Jobs in Miami Remote
3,076 positions found — Page 6
Physician, Primary Care & Mental Health - IN (Remote)
✦ New 🏢 ChenMed
Salary not disclosed
We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family. The Primary Care Physician (PCP) in our organization demonstrates: • Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. They understand that they can strongly influence the patient's outcomes by building a trusting relationship and helping them change behaviors.• Coaching for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with the patient to work toward the goals, and frequently follows up on those goals on the path to improved health for their patients.
• Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals. We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCP's become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. Culture is very important in the medical centers and because PCP's are leaders in our organization and centers, they are expected to help champion a positive culture of love, accountability, and passion along with center leadership.
The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals. The PCP will work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote patient health and company goals.
The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
- The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient.
- The PCP will take full accountability for patient care and outcomes and will appropriately seek consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient.
- It is expected that the PCP will engage with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not).
- The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
- The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
- For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
- PCP will have an active role in the management of their center and will help cover for other providers who may be out for various reasons. It is also expected that each PCP will take an active role as needed in recruiting patients for the center and additional providers for the company.
- Supervises, collaborates with, participates with, or functions within a practice or collaborative agreement with an Advanced Practice Practitioner (APP) and remains accountable for the actions of the APP while employed with the company.
- Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS & ABILITIES:
Competencies for Success
- Availability and Accessibility for patients to build trust from their patients. It is expected that PCP's will make themselves as available to their patients as possible by being open and available for walk-in visits and answering phone calls and messages in a timely manner.
- Service Orientation — PCP's provide care that they would want for a family member or for themselves to each patient at every interaction.
- Evidence Based Medicine — The PCP remains updated on evidence-based medicine, but also recognizes that factors outside of traditional medicine, like lifestyle and nutrition, have a large impact on patient health outcomes. The PCP stays up to date on clinical, nutritional, and lifestyle-based interventions to improve outcomes.
- Physician Leadership is integral to good healthcare, so the PCP must be willing to continuously work to develop and improve leadership skills for the benefit of one's patients, their team, their center and the company .
- Quality — Our patients deserve the highest quality of care. This requires a willingness to work with the care teams towards achieving high quality outcomes and quality measures. At the same time, PCPs will always be looking for ways to continuously and systematically improve their practice of medicine and the operations of their center.
- Influence — PCP's must competently and compassionately influence their patients, their teams, and themselves to achieve the best outcomes.
- Self-Care — A PCP can take the best care for their patients when they are adequately caring for themselves. That means physically, mentally, socially and spiritually. Physician wellness is important for sustainability and promoting the health of physicians, staff, and patients.
- Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software as used in the company
- Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes.
- Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application.
- This job requires use and exercise of independent judgment
PAY RANGE:
$214,700 - $306,714 SalaryEMPLOYEE BENEFITS
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-OnsiteRemote working/work at home options are available for this role.
Not Specified
Family Medicine, Virtual Primary Care Physician
✦ New 🏢 ChenMed
Salary not disclosed
We're unique. You should be, too.
We're changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do you inspire others with your kindness and joy?
We're different than most primary care providers. We're rapidly expanding and we need great people to join our team.
ChenMed, a physician-led and mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be America's leading primary care provider, transforming care of the neediest population. Our mission is to honor seniors with affordable VIP care that delivers better health. In order to achieve our vision and deliver our mission, we need the best primary care providers that are seeking to fulfill purpose and personal opportunity and join the ChenMed family. The Primary Care Physician (PCP) in our organization demonstrates: • Accountability for outcomes: The PCP demonstrates accountability for outcomes, strong clinical care, and cost-effectiveness for each patient in their panel of up to 450 patients. They understand that they can strongly influence the patient's outcomes by building a trusting relationship and helping them change behaviors.• Coaching for health: The PCP acts as a health coach, rather than just a consultant for sickness, by helping patients set short and long-term health goals, partners with the patient to work toward the goals, and frequently follows up on those goals on the path to improved health for their patients.
