Education And Training Jobs in Eagle Eagle County Co Remote
848 positions found — Page 32
*This role will be based out of our various retail locations throughout North Carolina along with one day per week working from home supporting centralized services.*
Responsible for ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures. Works effectively in a hybrid work environment (such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy consulting services with empathy to patients regarding the effective usage of medications and awareness of drug interactions leveraging omni-channel services (e.g., in person consultation and via the phone). Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes services. Supports the efficient workflow of the pharmacy and assists the pharmacy management in identifying ways to optimize pharmacy financials, inventory management and enhance the patient experience. Job Responsibilities
* Performs pharmacist tasks, including compounding, drug therapy reviews, verification, and medication management. Reviews, interprets and dispenses prescribed medications.
* Enhances patient experience by focusing on healthcare services (e.g., patient consultation, medication management, drug therapy reviews) and retail, clinical, or wellness services such as immunizations, disease state management and specialty programs. Listens to patients concerns and issues, acts as a sounding board for pharmacy concerns and provides feedback to operations leaders. Resolves customer queries and issues in a timely manner to ensure a positive customer experience.
* Conducts centralized support, including patient registration, exception resolution, and assists with resolving patient issues. Performs in-person or virtual product/prescription reviews, within guidelines.
* Provides expertise, resources, education and support to broader team. Supports staff training and development opportunities. Promotes teamwork and motivates staff by fostering a shared vision;
* Supports company policies, procedures, mission, values, and standards of ethics and integrity.
* Partners with leadership team in analyzing performance (KPIs), financial and customer service data; Implements procedures for pharmacy asset protection and inventory management.
* Ensures the pharmacy adheres to regulations, company policies and standards. Collaborates with leaders to establish workflow procedures (e.g., assigning roles, coordinating activities and soliciting employee suggestions). Oversees pharmacy opening, closing and shift change.
* Maintains and develops relationships with medical providers and other health professionals.
* Ensures pharmacy staff follows up with medical providers' to clarify prescriptions, dosages, refills, interactions and allergies, to suggest alternative medications and answer questions.
* Maintains current knowledge of pharmacy systems technology (e.g., workflows, prescription fulfillment, billing, clinical documentation, training, inventory management, and POS registers).
* Processes insurance claims. Liaises with insurance companies, medical providers and auditors.
* Develops and maintains relationships with the local medical community, including physicians, nurses, and other healthcare providers. Participates in community outreach activities to promote the pharmacy business and enhance growth opportunities. Participates in community events that reflect the unique communities we serve as requested by leadership team.
* Drives compliance and continuous improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring and analyzing results; and implementing changes. Adheres to regulatory compliance and standard operating procedures.
* Maintains awareness of third-party pharmacy business opportunities and assures proper administration and implementation of pharmacy systems and procedures.
* Seeks professional development and solicits feedback. Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations. Stays current with pharmacy trends and best practices.
About Walgreens
Founded in 1901, Walgreens ( ) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
* BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
* Current Pharmacist license as granted by the appropriate state licensing authority.
* Experience performing prescription dispensing activities, demonstrating a strong working knowledge of applicable state and federal controlled substance laws.
* Certified Immunizer or willing to become an immunizer within 90 days of hire.
* Willing and able to work effectively in different and/or multiple work environments (such as
* Centralized Services, Retail Pharmacy, Specialty Pharmacy, and/or virtual).
Preferred Qualifications
* At least 1 year of pharmacy experience, including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
* Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
* Experience with pharmacy technology including Intercom, Promise, and Plus.
* Has completed specialized training regarding medication and disease state or has sufficient practical experience necessary to provide specialized services offered at clinic location (HIV, Organ Transplant, Oncology, etc.).
Winston-Salem, Wilmington, Greensboro, Edenton, Asheville, Elkin, Winston
We will consider employment of qualified applicants with arrest and conviction records.
#LI-SC1
Salary Range: $134,368 - $157,976 / Salaried
Remote working/work at home options are available for this role.
