Trabajos cms en Bayonne, New Jersey - Page 2Crear alertas

REMOTE Summary: • Provide the analytical resources necessary for the development of overall pricing and reserve setting strategies., • Lead projects to analyze current rate structures and develop improvements and alternatives., • Coordinate the actuarial staff as needed to support the activities of the affiliates. Responsibilities: • Work closely with Senior Product Management and Finance to analyze financial performance of blocks of business, including membership, trend, and financial analyses., • Identify opportunities to improve product performance in collaboration with all areas of the organization., • Oversee the development and filing of premium rates for all products with the appropriate regulatory authority (e.g., CMS, New York Dep't of Health)., • Work closely with Risk Adjustment and other areas to optimize risk adjustment and related programs to increase Emblem's premium revenue for these segments., • Supervise and develop direct reports accountable for Medicare and State Sponsored areas, as well as other staff, • Bachelor's degree in Actuarial Science, Mathematics, other physical science, or related finance/business degree required, • Associate of the Society of Actuaries (ASA) required, • 5 - 8+ years relevant professional work experience and/or education required, • 4+ years health insurance actuarial experience, preferably in the managed care industry required, • Prior management experience (processes and/or staff) preferred, • A comprehensive understanding of actuarial principles and methodologies; strong mathematical and analytical skills required, • Ability to communicate effectively with Business leaders required, • Expert level skills with database, spreadsheet, and analytical software required, • Proficiency with MS Office (Word, Excel, Access, PowerPoint, Outlook, Teams, etc.) required, • Strong data querying skills using tools such as SQL or SAS Enterprise Guide preferred, • Capable with data extraction, simulations, automation required Additional Information, • Requisition ID: 1000002838, • Hiring Range: $77,760-$149,040

Summary of Position In support of the EmblemHealth Pharmacy Quality program focused on initiatives to meet corporate STAR goals. As part of the Comprehensive Medication Management Program, conduct interviews, develop, facilitate and communicate a plan of care to remove barriers for members who have been identified as having difficulty with medication adherence. Continuously evaluate plan of care and revise as needed. As part of the Medication Therapy Management Program, conduct and document according to CMS standards annual comprehensive medication reviews. Principal Accountabilities As part of the Comprehensive Medication Management Program: • Conduct patient medication history reviews face to face and telephonically., • Identify barriers to care and work collaboratively with the patient to resolve barriers., • Recommend changes in drug therapy and lifestyle based on information obtained through patient interviews, interactions, objective monitoring parameters, review of drug profiles and the patient medical record., • Identify, resolve, and prevent potential and actual medication-related problems including: untreated indications, improper drug selection, subtherapeutic dosage, overdose, failure to receive medication, adverse drug reactions, drug interactions, and medication without indication., • Provide patient monitoring for evaluating and optimizing patient outcomes, drug utilization and patient compliance, detecting and/or minimizing ADR's, eliminating unnecessary drug use and duplication., • Provide patient education related to the individual's disease state, including predictable actions, side effects, reasons for proper compliance, and any special instruction. Document interactions and care plans within the applicable software. As part of the Medication Therapy Management Program: • Deliver and accurately document in a timely manner MTM services to assess appropriateness of all medications, optimize medication therapy, improve clinical outcomes and serve as a drug information resource to patients and interdisciplinary teams., • Coordinate medication reconciliation across the continuum of care by providing comprehensive reviews, addressing adherence concerns, assisting with patient education and monitoring clinical outcomes to help prevent unnecessary readmissions, lapses in care and adverse drug reactions., • Assist with managing medication costs through cost-effective interventions which may include, but are not limited to formulary and therapeutic interchanges, and assessing unnecessary and/or duplicate medication therapies., • Efficiently assess prescribed medication therapy for unnecessary medications, need for additional medications, ineffective medications, inappropriate doses, adverse drug reactions, and adherence concerns., • Determine appropriate interventions to resolve medication therapy problems, achieve goals of therapy and prevent new medication therapy problems., • Collaborate with prescribers, interdisciplinary care teams, patients and/or caregivers to identify and develop patient-specific disease state therapy goals., • Communicate professionally and discuss/document clinical recommendations/interventions to prescribers and interdisciplinary care teams., • Ensure maintenance and compliance with clinical standards of the CMMP and MTM services provided, and remain up-to-date with clinical knowledge., • Maintain comprehensive knowledge of policies and procedures, and perform in accordance with applicable regulatory and accreditation requirements or standards as they relate to assigned responsibilities and functions., • Aid in the evaluation and maintenance of formulary set-up based on clinical requirements, compliance with regulatory bodies, and P&T rules., • Bachelors' Degree, • PharmD from an accredited college of pharmacy, • Current, unrestricted Pharmacist License in accordance with a respective state licensing board of residency, • MTM training program completion by APhA or PowerPak C.E. preferred, • PGY-1 residency program in community pharmacy/ambulatory care/geriatric pharmacy/managed care pharmacy preferred, • Clinical Pharmacy Board Certified via BPS or NBMTM preferred, • Fluent in an additional one or more languages preferred, • 10+ years of relevant, professional work experience, • 3 - 5 years specific, position-related experience, • Experience with administering CMS Comprehensive Medication Reviews, • Managed care experience, • Strong communication skills, including motivational interviewing, • Strong clinical therapeutic skills; knowledge of appropriate medication dosing in geriatric and adult populations, • Excellent critical thinking and problem-solving skills, • Computer/technology competent, • Industry level understanding of STAR measures and methods for improving service delivery to maximize ratings, • Ability to work independently in a collaborative environment, be self-directed and possess excellent organizational skills, • Ability to work effectively with patients, their families, professionals, and other personnel from a wide range of cultural, social and economic backgrounds, • Ability to communicate professionally with all necessary parties associated with the patient's care plan Additional Information, • Requisition ID: 1000002949, • Hiring Range: $92,880-$178,200

Summary of Job Develop and execute a comprehensive annual Risk Adjustment strategy that supports the Company strategies and improves the quality of care delivered to Emblem members, and to ensure the plan reimbursement accurately reflects the clinical diagnosis of our Medicare, Medicaid, and Affordable Care Act (ACA) members. Develop and execute an annual Provider Risk Adjustment strategy to improve the accuracy of their diagnosis coding through education and engagement of our risk adjustment programs, reimbursement models and the ongoing development/ enhancement of support capabilities that complement their clinical practice model. Prepare and present provider risk adjustment results at all Emblem joint operating committee meetings and monthly risk adjustment operational meetings. Select and manage best-in-class risk adjustment vendors to drive continual improvement in the accuracy of diagnosis coding for Medicare, Medicaid, and ACA members. Manage the ongoing performance, compliance and return on investment for each risk adjustment vendor. Create and maintain a capabilities framework that is member and provider centric and is appropriate given for the clinical and demographic dynamics of members in risk adjusted products. Manage the creation and timely production of risk adjustment operation and financial performance reports for all risk adjustment programs, and lead monthly risk adjustment operation meetings with Emblem leaders for VP, Risk Adjustment. Be a strategic partner with the Actuarial, Quality and Product teams to enhance risk adjustment interventions and results. Establish enterprise-wide monitoring and reconciliation reports to ensure that risk adjustment vendor results are accurately, timely and completely submitted to government entities. Responsibilities • Develop, manage, and improve all retrospective risk adjustment programs to retrospectively identify, retrieve, code and submit diagnostic information from providers on EmblemHealth members enrolled in Medicare, Medicaid, and ACA products; manage all vendor relationships that support these retrospective activities., • Develop, manage, and improve prospective and concurrent risk adjustment programs to ensure accurate capture and reporting of diagnostic information for EmblemHealth members enrolled in Medicare, Medicaid and ACA products., • Work with risk adjustment vendors and providers to execute in office assessment programs through which they 1) identify members based on clinical needs and quality gaps, 2) outreach to patients to encourage them to make office visits to receive services and 3) completely and accurately document all diagnostic conditions., • Manage the In-Home Assessment risk adjustment vendor program., • Manage team completing revenue management opportunities for Medicaid, Medicare and Health Exchange products which includes identification of risk score opportunities, suspects, analysis and tracking of performance and attribution of interventions., • Direct EmblemHealth provider relationship and engagement risk adjustment activities., • Direct interaction with the CFO, CEO and other physician leaders of ACPNY groups and other large, sophisticated medical groups to integrate our programs into the provider's operations., • Analyze data to identify submission trends against historic data and membership changes and recommend opportunities to improve accuracy and completeness of all government submissions., • Bachelor's Degree in Healthcare, Finance, Business, or related field (Required); Master's degree (Preferred), • 10 - 12+ years of relevant, professional work experience (Required), • Experience in healthcare, plan or provider operations and relations or related experience (Required), • Leadership experience - including staff and process management experience (Required), • Risk adjustment knowledge and expertise across Medicare, Medicaid, and Commercial exchange (Required), • Capacity to multi-task at high detail-oriented level (Required), • Strong communication skills (verbal, written, presentation, interpersonal) including executive leaders meeting experience (Required), • Strong working knowledge of MS Office - Word, Excel, PowerPoint, Access, Outlook (Required), • Strong analytical and logical skills paired with strong attention to detail (Required) Additional Information, • Requisition ID: 1000003033, • Hiring Range: $135,000-$253,800

