Jobs in Los Angeles California Wfh
2,193 positions found — Page 4
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Accounts Payable Specialist
Temporary – Up to 6 Months but could extend
Schedule: Fully onsite
Pay $27 to $30 per hour
We’re seeking an experienced Accounts Payable Specialist for a temporary assignment with a well-established company and stable company.
Key Responsibilities for the Accounts Payable Specialist:
- Match and reconcile invoices and statements for pricing, quantities, freight, and discounts
- Process journal entries, purchase orders, and vouchers accurately
- Research and resolve vendor inquiries and discrepancies
- Process checks for all company subsidiaries in a timely manner
- Support month-end and year-end close activities, including sales/use tax and 1099 reporting
- Maintain vendor information and company address book accuracy
Qualifications for the Accounts Payable Specialist:
- Minimum 3 years of Accounts Payable experience
- Strong Excel skills (VLOOKUP, pivot tables required)
- JD Edwards experience preferred
- Excellent attention to detail and ability to handle multiple priorities
- Strong AP audit background
If you’re a detail-oriented AP professional looking for your next opportunity, we’d like to hear from you. Apply today.
PandoLogic. Keywords: Accounts Payable / Receivable Analyst, Location: Monterey Park, CA - 91756For the last 30 years, this Non-Profit Clinic has been the leader in serving the underserved community. This Multi-Specialty Clinic is looking for their next Medical Assistant! Company Benefits (Free Health Insurance, Your Birthday Off + 15 other Holidays off)!
Pay Rate: $22/hr-$24/hr
Shift: M-F - 8AM-5PM
Location: South Central Los Angeles
Job Duties for Medical Assistant:
- 2+ years' of experience
- Knowledge of patient scheduling, insurance verification, patient referrals, etc.
- Medical Assistant Diploma or Certification is required
- Bilingual in Spanish is required
- High School Diploma is required
- Referrals really pay off! Do you know of someone in healthcare looking for work? Refer them to MediQuest and earn up to $500 per referral depending on the type of position they accept!
- No limit to the number of referrals you provide, or the amount of money you can earn! Anyone can earn a referral bonus, not just MediQuest Candidates!
- Restrictions apply, please contact your local MediQuest Representative for more details.
~Coverage across 4 clinic locations as needed
~ Hospital privileges required
~ Women's health experience preferred
~ We negotiate better pay and deposit it weekly
~ We arrange complimentary housing and travel and comprehensive malpractice coverage
~ We simplify the credentialing and privileging process
~ Access to online portal for assignment details and time entry
~ Your specialized recruiter takes care of every detail From $120.00 to $145.00 Hourly Ranges shown should be used as an estimate and are affected by many factors including the critical need of the position, your overall experience and qualifications, and other considerations. Rates shown are all-inclusive and combine an hourly base pay with other potential earnings like overtime, call, and holiday pay. CompHealth JOB-3228468 CompHealth started in 1979 with the idea of connecting top healthcare providers to the communities who need them and has since become the industry leader in healthcare staffing. And with 1,000 employees in offices across the nation, we have the team in place to ensure that every provider and facility staff recruiter receives the excellent customer service we?
~Coverage across 4 clinic locations as needed
~ Hospital privileges required
~ Women's health experience preferred
~ We negotiate better pay and deposit it weekly
~ We arrange complimentary housing and travel and comprehensive malpractice coverage
~ We simplify the credentialing and privileging process
~ Access to online portal for assignment details and time entry
~ Your specialized recruiter takes care of every detail From $120.00 to $145.00 Hourly Ranges shown should be used as an estimate and are affected by many factors including the critical need of the position, your overall experience and qualifications, and other considerations. Rates shown are all-inclusive and combine an hourly base pay with other potential earnings like overtime, call, and holiday pay. CompHealth JOB-3228468 CompHealth started in 1979 with the idea of connecting top healthcare providers to the communities who need them and has since become the industry leader in healthcare staffing. And with 1,000 employees in offices across the nation, we have the team in place to ensure that every provider and facility staff recruiter receives the excellent customer service we?
