Jobs in Cleves Hamilton County Oh Flexible
2,273 positions found — Page 6
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CDL A Home Weekly - 66 CPM + 5 CPM Bonus
✦ New
Salary not disclosed
OUR REGIONAL REEFER TRUCK DRIVERS EARN UP TO $0.66 CPM
What We Offer:
- $0.64- $0.66CPM (dependent on location and experience)
- ADDITIONAL$0.05CPM Monthly Performance Bonus
- Guaranteed Payment of $1,200 Per Week
- Home Weekly
- Primarily Runs within a 550 mile radius of your location
- Trucks No Older Than 3 Years Old
- Volvo, Freightliner, and Kenworth
- All Trucks Equipped With Inverters Refrigerators
Perks:
- Pet Rider Policy
- Free Sirius XM Radio
- 24/7 Dispatch
- $0 Deductible Health
Benefits:
- Health, Dental, Vision
- Short Long Term Disability Insurance
- Free $20,000 Life Insurance Policy
- 401K With 3.5% Company Match
APPLY TODAY!
Interested in Leasing? Ask us about our Lease Purchase Program!
Requirements:
- Must Be at Least 23Years of Age
- 1 Year of Tractor Trailer Driving Experience in the Last 3 Years
- Valid Class A CDL
Not Specified
U
Dialysis Facility Administrator
✦ New
Salary not disclosed
SUMMARY
The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.
GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures.
OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program‘s target goals for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL READINESS
· Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse‘s responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations.
OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.
PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints.
STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:
- Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment.
- Demonstrated analytical and problem-solving skills are required.
- Strong time management and organizational skills required.
- 1 year previous dialysis management experience preferred.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet applicable, specific state requirements. (See addendum for Administrator.
Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications:
- Must be full-time employee of the Company and available to clinic staff during time clinic is open.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure.
- CPR certification required within 90 days of hire.
- Confirmation of ability to distinguish all primary colors.
- Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)
All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO
The Administrator is responsible for the overall daily management and operation of the clinic. The Administrator reports directly to first line regional operational management which may be an Area Director, Regional Director, or Vice President of Operations, depending on the region/demographics.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties and tasks may be assigned.
GROWTH · Develop and implement processes for program growth in accordance with Company goals. · Plan/coordinate patient scheduling to assure timely acceptance of patients and effective staffing levels. · Implement clinical and operational processes to improve patient health and minimize hospitalizations and missed treatments. · Achieve financial targets to include budget, labor costs, supply costs and expenditures.
OUTCOMES · Review all incident reports; make recommendations and take action relative to incidents as appropriate; report at monthly QAPI meeting. · Promote quality management program through education and involvement of staff and patients in outcomes as well as overall responsibility to achieve corporate goals for quality. Leads QAPI meetings and quality improvement committees. · Coordinate the functions of all departments and develop standards and methods of measuring patient care services, including a chronological record of services provided to patients as required by the ESRD Network Coordinating Council and Medicare. · Work with staff to maintain chronological, thorough, and appropriate documentation in the patient record of all treatments, activities, and communication with the patient, physician and other healthcare professionals. · Achieve program‘s target goals for patient outcomes in accordance with quality patient care and Company goals.
OPERATIONAL READINESS
· Knowledge of and remain current with federal, state, local laws and regulations, including health care professionals practice act requirements. · Assure that the clinic is in compliance with all applicable federal, state, and local laws and regulations and receives continuing certification from all statutory and regulatory agencies. · Develop, implement and follow up necessary Corrective Action Plans for internal and external surveys. · May assume Charge Nurse‘s responsibilities as needed. · Responsible for duties listed in Registered Supervising Nurse job description and nursing services policy # C-AD-0110 or must designate Registered Nurse meeting these qualifications. · May fulfill responsibility of facility CEO as delegated by Governing Body. · Conduct and/or participate in both formal and informal meetings with the governing body, Regional Director, Medical Director and the staff. Assure that appropriate staff meetings, in-service education meetings, and team patient care planning meetings are held monthly. Assure that Quality Assessment & Performance Improvement Program is current at all times. · Establish, maintain, and submit all required records and reports concerning staff, patients, and the operational affairs of the center. · Plan, coordinate, and approve effective and efficient staffing to meet patient needs and regulations. · Oversee the maintenance of equipment and supplies to meet current laws and regulations.
OPERATIONAL READINESS (cont.) · Continuously monitor to ensure that a safe and sanitary physical environment is maintained throughout the facility; that all equipment is maintained and functions properly; and that adequate and appropriate inventory levels of all supplies are available and used correctly. · Supervise the maintenance of equipment, building areas occupied by the center and other property belonging to the center. · Know and understand the water treatment and mechanisms of the equipment of the facility. · Assist, when necessary, with disinfection of equipment and supplies including bicarbonate delivery systems and dialysis machines.