Job Summary
Responsible for ensuring the proper compounding, dispensation, review, and verification of prescribed medications within regulatory guidelines, company policies and procedures. Works effectively in a hybrid work environment (such as Pharmacy store, Call Center, Micro-Fulfillment, and/or remote) and provides pharmacy consulting services with empathy to patients regarding the effective usage of medications and awareness of drug interactions leveraging omni-channel services (e.g., in person consultation and via the phone). Offers preventive and clinical healthcare services, including immunizations, diagnostic testing, and patient outcomes services. Supports the efficient workflow of the pharmacy and assists the pharmacy management in identifying ways to optimize pharmacy financials, inventory management and enhance the patient experience. #LI-Hybrid Job Responsibilities
* Performs pharmacist tasks, including compounding, drug therapy reviews, verification, and medication management. Reviews, interprets and dispenses prescribed medications.
* Enhances patient experience by focusing on healthcare services (e.g., patient consultation, medication management, drug therapy reviews) and retail, clinical, or wellness services such as immunizations, disease state management and specialty programs. Listens to patients concerns and issues, acts as a sounding board for pharmacy concerns and provides feedback to operations leaders. Resolves customer queries and issues in a timely manner to ensure a positive customer experience.
* Conducts centralized support, including patient registration, exception resolution, and assists with resolving patient issues. Performs in-person or virtual product/prescription reviews, within guidelines.
* Provides expertise, resources, education and support to broader team. Supports staff training and development opportunities. Promotes teamwork and motivates staff by fostering a shared vision;
* Supports company policies, procedures, mission, values, and standards of ethics and integrity.
* Partners with leadership team in analyzing performance (KPIs), financial and customer service data; Implements procedures for pharmacy asset protection and inventory management.
* Ensures the pharmacy adheres to regulations, company policies and standards. Collaborates with leaders to establish workflow procedures (e.g., assigning roles, coordinating activities and soliciting employee suggestions). Oversees pharmacy opening, closing and shift change.
* Maintains and develops relationships with medical providers and other health professionals.
* Ensures pharmacy staff follows up with medical providers' to clarify prescriptions, dosages, refills, interactions and allergies, to suggest alternative medications and answer questions.
* Maintains current knowledge of pharmacy systems technology (e.g., workflows, prescription fulfillment, billing, clinical documentation, training, inventory management, and POS registers).
* Processes insurance claims. Liaises with insurance companies, medical providers and auditors.
* Develops and maintains relationships with the local medical community, including physicians, nurses, and other healthcare providers. Participates in community outreach activities to promote the pharmacy business and enhance growth opportunities. Participates in community events that reflect the unique communities we serve as requested by leadership team.
* Drives compliance and continuous improvement in the delivery of clinical pharmacy patient care and services by studying, evaluating, and re-designing processes; monitoring and analyzing results; and implementing changes. Adheres to regulatory compliance and standard operating procedures.
* Maintains awareness of third-party pharmacy business opportunities and assures proper administration and implementation of pharmacy systems and procedures.
* Seeks professional development and solicits feedback. Maintains current knowledge and required licensing/credentialing/certification as established by federal and state regulations. Stays current with pharmacy trends and best practices.
About Walgreens
Founded in 1901, Walgreens ( ) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.
Basic Qualifications
* BS in Pharmacy or Pharmacist Degree from an accredited educational institution.
* Current Pharmacist license as granted by the appropriate state licensing authority.
* Experience performing prescription dispensing activities, demonstrating a strong working knowledge of applicable state and federal controlled substance laws.
* Certified Immunizer or willing to become an immunizer within 90 days of hire.
* Willing and able to work effectively in different and/or multiple work environments (such as Centralized Services, Retail Pharmacy, Specialty Pharmacy, and/or virtual).
Preferred Qualifications
* At least 1 year of pharmacy experience, including prescription filling and verification, records and legal compliance, pharmacy operations, pharmacy software and technology systems and insurance.
* Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines of multiple projects with varying completion dates.
* Experience with pharmacy technology including Intercom, Promise, and Plus.