• Simplifying for action: The PCP simplifies and prioritizes appropriately so that behavior change is more actionable, both for the patient in helping them achieve their goals, and when leading their care teams towards their performance goals. We are an outcomes-focused, value-based organization and for their panel of patients, the following metrics are regularly measured to help PCP's become successful and reach partnership status: patient admissions/thousand, using between 18-21 appointment slots per day (each new patient count for 2 slots, follow-up patients 1 slot), CGCAHPS (patient experience), clinical gaps closures, and medical cost measures. Each PCP will have goals for these metrics and will be expected to work towards those targets with their center and market leadership as well as their care teams. Culture is very important in the medical centers and because PCP's are leaders in our organization and centers, they are expected to help champion a positive culture of love, accountability, and passion along with center leadership.
The PCP will be required to demonstrate the ability to function both independently and in collaboration with other health care professionals. The PCP will work closely with the applicable managers and medical directors to ensure compliance with guidelines along with participating in risk and quality management programs, clinical meetings and other meetings as required that promote patient health and company goals.
The PCP will adhere to strict departmental goals/objectives, standards of performance, regulatory compliance, quality patient care compliance, and policies and procedures.
ESSENTIAL JOB DUTIES/RESPONSIBILITIES:
- The PCP independently provides care for patients with acute and chronic illnesses encountered in the older adult patient.
- The PCP will take full accountability for patient care and outcomes and will appropriately seek consultation from specialists when needed, though will still stay involved in, and be responsible for, the detailed care of the patient.
- It is expected that the PCP will engage with the hospitalist whenever one of their patients is in the hospital (regardless of whether the hospitalist works for ChenMed or not).
- The PCP is responsible for assessment, diagnosis, treatment, management, education, health promotion and care coordination and documentation for patients with acute and complex chronic health needs.
- The PCP leads their care team consisting of care promoter (medical assistant), care facilitator, and care coordinator for patients able to come to the office.
- For patients that are unable to come to the office—in hospital, SNF, LTC or homebound, PCP will engage with the transitional care team and others including case managers, acute and transitional-care physicians, and other resources that may be available depending on the market.
- PCP will have an active role in the management of their center and will help cover for other providers who may be out for various reasons. It is also expected that each PCP will take an active role as needed in recruiting patients for the center and additional providers for the company.
- Supervises, collaborates with, participates with, or functions within a practice or collaborative agreement with an Advanced Practice Practitioner (APP) and remains accountable for the actions of the APP while employed with the company.
- Performs other duties as assigned and modified at manager's discretion.
KNOWLEDGE, SKILLS & ABILITIES:
Competencies for Success
- Availability and Accessibility for patients to build trust from their patients. It is expected that PCP's will make themselves as available to their patients as possible by being open and available for walk-in visits and answering phone calls and messages in a timely manner.
- Service Orientation — PCP's provide care that they would want for a family member or for themselves to each patient at every interaction.
- Evidence Based Medicine — The PCP remains updated on evidence-based medicine, but also recognizes that factors outside of traditional medicine, like lifestyle and nutrition, have a large impact on patient health outcomes. The PCP stays up to date on clinical, nutritional, and lifestyle-based interventions to improve outcomes.
- Physician Leadership is integral to good healthcare, so the PCP must be willing to continuously work to develop and improve leadership skills for the benefit of one's patients, their team, their center and the company .
- Quality — Our patients deserve the highest quality of care. This requires a willingness to work with the care teams towards achieving high quality outcomes and quality measures. At the same time, PCPs will always be looking for ways to continuously and systematically improve their practice of medicine and the operations of their center.
- Influence — PCP's must competently and compassionately influence their patients, their teams, and themselves to achieve the best outcomes.
- Self-Care — A PCP can take the best care for their patients when they are adequately caring for themselves. That means physically, mentally, socially and spiritually. Physician wellness is important for sustainability and promoting the health of physicians, staff, and patients.
