Jobs in Chatham Sangamon County Il Remote
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Applied AI Engineer
Compensation:
- Up to $150,000 base salary (direct hire w2 only, no c2c, no 1099), (flexibility on base salary for exceptional experience)
Location:
- Hybrid / Onsite - Greater Kansas City Metro Area
- 3 days per week onsite, 2 days remote
- Candidates must currently reside in the KC metro area or be willing to relocate within a reasonable timeframe
- Fully remote candidates cannot be considered
Work Authorization:
- Must be authorized to work in the U.S.
- No current or future visa sponsorship available
Engagement Type:
- Full time, direct hire only
- No third-party agencies, consulting firms, C2C, or 1099 arrangements
About the Opportunity
Vaco Highspring is conducting a confidential search on behalf of a global enterprise organization with a strong technology footprint, including a proprietary SaaS platform and a technology?enabled services business.
The organization is making a focused investment in artificial intelligence to improve internal efficiency, modernize workflows, and embed intelligent capabilities into its software platform. This role offers meaningful ownership and visibility, with a mandate to build and deploy AI systems that have real, production level impact.
The Role
As an Applied AI Engineer, you will play a key role in integrating AI across internal systems and a customer facing SaaS platform. You will work hands on with large language models (LLMs) and modern AI tooling to automate processes, build internal tools, and deliver intelligent product features.
This is a production focused role operating at the intersection of engineering, product, and business operations, with close collaboration across teams in a hybrid/onsite environment. (3-days per week onsite in Greater Kansas City Metro Area, 2-days remote work.)
Key Responsibilities
- Design and build scalable AI powered services and tools to streamline internal workflows across multiple teams (e.g., operations, content, sales, support).
- Develop and deliver intelligent features within a proprietary SaaS platform.
- Integrate, manage, and optimize multiple LLMs and AI APIs (e.g., OpenAI style, Anthropic style, or comparable providers).
- Provide technical leadership and mentorship to other engineers, including guidance on architecture, best practices, and performance.
- Build and maintain backend systems and APIs that support AI functionality across products and services.
- Design infrastructure for model serving, orchestration, monitoring, and lifecycle management.
- Implement fallback strategies, model routing, and cost performance optimization.
- Partner cross functionally with engineering, product, and business stakeholders to identify high impact AI opportunities.
- Apply best practices related to data privacy, security, compliance, and responsible AI use.
- Stay current with advancements in AI, LLMs, and MLOps, introducing new approaches where appropriate.
Qualifications
- 6+ years of engineering experience with multiple years of experience in a production environment deploying AI/ML applications or infrastructure.
- Proven experience applying LLMs or similar AI models to real business or product challenges.
- Strong backend engineering skills (Python and/or TypeScript preferred).
- Experience with AI/ML orchestration and deployment tools (e.g., LangGraph style frameworks, Airflow like systems, Kubeflow, Ray, or workflow automation tools).
- Hands on experience with cloud platforms (AWS, GCP, or Azure) and containerization (Docker, Kubernetes).
- Front end development experience in areas like React, Node.js, Web Development, front end web product design
- Solid understanding of MLOps practices, including deployment, monitoring, logging, and evaluation.
- Knowledge of data privacy, security, and ethical AI considerations.
- Experience supporting SaaS platforms or technology driven products is a plus.
- Strong communication skills and the ability to collaborate across technical and non-technical teams.
- Passion for applying AI in practical, high impact ways.
