Jobs in Wading River Suffolk County Ny Remote
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FULL-SERVICE SHOPPER
Start earning quickly with a flexible schedule
Shopping with Instacart is more than grocery delivery. Shoppers help make our world go round. They make money, make moves, and make shopping lists come true. They make good time, make life easier, and make peoples day.
Shoppers make it all happensign up now to help create a world where everyone has access to the food they love.
As a full-service shopper, youll receive orders through the Shopper app to shop from stores in your area, and deliver the orders to your customer's door. Its that simple.
What you get as a shopper:
- Start earning quickly on a flexible schedule*
- Weekly pay with the option of instant cashout
- Potential to earn tips
- Special earnings promotions
Basic requirements:
- 18+ years old (21+ to deliver alcohol)
- Eligible to work in the United States
- Consistent access to a vehicle and a recent smartphone
Additional information:
Shopping with Instacart is great for anyone looking for flexible, seasonal, home-based, entry-level, weekend, weekday, after-school, or temporary opportunities. As an Instacart Full-Service Shopper, you can have more flexibility than with a part-time job.
Instacart is committed to diversity and providing equal opportunities for independent contractors. Instacart considers qualified individuals without regard to gender, sexual orientation, race, veteran, disability status, or other categories protected by applicable law.
Instacart also values providing prospective contractors with a fair chance to pursue opportunities. For all individuals seeking to provide services in San Francisco, Los Angeles, and Philadelphia, Instacart considers individuals in a manner consistent with the requirements of applicable Fair Chance ordinances.
Review the Independent Contractor Agreement here
*Subject to availability of batches in your area.
About the Role
At Wonder, we make world-class food accessible to everyone. As a Team Member, youll help bring menus from Michelin-starred and celebrity chefs to life while creating an inviting, positive experience for every guest. Whether youre looking to grow your career, learn new skills, or join a fast-paced, fun team; this is your place.
Role Details
- Pay Rate: $17.50
- Overnight shifts include an additional $2.00/hour premium, automatically applied to any hours worked between 12:00 AM and 5:00 AM
- Job Location: Huntington
- Position Type: Full-time & Part-time
Opportunities to earn more:
- Certified Team Member: +$0.50/hr (if eligible)
- Trainer: +$1.50/hr
Why You'll Love Working Here
- Free meal during shift
- Employee Discount
- 1.5x Pay on Company Holidays
- Medical, Dental, and Vision Insurance
- 100% Employer-Paid Life Insurance
- 401(k) Retirement Plan
- Employer Health Savings Account (HSA) Match
- Employee Stock
- Real opportunities to grow into Trainer and Supervisor roles
- Be part of a fast-growing, stable company with new opportunities opening every week
Note: Some of our benefits vary by state and depend on the number of hours you work.
What You'll Do
Every day is different. Master multiple roles, grow your skill set, and make a real impact.
Create Amazing Food
- Prepare menu items to Wonder standards while keeping stations clean, stocked, and organized
- Follow HACCP and all food-safety guidelines, including proper temperatures and storage
- Manage inventory scans, pack accurate portions, and ensure every order is correct before it goes out
Deliver Incredible Hospitality
- Greet guests warmly and assist with orders, pickups, payments, and the Wonder app
- Share knowledge about our concepts, support meal-kit and delivery operations, and ensure dispatch accuracy
- Participate in light local marketing activities (flyers, street engagement, etc.)
Keep Our Restaurants Looking Their Best
- Maintain top-tier sanitation and cleanliness across kitchen and dining areas
- Wash, clean, and restock cookware, utensils, and equipment throughout the shift
- Manage trash/recycling properly and report equipment issues promptly
Be a Key Part of the Team
- Support teammates, jump in where needed, and maintain a positive, high-energy environment
- Perform additional duties as assigned
- Work in a positive, energetic environment where teammates support each other and leaders invest in your development
Qualifications
- 6+ months of experience in a fast-paced kitchen or customer-facing role
- Ability to work with speed, accuracy, and strong attention to detail
- Solid organization, clear verbal communication, and ability to follow directions
- Team-oriented with basic knowledge of food safety and sanitation practices
Requirements
- Must be 18 years old and legally authorized to work in the US
- Must be able to lift 50 pounds
- Must be able to stand for a full shift while working
- Must have weekend availability
*This list of qualifications and requirements also reflects the qualifications and requirements used as vetting criteria for our AEDT (Automated Employment Decision Tool)
About Wonder
Everythings on the menu at Wonder. Except compromise.
