Jobs in Eagle Pass Maverick County Tx Remote

Job Title: Nurse Case Manager II (Telephonic)-{167908} Location: Michigan (Must reside in Macomb or Wayne County) Pay: $44.14 per hour Schedule: Monday – Friday | 8:00 AM – 5:00 PM EST Work Setting: Remote (Telephonic – No field work required) Overview We are seeking a Nurse Case Manager II to support care coordination for members with complex and chronic health conditions.

This is a fully remote, telephonic role requiring candidates to work from a quiet, dedicated home office environment.

In this role, the RN Case Manager will conduct comprehensive member assessments, develop individualized care plans, and collaborate with providers and care teams to promote optimal, cost-effective health outcomes.

The position focuses on managing member needs through clinical review, care coordination, and patient engagement.

Key Responsibilities Conduct comprehensive telephonic assessments of member health needs and eligibility using clinical tools and data review.

Develop, implement, and monitor individualized care plans in collaboration with members and interdisciplinary care teams.

Coordinate care and services based on member benefit plans and available internal/external resources.

Apply clinical guidelines, policies, and regulatory standards to ensure appropriate care and benefit utilization.

Provide coaching, education, and support to promote member engagement and healthy lifestyle choices.

Perform crisis intervention and follow-up for members experiencing medical or behavioral health concerns.

Required Qualifications Active, unrestricted Registered Nurse (RN) license in the state of Michigan required.

Minimum 3+ years of clinical practice experience (hospital, home health, or ambulatory care).

Experience in healthcare and/or managed care industry required.

Strong computer skills with the ability to navigate multiple system.

Ability to work independently in a remote environment and adapt to a fast-paced, metrics-driven setting.

Preferred Qualifications Case management experience preferred.

Experience managing chronic conditions (e.g., diabetes, hypertension, asthma).

Experience working with Children’s Special Health Care Services (CSHCS) population preferred.

Experience with motivational interviewing and patient engagement strategies.

Keywords: RN case manager, telephonic case manager, nurse case manager, managed care, care coordination, chronic disease management, utilization management, population health, remote RN, healthcare coordination, patient advocacy, case management, Michigan RN
Remote working/work at home options are available for this role.

Full-time and part-time W-2 employmentTotal annual on-target earnings of $300k
- $350k +, consisting of:- Georgia Gaveras, a triple board-certified psychiatrist in adult, child and adolescent psychiatry, and Robert Krayn, a patient who experienced firsthand the challenges of accessing care.

Together, they set out to reimagine outpatient psychiatry by building a model that supports both patients and clinicians, while expanding access to mental healthcare.Our clinical community includes 700+ psychiatrists and PMHNPs and 200+ therapists practicing across 32 to connect with a recruiter or check out our LinkedIn Life@ pages to hear directly from clinicians who practice with Talkiatry:EVerify Participation & IER Right to Work ( English & Spanish ).We provide equal opportunity in employment and do not discriminate based on an applicant's background, including but not limited to race, color, ancestry, religion, national origin, sexual orientation, age, citizenship, marital or family status, disability, gender, gender identity or expression, pregnancy or caregiver status, veteran status, or any other applicable characteristic protected by law.Talkiatry is committed to providing reasonable accommodations for qualified individuals with disabilities.

If you need a reasonable accommodation to complete the application or interview process, please contact us at is a clinician-led, virtual psychiatry practice built to combine the stability of a hospital practice with the clinical autonomy of private practice.This role is designed for psychiatrists who want:Flexible scheduling, control over their schedule, session structure, and patient populationMinimal administrative burden in a fully remote, outpatient model100% remote, outpatient psychiatry~ Patient population across the lifespan: children & adolescents (treated by board-certified Child & Adolescent Psychiatrists only), adults, and geriatric patients~ In-house referral network to therapists~ Full operational support including scheduling, billing, intake coordination, and licensing

Employer-paid health, dental, vision insurance (up to 100% of premiums)~ Paid time off (PTO), paid sick time and 11 paid holidays~ CME reimbursement and dedicated CME days~ Board-certified or board-eligible psychiatrists (MD/DO)Active, unrestricted medical license (multi-state licensing support available)Interest in outpatient, 100% telepsychiatry-based care

Remote working/work at home options are available for this role.

Overview

Being good neighbors – helping people, investing in our communities, and making the world a better place – is who we are at State Farm. It is at the core of how we operate and the reason for our success. Come join a #1 team and do some good!

