Engineering Structures Impact Factor Jobs in Stafford, TX
606 positions found — Page 9
Himalaya Wellness USA LTD, a dietary supplement and personal care company, is seeking an experienced and highly driven Director of Supply Chain & Operations to oversee its supply chain for The Americas region (North & South America). This role will manage all aspects of the supply chain including planning, purchasing, distribution, and inventory management to ensure sales continuity in The Americas Region. Additionally, this role will oversee operations at Himalaya’s facility in Sugar Land and any outsourced partners. The Director of Supply Chain & Operations will report to the VP of Operations.
Duties and Responsibilities
- Lead and develop the overall supply chain and operations strategy.
- Develop and implement an effective strategic supply chain plan.
- De-risk potential supply shortages and identify and validate secondary source vendors.
- Manage demand planning to ensure healthy inventory levels across all geographies.
- Manage relationships with retail distribution centers globally to ensure accuracy and on-time delivery of all retail POs.
- Monitor Amazon and other e-commerce fulfillment performance to ensure all orders are shipped on time, in full, and within desired service levels.
- Provide input and intelligence on ingredient sourcing in collaboration with Manufacturing and Procurement.
- Support innovation by introducing new and innovative raw material opportunities.
- Analyze operational data and implement strategies to optimize the supply chain.
- Manage priorities across teams to ensure successful and timely execution.
- Ensure US market compliance with Federal and State laws including DSHEA and California Prop 65.
- Represent the organization during audits including FDA, Texas Department of Health, and other regulatory bodies.
- Implement vendor scorecarding and process improvements.
- Establish reporting systems with clear analysis, KPIs, and dashboards.
- Implement processes to mitigate and troubleshoot post-delivery issues with minimal cost impact.
- Develop policies and metrics for vendor selection, supplier scorecarding, and cost reduction initiatives.
- Lead continuous process improvement initiatives with annual goals.
- Establish and execute a domestic sourcing strategy.
- Identify and develop US-based vendors for supplements and personal care production.
- Negotiate with third-party suppliers and manufacturers to ensure cost competitiveness.
- Collaborate with Quality Assurance to ensure cGMP (21 CFR Part 111) compliance.
- Oversee third-party manufacturing operations and quality control.
- Manage Supply and Quality Agreements with third-party manufacturers.
- Directly or indirectly manage operations team members.
- Collaborate closely with internal warehouse teams and 3PL providers.
- Support Marketing and Sales initiatives with operational execution.
- Provide regular updates to offshore suppliers regarding forecasts and safety stock.
Competencies
- Deep knowledge of FDA DSHEA and cGMP (21 CFR Part 111).
- Knowledge of contract manufacturing models.
- Ability to identify material cost savings opportunities.
- Ability to work effectively with local and remote teams.
- Ability to navigate ambiguity and develop solutions where processes do not exist.
- Strong project management and timeline development skills.
- Excellent written and verbal communication skills.
- Customer-centric mindset with a bias for action.
Required Qualifications
- Bachelor’s degree in Supply Chain Management or Industrial Engineering; MBA preferred.
- 12–15+ years of experience in Consumer Goods Supply Chain, preferably in the Dietary Supplements Industry.
- Experience with SAP or similar ERP systems (SAP preferred).
- Advanced proficiency in MS Excel, MS PowerPoint, and MS Outlook.
- Detailed knowledge of planning, purchasing, and manufacturing processes.
- Experience managing teams across multiple time zones.
- Strong analytical skills and business acumen.
- Demonstrated success in complex and ambiguous business environments.
- Excellent organizational skills and attention to detail.
Compensation and Benefits
- Competitive base salary and bonus, commensurate with experience.
- Company benefits including medical, dental, vision, life, disability, and 401(k).
This position description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the role. Duties, responsibilities, and activities may change or be assigned at any time with or without notice.
Quality Inspector
Overview
Join our client’s team as a QA/QC Inspector supporting a variety of construction projects. In this hands-on role, you will inspect installations, ensure compliance with project specifications, and maintain high-quality standards across electrical, civil, and structural work.