* Has completed specialized training regarding medication and disease state or has sufficient practical experience necessary to provide specialized services offered at clinic location (HIV, Organ Transplant, Oncology, etc.).
Kansas City, St. Louis, Florissant, St. Peters, Springfield
We will consider employment of qualified applicants with arrest and conviction records.
#LI-MF1
Salary Range: $127,920 - $168,896 / Salaried
Remote working/work at home options are available for this role.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
As a dedicated Life Actuary Senior, you will lead advanced actuarial analyses and provide strategic insight into our reinsurance programs across Life and Annuity product portfolios. This role combines deep technical expertise with strategic influence, supporting the optimization of reinsurance structures that manage risk, enhance capital efficiency, and drive long-term profitability.
This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site four days per week.
What you'll do:
- Perform complex and often unique work assignments utilizing actuarial modeling software driven models for pricing, valuation, and/or risk management.
- Review laws and regulations to ensure all processes are compliant and provides recommendations for improvements. Monitor industry communications regarding potential changes to existing laws and regulations.
- Share knowledge with team members and serves as a key resource to entire team, including leadership, on escalated issues and navigates obstacles to deliver work product.
- Serve as a Subject Matter Expert in one or more key areas, such as Product Pricing, Reserving, Economic Capital, Modeling, Asset Liability Management, etc.
- Lead a project team on complex assignments through concept, planning, execution, and implementation phases involving cross functional actuarial areas.
- Develop exhibits and reports that help explain proposals/findings and provides information in an understandable and usable format for stakeholders.
- Identify and provides recommended solutions to business problems independently, often presenting recommendation to leadership.
- Maintain proper price level, price structure, data availability and other requirements to achieve profitability and competitive goals.
- Identify critical assumptions to monitor and suggest timely remedies to correct or prevent unfavorable trends.
- Test impact of assumptions by identifying sources of gain and loss, the appropriate premiums, interest margins, reserves, and cash values for profitability and viability of new and existing products.
- Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
- Bachelor’s degree; OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree.
- 6 years actuarial experience and attainment of Fellow within the Society of Actuaries; OR 12 years relevant actuarial experience and attainment of Associate within the Society of Actuaries.
- Subject Matter Expert in one or more key areas, such as Product Pricing, Reserving, Economic Capital, Modeling, Asset Liability Management, etc.
- Experience leading a project team on complex assignments through concept, planning, execution, and implementation phases involving cross functional actuarial areas.
- Demonstrated experience preparing effective documentation, facilitating training and development, and presenting to various levels of management.
What sets you apart:
- Detailed knowledge of various types of reinsurance transactions both onshore and offshore spanning both block and new business flow transactions
- Experience evaluating the financial, capital, and risk implications of various reinsurance structures, including quota share, YRT, and coinsurance arrangements.
- Experience designing and implementing models to assess the impact of reinsurance under multiple economic and regulatory scenarios
- Experience collaborating with Finance, Risk, Product Development, and Reinsurance Operations teams to integrate reinsurance insights into pricing, financial planning, and business strategy
- Experience with preparing and communicating analyses and recommendations to senior management and external partners, including reinsurers and consultants
- Experience supporting treaty negotiations and term assessment through data-driven modeling and sensitivity analysis
- US military experience through military service or a military spouse/domestic partner
Compensation range: The salary range for this position is: $143,320 - $265,950.
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Remote working/work at home options are available for this role.
Why USAA?
At USAA, our mission is to empower our members to achieve financial security through highly competitive products, exceptional service and trusted advice. We seek to be the #1 choice for the military community and their families.
Embrace a fulfilling career at USAA, where our core values – honesty, integrity, loyalty and service – define how we treat each other and our members. Be part of what truly makes us special and impactful.
The Opportunity
We are seeking a dedicated Life Actuary to join the Life Company’s Asset Liability Management Team. This role coordinates, prepares, and performs actuarial analyses required to develop new products, project future results, reprice existing products, and/or determine financial strength.