Grow Your Skills, Grow Your Potential

Responsibilities

Our Claim Specialists are committed to helping our customers through the claims process while providing Remarkable® service. This includes:

• Investigating, evaluating, negotiating, and settling claims
• Applying knowledge of policies and insurance regulations when determining coverage, liability, & damages
• Handling high-volume inbound and outbound calls, tailoring each conversation to the specific merits  and details of the claims being handled, written correspondence and/or various electronic media
• Effectively managing work through task driven queues while multi-tasking in a fast-paced call center environment
• Supporting our customers through personalized, caring, and simple interactions

Where You'll Work:  This is a hybrid position which allows you to spend some of your time working from home as well as some time working collaboratively in-office. During the job training period you may have a higher percentage of time spent in-office to support your learning experience.

Hours of operation are continually evaluated and may change based on business need. Successful candidates are able and willing to work flexible work shifts and may be asked to work overtime and/or irregular hours.

Several of our Claims teams are hiring, and you may be considered for multiple opportunities where your skills and qualifications align. 

Some of the areas we hire Claim Specialists for could include any of the following:

• Auto Injury: Handles bodily injury and uninsured/underinsured claims along with property damage claims involving injuries
• Personal Injury/Medical Payments (PIP/MPC): Handles first-party medical coverage for customers injured in an automobile accident
• Special Investigative Unit (SIU): Handles high-volume, complex auto and property claims involving NICB indicators of fraud to determine if specialized investigation is needed
• Auto Property Complex: Handles high-volume, mid-to-high complexity property damage claims, not involving personal injury
• Auto Total Loss: Settles auto claims where a vehicle is deemed a total loss
• Auto Weather Catastrophe: Handles weather-related auto claims
• Property Team: Handles low-severity Home and Renters claims in a team environment. Claims are primarily theft-related as well as minor weather and other types of property losses
• Boat, Commercial, Farm/Ranch Unit (BCFR): Handles commercial and boat claims
• Fire Property Stewardship: Handles property claims involving both weather-related events and non-weather-related incidents

Qualifications

Preferred:

• Bachelor's degree in a related field is preferred or equivalent work experience
• Experience as a Claim Specialist in the insurance industry, specifically in auto and/or property claims, including the following:
  
  • Proficiency in using CCC, Xactimate, XactContents, and other estimating/evaluation software tools
  • Strong knowledge of auto and/or property insurance policies, coverage and claim handling practices
  • Familiarity with state or local regulations and compliance requirements
  • Proven ability to assess damages, estimate repair costs, and negotiate settlements

Competitive candidates also demonstrate the following:

• Excellent communication and interpersonal skills to effectively interact with clients, agents, and other stakeholders
• Proven effective empathy and de-escalation skills to handle difficult/emotional conversations with a customer-minded focus
• Detail-oriented with strong organizational and analytical skills
• Strong critical thinking and decision-making skills
• Ability to multi-task across technical platforms
• Accountability
• Resourcefulness

Additional Details:

• Employees must successfully complete all required training, including applicable proficiency and licensing exam(s) and background checks required of various state(s).
• State Farm recently implemented new pre-employment assessments. Candidates that have previously taken an assessment may be asked to participate in additional testing.

Our Benefits

Because work-life balance is a priority at State Farm, compensation is based on our standard 38:45-hour work week!

 

• Potential starting salary ranges $59,059 - $81,988 annually 
  • Starting salary will be based on skills, background, and experience
  • High end of the range limited to applicants with significant relevant experience
• Potential yearly incentive pay up to 15% of base salary

At State Farm, we offer more than just a paycheck. Check out our suite of benefits designed to give you the flexibility you need to take care of you and your family!

