Production Program Examples Jobs Remote Jobs in Usa

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

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Job Description:

About Sagility

Sagility combines industry-leading technology and transformation-driven BPM services with decades of healthcare domain expertise to help clients draw closer to their members. The company optimizes the entire member/patient experience through service offerings for clinical, case management, member engagement, provider solutions, payment integrity, claims cost containment, and analytics. Sagility has more than 25,000 employees across 5 countries.

Job Description:

BroadPath, a Sagility Company, is hiring UM RN Appeals Coordinator to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and resolution of medical claims ranging from simple to moderately complex. This includes reviewing front-end claims and validating information submitted by patients or providers seeking reimbursement from the insurance company. All claim processing must align with CMS guidelines and client-specific policies and procedures.

Schedules, pay rates, and program details may vary based on business needs and client assignment.

Compensation Highlights

• Base Pay: up to $50 per hour
• Pay frequency: Weekly pay

Schedule Highlights

• Training Schedule: 2 weeks, Monday – Friday; 8:00 AM - 5:00 PM CST

• Production Schedule: Monday – Friday; 8:00 AM - 5:00 PM CST (Flexible)

Responsibilities

A. Performs necessary review to ensure compliance with HHSC and other regulatory entities

• Collaborate: Partners with the physician team to identify strategies for action and determine appropriate guideline citations or responses based on the category of denial
• Develop: Creates training materials and examples for nursing staff to enhance understanding of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes
• Coordinate: Ensures continuity of care needs are met and advocates on behalf of Members and families for out-of-network authorization approvals
  Implement: Identifies problems, barriers, and opportunities within processes and develops resolutions or revisions as needed
• Evaluate: Conducts quarterly assessments of appeal status and program activities, preparing reports for both the State of Texas and internal review
• Analyze: Reviews requests against regulatory and decision-making guidelines and benefit allowances, implements actions in collaboration with the physician reviewer panel, and monitors timeliness, decision-making, and processing of appeals, EMRs, and State Fair Hearings in accordance with regulatory and accrediting standards

B. Performs all necessary communication and documentation functions

• Communicates with internal staff, Members/LARs, physicians, hospital representatives, and other
• Providers regarding case status, due process, rationale, and regulatory requirements
• Coordinates Fair Hearing requests through TIERS when a Member/LAR or Provider requests an EMR or Fair Hearing
• Utilizes an Independent Review Organization as needed for specialty or external reviews
• Oversees documentation and recordkeeping of all case communications in compliance with accrediting requirements
• Documents all activities and interactions in electronic and event tracking systems
  Generates appeal determination letters as appropriate

C. Collaborates with clinical reviewers, medical directors, external physician reviewers, and network Providers

• Communicates with physicians on each case to establish the most appropriate course of action
• Provides education to nurse and therapist reviewers regarding appeal updates and process changes
• Maintains flexibility in scheduling, including evenings and weekends, to address pharmacy-related denials
• Educates physician reviewers and clinical review staff on managed care and Medicaid policies and procedures

D. Conducts staff and medical director audits on appeal activities

• Assists with appeal file preparation for NCQA file reviews
• Supports the development of corrective action plans based on trended audit findings

E. Provides data for internal and external reporting

• Analyzes quarterly trends in appeal types and sources
• Reports appeal activity, type, and resolution, ensuring timely communication standards are met
• Assists with state reporting in the required format and ensures timely submission to HHSC to avoid financial penalties

Knowledge and Skills

• Demonstrates proficiency in applying advanced principles, concepts, and techniques central to nursing and ancillary therapy services within managed care, with emphasis on complex pediatrics and obstetrics
• Ability to comprehensively assess Member and family medical needs, develop and implement plans of care, provide ongoing evaluation and monitoring, and deliver education to Members, families, Providers, and staff
• Exemplary verbal and written communication skills, with proficiency in computer operation, word processing programs, fax machines, photocopiers, and multi-line telephones
• Strong customer service orientation and advanced interpersonal communication skills with all levels of internal and external stakeholders, including medical staff, patients and families, clinical personnel, support staff, outside agencies, and community partners

Qualifications

• RN license in an eNLC (Enhanced Nurse Licensure Compact) state with multistate privileges
• 3+ years Nursing experience
• 1+ years’ Utilization Management experience
• Familiarity with medical terminology, utilization management guidelines, and clinical documentation standards
• Proficiency in Microsoft Office and experience working with healthcare systems or electronic medical records
• Strong organizational and time management skills with the ability to work independently
• Excellent written and verbal communication skills

At BroadPath, a Sagility Company, we believe that transparency, authenticity, and collaboration are the keys to building strong, connected remote teams. If you are someone who values open communication, connection, and teamwork, you will thrive in our environment where showing up authentically matters.