Wonder is the mealtime platform built to feed every craving in one order. With Wonder, you can mix and match hundreds of dishes from 20+ exclusive restaurants in a single order, so everyone gets exactly what theyre craving. Enjoy everything from tacos to Thai with $0 delivery fees, plus dine-in or pick up at a Wonder location near you. Each dish is made to order on-site by our culinary team and served hot.
Behind the scenes, Wonder owns and operates every step of the dining experience, from recipe development to the technology that powers our experience, allowing us to deliver quality, variety, and consistency at scale.
Join us as we work to make great food more accessible.
An AEDT (Automated Employment Decision Tool) is employed in the assessment of applicants for the positions being recruited for in order to gauge the following pertinent qualifications or traits:
- The candidates ability to perform the tasks in the available job role.
- The candidate's self-rated skill proficiency.
- The candidates fit for this job posting.
More information about the type, source, and retention policy relating to data collected for the AEDT can be found on the privacy policy here. We retain your personal information for as long as is necessary to manage your application for and employment with the Company and in accordance with our data retention schedule. We may retain your personal information for longer if it is necessary to comply with our legal or reporting obligations (for example, if we are required to retain your data to comply with applicable laws), resolve disputes, enforce our legal agreements and policies, address other legitimate business needs, or as permitted or required by applicable law. We may also retain your personal information in a deidentified or aggregated form so that it can no longer be associated with you. To determine the appropriate retention period for your personal information, we consider various factors such as the amount, nature, and sensitivity of your information; the potential risk of unauthorized access, use or disclosure; the purposes for which we collect or process your personal information; and applicable legal requirements. Personal information does not include certain categories of information, such as publicly available information from government records, personal information you make available to the public, and deidentified or aggregated information.
A final note
At Wonder we believe that in order to build the best team, we must hire using an objective lens. We are committed to fair hiring practices where we hire people for their potential and advocate for diversity, equity, and inclusion. As such, we do not discriminate or make decisions based on your race, color, religion, gender identity or expression, sexual orientation, national origin, age, military service eligibility, veteran status, marital status, disability, or any other protected class. If you have a disability, please let us know how we can make your interview process work best for you.
The Floor Supervisor's primary function is to assist and support the Store and Assistant Manager in all aspects of the store, including all personnel, product, merchandising, and visual functions, business processes and results for the store. Assist management with recruiting, training and development of associates.
Overall responsibilities include:
- Direct and motivate the store team to provide service in accordance with the TH Customer Service program, generate sales and profit, minimize losses and while ensure the store is visually distinctive and impeccably maintained.
- Maximize associate productivity, ensure compliance and consistent execution of company standards and Policy & Procedures as well as create an environment which is results driven.
- Assist in the development of associates through feedback, coaching and training.
- Demonstrate effective written and verbal communication skills.
- Develop proficiency in all operational policies and procedures.
- Manage time and prioritize tasks.
Managerial responsibilities include:
- Maximize sales by ensuring TH Customer Service program is being executed to standard as well as ensuring merchandise styles and sizes are well represented on the sales floor.
- Assist with training, developing and executing S.G.M. and TH Customer Service.
- Communicate statistical results and identify business needs.
- Communicate with team at Take 5 meetings, regarding individual sales performance, and other key performance indicators such as UPT, conversion, store results, product sales and other information to help them provide great service and achieve goals.
- Assist with training, monitoring and executing Direct Replenishment and Recovery process.
- Recognize problems, analyze causes, and generate alternatives and solutions.
- Represent the TH image through personal and professional appearance.
Operational responsibilities include:
- Understand and comply with all company policy, procedures and operations.
- Receiving and processing shipments and transfers.
- Follow Inventory Shrinkage Improvement Program.
- Assist to ensure store has all necessary tools (i.e. supplies, resources, binders, posters, etc.) and knowledge of how to use them adequately.
- Maintain the highest level of security and safety awareness within the store
- Store opening and closing.
- Able to lift a minimum of 40 pounds and able to stand for long periods of time.
Leadership responsibilities include:
- Work with store management to source the best talent through networking and recruitment, interviewing, hiring and orientation process. Identify new hires who possess skills representative of the TH Brand and image.