PARTNERSHIPS · Monitor all contractual agreements; update as needed with corporate oversight. · Maintain collaborative working relationship with Medical Director and physicians. · Establish and maintain a positive relationship with area hospitals, agencies, vendors and the community. · Actively promote GUEST customer service standards; develop effective relationships at all levels of the organization. · Respond effectively to inquiries or complaints.
STAFF DEVELOPMENT/ RETENTION · Ensure all staff meet required qualifications for position held and perform duties within limitations established by and in accordance with company policy/procedures, health care professionals practice acts, applicable state and federal laws and regulations. · Recruit, train, develop, and supervise all personnel. · Maintain effective personnel management and employee relations, including evaluating the performance of all personnel; approving and submitting all hours worked and counseling and disciplining employees. · Uphold management goals of corporation by leading staff in team concepts and promoting a team effort. · Effectively communicates expectations; accepts accountability and holds others accountable for performance.
Qualifications/Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Requirements include:
- Demonstrated ability to function in a leadership position and to perform in new and emergent situations with sound judgment.
- Demonstrated analytical and problem-solving skills are required.
- Strong time management and organizational skills required.
- 1 year previous dialysis management experience preferred.
- Demonstrated working knowledge of the English language and ability to communicate verbally and in writing.
- Must have basic computer skills, including Microsoft Office (Word, Excel, Outlook); proficiency in all USRC clinical applications required within 90 days of hire.
- Must meet applicable, specific state requirements. (See addendum for Administrator.
Additionally, if the nursing requirements listed below are not met, an individual may be placed in the Administrator role without them; however, in the absence of these qualifications, there must be a designated Registered Supervising Nurse at the clinic who does possess these qualifications:
- Must be full-time employee of the Company and available to clinic staff during time clinic is open.
- Current RN license in applicable state. License must be maintained as current and in good standing.
- 18 months as an RN with 6 months experience in nursing care of a patient with kidney failure.
- CPR certification required within 90 days of hire.
- Confirmation of ability to distinguish all primary colors.
- Must meet any practice requirement(s) for the applicable state. (See addendum for Registered Supervising Nurse)
All Full Time employees are eligible for the following benefits: * Medical / Pharmacy * Dental * Vision * Voluntary benefits * 401k with employer match * Virtual Care * Life Insurance * Voluntary Benefits * PTO All Part Time employees are eligible for the following benefits: * 401k with employer match * PTO
Not Specified
P
Travel RN Cardiovascular Stepdown
✦ New
Salary not disclosed
Job Description
PRIDE Health is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: Cardiac Stepdown
- Discipline: RN
- Duration: 8 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Pride Health Job ID #17964577. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Step-Down,19:00:00-07:30:00
About PRIDE Health
PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- 401k retirement plan
- Cancelation protection
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
PRIDE Health is seeking a travel nurse RN Cardiac Stepdown for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: Cardiac Stepdown
- Discipline: RN
- Duration: 8 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Pride Health Job ID #17964577. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Step-Down,19:00:00-07:30:00
About PRIDE Health
PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- 401k retirement plan
- Cancelation protection
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
Not Specified
Travel Telemetry Stepdown RN
✦ New
Salary not disclosed
Job Description
Triage Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: PCU - Progressive Care Unit
- Discipline: RN
- Start Date: 03/24/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, days
- Employment Type: Travel
Travel Nursing: Progressive Care Unit Cincinnati
Location: Cincinnati
Start Date: 3/24/2026
Shift Details: 12H Days
36 hours per week
Length: 13 WEEKS
Apply for specific facility details.Stepdown/PCU RN
Triage Staffing Job ID #R6NFUF4H. Posted job title: Nursing: Progressive Care Unit
About Triage Staffing
At Triage, we prefer to be real. Real about expectations—both ours and yours. Real about how a decision you make today could affect your tomorrows. Real about how compensation actually works. Real about how great—or grating—your next supervisor may be.
Being real allows everyone at Triage to be ready. Ready to serve you with real honesty. So if that gig near the ocean is really no day at the beach, or that third shift comes with a second-class rate, we tell you. So you can be ready, too.
We staff all five major divisions of acute care—nursing, lab, radiology, cardiopulmonary and rehab therapy, offering:
- Competitive, custom pay packages
- One point of contact for both travelers and facilities (per division)
- A reliable recruiter who's got your back throughout your entire assignment
- In-house compliance and accounting specialists
- A clinical liaison team available 24/7 to offer medical and professional support and career development
- A mentoring program that is run and managed by actual clinicians—yeah, you read that right
- And more (because of course there’s more)
Are we the biggest? No. Are we the best? That’s rather subjective, but we’re trying to be. Will we work like hell to get you as close to your idea of heaven as possible? Yes. Yes, we will.