Why Work Here
- Great company culture and atmosphere
- Room to grow and learn
Key Responsibilities
- Perform QA/QC inspections on assemblies, installations, and equipment
- Implement project-specific Quality Plans and Inspection/Test Plans (ITPs)
- Identify, document, and track deficiencies and corrective actions
- Coordinate with Materials Management on non-conforming or damaged materials
- Maintain Master Punch Lists and assemble QA/QC documentation packages
- Inspect site preparation, foundations, concrete, structural steel, electrical cabling, substation/BESS equipment, and control buildings
Requirements & Qualifications
- Post-secondary education in a related field
- 3+ years of experience in Construction QA/QC or related construction roles
- Strong technical document interpretation skills
- Valid driver’s license and ability to travel to field sites
Preferred Skills
- Power systems experience (Substations, BESS, Transmission, Distribution)
- Civil, structural, and electrical installation experience
- Knowledge of concrete, piling, and earthworks
- Familiarity with Bluebeam Revu or Procore
- Trade certification or professional designation (preferred)
Marketing & Brand Builder
Houston, TX | Full-Time | In-Office
Brownstone is hiring our first marketing leader.
We are a growing construction and development company ready to scale our brand, visibility, and lead generation efforts. This is a foundational role for a builder who can create structure, drive growth, and position Brownstone strategically in the market. There is no existing marketing department, this role will build it.
What You’ll Own
Strategy & Infrastructure
- Develop and execute a comprehensive marketing strategy aligned with growth goals
- Establish brand standards and consistent messaging
- Build a structured marketing calendar and reporting system
Growth & Business Development Support
- Drive qualified lead generation
- Support proposal and bid marketing efforts
- Strengthen market positioning across construction and development sectors
- Optimize website, SEO, and digital presence
Brand Execution
- Oversee content, project highlights, and marketing collateral
- Ensure consistent branding across all platforms
- Coordinate photography, videography, and external vendors
You’re a Fit If:
- You’ve built or significantly scaled marketing in a growing company
- You understand B2B marketing (construction/development experience is a plus)
- You’re strategic but hands-on
- You thrive in an entrepreneurial, high-accountability environment
Success in This Role (6–12 Months)
- Clear brand identity and positioning
- Structured marketing systems in place
- Measurable lead generation pipeline
Overview
A well-established civil contractor is seeking a Chief Estimator to lead estimating and preconstruction efforts across water/wastewater, underground utilities, and related civil infrastructure projects throughout Texas. This role will have full ownership of bid strategy, pricing accuracy, and team leadership, partnering closely with operations and executive leadership to support growth and margin objectives.
The ideal candidate brings deep estimating leadership experience within WWTP, underground utilities, or similar heavy civil scopes, and is comfortable managing complex pursuits from concept through final proposal.
Key Responsibilities
- Lead all estimating and preconstruction activities for water/wastewater plants, underground utilities, pump stations, lift stations, and civil infrastructure projects
- Establish bid strategies, review risk profiles, and drive accurate, competitive pricing aligned with company margin targets
- Oversee the preparation of detailed cost estimates, takeoffs, schedules, and subcontractor scopes
- Manage, mentor, and develop estimators and preconstruction staff
- Coordinate with operations, project management, and field leadership to ensure constructability and cost alignment
- Lead subcontractor and vendor outreach, scope reviews, and bid leveling
- Participate in executive‑level go/no‑go decisions and long‑range preconstruction planning
- Support client presentations, value engineering, and alternative delivery discussions as needed
Required Experience & Qualifications
- 10+ years of estimating experience within civil construction, with proven leadership at a senior or chief level
- Strong background in WWTP, underground utilities, or closely related civil infrastructure projects
- Experience estimating projects ranging from $10M+ in value
- Demonstrated ability to lead teams, set standards, and improve estimating processes
- Strong understanding of civil means and methods, risk management, and cost drivers
- Proficiency with estimating and preconstruction tools such as HCSS HeavyBid, Bluebeam, Excel, WinEst, Procore, and scheduling software (P6 or MS Project)
- Excellent communication skills with the ability to engage executives, clients, and project teams
Preferred Experience
- Texas market experience (municipal, county, or utility district work)
- Design‑build, CMAR, or alternative delivery exposure
- Background collaborating closely with operations on self‑perform scopes
What’s Offered
- Senior leadership role with direct impact on company growth and profitability
- Competitive compensation package with performance incentives
- Long‑term career path and executive visibility
- Opportunity to lead marquee water and utility infrastructure projects across Texas
Nonprofit Fundraiser
We are looking for a Nonprofit Fundraiser to act as the first point of contact with new donors, answer their queries and increase funding for amazing global causes.
