Jobs in Hialeah Miami Dade County Fl Remote
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Across our growing organization, we embrace diversity in backgrounds and experiences. Improving patient lives around the world is a priority, and we need people from all backgrounds and swaths of life to help build the future of the healthcare and the life sciences industry. We believe our people make all the difference in cultivating an inclusive culture that embraces our cultural beliefs. We are deliberate and self-reflective about the kind of team and culture we are building. We look for team members that are not only strong in their own aptitudes but also who care deeply about EVERSANA, our people, clients and most importantly, the patients we serve. We are EVERSANA.
Job Description
The EVERSANA Neurology Sales Specialists (NSS) are responsible for driving performance in top headache centers, neurology accounts and primary care accounts within assigned geography for our client Impel Pharmaceuticals. The NSS is expected to develop and maintain strong relationships with key stakeholders in their territory. The NSS will professionally represent Impel Pharmaceuticals in the field and ensure high levels of visibility and customer satisfaction in the territory. This position is responsible for achieving both territory product sales goals and territory sales activity goals through company defined metrics.
We are looking for top-performing Neurology Sales Specialists (NSS) with a competitive spirit and experience in new drug product launch, preferably in migraine or Neurology. You will join an energetic, nimble, and performance-based team preparing for the launch of our first commercial product. This is an opportunity to own your geography (no mirror) and introduce a new technology in a dynamic and competitive market.
Our Client, Impel Pharmaceuticals, is focused on developing and commercializing transformative therapies for people living with central nervous system (CNS) disorders through the pioneering of an optimized approach to drug delivery. Our investigational therapies are enabled by the Company’s proprietary upper nasal delivery technology, known as the Precision Olfactory Delivery, or POD®, device.
Essential Duties And Responsibilities
- Operate with a sense of urgency to drive appropriate utilization of TRUDHESA by working both independently and collaboratively with colleagues
- Anticipate potential barriers to achievement of goals and propose responsible solutions for success
- Develop and implement data driven and effective customer specific territory plans with Regional Sales Managers
- Expertly deliver in-person (virtual if necessary) approved product, access, and corporate messaging
- Effectively anticipate and handle customer objections and exceed customer expectations by delivering value to Health Care Professionals and accounts
- Maintain expert knowledge on territory managed care/access environment and partner with the Managed Markets team to implement and measure push and pull-through initiatives that support achieving sales objectives
- Develop and maintain strong relationships with key opinion leaders in region
- Provide relevant, thoughtful input to other commercial colleagues (e.g., sales leadership, regional sales managers) regarding strategic and tactical planning for territory, region, and nation
- Understand the regulatory environment and comply with all legal and regulatory requirements, including those of the Food, Drug and Cosmetic Act, the Prescription Drug Marketing Act, the Pharma Code, the OIG guidelines
- Present a positive and professional image of Impel Pharmaceuticals and ensure activities are consistent with Impel Pharmaceuticals’ ethical pharmaceutical marketing and compliance laws and regulations
- Oversee the proper utilization of corporate resources and assets
- Perform all activities within budget
EDUCATION, EXPERIENCE AND/OR SKILLS REQUIRED
- Bachelor’s Degree
- 1 year of pharmaceutical specialty sales experience preferred
- Strongly prefer Migraine experience or Neurology
- Prefer experience working with specialty pharmacy
- Proven track record of launch success
- Outstanding communication and analytical skills
- Results oriented / Team oriented
- Ability to travel up to 50% including overnight travel
- Current knowledge of all relevant industry, legal and regulatory compliance guidelines
- Commitment to the highest ethical, legal, regulatory, and scientific standards
- Must possess (and maintain) a valid driver’s license
- Ability to operate in a fast-paced, evolving and sometimes ambiguous environment while maintaining focus needed to meet/exceed corporate goals
OUR CULTURAL BELIEFS
Patient Minded - I act with the patient’s best interest in mind.
Client Delight - I own every client experience and its impact on results.
Take Action - I am empowered and hold myself accountable.
Grow Talent - I own my development and invest in the development of others.
Win Together - I passionately connect with anyone, anywhere, anytime to achieve results.
Communication Matters - I speak up to create transparent, thoughtful and timely dialogue.
Embrace Diversity - I create an environment of awareness and respect.
Our team is aware of recent fraudulent job offers in the market, misrepresenting EVERSANA. Recruitment fraud is a sophisticated scam commonly perpetrated through online services using fake websites, unsolicited e-mails, or even text messages claiming to be a legitimate company. Some of these scams request personal information and even payment for training or job application fees. Please know EVERSANA would never require personal information nor payment of any kind during the employment process. We respect the personal rights of all candidates looking to explore careers at EVERSANA.
EVERSANA is committed to providing competitive salaries and benefits for all employees. If this job posting includes a base salary range, it represents the low and high end of the salary range for this position and is not applicable to locations outside of the U.S. Compensation will be determined based on relevant experience, other job-related qualifications/skills, and geographic location (to account for comparative cost of living). More information about EVERSANA’s benefits package can be found at /careers. EVERSANA reserves the right to modify this base salary range and benefits at any time.
