Jobs in Forest Hill Md Flexible

2,164 positions found — Page 6

Travel Physical Therapist
✦ New
Salary not disclosed
Bel Air, MD 1 day ago
Job Description

Critical Connection, inc is seeking a travel Physical Therapist for a travel job in Bel Air, Maryland.

Job Description & Requirements

- Specialty: Physical Therapist
- Discipline: Therapy
- Start Date: ASAP
- Duration: 13 weeks
- 40 hours per week
- Shift: 8 hours, days
- Employment Type: Travel

Schedule: Full-Time | Flexible Scheduling Options
Guaranteed Hours: Yes (varies by assignment)

About the Opportunity

We are seeking a licensed, patient-focused Physical Therapist (PT) to join a quality-driven healthcare team. This role offers the flexibility to work in a variety of clinical environments based on your experience, preferences, and career goals.

Opportunities are available for both travel and local contracts. New graduate Physical Therapists and experienced clinicians are encouraged to apply.

What You’ll Do

- Evaluate and treat patients based on individualized plans of care
- Provide skilled, patient-centered physical therapy services
- Monitor patient progress and adjust interventions as appropriate
- Collaborate with interdisciplinary healthcare teams
- Educate patients and caregivers to support long-term outcomes
- Document care accurately and in compliance with clinical standards

Qualifications

- Doctorate or Master’s Degree in Physical Therapy from an accredited program
- Active (or pending) state Physical Therapy license
- New graduates welcome
- Strong clinical reasoning and communication skills

Compensation & Benefits

- Competitive weekly pay packages
- Guaranteed hours (assignment-dependent)
- First-day medical, dental, and vision benefits
- Housing stipend and meals & incidentals (travel roles)
- License reimbursement
- Relocation assistance (when applicable)
- $1,200 CEU allowance per year
- 401(k) plan
- Short- and long-term disability
- Weekly direct deposit

Why Work With Us

- Dedicated recruiter support with transparent communication
- Access to nationwide opportunities
- Flexibility without sacrificing stability
- Clinician-first culture

Critical Connection, inc Job ID #17984408. Pay package is based on 8 hour shifts and 40.0 hours per week (subject to confirmation) with tax-free stipend amount to be determined. Posted job title: Therapy:PHYSICAL THERAPIST (PT),07:00:00-15:00:00

About Critical Connection, inc

This isnʼt just a job you are looking for. You are building a career. CCI can help you make your next move and help you to know when itʼs the right move.

We want to know about your career and personal goals, including what you want to achieve now and well into the future. Building solid relationships through transparency and trust with our Therapists and Nurses is the foundation of our process.

CCI gives you access to opportunities with the best healthcare organizations and private practices

throughout the United States. We understand these healthcare providers' needs and the company culture, allowing us to connect you with the right employer for your career goals, skills, and financial objectives. Submitting your profile is just the start. We meet with you to learn more about who you are, both as a healthcare professional and as a person - your dreams, your strengths, and your values. Then you can leave the travel search to us. There is no stress, no hassles, no time wasted searching multiple want ads and job placement websites - just the best opportunities for you. CCIʼs commitment to getting to know each candidate guarantees the best professional and personal fit between CCI candidates and healthcare employers. Make the connection today!
Not Specified
Travel Nurse - RN - TELE - Telemetry - $2014.5 / Week
✦ New
Salary not disclosed
Bel Air, Maryland 1 day ago
Host Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Bel Air, MD. Shift: Inquire Start Date: 04/06/2026 Duration: 13 weeks Pay: $2014.5 / Week

About Host Healthcare:

At Host Healthcare, we are dedicated to empowering the life and healthcare career you deserve. As a nurse, allied, or therapy professional, you will be matched to one of our responsive recruiters who will have your back throughout your journey. You will also be connected with a full support team that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review.

No matter if you want to explore the other side of the country or stay close to home, our team can help you get there. With Host Healthcare, you’ll get exclusive access to thousands of jobs in all 50 states. This means you get priority access to apply to travel and local assignments before other applicants.