- Proficient in Microsoft Office Suite products including Word, Excel, PowerPoint and Outlook, plus a variety of other word-processing, spreadsheet, database, e-mail and presentation software as used in the company
- Ability and willingness to travel locally as needed in their market, if applicable, nationally for initial training (2 weeks) and then occasionally regionally and nationally for recruiting or training purposes.
- Fluency in English, verbal and written. There may be jobs in some centers that require fluency in other languages, and this will be made known at the time of application.
- This job requires use and exercise of independent judgment
PAY RANGE:
$214,700 - $306,714 SalaryEMPLOYEE BENEFITS
We're ChenMed and we're transforming healthcare for seniors and changing America's healthcare for the better. Family-owned and physician-led, our unique approach allows us to improve the health and well-being of the populations we serve. We're growing rapidly as we seek to rescue more and more seniors from inadequate health care.
ChenMed is changing lives for the people we serve and the people we hire. With great compensation, comprehensive benefits, career development and advancement opportunities and so much more, our employees enjoy great work-life balance and opportunities to grow. Join our team who make a difference in people's lives every single day.
Current Employee apply HERE
Current Contingent Worker please see job aid HERE to apply
#LI-Onsite
Not Specified
Delivery Driver - Flexible scheduling with multiple earning opportunities (Hiring Immediately)
✦ New 🏢 Doordash
Salary not disclosed
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn:Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility:Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make:Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow:Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start:Sign up in minutes and get on the road fast.**
- Simple Process:Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
Remote working/work at home options are available for this role.
temporary
On-Demand Logistics Courier (Hiring Immediately)
✦ New 🏢 Doordash
Salary not disclosed
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn:Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility:Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make:Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow:Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start:Sign up in minutes and get on the road fast.**
- Simple Process:Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
temporary
DoorDash Delivery Specialist (Hiring Immediately)
✦ New 🏢 Doordash
Salary not disclosed
Why Deliver with DoorDash?
DoorDash is the #1 category leader in food delivery, food pickup, and convenience store delivery in the US, trusted by millions of customers every day. As a Dasher, you’ll stay busy with a variety of earnings opportunities and can work when it works for you. Whether you’re looking for a side hustle or a full-time gig, delivering with DoorDash gives you the opportunity to earn extra cash on your terms.
- Multiple ways to earn:Whether you’re delivering meals, groceries, or retail orders, DoorDash offers diverse earning opportunities so you can maximize your time.
- Total flexibility:Dash when it works for you. Set your own hours and work as much—or as little—as you want.
- Know how much you'll make:Clear and concise pay model lets you know the minimum amount you will make before accepting any offer.
- Instant cash flow:Get paid the same day you dash with DoorDash Crimson*. No deposit fees, no waiting.
- Quick and easy start:Sign up in minutes and get on the road fast.**
- Simple Process:Just pick up, drop off, and cash out. Payday is in your back pocket.
Basic Requirements
- 18+ years old*** (21+ to deliver alcohol)
- Any car, scooter, or bicycle (in select cities)
- Driver's license number
- Social security number (only in the US)
- Consistent access to a smartphone
How to Sign Up
- Click “Sign UpApply Now” and complete the sign up process
- Download the DoorDash Dasher app and go
*Subject to eligibility requirements and successful ID verification. The DoorDash Crimson Deposit Account is established by Starion Bank, Member FDIC. The DoorDash Crimson Visa® Debit Card is issued by Starion Bank.
**Subject to eligibility..
***Must be 19+ in Arizona, California, Colorado, Delaware, Florida, Georgia, Idaho, Kentucky, Montana, New Jersey, New Mexico, Texas, Utah, and West Virginia
Additional information
Dashing with DoorDash is a great earnings opportunity for anyone looking for part-time, seasonal, flexible, weekend, after-school, temporary, steady delivery gig. Deliver with DoorDash and earn extra cash while being your own boss. Dash when it works for you. Sign up today.
temporary
A
Remote Prior Authorization Pharmacist {168034}
✦ New
Salary not disclosed
A-Line Staffing is Hiring: Remote Prior Authorization Pharmacist A-Line Staffing is now hiring a Remote Prior Authorization Pharmacist ! This role offers an opportunity to work for a Fortune 500 company with career growth potential in a fully remote capacity.
