Jobs in Geneva Il Wfh

368 positions found — Page 7

Quality Assurance Intern
✦ New
Salary not disclosed
Batavia, IL 1 hour ago

MSI Express is a single-source contract manufacturing and packaging company, delivering innovative engineering solutions from our strategically located network of manufacturing facilities.


Internship Details

  • Duration: 3 months (Summer 2026)
  • Schedule: Monday – Friday, 8:00 AM – 4:30 PM
  • Location: Batavia, IL, with potential visits to other Chicagoland facilities
  • Pay: $18.00 - $20.00
  • Benefits: This role is not eligible for benefits


Work Environment: Workstation based in Batavia, with opportunities to visit various production sites to observe and document processes.


Final Project: Interns will build a presentation for upper management covering their internship experience, projects worked on, changes made, results achieved, and recommendations for improvement.


MSI Express Summer Internship Program: Quality Intern

MSI Express is seeking a detail-oriented and organized student to join our summer internship program, focusing on work instruction (WI) standardization, documentation management, and process improvement. This paid internship provides hands-on experience in document control, cross-functional collaboration, and digital resource management to support training and operational efficiency.


Why Choose MSI Express?

  • Hands-On Process Documentation: Work directly with Quality and cross-functional teams to standardize, review, and organize work instructions (WIs).
  • Data-Driven Impact: Help develop a structured document library that enhances training accessibility and compliance.
  • Cross-Functional Exposure: Gain experience working with subject matter experts across multiple departments and facilities.


Internship Focus Areas

As a Quality Intern, you will gain hands-on experience in:

  • Work Instruction Standardization: Review, update, and catalog over 250+ work instructions (WIs) for all MSI Express facilities.
  • Document Consolidation & Organization: Identify and consolidate similar WIs across facilities, archive outdated materials, and ensure consistent formatting and translations.
  • Training Resource Development: Support updates to training matrices by linking work instructions to specific job roles.
  • Digital Content Management: Assist in updating an AI-based tool to include Standard Operating Procedures (SOPs) and WIs.


What We Look For

  • Strong attention to detail and organizational skills.
  • Interest in document management, quality systems, or process standardization.
  • Ability to work independently while collaborating across departments.
  • Currently enrolled in a Quality, Engineering, Business, or related academic program.
  • Strong written communication skills and ability to format technical documents.


Apply today and join our rapidly growing team!


- Inc. 5000 #124 fastest growing company in the Midwest. (2025)

- Inc. 5000 #10 fastest growing company in the Midwest. (2022)

- Inc. 5000 #165 fastest growing company in the Midwest. (2021)

- Inc. 5000 #1,085 fastest growing company in the USA. (2023)

- Inc. 5000 #622 fastest growing company in the USA. (2022)

- Inc. 5000 #479 fastest growing company in the USA. (2021)

internship
QUALITY TECHNICIAN (Automotive Electronic Components)
✦ New
Salary not disclosed
St Charles, IL 1 hour ago

About Nidec Mobility

Nidec Mobility America, part of the global Nidec Group, is a leading Tier-1 supplier of electronic control units, actuators, and smart entry/vehicle access systems. From our U.S. headquarters and technical center in St. Charles, IL, we develop and manufacture innovative solutions for body electronics, passive entry/passive start (PEPS), power closure systems (liftgates, sliding doors, cinching latches), and DC/DC converters for electrified vehicles.

Your Role

We are seeking a detail-oriented and skilled Quality Technician to join our team, ensuring that all automotive electronic products and components meet rigorous internal and industry standards (IATF 16949, ISO 9001, etc.). The ideal candidate will conduct inspections, perform tests using precision equipment, document results, and collaborate with cross-functional teams on root cause analysis and continuous improvement initiatives. This role is vital in maintaining product safety, reliability, and customer satisfaction in a fast-paced manufacturing environment.

