Service Provider Examples Jobs in Usa

16,566 positions found — Page 5

Social Services Coordinator
Salary not disclosed
Dover, Delaware 6 days ago

Job Summary:

Position will primarily support the program administrators by preparing, facilitating, recording, and compiling meeting minutes for the HUD Capacity Building Grant Coalition.

Additional duties may include assisting with scheduling, follow-up communications, and organizing related documentation.

Ability to work independently and manage time effectively, prior experience supporting public health or government programs is a plus.

We are looking for someone with strong Project Management skills.

Essential Functions

  • Essential functions are fundamental, core functions common to all positions in the class series and are not intended to be an exhaustive list of all job duties for any one position in the class. Since class specifications are descriptive and not restrictive, incumbents can complete job duties of similar kind not specifically listed here.
  • Monitors, evaluates, collects and analyzes program data. Provides technical assistance and recommends course of action.
  • Prepares interpretative reports of program goals and objectives, provision of services and programs/services ability to meet standards and regulations.
  • Participates in developing policies, regulations, forms, proposal requests, implementing new procedures, monitors, develops, reviews, updates, negotiates contracts, and/or prepares grant applications.
  • Analyzes problems, applies policy to problem situations, responds to requests for information and questions regarding services.
  • Assists as consultant, coordinator/liaison for special programs and/or projects.
  • Assesses impact of proposed rules on current operations financially and programmatically.
  • May supervise professional staff engaged in monitoring functions, special projects and/or clerical staff performing record keeping functions.

JOB REQUIREMENTS

Applicants must have education, training and/or experience demonstrating competence in each of the following areas:

1 . Three years' experience in health or human services work such as applying theories, principles, laws and practices of health or human services programs and services that assist with and improve life for individuals, families, or communities such as financial support, employment, unemployment, housing, health care, disease preventlon, substance abuse, child protective services.

2. Six months experience in health or human services program administration such as overseeing and directing the development, implementation and evaluation of health or human services programs and services; planning and establishing short- and long-range program goals and objectives. Providing advice to other agency organizational units through consultation.

3. Six months experience in developing policies or procedures.

4. Six months experience in interpreting laws, rules, regulations, standards, policies, and procedures.

5. Six months experience in narrative report writing.

Not Specified
Client Service Representative
✦ New
Salary not disclosed

Client Service Representative

Location: Novato, CA (Onsite)

Employment Type: Direct Hire

Industry: Financial Services

About the Company

Our client is a well‐established financial services firm dedicated to providing personalized financial planning and investment strategies built on trust, integrity, and long‐term relationships. Their team supports high‐net‐worth individuals and families with a comprehensive, fiduciary approach to wealth management and client service. The firm prides itself on professionalism, confidentiality, and delivering an exceptional client experience.

Position Overview

The Client Service Representative is a key member of the client experience team and serves as the primary point of contact for clients. This role supports advisors and operations by managing client communications, account administration, and service requests while maintaining the highest standards of accuracy, confidentiality, and professionalism.

The ideal candidate is detail‐oriented, service‐driven, and thrives in a fast‐paced, highly regulated financial services environment.

Key Responsibilities

  • Serve as the first point of contact for clients via phone, email, and in person, delivering professional and responsive service
  • Manage and maintain client accounts using Redtail CRM and LPL ClientWorks, ensuring accuracy and completeness of records
  • Assist with client onboarding, account updates, and service requests
  • Coordinate electronic document processing, including e‐signatures and compliance documentation
  • Support advisors and operations with scheduling, Zoom meetings, and client follow‐ups
  • Collaborate with internal team members to update and process client account changes
  • Handle client inquiries and concerns with professionalism, initiative, and discretion
  • Maintain strict confidentiality and adhere to compliance requirements, including fingerprinting, attestations, and training participation

Qualifications & Skills

  • Previous experience in client service, administrative support, or account management
  • Experience in wealth management, financial services, or private client environments strongly preferred
  • Proficiency with CRM systems; Redtail CRM experience highly desirable
  • Strong organizational and time‐management skills with the ability to prioritize effectively
  • Excellent verbal and written communication skills with a strong customer‐service mindset
  • High level of professionalism, discretion, and attention to detail
  • Ability to work independently while collaborating in a team‐oriented office environment
  • Familiarity with financial industry compliance standards is a plus
Not Specified
Customer Service and Distribution Manager
✦ New
Salary not disclosed