Before you apply to a job, select your language preference from the options available at the top right of this page.
Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.
Job Description:
This position will support a territory including Urban Honolulu, HI, Torrance, CA, and Inglewood, CA
SummaryAs a Business Development Supervisor, you will play a crucial role in driving our company's growth by identifying and acquiring new business opportunities. You will be responsible for developing and implementing effective sales strategies to reach and exceed sales targets. This role requires a combination of strong interpersonal skills, strategic thinking, and a results-oriented mindset.
Key Responsibilities Prospecting and Lead Generation- Identify and research potential clients through various channels.
- Generate new leads and opportunities through cold calling, networking, and other outreach methods.
- Collaborate with marketing teams to leverage inbound leads and campaigns.
- Conduct compelling presentations to showcase our products/services and highlight their value proposition.
- Effectively communicate the benefits of our solutions to potential clients.
- Understand clients' needs and tailor solutions to meet their specific requirements.
- Demonstrates comprehensive understanding of product components, design, features and benefits when communicating product features or design and tailoring the message to meet customer needs.
- Develop and execute a strategic sales plan to achieve and exceed sales targets.
- Analyze market trends and competitor activities to identify new opportunities.
- Negotiate terms and conditions with potential clients to secure new business.
- Close deals efficiently while ensuring customer satisfaction.
- Work closely with cross-functional teams, including marketing, product development, and customer support, to ensure a seamless client experience.
- Proven track record of success in B2B sales, with a focus on new business acquisition.
- Strong understanding of logistics and the ability to articulate our value proposition effectively.
- Excellent communication and presentation skills.
- Self-motivated with a results-oriented mindset.
- Ability to thrive in a fast-paced, dynamic work environment.
- Willing to travel.
- Bachelor’s degree in business, marketing, or a related field (preferred).
- Applicants must be currently located in the same geographic area as the position or willing to self-relocate, as relocation assistance is not available.
Employee Type:
PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.
Other Criteria:
UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.
Basic Qualifications:
Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.
Pay Range:
The salary range for this position is $60,660.00/year to $106,200.00/year. Actual compensation is based on various factors such as location, job-related knowledge, skills, education/training, and work experience. This position is eligible for our sales incentive plan and offers the annual management incentive plan, subject to applicable eligibility requirements. Incentives are not guaranteed and are dependent upon individual and/or company performance. Our company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental & Vision Benefits, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, Educational Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick/Family and Medical Leave time as required by law, Discounted Employee Stock Purchase Program.
Before you apply to a job, select your language preference from the options available at the top right of this page.
Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.
Job Description:
This position will support a territory including Urban Honolulu, HI, Torrance, CA, and Inglewood, CA
SummaryAs a Business Development Supervisor, you will play a crucial role in driving our company's growth by identifying and acquiring new business opportunities. You will be responsible for developing and implementing effective sales strategies to reach and exceed sales targets. This role requires a combination of strong interpersonal skills, strategic thinking, and a results-oriented mindset.
Key Responsibilities Prospecting and Lead Generation- Identify and research potential clients through various channels.
- Generate new leads and opportunities through cold calling, networking, and other outreach methods.
- Collaborate with marketing teams to leverage inbound leads and campaigns.
- Conduct compelling presentations to showcase our products/services and highlight their value proposition.
- Effectively communicate the benefits of our solutions to potential clients.
- Understand clients' needs and tailor solutions to meet their specific requirements.
- Demonstrates comprehensive understanding of product components, design, features and benefits when communicating product features or design and tailoring the message to meet customer needs.
- Develop and execute a strategic sales plan to achieve and exceed sales targets.
- Analyze market trends and competitor activities to identify new opportunities.
- Negotiate terms and conditions with potential clients to secure new business.
- Close deals efficiently while ensuring customer satisfaction.
- Work closely with cross-functional teams, including marketing, product development, and customer support, to ensure a seamless client experience.
- Proven track record of success in B2B sales, with a focus on new business acquisition.
- Strong understanding of logistics and the ability to articulate our value proposition effectively.
- Excellent communication and presentation skills.
