks, Personal/Family Care, and other leaves of absence when needed to support your physical, financial, and emotional well-being.
Are you ready to shape your future with confidence? Apply today.
EY accepts applications for this position on an on-going basis.
For those living in California, please click here for additional information.
EY focuses on high-ethical standards and integrity among its employees and expects all candidates to demonstrate these qualities.
EY | Building a better working world
EY is building a better working world by creating new value for clients, people, society and the planet, while building trust in capital markets.
Enabled by data, AI and advanced technology, EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance, consulting, tax, strategy and transactions. Fueled by sector insights, a globally connected, multi-disciplinary network and diverse ecosystem partners, EY teams can provide services in more than 150 countries and territories.
EY provides equal employment opportunities to applicants and employees without regard to race, color, religion, age, sex, sexual orientation, gender identity/expression, pregnancy, genetic information, national origin, protected veteran status, disability status, or any other legally protected basis, including arrest and conviction records, in accordance with applicable law?
EY is committed to providing reasonable accommodation to qualified individuals with disabilities including veterans with disabilities. If you have a disability and either need assistance applying online or need to request an accommodation during any part of the application process, please call 1-800-EY-HELP3, select Option 2 for candidate related inquiries, then select Option 1 for candidate queries and finally select Option 2 for candidates with an inquiry which will route you to EY's Talent Shared Services Team (TSS) or email the TSS at .
Medical Assistant - Ivy Creek Family Care of Wetumpka
Posted 6 days ago
Job Viewed
Job Description
JOB DESCRIPTION Job Title: Medical Assistant/Triage Reports To: Physicians, Nurse Practitioners, and Office Manager Position Overview: Under supervision of physician or nurse practitioner, provides direct care to patients in the clinic, exemplifies and oversees compliance with ethical codes of conduct and standards of care in clinical practice, and maintains organizational and clinical resources. Qualifications: High school graduate with one year clinical experience or certified medical assistant. ESSENTIAL JOB DUTIES AND RESPONSIBLITIES: Calls patients from waiting room in a courteous, polite manner. Obtains height, weight, blood pressure, temperature, appropriate specimens, venipuncture and vision, when indicated, from patient in the clinic. Obtains lab, x-ray, and other diagnostic reports from the hospital and patient chart. Notifies patients of abnormals as directed by Physician or Nurse Practitioner. Assembles appropriate education materials for patient i.e. diet counseling, lower back exercises. Follows up on missed appointments. Inventories and orders clinic supplies. Checks expiration dates monthly. Assist with annual inventory of clinical supplies. Prepares examination room for patient including sterile tray for surgical procedures. Remove sutures and applies appropriate dressings. Maintains strict patient confidentiality. Records data in patient's charts legibly. Schedules outpatient testing and referrals to specialists by physician or nurse practitioner. Pre-certifies procedures with insurance companies. Completes laboratory requisition forms ensuring correct billing and insurance information is on form. Administers and carefully documents medication administration including immunizations, allergy injections, O2 and nebulizer treatments. Recognizes and observes safety regulations. Collects and documents physical, social, and psychological data systematically from all available sources, i.e., family, patient, records, etc. Promptly notifies physician and/or nurse practitioner of situations requiring immediate intervention. Functions as a liaison between patient/family and physician, CRNP and RN. Represents a caring, friendly and professional attitude to the patient/family or public that he/she has contact with. Follows established clinic policies and infection control program. Assumes responsibility for self-improvement by attendance at in-service classes, staff meetings and education related to personal growth and departmental needs. Ensures proper patient care is provided in a timely and effective manner. Responsible for laboratory compliance as listed below and must comply with working hours of Monday - Friday 7:30 am - 5:00pm and Friday 8:00 to 12:00 Laboratory Procedures: Organize all necessary supplies and equipment before starting any procedure. Follow each test's directions accurately. Perform Quality Control as necessary and directed. Be sure supplies are stored at proper temperature and in the appropriate place. Make sure there are adequate supplies and reagents for the next time the test will be run. Clean up involves putting the reagents away and disposing of specimens. RHC Waived Lab CLIA Laboratory Certificate The following tests can be performed on-site and has received certification as a waived lab under the 1992 CLIA standards. The clinic provides basic laboratory services essential to the immediate diagnosis and treatment of the patient, including: Chemical examinations of urine by stick or tablet methods or both (including urine keytone); Hemoglobin or hematocrit; Blood sugar; Examination of stool specimens for occult blood; Pregnancy tests; Primary culturing for transmittal to a certified laboratory.