Benefits:
- Day One comprehensive, nationwide insurance plans for health, vision and dental and life—including a HSA option
- Day One 401(k) program with employer-matching contributions once eligible
- Facility cancelling protection—your time is money on and off-the-clock
- Guaranteed hours
- Weekly paychecks via direct deposit
- Earned vacation bonuses for time worked
- Paid holidays
- Employee assistance program (EAP)—your mental health is important, too
- Continuing education, certification and licensing reimbursement
- Workers comp—because accidents happen
- Top-rated professional liability insurance
- Company provided housing options
- Referral bonus—$750 in your pocket after they’ve completed a 13-week assignment
Triage Staffing is seeking a travel nurse RN PCU - Progressive Care Unit for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: PCU - Progressive Care Unit
- Discipline: RN
- Start Date: 03/24/2026
- Duration: 13 weeks
- 36 hours per week
- Shift: 12 hours, days
- Employment Type: Travel
Travel Nursing: Progressive Care Unit Cincinnati
Location: Cincinnati
Start Date: 3/24/2026
Shift Details: 12H Days
36 hours per week
Length: 13 WEEKS
Apply for specific facility details.Stepdown/PCU RN
Triage Staffing Job ID #R6NFUF4H. Posted job title: Nursing: Progressive Care Unit
About Triage Staffing
At Triage, we prefer to be real. Real about expectations—both ours and yours. Real about how a decision you make today could affect your tomorrows. Real about how compensation actually works. Real about how great—or grating—your next supervisor may be.
Being real allows everyone at Triage to be ready. Ready to serve you with real honesty. So if that gig near the ocean is really no day at the beach, or that third shift comes with a second-class rate, we tell you. So you can be ready, too.
We staff all five major divisions of acute care—nursing, lab, radiology, cardiopulmonary and rehab therapy, offering:
- Competitive, custom pay packages
- One point of contact for both travelers and facilities (per division)
- A reliable recruiter who's got your back throughout your entire assignment
- In-house compliance and accounting specialists
- A clinical liaison team available 24/7 to offer medical and professional support and career development
- A mentoring program that is run and managed by actual clinicians—yeah, you read that right
- And more (because of course there’s more)
Are we the biggest? No. Are we the best? That’s rather subjective, but we’re trying to be. Will we work like hell to get you as close to your idea of heaven as possible? Yes. Yes, we will.
Benefits:
- Day One comprehensive, nationwide insurance plans for health, vision and dental and life—including a HSA option
- Day One 401(k) program with employer-matching contributions once eligible
- Facility cancelling protection—your time is money on and off-the-clock
- Guaranteed hours
- Weekly paychecks via direct deposit
- Earned vacation bonuses for time worked
- Paid holidays
- Employee assistance program (EAP)—your mental health is important, too
- Continuing education, certification and licensing reimbursement
- Workers comp—because accidents happen
- Top-rated professional liability insurance
- Company provided housing options
- Referral bonus—$750 in your pocket after they’ve completed a 13-week assignment
Not Specified
P
Travel RN Float Pool
✦ New 🏢 Pride Health
Salary not disclosed
Job Description
PRIDE Health is seeking a travel nurse RN Float Med Surg for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: Float
- Discipline: RN
- Duration: 8 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Pride Health Job ID #17967740. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Float Pool,19:00:00-07:30:00
About PRIDE Health
PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- 401k retirement plan
- Cancelation protection
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
PRIDE Health is seeking a travel nurse RN Float Med Surg for a travel nursing job in Cincinnati, Ohio.
Job Description & Requirements
- Specialty: Float
- Discipline: RN
- Duration: 8 weeks
- 36 hours per week
- Shift: 12 hours, nights
- Employment Type: Travel
Pride Health Job ID #17967740. Pay package is based on 12 hour shifts and 36 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: RN:Float Pool,19:00:00-07:30:00
About PRIDE Health
PRIDE Health is the minority-owned healthcare recruitment division of Pride Global—an integrated human capital solutions and advisory firm. With our robust and abundant travel nursing and allied health employment options across the U.S., PRIDE Health will allow you to help change the way the world lives and heals as it connects you with the industry’s leading healthcare organizations.
Pride Global offers eligible employee’s comprehensive healthcare coverage (medical, dental, and vision plans), supplemental coverage (accident insurance, critical illness insurance and hospital indemnity), 401(k)-retirement savings, life & disability insurance, an employee assistance program, legal support, auto, home insurance, pet insurance, and employee discounts with preferred vendors.