- Self-motivated with a results-oriented mindset.
- Ability to thrive in a fast-paced, dynamic work environment.
- Willing to travel.
- Bachelor’s degree in business, marketing, or a related field (preferred).
- Applicants must be currently located in the same geographic area as the position or willing to self-relocate, as relocation assistance is not available.
Employee Type:
PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.
Other Criteria:
UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.
Basic Qualifications:
Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.
Pay Range:
The salary range for this position is $60,660.00/year to $106,200.00/year. Actual compensation is based on various factors such as location, job-related knowledge, skills, education/training, and work experience. This position is eligible for our sales incentive plan and offers the annual management incentive plan, subject to applicable eligibility requirements. Incentives are not guaranteed and are dependent upon individual and/or company performance. Our company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental & Vision Benefits, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, Educational Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick/Family and Medical Leave time as required by law, Discounted Employee Stock Purchase Program.
Before you apply to a job, select your language preference from the options available at the top right of this page.
Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.
Job Description:
This position will support a territory including Urban Honolulu, HI, Torrance, CA, and Inglewood, CA
SummaryAs a Business Development Supervisor, you will play a crucial role in driving our company's growth by identifying and acquiring new business opportunities. You will be responsible for developing and implementing effective sales strategies to reach and exceed sales targets. This role requires a combination of strong interpersonal skills, strategic thinking, and a results-oriented mindset.
Key Responsibilities Prospecting and Lead Generation- Identify and research potential clients through various channels.
- Generate new leads and opportunities through cold calling, networking, and other outreach methods.
- Collaborate with marketing teams to leverage inbound leads and campaigns.
- Conduct compelling presentations to showcase our products/services and highlight their value proposition.
- Effectively communicate the benefits of our solutions to potential clients.
- Understand clients' needs and tailor solutions to meet their specific requirements.
- Demonstrates comprehensive understanding of product components, design, features and benefits when communicating product features or design and tailoring the message to meet customer needs.
- Develop and execute a strategic sales plan to achieve and exceed sales targets.
- Analyze market trends and competitor activities to identify new opportunities.
- Negotiate terms and conditions with potential clients to secure new business.
- Close deals efficiently while ensuring customer satisfaction.
- Work closely with cross-functional teams, including marketing, product development, and customer support, to ensure a seamless client experience.
- Proven track record of success in B2B sales, with a focus on new business acquisition.
- Strong understanding of logistics and the ability to articulate our value proposition effectively.
- Excellent communication and presentation skills.
- Self-motivated with a results-oriented mindset.
- Ability to thrive in a fast-paced, dynamic work environment.
- Willing to travel.
- Bachelor’s degree in business, marketing, or a related field (preferred).
- Applicants must be currently located in the same geographic area as the position or willing to self-relocate, as relocation assistance is not available.
Employee Type:
PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.
Other Criteria:
UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.
Basic Qualifications:
Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.
Pay Range:
The salary range for this position is $60,660.00/year to $106,200.00/year. Actual compensation is based on various factors such as location, job-related knowledge, skills, education/training, and work experience. This position is eligible for our sales incentive plan and offers the annual management incentive plan, subject to applicable eligibility requirements. Incentives are not guaranteed and are dependent upon individual and/or company performance. Our company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental & Vision Benefits, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, Educational Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick/Family and Medical Leave time as required by law, Discounted Employee Stock Purchase Program.
~ Monday - Saturday schedule with clinic hours 8am-5pm to 10am-7pm
~20 patients per day across multiple clinic sites
~ Family practice clinic covering 4 different locations
~ Hospital privileges required
~ Women's health experience preferred
~ We negotiate better pay and deposit it weekly
~ We arrange complimentary housing and travel and comprehensive malpractice coverage
~ We simplify the credentialing and privileging process
~ Access to online portal for assignment details and time entry
~ From $120.00 to $145.00 Hourly
Rates shown are all-inclusive and combine an hourly base pay with other potential earnings like overtime, call, and holiday pay. CompHealth started in 1979 with the idea of connecting top healthcare providers to the communities who need them and has since become the industry leader in healthcare staffing. And with 1,000 employees in offices across the nation, we have the team in place to ensure that every provider and facility staff recruiter receives the excellent customer service we?