 

• Get Paid! On top of our competitive pay, you are eligible for an annual raise and bonus.
• Stay Well! Focus on you and your family’s health with our robust health and wellbeing programs. State Farm pays most of your healthcare premium, and we offer multiple healthcare plan options, including a high deductible plan. All medical plans provide 100% coverage for in-network preventative care, AND you and your family have access to vision, dental, telemedicine, 24/7 mental health professionals, and much more!
• Develop and Grow! Take advantage of educational benefits like industry leading training programs, top-notch tuition assistance programs, employee resource groups, and mentoring.
• Plan Ahead! Plan for those big moments in life with benefits like fertility/IVF/adoption assistance, college coaching, national discount programs, interactive monthly financial workshops, free financial coaching, and more. You can also start a savings account or consider financing through our State Farm Federal Credit Union!
• Take a Little “You” Time! You will have access to our generous time off policies designed so you can plan around holidays, family events, volunteering, or just to take a relaxing day off. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
• Give Back! We offer several ways to give back through our Matching Gift Program, Good Neighbor Grant Program, and the Employee Assistance Fund.
• Finish Strong! Plan for retirement using free financial advisors and a 401(k) plan with company contributions of up to 7% of your salary.

 

Visit our State Farm Careers page for more information on our benefits, locations, and the hiring process of joining the State Farm team!

PandoLogic. Keywords: Insurance Examiner, Location: Tempe, AZ - 85282
Remote working/work at home options are available for this role.

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries regarding the following opportunity, please contact our Talent Specialist, Vijay at (63 Title: Financial Analyst
- Hybrid Duration: 2 Months Location: Hybrid at Northbrook, IL Schedule: 8:00 AM
- 5:00 PM Note: The position reports to the Manager of Corporate Accounting, based at our Northbrook Headquarters, with flexibility to work from our Chicago office.

This is a hybrid role, requiring on-site presence three days per week.

Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered.

Description: Position Purpose: We are seeking a highly motivated and detail-oriented Senior Accountant to support global accounting operations, strengthen internal controls, and drive process improvements.

This role will play a key part in month-end close, cross-functional initiatives, and special projects.

The ideal candidate is analytical, proactive, and capable of operating independently in a fast-paced, collaborative environment.

Duties and Responsibilities: Lead and execute month end, quarter end, and year end close activities, including journal entries and account reconciliations Perform variance analysis and investigate discrepancies Support internal and external audit requests Support maintenance of Oracle Account reconciliation portal Maintain supporting documentation and schedules in compliance with SOX requirements Support both internal and external audits by providing requested materials and actively participating in walkthroughs and testing with auditors and internal stakeholders Contribute to various accounting and finance initiatives, including system implementations, process improvements, and other special projects as assigned Education and Experience: Bachelor's degree in accounting required Minimum 5 years of total accounting experience Knowledge of ERP: Oracle preferred, Oracle ARCS and Kyriba Experience with improvement initiatives and enhancements Ability to have a collaborative style and work with cross-functional and international teams Strong GAAP knowledge, analytical, and problem-solving skills Excellent verbal and written communication skills CPA certification preferred About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

CPA, Oracle, GAAP, Oracle ARCS, Kyriba
Remote working/work at home options are available for this role.

A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.

Highlights Pay: $53.00 per hour Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Training: First 8 weeks M-F, 9:00 AM – 5:30 PM EST (attendance mandatory) Responsibilities Support Medicare Part D members and providers with pharmacy benefit and prior authorization requests.

Ensure accurate case setup and complete clinical review of prior authorization and Medicare appeals in compliance with CMS guidelines.

Review clinical information and make appropriate determinations based on drug compendia and clinical judgment.

Conduct provider outreach for additional clinical clarification when necessary.

Accurately document all prior authorization and Medicare Part D requests and maintain compliance with CMS-mandated timelines.

Meet or exceed departmental productivity and quality standards.

Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required.

Active pharmacist license in the state of residence (must provide proof).

Strong attention to detail and ability to work independently in a remote environment.

Proven ability to apply clinical judgment and interpret drug compendia resources.

Prior experience in Medicare Part D, prior authorizations, or pharmacy benefit management preferred.

Computer literate with knowledge of Excel, Word, and preferably Access, PowerPoint, and Visio.

Must provide internet speed test (minimum 25 Mbps download / 5 Mbps upload) and have a dedicated, quiet workspace.

Benefits Benefits available to full-time employees after 90 days.

401(k) with company match available after 1 year of service on eligibility dates.

Contact: Austin Faris – 586-710-7941 | If you want, I can also make a concise, job-board ready version for quick online posting that keeps all the essentials but is easier to read.

Do you want me to do that next? .
Remote working/work at home options are available for this role.

The Care Management Program Supervisor is responsible for the day-to-day oversight, coaching, and performance management of Care Management Care Coordinators delivering person-centered Care Management services to eligible Medi-Cal members with complex medical, behavioral health, and social needs.