Benefits
- Weekly pay
- Holiday Pay
- Guaranteed Hours
- 401k retirement plan
- Cancelation protection
- Referral bonus
- Medical benefits
- Dental benefits
- Vision benefits
Not Specified
A
Remote Inside Sales Representative {168055}
✦ New
Salary not disclosed
Sales Specialist (Remote) { 168055} Pay Rate: $17/hour Schedule: Monday – Friday, Day Shift Position Summary The Sales Specialist is responsible for conducting initial and follow-up sales calls with prospective and existing customers.
This role focuses on delivering a high-quality, customer-first experience by providing product education, addressing customer needs, and ensuring satisfaction throughout the sales process.
The ideal candidate demonstrates professionalism, empathy, and strong communication skills while meeting performance and sales goals.
Key Responsibilities Conduct inbound and outbound sales calls with prospective and current customers Educate customers on product lines including ostomy, urology, Purewick, and related medical supplies Identify customer needs and recommend appropriate solutions Address and resolve customer concerns in a timely and professional manner Accurately document all interactions, issues, and resolutions in CRM and call tracking systems Meet or exceed performance targets, including call volume, sales goals, and customer satisfaction metrics Ensure compliance with company standards, including HIPAA regulations, insurance protocols, and call scripting guidelines Collaborate with internal teams to resolve order issues and provide seamless customer support Additional Responsibilities Communicate with customers via phone, email, and web chat Maintain accurate and detailed customer records to support follow-up and service quality Contribute to a positive, team-oriented work environment Perform additional duties as assigned Qualifications Education & Experience: High school diploma or GED required 1–2 years of related sales or customer service experience preferred Skills & Abilities: Strong verbal and written communication skills Ability to explain technical or medical product information clearly Basic to intermediate math skills (discounts, percentages, commissions) Strong problem-solving and critical-thinking abilities Proficiency in Microsoft Office (Word, Excel) and CRM systems Familiarity with call center or dialer systems preferred Work Requirements Availability to work occasional evenings, weekends, or overtime as needed Work Environment (Remote) Must work from a private, quiet, and distraction-free environment Reliable high-speed internet is required Ability to remain seated and use a computer and phone for extended periods Physical Requirements Regularly required to sit, speak, and listen Frequent use of hands for computer and phone work
*
Remote working/work at home options are available for this role.
This role focuses on delivering a high-quality, customer-first experience by providing product education, addressing customer needs, and ensuring satisfaction throughout the sales process.
The ideal candidate demonstrates professionalism, empathy, and strong communication skills while meeting performance and sales goals.
Key Responsibilities Conduct inbound and outbound sales calls with prospective and current customers Educate customers on product lines including ostomy, urology, Purewick, and related medical supplies Identify customer needs and recommend appropriate solutions Address and resolve customer concerns in a timely and professional manner Accurately document all interactions, issues, and resolutions in CRM and call tracking systems Meet or exceed performance targets, including call volume, sales goals, and customer satisfaction metrics Ensure compliance with company standards, including HIPAA regulations, insurance protocols, and call scripting guidelines Collaborate with internal teams to resolve order issues and provide seamless customer support Additional Responsibilities Communicate with customers via phone, email, and web chat Maintain accurate and detailed customer records to support follow-up and service quality Contribute to a positive, team-oriented work environment Perform additional duties as assigned Qualifications Education & Experience: High school diploma or GED required 1–2 years of related sales or customer service experience preferred Skills & Abilities: Strong verbal and written communication skills Ability to explain technical or medical product information clearly Basic to intermediate math skills (discounts, percentages, commissions) Strong problem-solving and critical-thinking abilities Proficiency in Microsoft Office (Word, Excel) and CRM systems Familiarity with call center or dialer systems preferred Work Requirements Availability to work occasional evenings, weekends, or overtime as needed Work Environment (Remote) Must work from a private, quiet, and distraction-free environment Reliable high-speed internet is required Ability to remain seated and use a computer and phone for extended periods Physical Requirements Regularly required to sit, speak, and listen Frequent use of hands for computer and phone work
*
Remote working/work at home options are available for this role.
Not Specified
A
Remote Clinical Pharmacist Advisor- Medicare
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Job Title: Remote Clinical Pharmacist Advisor – Medicare (Contract-to-Hire) Location: Remote (Must reside and be licensed in state of residence) Pay Rate: $53/hour Job Type: Contract-to-Hire Schedule: Business Hours are 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday.
Set Rotation Start Date : May 11th or 18th Position Overview We are seeking an experienced Clinical Pharmacist Advisor – Medicare to join a high-performing, remote clinical review team.
This role focuses on prior authorizations, coverage determinations, and Medicare Part D reviews in a fast-paced, production-driven environment.
This is an excellent opportunity for pharmacists with managed care, PBM, or Medicare experience who thrive in a remote, independent workflow setting and are comfortable handling high-volume clinical case reviews .