Why This Role
- High visibility and ownership of AI initiatives
- Opportunity to build AI systems that directly impact business outcomes
- Emphasis on production grade systems, not experimentation alone
- Collaborative, hybrid environment with close access to stakeholders
Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual's skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs. With that said, as required by local law in geographies that require salary range disclosure, Vaco/Highspring notes the salary range for the role is noted in this job posting. The individual may also be eligible for discretionary bonuses, and can participate in medical, dental, and vision benefits as well as the company's 401(k) retirement plan. Additional disclaimer: Unless otherwise noted in the job description, the position Vaco/Highspring is filing for is occupied. Please note, however, that Vaco/Highspring is regularly asked to provide talent to other organizations. By submitting to this position, you are agreeing to be included in our talent pool for future hiring for similarly qualified positions. Submissions to this position are subject to the use of AI to perform preliminary candidate screenings, focused on ensuring minimum job requirements noted in the position are satisfied. Further assessment of candidates beyond this initial phase within Vaco/Highspring will be otherwise assessed by recruiters and hiring managers. Vaco/Highspring does not have knowledge of the tools used by its clients in making final hiring decisions and cannot opine on their use of AI products.
Remote working/work at home options are available for this role.
W2 Only , Position is Contract to hire
Title: Power BI Developer
Duration: 4-6 Months + Contract to hire
Location: Remote
- This role at Client is as unique as it is rewarding because of the AF IPAAL Values (Integrity, Passion, Accountability, Achievement, Leadership) and TRI Model (Trust, Respect, Inclusion).
- This role will serve as a launchpad for a data career for candidates who are passionate about data. As a Power BI Analytics Developer on our Data Insights & Innovation team, the candidate will be a key player from day one. The role offers hands-on experience in building real reports and dashboards using Microsoft Power BI that users need to make critical decisions. The candidate will work closely with senior analysts and business stakeholders to design, develop, and maintain interactive Power BI reports and dashboards.
- This is an excellent opportunity for the candidate to gain real-world experience in the full lifecycle of analytics development, from data modeling to visualization, in a dynamic and supportive environment.
Departmental Expectation Of Employee
- Adheres to AF Policy and Procedures and the AF IPAAL Values and TRI Model
- Acts as a role model within and outside AF.
- Performs duties as workload necessitates.
- Maintains a positive and respectful attitude.
- Communicates regularly with the departmental leader about department issues.
- Demonstrates flexible and efficient time management and ability to prioritize workload.
- Consistently reports to work on time, prepared to perform duties of the position.
- Meets Department productivity standards.
Essential Duties and Responsibilities
- Assist in development of Power BI reports and dashboards to replace existing reports and dashboards in WebFOCUS
- Perform data validation and quality checks to ensure the accuracy and reliability of reports.
- Assist in development of clear, compelling, and user-friendly visualizations that tell a story and facilitate data-driven decision-making.
- Document data sources, report logic, and development processes to ensure knowledge sharing and maintainability
Key Opportunities
- Hands-on experience with the Microsoft Power BI and potentially connecting to various data sources
- A deep understanding of how data analytics drives key business decisions across different functions
- Experience working in a professional Agile/Scrum environment, managing tasks, and meeting deadlines.
- Mentorship from experienced data professionals and opportunities for networking.
Qualifications
- Currently pursuing a Bachelor's degree in Data Analytics, Computer Science, Engineering, Mathematics, Statistics, Renewable Energy, or a related field.
- Basic experience with Microsoft Power BI, Tableau, or a similar data visualization tool.
- Understanding of database concepts and data modeling.
- Basic knowledge of SQL.
- Strong analytical and problem-solving skills with attention to detail.
- Ability to work collaboratively in a fast-paced, team-oriented environment.
- Excellent verbal and written communication skills.
Americans With Disability Specifications Physical Demands
- The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
- While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; balance; stoop, kneel, crouch or crawl; talk or hear; taste or smell. The employee must occasionally lift and/or move up to 25 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.
Work Environment
- This is a fully remote position requiring reliable high-speed internet access and a dedicated workspace.
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Remote working/work at home options are available for this role.
Military OneSource Program
Supporting Those Who Serve
This fully remote role offers the opportunity to make a meaningful difference in the lives of U.S. military Service members and their families. As part of the Military OneSource Program, you'll provide compassionate, professional, and timely support around non-medical counseling, work/life challenges, and critical resources—helping families navigate some of life's most complex moments.