We know that you are so much more than a number and we work hard to ensure you have the best benefits for you and your loved ones. During your assignment, you’ll be able to select premium benefits like Day-1 health coverage, 401K matching, travel reimbursements, housing support and more.

Take control of your life and career with Host Healthcare.

Benefits:

- A dedicated and responsive recruiter who has your back
- Priority access to jobs in all 50 states at every major healthcare system
- Day-1 medical benefits that last up to 30 days between assignments
- Day-1 401K with company matching after 6 months
- 24/7 support
- Clinical support throughout your assignment
Not Specified
Travel Nurse - RN - TELE - Telemetry - $2101 / Week - Hiring Now
✦ New
Salary not disclosed
Bel Air, Maryland 1 day ago
Stability Healthcare is seeking an experienced Telemetry Registered Nurse for an exciting Travel Nursing job in Bel Air, MD. Shift: 3x12 hr nights Start Date: 04/06/2026 Duration: 13 weeks Pay: $2101 / Week

About Stability Healthcare:

Stability HealthCare is a premier Per Diem and Travel Nurse Company. We provide the most qualified Nurses with great opportunities throughout the United States. We are recognized in the industry, not by our size, but the quality of our professionals, committed service, staff and consultative approach.

As a dedicated healthcare professional, you want choices in your profession – choices that suit your lifestyle, your professional goals, and your personal needs. Stability believes that our Customers and Nurses come first! You deserve a healthcare staffing company that delivers on its promises – excellent compensation, personalized service and support every step of the way.

If you are a registered nurse interested in Travel, Local Travel or Per Diem Nursing opportunities, Stability has the right assignment for you!
Not Specified
Director for Adult Development & Literacy Programs
✦ New
Salary not disclosed
Bel Air, MD 1 day ago

Harford Community College is seeking an experienced and mission-driven professional to lead our Adult Development & Literacy Programs. This role oversees all aspects of programming for Adult Basic Education (ABE), English as a Second Language (ESL), and GED preparation, as well as job readiness training and the College’s Pearson Vue Testing Center.

The Director is responsible for supervising staff and instructors, managing program budgets and grant funding, ensuring compliance with federal and state regulations, and implementing strategic initiatives to enhance adult education access and outcomes.

Key Responsibilities

  • Oversee day-to-day operations of adult education and job readiness programs.
  • Lead the student intake, assessment, placement, and instructional planning process.
  • Supervise and support a team of professional and instructional staff, including clerical support.
  • Manage federal and state grants; develop and monitor program budgets.
  • Coordinate course scheduling, marketing, and enrollment processes.
  • Ensure ongoing professional development for instructors.
  • Monitor and evaluate student outcomes and program effectiveness.
  • Collaborate with internal departments and external partners to support workforce development initiatives.
  • Oversee the operation and compliance of the Pearson Vue Testing Center.

Qualifications

  • Bachelor’s degree required; Master’s degree preferred.
  • Minimum 5 years of experience in adult education or workforce development.
  • At least 1 year of experience in grant and budget management.
  • At least 1 year of supervisory experience.
  • Strong leadership, communication, and data analysis skills.
  • Experience working with diverse and underserved populations.

Benefits Summary

  • Generous paid leave: 23 vacation days, 15 sick days, 3 personal days, and a 2-week winter break
  • Comprehensive insurance options: medical, dental, vision, flexible spending accounts, legal & identity theft coverage
  • Paid basic life and long-term disability insurance; supplemental coverage available
  • Participation in a mandatory retirement plan, plus optional 403(b) with College match after 1 year and 457(b) plans
  • Tuition waiver for HCC courses and tuition reimbursement for external programs


For Best Consideration, apply by 3/30/2026 using the link below:


Not Specified
Psychiatric Rehabilitation Worker/ Assistant
✦ New
Salary not disclosed
Pylesville, MD 1 day ago
Description:

Job Description

DUTIES AND RESPONSIBILITIES:

The Mental Health Department provides recovery-oriented services, such as WRAP, Personal Medicine, Power Statement and Advanced Directives. All service delivery is based on the departments guiding principles which include a focus on consumer strengths and choice.