This role ensures that Care Management services are delivered in alignment with DHCS requirements, managed care plan contracts, and organizational standards.

The Supervisor provides clinical-adjacent and operational guidance, supports staff in managing complex cases, monitors quality and compliance, and promotes best practices in engagement, care coordination, documentation, and outcomes.

Key Responsibilities Staff Supervision & Development Supervise, coach, and support Care Managers to ensure high-quality, person-centered service delivery.

Provide onboarding, training, and ongoing professional development related to Care Management program requirements, workflows, documentation standards, and engagement strategies.

Conduct regular individual supervision, team meetings, and case conferences to review member progress, address barriers, and support complex case management.

Complete 90-day, annual, and corrective performance evaluations; address performance concerns through coaching and performance improvement plans as needed.

Review and approve staff timecards, paid time off requests, and schedules in alignment with program needs.

Promote staff safety, and retention in a field-based, high-acuity work environment.

Program Oversight & Quality Assurance Ensure Care Managers are meeting DHCS and managed care plan requirements related to outreach, engagement, assessments, care planning, service coordination, and follow-up.

Monitor caseloads, acuity levels, and workload distribution to ensure timely and appropriate service delivery.

Review documentation for accuracy, timeliness, and compliance, including assessments, care plans, case notes, and service logs.

Track and support compliance with required engagement, visit, and contact frequency benchmarks.

Identify trends, gaps, or barriers in service delivery and collaborate with leadership to implement quality improvement strategies.

Care Coordination & Member Support (Escalated / Complex Cases) Provide guidance and consultation on high-acuity, complex, or high-risk member cases, including those involving homelessness, behavioral health needs, medical complexity, or system fragmentation.

Support Care Managers in crisis response, safety planning, hospital discharge coordination, and transitions of care.

Assist with problem-solving related to member engagement challenges, missed appointments, or difficulty accessing services.

Model best practices in motivational interviewing, trauma-informed care, and culturally responsive service delivery.

Collaboration & Stakeholder Engagement Serve as a liaison between Care Managers, internal departments, managed care plans, healthcare providers, behavioral health partners, housing providers, and community-based organizations.

Participate in interdisciplinary meetings, case reviews, and partner coordination meetings as needed.

Support communication and coordination with health plans to address member needs, referrals, and program expectations.

Data, Reporting & Compliance Support accurate data tracking and reporting related to caseloads, engagement, outcomes, and service delivery.

Ensure staff adherence to confidentiality, HIPAA, and organizational policies and procedures.

Assist with audits, chart reviews, and monitoring activities conducted by internal teams or external entities.

Qualifications Required Bachelor’s degree in Social Work, Psychology, Public Health, Human Services, Sociology, Gerontology, or a related field.

Minimum of two (2) years of experience working with underserved populations, including individuals with complex medical, behavioral health, housing instability, or social needs.

At least two (2) years of supervisory or lead experience in care coordination, case management, social services, or a related field.

Experience working in community-based, field-oriented programs and collaborating with multidisciplinary teams.

Knowledge of Medi-Cal, safety-net healthcare systems, and social service navigation.

Preferred Master’s degree in a related field.

Experience supervising care management or similar Medicare/DSNP or Medi-Cal managed care programs.

Bilingual and bicultural skills reflective of the communities served.

Skills & Competencies Strong leadership, coaching, and team development skills.

Ability to support staff working with high-acuity and complex member needs.

Knowledge of community resources, housing systems, behavioral health services, and care coordination best practices.

Excellent written and verbal communication skills.

Strong organizational skills and ability to manage competing priorities.

Proficiency with electronic health records, data systems, and mobile work tools.

Work Environment Hybrid role with a combination of remote work, field-based activities, and in-person meetings.

May include occasional joint field visits or community-based meetings to support staff and program needs.

Reliable transportation required including proof of required California auto liability insurance meeting state minimum limits.

Must be able to perform essential job functions such as lifting 5-10 pounds.

Partners in Care Foundation is an equal opportunity employer.

We are committed to complying with all federal, state, and local laws providing equal employment opportunities, and all other employment laws and regulations.