Posting Date 04/06/2026 2406 Amsterdam Ave, New York, New York, 10033-7320, United States of America DaVita is seeking a Licensed Practical Nurse who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be? If you haven't considered Nephrology before, read on as we think that you should. DaVita - which is Italian for "giving life" - is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice. Some details about this position: * No Dialysis experience is required. * Training may take place in a facility or a training clinic other than your assigned home clinic * Float to various facilities during and after your training * You must have a flexible schedule and be able to work mornings, evenings, weekends, and holidays What you can expect: * Build meaningful and long term relationships with patients and their family in an intimate outpatient setting. * Be a part of a team that supports and relies on each other in a positive environment. * Deliver care to patients who are often dealing with multiple co-morbidities which require unique treatment plans and the ability to leverage a broad range of nursing skills and knowledge. * You will work with your head, heart and hands each day in a fast paced environment. What we'll provide: DaVita Rewards package connects teammates to what matters most including: * Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out * Support for you and your family: family resources, EAP counseling sessions, access Headspace, backup child and elder care, maternity/paternity leave, pet insurance, and more * Paid training Requirements: * Current LPN-LVN license in the state of practice required * Current CPR certification required * IV certification required if required by state regulations * High school diploma or equivalent required * Completed training program approved by the medical director and the governing body as required by CMS guidelines prior to operating the water treatment system * BONENT or CHT certification preferred or as required by state regulation * Minimum of one year's experience in a hospital or clinical setting preferred * Basic computer skills and proficiency in MS Word and Outlook required; functional proficiency in computer systems of DaVita within 90 days of hire required) DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives. Ready to make a difference in the lives of patients? Take the first step and apply now. #LI-SY1 At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Wage Range for the role is $30.00 - $44.00/hour. Licensed Practical Nurse ICHD Experienced: $33.75 - $44.00/hour. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. New York Exempt: New York City and Long Island: $66,300.00/year, Nassau, Suffolk, and Westchester counties: $66,300.00/year, Remainder of New York state: $62,353.20/year New York Non-exempt: New York City and Long Island: $17.00/hour, Nassau, Suffolk, and Westchester counties: $17.00/hour, Remainder of New York state: $16.00/hour For location-specific minimum wage details, see the following link: ___ Compensation for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at ___ Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

The Robert N. Butler Columbia Aging Center (CAC), a university-wide center based at the Columbia Mailman School of Public Health, seeks a Staff Associate who has interest in population aging and healthy longevity. This role will support the Center's Director, Dr. Linda Fried, noted epidemiologist and aging expert. Dr. Fried's research has appeared in premier public health journals world-wide, and her work continues to impact public health policy discussions. Her current work explores the Third Demographic Dividend, Healthy Longevity, Experience Corps and the prevention of disability, and the production of a textbook and several series of articles. This role will provide scientific research and related administrative support. RESPONSIBILITIES 60% - Research Support • Research and compile briefing memos on issues related to topics including, but not limited to, aging, chronic disease, and biosocial influences on health and healthy longevity, • Perform literature reviews and synthesize research, • Lead and assist in writing and editing of materials and manuscript preparation, submission and tracking, • Lead and assist with the development and design of presentations for talks for conferences as well as before assemblies of leaders in science, industry and government, • Perform additional related duties or special projects as assigned, • Staff Associate I - Bachelor's degree in public health or scientific research field and 4 years experience preferred, • Staff Associate II - Bachelor's degree in public health or scientific research field and 4 years of experience recommended, • Staff Associate III - Bachelor's in public health or scientific research field and 4-6 years of experience, • Senior Staff Associate I - Bachelor's degree in public health or scientific research field and 6 - 10 years of experience, • Senior Staff Associate II - Bachelor's degree in public health or scientific research field and 10+ years of experience, • Senior Staff Associate III - Bachelor's degree in public health or scientific research field and 15+ years of experience, • Master's degree or Ph.D. in public health, epidemiology, biostatistics or a related field or equivalent combination of education and experience preferred., • Demonstrated interest in aging research a plus, • Excellent interpersonal, written, and verbal communication skills, • Expertise with technology (Office Suite, listservs, digital signage, photoshop/Canva, Zoom, web CMS such as Drupal), • Proficiency in statistical programming software (e.g., R, SAS, STATA) Pay Transparency Disclosure The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

Judi Health is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans, including: • Capital Rx, a public benefit corporation delivering full-service pharmacy benefit management (PBM) solutions to self-insured employers,, • Judi Health, which offers full-service health benefit management solutions to employers, TPAs, and health plans, and Position Summary: This individual will report to the Associate Director of Clinical Programs Business Development and be responsible for supporting the sales and profitability of Capital Rx's suite of clinical programs. This role serves as a primary business development lead for clinical offerings, from opportunity identification, client presentations, to negotiations and contracting. This role will drive clinical programs sales to new and existing PBM clients and foster strategic relationships with consultant groups. The ideal candidate will combine clinical expertise with strategic sales acumen to expand program adoption and deliver measurable value to clients. This is a base salary plus commission role. Position Responsibilities: • Drive the sales strategy for Capital Rx's suite of clinical programs end-to-end from prospecting through close., • Proactively assess client data to identify opportunities, meet with account teams to qualify opportunities, and deliver compelling presentations, proposals, and ROI analyses to prospects to drive clinical program sales., • Develop and implement strategic plans to identify, engage, and close new clinical program opportunities., • Cultivate and manage trusted relationships with pharmacy benefit consultant groups, serving as a subject matter expert for our clinical programs., • Maintain a strong understanding of market dynamics, competitive landscape, and client needs to inform sales strategy., • Contribute to strategic client retention initiatives by aligning clinical programs with client goals., • Demonstrate strong analytical, presentation, and CRM skills to support sales execution and tracking., • Maintain a deep understanding of clinical programs, regulatory requirements (e.g., CMS, NCQA, URAC), and industry trends to effectively position our solutions., • Serve as a liaison between the field and internal product/clinical teams to ensure offerings remain competitive and relevant., • Support implementation handoffs to ensure smooth onboarding of new clients., • Provide market feedback to inform future product development and innovation., • Support general business needs and operations, as required., • All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Minimum Qualifications: • MBA degree and/or certification in sales or business, • 3+ years of applicable experience in a health plan or PBM, or healthcare sales and/or completion of a PGY1 Clinical Pharmacy Residency Program, Managed Care Residency or Fellowship with additional 2+ years of applicable experience, • Exceptional negotiation, presentation, and communication skills with the ability to articulate clinical value propositions to diverse audiences., • Experience engaging or partnering with pharmacy consultant firms, • Working knowledge of pharmacy benefit management, Medicare Part D, and commercial pharmacy benefits, • Ability to analyze data and market trends to inform sales strategy and client recommendations., • Proven track record of meeting or exceeding sales targets and successfully closing complex B2B deals., • Maintain an active, unrestricted pharmacy license in the state of residence, • Ability to balance multiple complex projects simultaneously with minimal direction, • Ability to travel up to 50% Preferred Qualifications: • PharmD, • Experience working with HEDIS, Stars and PQA pharmacy quality measures, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Experience with Confluence, Jira, Tableau, • Highly detail-oriented and analytical Visa Sponsorship: Capital Rx does not provide sponsorship to any candidates. This includes, but is not limited to those that require H1-B, TN, OPT, etc. Candidates must have authorization to work in the US at the time of application and throughout employment. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Salary Range$90,000—$140,000 USD All employees are responsible for adherence to the Capital Rx Code of Conduct including the reporting of non-compliance. This position description is designed to be flexible, allowing management the opportunity to assign or reassign duties and responsibilities as needed to best meet organizational goals. Judi Health values a diverse workplace and celebrates the diversity that each employee brings to the table. We are proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, medical condition, genetic information, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. By submitting an application, you agree to the retention of your personal data for consideration for a future position at Judi Health. More details about Judi Health's privacy practices can be found at___.