(Remote) Senior Principal FullStack Developer: front end focused- Healthcare AI
Posted 8 days ago
Job Viewed
Job Description
Job Description
The Oracle Health & Application Infrastructure division pioneers' innovation in healthcare through AI. Our mission is to revolutionize the healthcare industry by delivering modernized, automated, patient-centric care and ensuring the availability of cutting-edge clinical tools worldwide.
Within Oracle Health & Application Infrastructure, the Clinical Digital Assistant (CDA) team is at the forefront of this transformation. We are developing a next-generation platform for healthcare applications, harnessing advancements in generative AI technologies and OCI's cloud-native AI/ML and data infrastructure. This platform introduces capabilities such as conversational search, voice-assisted applications, summarization, semantic search, and RAG, redefining healthcare experiences for both patients and clinicians.
As a senior member of technical staff (IC5), you will play a leading role in designing, implementing, and optimizing the platform for CDA. You will work in an innovative, dynamic and collaborative team. If you're passionate about revolutionizing patient care and want to be at the forefront of healthcare technology, join us at Oracle Health & Application Infrastructure and make a meaningful difference in global healthcare.
Responsibilities
Qualifications:
BS or MS degree in computer science, or equivalent
10+ years of relevant software development experience
Demonstrated proficiency in Javascript, Typescript language for front-end development
Strong Software Engineering fundamentals, proficiency in data structures & algorithms, Restful services & Microservice architecture
Hands on experience building cloud native services on cloud platforms like OCI, Azure, GCP.
Strong grasp of system design fundamentals and distributed systems architectural best practices
Experience with containers and container orchestration technologies (Kubernetes, Docker)
Able to effectively communicate technical ideas verbally and in writing (technical proposals, design specs, architecture diagrams and presentations)
Technical leadership and mentoring junior engineers
User interface design; Figma mockups
Troubleshooting and debugging: Chrome browser debugger, console logs, JIRA ticket tracking
HTML 5 web development
Single-page-application web development: React, Preact, Nginx, CommonJS/RequireJS
Disclaimer:
Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.
Range and benefit information provided in this posting are specific to the stated locations only
US: Hiring Range in USD from: $96,800 to $251,600 per annum. May be eligible for bonus, equity, and compensation deferral.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
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Medical, dental, and vision insurance, including expert medical opinion
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Short term disability and long term disability
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Life insurance and AD&D
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Supplemental life insurance (Employee/Spouse/Child)
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Health care and dependent care Flexible Spending Accounts
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Pre-tax commuter and parking benefits
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401(k) Savings and Investment Plan with company match
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Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
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11 paid holidays
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Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
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Paid parental leave
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Adoption assistance
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Employee Stock Purchase Plan
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Financial planning and group legal
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Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC5
About Us
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Caregiver - Non Medical Home Care
Posted 8 days ago
Job Viewed
Job Description
John Knox @ Home is looking for Caregivers to join our team. The Caregiver is responsible for the physical care and emotional support of our clients who may no longer be able to take care of themselves due to illness, injury, surgery, or disability.The ideal candidate must be able to care for our clients and their property with dignity, patience, compassion, and respect. This person will encourage and remain empathetic to the clients at all times. Full Time candidates must have Open Availability, and be willing to work every other weekend if needed. Part Time candidates must be available to work weekends and holidays if neededResponsibilities: Home assistance - Provide light housekeeping, run errands or provide transportation if needed. Accompany clients to appointments and assist with medications. Prepare meals, purchase food and provide personal assistance with general living needs. Personal services could include toileting, bathing, feeding and grooming. Companionship - Provide companionship and conversation by stimulating, encouraging and assisting an individual. Requirements: High school diploma preferred. Must be over 21 years old.Must be able to complete a Criminal Background report and drug test.Ability to lift up to 25 pounds at a timeAbility to reach, bend, kneel and stand for (sometimes) a long period of timeMust be willing to work outside of the Montgomery area if needed Must have a valid Driver's LicenseAbout John Knox @ Home:John Knox @ Home is a Non for Profit organization dedicated to providing companion services especially designed to meet the physical, mental, and social needs of our clients to help improve their quality of life in living longer. We service Montgomery, Prattville, Millbrook, and Wetumpka.Our employees enjoy a work culture that works with our employees instead of against them. We can work around your school schedules as well as other jobs if we are a secondary job for you. John Knox offers competitive pay, and insurance benefits, for full time employees, that include medical, dental, and vision, as well as life insurance.
