Trabajos medicare compliance en North Bergen, New JerseyCrear alertas

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. $12K sign-on bonus What We Provide • Personal and financial wellness programs, • Opportunities for professional growth and career advancement, • Internal mobility and advancement opportunities, • Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do, • Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate., • Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: • License and current registration to practice as a Registered Professional Nurse in New York State required, • Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required, • Valid driver's license, as determined by operational/regional needs may be required, • Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required, • Maintains NPI, Medicaid and Medicare provider numbers preferred, • Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred, • Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required, • For Psychiatric Nurse Practitioners only:, • Current PMHNP-BC certification required Education: • Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required, • Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required, • For Psychiatric Nurse Practitioners only:, • Master's Degree in psychiatric-mental health Nurse Practitioner required, • PhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: • Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred, • Clinical home care experience or two years managerial experience preferred, • Demonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required, • Bilingual skills, as determined by operational needs required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Conducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-effective health care services. Manages requests for services from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies as well as applicable state and federal regulations. Works under general supervision. What We Provide • Referral bonus opportunities, • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays, • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability, • Employer-matched retirement saving funds, • Personal and financial wellness programs, • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care, • Generous tuition reimbursement for qualifying degrees, • Opportunities for professional growth and career advancement, • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do • Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols., • Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs., • Communicate with members, families, providers, and other parties as needed to complete an accurate comprehensive assessment., • Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making., • Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member’s needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties., • Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans., • Explains VNS Health Plan benefits, including an explanation of the member's handbook., • Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures., • Identifies opportunities for alternative care options and contributes to the development of a safe member centered service plan, • Consult with supervisor and others in overcoming barriers in meeting goals and objectives., • Maintains current knowledge of organizational or state-wide trends that affect member eligibility., • Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed., • Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services., • Keeps current with all health plan changes and updates through on-going training, coaching and educational materials., • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State requiredCertified Case Manager preferred Education: Bachelor's Degree in nursing or equivalent work experience requiredMaster's Degree in nursing or equivalent work experience preferred Work Experience: Minimum two years of clinical assessment, homecare or hospital experience requiredExcellent organizational and time management skills, interpersonal skills, verbal and written communication skills requiredDemonstrated strong relationship management skills, including a high degree of psychological sophistication and non-aggressive assertiveness requiredDemonstrated successful conflict management skills and negotiation of “win-win” solutions requiredWorking knowledge of Microsoft Excel, Power-Point, and Word requiredKnowledge of Medicaid and/or Medicare regulations requiredWorking Knowledge of UAS-NY preferred Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

Overview Conducts comprehensive assessment of member UAS-NY for potential new members and existing members' conditions clinical, environmental, and social to establish an individual plan of care needed to maintain the member safe in the community. Identifies solutions that promote high quality and cost-effective health care services. Manages requests for services from providers, members, and care management team and renders clinical determinations in accordance with VNS Health Plans policies as well as applicable state and federal regulations. Works under general supervision. • Conduct face-to-face or telehealth UAS-NY assessments according to state guidelines, policies, procedures, and protocols, • Utilize clinical skills to assess and document all aspects of the potential members long-term community-based needs, • Communicate with members, families, providers, and other parties as needed to complete an accurate comprehensive assessment, • Utilizes VNS Health and state-approved assessment questionnaire, guidelines, and documentation as well as interviews with members, family, and care providers in decision-making, • Performs in-home assessment for members who have identified significant changes in condition since last in-home assessment; provides comprehensive review and determination of member’s needs, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans including upstate and downstate counties, • Performs in-home assessment on members to determine the appropriate service plan, including completion of UAS assessment questionnaire, tasking tool, and a projected service plan. Visits include all areas serviced by VNS Health Plans, • Explains VNS Health Plan benefits, including an explanation of the member's handbook, • Ensures compliance with state and federal regulatory standards and VNS Health Plans policies and procedures, • Identifies opportunities for alternative care options and contributes to the development of a safe member centered service plan, • Consult with supervisor and others in overcoming barriers in meeting goals and objectives, • Maintains current knowledge of organizational or state-wide trends that affect member eligibility, • Coordinates with other departments, e.g. Care Management, Legal Affairs, Grievance and Appeals, Compliance, Membership Eligibility Unit, Quality as needed, • Participates in requests for out-of-network services when a member receives services outside of VNS Health Plans network services, • Keeps current with all health plan changes and updates through on-going training, coaching and educational materials, • Participates in special projects and performs other duties as assigned Qualifications Licenses and Certifications: Current license to practice as a Registered Professional Nurse in New York State required. Certified Case Manager preferred. Education: Bachelor's Degree in nursing or equivalent work experience required. Master's Degree in nursing or equivalent work experience preferred. Work Experience: Minimum two years of clinical assessment, homecare or hospital experience required. Excellent organizational and time management skills, interpersonal skills, verbal and written communication skills required. Demonstrated strong relationship management skills, including a high degree of psychological sophistication and non-aggressive assertiveness required. Demonstrated successful conflict management skills and negotiation of “win-win” solutions required. Working knowledge of Microsoft Excel, Power-Point, and Word required. Knowledge of Medicaid and/or Medicare regulations required. Working Knowledge of UAS-NY preferred. Pay Range USD $85,000.00 - USD $106,300.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