Schedule Business Hours: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Rotation: Set schedule (may include weekends) Training Schedule: Monday – Friday, 9:00 AM – 5:30 PM EST Key Responsibilities Perform prior authorization and coverage determination reviews in accordance with clinical guidelines and CMS regulations Evaluate medication requests, including formulary exceptions, step therapy, and quantity limits Process appeals and denial reviews with accurate clinical documentation Apply Medicare Part D knowledge to ensure compliance and timely decision-making Communicate with providers to obtain necessary clinical information and explain determinations Document decisions clearly, including rationale for approvals or denials Maintain productivity and quality standards in a high-volume, queue-based environment Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in state of residence Minimum 1+ year of experience in managed care, PBM, or prior authorization review Strong knowledge of Medicare Part D and pharmacy benefit structures Experience with: Prior authorizations Coverage determinations & appeals Clinical criteria and formulary reviews Preferred Experience Previous experience in PBM environments (e.g., Medicare or commercial plans) Background in organizations such as CVS/Caremark, OptumRx, Cigna, Walgreens, or similar Combination of retail pharmacy + managed care experience Experience working in a remote, production-based role Key Skills & Competencies Ability to manage high-volume case review queues with speed and accuracy Strong clinical decision-making and documentation skills Excellent provider communication and collaboration High level of attention to detail and compliance adherence Comfortable working independently in a remote environment with minimal supervision Strong computer proficiency and ability to navigate multiple systems simultaneously What Makes a Strong Candidate Successful candidates typically bring: Proven experience in Medicare pharmacy benefit review work A track record of handling time-sensitive clinical decisions Comfort working in remote, metrics-driven environments Ability to clearly communicate clinical decisions and alternatives to providers Readiness to hit the ground running with minimal ramp-up time Why Join Us? Fully remote opportunity Competitive hourly pay with contract-to-hire potential Structured training and support Opportunity to work with a leading clinical review team in the Medicare space INDJP .
Remote working/work at home options are available for this role.
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday.
Set Rotation Start Date : May 11th or 18th Position Overview We are seeking an experienced Clinical Pharmacist Advisor – Medicare to join a high-performing, remote clinical review team.
This role focuses on prior authorizations, coverage determinations, and Medicare Part D reviews in a fast-paced, production-driven environment.
This is an excellent opportunity for pharmacists with managed care, PBM, or Medicare experience who thrive in a remote, independent workflow setting and are comfortable handling high-volume clinical case reviews .
Schedule Business Hours: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Rotation: Set schedule (may include weekends) Training Schedule: Monday – Friday, 9:00 AM – 5:30 PM EST Key Responsibilities Perform prior authorization and coverage determination reviews in accordance with clinical guidelines and CMS regulations Evaluate medication requests, including formulary exceptions, step therapy, and quantity limits Process appeals and denial reviews with accurate clinical documentation Apply Medicare Part D knowledge to ensure compliance and timely decision-making Communicate with providers to obtain necessary clinical information and explain determinations Document decisions clearly, including rationale for approvals or denials Maintain productivity and quality standards in a high-volume, queue-based environment Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in state of residence Minimum 1+ year of experience in managed care, PBM, or prior authorization review Strong knowledge of Medicare Part D and pharmacy benefit structures Experience with: Prior authorizations Coverage determinations & appeals Clinical criteria and formulary reviews Preferred Experience Previous experience in PBM environments (e.g., Medicare or commercial plans) Background in organizations such as CVS/Caremark, OptumRx, Cigna, Walgreens, or similar Combination of retail pharmacy + managed care experience Experience working in a remote, production-based role Key Skills & Competencies Ability to manage high-volume case review queues with speed and accuracy Strong clinical decision-making and documentation skills Excellent provider communication and collaboration High level of attention to detail and compliance adherence Comfortable working independently in a remote environment with minimal supervision Strong computer proficiency and ability to navigate multiple systems simultaneously What Makes a Strong Candidate Successful candidates typically bring: Proven experience in Medicare pharmacy benefit review work A track record of handling time-sensitive clinical decisions Comfort working in remote, metrics-driven environments Ability to clearly communicate clinical decisions and alternatives to providers Readiness to hit the ground running with minimal ramp-up time Why Join Us? Fully remote opportunity Competitive hourly pay with contract-to-hire potential Structured training and support Opportunity to work with a leading clinical review team in the Medicare space INDJP .
Remote working/work at home options are available for this role.
Not Specified
A
Remote Medicare Clinical Pharmacist
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
A-Line Staffing is hiring a Full-Time, Remote, Remote Medicare Clinical Pharmacist! (CAN RESIDE ANYWHERE IN THE US! PAY IS $53.00/HR.