(Future Opportunities) Remote Healthcare Provider Network Contractor
Posted 8 days ago
Job Viewed
Job Description
If our current openings are not the best match for your background and experience, apply here!
EWINGS is seeking to build our talent network with Network Contractor professionals that have a minimum of 5+ years of experience developing healthcare provider networks. By submitting your resume now, you can be among the first to receive outreach regarding new project opportunities.
Our network consultants are typically responsible for leveraging client provided data to contact providers, build relationships, negotiate contracts, and manage various elements of the contracting process. Our projects typically lasts 6-12 months (or longer).
All roles are 100% telecommute and are temporary by nature.
EWINGS is the leader in helping clients build large-scale healthcare provider networks. Many of our projects have required teams of 100-200+ network consultants. Since 2002 we've developed provider networks for our clients in over 700 cities and all 50 states.
While many of our clients are members of the FORTUNE 500, we also work with numerous start-ups that are experiencing rapid growth. One client has achieved membership growth of 400% year-over-year for the last two years.
It is an exciting time to be a EWINGS consultant! A network assignment with EWINGS provides you an opportunity to quickly gain valuable experience developing networks in multiple states for a variety of products with organizations of various sizes.
New projects are starting all the time, so now is your chance to introduce yourself to our organization and join our roster of exceptional talent.
Typical Job Titles:
- Associate Healthcare Provider Network Contractor
- Healthcare Provider Network Contractor
- Senior Healthcare Provider Network Contractor
- Network Provider Advocate
- Network Contract Manager
- Network Program Manager
- Provider Relations Specialist
- Credentialing Representative
- Provider Install
- Project Manager/Director
- Data Programmer/Analyst
Typical Job Responsibilities:
- Use data supplied by the client to call providers, establish a relationship, and initiate a contracting discussion.
- Send contracts to providers, negotiate rates, and manage other terms of the agreement.
- Evaluate and negotiate contracts in compliance with client contract templates, reimbursement structure standards, and other key process controls.
- Update provider data and document contracting activities.
- Provide feedback from prospective and newly contracted providers to the client.
- Perform problem analysis, identify solutions, and engage client stakeholders when necessary.
- Track the progression of contracts as they flow through the process and follow-up with colleagues when necessary to keep things moving forward.
Please submit your resume and information. Candidates that input the information requested in the registration process will increase their chances of being contacted when a position matches their exact skills and experience.
Keywords: Provider Network Contracting, Healthcare, Managed Care, Hospital Contracting, Physician Contracting, Ancillary Contracting, Facility Contracting, Provider Network, Network Development, Provider Services, Contract Negotiating, Network Management, Associate Director, Accountable Care Organization (ACO), Telecommute, Telecommuting, Telecommuter, Work From Home, Work At Home, Remote, WAH
Oracle Health Associate Consultant - Charge Services
Posted 1 day ago
Job Viewed
Job Description
Junior consulting position for those who are continuing to develop their expertise. Receives general instruction on routine work and detailed instruction on new projects or assignments.
As a member of a project team, follows standard practices and procedures to analyze situations/data and provide quality work products to deliver functional and technical solutions on applications and technology installations. Work involves some problem solving with assistance and guidance in understanding and applying relevant Oracle methodologies and practices. Implements Oracle products and technology in various industries to meet customer specifications.