DCI Donor Services

DCI Donor Services (DCIDS) is looking for a dynamic and enthusiastic team member to join us to save lives!! Our mission at DCIDS is to save lives through organ donation and we want professionals on our team that will embrace this important work!! We are currently seeking a Customer Service and Distribution Manager. The Customer Service and Distribution Manager will serve as a member of the Tissue Bank’s management team with responsibility for managing customer relationships and delivering exceptional service. This role contributes to the Tissue Bank’s strategic objectives of revenue growth through the effective management of inventory, coordination of returns/transfers, production planning, order fulfillment, and contract management. It ensures DCI Donor Services remains in compliance with all regulatory guidelines with respect to management of tissue, and recruits, develops and retains talent to create a best-in-class Distribution organization

COMPANY OVERVIEW AND MISSION

For over four decades, DCI Donor Services has been a leader in working to end the transplant waiting list. Our unique approach to service allows for nationwide donation, transplantation, and distribution of organs and tissues while maintaining close ties to our local communities.

DCI Donor Services operates three organ procurement/tissue recovery organizations: New Mexico Donor Services, Sierra Donor Services, and Tennessee Donor Services. We also maximize the gift of life through the DCI Donor Services Tissue Bank and Sierra Donor Services Eye Bank.

Our performance is measured by the way we serve donor families and recipients. To be successful in this endeavor is our ultimate mission. By mobili

With the help of our employee-led strategy team, we will ensure that all communities feel welcome and safe with us because we are a model for fairness, belonging, and forward thinking.

Key responsibilities this position will perform include:

  1. Ensures sales goals and budget objectives are met through fulfillment of customer orders and unsurpassed customer service. Creates and distributes inventory report to ensure customers in DCIDS’s donor service areas have first choice to available grafts. Communicates tissue availability to Distributors and Contract Partners as appropriate.
  2. Determines appropriate “par” levels for tissue inventory to ensure DCIDS can provide appropriate service levels to its customers. Represents Distribution at Production Planning meetings, providing demand requirements based on sales forecasts and processing leads times.
  3. Maintains a month-on-hand report to monitor and address low demand inventory. Acts as part of team to create programs/pricing or identify alternative outlets to ensure tissue is utilized. Communicates these programs to customers as appropriate.
  4. Ensures that Distribution department is compliant with all regulatory requirements related to storing, shipping, returning or transferring human donated tissue. Has clear understanding of the Center for Biologics Evaluation and Research (CBER) regulations for HCT/Ps established in 21 CFR Parts 1270 and 1271. Supports Account Managers and Inside Sales Specialists with directions on handling tissue requirements in the field.
  5. Manages sales agreements with client hospitals, group purchasing organizations (GPOs), distributors and others. Works with Director of Sales to discover requirements to win the contract. Leads negotiation of contract terms. Manages contracts to track renewal dates, alerting management team to any required action. Renegotiates terms as appropriate.
  6. Supports Distributor relationships by monitoring distribution revenue, calculating commissions, and securing authorization for timely payment.
  7. Monitors, reports and presents revenue results and tissue utilization to senior management, medical management and medical directors. Supports Sales team with Quarterly Territory Reviews reports.
  8. Recruits, retains, and develops results driven Distribution team. Advises and counsels, assists, and directs activities to ensure ongoing high performance. Implements timely corrective action when necessary. Identifies training needs to ensure Customer Service Coordinators are proficient in inventory management, regulatory requirements, and interacting with clinical customers.
  9. Recommends capital equipment and expense budgets. Reviews and approves expense reports and takes necessary steps to keep expenses within approved budgets and policies.
  10. Performs other duties as assigned.

The ideal candidate will have:

  • Associate’s Degree required/Bachelor’s Degree preferred in related field
  • Minimum 5+ years of medical device, banked human tissue, or biotechnology sales/marketing experience
  • CTBS required within first year of employment
  • Working knowledge of computers and Microsoft Office applications to include Word, PowerPoint and Excel are required.
  • Observes, listens to and talks with employees and others. Stands, sits, and walks. Reads and writes a variety of reports and documents. Travels to OPO and hospital facilities. Lifts up to 50 pounds.


We offer a competitive compensation package including:

  • Up to 184 hours of PTO your first year
  • Up to 72 hours of Sick Time your first year
  • Two Medical Plans (your choice of a PPO or HDHP), Dental, and Vision Coverage
  • 403(b) plan with matching contribution
  • Company provided term life, AD&D, and long-term disability insurance
  • Wellness Program
  • Supplemental insurance benefits such as accident coverage and short-term disability
  • Discounts on home/auto/renter/pet insurance
  • Cell phone discounts through Verizon
  • Monthly phone stipend

**New employees must have their first dose of the COVID-19 vaccine by their potential start date or be able to supply proof of vaccination.**

You will receive a confirmation e-mail upon successful submission of your application. The next step of the selection process will be to complete a video screening. Instructions to complete the video screening will be contained in the confirmation e-mail. Please note - you must complete the video screening within 5 days from submission of your application to be considered for the position.

