UNKNOWN

FEED

This position is responsible for performing activities associated with administration and management of pharmacy programs including but not limited to assisting in the development, implementation and maintenance of a disease state formulary system. Pay Transparency Statement: At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.

YEAR

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.Join HCSC and be part of a purpose-driven company that will invest in your professional development.Job SummaryThis position is responsible for performing activities associated with administration and management of pharmacy programs including but not limited to assisting in the development, implementation and maintenance of a disease state formulary system. Utilization management programs. Specialty pharmacy management. Medication therapy management, client relationships and support; and development of innovative clinical programs.JOB REQUIREMENTS:<ul><li>Current registered and unrestricted Pharmacist in the United States.</li><li>Experience using window based word processing, spreadsheet and relational database software.</li><li>Drug information skills.</li><li>Strong Verbal and written communication skills.</li><li>Knowledge of practice guidelines or practice parameters; pharmacoeconomics; quality improvement processes and techniques.</li><li>Knowledge of medication use evaluation principles.</li><li>Ability to remain at a work station and perform computer entry for long periods of time, as required.</li><li>Skills to handle multiple priorities and manage communications professionally to achieve issue resolution with customers, employees, or management</li></ul>PREFERRED JOB REQUIREMENTS:<ul><li>3 years of experience within Pharmacy practice.</li><li>Additional certifications and residency experience.</li><li>Managed care and/or Pharmacy Benefit Management (PBM) experience.</li><li>MTM experience, specialty pharmacy, or government programs knowledge.</li><li>PharmD or bachelor's degree in pharmacy with advanced clinical experience.</li><li>Current registered and unrestricted Pharmacist licensure in the state of residence.</li><li>Completion of a managed care rotation, residency, or relevant clinical program.</li><li>Experience working with Medicare Stars, MTM, or population-health pharmacy programs.</li><li>3 or more years of clinical and/or managed care experience.</li><li>Knowledge of computer applications (Excel, PowerPoint), including pharmacy claims systems.</li><li>Knowledge of regulatory requirements with emphasis on Medicare.</li><li>Ability to travel up to 250 miles to support provider groups.</li><li>Work Hours are in the Central Standard Time Zone and must be willing to work in that Time Zone.</li><li>Strong Presentation and Communication skills</li><li>This is a Clinical Optimization Pharmacy role.</li></ul>The Clinical Optimization Pharmacist is responsible for daily clinical pharmacy activities within the Medicare program. This position supports the development and execution of initiatives that improve the quality and cost-effectiveness of drug therapy in coordination with ambulatory care providers and clinical teams.The position requires limited regional travel (up to 250 miles) to support assigned provider groups.#LI-FW1#LI-RemoteThis is a Remote/Work-From-Home role. Must have an active and unrestricted Pharmacist license in the State of residence.Sponsorship is not availableAre you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!Pay Transparency Statement:At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting <a href="https://careers.hcsc.com/totalrewards" rel="nofollow">https://careers.hcsc.com/totalrewards</a>.The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.HCSC Employment Statement:We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.Base Pay Range$102,000.00 - $184,300.00Exact compensation may vary based on skills, experience, and location.

Health Care Service Corp

Clinical Pharmacist (Clinical Optimization) - Work From Home

Ambulatory Care

Clinical Medicine

Communication Skills

Compensation and Benefits

Computer Workstations

Cost Effectiveness Analysis

Customer Relationship Management (CRM)

Disease

Drug Development

Drug Therapy

Formulary

Government

Incentive Programs

Managed Care

Medicare

Medications

Microsoft Excel

Microsoft PowerPoint

Multitasking

People Management

Pharmacy

Presentation/Verbal Skills

Problem Solving Skills

Project/Program Management

Quality Management

Relational Databases (RDBMS)

Spreadsheets

Systems Administration/Management

Utilization Management

Willing to Travel

Word Processing

Work From Home

Writing Skills

In this part-time remote role, you will be instrumental in managing and nurturing client relationships, ensuring exceptional customer service while promoting our educational mission. You will serve as the primary point of contact for our clients, combining customer service and relationship-driven support to enhance client satisfaction and engagement.