Benefits:

• Medical, Dental, and Vision coverage.
• Life Insurance.
• Short-Term and Long-Term Disability options.
• Flexible Spending Account (FSA).
• Employee Assistance Program.
• 401(k) with employer contribution.
• Paid Time Off (PTO).
• Tuition Reimbursement.

BroadPath, a Sagility Company, may conduct background checks, previous employment verifications, and education verifications, based on position requirements

Diversity Statement

At BroadPath, a Sagility Company, diversity is our strength. We embrace individuals from all backgrounds, experiences, and perspectives. We foster an inclusive environment where everyone feels valued and empowered. Join us and be part of a team that celebrates diversity and drives innovation!

Equal Employment Opportunity/Disability/Veterans

If you need accommodation due to a disability, please email us at . This information will be held in confidence and used only to determine an appropriate accommodation for the application process

BroadPath, a Sagility Company is an Equal Opportunity Employer. We do not discriminate against our applicants because of race, color, religion, sex (including gender identity, sexual orientation, and pregnancy), national origin, age, disability, veteran status, genetic information, or any other status protected by applicable law.

Compensation: BroadPath a Sagility Company has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location.

Location:

Designer

Across the Aisle

Washington, D.C. (in office, 5X a week)

About our client, Across the Aisle

Since 2016, Across the AisleTM — a nonpartisan, non-profit 501(c)(3) organization — has been providing young Americans (ages 14 to 35) with opportunities to learn, lead, and find bipartisan solutions to our country's biggest challenges.

They work with experts from both sides of the aisle to empower voters with reliable facts and a framework to make their own informed decisions. ATA's leadership programs identify and prepare students and early-career professionals from both parties for decision-making positions on Capitol Hill, in the executive branch, and in other public service roles. Their core policy areas include fiscal issues like the national debt and the federal budget, as well as entitlement programs like Social Security and Medicare.

Position Description

Across a variety of media, the Designer will play a key role in helping us articulate our purpose and vision for meaningful political discourse: on social media, at in-person thought-leadership events and ambassador gatherings, in emails and newsletters, in presentations to senior political leaders and other stakeholders, and beyond. This is the perfect role for a flexible designer with a high attention to detail, and a tasteful, creative point of view. The Designer will report directly to the Creative Director, and will have visibility to senior leadership at the organization.

The ideal candidate has a portfolio that demonstrates terrific design craft across multiple media and applications. Someone with experience in print, digital/social, and branding, who can help bring thematic concepts and narratives to life. We'd love to see examples of a wide variety of design styles to demonstrate flexibility of visual expression. The Designer will be a team player through and through, with the flexibility to try new things, and the willingness to proactively roll up their sleeves and dive in no matter how small the task.

Core Duties

• Together with the Creative Director, collaborate with program teams to develop consistent, innovative ideas and designs across the organization's platforms
• Working closely with the Communications team, develop compelling visual content and ideas to elevate our brand and reach on social media (X, Instagram, TikTok, LinkedIn, etc.)
• Monitor and report on social media content trends, technology changes, and innovations
• Concept, edit, and produce video for social platforms
• Create and execute effective designs within established brand guidelines
• Assist in preparation of assets for key meetings, including creating and editing presentations, with the highest level of design consistency and taste
• Generate original visual executions that are exciting, compelling and the perfect articulation of a concept/theme and narrative
• Design clear and eye-catching wayfinding, print materials, and other collateral for in-person stakeholder meetings
• Developing work of the highest quality once we move into production
• Staying abreast of new media formats and learn how to incorporate them into the work

Skills, Qualifications, and Aptitudes

• Bachelor's degree in Graphic Design, Advertising Design, or related art/design field and/or demonstrated experience
• Solid understanding of color theory, branding, typography and composition principles
• Experience with print, video, digital/social and presentation design
• 3+ years of design experience; advertising, marketing, digital or branding experience preferred
• Self-starter, with the ability manage a project from concept through execution
• Exceptional communication and time-management skills
• Strong Adobe Creative Suite experience required
• Candidates should be motivated, enthusiastic, proactive, resourceful, trend-aware, hard working and have the ability to multi-task across multiple projects
• Experience in the nonprofit sector, or on political campaigns, is a big plus

Please submit portfolio link on resume.