Manages all non-clinical aspects of member and provider appeals and grievances to ensure accurate intake, validation, timely case processing, and compliance with federal, state, and internal policy requirements. This role performs case setup, triage, documentation tracking, letter drafting, correspondence management, and coordination with clinical and operational teams. The coordinator supports member advocacy by ensuring each case proceeds through the proper workflow with a high degree of accuracy, professionalism, and regulatory adherence. * Review newly created cases to confirm accurate classification or reassignment to correct classification as necessary. * Review history and identify additional information that may be required as part of the investigation. * Respond in a timely manner to written and/or verbal appeals and grievances submitted by members and providers in accordance with Elderplan Contract Benefits, CMS, and DOH regulations. * Documents all relevant information in the Appeals and Grievances determination process within the appropriate designated areas of the A/G system. * Maintain regulatory compliance and company policy through thoughtful management of assigned caseload. * Presents cases to the Appeals & Grievances File Review Team as needed. * Successfully complies with the accuracy of case files in key performance indicators during monitoring and auditing activities (95% of audited case files) • Meet or exceed timeliness standards for all assigned cases, • Associates Degree required. BA/BS Degree preferred, • Minimum 2 years A&G or Member Service experience required, • Knowledge of Medicare or Medicaid

Great benefits. Competitive pay. We know these are some of the things people look for in a job. If you're the kind of person who believes that honoring and empowering our nation's veterans is more than just a cause - that it's a calling - then we're ready to meet you. When you join Wounded Warrior Project (WWP), you're committing to making a difference. We make a commitment to you, too - helping you to find that spark, ignite your passion to serve, and embark on a career with meaning and purpose. At WWP, we recognize our mission cannot be accomplished without our talented teammates, which is why we're proud to offer benefits such as: • A flexible hybrid work schedule (three days in the office, two days' work from home), • Full medical, dental, and vision coverage for both teammates AND family members, • Competitive pay and performance incentives, • A fun, mission-focused, and collaborative team environment A mission that matters is just the beginning, so if you're ready to get started, we're ready for you. The Wounded Warrior Project (WWP) Website Administrator II oversees all aspects of the website, from change coordination and control, development, website security, and governance. The Website Administrator II will be the central coordinator for all website input and will work with other team members to create and implement website content types, design, and architecture that meets business objectives and user needs. DUTIES & RESPONSIBILITIES * Lead the comprehensive management of the WWP website to include any changes and development. * Collaborate with internal and external stakeholders to gather requirements, coordinate priorities, and plan additions and changes to the website. Ensure effective communication and alignment of goals to meet business objectives. * Design and plan technical solutions that align with business requirements. Evaluate and recommend appropriate technologies, platforms, and frameworks to optimize the website's functionality and user experience. * Oversee the Umbraco CMS platform and other content management systems (CMS). Ensure smooth operation, maintenance, and customization of the CMS solutions to meet WWP's specific needs. * Monitor WWP web-based systems for availability, uptime, and performance. * Ensure that websites are optimized for performance, search engine optimization (SEO), and accessibility. * Review and execute ongoing web support requests and respond to the administrative needs of users. * Process daily requests for changes and adhere to the WWP's Change Control Process. * Develop reports, dashboards, and processes to continuously monitor data quality and integrity. * Write clean, scalable code using .NET programming languages. Gather functional and technical requirements for web projects to ensure compliance with coding standards and best practices. * Define website objectives by analyzing user requirements and system features and functionality. * Work with various functions and end users to identify, document, and communicate standard business processes relating to WWP websites. Support users to develop documentation and assistance tools. * Compare advantages and disadvantages of custom development and purchase alternatives and work with leadership to identify system solutions. Leverage comprehensive understanding of website products and platforms to provide relevant adoption and technical recommendations for solutions and enhancements customized to WWP's business needs. * Work with the IT trainer to develop and update training plans, materials, and documentation for users. Coordinate new user and ongoing training sessions. * Develop a trusted advisor relationship with business partners, key stakeholders, and executive sponsors to closely align website activities with the business strategy and realize the full potential of their web solution. * Maintain current job knowledge; research new web technologies and software products, read professional publications, and participate in educational opportunities and with professional organizations as appropriate. * Attend and actively participate in required training and/or meetings, including but not limited to New Teammate Orientation, WWP Cares, ASIST Suicide Prevention training, Leadership training, culture/team based training, or departmental huddles. * Other related duties as assigned. KNOWLEDGE, SKILLS, & ABILITIES * Demonstrated proficiency in HTML, CSS, JavaScript, or other programming languages. * Strong collaboration skills. Demonstrated ability to work effectively as a teammate, identify and resolve problems, and accomplish goals and objectives. * Demonstrated understanding of deployment, security, authentication, and data protection principles. * Strong project management skills. Demonstrated ability to drive projects to successful outcomes, providing excellent customer service to ensure project success and client satisfaction. * Strong working knowledge of professional web development with sites using a CMS. * Demonstrated understanding of ASP.NET, .NET, MVC, and Microsoft Visual Studio. * Demonstrated proficiency in SQL database queries and stored procedures. * Strong analytical and problem-solving skills with the ability to analyze information to identify problems. * Demonstrated understanding of DNS and domain name management. * Demonstrated understanding of single sign-on, REST APIs, and integration technologies. * Strong understanding of SEO and analytics. * Ability to adapt quickly to changing priorities and manage multiple deadlines within a fast-paced, changing environment. * High energy level. Self-starter; willing to take initiative. * Demonstrated ability to exercise confidentiality and good judgment when working with sensitive issues. * Excellent verbal and written communication skills. Exceptional interpersonal skills. Demonstrated ability to effectively communicate with users from diverse skill levels. * Unequivocal commitment to the highest standards of personal and business ethics and conduct. * Mission-driven, guided by core values, and a pleasure to work with. EXPERIENCE Requirements * Five years of website administration, website development or implementation of websites. * Three years of experience developing professional websites using .NET framework. * Three years of experience working with a CMS. * Two years of experience working with SQL. * Experience working with REST APIs and testing tools such as Postman. Preferences * Three years of experience working with software and hardware vendors. * One year of experience with Salesforce integrations and Azure website hosting. * Experience with content delivery networks (CDNs). * Experience with Umbraco CMS and Umbraco Forms. * Experience with accessibility testing tools (e.g., screen readers) and WCAG standards. EDUCATION Requirements * Bachelor's degree in computer science, information systems or related field. Equivalent combination of applicable education, training, certification, and experience may be considered in lieu of degree. Preferences * None. CERTIFICATIONS & LICENSURE Requirements * None. Preferences * None. WORK ENVIRONMENT/PHYSICAL DEMANDS * General office environment; temperature controlled. * Sitting for extended periods. * May require lifting/carrying items up to 20 pounds. * Up to 10% travel. We recognize the success of our mission depends on the efforts of our passionate, hard-working teammates. To help teammates remain focused on the warriors and families we serve, WWP offers a comprehensive benefits package that includes; Medical/Prescription drug, Dental, Vision, Life/AD&D, Short-term Disability, Long-term Disability, and an Employee Assistance Program. WWP also offers a 401(k)-retirement plan, a competitive PTO package, Sick Leave, Family Care Leave, Paid Holidays, Birthday Holiday, Education Assistance, Teammate Wellness Program and Bereavement Leave. For Chicago, IL Applicants: The estimated hiring range for this position is between $98,918 - $123,648 annual base salary,subject to a candidate's combination of experience, qualifications, and credentials. This position may also be eligible for an annual performance incentive. For Washington, D.C. Applicants: The estimated hiring range for this position is between $103,219 - $129,024 annual base salary,subject to a candidate's combination of experience, qualifications, and credentials. This position may also be eligible for an annual performance incentive. For New York Applicants: The estimated hiring range for this position is between $107,520 - $134,400 annual base salary,subject to a candidate's combination of experience, qualifications, and credentials. This position may also be eligible for an annual performance incentive. *ca-ml #LI-HYBRID Wounded Warrior Project is an equal opportunity employer committed to providing equal employment opportunity to all persons without regard to race, color, religion, national origin, gender, gender identity, sexual orientation, marital status, citizenship, age, veteran or military status, disability, genetic information, or any other characteristic protected by law. Please note: Wounded Warrior Project is not seeking assistance or accepting unsolicited resumes from search firms without a written search agreement in place. All resumes submitted by search firms to any employee at Wounded Warrior Project via email, the Internet or directly to hiring managers at Wounded Warrior Project in any form without a valid written search agreement in place will be deemed the sole property of Wounded Warrior Project, and no fee will be paid in the event the candidate is hired by Wounded Warrior Project as a result of the referral or through other means."

Summary of Job Perform provider and member outreach to reconcile member records and validate data entry to support continuous quality improvement in Healthcare Effectiveness Data and Information Set (HEDIS) rates and STAR measures for the enterprise. Facilitate provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes. Daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care. Support efficient medical record retrieval for HEDIS medical record review and HEDIS supplemental data collection activities. Track calls for all lines of business related to the MTM, OMW, and Medication Adherence quality measures, reporting weekly completion statistics. Produce and process department mailings to members and physicians. Monitor internal mailboxes for department faxes and calls. Collaborate with internal departments in order to administer the MTM, OMW, and Medication Adherence quality measures. Responsibilities • Work closely with Clinical Pharmacist(s), Registered Nurses and Data Analyst(s) to prioritize members for outreach who fall in HEDIS measures including but not limited to Medication Adherence and OMW (Osteoporosis Management in Women who had a fracture) and the STAR measure MTM (Medication Therapy Management) Program., • Perform daily telephonic outreach to secure appointments with pharmacists and/or vendors to close gaps in care supporting Enterprise goals., • Perform daily provider and member outreach supporting the MTM, OMW, and Medication Adherence quality measures to ensure member receipt of important clinical services to improve member health outcomes., • Prepare and execute member and provider mailings., • Collaborate with providers and internal departments to ensure the receipt and correct processing of all supplemental data related to HEDIS claims and records and assist in correcting discrepancies., • Maintain high data integrity while adhering to HIPAA standards and protecting patient information., • Perform provider outreach to verify and document member's appropriate medical diagnoses and subsequent treatments both by telephone and in writing., • Coordinate call tracking and provide statistics to stakeholders., • Intake and organize data from other departments while ensuring proper compliance with all CMS regulations, policies and procedures., • High School Diploma (Required), • College Degree (Preferred), • Pharmacy Technician License (Preferred), • Minimum of 1 year direct customer service experience in a healthcare setting (Required), • Excellent telephonic and customer service skills (Required), • Experience analyzing data and building action plans based upon data outcomes (Required), • Personal motivation to achieve set goals (Required), • Flexibility and ability to adjust workflow to achieve company goals (Required), • Experience with or knowledge of Electronic Medical Records (Preferred), • Knowledge of or experience with HEDIS, STAR ratings, and/or quality improvement (Preferred), • Experience in a managed care health services environment (Preferred), • Experience in data collection, data entry and analysis (Preferred), • Knowledge of Excel and other analytical tools (Preferred) Additional Information, • Requisition ID: 1000002961, • Hiring Range: $39,960-$70,200