- Assist in the development of all associates to be knowledgeable in areas of product and sales by communicating openly, honestly, and constructively.
- Create energy, excitement and recognition around team and individual accomplishment and successes.
- Participate and assists the Store Manager in weekly management meetings and quarterly staff meetings.
- Change schedules, adapt to the needs of the position, undertaking night shifts, weekends and holidays.
- Demonstrate teamwork and lead by example within store.
Merchandising & Visual responsibilities include:
- Assists in making business decisions based on current sell-through strategies.
- Maintains elevated store presentation by training and overseeing standards as defined by brand standards and company directives with an eye for detail.
- Keep management informed of all merchandise and visual related issues.
- Execute markdowns and re-merchandise, as needed.
- Maintain store organization fixtures/hardware/general cleanliness.
Pay Range:$19.90-$25.15
Your Wellbeing is Our Priority
At PVH, we offer competitive, cost-effective, and comprehensive benefit packages. We strive to provide options when it comes to your health, finances, and work-life balance. This includes:
- Insurance: best in class medical insurance, vision insurance, dental insurance, life insurance, disability insurance, and more.
- 401(k): An above-market 401(k) contribution to help our eligible associates save for retirement.
- Flexible Workplace: Company-paid holidays, paid time off, seasonal hours, and flexible work schedules.
- Wellbeing Support: A variety of wellbeing tools and programs.
- Services: Access to services for childcare, elder care, adoption preparation, pet care, plus reimbursement for backup care when your regular plans fall through.
- Education Assistance: Receive support for continued education including tuition reimbursement.
- Associate Discount: Shop at our company outlets and e-commerce sites at a discount.
Please note, eligibility depends on employment status, location and length of time employed with PVH and our benefits may be subject to change. Applications will be accepted on a rolling basis until the position is filled.
About PVH:
We are brand builders who focus our passion and creativity to build Calvin Klein and TOMMY HILFIGER into the most desirable lifestyle brands in the world and at the same time position PVH as one of the best-performing brand groups in our sector. Guided by our values and enabled by our scale and global reach, we are driving fashion forward for good, as one team with one vision and one plan. That's the Power of Us, that's the Power of PVH+.
One of PVH's greatest strengths is our people. Our collective desire is to create a workplace environment where every individual is valued, and every voice is heard, and we are committed to fostering an inclusive and diverse community of associates with a strong sense of belonging.
Company Description
Eastern Environmental Solutions, Inc. is New York's leading environmental contracting and remediation services company, specializing in innovative, long-term solutions to environmental challenges. As a proud Service Disabled Veteran Owned Small Business (SDVOSB), we are dedicated to delivering exceptional service. Headquartered in Manorville, NY, we provide comprehensive environmental services throughout New York State. Committed to environmental stewardship, we strive to meet the highest industry standards in all aspects of our work.
Role Description
This is a full-time, on-site role for a Geothermal Driller based in Manorville, NY. The Geothermal Driller will operate and maintain drilling equipment, and perform drilling operations for geothermal purposes. Responsibilities include inspecting and maintaining heavy equipment, conducting site inspections, and ensuring adherence to safety protocols. The role may involve fieldwork in varying environmental conditions.
Qualifications
- Proficiency in Heavy Equipment operation and maintenance
- Experience in Geothermal Drilling
- Strong problem-solving skills and the ability to work in various environmental conditions
- Commitment to safety and compliance with all relevant regulations
- Valid driver’s license, with a CDL license being a plus
- Prior experience in environmental services or geothermal drilling is highly desirable
Just Kids is a group of specialized preschools in Eastern & Central Suffolk & Nassau County, LI, NY.
Just Kids believes that the best outcomes for children occur when families & professionals work together in partnership to meet the unique needs of the child and family.
Sites: Middle Island, Ridge, West Middle Island, and Coram.
Benefits & Pay:
Medical Benefits after 30 days of employment, Dental, and Vision Insurance. 401(k), Life insurance, Parental Leave, Paid Time Off.
Position Details:
We are seeking Teacher Aides to join our team. The ideal candidates will have a passion for working with children and supporting educators in a classroom setting.
Requirements
High School Diploma or GED, experience working with toddlers, preschoolers, or in a classroom setting is a plus!
Teaching Assistant - Level Certificate a plus!