ArchCare cares for people of all ages and faiths where they are most comfortable and best able to receive it -- at home, in the community and in nursing homes. As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job. To us, it's a privilege and our calling. We are proud to be _, a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture. ArchCare Senior Life (PACE) is a long-term Medicaid/Medicare plan designed specifically for seniors who need nursing home level care but want to stay at home. With PACE, participants have a dedicated Care Team to coordinate everything, so they are able to live comfortably where they are, knowing they'll get the coordinated care they need. PACE provides and coordinates care at our Wellness Centers, in patients' homes, and in other settings. Benefits/Perks: • Includes accrued vacation days, sick days, and holidays., • Participation in 403 (b), • Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance, • Discounted membership: Plum Benefits, • Pay for work-related eligible commuter expenses with pre-tax dollars PACE Perks: • Opportunity to learn from other disciplines, which enhances your individual clinical practice, • Team supports your efforts, and you get to support them as well, • Your work results in most participants being able to live in their own homes and communities, instead of living in a skilled nursing facility - this provides the highest quality of life for participants, as they can continue to be active members of their community Responsibilities: • Plans, organizes, and conducts a comprehensive program of individual and group nutrition services including provision of nutrition needs of the participant, clinical guidance, nutrition education and counseling to meet normal and therapeutic needs., • Evaluates nutritional status of individual participants utilizing nutritional guidelines, professional knowledge, and interviewing skills to provide quality care., • Develops and implements nutritional plans, monitors participant’s progress and recommends/revises changes in nutritional plan for effective participant care., • Documents changes in the participant’s condition and details care provided by completing all required documentation and ensuring compliance to standards and policies., • Coordinates with other members of the interdisciplinary team to ensure that the comprehensive plan of care is followed and revised as needed., • Provides nutrition counseling to participants and/or caregivers utilizing educational materials, modified diets, and teaching aids to ensure participants understanding of the plan of care and its implications., • Oversees the work of Geriatric Caregivers in the kitchen by working with Food Services Manager to recommend solutions regarding specific dietary needs. Qualifications: • New York Registered Dietician Education: • Bachelor’s Degree with a major in food and nutrition or related field

Sigma Health Rehab is actively seeking a Full-time Director of Rehabilitation (DOR) to work in a Skilled Nursing Facility.The DOR must be a NYS licensed Physical Therapist (PT) with four or more years of experience, including two or more years of experience in a supervisory capacity preferred. Who We Are: Sigma Health Rehab is premier provider of innovative rehabilitation services. At Sigma Health Rehab, we believe in the power of rehabilitation to transform lives. Our dedicated team of professionals are passionate about helping individuals overcome challenges, reach their goals, and regain their independence. DOR Responsibilities: The Director of Rehabilitation is responsible for the overall leadership, coordination, and administration of the facility’s rehabilitation department. This role ensures delivery of high-quality, compliant, and patient-centered therapy services in accordance with federal and state regulations, professional standards, and company policies. The DOR will oversee daily operations, mentor clinical staff, manage productivity and budgets, and ensure documentation accuracy to support reimbursement and regulatory compliance. Qualifications Include: A graduate of an approved Physical Therapy, program The candidate must be a NYS licensed therapist (PT) Four or more years of experience, with two or more years of experience in a supervisory capacity in long-term care or sub-acute care setting preferred Comprehension of multiple reimbursement systems including Medicare Part A, Medicaid CMI, Medicare Part B, HMO management Proven leadership skills in the healthcare field Demonstrate skills in staff management, strategic planning, budgeting and marketing Excellent communication and interpersonal skills Knowledge of local, state, and federal regulations pertaining to facility and rehabilitation functions as well as state and federal reimbursement for therapy and nursing services Working knowledge of personal computer and software applications used in job functions (word processing, graphics, databases, spreadsheets, etc.) Understanding Centers for Medicare and Medicaid Services regulatory of the therapy services at the state and federal level What We Offer: What we offer our DORs: · Highly competitive compensation · Comprehensive and affordable benefits package: medical insurance, vision and dental · Generous PTO package- start accruing from day 1 · 401(k) Retirement Plan · Professional Development: Continuing education unit (CEU)reimbursement and advanced training · Mentorship and clinical support for all therapists · Weekly paychecks · Flexible schedules · Access to sate of the art technology · We adhere to the regulatory standards and best practices set forth by AOTA, APTA, and AST Sigma Health Rehab is seeking a dynamic and experienced Director of Rehabilitation (DOR) to lead our therapy department at our client facility, University Nursing Home located in Bronx, New York. This is a chance to lead a team of talented PT,OT and SLP professionals in a state-of the art rehab center, providing exceptional care to our patients. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.