- Provide assistance, referrals, consultation, and resources related to Non-Medical Counseling (NMC), Employee Assistance Programs (EAP), and work/life issues
- Conduct comprehensive needs assessments to support first-call resolution whenever possible
- Educate callers on available programs and specialty services while promoting appropriate resources
- Confidently identify and manage high-risk or crisis situations, following established protocols
- De-escalate complex or emotionally charged calls with professionalism, empathy, and sound judgment
- Navigate systems and resources to resolve multifaceted concerns efficiently
- Maintain detailed and accurate documentation in the Case Management System (CMS)
- Complete assigned call follow-ups, reporting, and quality assurance tasks
- Deliver exceptional customer service while maintaining sensitivity, compassion, and respect
- Demonstrate strong understanding of military culture, including addressing Service members by rank and acknowledging their service
- Collaborate with your team to complete all required compliance, certification, and annual training requirements (ECA, Cyber Awareness, PII, etc.)
What We're Looking For
Required Qualifications
- BACHELORS OR MASTERS degree in Social Work, Family Therapy, Counseling, or a related human services field
- 1-2 years of relevant post-graduate experience in counseling, social work, or mental health services
- U.S. Citizenship (required)
- Ability to obtain a Tier 2 Suitability Public Trust clearance
Shifts Available (Availability might change):
MTuSaSu 11:30am-10:30pm
4x10 MTuFSa 11:30am-10:30pm
TuWThFSa 3pm-11:30pm
4x10 WThFSa 1pm-12:00am
4x10WThFSa 11:39am-10:30pm
4x10 MThFSa 11:30am-10:30pm
TuWThFSa 10am-6:30pm
Remote working/work at home options are available for this role.
Don't miss this opportunity to jumpstart your career! Come interview with us in-person at our upcoming open recruiting sessions in the Miami, FL area on Thursday, March 12th, 2026.
Come ready to meet the AT&T Management Team and learn all about a career with LifeAtATT! Join us at our AT&T Call Center: 600 NW 79TH AVE MIAMI FL 33126 Date: Thursday, March 12th, 2026.
Time: 10:00 AM
- 3:00 PM Save time and apply and complete testing ahead of time.
This full-time fluent Bilingual (English/Spanish) position requires being able to hold a conversation both in English and Spanish.
This hybrid-remote position reports to our 600 NW 79th Avenue, Miami, FL 33126 location.
If selected, you must be able to report to this location to work in center 3-4 days weekly and remotely from home 1-2 days weekly.
This is your opportunity to be the voice of AT&T – a global leader in communications and technology.
As a member of our team, you'll redefine customer service, creating meaningful connections with each customer.
Every interaction is an opportunity to introduce the latest technology, services, and offers, helping our customers stay connected to what matters most.
Pay Transparency: Our premier service consultant position earns $20.17 hourly commissions if all sales goals are met .
With our uncapped commission opportunities, surpassing those goals earn top representatives $62,280 per year.
Not to mention all the other amazing rewards that working at AT&T offers.
Individual starting salary within this range may depend on geography, experience, expertise, and education/training.
How You'll Make an Impact: As a Premier Service Consultant specializing in customer acquisition, sales, service, and retention, you'll be on the frontline providing solutions to prospective and existing customers to enhance their service experience, drive satisfaction, and foster loyalty.
What Your Day-to-Day Will Look Like: Handle customer interactions (calls, chats, emails) in a fast-paced environment.
Identify upselling opportunities and close deals to reach your sales and commissions targets.
Accurately resolve issues related to service, billing, payments, and collections.
Explain bills and product features clearly.
Troubleshoot basic problems and seek higher support if needed.
Build customer confidence and loyalty by resolving issues.
Support various customer inquiries, including technical issues.
Work a flexible 40 hour per week schedule, which may include nights, weekends, and overtime.
Paid training to set you up for success.
Key expectations to succeed: Commissioned sales experience highly preferred Unwavering Customer Focus Strong Work Ethic Adaptability Problem-Solving Skills Attention to Details Joining our team comes with amazing perks and benefits: Medical/Dental/Vision coverage 401(k) plan Employee discounts up to 50% off on eligible AT&T mobility plans and accessories, AT&T internet (and fiber where available) and AT&T home phone Tuition reimbursement program Paid Time off and holidays
- Employees receive 1 week of paid time off (PTO) after 6 months and 2 weeks after the first year.
