Senior Healthcare Network Consultant Humana IncSenior Healthcare Network ConsultantMERemote$78,400–$107,800 / yearWork at Home Requirements To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
NewRemote HEDIS Nurse Reviewer - New England Region Martin's Point Health Care LLCRemote HEDIS Nurse Reviewer - New England RegionPortland, MERemoteThe Nurse HEDIS Reviewer and Auditor collaborates with cross-functional teams, participates in quality improvement initiatives, and provides clinical insights to enhance healthcare outcomes and compliance with quality benchmarks. The Nurse HEDIS Reviewer and Auditor is a registered nurse responsible for performing clinical reviews of healthcare data, focusing on HEDIS measures and quality improvement.
Clinical Social Worker - REMOTE (LCPC / LCSW) Acentra HealthClinical Social Worker - REMOTE (LCPC / LCSW)MERemote$67,300–$80,000 / yearIn this impactful position, you will conduct comprehensive, needs-based eligibility assessments for individuals applying for Medicaid-funded personal care services delivered in private homes, adult care settings, or supervised living environments. In fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Senior Pharmacy Performance Specialist - Remote Sentara Healthcare IncSenior Pharmacy Performance Specialist - RemoteMERemote$80,204.80–$133,681.60 / yearAdditionally, the person is responsible for gathering requirements, performing analysis, supporting the development and testing of processes, and understanding and documenting the applications, data and associated technologies for the Pharmacy Department. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Portland, MaineRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Clinical Social Worker / Part-time (REMOTE) Acentra HealthClinical Social Worker / Part-time (REMOTE)MERemote$32.35–$38.46 / hourIn fact, you have all you need to take charge of your career and accelerate better outcomes - making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector. Required Qualifications: Active and unrestricted Licensed Clinical Social Worker (LCSW) or Licensed Clinical Professional Counselor (LCPC) license for the state of Maine.
Senior Director, Claims & Payment Integrity - Remote Martin's Point Health Care LLCSenior Director, Claims & Payment Integrity - RemotePortland, MERemoteActs as business owner for claims processing and edit vendors, ensuring oversight of vendor, including day-to-day management, roadmap reviews and joint operating committee management. Oversees the research, development, implementation, ongoing operational maintenance and administration of provider payment methodologies and fee schedules for all provider types in support of provider contractual arrangements.
Senior Finance Business Partner - Remote Martin's Point Health Care LLCSenior Finance Business Partner - RemotePortland, MERemoteThis position is also responsible for the timely and accurate identification and analysis of projects based on current and strategic business needs to include: the detailed preparation, analysis and presentation of Return on Investments (ROIs), Business Case Analyses (BCAs) and Cost Benefit Analyses (CBAs). The position also participates in monthly accounting closing activities, facilitates provider compensation, team projects, departmental budget support and analysis, various special analytical assignments and other tasks as assigned.
Prin Supplier QA Engineer (Remote/Southern California) General Dynamics CorpPrin Supplier QA Engineer (Remote/Southern California)Saco, MERemote$125,000–$162,500 / yearIn addition to the benefits discussed above, the company offers the following voluntary benefits: Critical Illness Insurance, Accident Insurance, Identify Theft Protection, Enhanced Legal Services, Auto and Home Insurance, Pet Insurance, Commuter Benefits, Hospital Indemnity Insurance, Educational Assistance. General Dynamics Ordnance and Tactical Systems (OTS) is a global leader in the design, engineering and production of munitions, energetics, weapons, armaments, and missile subsystems around the world.
RN Clinical Assessor - (Hybrid Remote - Portland, Maine) Maximus IncRN Clinical Assessor - (Hybrid Remote - Portland, Maine)Portland, MERemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
RN Clinical Assessor - (Hybrid Remote - Westbrook, Maine) Maximus IncRN Clinical Assessor - (Hybrid Remote - Westbrook, Maine)Westbrook, MERemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
RN Clinical Assessor - (Hybrid Remote - Cumberland, Maine) Maximus IncRN Clinical Assessor - (Hybrid Remote - Cumberland, Maine)MERemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
RN Clinical Assessor - (Hybrid Remote - Brunswick, Maine) Maximus IncRN Clinical Assessor - (Hybrid Remote - Brunswick, Maine)Brunswick, MERemoteMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. This single Assessing Services Agency (ASA) Program will encompass a series of programs, including Long Term Care (LTC), ABI, ORC, ICF/IDD, GPU.
NewStaff Engineer - Full Time - Remote Experity IncStaff Engineer - Full Time - RemoteMERemote$121,400–$161,500 / yearExperity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused. Joining us means doing meaningful work that directly improves the healthcare experience for millions-from helping families access care quickly to ensuring clinics run smoothly behind the scenes.
RN Clinical Assessor - (Hybrid Remote - Cumberland County, Maine) MaximusRN Clinical Assessor - (Hybrid Remote - Cumberland County, Maine)Portland, MERemoteFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com .
Prin Supplier QA Engineer (Remote/Southern California) General Dynamics Ordnance and Tactical Systems IncPrin Supplier QA Engineer (Remote/Southern California)Saco, MERemote$125,000–$162,500 / yearQualify and audit casting/tooling suppliers• Verify foundry/mold shop compliance• Implement supplier process controls• Approve PPAP, FMEA, flows, certs• Lead RCA and corrective actions for defects• Drive CI and scrap reduction• Review metallurgy and dimensional data• Support DFM and casting feasibility• Monitor KPIs and manage changes/issues. In addition to the benefits discussed above, the company offers the following voluntary benefits: Critical Illness Insurance, Accident Insurance, Identify Theft Protection, Enhanced Legal Services, Auto and Home Insurance, Pet Insurance, Commuter Benefits, Hospital Indemnity Insurance, Educational Assistance.