If you enjoy helping others and making the world a better place, this job is right for you. You will use your communication skills to identify and address potential donors while representing our nonprofit clientele in a positive way. Previous nonprofit, sales, fundraising, or customer service experience will be an advantage.
Ultimately, you will contribute to building long-term relationships between donors and charities.
Responsibilities
- Execute fundraising public outreach on charity causes
- Face to face interaction with potential donors
- Provide after-sales support to retain donors
- Ensure prompt and accurate answers to donors’ queries
- Build strong client relationships, through regular communication
- Report on the status of donor memberships
- Communicate membership and donation pricing details clearly
- Enable donors to have that feel good factor about how their contribution is impacting others
Requirements and skills
- Must be 18+
- Authorized to work in the USA
- Can commute to Galleria Mall area
- Available to start ASAP
- Great communication Skills
- Bachelor's Degree preferred
- Genuine desire to make a positive impact
This is an opportunity that entails long term growth, paid training, and a fun supportive work environment.
At Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team.
Job Summary
The Patient Flow Center is intended to improve the quality and safety of care, reduce the need for out of area placements, and optimize the use of resources. The Patient Flow Center RN Coordinator assists with placement of patients in the acute care setting in accordance with established guidelines to the appropriate facility and service line. This role typically reports to the Manager, Patient Flow Center.Job DescriptionMUST HAVE 3 OR MORE YEARS OF RN EXPERIENCE
WORK HOURS: VARIED/10A-6P
SHIFTS: 3/8HR SHIFTS PER WEEK, ROTATING WEEKENDS
MINIMUM QUALIFICATIONS
Education: Graduate of an accredited School of Professional Nursing; Minimum Associates Degree of Nursing required; Bachelors of Nursing preferred
Licenses/Certifications:
Current State of Texas license or temporary/compact license to practice professional nursing required
Additional certifications may be required based on discipline and/or nursing unit requirements
Experience / Knowledge / Skills:
Three (3) years of acute care hospital RN experience within the last 5 years (i.e. emergency department, critical care, intermediate, or medical/surgical units)
Preferred experience in an admission/bed placement center.
Previous OA/house supervisor experience desirable
Ability to type on computer
Familiarity with computer software, electronic health records
Demonstrated excellent critical thinking with strong clinical nursing assessment skills.
Effective communication (oral/written) skills.
Ability to manage multiple priorities of equal importance in a fast pace environment.
Excellent customer service skills.
Demonstrated ability to quickly adjust to change.
PRINCIPAL ACCOUNTABILITIES
Uses critical thinking and clinical judgement skills in directing patients to the most appropriate level of care and unit assignment while ensuring accurate and complete communication with all areas across the system.
Organizes placement process to meet patient load influx and minimizes bed assignment delays.
Acts as a clinical resource to non clinical team members within the Patient Flow Center.
Utilizes clinical knowledge of current census information and potential inpatient bed needs to project accurate and appropriate placement of incoming patients.
Conducts admission reviews related to level of care changes, to assure patient is placed in the appropriate bed based on physician order and level of care required.
Applies professional nursing skills in applying the four aspects of the nursing process (assessment, planning, implementation and evaluation) when indicated to evaluate needs of incoming patient based on level of care, availability of beds, physician order, and unit capability.
Uses critical thinking skills and knowledge of disease processes to intervene and/or guide non clinical personnel when there is a known or unknown confounding factor which would negatively impact the patient and/or patient flow.
Manages all patient placement and progression functions in a responsive manner responding to all callers with the aid of the electronic health record, approved clinical protocols, and established patient care protocols and healthcare information.
Works with all Memorial Hermann hospital teams and key stakeholders on facilitating efficient, timely placement of patients across the system.