There are at least 8 company-designated holidays, and additional PTO is provided based on the bargaining group to which you are hired.
Paid Parental Leave Additional sick leave beyond what state and local law require may be available but is unprotected Adoption Reimbursement Disability Benefits (short term and long term) Life and Accidental Death Insurance Supplemental benefit programs: critical illness/accident hospital indemnity/group legal Employee Assistance Programs (EAP) Extensive employee wellness programs Work From Home (WFH) Requirements: You will need verified internet service with a minimum of 12mb upload speed and 18mb download speed and an established dedicated work area (desk, chair, electrical outlet, surge protector, direct LAN connection).
AT&T will provide the equipment you'll need to get started! (keyboard, monitor, computer, mobile device, etc.) Your workspace will need to be in alignment with WFH standards (e.g., technical, security, physical, noise levels, Clean Desk policy etc.) and you'll participate in workspace audits (e.g., remote desktop observation, call and screen recordings, live webcam monitoring, pictures of workspace setup, video chats, etc.).
You will need to be available, accessible, and accountable to work during established work schedules and shifts, follow technical support processes, comply with organizational security and compliance standards, trainings, performance management, recurring management routines, manual and automated remote monitoring policies, etc.
If you are considering jobs like Wireless Sales, Call Center Representative, Customer Service Representative, Inbound Sales Representative, or Call Center Agent, this career move would be a great fit! Career possibilities are limitless with AT&T.
You will have the chance to round out your experience with training on the latest technology, devices, and our entire lineup of products, services, and promotions.
If you're ready to take the lead as the voice of AT&T, we'd love to hear from you! Your future is calling.
Apply today! LI-Hybrid Weekly Hours: 40 Time Type: Regular Location: Miami, Florida It is the policy of AT&T to provide equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law.
In addition, AT&T will provide reasonable accommodations for qualified individuals with disabilities.
AT&T is a fair chance employer and does not initiate a background check until an offer is made.
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Remote working/work at home options are available for this role.
IDR is seeking a Project Manager to join one of our top clients for a fully remote opportunity. This role involves managing projects within the Talent Technology portfolio, supporting initiatives that often involve AI, RPA, and automation. The company operates within the technology and HR solutions industry, focusing on enhancing talent management processes.
Position Overview:
Working within the Talent team, the Project Manager is responsible for planning, coordination and execution of delivery aspects of assigned projects in support of initiatives within the Talent Technology portfolio. The PM is responsible for coordinating assignment of individual Talent Technology responsibilities, developing the project plan, tasks and deliverables to ensure timely tech team delivery.
JOB REQUIREMENTS:- 8+ years of project management experience with the ability to effectively manage multiple projects with moderate to high risk for a large enterprise
- 4+ years of experience leading projects supporting AI, RPA, and automation intiatives across Talent and HR ecosystem
- Projects around Co-Pilot Agents and Co-Pilot Studio (preferred)
- Experience in navigating in a matrix reporting environment solving/resolving complex issues
- PMP Certification
What's in it for you?
- Competitive compensation package
- Full Benefits; Medical, Vision, Dental, and more!
- Opportunity to get in with an industry leading organization.
Why IDR?
- 25+ Years of Proven Industry Experience in 4 major markets
- Employee Stock Ownership Program
- Dedicated Engagement Manager who is committed to you and your success.
- Medical, Dental, Vision, and Life Insurance
- ClearlyRated's Best of Staffing Client and Talent Award winner 12 years in a row.
Remote working/work at home options are available for this role.
We’re hiring a B2B SaaS Account Executive to drive growth for our AI-powered solutions used by growing and enterprise businesses.