160 Hours of PTO and 4 Day Work Weeks This Jobot Job is hosted by: Jacob Wolf Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $90,000 - $120,000 per year A bit about us: We are a reputable mid level personal injury law firm dedicated to providing exceptional legal services to our clients for over 25 years. Our team is committed to excellence, and we are currently seeking a skilled and motivated Pre-Litigation Attorney to join our dynamic team. This position can be in office, hybrid, or remote. Monday to Thursday, 8:30 am to 5:00 pm, closed on Friday's! We are seeking a motivated and experienced Pre-Litigation Attorney to join our team. The ideal candidate should have a minimum of 2 years of experience in personal injury law (Washington State) and will be responsible for managing pre-litigation cases from intake through settlement disbursement. Why join us? ? 4 day work week ? 160 hours PTO after 90 days ? Competitive salary + incentives based on experience ? Competitive health insurance plan ? 401k after 1 year Job Details Key Responsibilities: ? Be the leader of a team of 2 Case Managers and 2 Legal Assistants and 275 cases ? Excellent at managing multiple cases simultaneously in a fast-paced environment ? Ability to work well with others and enjoy a team environment ? Conduct initial client consultations and case evaluations ? Communicate professionally with clients, insurance adjusters, and medical providers ? Draft demand letters and negotiate settlements ? Maintain organized case files and documentation in Filevine or similar CMS ? Collaborate with other attorneys and staff to ensure comprehensive case management ? Provide exceptional client service and support throughout the pre-litigation process Qualifications: ? Happy and dedicated to helping others ? Knowledge of Ai tools ? Juris Doctor (JD) degree from an accredited law school ? Active license to practice law in Washington State ? Minimum of 2 years of experience in personal injury law, with a focus on pre-litigation ? Strong negotiation and communication skills ? Detail-oriented with excellent organizational abilities ? Ability to work independently and as part of a team Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

\n\n\n\n\n Job Summary: \n\n The Medication Safety Regulatory Compliance Pharmacist is responsible for designing, implementing, and monitoring medication safety programs and ensuring ambulatory pharmacy compliance with state and federal regulations. This role leads proactive and reactive safety initiatives across all but not limited to clinica'based ambulatory care, retail, specialty, maila'order, infusion centers, and pharmacist-led ambulatory services. \n\n \n\n \n\n Responsibilities: \n\n\n\t • Lead the development, implementation, and oversight of ambulatory medication safety programs.\n\t, • Conduct roota'cause analyses (RCA), failure mode and effects analyses (FMEA), and event reviews related to medication errors, near misses, or process failures.\n\t, • Develop and maintain a standardized medication safety reporting structure for ambulatory care settings.\n\t, • Analyze medication event data to identify trends and propose systema'level improvements.\n\t, • Serve as subject matter expert for safe prescribing, dispensing, storage, administration, and monitoring of medications across ambulatory workflows.\n\n\n\n\t, • Ensure compliance with Board of Pharmacy, DEA, FDA, USP (including USP 795/797 for applicable ambulatory infusion), CMS, HRSA (340B), and state/federal regulations.\n\t, • Prepare ambulatory pharmacy operations for regulatory surveys, audits, and accreditation visits (URAC, ACHC, CPPA, or healtha'system accreditation).\n\t, • Maintain policies, procedures, and audit tools to ensure consistent regulatory alignment across all sites.\n\t, • Conduct routine compliance audits of clinics, retail/specialty pharmacies, and infusion locations.\n\t, • Lead corrective action plan development and followa'up following audits or regulatory findings.\n\n\n\n\t, • Collaborate with interdisciplinary teams to design and implement higha'reliability medication practices.\n\t, • Develop safetya'focused education and training for pharmacists, technicians, medical assistants, and providers.\n\t, • Evaluate new technologies (automation tools, ADCs, EPIC/Willow enhancements, dispensing systems) for their impact on medication safety.\n\n\n \n\n \n\n \n\n Qualifications/Requirements: \n\n Experience: \n\n\n\t • 35 years of pharmacy experience in ambulatory, hospital, specialty pharmacy, or related clinical setting. \n\t, • Strong working knowledge of pharmacy regulations (state Board of Pharmacy, DEA, FDA). \n\t, • Experience with medication safety, quality improvement, or regulatory readiness. \n\t, • Proficiency with EHR and pharmacy systems (e.g., EPIC/Willow)\n\n\n \n\n Education: PharmD required; advanced degree (MS, MHA, MBA, or MPH) preferred.. \n\n \n\n Licenses / Certifications: Current NYS pharmacist license required, or eligible to obtain within 90 days of hire. \n\n Other: \n\n\n\n\n

• Job Type: Officer of Administration, • Regular/Temporary: Regular, • Hours Per Week: 35 The Division of General Medicine/Hospitalist Program seeks a highly motivated and detail-oriented Administrative Coordinator to provide comprehensive administrative support fully onsite at the Columbia University Medical Center. Reporting jointly to the Divisional Administrator and the Medical Director of the Hospitalist Program, this role supports both leaders and the broader Hospitalist office team. The ideal candidate will possess strong organizational skills, the ability to manage multiple priorities simultaneously, and a proactive approach to problem-solving. This position plays a key role in ensuring the smooth operation of the Hospitalist Program, including managing calendars, coordinating meetings, maintaining office systems, and supporting recruitment and scheduling efforts. The Administrative Coordinator will also be a member of the division's core administrative team, collaborating with colleagues in People & Culture, IT, and Procurement to support division-wide initiatives such as events and communications. Responsibilities • Serve as the primary liaison between the divisional administrative team and the Hospitalist group., • Provide administrative support to over 35 physicians and 75 physician assistants at Milstein Hospital., • Manage physician scheduling, maintain the Medical Director's calendar, coordinate meetings, and support working groups and social events., • Facilitate recruitment efforts, including preparing interview itineraries and escorting candidates., • Oversee the Hospital Medicine administrative office, including responding to external inquiries, submitting facilities requests, and maintaining office supplies and organization., • Administer the Hospitalist moonlighting program, including scheduling and monthly payroll submissions., • Support clinical appointment and reappointment processes in collaboration with the Manager of People & Culture., • Track professional practice evaluations, expirables, compliance documentation, and Medicaid recertifications., • Participate in weekly core administrative team meetings and assist with division-wide events such as grand rounds, retreats, and holiday gatherings., • Bachelor's degree or equivalent combination of education and experience., • Proficiency in Microsoft Office Suite (Excel, Word, PowerPoint, Outlook, Teams)., • Ability to handle sensitive and confidential information with discretion., • At least two years of relevant administrative experience., • Experience with EPIC and Amion (or similar scheduling systems)., • Ability to quickly learn new platforms (e.g., Columbia website CMS, Symplr, ARC, Interfolio). Columbia University is committed to the hiring of qualified local residents.