DCIDS is an EOE/AA employer – M/F/Vet/Disability.



PI7c69c8eaebf5-3631

permanent
Member Services Representative I - Bilingual Farsi / Job Req 839182215
✦ New
Salary not disclosed
Alameda, CA 1 day ago

Hybrid: Applicants must be a California resident as of their first day of employment.

PRINCIPAL RESPONSIBILITIES:

Member Services Representatives (MSR) are the first point of contact for our members' primary contact with the Alliance for both routine and complex member issues with the goal of delivering excellent customer service to our customers. The position is responsible for answering a high volume of inbound and outbound calls in a timely manner. Respond to all communications coming into Member Services in the form of email, fax, letters, chat and phone calls. Timely responses to all member communication are essential. Must effectively prioritize and flex the workload as new communication and tasks are submitted. Identify the caller's needs, clarify information, research issues, and provide solutions and/or alternatives whenever possible. Accurately and consistently document all conversations in the electronic database. This position is a liaison between the plan, the provider network, and other community agencies. The MSR positions are flexibly staffed classification and work is expected to be performed minimally at the MRS II level. However, the initial selection will be made at the entry level MSR I. Our more advanced level position of the series is the MSR III who will be required to perform a variety of complex matters.

Member Services Representatives are under the direction of a Member Services Supervisor, Manager and Director, and service our members through our call center as well assisting other departments with responses to member issues by initiating communication between departments to ensure action, cooperation, and compliance of managed care operations.

Member Services Representative I

This position which requires the ability to work as a team player within the Alliance and with external contacts, make sound judgments based on analysis of information, be an effective communicator, active listener and balance advocacy for the member with the policy provisions such as plan policies, EOC, regulatory guidelines, and DMHC/DHCS rules and regulations. The MSR provides courteous, professional, and accurate responses to incoming inquiries regarding network, plan benefits, eligibility, authorizations, plan services and guidelines, as well make decisions with the goal of ensuring member satisfaction and retention. The MSR performs a variety of complex functions and is also responsible for maintaining accurate and complete inquiry/grievance records in the electronic database. Maintains compliance with DMHC regulatory requirements and DHCS contractual obligations. MSR I staff who demonstrate proficiency in meeting, maintaining and exceeding principal performance objectives and metrics may be eligible to be promoted to a Member Services II or III role. Member Services Representative I staff may be eligible for promotion to Member Services Representative II or III positions once they have worked as a MSR I for a minimum of 12 months to be proficient with program and system knowledge in addition to meeting performance matrix requirements.

Principle duties and responsibilities

* Serve as the primary contact for members, providers and others for questions related to claims, benefits, authorizations, pharmacy, member eligibility and other questions related to Alameda Alliance and provide accurate, satisfactory answers to their inquiries or concerns.

* Respond to and resolve member service inquiries and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility, claims, behavioral health, and care coordination.

* Answer incoming calls, emails, chats, and other requests for assistance in a timely manner in accordance with departmental performance targets and provide excellent customer service while doing so. May include assisting members in person.

* Recognize and understand the difference between calls that require quick resolutions and calls which will require follow-up and handle each appropriately.

* De-escalate situations involving dissatisfied customers, offering patient assistance and support.

* Accurately document all contacts per department standards/guidelines in the Customer Relationship Management (CRM) system.

* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).

* Interface with Grievance and Appeals, Claims, Enrollment, IT, Network Management, Pharmacy, Authorizations, and other internal departments to provide Service Excellence to our members.

* Help guide and educate members about the fundamentals and benefits of managed health care topics, to include managing their health and well-being by selecting the best benefit plan service options, maximizing the value of their health plan benefits, and choosing a quality care provider.

* Intercede with care providers (doctor's offices) on behalf of the member, assisting with appointment scheduling; connect members with internal Case Management Department for assistance as needed.

* Assist members in navigating , the Member Portal, and other health care partner online resources and websites to encourage/reassure them to use self- service tools that are available.

* Manage any issues through to resolution on behalf of the member, either on a single call or through comprehensive and timely follow-up.

