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Engagement Lead
✦ New
🏢 HRUCKUS
Salary not disclosed
Remote, Oregon 3 hours ago

Veteran Firm Seeking a Engagement Lead for a 100% Remote Assignment in Albany, NY

My name is Stephen Hrutka, and I am the owner of a Veteran-owned firm in Washington, DC focused on Supply Chain, Strategic Sourcing, and Technical/Cleared Recruiting.

HRUCKUS helps other Veteran Owned businesses recruit for positions across Veteran Firm Seeking a Engagement Lead for a 100% Remote Assignment in Albany, NY.

We seek to fill a Engagement Lead role in Albany, NY.

The ideal candidate is a Albany resident with a minimum of 5 years leading Salesforce engagements, 3 years of experience with public sector case management solution implementation, and an active Salesforce Administrator or Platform App Builder certification.

If you're interested, I'll gladly provide more details about the role and further discuss your qualifications.

Thanks,

Stephen M Hrutka

Principal Consultant

Summary: HRUCKUS is looking for an experienced Engagement Lead to oversee both the CCAP and HSCC projects, managing solution delivery, client relationships, project scope, budget, and teams.

Position Description: This consultant will oversee project implementation and transformation strategies. They will be responsible for stakeholder engagement, managing dependencies, reviewing risks, and assessing KPIs to track overall program success while functioning in a fully remote, telecommuting capacity.

Position Responsibilities:

  • Oversee both the CCAP and HSCC projects, managing solution delivery, client relationships, project scope, budget, and teams.
  • Co-create transformation strategies and roadmaps.
  • Engage with stakeholders for buy-in.
  • Manage dependencies across the implementation.
  • Review project risks.
  • Assess Key Performance Indicators (KPIs) to track program success.
  • Commit to a total of 260 hours for the entire engagement (160 standard hours plus 100 courtesy hours), working a minimum of 20 hours and a maximum of 40 hours per week.
  • Provide own equipment to ensure fully functional telecommuting capabilities.

Required Qualifications:

  • Minimum of 5 years leading Salesforce engagements.
  • Minimum 3 years of experience with public sector case management solution implementation.
  • Salesforce Administrator or Platform App Builder certification.

Details:

  • Job Title: Engagement Lead
  • Location: Albany, NY
  • Salary Range:$86,000-$118,000

Remote working/work at home options are available for this role.
Not Specified
Digital Design Manager
✦ New
Salary not disclosed
Remote, Oregon 3 hours ago

Location: Northern Chicagoland Suburbs (mostly remote, onsite 2-4 times per month)
Duration: Full Time/Direct Hire + 10% Bonus Opportunity
Position Overview:
Our client, a growing leader in the CPG space, is seeking a hands-on Digital Design Manager to join their expanding creative team. This is an exciting opportunity for a digital-first creative leader who enjoys balancing big-picture concepting with day-to-day execution. In this role, you will directly manage a team of three designers while driving creative excellence across multiple consumer brands.
The ideal candidate is conceptual, detail-oriented, and passionate about producing engaging digital and social content.

Responsibilities:

  • Lead, mentor, and guide a team of designers, providing creative direction, feedback, and professional development support
  • Concept and execute digital-first creative across video, e-commerce, paid and organic social, display advertising, email, websites, static assets, and animated content
  • Develop storyboards, motion concepts, and visual directions for video and animation
  • Collaborate closely with marketing partners to create on-brand visual content that communicates product features and brand messaging
  • Stay current on design trends, digital best practices, emerging tools, and AI capabilities
  • Manage multiple projects at once while meeting deadlines and maintaining high creative standards
  • Ensure brand consistency and adherence to brand guidelines across all deliverables
  • Build and maintain strong relationships with internal stakeholders and creative partners

Requirements:
  • 8+ years of experience in digital design or art direction, with strong digital and social content experience
  • 2+ years of experience managing or leading direct reports
  • Strong portfolio featuring digital and social work, including examples from the CPG space
  • Advanced skills in Adobe Creative Suite (Photoshop, Illustrator, InDesign)
  • Familiarity with AI tools and the ability to prompt for concepting or visual exploration
  • Strong communication, organization, and project management skills

Why This Role Stands Out:
  • Opportunity to join a growing creative team within a fast-moving CPG company
  • Balance of creative leadership and hands-on design
  • Collaborative environment with room to innovate and experiment
  • Flexible hybrid schedule with minimal onsite requirements

In this position, you may have access to client or customer systems, confidential and/or proprietary information or data. This position is onsite and requires you to work closely with other individuals in a collaborative team environment.