Facilitate the coordination of patient placement with physicians, staff RNs, and other departments while meeting state and federal regulations (COBRA/EMTALA); plan of care to optimize patient outcomes and decrease length of stay in an unbiased, standardized manner
Uses available tracking systems to maintain ongoing surveillance of available staffed beds. Monitors progress with bed assignments and arrivals of patients to assigned units; monitors for timeliness of transfers and discharges.
Incorporates knowledge of hospital and unit admission criteria, unit specialties, limitations, and patient need when determining proper patient placement.
Conducts or participates in daily bed meetings where appropriate.
Alerts department leadership of delays with patient flow for individual patients and departments experiencing delays.
Ensures safe care to patients, staff and visitors; adheres to all Memorial Hermann policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models Memorial Hermann’s service standards of providing safe, caring, personalized and efficient experiences to patients and our workforce.
Other duties as assigned.
We are seeking qualified candidates for the role of RN Radiation/Oncology at varying levels (I, II). The selected candidate will be placed at the appropriate level based on qualifications and experience. All levels contribute to patient care under the supervision of licensed medical professionals, with increasing responsibilities at higher levels.
Primary Responsibilities:
* RN Radiation-Oncology I/II:
* The Registered Nurse is responsible for providing direct nursing care by applying clinical nursing knowledge and skills, and for ensuring the safety and comfort of patients and families according to legal, organizational, and professional standards.
* RN Hematology-Oncology II:
* Includes all duties of RN Hematology-Oncology Nurse
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Graduate from an approved RN program
* Valid and current Texas RN license
* Basic Life Support (BLS) certification through the American Heart Association
* 1+ years of RN experience
* Experience with EMRs
* Computer proficiency
* Demonstrated ability to use equipment and related supplies for selected patient population
* Proven clear communication skills, both written and verbal
* Proven flexible work hours
Preferred Qualification:
* For RN Radiation-Oncology II:
* 3+ years RN experience with at least 1 year of experience in Oncology or related experience
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Work with one of the nation's leading health care organizations and build your career at one of our 40 locations throughout Houston.
Be part of a team that is nationally recognized for delivering coordinated and accountable care.
As a multi-specialty clinic, we offer care from more than 900 medical providers in 65 medical specialties.
Take on a rewarding opportunity to help drive higher quality, higher patient satisfaction and lower total costs.
Join us and discover the meaning behind Caring.
Connecting.
Growing together.
Primary Responsibilities: Provides nursing care to patients in an assigned unit.
Possesses knowledge and skill necessary to meet nursing standards for professional practice specified in Texas Nurse Practice Act with supervision Recognizes when assistance is needed and seeks appropriate resources Practice is characterized by a balance of dependent and interdependent decision making Focus is on expanding knowledge and skills for specialty area Provides patient care through nursing-based practices upon the American Nurses Association Standards of Professional Practice and Professional Performance Values specialty unit, nursing, and institutional strategic initiatives and health system goals You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications: Associate of Science in Nursing (ASN) or higher Texas RN license American Heart Association Basic Life Support (BLS) 2 years of experience as RN in PACU, Pre-OP or Endoscopy Work Unit: Single Unit Proven basic computer skills Preferred Qualifications: Bachelor of Science in Nursing (BSN) RN experience in Pre-Op, Pre-Admission Testing (PAT), Emergency Room (ER), Infusion Therapy, Ambulatory Surgery Center (ASC) or hospital setting Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc.
In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements).
No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives.
The hourly pay for this role will range from $28.27 to $50.48 per hour based on full-time employment.
We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone.
We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life.
Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes.
We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes
- an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace.
Candidates are required to pass a drug test before beginning employment.
Position Summary:
We are seeking qualified candidates for the role of RN Infusion at varying levels (I, II). The selected candidate will be placed at the appropriate level based on qualifications and experience. All levels contribute to patient care under the supervision of licensed medical professionals, with increasing responsibilities at higher levels.