* Research complex issues across multiple databases and work with support resources to resolve member issues and/or partner with others to resolve escalated issues.

* Provide education and status on previously submitted pre-authorizations or pre- determination requests for both medical and pharmaceutical benefits.

* Meet the performance goals established for the position in the areas of compliance, efficiency, call quality, member satisfaction, first call resolution, punctuality, and attendance.

* Always maintain a professional level of service to members.

* Always maintain confidentiality of information.

* Consistently support the Alliance's approach to Service Excellence by adhering to established department and company standards for all work-related functions.

* Interact positively with all Alliance Departments.

* Accurately and consistently document (electronic database) and resolve Exempt Grievances (any expression of dissatisfaction that are not coverage disputes, disputed health care services involving medical necessity, or experimental or investigational treatment and that are resolved by the next business day following receipt).

* Process MS Dept projects

* Serve as a back-up to manage the escalated calls.

* Perform other duties as assigned.

ESSENTIAL FUNCTIONS OF THE JOB

* Contacts: Receive, manage, and document telephone calls, emails, and other sources of contacts from members, potential members, and providers, and explain health plan benefits and plan rules. Describe the types of services the Alliance offers to the Member within the managed care system. Provide clarification about issues regarding patient and physician rights and how the plan operates.

* Conflict resolution: Resolve member problems/conflicts by convening with other departmental staff as needed.

* Member communications: Create and/or mail appropriate member materials and communications as needed.

* Computer: Perform ongoing data entry which assists in the maintenance of the Member Services department database to ensure data integrity.

* Comply with the organization's Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.

PHYSICAL REQUIREMENTS

* Constant and close visual work at desk or computer.

* Constant sitting and working at desk.

* Constant data entry using keyboard and/or mouse.

* Constant use of multi-monitor setup

* Frequent use of telephone and headset.

* Frequent verbal and written communication with staff and other business associates by telephone, correspondence, or in person.

* Frequent lifting of folders, files, binders, and other objects weighing between 0 and 30 lbs.

* Frequent walking and Standing

Number of Employees Supervised: 0

MINIMUM QUALIFICATIONS:

* Bachelor's degree or equivalent experience preferred.

* High school diploma, GED required.

* The ability to speak and understand-bilingual: Spanish/English, Cantonese/English, Vietnamese/English, Tagalog/English are required as designated.

* A bilingual proficiency exam will be administered to ensure the candidate possesses the appropriate skill level to meet requirements. The successful candidate must score 90% or higher.

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:

* Minimum one year of direct customer service experience. Call center experience and managed care experience a plus

* Experience determining eligibility for financial assistance, insurance benefits, unemployment and/or other social services programs.

* Demonstrated knowledge expert of AAH Member Services policies and procedures

* Consistent record of meeting, maintaining, or exceeding monthly Departmental performance metrics.

* Consistent track record of documenting Service Requests accurately and clearly and monitoring open Service Requests to ensure responses and closure.

* Consistent record of high quality of work as demonstrated through call and documentation auditing, appropriate Call Disposition coding, as well as an overall acceptable monthly Member Satisfaction Survey result as assessed by Member Services Quality Specialist, MS Trainer and Member Services Supervisor.

* Demonstrated proficiency in current Customer Relationship Management (CRM) tool, phone system software Quality Management Solution, Pharmacy Benefits Management applications (PBM), Interpreter vendor scheduling software, delegate portal solutions and the Alliance's Member portal.

* Demonstrated ability to effectively handle the department's key special projects: Member Portal Request Processing, Kaiser PTE Requests, PCP retroactive and same month requests.

* Demonstrated ability to help members face-to-face in the field and/or at the Alliance offices (walk-ins). Also highly skilled at handling issues related to member bills, transportation set-up and benefit coordination with providers and pharmacy needs.

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):

* Ability to prioritize and adapt to changing situations in a calm and professional manner.

* Ability to maintain composure in stressful situations.

* Excellent problem-solving skills

* Ability to exhibit cooperation, flexibility, and provide assistance when talking to members, providers, and staff.

* Skill in basic data entry

* Ability to type 40 net words per minute: multi-task

* Manual dexterity to operate telephone, computer keyboard equipment.

* Speak English proficiently, clearly, and audibly.

* Memorize and retain information quickly; meet physical requirements

* Spell correctly

* Learn the policies, regulations, and rules applicable to business operations.

* Follow instructions, reason clearly, analyze solutions accurately, act quickly and effectively in emergency situations; operate office equipment including computers and supporting word processing, spreadsheet, and database applications.