Benefits

AtA is proud to offer a generous benefits package, including:

• 5% employer 401(k) match
• Unlimited Paid Time Off
• QSERHA Healthcare Plan
• Mac Laptop & Desktop
• TSA PreCheck and Clear Benefits

Salary commensurate with experience.

The TSUBAKI name is synonymous with excellence in quality, dependability and customer service. U.S. Tsubaki is a leading manufacturer and supplier of power transmission and motion control products. As a part of a vast, international network of corporate and industrial resources, Tsubaki offers its customers the finest state-of-the-art products available in the world and we strive to be the “Best Value” supplier in the industry.  

Essential Duties and Responsibilities: The essential duties and responsibilities of this job are included but not limited to this job description – other tasks may be assigned and expected to be performed.

• Performs setups and adjustments of machinery for assembling metal chain parts
• Interprets job specifications and reads blueprints.
• Inspects products to verify conformance utilizing various measuring devices.
• Assembles parts to product specifications per print.
• Maintains record keeping for jobs and inventory.
• Coordinates with others to achieve maximum throughput and meet department and company goals.
• Ensures compliance with OSHA regulations and workplace safety regulations.
• Operates material handling equipment including but not limited to forklifts, cranes and hoists.
• Uses good judgment and works in a safe responsible manner. Other tasks/functions as assigned.
• General knowledge and ability to safely use hand tools.
• Other tasks, functions and projects as assigned.

• High school diploma or equivalent preferred; equivalent relevant experience may be considered
• 1 - 2 years manufacturing related experience.
• Ability to input to and retrieve from computer based software programs.
• Able to perform moderately active work typical of a manufacturing plant environment. Examples include pushing, pulling, lifting, standing, bending, twisting.
• Safety Sensitive position
• Exhibits required in-depth job knowledge and skills
• Able to solve problems and determine a course of action
• Troubleshoots and anticipates problems
• Has the ability to influence others in the work group in a positive manner
• Can prioritize the work and coordinate with others
• Fosters a team environment
• Supports complex customer’s needs/requests
• Exhibits a sense of urgency to get the job done
• Understands, responds and supports fostering good employee relations
• Exhibits punctuality and dependability

U.S. Tsubaki offers:

• A competitive compensation package, including health benefits effective on date of hire, generous 401(k) match and profit sharing, education reimbursement, and annual bonus potential
• Paid Time Off ("PTO")
• 90-day and 180-day performance reviews
• Shift differential pay for 2nd and 3rd shift
• Weekly bonus potential
• Paid training
• Shift: 4 days a week, 10 hours per day. 
• Days: Monday - Thursday (standard schedule). Overtime may be required on Fridays/Saturdays according to business needs.

Learn more about U.S. Tsubaki at:  

The estimated salary range is meant to reflect an anticipated salary range for the position. We may pay more or less than of the anticipated range based upon market data and other factors, all of which are subject to change. Individual pay is based on location, skills and expertise, experience, and other relevant factors. 

Tsubaki is an Equal Opportunity Employer - Minorities/Females/Veterans/Disability

PM21

PIc578d4dd01fd-3631

$13 -$15.50 per hour

Employer: DRM Inc.

Why should you join the DReaM Team?

• To be part of a family focused culture that allow you flexibility in your schedule to achieve your family dreams, improve your quality of life, and inspire the customer!
• As a member of our team you will have the opportunity an support to develop your professional and personal skills by participating in our free leadership development curriculum.
• Additional benefits to you can include; free and discounted meal benefit, comfortable working attire (you can wear JEANS!), career advancement opportunities, as well as health benefits!
• Health/Dental/Vision/Life Insurance*
• Short Term Disability
• Long Term Disability
• Paid Time Off*
• Employee Referral Bonus Opportunities
• Years of Service Program
• 401(k) Plan*

What will you be doing in the restaurant?