The Clubhouse Generalists primary responsibility is to assist and participate in the functioning of the clubhouse, to include overseeing assigned unit. Work hours are between 8:30 a.m. and 4:30 p.m. Some flexibility is required for night, weekend and holiday coverage. Generalists hours will predominantly be spent within the clubhouse. Due to the nature of this program, it is essential that staff exemplify the philosophy of the Agency, as well as fidelity to the clubhouse model.

The position will occasionally require travel, overnight stays and unusual work hours to attend trainings.



CRITICAL ELEMENTS:

1) Unit-Related Responsibilities: Assuring that the work for the day is completed, by engaging members and sharing direct responsibility for task completion. Assure that adequate work exists for the unit and work to engage all members signed up for that unit.

2) Support Services: Provide support and encouragement to members within the clubhouse. To train and provide ongoing support to those members in transitional employment (TE) positions and independent employment. Assist program coordinator and other staff in the development of new TE placements. Identify and refer members to any needed services.

3) Documentation: Responsible for keeping accurate documentation as required by program procedures. Assist members in opening and maintaining a record on each program participant. Assisting members in completing goal plans in a timely fashion. Assure that member records meet licensure and funding source requirements.

4) Professional Development: Obtain and maintain credentialing/training as directed by the program coordinator. Attend weekly case supervision meetings with the program coordinator.


ADDITIONAL ELEMENTS:

1) Generalists will be responsible for participating in night, weekend and holiday coverage.

2) Attend, complete and show documentation for 24 hours (twenty-four) of training per year. Annually at least 18 (eighteen) of these hours must be in psychiatric rehabilitation.

3) Participate in Agency, department and program activities.

4) Attend trainings as required.

5) Follow and support Agency philosophy, policies and procedures.

6) Assist in the transportation of consumers.

7) Work toward meeting minimum qualifications for psychiatric rehabilitation worker.

8) Other duties as assigned by the Clubhouse Program Coordinator.




Requirements:

Minimum Qualifications: High School Diploma or equivalent, prefer a Bachelors Degree in Social Services and a minimum of two (2) years experience in human services which must include one (1) year of direct mental health experience. Must have completed or will attend 12 (twelve) hour psychiatric rehabilitation orientation training within one (1) year of hire; 21 (twenty-one) years old; valid Pennsylvania Drivers License and reliable transportation and insurable driving record. Pennsylvania State Police Background Check. Must have already completed or will attend three (3) week training at an International Center of Clubhouse Development (ICCD) certified training base within two (2) years of employment, at the program coordinators direction.


Compensation details: 3 Yearly Salary


PI4ca05636e394-26289-40007276

Not Specified
Remote Inside Sales Representative {168055}
✦ New
Salary not disclosed
Atlanta, Remote 1 day ago
Sales Specialist (Remote) { 168055} Pay Rate: $17/hour Schedule: Monday – Friday, Day Shift Position Summary The Sales Specialist is responsible for conducting initial and follow-up sales calls with prospective and existing customers.

This role focuses on delivering a high-quality, customer-first experience by providing product education, addressing customer needs, and ensuring satisfaction throughout the sales process.

The ideal candidate demonstrates professionalism, empathy, and strong communication skills while meeting performance and sales goals.