About GFI IkigaiAt GFI Ikigai, our mission is to combat financial illiteracy and uplift communities worldwide. We strive for excellence by providing online tools and in-house training for personal and professional growth. Our platform supports multiple career paths, making financial independence accessible to a diverse group of people. Position Overview: Customer Relations Associate - Part Time RemoteWe are excited to welcome a dynamic and enthusiastic Customer Relations Associate to our team. In this part-time remote role, you will be instrumental in managing and nurturing client relationships, ensuring exceptional customer service while promoting our educational mission. You will serve as the primary point of contact for our clients, combining customer service and relationship-driven support to enhance client satisfaction and engagement. Key Responsibilities <ul><li>Provide excellent customer service as the primary contact for clients, ensuring their total satisfaction and addressing inquiries in a timely manner.</li><li>Engage with clients and associates with professionalism and courtesy to build and maintain positive relationships.</li><li>Educate clients on business concepts, investment options, insurance protection, retirement plans, savings, and estate planning.</li><li>Develop and tailor financial plans, guiding clients through strategies for budgeting, debt reduction, investing, and retirement planning.</li><li>Identify and capitalize on upsell and cross-sell opportunities to increase account value and maintain high levels of client satisfaction.</li><li>No Cold Calling or Door Knocking is Required.</li></ul> Qualifications <ul><li>Must be 18 years or older and a U.S. citizen.</li><li>Background check clearance is required.</li><li>Possess strong verbal and written communication skills and expertise in managing customer relationships.</li><li>Obtain a Life Producer license within the first 2 weeks of employment.</li><li>Proficiency in CRM software (e.g., Salesforce) and basic reporting.</li><li>Ability to interpret account health metrics and summarize them concisely.</li><li>Demonstrate an aptitude for identifying and pursuing expansion opportunities.</li></ul> Preferred Qualifications <ul><li>Experience in customer service, leadership, or management roles is preferred.</li><li>Backgrounds in education, coaching, military, or as elite athletes are a plus.</li><li>Entrepreneurial spirit, self-motivation, and a genuine desire to help others grow.</li><li>Advanced negotiation skills or technical troubleshooting abilities are beneficial.</li></ul> Benefits <ul><li>Flexible scheduling with personalized customization.</li><li>Fully remote position with robust online tools and training for your success.</li><li>Opportunities for leadership development.</li><li>Competitive part-time compensation ranging from $65,000 - $85,000 annually, with potential for advancement based on personal goals.</li></ul> Join GFI Ikigai as a part-time Customer Relations Associate and contribute to our mission of promoting financial literacy and security. We are eager to review your application and explore how we can achieve significant results together!

GFI-Team Ikigai

Customer Relations Associate - Part Time Remote

Background Investigation

Budgeting

Coaching

Cross-Selling

Customer Relations

Customer Relationship Management (CRM) Systems

Customer Satisfaction

Customer Support/Service

Customer Training

Entrepreneurship

Estate Planning

Financial Literacy

Financial Planning

Identify Issues

Insurance

Leadership

Metrics

Military

Negotiation Skills

Retirement Plan

Retirement Planning

Revenue Growth

Salesforce.com

Time Management

United States Citizen

Up-Selling

The Hire Talent

FULL_TIME

OTHER

Serves as TriWest's senior individual contributor and account manager for the Veterans Affairs' (VA) healthcare facilities, regional offices, and Veterans Integrated Services Networks (VISN) in support of the VA Community Care Network (CCN). Operating without direct reports, the incumbent exercises significant independent judgment and works at an executive level of complexity, managing high-stakes external relationships and translating VA operational intelligence into actionable guidance for TriWest senior leadership.