• Inspire and supporting your team to provide their best service to customers in ensuring they meet their hunger needs to fulfill their DReaM's in making a difference in our communities. Examples including but not limited to:
• Lead and inspire your team to ensure our customers have a positive and inviting experience by providing positive feedback and setting goals.
• Ensure the restaurant remains clean and provides a safe environment by utilizing maintenance and food safety guidelines.
• Be adaptable to a variety of situations to support your team's abilities and knowledge to handle their roles in meeting customer needs.
• Remain calm and utilize your knowledge to help diffuse and resolve customer issues and employee wellness concerns.
• Provide coaching and positive feedback to your team in developing their professional and personal skills to take on new challenges.
• Make positive and inspiring relationships with customers and coworkers to fulfill yours and their quality of life.
• Have FUN!

What does it take to join the fun & inspiring DReaM team?

• The desire to grow and succeed in your personal & professional development. Ex: Display strong, effective people oriented relationship skills, and master foundational professional skills.
• Ability to occasionally lift up to 50lbs, and use your hands to prepare the meatiest sandwiches.
• Display drive, determination, punctuality, and maintain responsibility in working scheduled shifts.
• Have experience leading a diverse team in a restaurant capacity preferred.
• Adequate driving record to include valid driver's license & insurance.
• Ability to work flexible hours and work independently as well with a variety of personalities.
• Background check completed satisfactorily * be at least 18 years old.
• Ability to meet tight deadlines and work in a fast-paced environment.

DRM is EOE

*Based on Eligibility

Job Description Summary

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Duties include:

Minimum Education and Experience: 

Additional Job Description

Benefits:

Physical Requirements

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:

Job Description Summary

Entity

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Job Description

Under limited supervision, the Cardiovascular Technologist II assists physicians in diagnosing and treating cardiac and peripheral vascular disease in an invasive procedure arena specializing in the care of patients undergoing basic diagnostic catheterization and interventional procedures. This role functions as a resource to staff.

Additional Job Description

Minimum Requirements: Associate's Degree or equivalent, and 1 year of experience as a Cardiovascular Technologist I or similar expertise.

Required License Certification and Registration: Must be certified as a AART, RCIS OR RCES with Cardiovascular Credentialing International (CCI). Licensure from the South Carolina Radiation Quality Standards Association is required. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.

Physical Requirements 

• Mobility & Posture 

• Standing: Continuous 

• Sitting: Continuous 

• Walking: Continuous 

• Climbing stairs: Infrequent 

• Working indoors: Continuous 

• Working outdoors (temperature extremes): Infrequent 

• Working from elevated areas: Frequent 

• Working in confined/cramped spaces: Frequent 

• Kneeling: Infrequent 

• Bending at the waist: Continuous 

• Twisting at the waist: Frequent 

• Squatting: Frequent 

• Manual Dexterity & Strength 

• Pinching operations: Frequent 

• Gross motor use (fingers/hands): Continuous 

• Firm grasping (fingers/hands): Continuous 

• Fine manipulation (fingers/hands): Continuous 

• Reaching overhead: Frequent 

• Reaching in all directions: Continuous 

• Repetitive motion (hands/wrists/elbows/shoulders): Continuous 

• Full use of both legs: Continuous 

• Balance & coordination (lower extremities): Frequent 

• Lifting & Force Requirements 

• Lift/carry 50 lbs. unassisted: Infrequent 

• Lift/lower 50 lbs. from floor to 36”: Infrequent 

• Lift up to 25 lbs. overhead: Infrequent 

• Exert up to 50 lbs. of force: Frequent  

• Examples: 

• Transfer 100 lb. non-ambulatory patient = 50 lbs. force 

• Push 400 lb. patient in wheelchair on carpet = 20 lbs. force 

• Push patient stretcher one-handed = 25 lbs. force 

• Vision & Sensory 

• Maintain corrected vision 20/40 (one or both eyes): Continuous 

• Recognize objects (near/far): Continuous 

• Color discrimination: Continuous 

• Depth perception: Continuous 

• Peripheral vision: Continuous 

• Hearing acuity (with correction): Continuous 

• Tactile sensory function: Continuous 

• Gross motor with fine motor coordination: Continuous 

• Selected Positions: 