As an Account Executive at Commercient, you’ll own the full sales cycle for our AI automation and chatbot solutions, from prospecting and demos to closing complex B2B SaaS deals. You’ll work directly with customers to understand real business problems and translate cutting-edge AI—LLMs, intelligent automation, and ERP–CRM integrations—into practical, high-impact outcomes. This is a SaaS sales role for someone excited to sell sophisticated AI technology, engage senior stakeholders, and help shape the next generation of AI-driven sales motions.
At Commercient, you’ll own the full sales cycle, working directly with decision-makers to understand business challenges and position high-impact solutions that combine ERP, CRM, and AI capabilities.
Location: Atlanta (Hybrid)/US (remote)
What You’ll Do
As our Sales Representative, you’ll be on the front lines driving our growth:
- Prospect, pitch, and close deals for our AI technology solution such as our chatbot
- Build and nurture strong client relationships with Salesforce, HubSpot, Zoho, etc.
- Represent Commercient at meetings, demos, and events across the US
- Gather insights from the market to help shape our product and sales strategy
- Hit and exceed sales targets while growing your career in a fast-moving company
- Travel to several conferences per year in the US
Who You Are
- Sales hunter with a passion for building relationships and closing deals
- Energetic, ambitious, and motivated by results
- AI enthusiast who likes to learn about AI and stays current with the trends
- Comfortable meeting clients and thriving in a dynamic, less-structured environment
- Bachelor’s degree or equivalent experience in Sales, Business Development, or related fields (optional if you have killer sales results!)
- 3-7 years of experience in SaaS or AI solution sales (ERP, CRM, or automation experience strongly preferred)
- Familiarity with Salesforce, HubSpot, or ERP ecosystems
- Understanding of AI chatbots, RAG systems, or natural language interfaces (bonus if you can explain GPT, embeddings, or vector databases in plain English)
- Consultative, high-EQ selling style with technical curiosity
- Comfortable engaging at C-level and VP-level
- Self-starter with strong pipeline discipline and storytelling ability
- Excited about shaping a next-generation AI sales motion
- Experience with any Chatbot or LLM tech stack: Google Gemini, Google AI Studio, Open AI, Liveperson, Drift chat, Microsoft Copilot, Agents, Agentforce, HubSpot AI, Support desk or Helpdesk AI assistants, Slack AI assistants, etc.
- Comfortable working independently in a remote team environment
- Applicants must have near-native English proficiency. A short written and verbal English evaluation will be part of the selection process.
Not for you if: you dislike rejection or ambitious goals.
Why Join Us?
- Be a key player in our expansion — your impact is direct and visible
- Work closely with founders and an international team
- Learn and grow in a tech-driven, fast-moving environment
- We have an engaging, collaborative culture focused on succeeding together
Compensation & Perks
- Competitive base starting at $55k (based on experience) + commission — uncapped, performance-driven commissions per annual On Target Earnings (OTE)
- Our compensation plan creates a space for you to be in control of what you make. The base is a great start, but uncapped commission is accessible your entire career with us (your base and commission will increase as you grow with the company).
- Comprehensive Benefits Package
- 401k program with generous company match
- PTO
- Hybrid role based in Atlanta, GA with fully remote option for US-based candidates
About Commercient
Commercient helps growing companies streamline Sales, Marketing, and Customer Service by seamlessly connecting ERP and CRM systems through our AI-driven integration platform. Over 50,000 users rely on Commercient SYNC daily to automate key business processes—sales, billing, invoicing, and payments—across top CRMs like Salesforce, HubSpot, and Microsoft Dynamics. We’re an innovative, global SaaS company with 20+ years of experience and customers in 1,000+ organizations worldwide.
Why Work With Us
- Work remotely with a diverse, supportive, and fun global team
- Be part of an innovative company that embraces cutting-edge technology
- Enjoy learning and development opportunities to grow your career
- Flexible work-life balance and an environment where ideas thrive
Ready to join an innovative team building the world’s leading ERP–CRM integration platform? Apply today and grow your career with Commercient.
Remote working/work at home options are available for this role.