This role is remote eligible in the continental U.S. with occasional business travel. However, individuals residing within a 60-mile radius of a USAA office will be expected to work on-site four days per week. Relocation assistance is not available for this position.
What you'll do:
Performs complex work assignments utilizing actuarial modeling software driven models for pricing, valuation, and/or risk management.
Reviews laws and regulations to ensure all processes are compliant; and provides recommendations for improvements and monitors industry communications regarding potential changes to existing laws and regulations.
Runs models, generates reports, and presents recommendations and detailed analysis of all model runs to Actuarial Leadership.
May make recommendations for model adjustments and improvements, when appropriate.
Shares knowledge with team members and serves as a resource to team on escalated issues and navigates obstacles to deliver work product.
Leads or participates as a key resource on moderately complex projects through concept, planning, execution, and implementation phases with minimal guidance, involving cross functional actuarial areas.
Develops exhibits and reports that help explain proposals/findings and provides information in an understandable and usable format for stakeholders.
Identifies and provides recommended solutions to business problems independently, often presenting recommendation to leadership.
Maintains proper price level, price structure, data availability and other requirements to achieve profitability and competitive goals.
Identifies critical assumptions to monitor and suggest timely remedies to correct or prevent unfavorable trends.
Tests impact of assumptions by identifying sources of gain and loss, the appropriate premiums, interest margins, reserves, and cash values for profitability and viability of new and existing products.
Advises management on issues and serves as a primary resource for their individual team members on escalated issues.
Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.
What you have:
Bachelor’s degree OR 4 years of related experience (in addition to the minimum years of experience required) may be substituted in lieu of degree. (Total of 8 years of experience without bachelor’s degree)
Do you have one of the following:
4 years relevant actuarial or analytical experience and attainment of Fellow within the Society of Actuaries (Bachelor’s degree + 4 years of experience + FSA)
OR 8 years relevant actuarial experience and attainment of Associate within the Society of Actuaries. (Bachelor’s Degree + 8 years of experience + ASA)
OR 8 years relevant actuarial or analytical experience and attainment of Fellow within the Society of Actuaries (FSA)
OR 12 years relevant actuarial or analytical experience and attainment of Associate within the Society of Actuaries (ASA)
Experience performing complex work assignments utilizing actuarial modeling software driven models for pricing, valuation, and/or risk management.
Demonstrated experience communicating complex actuarial analysis and recommendations to technical and non-technical audiences.
What sets you apart:
US military experience through military service or a military spouse/domestic partner
FSA (Fellow of the Society of Actuaries) designation
Experience using Moody’s AXIS software
2 or more years of experience with asset liability management or cash flow testing
Prior Actuarial experience with Life Insurance and Annuity Products
Fixed Indexed Annuity (FIA) Experience
Compensation range: The salary range for this position is: $127,310 - $236,250
USAA does not provide visa sponsorship for this role. Please do not apply for this role if at any time (now or in the future) you will need immigration support (i.e., H-1B, TN, STEM OPT Training Plans, etc.).
Compensation: USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.
Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.
The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.
Benefits: At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.
For more details on our outstanding benefits, visit our benefits page on .
Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting.
USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
Remote working/work at home options are available for this role.
Sign-On Bonus Opportunity!
Eligible candidates may qualify for a $10,000sign-on bonus* as part of their total compensation package. Bonus eligibility and payout structure will be shared early in the interview process.
A Role Designed Around You
At Care Options for Kids, we've built a home health SLP role around what our therapists value most: flexibility, manageable caseloads, and real support. This position allows you to focus on delivering high-quality pediatric care without excessive documentation, long drive times, or unrealistic expectations.
In this role, you'll provide pediatric speech therapy in home-based settings, collaborate closely with families and care teams, and deliver individualized care using efficient, point-of-care documentation tools.
If you're an SLP looking for a sustainable role that fits real life, this position was designed with you in mind.