Starting Salary: $19.25
$250.00 SIGN-ON BONUS AFTER COMPLETION OF THE 90-DAY INTRODUCTORY PERIOD!!!
Job Type: Full-time and Part-time positions available
Apply Now!
Please send resumes to: Melanie Becker:
This role focuses on delivering a high-quality, customer-first experience by providing product education, addressing customer needs, and ensuring satisfaction throughout the sales process.
The ideal candidate demonstrates professionalism, empathy, and strong communication skills while meeting performance and sales goals.
Key Responsibilities Conduct inbound and outbound sales calls with prospective and current customers Educate customers on product lines including ostomy, urology, Purewick, and related medical supplies Identify customer needs and recommend appropriate solutions Address and resolve customer concerns in a timely and professional manner Accurately document all interactions, issues, and resolutions in CRM and call tracking systems Meet or exceed performance targets, including call volume, sales goals, and customer satisfaction metrics Ensure compliance with company standards, including HIPAA regulations, insurance protocols, and call scripting guidelines Collaborate with internal teams to resolve order issues and provide seamless customer support Additional Responsibilities Communicate with customers via phone, email, and web chat Maintain accurate and detailed customer records to support follow-up and service quality Contribute to a positive, team-oriented work environment Perform additional duties as assigned Qualifications Education & Experience: High school diploma or GED required 1–2 years of related sales or customer service experience preferred Skills & Abilities: Strong verbal and written communication skills Ability to explain technical or medical product information clearly Basic to intermediate math skills (discounts, percentages, commissions) Strong problem-solving and critical-thinking abilities Proficiency in Microsoft Office (Word, Excel) and CRM systems Familiarity with call center or dialer systems preferred Work Requirements Availability to work occasional evenings, weekends, or overtime as needed Work Environment (Remote) Must work from a private, quiet, and distraction-free environment Reliable high-speed internet is required Ability to remain seated and use a computer and phone for extended periods Physical Requirements Regularly required to sit, speak, and listen Frequent use of hands for computer and phone work
*
Remote working/work at home options are available for this role.
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday.
Set Rotation Start Date : May 11th or 18th Position Overview We are seeking an experienced Clinical Pharmacist Advisor – Medicare to join a high-performing, remote clinical review team.
This role focuses on prior authorizations, coverage determinations, and Medicare Part D reviews in a fast-paced, production-driven environment.
This is an excellent opportunity for pharmacists with managed care, PBM, or Medicare experience who thrive in a remote, independent workflow setting and are comfortable handling high-volume clinical case reviews .
Schedule Business Hours: Monday – Friday: 7:00 AM – 8:00 PM EST Saturday & Sunday: 7:00 AM – 4:30 PM EST Rotation: Set schedule (may include weekends) Training Schedule: Monday – Friday, 9:00 AM – 5:30 PM EST Key Responsibilities Perform prior authorization and coverage determination reviews in accordance with clinical guidelines and CMS regulations Evaluate medication requests, including formulary exceptions, step therapy, and quantity limits Process appeals and denial reviews with accurate clinical documentation Apply Medicare Part D knowledge to ensure compliance and timely decision-making Communicate with providers to obtain necessary clinical information and explain determinations Document decisions clearly, including rationale for approvals or denials Maintain productivity and quality standards in a high-volume, queue-based environment Required Qualifications Bachelor’s Degree in Pharmacy or PharmD Active Pharmacist License in good standing in state of residence Minimum 1+ year of experience in managed care, PBM, or prior authorization review Strong knowledge of Medicare Part D and pharmacy benefit structures Experience with: Prior authorizations Coverage determinations & appeals Clinical criteria and formulary reviews Preferred Experience Previous experience in PBM environments (e.g., Medicare or commercial plans) Background in organizations such as CVS/Caremark, OptumRx, Cigna, Walgreens, or similar Combination of retail pharmacy + managed care experience Experience working in a remote, production-based role Key Skills & Competencies Ability to manage high-volume case review queues with speed and accuracy Strong clinical decision-making and documentation skills Excellent provider communication and collaboration High level of attention to detail and compliance adherence Comfortable working independently in a remote environment with minimal supervision Strong computer proficiency and ability to navigate multiple systems simultaneously What Makes a Strong Candidate Successful candidates typically bring: Proven experience in Medicare pharmacy benefit review work A track record of handling time-sensitive clinical decisions Comfort working in remote, metrics-driven environments Ability to clearly communicate clinical decisions and alternatives to providers Readiness to hit the ground running with minimal ramp-up time Why Join Us? Fully remote opportunity Competitive hourly pay with contract-to-hire potential Structured training and support Opportunity to work with a leading clinical review team in the Medicare space INDJP .