Key Responsibilities

  • On-site Work (5 days per week)
  • Conduct comprehensive inspections and tests on incoming materials, in-process components (e.g., PCBs), and finished automotive electronic products to verify compliance with technical specifications and customer requirements.
  • Utilize precision measuring instruments and diagnostic equipment, such as calipers, micrometers, multimeters, oscilloscopes, and specialized diagnostic software, to evaluate product quality and performance.
  • Accurately document all inspection results, test data, and findings, maintaining detailed quality records and generating reports for management and engineering teams.
  • Issue non-conformance reports (NCRs) for defective products or processes and assist Quality Engineers with initial investigations, defect containment, and root cause analysis activities.
  • Monitor adherence to the Quality Management System (QMS) and relevant regulatory standards, including IATF 16949 and customer-specific requirements.
  • Support the calibration and maintenance of all testing and inspection equipment, ensuring accuracy and reliability.
  • Collaborate with production and engineering departments to provide feedback on quality issues, recommend corrective actions, and reinforce best practices.
  • Participate in continuous improvement initiatives, such as Lean Manufacturing or Six Sigma projects, to strengthen process controls, reduce defects, and improve overall efficiency.
  • Conduct Electrostatic Discharge (ESD) audits to ensure compliance with established controls in the electronics assembly areas.
  • Fulfill the activities and functions described in the applicable quality and environmental system documents; as well as assuming responsibility for those aspects of the OSH (Occupational Safety and Health) management system over which he/she has control (FMEA and CP).
  • Validate that the products and processes are carried out in accordance with what is described in the established documents (Work instructions, QVAs, parameter chart, operating procedures and control documents
  • Report non-conforming components and track each one throughout the process until a clean point is reached, from its report (Quality Alert) to its conclusion (disposal)
  • Conduct and provide appropriate follow-up to product audits and LPAs.
  • Provide technical quality support to the different processes and departments.
  • Generate the basic documentation for the operation, such as alerts, operating instructions, QVAs, WGSs, attribute reports, control charts and other documentation necessary for the performance of the activity, producing complete and well-defined work.
  • Analyze / Problem solve using root cause analysis to appropriately evaluate data, ideas and reach logical conclusions.
  • Use knowledge gained to determine the correct course of action, then handle change and unexpected conditions for optimal outcomes.
  • Freely share information, ideas, and constructive opinions in pursuit of the team's goals to complete the workload of the respective internal/external team.
  • Efficiently / Effectively focus on workload systematically in order to achieve short-term and long-term goals; concentrate on accuracy, thoroughness and reliability,
  • Complete work tasks with minimal supervision and within the required and/or agreed-upon timeframes.
  • Follow up on additional activities required by the Quality Group Leader and Manager.
  • Make decisions and provide behavior that fully adheres to and supports the Company’s high ethical standards and are in compliance with work rules, processes, procedures, Policies and regulations.

Qualifications Required:

  • High School Degree(equivalent), plus 2+ years’ Automotive, Industrial, Electronic, Mechatronic Engineering or related technical field with preference to Associate Degree or Bachelor’s Degree.
  • 2+ years’ full-time work experience providing Technical Quality Support in the capacity of Quality Technician, Quality Inspector for Quality Processes for customers / suppliers within a high volume Automotive Manufacturing environment.
  • 2+ years’ LPA practical full-time work experience conducting Layered Process Audits.
  • 2+ years’ full time work experience performing systematic and documented evaluations of finished products, verifying that they comply with established specifications, norms and quality standards, identifying deviations and proposing corrective actions to ensure conformity and continuous improvement.
  • 2+ years CSR understanding the client's technical / reporting requirements, paying special attention to meeting the needs that arise in the process operations to ensure compliance with customer requirements.
  • 2+ Years hands-on technical experience applying standard automotive quality methodologies and CORE TOOLS in accordance with AIAG Standards.
  • Excellent English communication skills (written & spoken)
  • Proficiency in using quality inspection tools and equipment, along with the ability to read and interpret technical drawings, blueprints, and schematics.
  • Familiarity with quality management systems and methodologies (e.g., ISO 9001, IATF 16949, Statistical Process Control (SPC), Root Cause Analysis).
  • Strong analytical, problem-solving, and decision-making skills with exceptional attention to detail.
  • Excellent communication skills, both written and verbal, for effective collaboration and report drafting.
  • Legal authorization to work in the United States (Visa sponsorship IS NOT available for this position)
  • Desired: Relevant quality certification (e.g., ASQ Certified Quality Technician - CQT) or strong desire to complete the ASQ Certification Process.
  • Desired: Knowledge of automotive electrical systems and components, including technologies