Account Manager – Decorative Films and Materials
Location: Home Base (Preferably MI, OH, or MN area)
Industry: Functional Films / Advanced Materials
A leading Japanese manufacturer of functional films and materials is seeking an Account Manager to join its expanding U.S. team. This role is responsible for maintaining and growing sales of decorative material products for architectural applications (furniture, interior, building materials decorative films) across the United States and emerging markets in the Americas.
Key Responsibilities
- Manage and grow existing customer accounts while developing new business opportunities through strong relationships and superior customer service
- Perform all aspects of sales activities, including customer support, sales presentations, sample development, order processing, production coordination, and after-sales follow-up
- Act as the primary point of contact for customers’ Purchasing, Quality, R&D, Design, and Logistics teams
- Coordinate closely with the Tokyo office to manage the full process from pre-production through manufacturing and delivery
- Develop and execute sales and marketing strategies to expand product adoption and market presence
- Research industry and design trends to support the development of new, marketable designs and colors
- Conduct market research, prepare reports, and identify potential new clients and industries
- Travel domestically and internationally to visit customers and attend trade shows
- Prepare sales reports, quotations, contracts, and related business correspondence
- Perform additional duties as needed
Qualifications
- Bachelor’s degree or equivalent experience
- Minimum 2 years of outside sales and/or marketing experience.
- Proven ability to develop and execute effective sales strategies
- Self-motivated with strong communication, organization, and relationship-building skills
- Ability to travel within the U.S. and abroad
- Valid driver’s license and ability to use a personal vehicle for business purposes
- Japanese language skills are a strong plus, but not required
Remote working/work at home options are available for this role.
12 month Contract role with potential to go permanent
Fully remote for now possible but possibility to turn Hybrid in office 2 days a week in Durham come January 2027 MUST live within a commutable distance to Durham
M-F 9-5 EST hours, can live in other time zones but work those EST hours
*Call Center, PBM, or Retail experience
*Must have an understanding of Medicare STARS and Metrics
*Must be comfortable on the phones interacting with members
*Must have experience working remotely
- Make outreach to Medicare members to assist in removing barriers to medication adherence.
- Partner with pharmacies and providers to close adherence gaps when the Medicare member is unengaged or when the Medicare member requires assistance.
- Contact providers to close SUPD (Statin Use in Persons with Diabetes) gaps.
- Complete Comprehensive Medication Reviews (CMRs) with eligible Medicare members to give the member a better understanding of their medications and health.
- Send interventions to providers through fax or the CMR platform to alert the provider of potential drug interactions and adverse reactions, dose changes, adherence issues, etc.
- Provide counseling to Medicare members regarding medications.
- Provide Medicare members with information regarding their pharmacy benefits (ie. formulary, preferred pharmacy, supplemental benefits, etc.)
- Provide clinical guidance and support to the Pharmacy Quality Specialists
Hiring Requirements
• PharmD
• 3+ years of experience in related field.
• North Carolina pharmacy license.
Remote working/work at home options are available for this role.
Advanced Practice Provider – Clinical Documentation Integrity (CDI)
Overview:
We are seeking an experienced Advanced Practice Provider (APRN or PA) to support Clinical Documentation Integrity (CDI) initiatives within a hospital setting. This role focuses on improving the accuracy, completeness, and compliance of physician documentation while collaborating across clinical and revenue cycle teams.