It is our intent to maintain a work environment which is free of harassment, discrimination, or retaliation because of age, race (including hair texture and protective hairstyles, such as braids, locks, and twists), color, national origin, ancestry, religion, sex, sexual orientation, pregnancy (including childbirth, lactation/breastfeeding, and related medical conditions), physical or mental disability, genetic information (including testing and characteristics, as well as those of family members), veteran status, uniformed service member status, gender, gender identity, gender expression, transgender status, arrest or conviction record, domestic violence victim status, credit history, unemployment status, caregiver status, sexual and reproductive health decisions, salary history or any other status protected by federal, state, or local laws.

All qualified applicants will receive consideration for employment and reasonable accommodations may be made to enable qualified individuals to perform the essential functions of the position.
Remote working/work at home options are available for this role.

Please note the following: This is a 6 month Internship starting mid November 2025.

Candidates must be local and either a current student or a recent graduate within 1 year of their graduation date.

This internship works with our Tour Support team and will involve customer facing tasks.

This role does not involve digital media, branding, social media, or other similar roles within the Marketing Division.

The role will be full time (35-40 hours a week) with a rate of pay of $16.

Schedule Requirements: Full availability preferred, weekends and holidays included.

Hours of operations are between 8amEST and 1amEST so candidates could be scheduled a shift between those hours.

At a minimum, evening schedule availability required Monday
- Thursday and Friday Shift of 8am-7pm.

Schedule may adjust due to business demands.

MVW Marketing Intern Job Description Are you ready to grow your dream career while making others' vacation dreams come true? Marriott Vacations Worldwide is a world premier organization for Vacation Ownership with resorts at destinations around the globe.

Join our team and help deliver unforgettable experiences that make vacation dreams come true.

COMPANY DESCRIPTION Marriott Vacations Worldwide is a global leader in the vacation ownership industry and highly regarded for its quality and unique flexibility.

The more than 50 Marriott Vacation Club properties throughout the United States, Caribbean, Europe and Asia offer a lifetime of memorable vacations to more than 413,000 Owner families and feature 1-, 2- and 3-bedroom villas with spacious interiors.

In 2010, the Marriott Vacation Club Destinations™ program was introduced offering unmatched experiences and unparalleled flexibility through the use of Vacation Club Points in four Collections that can be tailored to fit an Owner's travel needs.

PROGRAM DESCRIPTION Offered at U.S.

based resorts, the College Internship Program
- Marketing and Sales is an immersion program offering participants work experience in one of our Sales Centers throughout the company.

Interns will participate in the following activities: comprehensive onboarding, operational duties within their assigned department, eLearning, and virtual meetings with company leaders, job shadowing, and a direct mentorship with an onsite leader.

The College Internship Program – Marketing and Sales is designed to last April
- August depending upon the participant’s availability and the needs of the property.

The participants should expect to work a full-time schedule in this program.

All College Internships are paid at an hourly wage.

Successful College Interns will be given a high level of consideration when applying for future career opportunities with Marriott Vacations Worldwide.

JOB SUMMARY Participants will be expected to learn and preform the job duties of the position(s) within their assigned department.

For example, in a Marketing Internship the participant may be expected to learn and master the role of a non-commissioned marketing associate in addition to opportunities to learn aspects of the commission-based roles, sales department, and other areas.

Interns may also be involved in department projects.

Participants will also learn components of what drives a successful Marketing and Sales operation on site and will have opportunities to contribute to these important matters.

Interns will be introduced to and have the opportunity to demonstrate the company’s values and core beliefs.

JOB REQUIREMENTS Education Candidate should be pursuing a college degree or within 1 year post graduation.

It is preferred that the candidate is actively pursuing a degree in Hospitality, Marketing, Sales or Business.

Candidates who have an undecided major may also be considered.

Experience Prior Hospitality or Sales experience preferred.

Past Interns who are interested in completing an additional internship will be considered first.

Previous performance rating will be taken into consideration.

Standards of Dress & Grooming All interns must maintain a neat, clean and well-groomed appearance per Marriott Vacations Worldwide Corporation Policy Marketing and Sales Standards of Appearance.

All interns for whom a uniform has been provided must wear the appropriate uniform.

Uniforms must be neat and clean at all times.

Alterations to uniforms are allowed only if prior approval has been obtained from a supervisor/manager.

Missing buttons should be replaced and tears or holes repaired before the uniform is worn.

Non-uniformed interns should dress with good business taste and in clothing appropriate to their jobs.

Good business taste does not include blue jeans, shorts, spandex pants, tank tops, midriffs, halter tops, or other generally recognized casual sportswear.