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.
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.
Not Specified
P
Supervisor California Integrated Care Management-Hybrid-California
✦ New
Salary not disclosed
The Care Management Program Supervisor is responsible for the day-to-day oversight, coaching, and performance management of Care Management Care Coordinators delivering person-centered Care Management services to eligible Medi-Cal members with complex medical, behavioral health, and social needs.
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.
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.
Not Specified
M
Hybrid Marketing Administrative Intern (April 2026 - August 2026 Full Time)
✦ New
Salary not disclosed
Please note the following: This is a 6 month Internship starting mid November 2025.
Candidates must be local and either a current student or a recent graduate within 1 year of their graduation date.
This internship works with our Tour Support team and will involve customer facing tasks.
This role does not involve digital media, branding, social media, or other similar roles within the Marketing Division.
The role will be full time (35-40 hours a week) with a rate of pay of $16.
Schedule Requirements: Full availability preferred, weekends and holidays included.
Hours of operations are between 8amEST and 1amEST so candidates could be scheduled a shift between those hours.
At a minimum, evening schedule availability required Monday
- Thursday and Friday Shift of 8am-7pm.
Schedule may adjust due to business demands.
MVW Marketing Intern Job Description Are you ready to grow your dream career while making others' vacation dreams come true? Marriott Vacations Worldwide is a world premier organization for Vacation Ownership with resorts at destinations around the globe.
Join our team and help deliver unforgettable experiences that make vacation dreams come true.
COMPANY DESCRIPTION Marriott Vacations Worldwide is a global leader in the vacation ownership industry and highly regarded for its quality and unique flexibility.
The more than 50 Marriott Vacation Club properties throughout the United States, Caribbean, Europe and Asia offer a lifetime of memorable vacations to more than 413,000 Owner families and feature 1-, 2- and 3-bedroom villas with spacious interiors.
In 2010, the Marriott Vacation Club Destinations™ program was introduced offering unmatched experiences and unparalleled flexibility through the use of Vacation Club Points in four Collections that can be tailored to fit an Owner's travel needs.
PROGRAM DESCRIPTION Offered at U.S.
based resorts, the College Internship Program
- Marketing and Sales is an immersion program offering participants work experience in one of our Sales Centers throughout the company.
Interns will participate in the following activities: comprehensive onboarding, operational duties within their assigned department, eLearning, and virtual meetings with company leaders, job shadowing, and a direct mentorship with an onsite leader.
The College Internship Program – Marketing and Sales is designed to last April
- August depending upon the participant’s availability and the needs of the property.
The participants should expect to work a full-time schedule in this program.
All College Internships are paid at an hourly wage.
Successful College Interns will be given a high level of consideration when applying for future career opportunities with Marriott Vacations Worldwide.
JOB SUMMARY Participants will be expected to learn and preform the job duties of the position(s) within their assigned department.
For example, in a Marketing Internship the participant may be expected to learn and master the role of a non-commissioned marketing associate in addition to opportunities to learn aspects of the commission-based roles, sales department, and other areas.
Interns may also be involved in department projects.
Participants will also learn components of what drives a successful Marketing and Sales operation on site and will have opportunities to contribute to these important matters.
Interns will be introduced to and have the opportunity to demonstrate the company’s values and core beliefs.
JOB REQUIREMENTS Education Candidate should be pursuing a college degree or within 1 year post graduation.
It is preferred that the candidate is actively pursuing a degree in Hospitality, Marketing, Sales or Business.
Candidates who have an undecided major may also be considered.
Experience Prior Hospitality or Sales experience preferred.
Past Interns who are interested in completing an additional internship will be considered first.
