Jobs in Houston Texas Flexible

2,473 positions found — Page 6

Per diem Family Medicine Physician (Casual Employee)
✦ New
Salary not disclosed
HOUSTON, TX 1 day ago

About Us



One Medical is a primary care solution challenging the industry status quo by making quality care more affordable, accessible and enjoyable. But this isn’t your average doctor’s office. We’re on a mission to transform healthcare, which means improving the experience for everyone involved - from patients and providers to employers and health networks. Our seamless in-office and 24/7 virtual care services, on-site labs, and programs for preventive care, chronic care management, common illnesses and mental health concerns have been delighting people for the past fifteen years.


In February 2023 we marked a milestone when One Medical joined Amazon. Together, we look to deliver exceptional health care to more consumers, employers, care team members, and health networks to achieve better health outcomes. As we continue to grow and seek to impact more lives, we’re building a diverse, driven and empathetic team, while working hard to cultivate an environment where everyone can thrive.


Employment type:



  • “Casual Employee” (per diem, hourly clinician role)
  • 8-23 patient care hours per week

Location:



  • Seeing patients in multiple Houston offices.

What you'll be working on:



  • Seeing patients with a broad array of patient needs; conducting a mix of acute, chronic, and well visits (not a panel-building role)
  • Treating patients in-office as well as conducting occasional tele-health visits
  • Ongoing collaboration with in-office teammates via daily huddles, as well as with virtual clinical teams 
  • Utilization of your specific clinical training and opportunities to perform in-office procedures 

Education, licenses, and experiences required for this role:



  • At least 2 years of primary care experience required.
  • Currently licensed or ability to obtain licensure in the state of Texas.
  • The ability to build successful relationships with team members and communicate effectively both 1-on-1 and in groups.
  • Can thrive in a fast-growing, mission driven organization focused on using data to improve patient outcomes.
  • Board Certification.

 One Medical providers also demonstrate:



  • A passion for human-centered primary care 
  • The ability to successfully communicate with and provide care to individuals of all backgrounds   
  • The ability to effectively use technology to deliver high quality care
  • Clinical proficiency in evidence-based primary care
  • The desire to be an integral part of a team dedicated to changing healthcare delivery
  • An openness to feedback and reflection to gain productive insight into strengths and weaknesses
  • The ability to confidently navigate uncertain situations with both patients and colleagues
  • Readiness to adapt personal and interpersonal behavior to meet the needs of our patients

Casual/Per Diem/Locums Providers receive



  • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%
  • UpToDate Subscription - An evidence-based clinical research tool
  • One Medical Issued laptop (to allow for secure access to our EHR)
  • Sick Time PTO eligible in accordance with local requirement

This is an hourly role based primarily at multiple Houston offices in our Texas market.

One Medical offers a robust benefits package designed to aid your health and wellness.  All regular team members working 24+ hours per week and their dependents are eligible for benefits starting on the team member's date of hire:


Taking care of you today



  • Paid sabbatical for every five years of service
  • Free One Medical memberships for yourself, your friends and family
  • Employee Assistance Program - Free confidential services for team members who need help with stress, anxiety, financial planning, and legal issues
  • Competitive Medical, Dental and Vision plans
  • Pre-Tax commuter benefits
  • PTO cash outs - Option to cash out up to 40 accrued hours per year

Protecting your future for you and your family



  • 401K match
  • Credit towards emergency childcare
  • Company paid maternity and paternity leave
  • Paid Life Insurance - One Medical pays 100% of the cost of Basic Life Insurance
  • Disability insurance - One Medical pays 100% of the cost of Short Term and Long Term Disability Insurance

In addition to the comprehensive benefits package outlined above, practicing clinicians also receive



  • Malpractice Insurance - Malpractice fees to insure your practice at One Medical is covered 100%.
  • UpToDate Subscription - An evidence-based clinical research tool
  • Continuing Medical Education (CME) - Receive an annual stipend for continuing medical education
  • Rounds - Providers end patient care one hour early each week to participate in this shared learning experience
  • Discounted rate to attend One Medical’s Annual REAL primary care conference


One Medical is an equal opportunity employer, and we encourage qualified applicants of every background, ability, and life experience to contact us about appropriate employment opportunities.