HOURS ARE 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) As a Clinical Pharmacist Advisor – Medicare, you will: Support Medicare Part D members and providers with pharmacy benefit requests Ensure accurate case setup and clinical review for decisioning Contact providers to obtain clinical details when necessary Follow CMS-mandated timelines, departmental productivity, and quality standards Apply clinical judgment using compendia, evolving work instructions, and Medicare guidance Participate in development discussions with supervisors for continuous improvement Remote Medicare Clinical Pharmacist Compensation · The pay for this position is $53.00/hr · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Remote Medicare Clinical Pharmacist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Required Availability: is 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) Remote Medicare Clinical Pharmacist Responsibilities · Accurately set up Medicare Part D cases for members and providers.
· Review clinical information and documentation to support decision-making.
· Contact providers to obtain additional clinical details when needed.
· Ensure all case decisions comply with CMS Medicare guidelines and compendia resources.
· Adhere to departmental productivity, quality standards, and CMS-mandated timelines.
· Maintain thorough and clear documentation of all case activities.
· Utilize multiple computer applications efficiently, often across dual screens.
· Participate in training, development discussions, and feedback sessions with supervisors.
· Support continuous improvement initiatives within the team.
· Work independently while maintaining high attention to detail and accuracy.
· Demonstrate engagement, professionalism, and a positive attitude in all interactions.
Remote Medicare Clinical Pharmacist Requirements · Education: Bachelor’s in Pharmacy or PharmD required · Licensure: Active license in state of residence · Technical Skills: Proficiency in Excel, Word, PowerPoint, Access, and Visio preferred · Experience: Previous experience in Managed Care / PBM environment Join a team that is helping keep communities healthy across the country.
Apply with A-Line Staffing today to take part in this impactful healthcare initiative!
Remote working/work at home options are available for this role.
HOURS ARE 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) As a Clinical Pharmacist Advisor – Medicare, you will: Support Medicare Part D members and providers with pharmacy benefit requests Ensure accurate case setup and clinical review for decisioning Contact providers to obtain clinical details when necessary Follow CMS-mandated timelines, departmental productivity, and quality standards Apply clinical judgment using compendia, evolving work instructions, and Medicare guidance Participate in development discussions with supervisors for continuous improvement Remote Medicare Clinical Pharmacist Compensation · The pay for this position is $53.00/hr · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Remote Medicare Clinical Pharmacist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Required Availability: is 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) Remote Medicare Clinical Pharmacist Responsibilities · Accurately set up Medicare Part D cases for members and providers.
· Review clinical information and documentation to support decision-making.
· Contact providers to obtain additional clinical details when needed.
· Ensure all case decisions comply with CMS Medicare guidelines and compendia resources.
· Adhere to departmental productivity, quality standards, and CMS-mandated timelines.
· Maintain thorough and clear documentation of all case activities.
· Utilize multiple computer applications efficiently, often across dual screens.
· Participate in training, development discussions, and feedback sessions with supervisors.
· Support continuous improvement initiatives within the team.
· Work independently while maintaining high attention to detail and accuracy.
· Demonstrate engagement, professionalism, and a positive attitude in all interactions.
Remote Medicare Clinical Pharmacist Requirements · Education: Bachelor’s in Pharmacy or PharmD required · Licensure: Active license in state of residence · Technical Skills: Proficiency in Excel, Word, PowerPoint, Access, and Visio preferred · Experience: Previous experience in Managed Care / PBM environment Join a team that is helping keep communities healthy across the country.
Apply with A-Line Staffing today to take part in this impactful healthcare initiative!
Remote working/work at home options are available for this role.
Not Specified
IAM Engineer
✦ New
Salary not disclosed
Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999.
Mindlance is here to help you to find the perfect fit with just the right company.
Currently, we are seeking an Accounts Payable Clerk for an exciting career growth opportunity.
Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition.
Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications · This is a senior-level position that will execute the implementation of designs and requirements provided by IAM architects · and analysts and ensures that IAM capabilities and services are successfully integrated within systems across the · organization while also providing ongoing support and maintenance as needed for IAM processes and technology.
Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
The Senior IAM Engineer will lead the implementation and support of modern enterprise Workforce IAM systems.
They will collaborate closely with cross-functional development teams, architects, analysts, and business stakeholders to ensure secure identity solutions are integrated throughout the product lifecycle.
This role serves as a key technical contact for IAM authentication and authorization services across the organization.
Essential Job Accountabilities (Core responsibilities accounting for 10% or more of the role) 1.
IAM Platform Implementation & Support (40%) · Implement, administer, and support workforce IAM platforms including Oracle Access Manager (OAM), Microsoft Entra, and Duo.
· Design, configure, and troubleshoot authentication and authorization solutions throughout the SDLC.
· Support automated migration of applications from Oracle Access Manager to Microsoft Entra.
· Onboard and integrate new applications with Microsoft Entra.