The New York County District Attorney's Office is seeking a Court Part Data Specialist in its Case Management Services department (CMS). CMS is responsible for the operations, administrative, data entry, data, and discovery analysis for the entire office. In this position, the Court Part Data Specia

Job Description Staff Management Group is seeking a Warehouse Sorter for our client in Secaucus, NJ. Please read the ENTIRE job description and ALL of the job requirements BEFORE applying for this position. Schedule: • 1st Shift: 9AM - 5PM, • Monday - Friday, • Plus overtime Pay Rate: • $18 / hour Job Summary: We are hiring a full-time, temporary Sort Associate to join our team at the Renew Warehouse Center in Secaucus, NJ. The Sort Associate will be a key contributor to our circularity mission, primarily responsible for sorting and processing pre-owned garments and providing essential support for recycling center inventory operations. Job Responsibilities: Processing & Quality Assurance • Execute the primary sorting process by conducting Quality Assurance (QA) checks and categorizing all incoming EILEEN FISHER garment donations., • Accurately sort garments based on specific classifications, fabric content, and condition to determine their next phase (e.g., Renew, recycling, donation)., • Maintain data integrity by using the Warehouse Management System (WMS) to enter data and validate information related to processed inventory., • Ensure the organization and maintenance of all sorted inventory categories., • Actively work to maximize storage efficiency and space utilization within the sorting and recycling centers., • Partner with team members to effectively manage the flow of all incoming and outgoing product., • Pick and stage product in preparation for external processes, such as cleaning services., • Support sustainability efforts by breaking down cardboard boxes and managing materials for recycling. Job Requirements: • MUST be bilingual - English AND Spanish, • Education: Retail Equivalent Experience or some College Preferred, • Retail experience is required; knowledge of clothing is a plus., • Strong communication and interpersonal skills are essential., • Highly organized with excellent attention to detail., • Proficient in Microsoft applications (Excel, Word)., • Must possess strong written and verbal communication skills in both languages. Physical & Schedule Requirements: • Ability to lift up to 50 lbs., • Must be able to stand for extended periods of time., • Must be able to perform physical tasks as needed, including bending, reaching, twisting, and overhead tasks. Required Skills & Experience: • Knowledge of fulfillment operations and merchandise flow or other relevant experience, • MS Excel and experience using Warehouse Management System (WMS), MI9, Epiphany (CS system) & CMS (Retail Store system), • Excellent organization and written & verbal communication skills., • Able to work in a highly collaborative work environment., • Demonstrates analytical and problem-solving skills., • Must be both detail-oriented and able to see bigger picture., • Effective organizational skills and ability to prioritize and meet deadlines in a fast-paced environment critical. Additional Information Staff Management Group is an equal employment opportunity employer, and all qualified applicants will receive consideration for employment without unlawful discrimination based on race, color, creed, national origin, sex, age, disability, marital status, sexual orientation, or citizenship status. About Staff Management Group: Staff Management Group has over 30 years of experience placing staffing candidates in distribution, manufacturing, production, assembly, and clerical positions. Staff Management Group is one of New Jersey’s leading staffing and recruiting agencies specializing in light industrial and clerical staffing. Come join the team! #IND1

The New York County District Attorney's Office has multiple openings for Discovery Specialists in the Case Management Services department (CMS) for Case Support Services (CSS). CMS is responsible for the operations, administrative, data entry, data, and discovery analysis for the entire office. In t

In this position, the Discovery Specialist is responsible for providing highly skilled support to CMS and the office, as well as the CMS managers. The New York County District Attorney's Office has multiple openings for Discovery Specialists in the Case Management Services department (CMS) for Case

Provide comprehensive in-court support in Criminal Court Arraignment Parts to ensure optimal court operations. The Court Part Support Specialist is responsible for in-court support (especially in the arraignment parts) and clerical support to KCDA's Case Management Services Unit. CMS data is relied

The New York County District Attorney's Office is seeking a Court Part Data Specialist in its Case Management Services department (CMS). CMS is responsible for the operations, administrative, data entry, data, and discovery analysis for the entire office. In this position, the Court Part Data Specia

Position Summary The Division of Nephrology at Columbia University in New York is seeking an academically oriented Transplant Nephrologist to join our expanding kidney transplant program. The successful candidate will provide comprehensive care to kidney transplant recipients and living donors, participate in multidisciplinary transplant activities, and contribute to the Division's clinical, educational, and research missions. This position offers opportunities for academic advancement within a vibrant and collaborative environment. Key Responsibilities • Provide inpatient and outpatient clinical care to kidney transplant recipients, candidates, and living donors., • Participate in kidney transplant evaluation, selection, and follow-up in collaboration with transplant surgeons, coordinators, pharmacists, and other multidisciplinary team members., • Manage immunosuppressive regimens and post-transplant complications in accordance with best practices and institutional protocols., • Engage in transplant quality assurance and compliance activities with UNOS, CMS, and institutional regulatory bodies., • Contribute to the education and training of nephrology fellows, residents, and medical students., • Participate in and/or develop clinical, translational, or basic science research related to kidney transplantation., • Collaborate with faculty across departments to promote innovation and excellence in patient care and scholarship. Minimum Qualifications • MD or DO (or equivalent) from an accredited institution., • Board certification or eligibility in Nephrology., • Completion of an AST-accredited Transplant Nephrology Fellowship (or equivalent)., • Eligible for medical licensure in New York State., • Experience in an academic medical center or large-volume transplant program., • Record of scholarly activity, including publications or funded research. Pay Transparency Disclosure The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

The Robert N. Butler Columbia Aging Center (CAC), a university-wide center based at the Columbia Mailman School of Public Health, seeks a Staff Associate who has interest in population aging and healthy longevity to build one of the CAC's key core areas: Programming and Education. The primary role is two-fold: to build disciplinary and interdisciplinary research connections at all levels of Columbia's scientific community and (2) to devise and administer core education and science programming that highlights the CAC's leading position both within the field nationally/internationally as well as across the entirety of Columbia University with the ultimate goal of positioning CAC as a primary aging research hub. The individual in this role at the Center will work closely with the Center Director and leadership on the research development of the CAC, demonstrate efficiency and diplomacy in advancing the Center internally and externally on behalf of the Director, and oversee the Center's strategic initiatives and partnerships. The individual will autonomously cultivate and maintains scientific relationships across all levels of Columbia research community and advances the mission of the Center by: • Raising the Center's profile on the Morningside, Manhattanville and Medical Center campuses through research initiatives, events, partnerships and collaborative programming as well as through communications duties such as writing news items for the Center's website and generally keeping the website up to date., • Organizing the Center's various speaker series and events and defining desired audiences for each in collaboration with the Center Director and CAC faculty., • Administering the Center-initiated University Seminar "The Future of Aging Research", a quarterly dinner seminar co-chaired by three faculty members from disciplines representing biological, behavioral and contextual aspects of aging and a core faculty of over 50 tenure-track academic members; managing the seminar's student rapporteur., • Administering any pilot research and/or fellowship programs, student practicum fellowships and student awards that CAC initiates., • Partnering with the CAC's ILC-USA on the administration of CAC's signature press training program and maintaining relationships with its alumni., • Working with development to cultivate and steward potential project donors, sponsors and/or advisory committee., • Maintains website, listserv and targeted audience mailing lists; creates Center's newsletter and manages Center's social media profile in collaboration with Columbia Mailman's communications team. Qualifications include demonstrated work experience in programming, research coordination, event management, communications roles; excellent oral and written communications skills; expertise with technology (platforms include Office suite, listservs, RISE Digital, photoshop/Canva, Zoom, web CMS such as Drupal, etc.) and excellent project management and team management experience. * Staff Associate I - Bachelor's degree in public health or scientific research field and 4 years experience preferred • Staff Associate II - Bachelor's degree in public health or scientific research field and 4 years of experience recommended, • Staff Associate III - Bachelor's in public health or scientific research field and 4-6 years of experience, • Senior Staff Associate I - Bachelor's degree in public health or scientific research field and 6 - 10 years of experience, • Senior Staff Associate II - Bachelor's degree in public health or scientific research field and 10+ years of experience, • Senior Staff Associate III - Bachelor's degree in public health or scientific research field and 15+ years of experience. Master's degree preferred. For Sr. Staff Associate I, II and II, Master's degree or equivalent combination of education and experience preferred. Subject to business needs, we may support flexible work arrangements. Options will be discussed during the interview process. Appointments are made on a fiscal year basis and are eligible for renewal each July 1st, contingent upon performance and funding. The search will remain open for at least 30 days after the ad appears and will continue until the position is filled. Projected start date will be January 1, 2026, or open until filled. Columbia University benefits are offered with this Officer of Research appointment. Columbia University is an Equal Opportunity Employer / Disability / Veteran Pay Transparency Disclosure The salary of the finalist selected for this role will be set based on a variety of factors, including but not limited to departmental budgets, qualifications, experience, education, licenses, specialty, and training. The above hiring range represents the University's good faith and reasonable estimate of the range of possible compensation at the time of posting.

• Job Type: Officer of Administration, • Bargaining Unit:, • Regular/Temporary: Temporary, • End Date if Temporary: 10/30/26, • Hours Per Week: 35, • Standard Work Schedule:, • Building: Wallach Hall Reporting to the Director, Strategic Engagement, theHealth CommunicationsAssociate contributes to the coordination, execution, maintenance, and project management of communications for Columbia Health-Columbia University's student health services serving the Morningside, Manhattanville, and select affiliate campuses. This role exercises independent decision-making to guide and help advance communications deliverables across a range of service areas, including medical services, mental health, disability access, health promotion, student health insurance, sexual violence prevention, and organizational initiatives. This is an essential staff, on-site, six-month temporary role. Please note that visa sponsorship is NOT available for this role. Responsibilities * General Communications (40%) • Preparingnew staffwelcome kit, including email and website updates, • Triaging incoming communications requests and monitoring student media, • Liaising with on- and off-campus vendors (print, custom materials, signage, etc.), • Review and update onsite signage in conjunction with the Facilities Manager, • Provide copy-editing support, link and QR code function checking for digital and print deliverables, • Updating website content and digital signage, • Designing and deploying email communications (Mailchimp), • Maintaining the Columbia Health Creative Catalog, • Supporting outreach and promotional efforts through school- and University-wide channels, • RepresentingColumbia Health at student facing events and tabling sessions, • Supporting new student orientation, • Assistingwith all aspects of internal and external event and meeting logistics (in person and virtual, includingwebinars) Minimum Qualifications • Bachelor's degree and/or its equivalent experience., • 0-2 years of direct experiencein communications, marketing, public affairs, or very closely related roles., • Website management experience, including editing and publishing via a CMS., • Email marketing experience., • Strong organizational and project tracking skills, with the ability to manage multiple deadlines simultaneously., • Experience coordinating with external vendors, including print, creative, or technical partners., • Excellent written and verbal communication skills, with the ability to distill complex topics for student audiences., • Comfortrepresentingan organizationat outreach, tabling, and expo-style events., • Proficiencyin Microsoft Office tools, including Word, PowerPoint, Excel, and Outlook., • Ability to work independently, prioritize tasks, andanticipateneeds across concurrent projects., • Experience withhealth communications, health promotion, or well-being related topics., • Experience withgraphic design and video editing tools(e.g., Canva, Adobe Creative Suite, iMovie)., • Experience using PowerAutomate, Microsoft Forms, or similar workflow tools., • Formalproject management experienceor training., • Demonstrated experience in higher education or non-profit organizations., • Direct experience with Drupal, Mailchimp, Zoom/Teams, and similar systems. Equal Opportunity Employer / Disability / Veteran Columbia University is committed to the hiring of qualified local residents.