Benefits

Flexible work options (fully remote, hybrid, onsite)
Generous paid time off
Bonus incentives
401K company match
Competitive medical, dental, & vision insurance
Pet insurance
Annual fitness stipend
Unmatched employee discount on all products
Summer Hours
Email Your Resume In Word To
Looking forward to receiving your resume through our website and going over the position with you. Clicking apply is the best way to apply.
Please do NOT change the email subject line in any way. You must keep the JobID: linkedin : AB19-1980130 -- in the email subject line for your application to be considered.
Amy Banks - Senior Recruitment Manager
For Creative Circle to represent you for this opportunity, you must be currently authorized to work in the United States without the need of employer sponsorship for a non-immigrant visa such as a H-1B, TN, or O visa. We do not support or provide training for STEM/OPT programs. Additionally, you must be physically located in and perform the work for our client in the United is a new role.
This job was first posted by Creative Circle on 03/10/2026 and applications will be accepted on an ongoing basis until the position is filled or closed.
Creative Circle is an Equal Opportunity Employer
All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, breastfeeding, or related medical conditions), age, sexual orientation, gender identity or expression, national origin, ancestry, citizenship, genetic information, registered domestic partner status, marital status, disability, status as a crime victim, protected veteran status, or any other characteristic protected by law. Our hiring process includes AI screening for keywords and minimum qualifications. Recruiters review all results. Creative Circle will consider qualified applicants with criminal histories in a manner consistent with the requirements of applicable state and local law, including but not limited to the Los Angeles County Fair Chance Ordinance, the San Francisco Fair Chance Ordinance, and the California Fair Chance Act. If you need a reasonable accommodation in the application process, please contact your Recruiter (the person you'll be interviewing with) or a member of our Human Resources team to make arrangements. United Healthcare creates and publishes the Transparency in Coverage Machine-Readable Files on behalf of Creative Circle.
Copyright 1999 - 2026. CreativeCircle , Inc. All rights reserved.


Remote working/work at home options are available for this role.
Not Specified
Editorial Content Designer
✦ New
Salary not disclosed
Remote, Oregon 3 hours ago

Are you a visual storyteller who loves turning ideas into scroll-stopping digital content? We're looking for an Editorial Content Designer to help shape key visuals and stories for a leading global app marketplace used by millions every day.

This is a freelance opportunity (3 months) supporting a high-profile Product & Design team. You'll collaborate with creatives, project managers, and business partners to concept, design, and deliver impactful visuals that bring editorial stories, app features, and campaigns to life.

This will be fully remote but you must be local to Los Angeles area.

What you'll do

  • Own conceptual thinking and creative direction for digital editorial content and features
  • Develop and refine design assets for web, digital, and content experiences
  • Provide clear art direction and visual guidance for design-based deliverables
  • Partner closely with copy and editorial teams to build cohesive stories
  • Communicate technical specs and functional requirements to external partners
  • Create polished Keynote presentations and decks for internal stakeholders
  • Support marketing and PR requests related to app and game content

Who you are

  • A constant source of ideas who moves quickly from concept to execution
  • A strategic thinker with strong storytelling instincts and user-focused design sensibilities
  • Detail-obsessed, organized, and comfortable juggling multiple projects
  • Highly collaborative and energized by working with cross-functional teams
  • Equally comfortable taking the lead on complex projects or jumping in on quick-turn asks

What you bring

  • 4+ years of experience in content, visual, or communication design
  • Strong portfolio showcasing digital, social, or editorial content design
  • Experience creating visuals for games, apps, entertainment, or related industries
  • Background working with third-party IP or promotional campaigns
  • Fluency in graphic design, typography, photography, and/or illustration
  • Proficiency in Photoshop and Illustrator; motion or additional visual tools are a plus
  • Experience managing external vendors, agencies, or artists (briefs, references, storyboards)
  • Bachelor's degree in Web, Graphic, Information, Communication Design, or equivalent experience

Remote working/work at home options are available for this role.
Not Specified
Account Executive (B2B SaaS, AI Solutions | Hybrid Atlanta / Remote US)
✦ New
Salary not disclosed

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.
Not Specified
Account Manager, Decorative Films - Remote
✦ New
Salary not disclosed

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.
Not Specified
Licensed Inbound Sales Consultant - Property & Casualty insurance – hybrid Phoenix – Morning shift – direct hire
✦ New
Salary not disclosed
Phoenix, AZ, Hybrid 3 hours ago

P&C License or personal lines required / MORNING shift / Hybrid/ Direct Hire / No weekends


Our client, a nationwide insurer providing auto, home, small business, life, and specialty insurance products, is actively hiring. This position will handle Inbound calls (warm leads), to assess customer needs, and recommend the best-fit options to customers. *There will be no cold calling!!


Type of Hire: Direct hire

Start Date: April 13th

Pay Rate: Pay Rate: $21/hr(negotiable depending experience)+ commissions + benefits

  • uncapped performance-based incentive aprox $25k-30k realistic for the 1st year.
  • Incentives based on: Total dollar volume sold, Net new policies sold, Customer satisfaction scores
  • 5% bilingual incentive.
  • A competitive benefits package


Location: HYBRID ( 3 days office - 2 days at home) Phoenix, AZ 85085 (must live no more than 25-35 min drive)

Training: hybrid 7 weeks. M-F9:00am-5:30pm MST - (M-W in office, Th-F at home).