From EVERSANA’s inception, Diversity, Equity & Inclusion have always been key to our success. We are an Equal Opportunity Employer, and our employees are people with different strengths, experiences, and backgrounds who share a passion for improving the lives of patients and leading innovation within the healthcare industry. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion, and many other parts of one’s identity. All of our employees’ points of view are key to our success, and inclusion is everyone's responsibility.
Consistent with the Americans with Disabilities Act (ADA) and applicable state and local laws, it is the policy of EVERSANA to provide reasonable accommodation when requested by a qualified applicant or candidate with a disability, unless such accommodation would cause an undue hardship for EVERSANA. The policy regarding requests for reasonable accommodations applies to all aspects of the hiring process. If reasonable accommodation is needed to participate in the interview and hiring process, please contact us at
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About The N2 Company
The N2 Company helps businesses efficiently connect with top realtors in their markets through high-quality monthly publications, targeted digital advertising, and exclusive events. Our portfolio includes 800+ custom publications across award-winning brands such as Stroll, Greet, BeLocal, Uniquely You, Salute, and N2 Digital.
About The Role
We are seeking a Senior Sales Executive to drive advertising and partnership growth in your local market. Our publications are mailed directly to top-producing agents and highlight personal stories that connect, elevate, and inspire. This role blends sales, relationship-building, and business ownership, allowing you to operate as a dynamic entrepreneur within a supportive framework.
This hybrid position involves a blend of in-person community engagement and remote work performed from your home office.
Who We’re Looking For / What You’ll Bring
- Professional, outgoing personality with an entrepreneurial mindset
- Strong relationship-building and consultative skills
- Motivation to help local business owners grow
- Openness to learning N2’s low-pressure, relationship-focused sales model
- Prior sales experience is a plus but not required
- Meet with local business owners for low-pressure consultative discussions to determine mutual-fit partnerships
- Develop a network within the community using a proven engagement model
- Plan and execute events connecting top agents with preferred client partners
- Meet with realtors to build relationships and provide recommendations for potential partners
- Flexible Schedule – Optimize productivity and work-life balance
- Uncapped Income Potential – Grow your income year over year
- Meaningful Opportunity – Help local business owners succeed and stand behind our publications and digital offerings
- Business Ownership Opportunity – Operate as an Area Director with guidance and support
- Comprehensive Virtual Training
Our average commission paid to the top Area Directors with one publication was more than $240,298* during the 2024-2025 fiscal year.
The average yearly commission earned among the top 10% of Reporting Publications (the 11 highest earning publications out of the 114 Reporting Publications) in the Reporting Period was $346,525.00. Of this group, 3 of the publications (27%) earned Commissions greater than or equal to the group average, and 8 of the publications (73%) earned Commissions less than the group average. The median Commission earned by publications in this group was $302,302.00. The highest Commission earned by a publication in this group was $684,330.00. The lowest Commission earned by a publication in this group was $243,135.00.
Your financial results may differ from those stated above. Important assumptions and qualifiers relating to this information can be found in Item 19 of our October 10, 2025 franchise disclosure document.
| #rpmag | #ZR
REQUIREMENTS:
High School Degree Or GEDUS ResidentHybrid tag (not remote)
We’re searching for a driven, high-performance Sports Medicine Sales Representative to sell and support orthopedic and sports medicine solutions in a fast-paced surgical environment.
If you thrive in the OR, love winning, and know how to build strong clinical relationships — this role is for you.
***Disruptive technology, FDA approved and Equity Opportunity
What You’ll Do
- Drive revenue and exceed territory sales targets
- Manage and grow hospital and surgeon accounts
- Provide hands-on technical support in the operating room
- Deliver product demos and in-service training
- Execute strategic territory plans and track market growth
What You Bring
- Bachelor’s degree required
- Proven sales success - Orthopedic Space
- Strong communication and negotiation skills
- High energy, self-motivated, competitive mindset
- Willingness to travel and work in demanding surgical settings
About the Role- Come Join the American Fidelity Family!
American Fidelity Assurance is now looking for an Account Manager in your area. Our salaried, career Account Managers are responsible for selling worksite insurance products and services in a defined sales territory with an existing customer base. You will build strong, long-term relationships with our K-12 school accounts and develop specific, needs-based recommendations for their employees, highlighting the benefits of American Fidelity’s insurance portfolio.
Responsibilities
- Focus on growing and maintaining existing K-12 School accounts by one-on-one sales of worksite insurance products and services to the community.
- Consult with current customers to provide value and meet financial needs.
- Build strong relationships with customers and association executives.
- Develop customized needs-based employee benefit packages through annual benefit enrollments and group presentations.
- New account development opportunities.
What We Offer
- Company car with gas card
- Paid travel expenses (company credit card)
- Base salary + uncapped commission + additional bonus potential
- First year income potential between $87,000 to $109,000 - including Fast Start Bonus Incentives
- Consistent six figure income opportunity within 3-5 years
- 401k with company match
- Defined territory with multiple sales career path options
- Consistent, standardized training designed for new Account Managers
- Comprehensive benefit package including multiple medical, dental, vision and supplemental insurance plans.