Dress or skirt length should be no shorter than four inches above the knee.

All interns must wear proper undergarments.

Corporate office interns must adhere to policy EMP-20 Corporate Office Business Dress Guidelines.

Marriott Vacations Worldwide is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture.
Remote working/work at home options are available for this role.

DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.

Driven by a unique Purpose, Culture, and Value Delivery Model, we enable meaningful connections between talented professionals and forward-thinking organizations.

Since our formation in 2002, organizations across commercial and public sectors have been trusting us to help build their teams with exceptional temporary and permanent talent.

Visit us at to learn more and view our open positions.

Please apply or call one of us to learn more For further inquiries about this opportunity, please contact one of our Talent Specialists, Amit, at 224 507 1290 Title: IT Solution Architect (Financial Systems)
- Remote Location: Remote (Candidates local to Corning, NY and Charlotte, NC are preferred.

Open to candidates in other locations; candidates must be willing to work EST time zone) Duration: 12 Months with possibility of extension based on demand.

Schedule: Full-time, M-F, 8 AM
- 5 PM.

Some potential flexibility may be required for after-hours work, as needed.

Travel
- up to 25% for travel to Corning, NY.

Estimated as one week per month based on project need.

Only W2 candidates are eligible for this position.

Third-party or C2C candidates will not be considered Position Summary The IT Solution Architect for Supply Chain and Finance is responsible for designing, developing, and guiding the implementation of enterprise technology solutions that support client's financial and supply chain processes.

This role collaborates closely with business stakeholders and cross-functional IT teams to ensure systems are scalable, secure, and aligned with organizational strategy.

The architect enables operational excellence by shaping solution roadmaps, ensuring platform integrity, and driving continuous improvement across finance and supply chain applications.

Key Responsibilities Solution Architecture and Design Develop end-to-end architectural designs for finance and supply chain systems in alignment with business objectives.

Assess existing application landscapes and recommend improvements, modernization opportunities, and integration strategies.

Ensure solutions comply with security, data governance, and enterprise architecture standards.

Business Partnership and Collaboration Engage with Finance, Supply Chain, and IT partners to understand business needs and translate them into technical requirements.

Participate in recurring strategic and operational touchpoints, including cFIN review sessions and architecture-focused team meetings.

Provide subject matter guidance on financial systems such as OneStream and other platforms influencing client's digital finance ecosystem.

Technical Leadership and Support Serve as the technical lead for solution implementations, enhancements, and integrations across finance and supply chain domains.

Address escalated issues, provide root-cause analysis, and ensure long-term stability of assigned applications.

Partner with engineering and operations teams to ensure solution resilience, performance, and sustainability.

Governance, Standards and Documentation Contribute to the development of architecture standards, design patterns, and best practices.

Maintain accurate architectural documentation, including roadmaps, diagrams, functional specifications, and integration models.

Continuous Improvement and Innovation Evaluate emerging technologies and recommend opportunities to enhance process efficiency, automation, and system capabilities.

Support modernization initiatives that strengthen client's digital transformation objectives in the finance and supply chain organizations.

Required Qualifications
- Education and Experience Bachelor's degree in Information Technology, Computer Science, Engineering, or related field (minimum required).

5 years of experience as a Solution Architect with financial systems.

Proven experience architecting solutions in enterprise finance and/or supply chain environments.

Deep knowledge of financial systems (e.g., OneStream, SAP cFIN (Central Finance), or similar platforms).

Familiarity with SAP finance and supply chain modules.

Strong understanding of systems integration, data flows, and enterprise application ecosystems.

Ability to translate complex technical concepts into clear business language.

Key Competencies Strategic Thinking Ability to design future-focused, scalable solutions.

Technical Expertise Strong architecture and platform skills across finance and supply chain.

Communication and Influence Effectively collaborates with technical and non-technical stakeholders.

Problem Solving Skilled at diagnosing complex issues and proposing durable solutions.

Execution Ability to manage multiple priorities and deliver high-quality outcomes.

Preferred Qualifications Experience working in a global, matrixed organization.

Understanding of data governance, security protocols, and architecture frameworks.

Demonstrated ability to lead collaborative solution workshops and stakeholder discussions.

Interview Process: Two rounds.

First round phone screen with direct manager.

Second round video panel interview, including technical review.