1-3 years of overall experience in relevant functional or technical roles. Undergraduate degree or equivalent experience. Product or technical expertise relevant to practice focus. Demonstrates competence in a minimum of one product or technology area. Ability to communicate effectively and build rapport with team members and clients. Ability to travel as needed.
**Responsibilities**
Responsibilities
As a Consultant I, you will, consult with clients on comprehensive service line workflows, including current state and future state, and work with client to map out stop-start-continue processes to determine how the system will be designed and tested. You will identify, resolve and report solution status, risks, and issues to client and project leadership. You will coach client on data collection and system design requirements and analyze to determine optimal solution build and implementation. You will consult with internal project and organizational teams to bi-directionally share configuration status, project timelines and project updates, and verify configuration requests. You will maintain client relationships and navigate through conflict and complex relationship situations to achieve business objectives. You will coach and mentor associate consultants. You will support internal team initiatives.
Basic Qualifications
+ At least 5 years total combined related work experience and completed higher education; including:
+ At least 1 year healthcare information technology (HCIT) consulting, HCIT support and/or other client-facing or information technology (IT) solution work experience
+ At least 4 years additional work experience directly related to the duties of the job and/or completed higher education
+ Receipt of the appropriate government security clearance card applicable for your position
+ Due to the client contract, you will be assigned, this position requires you to be a U.S. citizen
Expectations
+ Willing to travel up to 50% as needed
+ Willing to work additional or irregular hours as needed and allowed by local regulations
+ Work in accordance with corporate and organizational security policies and procedures, understand personal role in safeguarding corporate and client assets, and take appropriate action to prevent and report any compromises of security within scope of position
+ Perform other responsibilities as assigned
Disclaimer:
**Certain US customer or client-facing roles may be required to comply with applicable requirements, such as immunization and occupational health mandates.**
**Range and benefit information provided in this posting are specific to the stated locations only**
US: Hiring Range in USD from $21.49 to $4.13 per hour; from: 44,700 to 112,600 per annum. May be eligible for bonus and equity.
Oracle maintains broad salary ranges for its roles in order to account for variations in knowledge, skills, experience, market conditions and locations, as well as reflect Oracle's differing products, industries and lines of business.
Candidates are typically placed into the range based on the preceding factors as well as internal peer equity.
Oracle US offers a comprehensive benefits package which includes the following:
1. Medical, dental, and vision insurance, including expert medical opinion
2. Short term disability and long term disability
3. Life insurance and AD&D
4. Supplemental life insurance (Employee/Spouse/Child)
5. Health care and dependent care Flexible Spending Accounts
6. Pre-tax commuter and parking benefits
7. 401(k) Savings and Investment Plan with company match
8. Paid time off: Flexible Vacation is provided to all eligible employees assigned to a salaried (non-overtime eligible) position. Accrued Vacation is provided to all other employees eligible for vacation benefits. For employees working at least 35 hours per week, the vacation accrual rate is 13 days annually for the first three years of employment and 18 days annually for subsequent years of employment. Vacation accrual is prorated for employees working between 20 and 34 hours per week. Employees working fewer than 20 hours per week are not eligible for vacation.
9. 11 paid holidays
10. Paid sick leave: 72 hours of paid sick leave upon date of hire. Refreshes each calendar year. Unused balance will carry over each year up to a maximum cap of 112 hours.
11. Paid parental leave
12. Adoption assistance
13. Employee Stock Purchase Plan
14. Financial planning and group legal
15. Voluntary benefits including auto, homeowner and pet insurance
The role will generally accept applications for at least three calendar days from the posting date or as long as the job remains posted.
Career Level - IC1
**About Us**
As a world leader in cloud solutions, Oracle uses tomorrow's technology to tackle today's challenges. We've partnered with industry-leaders in almost every sector-and continue to thrive after 40+ years of change by operating with integrity.
We know that true innovation starts when everyone is empowered to contribute. That's why we're committed to growing an inclusive workforce that promotes opportunities for all.
Oracle careers open the door to global opportunities where work-life balance flourishes. We offer competitive benefits based on parity and consistency and support our people with flexible medical, life insurance, and retirement options. We also encourage employees to give back to their communities through our volunteer programs.