One Medical participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.  Please refer to the E-Verification Poster and Right to Work Poster for additional information.


 

Not Specified
Patient Care Manager RN
✦ New
🏢 Optum
Salary not disclosed
Katy, Texas 1 day ago
Explore opportunities with Elite Home Health, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together.
As the Home Health Patient Care Manager, you are responsible for the overall supervision and coordination of clinical services. Coordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations.
Primary Responsibilities:

* Provides clinical services within the scope of practice, as defined by the state laws governing the practice of nursing, in accordance with the plan of care, and in coordination with other members of the health care team
* Receives referrals, ensures appropriate clinician assignments, evaluate patient orders, and plot start of care visits
* Coordinates determination of patient home health benefits, medical necessity, and ongoing insurance approvals
* Ensures patient needs are continually assessed and care rendered is individualized to patient needs, appropriate and reasonable, meets home health eligibility criteria, and is in accordance with physician orders
* Reviews assessments and plans of care daily, per assigned workflow, and consults clinicians with recommendations, as appropriate
* Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:

* Current unrestricted RN licensure in state of practice
* Current driver's license, vehicle insurance, and access to a dependable vehicle or public transportation

State Specific Requirements

* RN licensure must have no restrictions .AK, AL, AR, AZ, CO, CT, DE, FL, GA, ID, IL, IN, KY, MA, MI, MD, MN, MO, MS, NC, NH, NJ, NM, NV, NY, OH, OK, OR, PA, RI, SC, TN, TX, VA, WA, WI, WV:

Preferred Qualifications:

* Current CPR certification or ability to complete within 90 days of hire
* Home care experience

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $72,800 to $130,000 annually based on full-time employment. We comply with all minimum wage laws as applicable.