Care Options for Kids Benefits
~ Weekly Pay and Direct Deposit
~ Medical, Dental, and Vision Insurance
~ Life, LTD, and STD Coverage
~ Supplemental Insurance Options
~401(k) Retirement Plan
~ Paid Time Off (PTO)
~ Continuing education through an online learning portal
~ Industry-leading training and professional development
~ Employee Referral Bonus Opportunities
~ Company Vehicle Program*
Support that Expands Your Impact
Opportunities to participate in COFK's Global Outreach Program, providing therapy services to underserved children abroad, with travel and participation costs covered by Care Options for Kids
A top-tier EHR designed to streamline documentation and reduce administrative burden
Access to clinical leadership when you need guidance, collaboration, and support in the field
Requirements
Master's degree in Speech Language Pathology
Eligible for or holds CCC-SLP
Valid state licensure or certification in a Speech Language Pathology
Current BLS/CPR certification
Reliable transportation and a valid driver's license
Care Options for Kids is an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
*Restrictions Apply. Connect with your Talent Acquisition Specialist for more details.
#RDTHNV
Salary:
$62000.00 - $100000.00 / year
Remote working/work at home options are available for this role.
Shift Start Time:
Variable
Shift End Time:
Variable
AWS Hours Requirement:
8/40 - 8 Hour Shift
Additional Shift Information:
Weekend Requirements:
As Needed
On-Call Required:
Yes
Hourly Pay Range (Minimum - Midpoint - Maximum):
$124.640 - $160.830 - $197.020
The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.
What You Will Do
Working with the Chief Medical Officer, oversees medical care for Sharp Health Plan (SHP) products and services and oversees the health care needs of the membership. Serves as a medical manager and policy advisor to SHP and its Chief Medical Officer. Is accountable for and provides professional leadership and direction to the utilization/cost management and clinical quality management functions. Works collaboratively with other plan functions that interface with medical management such as provider relations, member services, benefits and claims management, etc. Assists (as determined by the plan Chief Medical Officer) in short and long range program planning, total quality management (quality improvement), and external relationships. Works with all departments of Health Services to support, provide assistance and direction in overall medical management effectiveness. Reports all issues of clinical quality management to the health plan Chief Medical Officer. To ensure that policies and systems are followed until agreed upon change is implemented. Works toward SHP strategic goals and objectives of ensuring a high quality of medical care for Plan members, staff empowerment, customer satisfaction, cost-effectiveness, and market competitiveness. As a member of the management team, assists in identifying and establishing strategic goals and objectives for the Plan.
Required Qualifications
- Doctor of Medicine (MD)
- Previous experience in the clinical practice of medicine.
- Previous experience as a physician executive in a managed care environment, preferably as an HMO Medical Director.
- California Physicians and Surgeons License - Medical Board of CA -REQUIRED
Other Qualification Requirements
- Board certified in a medical discipline (internal medicine or family practice preferred).
Essential Functions
- Responsible and accountable to the Chief Medical Officer for helping to manage health plan medical costs and assuring appropriate health care delivery for SHP's products and services. Reports organizationally to the Chief Medical Officer.
- Plans, organizes, and directs the professional medical services program, consisting of all primary and Specialty services for in-patient, out-patient, preventive and wellness programs.
- Implements health plan medical policies, goals and objectives.
- Provides professional leadership and direction to the functions within the Medical Management
- Department (Utilization/Cost Management and Quality Management)
- Responsible for and assists with the development of staffing plans and assuring the adequate allocation of resources to the medical management functions.
- Responsible and accountable for implementing the Utilization/Cost Management Program and Quality Improvement Program, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Assists the Chief Medical Officer with activities to promote positive community relations.
- Assures plan conformance with legal and regulatory requirements
- Assists the Chief Medical Officer and the Quality Improvement Manager in creating and maintaining a system that gives feedback to providers individually and collectively regarding managed care effectiveness of individual providers and networks.
- Assists the Chief Medical Officer in designing and implementing corrective action plans to address issues and improve plan and network managed care performance.
- Collaborates with Chief Medical Officer in creating and maintaining programs that incentivize providers to achieve selected utilization/cost and quality outcomes.