We're committed to including people with disabilities at all stages of the employment process. If you require accessibility assistance or accommodation for a disability at any point, let us know by emailing or by calling in the United States.
Oracle is an Equal Employment Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability and protected veterans' status, or any other characteristic protected by law. Oracle will consider for employment qualified applicants with arrest and conviction records pursuant to applicable law.
Associate Manager, Clinical Health Services - Utilization Management (Remote)
Posted 1 day ago
Job Viewed
Job Description
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 Information**
Schedule: Monday-Friday 8:00am-5:00pm EST Hours (Shift times may vary based on business needs)
Travel Required up to 5% for meetings/audits.
Location: 100% Remote (U.S. only)
**About Us**
American Health Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care management solutions that promote high-quality healthcare for members.
**Position Summary**
The Associate Manager is responsible for oversight of Utilization Management staff. This position is responsible for the development and monitoring of high performing teams. Works closely with functional area leadership team (department Associate Managers, Manager, and other key stakeholders such as Medical Directors, account teams/clinical liaisons, etc.) to ensure consistency in clinical interventions supporting our members.
**Key Responsibilities**
+ Accountable for meeting the financial, operational and quality objectives of the unit.
+ Ensures team maintains compliance and privacy practices.
+ Oversees the implementation of utilization management services for assigned area
+ Implements clinical policies & procedures in accordance with applicable regulatory and accreditation standards (e.g., NCQA, URAC, state and federal standards and mandates as applicable)
+ Serve as a content model expert and mentor to the team regarding practice standards, quality of interventions, problem resolution and critical thinking
+ Ensure implementation and monitoring of best practice approaches and innovations to better address the member's and provider's needs across the continuum of care
+ May act as a liaison with other key business areas.
+ May develop/assist in development and/review new training content.
+ May collaborate/deliver inter and intra-departmental training sessions
+ Protects the confidentiality of member information and adheres to company policies regarding confidentiality
+ Manages resources responsible for identification of members, development and implementation of care plans, enhancement of medical appropriateness and quality of care and monitoring, evaluating, and documenting of care
+ May collaborate with leadership for the development of, monitoring and communicating performance expectations
+ Ensures the team's understanding and use of information system capability and functionality
+ May act as a single point of contact for the customer and the Account Team including participation in customer meetings, implementation and oversight of customer cultural requirements, and support implementation of new customers.
+ Participate in the recruitment and hiring process for staff using clearly defined requirements in terms of education, experience, technical and performance skills
+ Assesses developmental needs and collaborates with others to identify and implement action plans that support the development of high performing teams and on-purpose culture.
+ Establish an environment and work style that promotes the concept of teamwork, cross product integration, and continuum of care thinking that results in strong performance
+ Consistently demonstrates the ability to serve as a model change agent and lead change efforts
+ Create a positive work environment by acknowledging team contributions, soliciting input, and offering personal assistance, when needed
+ Accountable for maintaining compliance with policies and procedures and implements them at the employee level
**Remote Work Expectations**
+ This is a 100% remote role; candidates must have a dedicated workspace free of interruptions.
+ Dependents must have separate care arrangements during work hours, as continuous care responsibilities during shift times are not permitted.
**Required Qualifications**
+ Active, unrestricted RN license in your state of residence with multistate/compact licensure privileges. Ability to obtain licensure in non-compact states as needed.
+ 5+ years of acute experience as a Registered Nurse
+ 3+ years of Utilization Management experience
+ Must have experience using MS Office
+ Must be willing to work holiday rotation annually, up to 2 per year
+ Utilization Management work schedules will include weekends, holidays, and evening hours rotation.
**Preferred Qualifications**
+ Prior leadership experience
+ Ability to evaluate and interpret data, identifies areas of improvement
**Education**
+ Associate's degree in nursing (RN) required, BSN preferred.
**Anticipated Weekly Hours**
40
**Time Type**
Full time
**Pay Range**
The typical pay range for this role is:
$72,306.00 - $173,040.00
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.
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 people**
We 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:
+ **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and an **employee stock purchase plan** .
+ **No-cost programs for all colleagues** including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
+ **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.
For more information, visit anticipate the application window for this opening will close on: 09/19/2025
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
We are an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.
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