Travel: Negligible

Keywords: CSR, LPA, CORE Tools, Evaluations, AIAG Standard


** This Posting is Not for Recruiter Solicitation**

Not Specified
SUPPLIER QUALITY ENGINEER (Automotive Electronics Industry)
✦ New
🏢 Nidec Mobility America Corporation
Salary not disclosed
St Charles, IL 1 hour ago

As a world leader in sensing and control technology, Nidec Mobility controls the most discrete functions within an automobile – from seat switches, power window switches, and instrument panel controls, towards complex user interfaces. NMOA is directly involved with automotive OEM’s and holds a leadership position within Nidec for product development with global vehicle makers.


We seek a highly skilled Supplier Quality Engineer with strong technical acumen and experience working within the Automotive Electromechanical Components Industry.


Objective

Drives supplier improvement, PPAP review, and deviation management processes while utilizing advanced data analysis tools for enhanced supplier quality monitoring. The ideal candidate will be adept at data analysis & database management, leveraging tools such as PowerBI and possess the ability to streamline supplier related data, ensuring smooth data flow and visualization to support data-driven decision-making. Join our team and contribute to our commitment to delivering top-notch quality products through effective supplier quality management.


Essential Responsibilities

NCR/CAR: Participates in a collaborative team approach to evaluate, expedite, and issue NCR while ensuring minimal disruption to supply chain and customer shipments. Applies strong problem-solving skills to effectively address NCR/CAR issues, notifies suppliers, monitors CAR timeliness, and reviews/approves CAR, contributing to seamless operations.

PPAP (For NPL & PCNs): Upon receiving PPAP (from both Mechanical & Electronics commodity suppliers), reviews documentation for accuracy. Requests inspection data, as needed. Upon (PPV) Production Part Validation approval, signs (PSW) Part Submission Warrant, and notifies supplier. Supplier Approval: Reviews supplier documentation (Incl. - Supplier Profile, CQI, Quality System Self-Survey, and Quality/Environmental Certifications). Approves supplier if all documentation meets requirements, or makes recommendations (Incl. – Audit). Conducts audit of facility, as required.

Deviation: Communications, enters, and obtains disposition of supplier requested deviations for component parts.

Continual Improvement: Digitize and optimize supplier & inspection records, ensuring efficient data retrieval and traceability. Connect and integrate various databases, streamlining data flow and ensuring data accuracy. Utilize data visualization software like PowerBI to create insightful reports and dashboards. Provide actionable insights through data analysis and recommend improvements to enhance supplier quality performance.


Education: Bachelor’s Degree (Engineering or other technical degree).


Experience: 3+ year’s Quality Engineer experience within Automotive Industry


Knowledge, Skills, Abilities, and Other:

  • Quality engineering or manufacturing engineering experience in an automated mass production environment.
  • Proficiency in soldering, electronic components, and PCB assembly, demonstrating essential skills for the position
  • Familiarity with Data mining and database (such as mySQL, SQL Server, Nintax, or sharepoints for database management)
  • Solid understanding of data analysis techniques and statistical methodologies.
  • Working knowledge with implementing various charts, corrective action programs, simple DOE, and other SPC tools.
  • Strong PC skills (Microsoft Office, Word, Excel, Project, Access).
  • Working knowledge of various problem solving techniques (i.e. paretos, cause and effect, histograms, etc.).
  • Knowledge of plating, plastic molding, metal stamping, die casting and/or welding desired.
  • Expertise with ISO 9001 / IATF 16949
  • Must be familiar with a variety of the field's concepts, practices and procedures within the automotive supplier quality arena.
  • Independent and collaborative team play
  • Excellence judgment / decision-making ability
  • Expertise in planning and goal setting/accomplishment.
  • Strong attention to detail
  • Strong problem solving ability.
  • Customer centric
  • Strong communication skills (oral / written).
  • Highly organized, resourceful with time / resources.
  • Proficient in Excel
  • Excellent Communication Skills
  • Technical writing / interpreting skills
  • MRP/ERP experience required (KBM, a plus)


If your qualifications and aspirations match those detailed for this Supplier Quality Engineer opportunity - I would appreciate hearing from you!


NOTE: Position is NOT open to Recruiting Agencies

Not Specified
Ultrasound Technologist
✦ New
Salary not disclosed
Aurora, IL 7 hours ago

About the Company



We are a high-volume clinic specializing in Maternal Fetal Medicine, dedicated to providing exceptional care and support to our patients.



About the Role



The Ultrasound Tech will play a crucial role in assisting with various procedures and routine ultrasounds in a fast-paced environment.



Responsibilities


  • Assist with Amniocentesis procedures
  • Conduct Biophysical Profiles
  • Perform routine ultrasounds
  • Work Monday to Friday



Qualifications


  • 2+ years of experience as an Ultrasound Tech
  • Experience in Maternal Fetal Medicine



Required Skills


  • Proficient in ultrasound technology
  • Ability to work in a high-volume clinic



Pay range and compensation package



Contract - 13 Weeks, Day 5x8.5-Hour (08:00 - 16:30)



Equal Opportunity Statement



We are committed to diversity and inclusivity in our hiring practices and welcome applicants from all backgrounds.

Not Specified
Supply Chain Specialist
✦ New
Salary not disclosed
Winfield, IL 7 hours ago

Shift: M-F, 3:30PM-12AM


Job Description:

  • The Supply Chain Specialist is responsible for managing the hospital’s supply chain operations, ensuring the efficient and timely delivery of medical supplies, equipment, and other essential materials. This role involves coordinating with departments, specifically surgical, to maintain optimal inventory levels and support the hospital’s mission of providing high-quality patient care.

Day to day:

  • Organizing Supply rooms, running their "route" each day ensuring supplies are stocked
  • Stocking crash carts
  • Placing orders and materials management, using an RF scanner
  • Assisting with supplies receiving


Key Responsibilities Include:

  • Inventory Management
  • Distribution
  • Collaboration with various hospital department
  • Customer Service
Not Specified
Earn up to $250/hr Work at Home (Remote) Data Entry Position
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!

Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.

Don't miss out on this chance to turn your free time into valuable earnings!

Participants are needed on a wide range of topics such as:

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and beverages)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)

Compensation:

  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)

Benefits:

  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.

Qualifications:

  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection

Experience:

  • Start Immediately - No Experience Needed! Anyone Can Participate!

Education:

  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
Not Specified
Wanted: Work At Home Research Participants (Pay up to $3,000/study)
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today! Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions. Don't miss out on this chance to turn your free time into valuable earnings! Sign up now and take control of your work-life balance.

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and bevera ges)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)
  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)
  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.
  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection
  • Start Immediately - No Experience Needed! Anyone Can Participate!
  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
Not Specified
Wanted: Part-Time Work at Home Study Participants (Pay up to $3,000/study)
🏢 Maxion
Salary not disclosed

Want to make extra money on YOUR schedule? Join our exclusive list of research study participants and start earning extra income today!

Perfect for anyone seeking remote, part-time, or temporary work, these opportunities require no previous experience and offer unmatched flexibility. Choose the studies that suit you best—whether online, in-person, or over the phone—and get paid for sharing your opinions.