Before you apply to a job, select your language preference from the options available at the top right of this page.
Explore your next opportunity at a Fortune Global 500 organization. Envision innovative possibilities, experience our rewarding culture, and work with talented teams that help you become better every day. We know what it takes to lead UPS into tomorrow—people with a unique combination of skill + passion. If you have the qualities and drive to lead yourself or teams, there are roles ready to cultivate your skills and take you to the next level.
Job Description:
This position will support a territory including Urban Honolulu, HI, Torrance, CA, and Inglewood, CA
SummaryAs a Business Development Supervisor, you will play a crucial role in driving our company's growth by identifying and acquiring new business opportunities. You will be responsible for developing and implementing effective sales strategies to reach and exceed sales targets. This role requires a combination of strong interpersonal skills, strategic thinking, and a results-oriented mindset.
Key Responsibilities Prospecting and Lead Generation- Identify and research potential clients through various channels.
- Generate new leads and opportunities through cold calling, networking, and other outreach methods.
- Collaborate with marketing teams to leverage inbound leads and campaigns.
- Conduct compelling presentations to showcase our products/services and highlight their value proposition.
- Effectively communicate the benefits of our solutions to potential clients.
- Understand clients' needs and tailor solutions to meet their specific requirements.
- Demonstrates comprehensive understanding of product components, design, features and benefits when communicating product features or design and tailoring the message to meet customer needs.
- Develop and execute a strategic sales plan to achieve and exceed sales targets.
- Analyze market trends and competitor activities to identify new opportunities.
- Negotiate terms and conditions with potential clients to secure new business.
- Close deals efficiently while ensuring customer satisfaction.
- Work closely with cross-functional teams, including marketing, product development, and customer support, to ensure a seamless client experience.
- Proven track record of success in B2B sales, with a focus on new business acquisition.
- Strong understanding of logistics and the ability to articulate our value proposition effectively.
- Excellent communication and presentation skills.
- Self-motivated with a results-oriented mindset.
- Ability to thrive in a fast-paced, dynamic work environment.
- Willing to travel.
- Bachelor’s degree in business, marketing, or a related field (preferred).
- Applicants must be currently located in the same geographic area as the position or willing to self-relocate, as relocation assistance is not available.
Employee Type:
PermanentUPS is committed to providing a workplace free of discrimination, harassment, and retaliation.
Other Criteria:
UPS is an equal opportunity employer. UPS does not discriminate on the basis of race/color/religion/sex/national origin/veteran/disability/age/sexual orientation/gender identity or any other characteristic protected by law.
Basic Qualifications:
Must be a U.S. Citizen or National of the U.S., an alien lawfully admitted for permanent residence, or an alien authorized to work in the U.S. for this employer.
Pay Range:
The salary range for this position is $60,660.00/year to $106,200.00/year. Actual compensation is based on various factors such as location, job-related knowledge, skills, education/training, and work experience. This position is eligible for our sales incentive plan and offers the annual management incentive plan, subject to applicable eligibility requirements. Incentives are not guaranteed and are dependent upon individual and/or company performance. Our company offers the following benefits for this position, subject to applicable eligibility requirements. Medical/prescription drug coverage, Dental & Vision Benefits, Flexible Spending Account, Health Savings Account, Dependent Care Flexible Spending Account, Basic and Supplemental Life Insurance & Accidental Death and Dismemberment, Disability Income Protection Plan, Employee Assistance Program, Educational Assistance Program, 401(k) retirement program, Vacation, Paid Holidays and Personal time, Paid Sick/Family and Medical Leave time as required by law, Discounted Employee Stock Purchase Program.Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
VPA is committed to high quality, patient satisfaction and value-based healthcare.
Through quality medicine and compassionate care, our providers are able to ease the burden for patients that are unable to access necessary care in a traditional practice setting due to their health status.
Over 43 locations in 12 states Completed over 5 million house calls in the last decade Servicing Ohio families from 9 office locations: Columbus, Dayton, Akron, E.