We offer remote work opportunities (AK, AR, AZ, CO, FL, HI, IA, ID, IL, KS, LA, MD, MN, MO, MT, NE, NV, NM, NC, ND, OK, OR, SC, SD, TN, TX, UT, VA/DC, WA, WI & WY only).Our Department of Defense contract requires US citizenship and a favorably adjudicated DOD background investigation for this position.Veterans, Reservists, Guardsmen and military family members are encouraged to apply!Job Summary Serves as TriWest's senior individual contributor and account manager for the Veterans Affairs' (VA) healthcare facilities, regional offices, and Veterans Integrated Services Networks (VISN) in support of the VA Community Care Network (CCN). Operating without direct reports, the incumbent exercises significant independent judgment and works at an executive level of complexity, managing high-stakes external relationships and translating VA operational intelligence into actionable guidance for TriWest senior leadership. The incumbent develops and maintains positive, collaborative relationships with supported health facilities' leadership and respective staffs, network providers, and healthcare beneficiaries within their assigned geographic area of responsibility. The role requires broad and specialized knowledge of the VA Health System, federal healthcare contracting, and the CCN operational environment to independently assess emerging trends, anticipate risks, and formulate recommendations that influence enterprise-level decisions. Internally, the incumbent serves as a trusted advisor to the Chief, Military and Veteran Services and other members of the TriWest senior leadership team, providing expert guidance on VA healthcare operations, contract performance, and stakeholder engagement. Work is performed under broad direction with outcomes reviewed at the leadership level; the incumbent determines approach, method, and priority with minimal day-to-day oversight.Education & Experience Required: • Master's degree in Health Care Administration or a related field • 7 years of executive-level experience and leadership within the VA Health System • Experience in planning and executing complex, large-scale federal healthcare operations Preferred: • Significant experience in Federal healthcare contracts and contract start-up operations • Significant experience within the VA healthcare organizational environment and Community Care Network Contract • Experience in leading VA healthcare operations at a strategic or enterprise levelKey Responsibilities • Provide overarching support and guidance to MVS leadership staff engaged in CCN oversight and operations. • Provide review and assessment of all Network Adequacy Meetings (NAMs) to ensure all risks and escalations are processed and appropriate leadership informed. • Advise MVS leadership on matters relating to the CCN contract and VA healthcare operations. • Intervene with VA offices where necessary and as directed by MVS leadership. • Assist and support the Vice President for VA Performance Management in monitoring appropriate CCN performance measures and keeping MVS leadership informed on all relevant matters. • Collaborate with the Command Center to send, receive, and follow up on issues. • Support contingency operations with the VAMCs and other duties as the ICMOP is further developed. • Assist in engagement with VA/DoD and Services Leadership in CCN Regions 5 and 6 regarding network and operational matters. • Provide a comprehensive perspective of CCN operations and performance and deliver recommendations to optimize the VA and customer experience. • Support strategic planning in anticipation of emerging business trends. • Other duties as assigned.Competencies Communication / People Skills: Ability to influence or persuade others under positive or negative circumstances; adapts to different styles; listens critically; collaborates effectively at all levels. Creativity / Innovation: Develops unique and practical solutions to complex problems; embraces and advocates for necessary change. Empathy / Customer Service: Customer-focused approach; demonstrates listening skills, patience, respect, and empathy for stakeholder perspectives. Independent Thinking / Self-Initiative: Critical thinking with the ability to focus on what matters most to achieving outcomes; produces results without direction and identifies necessary resources autonomously. Information Management: Ability to assess complex, ambiguous information, communicate clearly, and draw sound, defensible conclusions. Leadership: Successfully engages across different styles of employees and stakeholders; leads through influence and expertise rather than direct supervision. Team-Building / Team Player: Influences the actions and opinions of others in a positive direction and builds group commitment without formal authority. Technical Skills: Deep knowledge of the DoD and VA Health Systems; ability to effectively coordinate and influence matrix organizations; expertise in collaboration, public speaking, and executive-level presentations.Working Conditions Working Conditions: • Availability to work non-regular hours as necessary • Remote work, with occasional travel required • Government security clearance requiredTriWest job postings typically include a salary range, which can vary based on the specific role and location, but generally this position ranges from around $236,000 to $212,000 per year.Company Overview Taking Care of Our Nation's Heroes. It's Who We Are. It's What We Do. Do you have a passion for serving those who served? Join the TriWest Healthcare Alliance Team! We're On a Mission to Serve®! Our job is to make sure that America's heroes get connected to health care in the community. At TriWest Healthcare Alliance, we've proudly been on that important mission since 1996.BenefitsWe're more than just a health care company. We're passionate about serving others! We believe in rewarding loyal, hard-working people who are willing to learn as they grow. TriWest Healthcare Alliance values teamwork. Join our team, fulfill your responsibilities, and you may also be considered for frequent pay raises, overtime opportunities to earn even more, recognition and reward programs, and much more. Of course, we also offer a comprehensive and progressive compensation and benefits package that includes: <ul><li> Medical, Dental and Vision Coverage </li><li> Paid time off </li><li> 401(k) Retirement Savings Plan (with matching) </li><li> Short-term and long-term disability, basic life, and accidental death and dismemberment insurance </li><li> Tuition reimbursement </li><li> Paid volunteer time </li></ul>Equal Employment OpportunityTriWest Healthcare Alliance is an equal employment opportunity employer. We are proud to have an inclusive work environment and know that a diverse team is a strength that will drive our success. To that end, TriWest strives to create an inclusive environment that supports diversity at every organizational level, and we highly encourage candidates from all backgrounds to apply. Applicants are considered for positions based on merit and without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or any other consideration made unlawful by applicable federal, state, or local laws.

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Work From Home Government Jobs in Alameda, NM

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Work From Home Government Jobs in Alameda, NM

Clinical Pharmacist (Clinical Optimization) - Work From Home Health Care Service Corp

Customer Relations Associate - Part Time Remote GFI-Team Ikigai

VP, VA Relations TriWest Healthcare Alliance

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