As part of our ZOLL CMS Sales Team, you will be responsible for selling our non-invasive wearable cardiac defibrillator system, and other ZOLL products such as our portfolio of cardiac diagnostic services to Health Care Professionals in the hospital and out of hospital setting. Responsible for selli

Amsterdam Nursing Home is hiring a Certified Nurse Assistant (CNA) to work on the weekends in the heart of New York City. Certified Nurse Assistant (CNA). Having consistently earned a 5-star rating from CMS, we are proud to be ranked among the best nursing homes by the US News and World Report.

As part of our ZOLL CMS Sales Team, you will be responsible for selling our non-invasive wearable cardiac defibrillator system, and other ZOLL products such as our portfolio of cardiac diagnostic services to health care professionals in the hospital and out of hospital setting. Become a company expe

About NovaNav NovaNav is a provider-first patient engagement and recovery optimization platform designed to assist hospitals, health systems, and ambulatory surgical centers (ASCs) to enhance operational efficiency, patient outcomes, and compliance with CMS mandates.Our AI-powered platform automates

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. NYC Health + Hospitals/Carter is a state-of-the-art facility with a 4-Star CMS Quality Rating, equipped with 164-bed Skilled Nursing Facility and 201-bed Long-Term Acute Care Hospital (LTACH) b

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Comprehensive Health Benefits for employees hired to work 20+ hrs. NYC Health + Hospitals/Carter is a state-of-the-art facility with a 4-Star CMS Quality Rating, equipped with 164-bed Skilled N

We are seeking a hands-on CMS Platform Publishing / Web & Digital Content Operations Manager to support and operate a large internal marketing platform used by thousands of global stakeholders. Manage day-to-day operations of a large internal CMS platform with 300+ pages. Ensure platform stability,

Deep knowledge of CRM (InterAction), CMS (WordPress), and marketing automation platforms (Vuture, Marketo, HubSpot, Pardot, Salesforce Marketing, or similar). Oversee all marketing systems (CRM, CMS, marketing automation, analytics, email, social, digital asset management) to ensure integration, rel

The New York County District Attorney's Office is seeking a Court Part Data Specialist in its Case Management Services department (CMS). The New York County District Attorney's Office is an inclusive equal opportunity employer committed to recruiting and retaining a diverse workforce and providing a

The Chamber Music Society of Lincoln Center (CMS) invites applications for the position of Controller, a pivotal role at the world’s premier chamber music institution. CMS is renowned for its innovative performances, global reach, and dedication to elevating the art of chamber music both on stage

Responsible for the hands-on execution, validation, and maintenance of multilingual web content across our website using our Content Management System (CMS) built on Adobe Experience Manager (AEM); Digital Asset Management (DAM); and custom web tools. Role: Digital Content Coordinator - AEM & DAM. E

Job Description Position: Clinical Pharmacy Manager Location: Hybrid (Must Reside in NY/NJ/CT) Compensation: $153,978.55 - $173,225.87 Join VillageCare as a Clinical Pharmacy Manager and step into a role that empowers you to make a significant impact on patient care. You will lead innovative pharmacy services while collaborating with a dedicated team focused on excellence. This position offers a competitive salary range of $153,978.55 - $173,225.87, reflecting our commitment to attracting top talent in the healthcare industry. Your expertise will help shape our clinical initiatives and improve the health outcomes of our diverse community. By becoming part of a customer-centric organization, you will solve complex problems and drive forward-thinking solutions in a rapidly evolving landscape. Take this opportunity to contribute to transformative care and elevate your career in an organization that values integrity and high performance. VillageCare: What drives us VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years. Your day to day as a Clinical Pharmacy Manager As the Manager of Clinical Pharmacy at VillageCare, reporting directly to the Director of Clinical Pharmacy, you will play a vital role in managing and overseeing clinical pharmacy programs. This operation-centric position demands a dedicated and detail-oriented individual who will be responsible for the comprehensive oversight of the pharmacy department. You will review medical data to facilitate prior authorization for specialty medications, ensuring medication adherence. In collaboration with the clinical pharmacy team, you will coordinate clinical services, oversee pharmacy compliance requirements, and support various teams, including Prior Authorization, Case Management, and Quality. Your leadership will extend to managing clinical pharmacy staff, including pharmacy technicians and care coordinators, while planning and implementing drug utilization management and quality improvement plans. This role also involves assisting with Transitions of Care Medication Reconciliation Post-Discharge and supporting quality initiatives in partnership with various teams. Additionally, you will lead pharmacy data analytics to drive initiatives and ensure adherence to DOH and CMS regulatory requirements. Are you the Clinical Pharmacy Manager we're looking for? To thrive as the Manager of Clinical Pharmacy at VillageCare, candidates must possess a robust blend of experience and skills. A minimum of three years of progressive healthcare and pharmacy experience, including proficiency within the pharmacy and Pharmacy Benefit Management (PBM) oversight processes, is required. An active, unrestricted state license to practice as a Registered Pharmacist (RPh) in New York is essential. Strong oral, written, and interpersonal communication skills are crucial for effective collaboration while impeccable problem-solving and facilitation skills are necessary to navigate complex clinical scenarios. Analytical skills are also vital for data-driven decision-making. Educationally, a Doctor of Pharmacy (PharmD) degree is required, along with prior management or leadership experience. Familiarity with prior authorization processes will further enhance the candidate's success in this role. Current certification as a pharmacist is mandatory to ensure compliance and excellence in practice. Knowledge and skills required for the position are: • 3-year progressive health care and pharmacy experience including increasing accountability within the pharmacy and PBM oversight process., • Must possess an active unrestricted state license to practice pharmacy as a Registered Pharmacist (RPh) in the State of New York., • Strong oral written and interpersonal communication skills problem-solving skills facilitation skills and analytical skills are a must., • Include minimum education technical training and/or experience preferred to perform the job., • Requires a PharmD, • Previous Management / Leadership experience or progressive project oversight, • Prior Authorization experience VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

Communicate with clients to understand and clarify CMS requirements. Prepare, review, and process CMS-related service agreements and registration forms. Monitor CMS fee registration and related operational items.

Leads special projects as needed to facilitate CMS lending activities and service capabilities and may act in a leadership role to less experienced underwriters in the work group.

We are looking to fill Health Insurance Specialist, GS-0107-7, positions in the Department of Health & Human Services (HHS), Centers for Medicare & Medicaid Services (CMS).What is a Health Insurance Specialist (HIS)? At CMS, an HIS can wear many hats.This series typically works within health insuran

The Housekeeping Director position is responsible for managing and overseeing the housekeeping and laundry services to ensure facility standards. Confidence Management Solutions (CMS) is currently recruiting experienced Housekeeping Director for long term care nursing facility in Brooklyn, NY. Devel

Are you a motivated, detail-oriented individual looking for a career in insurance sales?. Knowledge of CMS guidelines and ethical sales practices.