Cleveland, W.
Cleveland, Toledo, Youngstown, W.
Cincinnati and E.
Cincinnati 24/7 Care Center support The largest ACO dedicated to home based primary care Experienced with clinically integrated network (CIN), population health management, and value-based healthcare initiatives Best practice protocols including COPD, Pneumonia, CHF, Diabetes, and Chronic Care Management Web-based EHR for all clinicians Fully implemented compliance, QAPI, infection prevention and control plans We are currently looking for physicians in the E.
Cleveland/Mentor area to join the VPA team.
We offer: Competitive base salary and aggressive quarterly incentive pay Income potential of $190,000 plus Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues UpToDate for your tablet and phone A+ rated Malpractice Coverage with tail coverage No nights, No holidays, No hospital rounds Minimal call responsibilities Average of 10 patients per day More quality, face-to-face interaction with patients and families EMR with dedicated training and support staff Teamed with a medical assistant and patient care coordinatorLearn more about changes we are making in patients lives here.
Remote working/work at home options are available for this role.
Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
Visiting Physicians Association is committed to high quality, patient satisfaction and value-based healthcare.
Through quality medicine and compassionate care, our providers are able to ease the burden for patients that are unable to access necessary care in a traditional practice setting due to their health status.
Over 43 locations in 12 states Completed over 5 million house calls in the last decade 24/7 Care Center support The largest ACO dedicated to home based primary care Experienced with clinically integrated network (CIN), population health management, and value-based healthcare initiatives Best practice protocols including COPD, Pneumonia, CHF, Diabetes, and Chronic Care Management Web-based EHR for all clinicians Fully implemented compliance, QAPI, infection prevention and control plansWe are currently looking for physicians in the St.
Louis, MO area to join the VPA team.
Competitive base salary and aggressive quarterly incentive pay Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues UpToDate for your tablet and phone A+ rated Malpractice Coverage with tail coverage No nights, No holidays, No hospital rounds Minimal call responsibilities Average of 10 patients per day More quality, face-to-face interaction with patients and families EMR with dedicated training and support staff Teamed with a medical assistant and patient care coordinatorLearn more about changes we are making in patients lives here.
Remote working/work at home options are available for this role.
Our organization follows the triple aim while delivering high quality and low cost healthcare to patients.
VPA is committed to high quality, patient satisfaction and value-based healthcare.
Through quality medicine and compassionate care, our providers are able to ease the burden for patients that are unable to access necessary care in a traditional practice setting due to their health status.
Over 43 locations in 12 states Completed over 5 million house calls in the last decade 24/7 Care Center support The largest ACO dedicated to home based primary care Experienced with clinically integrated network (CIN), population health management, and value-based healthcare initiatives Best practice protocols including COPD, Pneumonia, CHF, Diabetes, and Chronic Care Management Web-based EHR for all clinicians Fully implemented compliance, QAPI, infection prevention and control plansWe are currently looking for physicians in the Marysville, MI area to join the VPA team.
Competitive base salary and aggressive quarterly incentive pay Comprehensive benefit package including 401K with match Annual stipend for CME and license/association dues UpToDate for your tablet and phone A+ rated Malpractice Coverage with tail coverage No nights, No holidays, No hospital rounds Minimal call responsibilities Average of 10 patients per day More quality, face-to-face interaction with patients and families EMR with dedicated training and support staff Teamed with a medical assistant and patient care coordinatorLearn more about changes we are making in patients lives here.
Remote working/work at home options are available for this role.
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 HomeJob 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 AmericaRemote working/work at home options are available for this role.
Director of Sales-Shop At Home (Paramus)
Key member of the sales leadership team, Director of Sales-Shop At Home is the general manager of the in-home business unit servicing markets without Blinds To Go showrooms (BTG Partners Program). Directly managing and working closely with shop-at-home outside contractors, installers and collaborating with other senior managers, he/she will develop and implement systems and processes that support rapid growth of this business. He/she must be a good recruiter and manager of outside sales people and have excellent communication skills.