* Excellent phone etiquette and ability to communicate clearly and concisely, both orally and in writing.

* Excellent interpersonal skills with the ability to interact with diverse individuals and flexibility to customize approach to meet all types of member communication styles and personalities.

* Strong verbal and written communication skills.

* Demonstrated ability to quickly build rapport and respond to members in a compassionate manner by identifying and exceeding member expectations (responding in respectful, timely manner, consistently meeting commitments).

* Demonstrated ability to listen skillfully, collect relevant information, determine immediate requests, and identify the current and future needs of the member.

* Must be self-motivated and able to work with minimal supervision

* Must be team-oriented and focused on achieving organizational goals.

* Proficient problem-solving approach to quickly assess current state and formulate recommendations.

* Proficient in translating healthcare-related jargon and complex processes into simple, step-by-step instructions which members can understand and act upon.

* Proficient conflict management skills to include ability to resolve issues during stressful situations and demonstrating personal resilience.

* Ability to work regularly scheduled shifts within the Alliance's hours of operation including the training period, with scheduled lunches and breaks, flexibility to adjust daily schedules; and to work over-time and/or weekends as needed.

* Medical terminology knowledge preferred

* Ability to work within a broad systems perspective

* Experience in use of various computer systems software as well as Microsoft Windows, and Microsoft Suite, especially Outlook, Word, Excel.

* Must have reliable and stable internet connection for remote work (50-100 Mbps download speeds).

Employees who interact with members of the public may be required to be tested for Tuberculosis and fully vaccinated against COVID-19 and influenza. Successful candidates for those positions/ classifications may be required to submit proof of vaccination against influenza and/or COVID-19, a negative Tuberculosis test, or request an exemption for qualifying medical or religious reasons during the onboarding process. Candidates should not present proof of vaccination until instructed to do so by the Human Resources department.

SALARY RANGE $22.88-$34.33 HOURLY

The Alliance is an equal opportunity employer and makes all employment decisions on the basis of merit and business necessity. We strive to have the best-qualified person in every job. The Alliance prohibits unlawful discrimination against any employee or applicant for employment based on race, color, religious creed, sex, gender, transgender status, age, sexual orientation, national origin, ethnicity, citizenship, ancestry, religion, marital status, familial status, status as a victim of domestic violence, assault or stalking, military service/veteran status, physical or mental disability, genetic information, medical condition, employees requesting accommodation of a disability or religious belief, political affiliation or activities, or any other status protected by federal, state, or local laws.

Not Specified
Primary Care Provider / NP
$130,000 per year
Moraine, OH 6 days ago
Primary Care Provider (NP) – PACE Program

Location: Moraine, OH

Target Salary: $130,000  +(depending on experience) + comprehensive benefits



A mission-driven PACE organization in Columbus is seeking a Primary Care Provider - Nurse Practitioner to join its interdisciplinary team serving frail and elderly adults. This is a highly collaborative, patient-centered role focused on comprehensive primary care, care coordination, and improving outcomes for older adults in a community-based model.



Why This Role Stands Out



  • Collaborative interdisciplinary team (IDT) model with strong clinical support




  • Focus on relationship-based primary care—not volume-driven medicine




  • Opportunity to make a meaningful impact on aging adults and reduce hospitalizations




  • Competitive compensation and strong benefits package





Key Responsibilities



  • Deliver comprehensive primary care, including history, physical exams, and ongoing assessments




  • Develop individualized care plans and collaborate closely with the IDT and Medical Director




  • Manage medications, reconciliation, and interactions with pharmacist collaboration




  • Coordinate specialist referrals and follow up on consults, labs, and imaging




  • Monitor participant status during hospitalizations and transitions of care




  • Participate in daily IDT meetings and contribute clinical insights




  • Educate participants and caregivers on self-care, medications, and wellness




  • Provide on-call coverage as part of a shared rotation




  • Support quality improvement initiatives, staff training, and clinical policy development




  • Ensure accurate documentation, coding, and compliance with regulatory standards





Qualifications



  • Nurse Practitioner (NP) license




  • Active state license (Ohio) and DEA/CDS




  • BLS required




  • Minimum 2 years of direct patient care experience (geriatric or frail population preferred)




  • Experience in managed care, primary care, or geriatrics strongly preferred





Pre-Employment Requirements



  • Valid driver’s license, reliable transportation, and required auto insurance




  • Medical clearance and immunizations




  • Background check, license verification, references, and drug screening





Interested?