Key Responsibilities Conduct inbound and outbound sales calls with prospective and current customers Educate customers on product lines including ostomy, urology, Purewick, and related medical supplies Identify customer needs and recommend appropriate solutions Address and resolve customer concerns in a timely and professional manner Accurately document all interactions, issues, and resolutions in CRM and call tracking systems Meet or exceed performance targets, including call volume, sales goals, and customer satisfaction metrics Ensure compliance with company standards, including HIPAA regulations, insurance protocols, and call scripting guidelines Collaborate with internal teams to resolve order issues and provide seamless customer support Additional Responsibilities Communicate with customers via phone, email, and web chat Maintain accurate and detailed customer records to support follow-up and service quality Contribute to a positive, team-oriented work environment Perform additional duties as assigned Qualifications Education & Experience: High school diploma or GED required 1–2 years of related sales or customer service experience preferred Skills & Abilities: Strong verbal and written communication skills Ability to explain technical or medical product information clearly Basic to intermediate math skills (discounts, percentages, commissions) Strong problem-solving and critical-thinking abilities Proficiency in Microsoft Office (Word, Excel) and CRM systems Familiarity with call center or dialer systems preferred Work Requirements Availability to work occasional evenings, weekends, or overtime as needed Work Environment (Remote) Must work from a private, quiet, and distraction-free environment Reliable high-speed internet is required Ability to remain seated and use a computer and phone for extended periods Physical Requirements Regularly required to sit, speak, and listen Frequent use of hands for computer and phone work
*
Remote working/work at home options are available for this role.
Not Specified
Remote Clinical Pharmacist Advisor- Medicare
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
Job Title: Remote Clinical Pharmacist Advisor – Medicare (Contract-to-Hire) Location: Remote (Must reside and be licensed in state of residence) Pay Rate: $53/hour Job Type: Contract-to-Hire Schedule: Business Hours are 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday.

Set Rotation Start Date : May 11th or 18th Position Overview We are seeking an experienced Clinical Pharmacist Advisor – Medicare to join a high-performing, remote clinical review team.

This role focuses on prior authorizations, coverage determinations, and Medicare Part D reviews in a fast-paced, production-driven environment.

This is an excellent opportunity for pharmacists with managed care, PBM, or Medicare experience who thrive in a remote, independent workflow setting and are comfortable handling high-volume clinical case reviews .

Schedule Business Hours: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Rotation: Set schedule (may include weekends) Training Schedule: Monday – Friday, 9:00 AM – 5:30 PM EST Key Responsibilities Perform prior authorization and coverage determination reviews in accordance with clinical guidelines and CMS regulations Evaluate medication requests, including formulary exceptions, step therapy, and quantity limits Process appeals and denial reviews with accurate clinical documentation Apply Medicare Part D knowledge to ensure compliance and timely decision-making Communicate with providers to obtain necessary clinical information and explain determinations Document decisions clearly, including rationale for approvals or denials Maintain productivity and quality standards in a high-volume, queue-based environment Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in state of residence Minimum 1+ year of experience in managed care, PBM, or prior authorization review Strong knowledge of Medicare Part D and pharmacy benefit structures Experience with: Prior authorizations Coverage determinations & appeals Clinical criteria and formulary reviews Preferred Experience Previous experience in PBM environments (e.g., Medicare or commercial plans) Background in organizations such as CVS/Caremark, OptumRx, Cigna, Walgreens, or similar Combination of retail pharmacy + managed care experience Experience working in a remote, production-based role Key Skills & Competencies Ability to manage high-volume case review queues with speed and accuracy Strong clinical decision-making and documentation skills Excellent provider communication and collaboration High level of attention to detail and compliance adherence Comfortable working independently in a remote environment with minimal supervision Strong computer proficiency and ability to navigate multiple systems simultaneously What Makes a Strong Candidate Successful candidates typically bring: Proven experience in Medicare pharmacy benefit review work A track record of handling time-sensitive clinical decisions Comfort working in remote, metrics-driven environments Ability to clearly communicate clinical decisions and alternatives to providers Readiness to hit the ground running with minimal ramp-up time Why Join Us? Fully remote opportunity Competitive hourly pay with contract-to-hire potential Structured training and support Opportunity to work with a leading clinical review team in the Medicare space INDJP .
Remote working/work at home options are available for this role.
Not Specified
Remote Medicare Clinical Pharmacist
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
A-Line Staffing is hiring a Full-Time, Remote, Remote Medicare Clinical Pharmacist! (CAN RESIDE ANYWHERE IN THE US! PAY IS $53.00/HR.