· Perform detailed root cause analysis of IAM issues and implement preventative solutions.
· Engineer scalable, secure, and high-performance IAM solutions.
2.
IAM Process Engineering & Automation (20%) · Develop, enhance, test, document, and maintain IAM integration processes.
· Simplify and automate access management workflows to improve user experience.
· Architect and implement accelerators and automation enablers for IAM operations.
· Identify optimization opportunities and execute strategies to improve efficiency, scalability, and service delivery.
Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months Email Qualified Resumes to: IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
5.
Metrics, KPIs & Operational Support (10%) · Support delivery of IAM metrics and KPIs through system analysis and integrations.
· Provide ongoing operational support and maintenance for IAM services and processes.
Required Qualifications & Experience IAM & Security Expertise · In-depth knowledge of Workforce IAM, Single Sign-On (SSO), and Multi-Factor Authentication (MFA).
· Proven experience onboarding SSO applications and integrating MFA with cloud-based identity providers.
· Strong understanding of modern authentication protocols and standards: o FIDO2, SAML, OAuth, OIDC, Kerberos, Federation · Hands-on experience with: o Passwordless authentication o API Gateways o SCIM connector development o Identity platforms such as Microsoft Entra, Duo, Oracle Access Manager, Ping Identity, Okta, or ForgeRock Compliance & Risk · Practical knowledge of compliance and regulatory frameworks: o SOX, PCI, FAA, GDPR, PII · Strong understanding of Zero Trust architecture, adaptive risk-based authorization, identity proofing, and verification technologies.
· Familiarity with security frameworks and governance standards: o ISO, NIST, CSA Controls Matrix Technical & Industry Experience · Experience with large-scale identity transformation initiatives, including migration from on-premise to cloud-based IAM services.
· Prior experience implementing passwordless technologies in large enterprise environments.
· Experience supporting IAM functions within the airline or transportation industry (preferred).
· Exposure to AI/ML, algorithm development, or automation-driven technical solutions (preferred).
Software Development & Delivery · Expertise in modern software development lifecycles and Agile methodologies.
· Experience with automated cloud infrastructure deployment.
Core Competencies · Strong written and verbal communication skills; ability to communicate with both technical and non-technical audiences.
· Excellent attention to detail with qualitative and quantitative data.
· Strong analytical and problem-solving skills with the ability to adapt quickly to changing priorities.
· Demonstrated initiative and ownership of deliverables and outcomes.
Remote working/work at home options are available for this role.
Mindlance is here to help you to find the perfect fit with just the right company.
Currently, we are seeking an Accounts Payable Clerk for an exciting career growth opportunity.
Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition.
Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications · This is a senior-level position that will execute the implementation of designs and requirements provided by IAM architects · and analysts and ensures that IAM capabilities and services are successfully integrated within systems across the · organization while also providing ongoing support and maintenance as needed for IAM processes and technology.
Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
The Senior IAM Engineer will lead the implementation and support of modern enterprise Workforce IAM systems.
They will collaborate closely with cross-functional development teams, architects, analysts, and business stakeholders to ensure secure identity solutions are integrated throughout the product lifecycle.
This role serves as a key technical contact for IAM authentication and authorization services across the organization.
Essential Job Accountabilities (Core responsibilities accounting for 10% or more of the role) 1.
IAM Platform Implementation & Support (40%) · Implement, administer, and support workforce IAM platforms including Oracle Access Manager (OAM), Microsoft Entra, and Duo.
· Design, configure, and troubleshoot authentication and authorization solutions throughout the SDLC.
· Support automated migration of applications from Oracle Access Manager to Microsoft Entra.
· Onboard and integrate new applications with Microsoft Entra.
· Perform detailed root cause analysis of IAM issues and implement preventative solutions.
· Engineer scalable, secure, and high-performance IAM solutions.
2.
IAM Process Engineering & Automation (20%) · Develop, enhance, test, document, and maintain IAM integration processes.
· Simplify and automate access management workflows to improve user experience.
· Architect and implement accelerators and automation enablers for IAM operations.
· Identify optimization opportunities and execute strategies to improve efficiency, scalability, and service delivery.
Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months Email Qualified Resumes to: IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
5.
Metrics, KPIs & Operational Support (10%) · Support delivery of IAM metrics and KPIs through system analysis and integrations.
· Provide ongoing operational support and maintenance for IAM services and processes.
Required Qualifications & Experience IAM & Security Expertise · In-depth knowledge of Workforce IAM, Single Sign-On (SSO), and Multi-Factor Authentication (MFA).
· Proven experience onboarding SSO applications and integrating MFA with cloud-based identity providers.