About us: DivIHN, the 'IT Asset Performance Services' organization, provides Professional Consulting, Custom Projects, and Professional Resource Augmentation services to clients in the Mid-West and beyond.

The strategic characteristics of the organization are Standardization, Specialization, and Collaboration.

DivIHN is an equal opportunity employer.

DivIHN does not and shall not discriminate against any employee or qualified applicant on the basis of race, color, religion (creed), gender, gender expression, age, national origin (ancestry), disability, marital status, sexual orientation, or military status.

SAP cFIN, OneStream
Remote working/work at home options are available for this role.

Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U.S.) Schedule: Business hours between 7:00 AM – 8:00 PM EST Monday–Friday and 7:00 AM – 4:30 PM EST Saturday & Sunday (rotating schedule) Training Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST for the first 8 weeks Position Overview We are seeking a Licensed Registered Pharmacist to join our team as a Clinical Pharmacist Advisor – Medicare .

In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.

This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .

High-performing contractors may have the opportunity for full-time employment based on performance .

Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.

MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.

Title: Technical Medicaid Business Analyst Location: Work from Home Schedule: Mon – Fri, 8:30AM – 5:00PM EST Note: This is a W2 contract role – C2C, 1099, & 3 rd party candidates WILL NOT be considered The Technical Medicaid Business Analyst serves as a critical bridge between Medicaid business operations and technical delivery teams.

This role is responsible for translating federal and state Medicaid requirements, health plan business needs, and operational workflows into detailed functional requirements that support system configuration, data integration, reporting, and compliance.

The Analyst will partner closely with business stakeholders, IT teams, vendors, and external partners to ensure Medicaid systems and solutions meet contractual, regulatory, and operational expectations.

Position Responsibilities: · Medicaid Business & Regulatory Analysis o Analyze federal and state Medicaid regulations, contract requirements, and policy guidance, and translate them into clear business and functional requirements o Support Medicaid program areas such as eligibility, enrollment, claims, encounters, care management, provider management, quality, and compliance o Interpret CMS, state agency, and contractual changes and assess operational and system impacts · Technical Requirements & Solution Design o Develop detailed functional and technical requirements, including use cases, process flows, data mappings, interface specifications, and system configuration needs o Collaborate with IT, data, and vendor teams to design and validate technical solutions that align with Medicaid business needs o Support system enhancements, defect resolution, and new implementations across core Medicaid platforms (e.g., claims, encounters, care management, data warehouse) · Data & Integration Support o Analyze data flows between Medicaid systems, vendors, and external entities (state agencies, CMS, providers) o Support reporting, analytics, and regulatory submissions (e.g., encounter data, quality measures, financial reporting) o Assist with data validation, reconciliation, and root-cause analysis for Medicaid data issues · Stakeholder & Cross-Functional Collaboration o Serve as a liaison between Medicaid business teams, IT, finance, compliance, and external vendors o Facilitate requirements workshops, design sessions, and stakeholder reviews o Clearly communicate complex technical concepts to nontechnical stakeholders and business priorities to technical teams · Testing & Implementation Support o Support system testing activities, including test planning, test case development, and user acceptance testing (UAT) o Validate that solutions meet Medicaid business and regulatory requirements prior to deployment o Support golive activities and postimplementation issue resolution · Documentation & Governance o Maintain clear, auditready documentation of requirements, decisions, and approvals o Ensure alignment with Medicaid governance, SDLC, and change management processes o Support audits, regulatory reviews, and compliance inquiries, as needed Position Qualifications: · 5+ years of experience as a Business Analyst, with direct Medicaid or healthcare payer experience · Strong understanding of Medicaid programs, managed care operations, and state/federal compliance requirements · Experience translating business requirements into technical specifications · Experience working with IT teams, system vendors, and data/reporting teams · Strong analytical, documentation, and problem-solving skills · Experience supporting Medicaid managed care organizations (MCOs) or state Medicaid programs preferred · Familiarity with Medicaid healthcare payer systems such as claims platforms, encounter processing, care management systems, or eligibility/enrollment platforms preferred · Experience with data analysis, SQL, or data warehouse concepts preferred · Knowledge of CMS reporting, state encounter submissions, or quality programs preferred · Experience with Agile, SAFe, or traditional SDLC methodologies preferred · A minimum of a Bachelor’s Degree in Business, Information Systems, Health Administration, Public Health, or other related field .
Remote working/work at home options are available for this role.