- Participates in policy review, performs analysis and makes recommendations.
- Participates in the retrospective review and analysis of Plan performance from summary data of paid claims, encounters, authorization logs, complaint and grievance logs and other sources.
- Achieves and maintains benchmarked utilization and cost management (UM) goals and clinical quality improvement (QI) objectives, in conjunction with the Manager Medical Management and Quality Improvement Manager.
- Provides periodic written and verbal reports and updates as required in program descriptions, Annual Work Plans and policy and procedures to various plan committees, and the SHP Chief Medical Officer.
- Supports NCQA qualification activities. Prepares for site visits and responds to accrediting and regulatory agency feedback.
- Supports pre-admission review, utilization management, and concurrent and retrospective rev1ew process.
- Participates in risk management, pharmacy utilization management, catastrophic case review, outreach programs, HEDIS reporting, site visit review coordination, triage, provider orientation, credentialing, profiling, etc.
- Conducts quality improvement and outcomes studies as directed by the Quality Management Committee, Peer Review Committee and Chief Medical Officer and reports findings in conjunction with the Quality Improvement Manager.
- Participates in the grievance process with the Chief Medical Officer, insuring a fair outcome for all members.
- Monitors member and provider satisfaction survey results and implements changes as needed to increase satisfaction and assure that satisfactory relationships are maintained between network and plan participants.
- Participates in SHP Advisory Committees which include (but are not limited to) the Peer Review Committee and the Quality Management Committee.
- Participates in key marketing activities and presentations, as requested.
- Promotes wellness and ensures programs of prevention, education and outreach to members and providers are consistent with SHP's mission, vision and values.
- Maintains up-to-date knowledge of new information and technologies m medicine and their application to SHP.
- Performs and oversees in-service staff training and education of professional staff.
- Represents SHP at medical group meetings, conferences, etc.
- Participates in the development of strategic planning for existing and expanding business. Recommends changes in program content in concurrence with changing markets and technologies.
- Participates in key marketing activities and presentations, as necessary, to assist the marketing effort, as requested.
- Ensures that the Utilization Management staff is available on a 24 hour basis to respond to authorization requests for emergency and urgent services and is available, at a minimum, during normal working hours for inquiries and authorization requests for non-urgent health care services..
- Performs other duties as requested or assigned.
- Collaborates with the Manager, Medical Management to guide and direct staff in relation to medical issues and departmental responsibilities. Assists in monitoring, reviewing, and evaluating the quality of health care services provided and the appropriateness of health care resources utilized, and communicates with PMGs and Plan providers as needed. Addresses physicians' issues and educates providers with regard to Plan policy as needed.
- Completes and/or supervises the completion of all clinical appeals and grievances. Collaborates with Customer Care Manager to identify trends in grievances. Supervises the process for identifying Potential Quality Issues.
- Supervises Physician Reviewer(s)
- Shares after-hours coverage responsibilities with other physicians
- Assists the CMO, as needed, to oversee the credentialing process.
- Assists in the development and interpretation of the covered benefit provisions of member materials and Plan contracts. Assists in the development and implementation of new benefits packages.
- Maintains appropriate contacts with membership in community and professional organizations.
Knowledge, Skills, and Abilities
- Strong clinical background and skills.
- Solid understanding of utilization management and quality assurance activities and concepts.
- Excellent communication skills, both verbal and written.
- Strong interpersonal skills, including the ability to interface effectively with employees, members, physicians, senior management, and the public at large.
- Management skills to meet the organizational goals.
- Knowledge of regulatory and accreditation agencies and requirements.
- Able to manage multiple priorities and deadlines in an expedient and decisive manner.
- Able to manage difficult peer situations arising from medical care review.
- Appreciation of cultural diversity and sensitivity towards target population.
Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class
California Physicians and Surgeons License - Medical Board of CA; Doctor of Medicine (MD)
Powered by SonicJobs (an advertiser on Veritone). By applying, you consent to share your data with SonicJobs and the employer. Veritone or SonicJobs does not store or use your application data beyond facilitating the application.