If you’re a clinician passionate about geriatric care and value team-based, patient-centered medicine, please apply for more details.

#AC1

#ACP

permanent
LTSS Service Care Manager
Salary not disclosed
Jacksonville, FL 4 days ago

Position Title: LTSS Service Care Manager

Work Location: Hamilton County, Florida

Assignment Duration: 12 Months (possibility to extend or convert)

Work Schedule: 8-5 Mon-Fri

Work Arrangement: Remote with 80-90% field work



Position Summary:

Assists in developing, assessing, and coordinating holistic care management activities to enable quality, cost-effective healthcare outcomes. May develop or assist with developing personalized service care plans/service plans for long-term care members and educates members and their families/caregivers on services and benefits available to meet member needs.



Background & Context:

Supports our organization's Sunshine State Health Plan in delivering long-term care services to members. Doesn't need to be Spanish speaking.



Key Responsibilities:

* Evaluates the needs of the member, the resources available, and recommends and/or facilitates the plan for the best outcome

* Assists with developing ongoing long-term care plans/service plans and works to identify providers, specialist, and/or community resources needed for long-term care

* Coordinates as appropriate between the member and/or family/caregivers and the care provider team to ensure identified services are accessible to members

* Provides resource support to members and their families/caregivers for various needs (e.g. employment, housing, participant direction, independent living, justice, foster care) based on service assessment and plans

* Monitors care plans/service plans, member status and outcomes, as appropriate, and provides recommendations to care plan/service plan based on identified member needs

* Interacts with long-term care healthcare providers and partners as appropriate to ensure member needs are met

* Collects, documents, and maintains long-term care member information and care management activities to ensure compliance with current state, federal, and third-party payer regulators

* May perform home and/or other site visits to assess member's needs and collaborate with healthcare providers and partners

* Provides and/or facilitates education to long-term care members and their families/caregivers on procedures, healthcare provider instructions, service options, referrals, and healthcare benefits

* Provides feedback to leadership on opportunities to improve and enhance quality of care and service delivery for long-term care members in a cost-effective manner

* Performs other duties as assigned

* Complies with all policies and standards



Qualification & Experience:

* Requires a Bachelor's degree and 2 - 4 years of related experience.

* Or equivalent experience acquired through accomplishments of applicable knowledge, duties, scope and skill reflective of the level of this position.



Education/Certification
Required: Requires a Bachelor's degree and 2 - 4 years of related experience. (Bachelors Degree should be within the realm of Healthcare) - Psychology, Sociology, etc.

Field experience would need to be long term to have the team consider someone that does not have a degree within the space they are looking for.
Preferred: n/a

Licensure
Required: Valid driver's license
Preferred: n/a


  • Years of experience required
  • Disqualifiers
  • Best vs. average
  • Performance indicators


Must haves:

  • 2+ years of Care Management experience (field experience is a must)
  • Caseloads of 50,60,70 members - bonus if it is geriatric
  • Long Term Care Medicaid experience
  • Medicaid / Medicare experience
  • Need to see experience being able to manage high case load
  • Fast paced environment regarding new processes and programs
  • They must be comfortable being able to connect with IT should their equipment fail in the field, etc. or be able to go into an office location or IT space.
  • All documentation must be within system within 24 hours of completion
  • Experience with electronic medical health records
  • Home Health Experience


Nice to haves:

  1. Discharge Planning
  2. Working with TruCare which is the software the team uses

Disqualifiers:


  • Not having field experience
  • Not having previous experience with high caseloads


Performance indicators: Bilingual always preferred - req will indicate if Bilingual is required via the notes section

Position is offered by a no fee agency.
Not Specified
Member Service Assistant
Salary not disclosed
Brentwood, TN 2 days ago
Job Posting

California applicants: Please review the Costco Applicant Privacy Notice. The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean that any positions are currently open or available at Costco.

Position Summary:

Actively greets members, provides a high level of member service, verifies membership card, keeps entry counts, and checks receipts when members exit. Performs and documents warehouse safety and security checks.

We offer a comprehensive package of benefits including paid time off, health benefits (medical/dental/vision/hearing aid/pharmacy/behavioral health/employee assistance), health care reimbursement account, dependent care assistance plan, short-term disability and long-term disability insurance, AD&D insurance, life insurance, 401(k), and stock purchase plan to eligible employees.