Previous performance rating will be taken into consideration.
Standards of Dress & Grooming All interns must maintain a neat, clean and well-groomed appearance per Marriott Vacations Worldwide Corporation Policy Marketing and Sales Standards of Appearance.
All interns for whom a uniform has been provided must wear the appropriate uniform.
Uniforms must be neat and clean at all times.
Alterations to uniforms are allowed only if prior approval has been obtained from a supervisor/manager.
Missing buttons should be replaced and tears or holes repaired before the uniform is worn.
Non-uniformed interns should dress with good business taste and in clothing appropriate to their jobs.
Good business taste does not include blue jeans, shorts, spandex pants, tank tops, midriffs, halter tops, or other generally recognized casual sportswear.
Dress or skirt length should be no shorter than four inches above the knee.
All interns must wear proper undergarments.
Corporate office interns must adhere to policy EMP-20 Corporate Office Business Dress Guidelines.
Marriott Vacations Worldwide is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture.
Remote working/work at home options are available for this role.
Candidates must be local and either a current student or a recent graduate within 1 year of their graduation date.
This internship works with our Tour Support team and will involve customer facing tasks.
This role does not involve digital media, branding, social media, or other similar roles within the Marketing Division.
The role will be full time (35-40 hours a week) with a rate of pay of $16.
Schedule Requirements: Full availability preferred, weekends and holidays included.
Hours of operations are between 8amEST and 1amEST so candidates could be scheduled a shift between those hours.
At a minimum, evening schedule availability required Monday
- Thursday and Friday Shift of 8am-7pm.
Schedule may adjust due to business demands.
MVW Marketing Intern Job Description Are you ready to grow your dream career while making others' vacation dreams come true? Marriott Vacations Worldwide is a world premier organization for Vacation Ownership with resorts at destinations around the globe.
Join our team and help deliver unforgettable experiences that make vacation dreams come true.
COMPANY DESCRIPTION Marriott Vacations Worldwide is a global leader in the vacation ownership industry and highly regarded for its quality and unique flexibility.
The more than 50 Marriott Vacation Club properties throughout the United States, Caribbean, Europe and Asia offer a lifetime of memorable vacations to more than 413,000 Owner families and feature 1-, 2- and 3-bedroom villas with spacious interiors.
In 2010, the Marriott Vacation Club Destinations™ program was introduced offering unmatched experiences and unparalleled flexibility through the use of Vacation Club Points in four Collections that can be tailored to fit an Owner's travel needs.
PROGRAM DESCRIPTION Offered at U.S.
based resorts, the College Internship Program
- Marketing and Sales is an immersion program offering participants work experience in one of our Sales Centers throughout the company.
Interns will participate in the following activities: comprehensive onboarding, operational duties within their assigned department, eLearning, and virtual meetings with company leaders, job shadowing, and a direct mentorship with an onsite leader.
The College Internship Program – Marketing and Sales is designed to last April
- August depending upon the participant’s availability and the needs of the property.
The participants should expect to work a full-time schedule in this program.
All College Internships are paid at an hourly wage.
Successful College Interns will be given a high level of consideration when applying for future career opportunities with Marriott Vacations Worldwide.
JOB SUMMARY Participants will be expected to learn and preform the job duties of the position(s) within their assigned department.
For example, in a Marketing Internship the participant may be expected to learn and master the role of a non-commissioned marketing associate in addition to opportunities to learn aspects of the commission-based roles, sales department, and other areas.
Interns may also be involved in department projects.
Participants will also learn components of what drives a successful Marketing and Sales operation on site and will have opportunities to contribute to these important matters.
Interns will be introduced to and have the opportunity to demonstrate the company’s values and core beliefs.
JOB REQUIREMENTS Education Candidate should be pursuing a college degree or within 1 year post graduation.
It is preferred that the candidate is actively pursuing a degree in Hospitality, Marketing, Sales or Business.
Candidates who have an undecided major may also be considered.
