Jobs in Conshohocken Hybrid
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Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive adjustment, rehabilitation and improved quality of life for our patients. In collaboration with the interdisciplinary team, informs, educates and supports staff in understanding the emotional, psychological and behavioral impact of Chronic Kidney Disease on the patient and family to ensure comprehensive quality care of our patients. Supports the Fresenius Kidney Care (FKC) commitment to the Quality Indicators and Outcomes and Quality Assessment and Improvement (QAI) Activities, including those related to patient satisfaction and quality of life and actively participates in process improvement activities that enhance the likelihood that patients will achieve the FKC Quality Goals. This is an entry level MSW role.
Principal Duties And ResponsibilitiesPatient Assessment / Care Planning / Counseling:
- As a member of the interdisciplinary team, assesses patients' psychosocial status, strengths and areas of need that may affect rehabilitation and optimal treatment outcomes as part of the comprehensive patient assessment.
- Participates in care planning in collaboration with the patient and healthcare team to identify effective interventions that will help the patient meet rehabilitation, treatment goals, and improve quality of life.
- Utilizes FKC patient education programs, established social work theory and methods, social work focused interventions, and quality of life measurement instruments as part of assessment and care planning to address barriers and meet patient treatment goals.
- Provides monitoring and interventions for the patient to adjust to dialysis and achieve optimal psychosocial status and quality of life.
- Provides supportive counseling services to patients as permitted within the scope of their clinical training and state license.
- Provides educational and goal directed counseling to patients who are seeking transplant.
- Provides information and assists the team and patient with referral to community resources (home health services, vocational rehabilitation, etc.) to facilitate optimal treatment outcomes.
- Maintains current knowledge regarding local vocational/educational rehabilitation programs and assist patients with referral and access to vocational rehabilitation to enable them to remain employed, become employed or receive education.
- Assesses patient awareness of advance directives; assists with accessing advance directive forms/information and facilitates discussion of advance directive wishes, if necessary, with the healthcare team and the patient's family/support persons.
- In collaboration with the physician and nurse, participates in the discussion of patient DNR status in the facility to ensure patient and/or family understand and make an informed decision about their care.
- Knowledgeable of and adheres to FMCNA Social Work Policy and Measuring Patient Physical and Mental Function Policy, including documentation.
- Documents based on MSW interaction and interventions provided to patient and/or family.
Quality:
- Provides psychosocial support and/or Social Work Focused Interventions to address non-adherence, quality outcome, and quality of life concerns for all patients based on acuity level.
- Participates in monthly Quality review meetings with the interdisciplinary team. Reports on quality indicators related to adherence, such as Missed and Shortened Treatments, Quality of Life Trends, and Service Recovery.
Patient Education:
- Assesses patient knowledge of kidney disease for barriers that may affect adherence to treatment. Works with patient, family and health care team to provide education tailored to the patient's learning style, communication barriers, and needs.
- With other members of the interdisciplinary team, provides appropriate information about all treatment modalities.
- Facilitates the transplant referral process and collaborates with interdisciplinary team on transplant waitlist management.
- Provides ongoing education to patient/family regarding psychosocial issues related to End Stage Renal Disease (ESRD) and all support services that are available.
- Reviews patient rights and responsibilities, grievance information (company and network) and other facilities policies with patient and/or the patients' representative to ensure patients' understanding of the rights and expectations of them.
- Collaborates with the team on appropriate QAI activities.
Patient Admission and Continuity of Care:
- Reviews Patient Rights and Responsibilities, Grievance Procedure & Important Numbers Handout, FKC Non-discrimination policy, DNR Statement (if applicable) and address any immediate needs/concerns.
- Understands the referral and admission process and supports the clinic in regard to the patient needs for scheduling to maximize adherence and adjustment.
- The Social Worker will interview the patient to identify root causes or concerns for the discharge request, (i.e. transfer to hospice, relocation, dissatisfaction with services or staff) and share causes/concerns with operational leadership.
Insurance and Financial Assistance:
- Collaborates and functions as a liaison for patient with Insurance Coordinators to address issues related to insurance.
- In collaboration with Insurance Coordinators, provides information and education to patients about payment to dialysis (federal, state, commercial insurance, state renal programs, AKF HIPP, and entitlement programs).
- Collaborates with the Insurance Coordinator of any changes to patient state that impacts insurance i.e. transplantation, discharged, loss of coverage, or extended travel.
- Refers patients to patient billing solutions (PBS) department for questions/concerns in regard to treatment related bills
Staff Related:
- Assists with interview process and decision to hire new personnel if requested by SW Manager/Senior Manager.
- Works with the administrative support staff to maintain updated patient resource lists (e.g. maintain updated list of transportation resources).
- Provides training to staff pertaining to psychosocial topics as needed.
- Contributes and participates with weekly team huddles. Discusses any urgent patient issues with staff.
Adheres to work defined caseload guidelines based on state regulatory requirements.
Performs other related duties as assigned.
Physical Demands And Working Conditions:
- The physical demands and 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.
- Travel required (if multiple facilities or home visits, if applicable)
Supervision:
- None
Education And Required Credentials:
- Masters in Social Work
- Must have state required license
- Meets the applicable scope of practice board and licensure requirements in effect in the State in which they are employed
Experience And Skills:
- 0 2 years' related experience
Join a regional CDL-A route designed for consistency and simplicity. With a predictable schedule, competitive pay, and added bonuses for hazmat loads, this is your opportunity to drive with peace of mind. Home time every 5 days and solid support from a company that values its drivers.
Job OverviewType: Solo CDL-A (Regional)
Miles: 2,200 weekly average
Trip Length: 100399 miles per run
Home Time: 5 days out, 48-hour reset (usually weekends)
Earnings:
- Guaranteed $1,200/week
- Typical: $1,300$1,450/week gross
- Hazmat Bonus: $0.10/mile
- Weekly pay
- Health, dental & vision insurance
- HSA & prescription coverage
- 401(k) with company match
- PTO & life insurance
- Critical illness & accident protection
- Unlimited referral bonuses
- Employee assistance & stock purchase plans
- Active CDL-A
- Experience options:
- 3 months recent OTR + certified training
- 1 year OTR (past 3 years)
- 6 months recent experience + approved training
Driveline Solutions is a trusted leader in providing logistics and transportation services across the country. We specialize in delivering dependable, efficient, and customer-focused solutions. With a commitment to safety, innovation, and employee satisfaction, Driveline Solutions is the partner you can count on for long-term success and growth. Join us and be a part of a team that truly values your expertise and contribution.
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn: Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility: Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow: Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start: Sign up in minutes and get on the road fast.**
- Simple Process: Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn: Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility: Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow: Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start: Sign up in minutes and get on the road fast.**
- Simple Process: Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn: Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility: Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make: Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow: Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start: Sign up in minutes and get on the road fast.**
- Simple Process: Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
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.
- 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.
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.
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.
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.