#LHCJobs

At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
UnitedHealth Group is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
Not Specified
Associate Attorney 2-4 years experience ‒ Insurance Defense
✦ New
Salary not disclosed
Houston, TX 1 day ago
*Rymer, Echols, Slay & Nelson-Archer, P.C.* is a premier insurance coverage and litigation defense law firm founded in 1992. We are currently seeking an associate attorney with *2-4 years of insurance defense experience*. Candidates must have strong analytical, research and writing skills as well as the ability to work both independently and within a team environment. *Key Responsibilities** Drafting pleadings, motions, and other court-related documents
* Reporting effectively, timely, and professionally to clients
* Sending and responding to discovery, including coordination with clients to obtain relevant responsive documents and information
* Conducting legal research on a variety of issues relevant to insurance defense litigation
* Preparing for and attending depositions, hearings, site inspections, and mediations
* Active participation in all aspects of litigation management Competitive salary, annual performance-based raises, year-end discretionary bonus, and benefits package offered. 1920-hour billing requirement. This is a full-time in-office position with the potential for remote hybrid flexibility after ramp up. Candidates must be admitted and good standing in Texas. Candidates are asked to provide their resume, references, writing sample, and compensation expectations. *Pay: Salary commensurate with experience.**Experience: insurance defense: 2 years (Required)* Job Type: Full-time Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance Experience:
* insurance defense: 1 year (Required) License/Certification:
* Texas bar license (Required) Work Location: In person
permanent
Associate Attorney (Insurance Defense)
✦ New
🏢 Rymer, Echols, Slay & Nelson-Archer, P.C.
Salary not disclosed
Houston, TX 1 day ago
*Rymer, Echols, Slay & Nelson-Archer, P.C.* is a premier insurance coverage and litigation defense law firm founded in 1992. We are currently seeking an associate attorney with *2-4 years of insurance defense experience*. Candidates must have strong analytical, research and writing skills as well as the ability to work both independently and within a team environment.
*Key Responsibilities*
* Drafting pleadings, motions, and other court-related documents
* Reporting effectively, timely, and professionally to clients
* Sending and responding to discovery, including coordination with clients to obtain relevant responsive documents and information
* Conducting legal research on a variety of issues relevant to insurance defense litigation
* Preparing for and attending depositions, hearings, site inspections, and mediations
* Active participation in all aspects of litigation management
Competitive salary, annual performance-based raises, year-end discretionary bonus, and benefits package offered. 1920-hour billing requirement. This is a full-time in-office position with the potential for remote hybrid flexibility after ramp up. Candidates must be admitted and good standing in Texas.
Candidates are asked to provide their resume, references, writing sample, and compensation expectations.
*Pay: Salary commensurate with experience.*
*Experience: insurance defense: 2 years (Required)*
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Experience:
* insurance defense: 1 year (Required)
License/Certification:
* Texas bar license (Required)
Work Location: In person
permanent
Associate Attorney- Insurance Defense - Remote
✦ New
🏢 Rymer, Echols, Slay & Nelson-Archer, P.C.
Salary not disclosed
*Rymer, Echols, Slay & Nelson-Archer, P.C.* is a premier insurance coverage and litigation defense law firm founded in 1992. We are currently seeking an associate attorney with *2-4 years of insurance defense experience*. Candidates must have strong analytical, research and writing skills as well as the ability to work both independently and within a team environment.
*Key Responsibilities*
* Drafting pleadings, motions, and other court-related documents
* Reporting effectively, timely, and professionally to clients
* Sending and responding to discovery, including coordination with clients to obtain relevant responsive documents and information
* Conducting legal research on a variety of issues relevant to insurance defense litigation
* Preparing for and attending depositions, hearings, site inspections, and mediations
* Active participation in all aspects of litigation management
Competitive salary, annual performance-based raises, year-end discretionary bonus, and benefits package offered. 1920-hour billing requirement. This is a full-time in-office position with the potential for remote hybrid flexibility after ramp up. Candidates must be admitted and good standing in Texas.
Candidates are asked to provide their resume, references, writing sample, and compensation expectations.
*Pay: Salary commensurate with experience.*
*Experience: insurance defense: 2 years (Required)*
Job Type: Full-time
Benefits:
* 401(k)
* 401(k) matching
* Dental insurance
* Health insurance
* Life insurance
* Paid time off
* Vision insurance
Experience:
* insurance defense: 1 year (Required)
License/Certification:
* Texas bar license (Required)
Work Location: In person
Remote working/work at home options are available for this role.
permanent
Remote Clinical Pharmacist Advisor- Medicare
✦ New
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
.NET Developer (Hybrid)
✦ New
🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Lansing, Hybrid 1 day ago
Title: Programmer Analyst VI Location: Lansing, MI (2-days onsite, 3-days remote Hybrid Schedule) Note: This is a W2 contract role – this role is NOT open to C2C, 1099, or 3 rd party candidates The Programmer Analyst 6 position will act in a Developer and Analyst role to provide maintenance and support for a variety of services applications Position Qualifications: · 5+ years of .NET CORE 3.1 or higher (6.0 preferred) and C# experience · 5+ years of experience developing with REST web service interfaces or Web APIs · 5+ years of experience with SQL including writing and maintaining complex Select/Insert/Update statements · 5+ years of experience with Agile / SCRUM processes and working in Sprint Development teams · 5+ years of experience working with GIT code repository software · 5+ years of experience developing unit and regression tests · 3+ years of experience with developing code to allow users to upload documents from a website · 3+ years of experience with HTML5, CSS3, JavaScript, and jQuery · 5+ years of experience developing secure websites using industry best practices (such as preventing cross site scripting or SQL injection attacks and coding logging into software functionality) preferred · 3+ years of experience working with Azure DevOps / TFS using boards and code repository preferred · Familiarity with SendGrid preferred · Familiarity with Web Content Accessibility Guidelines (WCAG) preferred · Familiarity with identity provider (IdP) integration using OpenID Connect (OIDC) or SAML preferred · Experience working with Azure DevOps, Jira, or equivalent for SDLC management preferred · A minimum of a Bachelor's Degree in Computer Science, Information Systems, or other relevant field required Note: This is a W2 contract role – this role is NOT open to C2C, 1099, or 3 rd party candidates .
Remote working/work at home options are available for this role.
Not Specified
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