Key Responsibilities
- Recruit, manage and drive growth of shop-at-home (SAH) business in markets without BTG showrooms (BTG Partners)
- Actively recruit and on-board outside contractors with experience in window treatments
- Work with merchandising and marketing to develop programs, tools that improve BTG Partners performance
- Work with business support groups to provide ongoing operation support to BTG partners
- Work with installation managers to build installation network and maintain excellent service levels in remote markets
- Help identify and qualify installers as needed
- Measure installation service levels
- Work with stores leadership to identify additional opportunities for BTG Partners Program
Key Requirements
Bachelors in business or related field
10+ years experience including:
- Operating experience in retail or multi-location service business
- In-home sales and management experience
- Experience managing 3rd-party service providers
- Strong interpersonal and communication skills
- High energy and strong motivation skills
- Very strong customer service, problem-solving and follow-up skills
- Ability to identify root causes and solve issues with a high sense of urgency
- Ability to build cross-functional relationships
- Experience working independently, but also as part of a team
Integrating senior manager into the existing business and culture is critical. We will work with him/her to develop an integration plan that sets up the new manager for success at BTG.
Development plan will be individualized, and will include time in our stores to gain a first-hand appreciation of our customer service requirements and to develop key relationships in the field.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands.
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
Basic Requirements
- Full Professional Proficiency in Punjabi and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands.
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
Basic Requirements
- Full Professional Proficiency in Urdu and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
Basic Requirements
- Full Professional Proficiency in Spanish language
- Being a resident in United States for the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in United States
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Are you a detail-oriented individual with a passion for research and a good understanding of national and local geography? This freelance opportunity allows you to work at your own pace and from the comfort of your own home.
A Day in the Life of an Online Data Analyst:
- In this role, you will be working on a project aimed at enhancing the content and quality of digital maps that are used by millions of people worldwide
- Completing research and evaluation tasks in a web-based environment such as verifying and comparing data, and determining the relevance and accuracy of information.
Join us today and be part of a dynamic and innovative team that is making a difference in the world!
TELUS Digital AI Community
Our global AI Community is a vibrant network of 1 million+ contributors from diverse backgrounds who help our customers collect, enhance, train, translate, and localize content to build better AI models. Become part of our growing community and make an impact supporting the machine learning models of some of the world’s largest brands.
Qualification path
No previous professional experience is required to apply to this role, however, working on this project will require you to pass the basic requirements and go through a standard assessment process. This is a part-time long-term project and your work will be subject to our standard quality assurance checks during the term of this agreement.
Basic Requirements
- Full Professional Proficiency in Bengali and English language
- Being a resident in The United States or the last 2 consecutive years and having familiarity with current and historical business, media, sport, news, social media, and cultural affairs in India
- Ability to follow guidelines and conduct online research using search engines, online maps, and website information
- Flexibility to work across a diverse set of task types, including maps, news, audio tasks, and relevance
- Daily access to a broadband internet connection, computer, and relevant software
Assessment
In order to be hired into the program, you’ll take an open book qualification exam that will determine your suitability for the position and complete ID verification. Our team will provide you with guidelines and learning materials before your qualification exam. You will be required to complete the exam in a specific timeframe but at your convenience.
Equal Opportunity
All qualified applicants will receive consideration for a contractual relationship without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. At TELUS Digital AI, we are proud to offer equal opportunities and are committed to creating a diverse and inclusive community. All aspects of selection are based on applicants’ qualifications, merits, competence, and performance without regard to any characteristic related to diversity.
Remote working/work at home options are available for this role.
Responsibilities: · Handle customer inquiries and complaints · Provide information about the products and services · Troubleshoot and resolve product issues and concerns · Document and update customer records based on interactions · Develop and maintain a knowledge base of the evolving products and services Qualifications: · Previous experience in customer service, sales, or other related fields · Ability to build rapport with clients · Ability to prioritize and multitask · Positive and professional demeanor · Excellent written and verbal communication skills Work from home! Awesome CEO, opportunity for advancement and great income earning potential!
Remote working/work at home options are available for this role.