- International Sales Award Trips
What We Look For:
- Sales potential with demonstrated leadership qualities, sales awards and sales successes.
- Pattern of Success Demonstrated by Career Growth
- Customer Service Skills
- Candidates with no more than 2 jobs in the last 5 years preferred
- 60 hours of college education or associates degree preferred
- Ability to pass financial, criminal, and motor vehicle background checks
About the Company
Founded in 1960, American Fidelity Assurance Company has grown to become one of the largest, private, family-owned life insurance companies in the United States. Focused on our core business, including disability income insurance, life insurance, and supplemental health insurance, American Fidelity has seen rapid and continuous growth. For more information on our company, visit Presence – American Fidelity conducts business within 49 states, employing salaried, career Account Representatives located across the country.
Extended Training Program – Account Representatives participate in a structured, comprehensive training program including on-the-job training within your territory, Product and Sales Schools and online training.
Tenure – More than Double the Nation Average- 30% of our salaried career Account Representatives have been with American Fidelity for 10 years or more.
Defined Territory – Each Account Representative is assigned a territory to manage and develop new accounts.
At American Fidelity, we believe that creating a culture of diversity, equity and inclusion, where all Colleagues can be their best to provide the best service to our Customers, is vital to our success. This means cultivating a workforce with wide perspectives and creating opportunities for engagement, learning and listening.
If you’d like more information about American Fidelity’s privacy practices, please visit /privacy.
Inside Sales Account Manager - Fintech
Location: Miami, FL
Employment Type: Full-time
Paynote | SeamlessChex is a fast-growing fintech company redefining how businesses move money online. We power the next generation of eCommerce payments — helping merchants send and receive funds instantly, securely, and without friction.
We’re looking for a driven, dynamic Inside Sales Account Manager to join our Miami team. At Paynote, you’ll be part of a culture that blends the pace of a startup with the polish of an enterprise — where smart, ambitious people come together to create something truly transformative.
What You’ll Do
As an Inside Sales Account Manager at Paynote, you’ll own the entire merchant journey — turning inbound leads into loyal customers.
Your Responsibilities Include
- Own the entire sales cycle: Convert inbound leads into active, scaling merchants.
- Drive growth: Meet and exceed sales and onboarding goals while maintaining a high quality of service.
- Deliver an exceptional experience: Educate decision-makers, address questions, and navigate objections with clarity and confidence.
- Stay organized and efficient: Manage your pipeline in HubSpot, maintaining complete accuracy and visibility across all activity.
- Facilitate seamless onboarding: Guide merchants through applications, documentation, and setup — ensuring every step is handled with care.
- Collaborate across teams: Partner with operations, integrations, and support to guarantee each merchant is deployed and fully integrated.
- Take full ownership: Manage every opportunity from first touch to post-sale success — anticipating needs, resolving blockers, and driving each merchant to go live smoothly.
What You Bring
- 2+ years of sales or account management experience (payments, fintech, or SaaS preferred).
- Strong communication and relationship-building skills, both written and verbal.
- Proficiency in HubSpot and DocuSign with excellent organizational and follow-up skills.
- Proven ability to manage multiple deals and priorities simultaneously.
- Confident and persuasive over the phone and email with a professional, consultative approach.
- Goal-oriented, self-motivated, and driven to execute efficiently.
- Team player who collaborates across departments to get things done.
- Must be in-office in Miami during standard business hours.
Why Join Paynote
- Leads provided – focus your time on selling, not sourcing.
- Base + commission structure that scales with your success.
- Full suite of HubSpot and AI tools to streamline your workflow.
- Fast-paced, collaborative, and entrepreneurial work environment.
- Opportunity for career growth in a rapidly scaling fintech company.
- Own the full merchant journey—from first touch to successful launch.
Apply now and join a team where your impact truly matters.
We are currently looking for a Medical Laboratory Scientist to join our team. This is an exciting opportunity to join a company with a reputation for exceptional service and patient care.
POSITION SUMMARY/RESPONSIBILITIES Performs procedures for testing or analysis on specimens submitted to the laboratory.
EDUCATION Bachelor's or Master's degree from an accredited college or university in medical technology, clinical laboratory, chemical, physical, or biological science is required
OR
High school graduate or equivalent AND successfully completed military training of 50 or more weeks and served as a medical laboratory specialist.
LICENSURE/CERTIFICATION Certification by the American Society for Clinical Pathology Board of Certification (ASCP-BOC) or American Medical Technologists (AMT) is required.
WHY SHOULD YOU APPLY?
- Growth opportunities
- Yearly pay increase (based on performance)
- Affordable benefits package
- We're ranked as a Level I Trauma Center
#cbsr
Remote working/work at home options are available for this role.
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 - 85282Remote working/work at home options are available for this role.
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.
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.
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.