Experience Prior Hospitality or Sales experience preferred.
Past Interns who are interested in completing an additional internship will be considered first.
Previous performance rating will be taken into consideration.
Standards of Dress & Grooming All interns must maintain a neat, clean and well-groomed appearance per Marriott Vacations Worldwide Corporation Policy Marketing and Sales Standards of Appearance.
All interns for whom a uniform has been provided must wear the appropriate uniform.
Uniforms must be neat and clean at all times.
Alterations to uniforms are allowed only if prior approval has been obtained from a supervisor/manager.
Missing buttons should be replaced and tears or holes repaired before the uniform is worn.
Non-uniformed interns should dress with good business taste and in clothing appropriate to their jobs.
Good business taste does not include blue jeans, shorts, spandex pants, tank tops, midriffs, halter tops, or other generally recognized casual sportswear.
Dress or skirt length should be no shorter than four inches above the knee.
All interns must wear proper undergarments.
Corporate office interns must adhere to policy EMP-20 Corporate Office Business Dress Guidelines.
Marriott Vacations Worldwide is an equal opportunity employer committed to hiring a diverse workforce and sustaining an inclusive culture.
Remote working/work at home options are available for this role.
permanent
D
IT Solution Architect (Financial Systems) - Remote
✦ New
Salary not disclosed
DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm.
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 about this opportunity, please contact one of our Talent Specialists, Amit, at 224 507 1290 Title: IT Solution Architect (Financial Systems)
- Remote Location: Remote (Candidates local to Corning, NY and Charlotte, NC are preferred.
Open to candidates in other locations; candidates must be willing to work EST time zone) Duration: 12 Months with possibility of extension based on demand.
Schedule: Full-time, M-F, 8 AM
- 5 PM.
Some potential flexibility may be required for after-hours work, as needed.
Travel
- up to 25% for travel to Corning, NY.
Estimated as one week per month based on project need.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered Position Summary The IT Solution Architect for Supply Chain and Finance is responsible for designing, developing, and guiding the implementation of enterprise technology solutions that support client's financial and supply chain processes.
This role collaborates closely with business stakeholders and cross-functional IT teams to ensure systems are scalable, secure, and aligned with organizational strategy.
The architect enables operational excellence by shaping solution roadmaps, ensuring platform integrity, and driving continuous improvement across finance and supply chain applications.
Key Responsibilities Solution Architecture and Design Develop end-to-end architectural designs for finance and supply chain systems in alignment with business objectives.
Assess existing application landscapes and recommend improvements, modernization opportunities, and integration strategies.
Ensure solutions comply with security, data governance, and enterprise architecture standards.
Business Partnership and Collaboration Engage with Finance, Supply Chain, and IT partners to understand business needs and translate them into technical requirements.
Participate in recurring strategic and operational touchpoints, including cFIN review sessions and architecture-focused team meetings.
Provide subject matter guidance on financial systems such as OneStream and other platforms influencing client's digital finance ecosystem.
Technical Leadership and Support Serve as the technical lead for solution implementations, enhancements, and integrations across finance and supply chain domains.
Address escalated issues, provide root-cause analysis, and ensure long-term stability of assigned applications.
Partner with engineering and operations teams to ensure solution resilience, performance, and sustainability.
Governance, Standards and Documentation Contribute to the development of architecture standards, design patterns, and best practices.
Maintain accurate architectural documentation, including roadmaps, diagrams, functional specifications, and integration models.
Continuous Improvement and Innovation Evaluate emerging technologies and recommend opportunities to enhance process efficiency, automation, and system capabilities.
Support modernization initiatives that strengthen client's digital transformation objectives in the finance and supply chain organizations.
Required Qualifications
- Education and Experience Bachelor's degree in Information Technology, Computer Science, Engineering, or related field (minimum required).
5 years of experience as a Solution Architect with financial systems.
Proven experience architecting solutions in enterprise finance and/or supply chain environments.