Job Description Large global professional services firm seeks a Senior Revenue Coordinator to join their team. This role will be responsible for managing the office inventory and assisting the firm to achieve its financial targets by providing an efficient and commercially focused service, while providing innovative solutions to improve the management, engagement, and performance of the revenue lifecycle throughout the office, ensuring minimum exposure to locked-up inventory. Responsibilities: • Managing the revenue lifecycle of a specified group of billing attorneys within the firm, • Establishing and maintaining strong internal and external client relationships, • Establishing frequent lines of communication, including regular meetings with billing attorneys and attorney support, to discuss Work-in-Progress (WIP) and Accounts Receivable (AR) in order to determine the most appropriate course of action and reduce inventory days, • Updating the billing attorneys on outstanding items which require action, • Ensuring compliance of all processes and systems throughout the revenue lifecycle against the relevant internal and external regulation and legislation, including Value-Added Tax (VAT), Criminal Finances Act Solicitor's Accounts Rules, and Money Laundering regulations, • Protecting and maintaining any highly sensitive, confidential, privileged, financial, and/or proprietary information Qualifications: • Possess excellent verbal and written communication skills, • Demonstrate knowledge of 3E, CMS, or similar legal accounting systems, • Display strong technology skills, including intermediate knowledge of MS Office and Excel, • A high school diploma, A-level standard, or equivalent, • A minimum of eight (8) years of experience working in a legal or professional services environment including exposure to billing, VAT, and disbursements

Job Description Essential Job Functions: Specific duties include but are not limited to: • Assisting the program in the providing administrative support and operational tasks for the program, • Greet visitors, • Answers and directs phone calls, • Responds to general phone inquiries, • Receives and distributes faxes and mail, • Pre-screens potential intakes, • Schedules consultations, • Processes payment requests, purchase orders, reconciliations, • Maintaining and updating monthly statistics, • Maintains resource materials, • Utilizes and or maintains databases utilizing CMS, tracking sheets, contract management assistance, • Processing purchase orders, payment requests, reconciliations, funder timesheets from the programs in a timely and accurate fashion, • Assist in coordinating and/or providing support for special events, • Word Processing and proofreading memos and other documents; filing duties, • Ordering, distributing and keeping inventory of special purchases, • Collaborates and maintains cooperative relationships with all other Safe Horizon programs/departments and external vendors, including IS&T, Facilities, Purchasing and Accounts Payable, • Answers and directs telephone calls, faxes and mail directed to the department, • High School Diploma/GED, • Bachelor's degree preferred, • Proficiency in Microsoft Excel, Outlook and PowerPoint, • Excellent organizational, writing, and analytical skills required, as well as high energy level, strong interpersonal skills, and initiative If hired, I agree to abide by all of Safe Horizon’s rules and regulations, and understand that, if employed, my employment may be terminated with or without cause, and with or without notice, at any time, at the option of either the company or me. I further understand that no representation, whether oral or written by any representative or agent of the organization, at any time, constitutes a contract of employment. Technology Statement: Applicants may be responsible for providing the equipment and tools they need to work remotely as required, such as access to a computer, internet service, and phone service. Safe Horizon will discuss potential solutions with candidates and may assist where needed and agreed to in advance. Please follow this link to view complete EEO Law and complaint filing information: Know Your Rights: Workplace discrimination is illegal. Hiring Range: $23.08 - $24.08 Hourly Full-time Hours: 35 Hours per week Full-time Benefits: Vacation Time, Paid Sick Time, Holidays, Medical, Dental, Vision, 403(b) Retirement Plan, Company Life Insurance, Medical/Dependent Care Flexible Spending Accounts, Tuition Assistance Program, Commuter Benefits Program, Gym Reimbursement, Parental Leave, Employee Learning Center.

Job Description Technicians will perform preventative and corrective maintenance tasks on the AirTrain, the guideway, and station doors. Technicians will also perform maintenance on the Construction Management Services team, reporting directly to the CMS Project Manager. Requirements: High school diploma or equivalent (technical school preferred), 1-2 years of maintenance experience, basic electrical and mechanical skills, ability to read schematics and drawings, with hydraulics and wiring knowledge a plus. Work in a fast-paced, 24/7 operations environment with potential for 2nd and 3rd shift differential pay. Compensation is $27.76/hour plus a 10% differential for later shifts, with the opportunity to contribute to greener, smarter mobility in public transportation. Company DescriptionAlstom is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, disability status, veteran status, or any other characteristic protected by Federal, National, or Local Laws.Alstom is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, age, disability status, veteran status, or any other characteristic protected by Federal, National, or Local Laws.

Job Description Supervisor of Grievance & Appeals VillageCare MAX 112 Charles Street, New York, NY 10014 Salary: $68, 163.00 - $76, 683 annually Must reside in NY, NJ or CT The Supervisor of Grievances and appeal grievances oversees the investigations and resolution of complaints and grievances from members. Managing all aspects of the grievance system processes consistent with DOH and CMS requirements for members, and working to investigate and processes grievances for members in a timely, accurate manner consistent with law and contract requirements and terms. As the Supervisor, you will build and maintain an infrastructure to assure consistent resolution responses are accessible to all operational teams and business units and subject matter experts. You will be responsible to ensure that all regulatory reports and time frames are met by conducting on-going compliance audits to ensure compliance and member satisfaction. Manages team's productivity and resources, communicates productivity expectations and balances workload to achieve customer satisfaction through prompt/accurate handling of customer concerns. Identifies trends involving non-clinical & clinical issues and reports on and recommends solutions. We would like to speak to those who have a Bachelor's Degree in a related field along with 3-5 years of Managed Long Term Care experience. Knowledge of Medicare/Medicaid Grievance and appeals process. Proficient with general computer software including Microsoft Excel, Word and Outlook. There are many benefits to working for VillageCare. If you are someone who likes being part of a team, enjoys highly competitive compensation and benefits package, a 403(b) retirement plan and much more than we would love to speak with you! VillageCare offers a wide range of at-home and community-based services, as well as managed long-term care options that seek to match each individual's needs to help them attain and maintain the greatest level of independent living possible. We are committed to superior outcomes in quality health care. VillageCare is an Equal Opportunity Employer. Job Posted by ApplicantPro

Responsibilities: • Maintain HIPAA compliance while communicating with 1199SEIU members and advocates via telephone or written correspondence regarding benefit eligibility and claim submissions; accurately and professionally respond to a high volume of calls and inquiries by providing excellent customer service, • Respond to outbound inquiries which include voicemails and emails, • Provide assistance with medical and pension benefits, Medical and Part B claims and retiree programs, • Provide benefit eligibility requirements for Pension and Retiree Health Benefits to prospective pensioners and beneficiaries; research and establish eligibility for members and the reinstatement of terminated coverage, • Generate inquiries for pension applications, pension estimates, check stop payments, death e-forms and Medical Code updates, • Update Member and/or Retiree demographic information (i.e. address, telephone number and email) as needed, • Generate pension verification letters at member's request and request duplicate 1099-R Tax Forms as needed, • Mail requested Pension and Retiree Health information such as applications, direct deposit forms, Preferred Drug Lists, Medical & Part B Claim forms, Enrollment Change forms, explanation of benefits, directories, etc, • Communicate and explain Retiree Health Benefits (RHB) to retirees (i.e., Medicare Part D and 1199SEIU Medicare Advantage Plan); alert members of new RHB programs, plan improvements or changes, • Research disability and medical claim history for claim status, accuracy, and timeliness; access various web-based applications relevant to member's inquiries, • Communicate with Eligibility department via call tracking module (QNXT), e-mail to update or terminate a member's eligibility and Medicare Part D information, • Generate inquiries for health cards; request letters of Creditable Coverage when necessary; contact Medicare and Centers for Medicare & Medicaid Services (CMS) to verify member Medicare Part D eligibility, • Provide assistance to members of Aetna MAPD with eligibility and benefit issues, • Perform additional duties and projects as assigned by management Qualifications: • High School Diploma or GED required, some College or Degree preferred, • Minimum two (2) years high volume customer service experience in a call center environment; or two (2) years health claims processing experience; or two (2) years conducting pension calculations required, • Knowledge of Pension and Retiree Health Benefits provided by the Funds preferred (National Benefit Fund, Greater NY and Home Care, Hospital League, 144 Hospital Pension, etc), • Knowledge of web-based applications, health claims systems, and call tracking systems with good navigation skills (Vitech and QNXT), • Keyboarding skills required (minimum 5,000 KPH and 80% accurate rate), • Excellent customer service skills required; able to maintain pleasant and helpful demeanor ensuring professional service is provided, • Superb communication skills both verbal and written; able to communicate in a clear and concise manner and initiate own correspondence, • Ability to work well under pressure due to the high volume and urgent nature of calls, • Able to multi-task, establish priorities, meet deadlines, and follow through on assignments Member Services hours of operation are from 8:00 am - 6:00 pm; shifts are subject to change and/or availability

Job DescriptionForhyre.com is looking for Zoho Engineers Essential Functions • Design and implement Zoho CMS solutions, • Provide Zoho CMS tuning and optimization, • Develop code with quality, scalability and extensibility, • Provide work breakdown and estimates for development tasks, • Identify strategic/tactical solutions and provide recommendations Candidate Requirements • 3+ years of experience with Zoho CMS, • Understanding of Zoho capabilities and limitations, • Experience in administration Zoho solutions, • Data analysis and reporting skills within Zoho platform, • Analytical mind and problem-solving aptitude, • Ability to work in a distributed and international, English speaking team

