Senior Account Support Analyst - HMIG Highmark IncSenior Account Support Analyst - HMIGCARemoteThis position requires significant expertise within the Stop Loss or employer benefits discipline and involves direct interaction with producers, clients, and sales representatives, and internal stakeholders to ensure comprehensive workflow support on new business and renewal activities. The incumbent will be instrumental in assisting the sales team by managing complex, stop loss sales cycle tasks and acting as a primary point of contact for resolving issues related to RFP intake, underwriting, account implementation, and ongoing group account service.
Supervisor Appeals - Medicare (Remote) in PA or DE Highmark IncSupervisor Appeals - Medicare (Remote) in PA or DEPARemoteThe incumbent is responsible for the direct oversight and/or technical direction of non-clinical staff that make determinations to pay or deny services, identify provider education opportunities, and appropriate referrals to other contractors (Program Safeguard Contractor (PSC) for potential fraud and abuse activities, Qualified Independent Contractor (QIC) for second level appeals, etc…). In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Medical Case Manager - Delaware Highmark IncMedical Case Manager - DelawareDERemoteLicensed Social Worker (LSW)-Non-Specific - State (OR) Licensed Professional Counselor (LPC) - Non-Specific State (OR) Licensed Bachelors Social Worker (LBSW) (OR) Licensed Clinical Social Worker (LCSW) - Non-Specific (OR) Licensed Master Social Worker (LMSW) Non-Specific (OR) Licensed Graduate Social Worker (LGSW) (OR) Licensed Certified Social Worker (LCSW) (OR) Current State RN licensure OR Current multi-state licensure through the enhanced Nurse Licensure Compact (eNLC). The Case Manager assesses member needs, develops and implements care plans, coordinates services, and monitors progress, while containing the cost of health care services.
Social Worker - Remote/Hybrid Central PA., Lehigh County territory Highmark IncSocial Worker - Remote/Hybrid Central PA., Lehigh County territoryLehigh County, PARemoteExecuting as a community-based treatment team, ECCM works in conjunction with PCP's, specialists, hospitals, and post-acute care facilities to meet the social, psychological, and medical needs of patients who have complex conditions or terminal diagnoses. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
Finance Technology Product and Portfolio Lead Highmark IncFinance Technology Product and Portfolio LeadPARemoteStakeholder Management & Communication: Exceptional ability to engage, influence, and communicate effectively with diverse stakeholders, including senior leadership, finance business partners, and technology teams. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy.
NewPharmacist - Case and Disease Management (CMDM) - Remote Highmark IncPharmacist - Case and Disease Management (CMDM) - RemotePARemoteIn connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy. Contact patients, care givers, physicians, pharmacists, etc. to intervene on identified gaps of care using a high level of clinical judgement and discretion.
AI & Mobile Product Manager ERP SuitesAI & Mobile Product ManagerLoveland, OHRemoteCore Competencies: • Product strategy and roadmap development• AI, machine learning, generative AI, and automation concepts• Customer discovery and use case validation• Agile product management and backlog prioritization• Data-driven decision making and KPI development• Cross-functional leadership• UX and workflow design• Executive communication and presentation skills• Risk management, governance, and responsible AI practices Preferred Qualifications: • Experience managing AI, machine learning, generative AI, or automation products.• Qualifications: Required: • Bachelor's degree in Business, Computer Science, Information Systems, Engineering, Data Science, or a related field.• 3+ years of experience in product management, business analysis, software delivery, or technology strategy.•
NewAndroid Developer U-HaulAndroid DeveloperPhoenix, AZRemoteTo ensure a fair and consistent evaluation process, candidates are expected to complete all interviews and assessments independently and without the use of artificial intelligence tools (including AI-generated responses, prompts, or real-time assistance). Strong background in RESTful APIs, JSON parsing, networking (Ktor/OkHttp), and handling offline-first strategies such as caching and local persistence.
Case Manager Registered Nurse - Field (Middlesex County, New Jersey) CVS HealthCase Manager Registered Nurse - Field (Middlesex County, New Jersey)Middletown, New JerseyRemoteWith compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Collaborates with supervisor and other key stakeholders in the member’s healthcare in overcoming barriers in meeting goals and objectives, presents cases at interdisciplinary case conferences.
Licensed Life and Health Insurance Advisor MCILicensed Life and Health Insurance AdvisorRemote, FLRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Republican Fundraising Representative MCIRepublican Fundraising RepresentativeUNAVAILABLE, VARemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Spanish Licensed Health Insurance Agent MCISpanish Licensed Health Insurance AgentUNAVAILABLE, NMRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Licensed Health Insurance Representative MCILicensed Health Insurance RepresentativeUNAVAILABLE, KSRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Sales Support Representative 2 CenterWellSales Support Representative 2OhioRemoteWork 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 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.
Supervisor, Dr Call Pharmacy Technician CenterWellSupervisor, Dr Call Pharmacy TechnicianArizonaRemoteWork 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 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.
Senior Specialty Consultative Pharmacist CenterWellSenior Specialty Consultative PharmacistOhioRemoteWork 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. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Learning Environment Furniture Sales Specialist (Remote-Oregon/Washington) SSI Liquidating IncLearning Environment Furniture Sales Specialist (Remote-Oregon/Washington)Portland, ORRemoteCollaborate with colleagues within the context of School Specialty's team sell model to achieve sales objectives across the entirety of the Company's value proposition, utilizing the breadth and depth of School Specialty's learning environment product offering to grow and penetrate accounts. Job Summary: The Learning Environment Specialist (LES) works collaboratively with the inside and outside sales teams to represent a comprehensive array of products and services utilized to create a 21 st Century Learning Environment.
Sales Support Representative 2 Humana IncSales Support Representative 2OHRemote$43,000–$56,200 / 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. Work 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.
Supervisor, Dr Call Pharmacy Technician Humana IncSupervisor, Dr Call Pharmacy TechnicianTXRemote$59,300–$80,900 / 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. Work 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.
Senior Technology Leadership Professional Humana IncSenior Technology Leadership ProfessionalKYRemote$106,900–$147,000 / 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 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 recommended; wireless, wired cable or DSL connection is suggested.