• Olfactory (smell) function: Continuous 

• Respirator use qualification: Continuous 

• Work Environment & Conditions 

• Effective stress management: Continuous 

• Rotating shifts: Frequent 

• Overtime as required: Frequent 

• Latex-safe environment: Continuous 

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:

Job Description Summary

Entity

Worker Type

Worker Sub-Type​

Cost Center

Pay Rate Type

Pay Grade

Scheduled Weekly Hours

Work Shift

Job Description

Duties include:

Minimum Education and Experience: 

Additional Job Description

Benefits:

Physical Requirements

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here:

Shift Manager Position

In a world full of quick service options, Arbys is seeking to be different and better. We want to be different for our customers and different for our employees. When you work at Arbys, it will be more than a job it will be a place that prioritizes your growth and development while having fun. We are proud of the food we serve, our innovation and our team. Our goal is to be the best in the business, and we cant do that without great people like you.

Benefits

Rain Instant Pay Program

Potential Performance Bonuses

Generous Paid Time Off

Free Meals During Shifts

Advancement Opportunities

Financial Employee Assistance Program

Benefits for full-time employees

Flexible scheduling options, accommodating both full-time and part-time positions

Responsibilities

As a Shift Manager, you play a pivotal role in the day-to-day operations of our restaurants. Working closely with the General Manager and Assistant Manager, you ensure seamless operations during every shift. Your leadership will guide our team members through performance and training initiatives, while maintaining a standard of exceptional customer service that keeps our customers coming back for more!

You know the business and have at least six months of experience as a manager within restaurant or retail.

You inspire smiles, are familiar with and have impressive examples of providing exceptional customer service and will uphold Company Core Values.

Youre humble and ready to learn about what makes Arbys different. Youre not afraid to jump in and help your team and lead them to the next level. Their success is your success.

Shift Leads, Shift Managers, Shift Supervisors

Job Summary

Are you interested in working for an organization dedicated to patient care, innovation, and improving people’s everyday lives and well-being? Are you interested in working “behind the scenes” in a pharmacy organization? If so, you’re in the right place!

Job Description

• Experience Required: 0 to 6 months
• Experience Desired: General knowledge of electrical, mechanical and software
• Education Desired: High school diploma or equivalent
• Lifting Requirement: Up to 50 pounds
• Age Requirement: At least 18 years of age

Job Responsibilities

• Minimize equipment downtime to ensure the achievement of daily and weekly production expectations by diagnosing, troubleshooting, and repairing production equipment.
• Troubleshoot frequently encountered occurrences during production to maintain consistent workflow in automation and packaging (examples include changing bags & ribbons in bagging machines, printer troubleshooting, changing labels in robots, etc.).
• Ensure that all spare parts usage and issues are logged appropriately and promptly within designated systems.
• Daily cleaning and removal of refuse from the facility.
• Load/Unload truck deliveries using power equipment.
• Assist in system audits to ensure accuracy of equipment
• Recognize, address, and escalate system issues to internal stakeholders and vendors when necessary.
• Maintain proper safety conditions of equipment including immediately correcting or reporting safety issues to leadership.
• Perform other duties as assigned

Central Pharmacy Service Centers: Founded in 1931, Giant Eagle, Inc. has grown to be the number one supermarket retailer in the region with more than 410 stores throughout western Pennsylvania, north central Ohio, northern West Virginia, Maryland and Indiana. Giant Eagle Pharmacy meets a variety of customer needs, from filling prescriptions and administering immunizations to conducting free health screenings and providing patient education serving over 1.8 million patients and dispensing roughly 25 million prescriptions annually. Giant Eagle Pharmacy operates two Central Pharmacy Service Centers that support over 200 retail pharmacy locations. One located in Freedom, PA and the other in Columbus, OH. These are behind-the-scenes centers where Team Members perform a variety of duties including prescription data entry, interacting with physician offices and patient outreach. Giant Eagle Pharmacy’s Central Fill facility is also located in Freedom, PA. The Central Fill facility is a closed-door pharmacy operation in a fast-paced warehouse environment.

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