Post Training Schedule:

  • Hybrid, M-W in office and Th-F at home.
  • Monday-Friday 7am-5:30pm MST
  • Full-time- 40 hours/week;


Duties

  • Sell insurance by gathering customer info, quoting, and binding; occasional outbound calls.
  • Provide exceptional customer service and build strong relationships, while educating customers regarding coverages and cost so that the customer can select the most appropriate option
  • Qualify customers as buyers of other products/services to create cross-sell and upselling opportunities
  • Navigate multiple computer systems while seamlessly interacting with the customer
  • *There will be no cold calling!!


Requirements:

  • Minimum 1 year of experience in a sales environment
  • Must have active AZ Resident Property & Casualty license
  • Proven ability to meet quotas, metrics and goals
  • A drive to work in a fast-paced, high energy environment
  • Direct sales skills, and the aptitude to influence customers and close the sale
  • Excellent communication skills; Ability to explain complex policy and coverage information in understandable terms
  • Must be eligible to obtain non-resident property and casualty license in all required states


Benefits:

  • 11 holidays, 19 vacation days
  • Onsite gym /Fun Environment - Gift cards, contests, etc
  • 401(k)
  • Medical, Dental, Vision
  • Health Savings and Flexible Spending Accounts
  • Life Insurance
  • Paid Time Off / Paid Parental Leave
  • Tuition Assistance

Remote working/work at home options are available for this role.
Not Specified
(Remote) Automotive Sales Representative (33034)
✦ New
Salary not disclosed
Michigan, United States, Remote 3 hours ago

An international industrial tapes and plastic materials company is currently searching for a Remote Automotive Sales Representative to join their company in the Greater Detroit area. The ideal candidate has 5 years of sales management and business development experience in an automotive industry or/and in chemical/plastic materials. This is a full-time, direct hire position.


Remote Automotive Sales Representative Responsibilities Include:

  • Identify new business development opportunities, and establish relationships with potential customers within assigned sales territory
  • Work with customers to determine appropriate solutions to their needs, assist with new product applications, and answer questions and requests for information regarding product details, issues, etc.
  • Create price quotations and negotiate price / costs with customers
  • Secure product orders and follow up on tracking and delivery
  • Developing sales strategies with other sales members
  • Collaboration with accounting departments to address any issues on account receivable
  • Visit existing customers and potential new clients to receive potential sales and monitor any future projects and product problems
  • Market research and analysis
  • Business travel to the customer’s sites as needed (around 35%)
  • Other duties as assigned


Remote Automotive Sales Representative Responsibilities Include:

  • Minimum Bachelor’s degree in a Business or Aerospace Engineering field preferred
  • At least 5 years of sales management and / or business development experience in parts manufacturing company
  • Familiarity with manufacturing processes in industrial tapes are plus
  • Hunter mentality with ability to research and generate new sales leads and opportunities
  • Strong communication and collaboration ability in a multicultural environment
  • Ability to prioritize tasks and good organizational skills
  • Ability to travel to customer’s site as needed
  • Good computer skills and proficiency in Microsoft Office applications
  • This position includes manufacturing and office work environment. While performing the duties of this job you may be required to intermittently sit, stand, walk, lift up to 25 pounds, lift in excess of 25 pounds with a lift assist, climb stairs, use hands to handle or feel parts/equipment, reach with hands and arms, stoop, kneel, crouch, bend at the waist, talk and hear. You may also be required to use close vision, distance vision, color vision, depth perception, and peripheral vision.


Activ8 Recruitment & Solutions / Renaissance Resources Inc. has been a trusted leader in North American recruiting for Japanese businesses for over 25 years. We specialize in connecting top talent with companies in the Automotive, Electronics, Food & Beverage, Logistics, Manufacturing, Oil & Gas, Banking & Finance, and Entertainment industries. Our client-focused approach ensures that we understand your unique needs, whether you’re a company seeking skilled professionals or a candidate looking for the right career opportunity. By working closely with each individual, we provide tailored solutions that drive success.


We screen ALL Candidates to verify the validity of each applicant's provided information. Upon submitting your resume, we will contact only those candidates that we deem qualified for our client. If we do not contact you, we do not see the fit for the position. If we are unable to reach you in a reasonable timeframe, you will be eliminated from the pool of potential candidates.


We prioritize direct applicants; third-party resumes may not be reviewed.


Remote working/work at home options are available for this role.
Not Specified
Clinical Pharmacist (Fully Remote)
✦ New
Salary not disclosed

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.
Not Specified
Advanced Practice Provider (NP/PA) – CDI | Hybrid | Florida 251047
✦ New
Salary not disclosed
Orlando, FL, Hybrid 3 hours ago

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.
Not Specified
Pharmacy Technician - Hybrid (Orange, CA)
✦ New
Salary not disclosed
Orange, CA, Hybrid 3 hours ago
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
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.
Experience
Job Requirements:
  • Required: Minimum 1 year customer experience.
  • Preferred: Prior Pharmacy Tech experience in a healthcare setting.
Education
  • Required: High School Diploma or GED.
  • Preferred: Associates Degree in Pharmacy Tech
Training
  • Required: None
  • Preferred: Pharmacy Tech school
Specialized Skills
  • 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
Licensure
  • Required: Pharmacy Tech license
  • Preferred: Certified Pharmacy Technician
Work Environment
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.
Not Specified
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