HOURS ARE 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) As a Clinical Pharmacist Advisor – Medicare, you will: Support Medicare Part D members and providers with pharmacy benefit requests Ensure accurate case setup and clinical review for decisioning Contact providers to obtain clinical details when necessary Follow CMS-mandated timelines, departmental productivity, and quality standards Apply clinical judgment using compendia, evolving work instructions, and Medicare guidance Participate in development discussions with supervisors for continuous improvement Remote Medicare Clinical Pharmacist Compensation · The pay for this position is $53.00/hr · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Remote Medicare Clinical Pharmacist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Required Availability: is 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) Remote Medicare Clinical Pharmacist Responsibilities · Accurately set up Medicare Part D cases for members and providers.

· Review clinical information and documentation to support decision-making.

· Contact providers to obtain additional clinical details when needed.

· Ensure all case decisions comply with CMS Medicare guidelines and compendia resources.

· Adhere to departmental productivity, quality standards, and CMS-mandated timelines.

· Maintain thorough and clear documentation of all case activities.

· Utilize multiple computer applications efficiently, often across dual screens.

· Participate in training, development discussions, and feedback sessions with supervisors.

· Support continuous improvement initiatives within the team.

· Work independently while maintaining high attention to detail and accuracy.

· Demonstrate engagement, professionalism, and a positive attitude in all interactions.

Remote Medicare Clinical Pharmacist Requirements · Education: Bachelor’s in Pharmacy or PharmD required · Licensure: Active license in state of residence · Technical Skills: Proficiency in Excel, Word, PowerPoint, Access, and Visio preferred · Experience: Previous experience in Managed Care / PBM environment Join a team that is helping keep communities healthy across the country.

Apply with A-Line Staffing today to take part in this impactful healthcare initiative!
Remote working/work at home options are available for this role.
Not Specified
IAM Engineer
✦ New
Salary not disclosed
Remote 1 day ago
Advance your career with Mindlance! We have been connecting talented IT professionals with world-class companies since 1999.

Mindlance is here to help you to find the perfect fit with just the right company.

Currently, we are seeking an Accounts Payable Clerk for an exciting career growth opportunity.

Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition.

Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.

Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications · This is a senior-level position that will execute the implementation of designs and requirements provided by IAM architects · and analysts and ensures that IAM capabilities and services are successfully integrated within systems across the · organization while also providing ongoing support and maintenance as needed for IAM processes and technology.

Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.

This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.

The Senior IAM Engineer will lead the implementation and support of modern enterprise Workforce IAM systems.

They will collaborate closely with cross-functional development teams, architects, analysts, and business stakeholders to ensure secure identity solutions are integrated throughout the product lifecycle.

This role serves as a key technical contact for IAM authentication and authorization services across the organization.

Essential Job Accountabilities (Core responsibilities accounting for 10% or more of the role) 1.

IAM Platform Implementation & Support (40%) · Implement, administer, and support workforce IAM platforms including Oracle Access Manager (OAM), Microsoft Entra, and Duo.

· Design, configure, and troubleshoot authentication and authorization solutions throughout the SDLC.

· Support automated migration of applications from Oracle Access Manager to Microsoft Entra.

· Onboard and integrate new applications with Microsoft Entra.

· Perform detailed root cause analysis of IAM issues and implement preventative solutions.

· Engineer scalable, secure, and high-performance IAM solutions.

2.

IAM Process Engineering & Automation (20%) · Develop, enhance, test, document, and maintain IAM integration processes.

· Simplify and automate access management workflows to improve user experience.

· Architect and implement accelerators and automation enablers for IAM operations.

· Identify optimization opportunities and execute strategies to improve efficiency, scalability, and service delivery.

Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months Email Qualified Resumes to: IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.

Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.

This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.

5.

Metrics, KPIs & Operational Support (10%) · Support delivery of IAM metrics and KPIs through system analysis and integrations.