Not Specified
Financial Services Global Structuring - Director
$250 +
Chicago, IL 2 days ago

At PwC, our people in tax services focus on providing advice and guidance to clients on tax planning, compliance, and strategy. These individuals help businesses navigate complex tax regulations and optimise their tax positions. Those in international tax at PwC will provide advice and guidance to clients on structuring their global tax positions. Your work will involve analysing international tax laws and regulations to develop strategies that optimise tax efficiency and minimise risks for multinational businesses.


Translating the vision, you set the tone, and inspire others to follow. Your role is crucial in driving business growth, shaping the direction of client engagements, and mentoring the next generation of leaders. You are expected to be a guardian of PwC’s reputation, understanding that quality, integrity, inclusion and a commercial mindset are all foundational to our success. You create a healthy working environment while maximising client satisfaction. You cultivate the potential in others and actively team across the PwC Network, understanding tradeoffs, and leveraging our collective strength.


Examples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to:



  • Lead in line with our values and brand.
  • Develop new ideas, solutions, and structures; drive thought leadership.
  • Solve problems by exploring multiple angles and using creativity, encouraging others to do the same.
  • Balance long-term, short-term, detail-oriented, and big picture thinking.
  • Make strategic choices and drive change by addressing system-level enablers.
  • Promote technological advances, creating an environment where people and technology thrive together.
  • Identify gaps in the market and convert opportunities to success for the Firm.
  • Adhere to and enforce professional and technical standards (e.g. refer to specific PwC tax and audit guidance) the Firm's code of conduct, and independence requirements.

The Opportunity

As part of the International Tax Services Generalist - CS team you are expected to lead the way as technology-enabled tax advisors who provide benefits through digitization, automation, and increased efficiencies. As a Director you are expected to set the strategic direction and lead business development efforts, making impactful decisions and overseeing multiple projects, maintaining executive-level client relations. You are crucial in driving business growth, shaping client engagements, and mentoring the future leaders, while upholding PwC's reputation for quality, integrity, and inclusion.


Responsibilities

  • Set strategic direction for technology-enabled tax advisory services
  • Lead business development to drive growth
  • Oversee multiple impactful projects
  • Maintain executive-level client relationships
  • Mentor and develop future leaders
  • Shape the direction of client engagements
  • Implement digitization and automation initiatives
  • Adhere to tax regulations and standards

What You Must Have

  • Bachelor's Degree in Accounting
  • A Juris Doctorate (JD), Master of Laws (LLM), or Master's degree in Accounting or Taxation field of study can be considered in lieu of a Bachelor's Degree in Accounting
  • 6 years of experience
  • CPA, Member of the Bar or other tax, technology, or finance-specific credentials may qualify for this opportunity

What Sets You Apart

  • Corporate and partnership taxation knowledge
  • Assisting financial services companies with tax impact
  • Tax structuring of funds and financial assets
  • Enhancing tax efficiencies of cross-border flows
  • Developing and sustaining meaningful client relationships
  • Leading teams to generate vision and direction
  • Utilizing automation and digitization in tax services
  • Evaluating and negotiating contracts
  • Leveraging pricing tools for strategies

The salary range for this position is: $150,000 - $438,000. Actual compensation within the range will be dependent upon the individual's skills, experience, qualifications and location, and applicable employment laws. All hired individuals are eligible for an annual discretionary bonus. PwC offers a wide range of benefits, including medical, dental, vision, 401k, holiday pay, vacation, personal and family sick leave, and more. To view our benefits at a glance, please visit the following link: PwC is an equal opportunity employer, all qualified applicants will receive consideration for employment at PwC without regard to race; color; religion; national origin; sex (including pregnancy, sexual orientation, and gender identity); age; disability; genetic information (including family medical history); veteran, marital, or citizenship status; or, any other status protected by law.


For only those qualified applicants that are impacted by the Los Angeles County Fair Chance Ordinance for Employers, the Los Angeles' Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, San Diego County Fair Chance Ordinance, and the California Fair Chance Act, where applicable, arrest or conviction records will be considered for Employment in accordance with these laws. At PwC, we recognize that conviction records may have a direct, adverse, and negative relationship to responsibilities such as accessing sensitive company or customer information, handling proprietary assets, or collaborating closely with team members. We evaluate these factors thoughtfully to establish a secure and trusted workplace for all.