See Sharp HealthCare Terms & Conditions at and Privacy Policy at and SonicJobs Privacy Policy at and Terms of Use at Category:Healthcare, Keywords:Medical Director, Location:San Diego, CA-92108
Remote working/work at home options are available for this role.
"
Licensed Professional Counselor (LPC)
Wage: Between $120-$131 an hour
Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required.
About you
● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance.
● You’re ready to launch a private practice, or grow your existing business by taking insurance.
About Headway
Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need.
How Headway supports providers
- Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner.
- Built-in compliance: Stay compliant from day one with audit support and ongoing resources.
- Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid.
- Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network.
- Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on.
- Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more.
- Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy.
How Headway supports your clients
● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance.
● Instant verification: Clients can easily check their insurance status and get the care they need without disruption.
Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license.
"
Remote working/work at home options are available for this role.
Adoption continues to accelerate across collegiate (NCAA), high-performance and elite training environments, alongside top trainers and recovery specialists supporting today’s athletes.
Beyond application, NerveOTX is an education-first platform, sharing real-world use cases, anatomy-driven insights and performance outcomes with professionals who want to stay ahead of where recovery and human performance are headed.
Demand continues to surge.
We receive a high volume of nationwide requests for hands-on training, on-site support and expert guidance from professional, collegiate and high-school athletes, as well as serious weekend warriors both in-season and off-season.
To learn more, follow & subscribe @NerveOTX on YouTube | Instagram | LinkedIn | Facebook.
The Opportunity We’re inviting experienced wellness professionals, trainers, therapeutic practitioners and performance specialists, including licensed massage therapists and bodywork professionals, to join the NerveOTX Affiliate Program as independent 1099 contractors, supporting a rapidly expanding national demand for advanced performance and recovery services.
This flexible, remote, contract-based role is designed to complement your existing practice, not replace it.
You’ll gain access to cutting-edge technology, elite-level clientele and a respected performance brand.
It’s an opportunity to deepen your expertise, differentiate your services and stay ahead of the curve in recovery, therapeutic wellness and human performance, all while maintaining autonomy over your schedule and growth.
As a NerveOTX Affiliate, you’ll provide Direct Current Neuro Therapy sessions within your current practice using our proven, structured performance and recovery protocols.
These evidence-based protocols empower you to help current and prospective clients prevent injury, reduce pain, enhance performance and accelerate recovery.
Remote working/work at home options are available for this role.
Are you passionate about helping others unlock their potential and live their best lives?
Do you dream of a career that aligns with your purpose, offers flexibility, and makes a meaningful impact?
At The Life You Love Global Solutions, we’re on a mission to empower individuals to achieve lasting personal growth and fulfillment. We’re seeking motivated individuals who are deeply committed to personal development and eager to apply those principles in a dynamic, people-focused initiative.
This is your chance to grow, lead, and create transformation—both in your work and within yourself.
What You’ll Do
As part of a global team, you will:
Inspire and Empower:
- Share engaging content that fosters personal growth and transformation across various platforms.
- Connect with prospective clients, guiding them toward insights and solutions that positively impact their lives.
- Maintain professional communication through CRM management and follow-up systems.
Engage in Continuous Growth:
- Participate in company-led training and self-directed learning to enhance your communication, leadership, and influence.
- Apply personal development tools and strategies to expand your effectiveness and impact in the field.
Create Meaningful Change:
- Contribute to initiatives that help individuals discover clarity, confidence, and direction.
- Lead by example—embodying growth, integrity, and an empowering mindset in all you do.
Who We’re Looking For
We’re seeking individuals who:
- Are passionate about personal growth and empowering others.
- View challenges as opportunities to innovate and evolve.
- Communicate with clarity, authenticity, and inspiration.
- Are self-motivated, adaptable, and driven to make a difference.
- Have experience in coaching, consulting, leadership, education, or other people-centered fields that they are ready to use in a new, expansive way.