Remote working/work at home options are available for this role.
HOURS ARE 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) As a Clinical Pharmacist Advisor – Medicare, you will: Support Medicare Part D members and providers with pharmacy benefit requests Ensure accurate case setup and clinical review for decisioning Contact providers to obtain clinical details when necessary Follow CMS-mandated timelines, departmental productivity, and quality standards Apply clinical judgment using compendia, evolving work instructions, and Medicare guidance Participate in development discussions with supervisors for continuous improvement Remote Medicare Clinical Pharmacist Compensation · The pay for this position is $53.00/hr · Benefits are available to full-time employees after 90 days of employment · A 401(k) with a company match is available for full-time employees with 1 year of service on our eligibility dates Remote Medicare Clinical Pharmacist Highlights · This position is a contract assignment with potential to hire on permanently based upon attendance, performance, and business needs Required Availability: is 7am
- 8pm EST Monday
- Friday and 7am
- 430pm EST Sat and Sunday) Remote Medicare Clinical Pharmacist Responsibilities · Accurately set up Medicare Part D cases for members and providers.
· Review clinical information and documentation to support decision-making.
· Contact providers to obtain additional clinical details when needed.
· Ensure all case decisions comply with CMS Medicare guidelines and compendia resources.
· Adhere to departmental productivity, quality standards, and CMS-mandated timelines.
· Maintain thorough and clear documentation of all case activities.
· Utilize multiple computer applications efficiently, often across dual screens.
· Participate in training, development discussions, and feedback sessions with supervisors.
· Support continuous improvement initiatives within the team.
· Work independently while maintaining high attention to detail and accuracy.
· Demonstrate engagement, professionalism, and a positive attitude in all interactions.
Remote Medicare Clinical Pharmacist Requirements · Education: Bachelor’s in Pharmacy or PharmD required · Licensure: Active license in state of residence · Technical Skills: Proficiency in Excel, Word, PowerPoint, Access, and Visio preferred · Experience: Previous experience in Managed Care / PBM environment Join a team that is helping keep communities healthy across the country.
Apply with A-Line Staffing today to take part in this impactful healthcare initiative!
Remote working/work at home options are available for this role.
Mindlance is here to help you to find the perfect fit with just the right company.
Currently, we are seeking an Accounts Payable Clerk for an exciting career growth opportunity.
Make your next big career move with the kind of position that will allow you to be genuinely passionate about the work you do! Our recruiters will work closely with you to help you get the edge over the competition.
Let Mindlance advocate for you – apply today! “Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of – Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.” Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications · This is a senior-level position that will execute the implementation of designs and requirements provided by IAM architects · and analysts and ensures that IAM capabilities and services are successfully integrated within systems across the · organization while also providing ongoing support and maintenance as needed for IAM processes and technology.
Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
The Senior IAM Engineer will lead the implementation and support of modern enterprise Workforce IAM systems.
They will collaborate closely with cross-functional development teams, architects, analysts, and business stakeholders to ensure secure identity solutions are integrated throughout the product lifecycle.
This role serves as a key technical contact for IAM authentication and authorization services across the organization.
Essential Job Accountabilities (Core responsibilities accounting for 10% or more of the role) 1.
IAM Platform Implementation & Support (40%) · Implement, administer, and support workforce IAM platforms including Oracle Access Manager (OAM), Microsoft Entra, and Duo.
· Design, configure, and troubleshoot authentication and authorization solutions throughout the SDLC.
· Support automated migration of applications from Oracle Access Manager to Microsoft Entra.
· Onboard and integrate new applications with Microsoft Entra.
· Perform detailed root cause analysis of IAM issues and implement preventative solutions.
· Engineer scalable, secure, and high-performance IAM solutions.
2.
IAM Process Engineering & Automation (20%) · Develop, enhance, test, document, and maintain IAM integration processes.
· Simplify and automate access management workflows to improve user experience.
· Architect and implement accelerators and automation enablers for IAM operations.
· Identify optimization opportunities and execute strategies to improve efficiency, scalability, and service delivery.