· Strong understanding of modern authentication protocols and standards: o FIDO2, SAML, OAuth, OIDC, Kerberos, Federation · Hands-on experience with: o Passwordless authentication o API Gateways o SCIM connector development o Identity platforms such as Microsoft Entra, Duo, Oracle Access Manager, Ping Identity, Okta, or ForgeRock Compliance & Risk · Practical knowledge of compliance and regulatory frameworks: o SOX, PCI, FAA, GDPR, PII · Strong understanding of Zero Trust architecture, adaptive risk-based authorization, identity proofing, and verification technologies.
· Familiarity with security frameworks and governance standards: o ISO, NIST, CSA Controls Matrix Technical & Industry Experience · Experience with large-scale identity transformation initiatives, including migration from on-premise to cloud-based IAM services.
· Prior experience implementing passwordless technologies in large enterprise environments.
· Experience supporting IAM functions within the airline or transportation industry (preferred).
· Exposure to AI/ML, algorithm development, or automation-driven technical solutions (preferred).
Software Development & Delivery · Expertise in modern software development lifecycles and Agile methodologies.
· Experience with automated cloud infrastructure deployment.
Core Competencies · Strong written and verbal communication skills; ability to communicate with both technical and non-technical audiences.
· Excellent attention to detail with qualitative and quantitative data.
· Strong analytical and problem-solving skills with the ability to adapt quickly to changing priorities.
· Demonstrated initiative and ownership of deliverables and outcomes.
Remote working/work at home options are available for this role.
Not Specified
A
Clinical Pharmacist Advisor Medicare- Remote {168157}
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Clinical Pharmacist Advisor – Medicare (Remote) Schedule: Business Hours: Monday through Friday 7:00 AM to 8:00 PM EST and Saturday and Sunday 7:00 AM to 4:30 PM EST Set rotation required, including weekends based on business needs Training Schedule: Monday through Friday 9:00 AM to 5:30 PM EST for the first 8 weeks No time off permitted during training Must have a dedicated, quiet workspace free of distractions Position Overview: The Clinical Pharmacist Advisor supports Medicare Part D members and providers by ensuring accurate case setup, reviewing clinical information, and making compliant coverage determinations.
This role requires strong clinical judgment, attention to detail, and the ability to work efficiently in a fast paced, productivity driven environment.
You will collaborate with providers, apply Medicare guidelines, and ensure timely and accurate documentation of all cases.
Key Responsibilities: • Review Medicare appeals cases for accuracy and completeness • Evaluate clinical documentation and internal notes for case decisioning • Perform outbound outreach to providers to obtain additional clinical information • Ensure compliance with CMS Medicare guidelines and mandated timelines • Utilize drug compendia resources and internal systems for decision making • Maintain high productivity and quality standards • Accurately document all case activity and decisions • Participate in coaching, feedback sessions, and continuous improvement initiatives Required Qualifications: • Bachelor’s degree in Pharmacy or PharmD required • Active Pharmacist license in good standing in state of residence • Ability to work independently in a remote environment • Strong attention to detail and organizational skills • Verifiable High School Diploma or GED required Preferred Qualifications: • Experience in Managed Care or PBM environment • Knowledge of Microsoft Access, PowerPoint, and Visio Required Candidate Submissions (Must Be Included on Resume): • Internet speed test • Screenshot of active Pharmacist license showing name, state, and expiration date Additional Details: • Virtual interviews conducted via Microsoft Teams • Opportunity for full time employment based on performance Contact Information: Taryn Davis 469-342-1411 .
Remote working/work at home options are available for this role.
This role requires strong clinical judgment, attention to detail, and the ability to work efficiently in a fast paced, productivity driven environment.
You will collaborate with providers, apply Medicare guidelines, and ensure timely and accurate documentation of all cases.
Key Responsibilities: • Review Medicare appeals cases for accuracy and completeness • Evaluate clinical documentation and internal notes for case decisioning • Perform outbound outreach to providers to obtain additional clinical information • Ensure compliance with CMS Medicare guidelines and mandated timelines • Utilize drug compendia resources and internal systems for decision making • Maintain high productivity and quality standards • Accurately document all case activity and decisions • Participate in coaching, feedback sessions, and continuous improvement initiatives Required Qualifications: • Bachelor’s degree in Pharmacy or PharmD required • Active Pharmacist license in good standing in state of residence • Ability to work independently in a remote environment • Strong attention to detail and organizational skills • Verifiable High School Diploma or GED required Preferred Qualifications: • Experience in Managed Care or PBM environment • Knowledge of Microsoft Access, PowerPoint, and Visio Required Candidate Submissions (Must Be Included on Resume): • Internet speed test • Screenshot of active Pharmacist license showing name, state, and expiration date Additional Details: • Virtual interviews conducted via Microsoft Teams • Opportunity for full time employment based on performance Contact Information: Taryn Davis 469-342-1411 .
Remote working/work at home options are available for this role.
Not Specified
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