Don't miss out on this chance to turn your free time into valuable earnings!

Participants are needed on a wide range of topics such as:

  • Health Issues (Research for cures and new medications to treat ailments)
  • Consumer Products (Your experience with consumer products)
  • Shopping (Shopping experiences)
  • Internet Usage (How you use the internet)
  • Vehicles (recreational vehicles and automobiles)
  • Employment (Various types of jobs or career fields)
  • Food & Beverages (the consumption of various foods and beverages)
  • Entertainment (About TV, movies or video games)
  • Social Media (the use of different social media platforms)
  • Financial (Banking and investing)
  • Retirement (Planning what, when and how)
  • Gender (studies based on your gender)
  • Housing (Renters or Homeowners)

Compensation:

  • Earn up to $250+ in Just ONE Hour! (Focus Group Session)
  • Earn up to $3,000+ (Multi-Session Studies)

Benefits:

  • Flexibility to take part in discussions online or in-person.
  • No commute needed if you choose to work from home.
  • No minimum hours. You can do this part-time or full-time
  • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products.
  • You get to review and use new products or services before they are launched to the public.

Qualifications:

  • Speak and/or read English
  • Must be 18yrs old or older
  • Must have either a phone, computer or tablet with internet connection

Experience:

  • Start Immediately - No Experience Needed! Anyone Can Participate!

Education:

  • Open to all education levels - Your opinion matters!

Remote working/work at home options are available for this role.
temporary
Full Time Speech Language Therapist-Work From Home
$62,000 - 100,000
Nevada, WFH 5 days ago
Speech Language Pathologist (SLP) Pediatric Home Health Pay: $62,000-$100,000/year
Sign-On Bonus Opportunity!
Eligible candidates may qualify for a $10,000sign-on bonus* as part of their total compensation package. Bonus eligibility and payout structure will be shared early in the interview process.
A Role Designed Around You
At Care Options for Kids, we've built a home health SLP role around what our therapists value most: flexibility, manageable caseloads, and real support. This position allows you to focus on delivering high-quality pediatric care without excessive documentation, long drive times, or unrealistic expectations.
In this role, you'll provide pediatric speech therapy in home-based settings, collaborate closely with families and care teams, and deliver individualized care using efficient, point-of-care documentation tools.
If you're an SLP looking for a sustainable role that fits real life, this position was designed with you in mind.
Care Options for Kids Benefits
~ Weekly Pay and Direct Deposit
~ Medical, Dental, and Vision Insurance
~ Life, LTD, and STD Coverage
~ Supplemental Insurance Options
~401(k) Retirement Plan
~ Paid Time Off (PTO)
~ Continuing education through an online learning portal
~ Industry-leading training and professional development
~ Employee Referral Bonus Opportunities
~ Company Vehicle Program*

Support that Expands Your Impact
Opportunities to participate in COFK's Global Outreach Program, providing therapy services to underserved children abroad, with travel and participation costs covered by Care Options for Kids
A top-tier EHR designed to streamline documentation and reduce administrative burden
Access to clinical leadership when you need guidance, collaboration, and support in the field
Requirements
Master's degree in Speech Language Pathology
Eligible for or holds CCC-SLP
Valid state licensure or certification in a Speech Language Pathology
Current BLS/CPR certification
Reliable transportation and a valid driver's license
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
*Restrictions Apply. Connect with your Talent Acquisition Specialist for more details.
#RDTHNV
Salary:
$62000.00 - $100000.00 / year
Remote working/work at home options are available for this role.
permanent
UM RN Appeals Coordinator - Work from Home
$50 per hour
NY, WFH 1 week ago
Job title UM RN Appeals Coordinator - Work from Home About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job title:

UM RN Appeals Coordinator - Work from Home

Job Description:

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job Description:

BroadPath, a Sagility Company, is hiring UM RN Appeals Coordinator to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.