Job DescriptionWhat’s in it for you?!• Hands-on litigation experience from day one!• Work closely with seasoned trial attorneys!• Real client impact across complex legal matters!• Supportive team culture with direct mentorship!• Competitive pay, benefits, and career growth!• Strong reputation built on results and advocacy!If that’s you, let’s talk!Job Type : Full TimeLocation : New York, New YorkPay : Great Pay + Comprehensive BenefitsJob Description Locations: New York offices: 450 7th Ave., Ste. 1500, New York, NY 10123 New Jersey offices: 15 Warren St, Ste 36, Hackensack, NJ 07601 What You’ll Do As an Attorney, you will manage all aspects of active matters in: • New York & New Jersey Surrogate’s Courts – Probate, Administration, fiduciary support, • Article 81 Guardianship Proceedings – drafting petitions, communicating with parties, Mental Hygiene Court appearances, • Estate Planning – assisting with Trusts, Wills, POAs, Healthcare Proxies, • Meeting and consulting with clients, • Drafting petitions, motions, and estate-planning documents, • Keeping clients informed and responding to inquiries promptly, • Appearing in court as needed, • Coordinating with the managing attorney on strategy, • Managing deadlines, communications, and files in the firm's CMS, • Performing legal research Qualifications: • Licensed in New York or New Jersey (the other state is a strong plus), • 5–7 years of experience in:, • Probates, • Estate Planning, • Medicaid Planning, • Special Needs Planning, • Guardianships (incl. Article 81), • Litigation experience is a plus, • Experienced in estate planning and/or Surrogate’s Court matters, • Organized, proactive, responsive, and comfortable handling clients directly, • Base pay: $120,000-$130,000 or commensurate with experience, • Temp-to-perm (90-day probationary period), • Probate and Administration, • Fiduciary support, • Client updates and filingsEstate Planning, • Draft Wills, Trusts, POAs, and Health Care Proxies, • Assist with client consultations and strategyMedicaid Planning, • Prepare planning documents, • Assist clients with eligibility strategySpecial Needs Planning, • Draft and support Special Needs TrustsGuardianships (Including Article 81), • Draft petitions, • Coordinate with involved parties, • Meet and consult directly with clients, • Draft petitions, motions, and estate-planning documents, • Manage deadlines, files, and communication in Caret Legal, • Conduct legal research, • Caret Legal, • WealthCounsel, • LexisNexis (research + templates), • MS Office and Adobe Acrobat, • Google Calendar, Zoom Communications, MS Teams, • ACRIS #INDEH123

Job DescriptionTop reasons to work for our client: • Our client provides full-service health care and personalized support to help you age well at home and in your community., • Stable company with tremendous opportunity for career advancement, • Have your contributions recognized, • Work with an experienced and energetic team, • Comprehensive, lucrative salary and benefitsLet's talk and discuss!Job Type : Full TimeLocation : Newark, New JerseyPay : Great Pay and Full BenefitsJob Description What you will be doing:, • Meet gross and net census growth goals., • Direct and coordinate all marketing, outreach, and community engagement activities., • Direct and coordinate all intake and enrollment processes, including implementing process improvements to drive efficiency and conversion., • Track, oversee, and report on team performance, including meeting/exceeding goals for leads, home visits, enrollments, eligibility statuses, and proper use of Salesforce on a daily, weekly, and monthly basis., • Establish strategies and maintain relationships with referral sources, including senior housing, physician groups, hospitals, post-acute facilities, and community organizations within their WelbeHealth market., • Maintain WelbeHealth’s working relationship with DHCS to ensure seamless enrollment workflow, adhere to timelines, and ensure compliance with DHCS and CMS guidelines and policies., • Develop department budget and direct performance to budget., • Collaborate with executive teams to report on key metrics and proactively address problems.Experience you will need:, • Bachelor’s degree in relevant field preferred; an additional five (5) years of relevant management experience may be substituted., • Minimum of five (5) years of supervisory experience with at least two (2) years in senior healthcare services growth/enrollment preferred., • Strong knowledge and experience with Salesforce and Microsoft Office., • Experience leading in a data-driven organization, leveraging reports and data to prioritize and oversee people and projects.Our client asked me to submit 3 great people within the next few days. We work directly with the hiring manager and can arrange interviews within a few days #INDEH123

Job Description The Safe Horizon DV Shelter Program provides safe and confidential spaces for DV Survivors and their children. We are committed to providing these services with empathy, compassion, professionalism, non-judgement, and respect. Our spaces respect survivors’ right to self-determination and focus on giving families and individuals the space, both emotional and physical, to heal from the victimization and trauma they have experienced. Responsibilities: • Learn and integrate a trauma-informed, client-centered approach, using an anti-oppressive lens, into your work with clients. Identify when a client is experiencing trauma reactions and help client stabilize;, • Conduct emergency shelter intakes for site vacancies and vacancies at sister sites as part of the Central Intake team;, • Assess immediate safety needs and develop a risk management plan during intake of shelter placement calls;, • Using neutral and non-judgmental language when responding to the needs and requests of clients;, • Provide crisis intervention including mediation and de-escalation skills to diffuse situations between residents’ family members and/or roommates;, • Participate in trainings to improve client centered practice skills and knowledge about self-care and vicarious trauma and its impact;, • Plan, implement and/or research self-care and other social activities for clients and their children;, • Actively participate in donor tours and help with special client events and holiday parties;, • Conduct regular health and safety facility checks;, • Understand and follow emergency procedures, including fire procedures;, • Sort and organize donations of food, clothing, or items/projects as assigned;, • Distribute supplies to clients in accordance with established guidelines and/or emergency requests from clients;, • During the orientation process, determine clients’ immediate needs and provide referrals for basic needs;, • Provide referrals for clients following their initial Case Management session;, • Assist with basic office tasks such as archiving, filing , collating, update lists or as assigned;, • Enter activity log information, shift notes and Case Management System (CMS), in a timely fashion and accurate manner;, • Provide starter kits, assisting with bed utilization by helping with apartment preparation and cleaning; moving clients’ belongings as assigned;, • Provide childcare as requested by clients or staff in accordance with written policies;, • Provide client accompaniment to important appointments when requested;, • Assist with admission and discharge of clients. This may include, providing childcare, assisting with client belongings if facility staff is unavailable and other tasks assigned by management., • Complete discharge paperwork which includes completing discharge checklist with clients, and all related discharge procedures;, • Comply and adhere to funders’ fire and health safety mandates by obtaining and maintaining Fire Department of New York (FDNY) and Red Cross certifications as indicated by shelter leadership. Qualifications/Certification Requirements:, • High School Diploma/GED and two years relevant experience., • Basic computer skills necessary. Technology Statement: Applicants may be responsible for providing the equipment and tools they need to work remotely as required, such as access to a computer, internet service, and phone service. Safe Horizon will discuss potential solutions with candidates and may assist where needed and agreed to in advance. Please follow this link to view complete EEO Law and complaint filing information: Know Your Rights: Workplace discrimination is illegal Salary Pay Range: 22.81 - 23.96 Hourly Full-time Hours: 35 Hours per week Full-time Benefits: Vacation Time, Paid Sick Time, Holidays, Medical, Dental, Vision, 403(b) Retirement Plan, Company Life Insurance, Medical/Dependent Care Flexible Spending Accounts, Tuition Assistance Program, Commuter Benefits Program, Gym Reimbursement, Parental Leave, Employee Learning Center

Job Description Hi, we're Oscar. We're hiring a Quality Improvement Associate to join our Accreditation team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: You will manage the day-to-day operations of a portfolio of projects, and providing support for ongoing projects within Oscar's Quality Improvement Department. You will ensure program activities are completed in a high quality and timely manner, and you will ensure compliance with all regulatory guidelines such as Medicaid (Medi-Cal), Medicare, CMS, and National Committee for Quality Assurance (NCQA) Accreditation. You will report to the Quality Improvement Operations Manager. Work Location: This position is based in our NYC office, requiring a hybrid work schedule with 3 days of in-office work per week. Thursdays are a required in-office day for team meetings and events, while your other two office days are flexible to suit your schedule. #LI-Hybrid Pay Transparency: The base pay for this role is: $96,876 - $127,149 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Key focus areas: NCQA Accreditation, Quality Improvement Program, Population Health Program, • Organize and support daily activities based on the goals of the program, • Identify optimization opportunities and lead process improvement initiatives that align with regulatory expectations and operational goals, • Lead specific components of the program, including timelines, documentation, committee operations, and internal project governance, • Support end-to-end implementations, including stakeholder coordination, progress tracking, risk management, and milestone reporting, • Serve as a liaison between stakeholders and internal teams to promote execution and regulatory alignment, • Assist in the development of meeting content such as agendas, presentations, policy updates, and program documentation to support internal governance, • Support quarterly program and compliance reporting, including data synthesis and presentation for executive and regulatory audiences, • Partner with other departments and stakeholders to ensure operational excellence, including compliance with NCQA, CMS, and other state/federal regulations, • Develop tools, standards, and meeting structures to support team performance and audit readiness, • Track and monitor project controls, risks, and key performance indicators to support compliance and efficiency, • Facilitate project retrospectives to assess operational strengths and gaps, and apply insights to future implementations, • Act as a key contributor in maintaining accreditation and quality improvement documentation standards, • Support training and documentation related to internal policies and regulatory expectations, • Compliance with all applicable laws and regulations, • Knowledge of NCQA Accreditation standards & guidelines, • 3+ years of strong project management or operational experience in the health insurance space, • 3+ years experience in change management and process improvement, • 3+ years stakeholder management experience At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.