What Awaits You
At The Life You Love Global Solutions, we invest in your success:
- Flexibility & Freedom: Work remotely with options that suit your lifestyle—part-time or full-time.
- Growth-Focused Training: Access world-class personal development resources and mentorship to enhance your skills in communication, client engagement, and leadership.
- A Supportive Community: Join a team of purpose-driven professionals committed to elevating lives worldwide.
- Unlimited Potential: Expand your career and your impact while creating meaningful results for others.
Why This Role Is Different
This isn’t simply a new career move—it’s an invitation to expand.
You’ll have the opportunity to live what you teach, apply personal development in real-world ways, and contribute to a mission that uplifts others while evolving your own journey and results.
Ready to Grow and Make a Difference?
Take the next step toward a purpose-driven career that blends personal fulfillment with professional growth.
Apply now to join our vibrant, impact-driven team. We look forward to connecting with you!
Remote working/work at home options are available for this role.
Overview:
Our client, is a U.S. Fortune 1,000 company and a major process services provider to government health and human services agencies in the United States seeks a Bilingual Customer Service representative.
*** Candidate must be authorized to work in USA without requiring sponsorship ***
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*** Location: Rancho Cordova, CA 95670
*** Duration: 3+ months
Important:
- Schedule: Monday–Friday, 9:00 AM–6:00 PM PST
- Work Arrangement: Initial training onsite; remote work permitted after training completion
Job Overview:
The Bilingual CSR will support customers by handling inbound and outbound calls, assisting with enrollment-related transactions, and providing accurate information regarding program services, policies, and procedures. This role requires strong communication skills, adaptability, and the ability to perform effectively in a fast-paced, production-driven environment.
Job Functions:
- Respond to inbound 800-line calls and complete outbound support calls.
- Answer customer questions clearly and professionally, escalating or referring callers to supervisors, county representatives, or state agencies when needed.
- Assist beneficiaries with enrollment transaction requests, as applicable.
- Maintain current knowledge of client programs, policies, procedures, and desk guidelines.
- Ensure adherence to contract compliance provisions relevant to the role.
- Follow all position-specific policies and procedures while meeting quality and production expectations.
Required Qualifications:
- High school diploma, GED, or equivalent certification.
- At least 1 year of experience in customer service, call center, or a related field.
- Bilingual fluency in English and one of the following languages: Spanish, Japanese, Thai, Laotian, Mandarin, Cantonese, Cambodian, Korean, Russian, Vietnamese, Tagalog, or Armenian.
- Strong computer literacy and ability to quickly learn new software programs.
- Ability to follow procedures and meet established quality and productivity standards.
- Excellent organizational, interpersonal, written, and verbal communication skills.
- Ability to work both independently and collaboratively as part of a team.
Preferred Requirement:
- Experience in a health or human services environment.
- Prior public-facing call center experience.
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I'd love to talk to you if you think this position is right up your alley, and assure prompt communication, whichever direction. If you're looking for rewarding employment and a company that puts its employees first, we'd like to work with you.
Sam Banga
Lead Recruiter
Company Overview:
Amerit Consulting is an extremely fast-growing staffing and consulting firm. Amerit Consulting was founded in 2002 to provide consulting, temporary staffing, direct hire, and payrolling services to Fortune 500 companies nationally: as well as small to mid-sized organizations on a local & regional level. Currently, Amerit has over 2,000 employees in 47 states. We develop and implement solutions that help our clients operate more efficiently, deliver greater customer satisfaction, and see a positive impact on their bottom line. We create value by bringing together the right people to achieve results. Our clients and employees say they choose to work with Amerit because of how we work with them - with service that exceeds their expectations and a personal commitment to their success. Our deep expertise in human capital management has fueled our expansion into direct hire placements, temporary staffing, contract placements, and additional staffing and consulting services that propel our clients’ businesses forward.
Amerit Consulting provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Applicants, with criminal histories, are considered in a manner that is consistent with local, state and federal laws.
Remote working/work at home options are available for this role.