Primary Responsibilities:
* RN Infusion I/II:
* The Infusion Registered Nurse is responsible for applying clinical nursing knowledge and skills to promote the safety and comfort of patients and families according to legal, organizational, and professional standards
* This position will collaborate with the interdisciplinary team to provide exceptional care to infusion patients through education, nursing assessment, and administration of medications such as chemotherapy, immunotherapy, and other IV therapies
* The Infusion Registered Nurse assesses for physiological and psychosocial needs, implements nursing interventions, and communicates patient concerns to the healthcare team
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.
Required Qualifications:
* Graduate from an approved RN program
* Completion of ONS/ONCC Chemotherapy Immunotherapy Certificate Course within 3 months of employment
* Valid and current Texas RN license
* Basic Life Support (BLS) certification through the American Heart Association
* 6+ months of RN experience or 1+ years of KSC experience in lieu of 6 months with approval from Kelsey Seybold Director of Nursing, Cancer Services
* Experience with EMRs
* Computer proficiency
* Proficiency in IV insertion
* Proven clear communication skills, both written and verbal
Preferred Qualification:
* For RN Infusion II:
* 5+ years clinical RN experience 2+ years infusion, oncology, or related experience center, clinic, or hospital setting with 1+ years of waived testing and specimen processing experience in clinical setting
Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with us, you'll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $28.94 to $51.63 per hour based on full-time employment. We comply with all minimum wage laws as applicable.
At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes - an enterprise priority reflected in our mission.
OptumCare is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines Required Qualifications Active Pharmacist license in state of residence (in good standing) PharmD or Bachelor’s Degree in Pharmacy Strong computer skills (Excel, Word required; Access, PowerPoint, Visio preferred) Experience with data entry, dual screens, and multiple systems Ability to work independently in a productivity-driven remote environment Strong attention to detail and documentation accuracy Preferred Experience Managed Care / PBM experience Prior Authorization, Coverage Determinations, or Appeals Medicare Part D knowledge and CMS guideline familiarity Remote pharmacist or high-volume review experience Retail + Managed Care hybrid background Schedule & Training Requirements Training: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks – no time off allowed) Post-Training Schedule: Business Hours: 7:00 AM – 8:00 PM EST (Mon–Fri) Weekends: 7:00 AM – 4:30 PM EST Must be flexible to work assigned 8-hour shifts, including weekends Work Environment Requirements (MANDATORY) Dedicated, quiet, private workspace Wired internet connection: Minimum 25 Mbps download / 5 Mbps upload Speed test screenshot required (must be included on resume) Ability to remain on camera during training and team meetings Ability to sit and focus for full shift with minimal interruptions Submission Requirements (MUST BE INCLUDED ON RESUME) Screenshot of internet speed test ( ) Screenshot of active pharmacist license (showing name, state, expiration) Completed candidate questionnaire (see below) Candidate Pre-Screen Questionnaire (Include with Submission) Are you available for full-time training (M–F, 9–5:30 EST) for 8 weeks with no time off? Can you work any assigned 8-hour shift between 7 AM – 8 PM EST, including weekends? Do you have a dedicated, quiet workspace for remote work? Do you have wired internet meeting 25/5 Mbps requirements? Can you sit and focus for the entire shift without interruptions? Do you have experience with data entry and multiple systems/screens? Do you have an active pharmacist license in your state of residence? Are you comfortable working independently in a productivity-based role? Do you bring a positive, engaged attitude to a team environment? We are hiring 50 Remote Clinical Pharmacist Advisors to support Medicare Part D members and providers in a fast-paced, high-volume, production-driven environment.
This role is ideal for pharmacists with prior authorization, managed care, or PBM experience who thrive in a structured, remote setting.
As a Clinical Pharmacist Advisor, you will review pharmacy benefit requests, make clinical determinations, and ensure compliance with CMS and Medicare guidelines while delivering best-in-class service.
Key Responsibilities Review and process prior authorizations, coverage determinations, and appeals Evaluate clinical documentation to support approval/denial decisions Ensure all cases meet Medicare Part D and CMS compliance standards Conduct provider outreach to obtain additional clinical information Document all decisions clearly and accurately in system workflows Manage high-volume queues while meeting productivity and quality metrics Apply clinical knowledge using drug compendia and established guidelines
Remote working/work at home options are available for this role.