Job Title: IAM Engineer Job Category: IT Industry: Airlines Job Location: Remote Pay rate: $ $70-78/hr on w2 Duration: 7+ Months Email Qualified Resumes to: IAM Engineer Job Description Job Details: Notes: Strong Microsoft EntraID experience and passwordless multi-factor authentication experience.
Top 5 Skill sets · Configuring authentication (OIDC, SAML, OAuth) for applications · Microsoft Entra conditional access policies · Experience with enabling MFA and SSO · Migration of applications between Identity Platforms/Providers · Developing automation/scripts to support onboarding of applications and users to Identity platforms Nice to have skills or certifications: · Duo Experience, Microsoft Entra, Oracle Access Manager · Enable Microsoft Entra app proxy · CISSP or Azure Certifications Job Summary The IAM Security Engineer is responsible for implementing, integrating, and supporting authentication and authorization solutions aligned with Cybersecurity and Digital Risk (CDR) principles.
This role focuses on protecting enterprise data, reducing security risk, and enabling secure access for the Client workforce.
5.
Metrics, KPIs & Operational Support (10%) · Support delivery of IAM metrics and KPIs through system analysis and integrations.
· Provide ongoing operational support and maintenance for IAM services and processes.
Required Qualifications & Experience IAM & Security Expertise · In-depth knowledge of Workforce IAM, Single Sign-On (SSO), and Multi-Factor Authentication (MFA).
· Proven experience onboarding SSO applications and integrating MFA with cloud-based identity providers.
· Strong understanding of modern authentication protocols and standards: o FIDO2, SAML, OAuth, OIDC, Kerberos, Federation · Hands-on experience with: o Passwordless authentication o API Gateways o SCIM connector development o Identity platforms such as Microsoft Entra, Duo, Oracle Access Manager, Ping Identity, Okta, or ForgeRock Compliance & Risk · Practical knowledge of compliance and regulatory frameworks: o SOX, PCI, FAA, GDPR, PII · Strong understanding of Zero Trust architecture, adaptive risk-based authorization, identity proofing, and verification technologies.
· Familiarity with security frameworks and governance standards: o ISO, NIST, CSA Controls Matrix Technical & Industry Experience · Experience with large-scale identity transformation initiatives, including migration from on-premise to cloud-based IAM services.
· Prior experience implementing passwordless technologies in large enterprise environments.
· Experience supporting IAM functions within the airline or transportation industry (preferred).
· Exposure to AI/ML, algorithm development, or automation-driven technical solutions (preferred).
Software Development & Delivery · Expertise in modern software development lifecycles and Agile methodologies.
· Experience with automated cloud infrastructure deployment.
Core Competencies · Strong written and verbal communication skills; ability to communicate with both technical and non-technical audiences.
· Excellent attention to detail with qualitative and quantitative data.
· Strong analytical and problem-solving skills with the ability to adapt quickly to changing priorities.
· Demonstrated initiative and ownership of deliverables and outcomes.
Remote working/work at home options are available for this role.
This role requires strong clinical judgment, attention to detail, and the ability to work efficiently in a fast paced, productivity driven environment.
You will collaborate with providers, apply Medicare guidelines, and ensure timely and accurate documentation of all cases.
Key Responsibilities: • Review Medicare appeals cases for accuracy and completeness • Evaluate clinical documentation and internal notes for case decisioning • Perform outbound outreach to providers to obtain additional clinical information • Ensure compliance with CMS Medicare guidelines and mandated timelines • Utilize drug compendia resources and internal systems for decision making • Maintain high productivity and quality standards • Accurately document all case activity and decisions • Participate in coaching, feedback sessions, and continuous improvement initiatives Required Qualifications: • Bachelor’s degree in Pharmacy or PharmD required • Active Pharmacist license in good standing in state of residence • Ability to work independently in a remote environment • Strong attention to detail and organizational skills • Verifiable High School Diploma or GED required Preferred Qualifications: • Experience in Managed Care or PBM environment • Knowledge of Microsoft Access, PowerPoint, and Visio Required Candidate Submissions (Must Be Included on Resume): • Internet speed test • Screenshot of active Pharmacist license showing name, state, and expiration date Additional Details: • Virtual interviews conducted via Microsoft Teams • Opportunity for full time employment based on performance Contact Information: Taryn Davis 469-342-1411 .
Remote working/work at home options are available for this role.