#J-18808-Ljbffr
Not Specified
Ambulatory Service Representative - Multi Specialty
✦ New
Salary not disclosed
San Marcos, California 14 hours ago
Description
Summary:
Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients’ needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs.
Responsibilities:
Receives and directs phone calls from patients and physician offices
Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria
Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of physician’s clinical staff, as well as equipment and facilities
Handles urgent patient care calls and may alert providers to emergent patient care symptoms and concerns
Schedules urgent care appointments as needed and directed by physician
Greets patients for scheduled and/or urgent care appointments and procedures
Confirms and verifies patient demographic and insurance information
Collect co-payments from patients upon arrival when applicable
Obtains signatures of consent from patient/guardian for treatment authorization and insurance/billing information
Collaborates with insurers to obtain patients’ prior-authorizations for procedures and tests as needed
Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits.
Verifies eligibility for procedures or tests from various health care institutions
Reviews and audits billing discrepancy reports and researches errors for resolution
Maintains accurate and timely records, logs, charges, files, and other related information as required
Performs a variety of related administrative and clerical duties, such as retrieving files and other records, faxing, collating, data entry, and relaying messages to physicians, residents and staff
Prepares special reports or spreadsheets for physicians as requested
Complies with established departmental policies, procedures and objectives
Complies with all health and safety regulations and requirements
Contributes in maintaining a respectful environment of professionalism, tolerance, and acceptance toward all employees, patients and visitors
Performs other duties as required.
Requirements:
High School Diploma or GED
Proficient in software and computer systems
Knowledgeable of business office terminology / procedures
Ability to multi task and work under stressful situation
Effective written and verbal communication skills
1+ year of customer service experience required
Experience with medical office terminology preferred
Work Schedule:

8AM - 5PM Monday-Friday
Work Type:
Full Time
Not Specified
Community Paramedic - Full Time | Emergency Medical Services
🏢 DocGo
$30
Title:   Emergency Medical Technician - EMT
Base Pay Rate Range:  $20 - $30/hr , based on experience
Location: Newburgh , NY
Additional Locations/Areas Available: Capital District, Orange/Ulster County, Delaware County, Rockland County, Glens Falls
Employment Types: Full-Time, Part-time and Per-Diem
Schedules Available: Days, Nights, Weekends
Benefits: Medical, Dental, Vision (with company contribution), Direct Deposit, Paid time off (PTO), 401(k)

Pay and Bonus Incentives :  
~$2,500 sign-on bonus for full-time  
~ Base Pay Rate Range: $20.00 - $30.00 per hour, based on experience  
~ Night shift differential  
~ Dedicated hospital shift differential  
~ Overtime opportunities  
~ Referral Bonus opportunities (refer EMTs and/or Paramedics) 

 
About Ambulnz by DocGo :   D ocGo is leading the proactive healthcare revolution with an innovative care delivery platform that includes mobile health services, population health, remote patient monitoring, and ambulance services. D ocG o disrupts the traditional four-wall healthcare system by providing high quality, highly affordable care to patients where and when they need it. D ocGo' s proprietary, AI-powered technology, l ogistic s network, and dedicated field staff of over 5,000 certified health professionals elevate the quality of patient care and drive efficiencies for municipalities, hospital networks, and health insurance providers. With Mobile Health, D ocG o empowers the full promise and potential of telehealth by f acilitatin g healthcare treatment, in tandem with a remote physician, in the comfort of a patient's home or workplace. Together with D ocGo' s integrated Ambulnz medical transport services, D ocG o is bridging the gap between physical and virtual care.  
 
Responsibilities:
Collaborate with your fellow EMTs and management to assure top tier patient care.  
Be flexible as emergency services operate on a 24-hour clock - your work shift schedule may vary due to the nature of the business.  
Remain up to date with current standards of care, including equipment functions and uses and all certifications, licenses and registrations  
Conduct yourself in a courteous, helpful, and professional manner when dealing with patients, co-workers, supervisors, and the public.  
Recognize and treat any medical condition with appropriate techniques , equipment, and knowledge of all State and County protocols.  
P rovide top tier medical transport to medical facilities by assuming responsibilities for medical care of the patient and carrying out established policies and procedures.  
Maintain rig cleanliness by stocking the rigs and taking ownership of your space.  
Gather patient billing information and appropriate billing signatures.  
Prepare and submit a pre-hospital patient care report.  
Respond promptly to assignments as required by the Dispatch Center.

Qualifications:
NY State EMT License  
Valid Driver's License (held for 2 or more years) and acceptable driving record  
Valid BLS CPR Card for the Health Care Provider  
Excellent verbal communication skill  
Must be able to lift, push and pull 125 lbs. or more.  
Successfully complete Physical Aptitude Test  
Tech-savvy or comfortable with technology  
Able to work on a team  
Respectful of colleagues, patients, and supervisors  
permanent
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