Deep knowledge of financial systems (e.g., OneStream, SAP cFIN (Central Finance), or similar platforms).
Familiarity with SAP finance and supply chain modules.
Strong understanding of systems integration, data flows, and enterprise application ecosystems.
Ability to translate complex technical concepts into clear business language.
Key Competencies Strategic Thinking Ability to design future-focused, scalable solutions.
Technical Expertise Strong architecture and platform skills across finance and supply chain.
Communication and Influence Effectively collaborates with technical and non-technical stakeholders.
Problem Solving Skilled at diagnosing complex issues and proposing durable solutions.
Execution Ability to manage multiple priorities and deliver high-quality outcomes.
Preferred Qualifications Experience working in a global, matrixed organization.
Understanding of data governance, security protocols, and architecture frameworks.
Demonstrated ability to lead collaborative solution workshops and stakeholder discussions.
Interview Process: Two rounds.
First round phone screen with direct manager.
Second round video panel interview, including technical review.
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.
SAP cFIN, OneStream
Remote 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 about this opportunity, please contact one of our Talent Specialists, Amit, at 224 507 1290 Title: IT Solution Architect (Financial Systems)
- Remote Location: Remote (Candidates local to Corning, NY and Charlotte, NC are preferred.
Open to candidates in other locations; candidates must be willing to work EST time zone) Duration: 12 Months with possibility of extension based on demand.
Schedule: Full-time, M-F, 8 AM
- 5 PM.
Some potential flexibility may be required for after-hours work, as needed.
Travel
- up to 25% for travel to Corning, NY.
Estimated as one week per month based on project need.
Only W2 candidates are eligible for this position.
Third-party or C2C candidates will not be considered Position Summary The IT Solution Architect for Supply Chain and Finance is responsible for designing, developing, and guiding the implementation of enterprise technology solutions that support client's financial and supply chain processes.
This role collaborates closely with business stakeholders and cross-functional IT teams to ensure systems are scalable, secure, and aligned with organizational strategy.
The architect enables operational excellence by shaping solution roadmaps, ensuring platform integrity, and driving continuous improvement across finance and supply chain applications.
Key Responsibilities Solution Architecture and Design Develop end-to-end architectural designs for finance and supply chain systems in alignment with business objectives.
Assess existing application landscapes and recommend improvements, modernization opportunities, and integration strategies.
Ensure solutions comply with security, data governance, and enterprise architecture standards.
Business Partnership and Collaboration Engage with Finance, Supply Chain, and IT partners to understand business needs and translate them into technical requirements.
Participate in recurring strategic and operational touchpoints, including cFIN review sessions and architecture-focused team meetings.
Provide subject matter guidance on financial systems such as OneStream and other platforms influencing client's digital finance ecosystem.
Technical Leadership and Support Serve as the technical lead for solution implementations, enhancements, and integrations across finance and supply chain domains.
Address escalated issues, provide root-cause analysis, and ensure long-term stability of assigned applications.
Partner with engineering and operations teams to ensure solution resilience, performance, and sustainability.
Governance, Standards and Documentation Contribute to the development of architecture standards, design patterns, and best practices.
Maintain accurate architectural documentation, including roadmaps, diagrams, functional specifications, and integration models.
Continuous Improvement and Innovation Evaluate emerging technologies and recommend opportunities to enhance process efficiency, automation, and system capabilities.
Support modernization initiatives that strengthen client's digital transformation objectives in the finance and supply chain organizations.
Required Qualifications
- Education and Experience Bachelor's degree in Information Technology, Computer Science, Engineering, or related field (minimum required).
5 years of experience as a Solution Architect with financial systems.
Proven experience architecting solutions in enterprise finance and/or supply chain environments.
Deep knowledge of financial systems (e.g., OneStream, SAP cFIN (Central Finance), or similar platforms).
Familiarity with SAP finance and supply chain modules.
Strong understanding of systems integration, data flows, and enterprise application ecosystems.