Key Responsibilities:
- Oversee physician documentation practices to ensure accuracy, completeness, and regulatory compliance
- Analyze data and reporting to identify opportunities for documentation improvement
- Provide education, training, and ongoing support to physicians and clinical teams
- Balance reimbursement integrity with regulatory requirements using sound clinical judgment
- Collaborate with CDI leadership, revenue cycle, coding, and interdisciplinary teams
- Serve as a liaison to align clinical documentation with organizational goals and performance metrics
Required Qualifications:
- Active Florida license as an APRN or Physician Assistant
- 5+ years of clinical experience
- Strong understanding of CDI outcomes, workflows, and operational metrics
- Excellent communication, leadership, and problem-solving skills
Preferred Qualifications:
- 2+ years of experience in an acute care/inpatient setting
- Prior CDI or utilization review experience strongly preferred
Schedule:
- Monday – Friday
- Onsite 9:00 AM – 3:00 PM; remote flexibility after
Compensation & Benefits:
- Salary range: $115,000 – $130,000
- Eligible for 15% leadership bonus
- Comprehensive benefits starting Day 1 (medical, dental, vision, life, disability)
- Generous PTO + paid parental leave (4 weeks fully paid)
- 403(b) retirement plan
- Career development and wellness resources
Locations (Multiple Openings):
- East Orlando
- Celebration / Kissimmee
- Apopka / Winter Garden
- Orlando
Remote working/work at home options are available for this role.
The Pharmacy Technician performs department administrative functions that do not require the Pharmacy Managers judgment. Responsible for the administrative and clerical support directly involved with the day-to-day operations of the multiple programs performed by the department. Performs assigned tasks to meet AHP HMO and Pharmacy Department goals.
General Duties/Responsibilities
- Assists with the daily operations of the various Pharmacy Department programs, multiple projects and participate in Plan and regulatory agency audits, as necessary.
- Makes high volume of outbound calls to members, prescribers, and pharmacies in regard to the Adherence program.
- Assists members in refilling their medications and reaching out to the prescriber’s office if a member requires additional refills on their maintenance medications.
- Drafts routine reports and correspondence.
- Supports all CMS required oversight processes of PBM including but not limited to: Rebates, Explanation of Benefit reports, Transition Reports, and Part B vs Part D.
- Responds to inquiries from physicians, members, and pharmacies related to formulary and prescription benefits.
- Retrieves accurate, concise, applicable, and timely drug information.
- Interacts with Plan's contracted PBM to ensure communications and information to other internal Plan departments as applicable.
- Interacts with Plan’s contracted PBM in regard to Prior Authorizations, Overrides and in resolving issues pertaining to member’s medications.
- Makes outbound calls to pharmacies and prescribers to resolve prescription issues such as medication requires Prior Authorization, assist retail/mail order pharmacies in resolving third party rejections, and reviewing daily rejections while ensuring we are CMS compliant.
- Interacts with internal plan departments to address pharmacy related issues.
- Works closely with compliance department to make sure Pharmacy Programs meet the criteria established by CMS.
- Ensures all HMO’s members information is kept confidential according to HIPAA.
- Other duties as assigned.
Job Requirements:
- Required: Minimum 1 year customer experience.
- Preferred: Prior Pharmacy Tech experience in a healthcare setting.
- Required: High School Diploma or GED.
- Preferred: Associates Degree in Pharmacy Tech
- Required: None
- Preferred: Pharmacy Tech school
- Required:
- Knowledge of pharmacy and medical nomenclature/terminology, common medication dosages, trade & generics, and medication therapy application.
- Ability to communicate positively, professionally and effectively with others; provide leadership, teach and collaborate with others.
- Effective written and oral communication skills; ability to establish and maintain a constructive relationship with diverse members, management, employees and vendors;
- Mathematical Skills: Ability to perform mathematical calculations and calculate simple statistics correctly
- Reasoning Skills: Ability to prioritize multiple tasks; advanced problem-solving; ability to use advanced reasoning to define problems, collect data, establish facts, draw valid conclusions, and design, implement and manage appropriate resolution.
- Problem-Solving Skills: Effective problem solving, organizational and time management skills and ability to work in a fast-paced environment.
- Preferred: Bilingual - English/Spanish or English/Chinese
- Required: Pharmacy Tech license
- Preferred: Certified Pharmacy Technician
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1 While performing the duties of this job, the employee is regularly required to talk, hear, and sit; use hands to manipulate office equipment.
2 The employee regularly is required to stand, walk, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
3 The employee frequently lifts and/or moves up to 10 pounds.
4 Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $41,472.00 - $62,208.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
- DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email
Remote working/work at home options are available for this role.