Prin Supplier QA Engineer (Remote/Southern California) General Dynamics Ordnance & Tactical SystemsPrin Supplier QA Engineer (Remote/Southern California)Saco, MaineRemote$125,000–$162,500 / yearCompany Overview: General Dynamics Ordnance and Tactical Systems (OTS) is a global leader in the design, engineering and production of munitions, energetics, weapons, armaments, and missile subsystems around the world. In addition to the benefits discussed above, the company offers the following voluntary benefits: Critical Illness Insurance, Accident Insurance, Identify Theft Protection, Enhanced Legal Services, Auto and Home Insurance, Pet Insurance, Commuter Benefits, Hospital Indemnity Insurance, Educational Assistance.
Fully Licensed Outpatient Mental Health Therapist- Maine based Remote Ellie Mental Health - 177Fully Licensed Outpatient Mental Health Therapist- Maine based RemoteFalmouth, MERemoteAs an Outpatient Therapist at Ellie Mental Health, you'll share our vision for improving and expanding access to quality mental health care and thrive in an environment driven by our core values of authenticity, humor, compassion, creativity, acceptance, and determination. Provide excellent clinical services for clients through the use of creativity and innovative therapy tools to help clients achieve and exceed their goals.
NewEducation Specialist - Weitzman Education - Remote Position - Full Time Community Health Center IncEducation Specialist - Weitzman Education - Remote Position - Full TimeMERemoteSpecific responsibilities include project management for a variety of educational interventions in various stages of planning and implementation; work with faculty to develop and enhance didactics and other educational materials; engagement with participants involved in the various interventions to build and maintain learning communities; tracking and monitoring of operational data including continuing education, survey administration, data collection; data analysis and reports for continual improvement of education interventions; software use for tracking participation of learners, organizations, faculty, and education materials, such as case presentations, video recordings, and other educational materials; and participation in proposal development, grant writing, poster presentations, and publications. The Weitzman Education Specialist is a key member of various education teams responsible for needs analysis, development, design, implementation and evaluation of educational interventions for health professions' residents and students, primary care providers, care team staff, and clinical, operational, and executive leaders in primary care and other health care organizations.
Licensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USAShapleigh, MERemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Whether it’s getting answers for customers quickly, consulting on products with compassion or resolving their issues with a smile, you’ll be the difference between their customer experience being just average or an exceptional one.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseMERemote$71,100–$97,800 / yearWork-at-Home Information: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
UM BH Registered Nurse Humana IncUM BH Registered NurseMERemoteYou will utilize training and engage formerly acquired skillsets to complete medical necessity reviews for behavioral health requested services using clinical judgment and provides referrals to internal stakeholders for further review depending on case findings. The DOW SkillBridge Internship Program provides transitioning military service members time to gain civilian work experience while still on active duty with an employer for a period approved by their command and the DOW, with an average timeline of 90 days.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorPortland, MaineRemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorPortland, MERemote$75,000–$90,000The Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
Urgent Care Nurse Practitioner Included Health IncUrgent Care Nurse PractitionerMERemoteIn this role, you'll deliver virtual comprehensive care to patients of all ages across a wide range of conditions, while working closely with our provider and support teams. We offer our members care guidance, advocacy, and access to personalized virtual and in-person care for everyday and urgent care, primary care, behavioral health, and specialty care.
Strategic Clinical Quality Manager - New Hampshire, Maine Areas Fresenius Medical CareStrategic Clinical Quality Manager - New Hampshire, Maine AreasPortland, MaineRemoteThis role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. Collaborate with physicians, nurses, dietitians, social workers, and leadership to support evidence-based clinical initiatives.
Strategic Clinical Quality Manager - New Hampshire, Maine Areas Fresenius Medical Care AG & Co KGaAStrategic Clinical Quality Manager - New Hampshire, Maine AreasPortland, MERemoteThis role oversees clinical outcomes, coordinates quality initiatives, ensures adherence to regulations, and collaborates with the interdisciplinary team to drive continuous improvement in patient safety and clinical quality performance. PHYSICAL DEMANDS AND WORKING CONDITIONS: The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.
Clinical Content Specialist - Nursing (Integration Nurse Educator/Traditional Programs) Wolters Kluwer N.V.Clinical Content Specialist - Nursing (Integration Nurse Educator/Traditional Programs)MERemote$71,300–$124,500 / yearCollaborate with cross-functional teams and external partners to deliver strategic, high-impact faculty engagement, ensuring effective integration of Lippincott and NurseTim products and services into nursing curricula. The Clinical Content Specialist will play a key role in supporting faculty adoption of best practices, integrating our solutions into curricula, and preparing students for licensure and professional practice.
Utilization Management Nurse Consultant (Weekend) CVS Health CorpUtilization Management Nurse Consultant (Weekend)MERemote$29.10–$62.32 / hourEducation: Diploma RN acceptable; Associate degree/BSN preferred, 3+ years of experience as a Registered Nurse, 1+ years of clinical experience in acute or post-acute setting, and 1+ years of Utilization Management / Care Management Experience. Position Summary: Utilize your clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
NewCoordinator - Maternal, Infant, and Fetal Mortality Review University of Southern MaineCoordinator - Maternal, Infant, and Fetal Mortality ReviewMERemoteUsing a public health approach, the program works to strengthen community resources and improve state and local systems that affect birthing people, infants, and families to reduce mortality and improve health outcomes. With a highly engaged student-centered learning environment, USM is a steward of higher education, helping drive the economic, cultural, and civic life in the communities where our campuses are located and beyond.