Ability to translate complex technical concepts into clear business language.
Key Competencies Strategic Thinking Ability to design future-focused, scalable solutions.
Technical Expertise Strong architecture and platform skills across finance and supply chain.
Communication and Influence Effectively collaborates with technical and non-technical stakeholders.
Problem Solving Skilled at diagnosing complex issues and proposing durable solutions.
Execution Ability to manage multiple priorities and deliver high-quality outcomes.
Preferred Qualifications Experience working in a global, matrixed organization.
Understanding of data governance, security protocols, and architecture frameworks.
Demonstrated ability to lead collaborative solution workshops and stakeholder discussions.
Interview Process: Two rounds.
First round phone screen with direct manager.
Second round video panel interview, including technical review.
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.
SAP cFIN, OneStream
Remote working/work at home options are available for this role.
Not Specified
A
Remote PBM Prior Authorization Pharmacist (Looking for PBM experience)
✦ New 🏢 A-Line Staffing Solutions LLC
Salary not disclosed
Clinical Pharmacist Advisor – Medicare (Remote, Contract to hire) Job Type: Contract to hire Pay Rate: $53/hour Location: Fully Remote (U.S.) Schedule: Business hours between 7:00 AM – 8:00 PM EST Monday–Friday and 7:00 AM – 4:30 PM EST Saturday & Sunday (rotating schedule) Training Schedule: Monday–Friday, 9:00 AM – 5:30 PM EST for the first 8 weeks Position Overview We are seeking a Licensed Registered Pharmacist to join our team as a Clinical Pharmacist Advisor – Medicare .
In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.
This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .
High-performing contractors may have the opportunity for full-time employment based on performance .
Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.
MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.
In this role, you will support Medicare Part D members and healthcare providers by reviewing pharmacy benefit requests, evaluating clinical documentation, and ensuring decisions comply with Medicare guidelines and timelines.
This is an excellent opportunity for pharmacists interested in managed care, pharmacy benefit management, and clinical review operations .
High-performing contractors may have the opportunity for full-time employment based on performance .
Key Responsibilities Review and process Medicare Part D pharmacy benefit requests and appeals Ensure accurate case setup by reviewing internal notes, documentation, and fax requests Evaluate clinical information and apply professional clinical judgment for decision-making Conduct provider outreach to obtain additional clinical details when necessary Document case activities clearly and accurately within internal systems Ensure compliance with CMS Medicare guidelines and timelines Meet departmental productivity and quality standards Utilize drug compendia resources and clinical references for appropriate decision-making Participate in feedback sessions and development discussions with supervisors Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in the state of residence Strong computer literacy including: Microsoft Excel Microsoft Word Data entry and multi-system navigation Ability to work independently in a productivity-driven environment Ability to sit and focus for extended periods during scheduled shifts Reliable wired internet connection Minimum 25 Mbps download / 5 Mbps upload Dedicated quiet workspace for remote work Verifiable High School Diploma or GED Preferred Qualifications Experience in Managed Care or PBM (Pharmacy Benefit Management) environments Knowledge of: Microsoft Access Microsoft PowerPoint Microsoft Visio Experience handling high-volume data entry and multi-screen workflows Work Environment Fully remote position Camera use required during training and meetings Data entry and navigating multiple systems across dual monitors Possible outbound provider calls for clinical information Important Training & Scheduling Requirements Attendance is critical during the first 8–10 weeks of training Training schedule is Monday–Friday, 9:00 AM – 5:30 PM EST After training, shifts may include one weekend day or rotating weekend coverage Assigned shifts will fall within 7 AM – 8 PM EST Hiring Process Requirements Candidates must provide the following with their resume: Internet speed test screenshot showing both download and upload speeds ( ) Must have 25 download and 5 upload.
MUST SHOW BOTH Screenshot of active pharmacist license showing: Name License number State Status Valid dates Interview Process Virtual interview via Microsoft Teams
Remote working/work at home options are available for this role.
Not Specified
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