· Provide ongoing operational support and maintenance for IAM services and processes.

Required Qualifications & Experience IAM & Security Expertise · In-depth knowledge of Workforce IAM, Single Sign-On (SSO), and Multi-Factor Authentication (MFA).

· Proven experience onboarding SSO applications and integrating MFA with cloud-based identity providers.

· Strong understanding of modern authentication protocols and standards: o FIDO2, SAML, OAuth, OIDC, Kerberos, Federation · Hands-on experience with: o Passwordless authentication o API Gateways o SCIM connector development o Identity platforms such as Microsoft Entra, Duo, Oracle Access Manager, Ping Identity, Okta, or ForgeRock Compliance & Risk · Practical knowledge of compliance and regulatory frameworks: o SOX, PCI, FAA, GDPR, PII · Strong understanding of Zero Trust architecture, adaptive risk-based authorization, identity proofing, and verification technologies.

· Familiarity with security frameworks and governance standards: o ISO, NIST, CSA Controls Matrix Technical & Industry Experience · Experience with large-scale identity transformation initiatives, including migration from on-premise to cloud-based IAM services.

· Prior experience implementing passwordless technologies in large enterprise environments.

· Experience supporting IAM functions within the airline or transportation industry (preferred).

· Exposure to AI/ML, algorithm development, or automation-driven technical solutions (preferred).

Software Development & Delivery · Expertise in modern software development lifecycles and Agile methodologies.

· Experience with automated cloud infrastructure deployment.

Core Competencies · Strong written and verbal communication skills; ability to communicate with both technical and non-technical audiences.

· Excellent attention to detail with qualitative and quantitative data.

· Strong analytical and problem-solving skills with the ability to adapt quickly to changing priorities.

· Demonstrated initiative and ownership of deliverables and outcomes.
Remote working/work at home options are available for this role.
Not Specified
Clinical Pharmacist Advisor Medicare- Remote {168157}
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Atlanta, Remote 1 day ago
Clinical Pharmacist Advisor – Medicare (Remote) Schedule: Business Hours: Monday through Friday 7:00 AM to 8:00 PM EST and Saturday and Sunday 7:00 AM to 4:30 PM EST Set rotation required, including weekends based on business needs Training Schedule: Monday through Friday 9:00 AM to 5:30 PM EST for the first 8 weeks No time off permitted during training Must have a dedicated, quiet workspace free of distractions Position Overview: The Clinical Pharmacist Advisor supports Medicare Part D members and providers by ensuring accurate case setup, reviewing clinical information, and making compliant coverage determinations.

This role requires strong clinical judgment, attention to detail, and the ability to work efficiently in a fast paced, productivity driven environment.

You will collaborate with providers, apply Medicare guidelines, and ensure timely and accurate documentation of all cases.

Key Responsibilities: • Review Medicare appeals cases for accuracy and completeness • Evaluate clinical documentation and internal notes for case decisioning • Perform outbound outreach to providers to obtain additional clinical information • Ensure compliance with CMS Medicare guidelines and mandated timelines • Utilize drug compendia resources and internal systems for decision making • Maintain high productivity and quality standards • Accurately document all case activity and decisions • Participate in coaching, feedback sessions, and continuous improvement initiatives Required Qualifications: • Bachelor’s degree in Pharmacy or PharmD required • Active Pharmacist license in good standing in state of residence • Ability to work independently in a remote environment • Strong attention to detail and organizational skills • Verifiable High School Diploma or GED required Preferred Qualifications: • Experience in Managed Care or PBM environment • Knowledge of Microsoft Access, PowerPoint, and Visio Required Candidate Submissions (Must Be Included on Resume): • Internet speed test • Screenshot of active Pharmacist license showing name, state, and expiration date Additional Details: • Virtual interviews conducted via Microsoft Teams • Opportunity for full time employment based on performance Contact Information: Taryn Davis 469-342-1411 .
Remote working/work at home options are available for this role.
Not Specified
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