Schedules, pay rates, and program details may vary based on business needs and client assignment.

Compensation Highlights

  • Base Pay: up to $50 per hour
  • Pay frequency: Weekly pay

Schedule Highlights

  • Training Schedule: 2 weeks, Monday – Friday; 8:00 AM - 5:00 PM CST
  • Production Schedule: Monday – Friday; 8:00 AM - 5:00 PM CST (Flexible)

Responsibilities

A. Performs necessary review to ensure compliance with HHSC and other regulatory entities

  • Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline citations or responses based on the category of denial
  • Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes
  • Coordinate: Ensures continuity of care needs are met and advocates on behalf of Members and families for out-of-network authorization approvals
    Implement: Identifies problems, barriers, and opportunities within processes and develops resolutions or revisions as needed
  • Evaluate: Conducts quarterly assessments of appeal status and program activities, preparing reports for both the State of Texas and internal review
  • Analyze: Reviews requests against regulatory and decision-making guidelines and benefit allowances, implements actions in collaboration with the physician reviewer panel, and monitors timeliness, decision-making, and processing of appeals, EMRs, and State Fair Hearings in accordance with regulatory and accrediting standards

B. Performs all necessary communication and documentation functions

  • Communicates with internal staff, Members/LARs, physicians, hospital representatives, and other
  • Providers regarding case status, due process, rationale, and regulatory requirements
  • Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing
  • Utilizes an Independent Review Organization as needed for specialty or external reviews
  • Oversees documentation and recordkeeping of all case communications in compliance with accrediting requirements
  • Documents all activities and interactions in electronic and event tracking systems
    Generates appeal determination letters as appropriate

C. Collaborates with clinical reviewers, medical directors, external physician reviewers, and network Providers

  • Communicates with physicians on each case to establish the most appropriate course of action
  • Provides education to nurse and therapist reviewers regarding appeal updates and process changes
  • Maintains flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials
  • Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures

D. Conducts staff and medical director audits on appeal activities

  • Assists with appeal file preparation for NCQA file reviews
  • Supports the development of corrective action plans based on trended audit findings

E. Provides data for internal and external reporting

  • Analyzes quarterly trends in appeal types and sources
  • Reports appeal activity, type, and resolution, ensuring timely communication standards are met
  • Assists with state reporting in the required format and ensures timely submission to HHSC to avoid financial penalties

Knowledge and Skills

  • Demonstrates proficiency in applying advanced principles, concepts, and techniques central to nursing and ancillary therapy services within managed care, with emphasis on complex pediatrics and obstetrics
  • Ability to comprehensively assess Member and family medical needs, develop and implement plans of care, provide ongoing evaluation and monitoring, and deliver education to Members, families, Providers, and staff
  • Exemplary verbal and written communication skills, with proficiency in computer operation, word processing programs, fax machines, photocopiers, and multi-line telephones
  • Strong customer service orientation and advanced interpersonal communication skills with all levels of internal and external stakeholders, including medical staff, patients and families, clinical personnel, support staff, outside agencies, and community partners

Qualifications

  • RN license in an eNLC (Enhanced Nurse Licensure Compact) state with multistate privileges
  • 3+ years Nursing experience
  • 1+ years’ Utilization Management experience
  • Familiarity with medical terminology, utilization management guidelines, and clinical documentation standards
  • Proficiency in Microsoft Office and experience working with healthcare systems or electronic medical records
  • Strong organizational and time management skills with the ability to work independently
  • Excellent written and verbal communication skills

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.

Benefits:

  • Medical, Dental, and Vision coverage.
  • Life Insurance.
  • Short-Term and Long-Term Disability options.
  • Flexible Spending Account (FSA).
  • Employee Assistance Program.
  • 401(k) with employer contribution.
  • Paid Time Off (PTO).
  • Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements


Diversity Statement

At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

USAUnited States of America
Remote working/work at home options are available for this role.
permanent
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