Sigma Health Rehab is actively seeking a Full-time Director of Rehabilitation (DOR) to work in a Skilled Nursing Facility. The DOR must be a NYS licensed therapist (OT, PT, or SLP) with four or more years of experience, including two or more years of experience in a supervisory capacity is preferred. Who We Are: Sigma Health Rehab is premier provider of innovative rehabilitation services. At Sigma Health Rehab, we believe in the power of rehabilitation to transform lives. Our dedicated team of professionals are passionate about helping individuals overcome challenges, reach their goals, and regain their independence. DOR Responsibilities: The Director of Rehabilitation is responsible for the overall leadership, coordination, and administration of the facility’s rehabilitation department. This role ensures delivery of high-quality, compliant, and patient-centered therapy services in accordance with federal and state regulations, professional standards, and company policies. The DOR will oversee daily operations, mentor clinical staff, manage productivity and budgets, and ensure documentation accuracy to support reimbursement and regulatory compliance. Qualifications Include: A graduate of an approved Physical Therapy, Occupational Therapy, or Speech Pathology program The candidate must be a NYS licensed therapist (OT, PT, or SLP) Four or more years of experience, with two or more years of experience in a supervisory capacity in long-term care or sub-acute care setting preferred Comprehension of multiple reimbursement systems including Medicare Part A, Medicaid CMI, Medicare Part B, HMO management Proven leadership skills in the healthcare field Demonstrate skills in staff management, strategic planning, budgeting and marketing Excellent communication and interpersonal skills Knowledge of local, state, and federal regulations pertaining to facility and rehabilitation functions as well as state and federal reimbursement for therapy and nursing services Working knowledge of personal computer and software applications used in job functions (word processing, graphics, databases, spreadsheets, etc.) Understanding Centers for Medicare and Medicaid Services regulatory of the therapy services at the state and federal level What We Offer: What we offer our DORs: · Highly competitive compensation · Comprehensive and affordable benefits package: medical insurance, vision and dental · Generous PTO package- start accruing from day 1 · 401(k) Retirement Plan · Professional Development: Continuing education unit (CEU)reimbursement and advanced training · Mentorship and clinical support for all therapists · Weekly paychecks · Flexible schedules · Access to sate of the art technology · We adhere to the regulatory standards and best practices set forth by AOTA, APTA, and AST Sigma Health Rehab is seeking a dynamic and experienced Director of Rehabilitation (DOR) to lead our therapy department at our client facility, Williamsbridge Center for Rehabilitation and Nursing located in ,New York. This is a chance to lead a team of talented PT,OT and SLP professionals in a state-of the art rehab center, providing exceptional care to our patients. If you are a motivated, compassionate professional committed to clinical excellence and team development, apply today and be part of a team transforming lives through skilled rehabilitation.

" "" Licensed Marriage and Family Therapist (LMFT) Wage: Up to $121 an hour Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Marriage and Family therapist at a Master’s level or above with LMFT, LMFTS, or LCMFT licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. $12K sign-on bonus What We Provide Personal and financial wellness programs Opportunities for professional growth and career advancement Internal mobility and advancement opportunities Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals What You Will Do Manages and provides full scope of advanced nursing practice for targeted patient populations. Evaluates patient responses to therapy / interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes. Identifies need for new/revised clinical protocols. Collaborates with physicians and others within the practice to develop protocols and provides training as appropriate. Manages and provides comprehensive advanced nursing care including physical examination, comprehensive history, screening for physical and/or psychological conditions, emergent interventions, pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling and patient education. Establishes a treatment plan based on clinical findings and. Determines when further evaluation by collaborating physician, specialist or emergency care is warranted. Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings. Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State requiredCertificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology requiredValid driver's license, as determined by operational/regional needs may be requiredMaintains credentialed status with VNS Health Medical Care at Home and associated managed care plans requiredMaintains NPI, Medicaid and Medicare provider numbers preferredMaintains a collaborative practice agreement with a physician in compliance with New York State regulations preferredMust be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements requiredFor Psychiatric Nurse Practitioners only:Current PMHNP-BC certification required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required For Psychiatric Nurse Practitioners only:Master's Degree in psychiatric-mental health Nurse Practitioner requiredPhD in psychiatric-mental health Nurse Practitioner preferred Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferredClinical home care experience or two years managerial experience preferredDemonstrated knowledge of Hedis and QARR quality measures, ICD-10 and CPT coding for reimbursement of services requiredBilingual skills, as determined by operational needs requiredFor Psychiatric Nurse Practitioners only:Minimum of two years of experience as a psychiatric nurse practitioner utilizing full scope of practice required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

" "" Licensed Clinical Psychologist Wage: Up to $185/hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "" "

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $121.8/hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Social Worker at a Master’s level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" \n Licensed Mental Health Counselor (LMHC)\n \n Wage: Up to $121.8/hour \n \n \n \n \n \n \n Licensed Mental Health Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. \n \n About you \n ● You’re a fully-licensed Mental Health Counselor at a Master’s level or above with LMHC, LPCMH, or LIMHP licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. \n ● You’re ready to launch a private practice, or grow your existing business by taking insurance. \n \n About Headway \n Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. \n \n How Headway supports providers \n • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. \n • Built-in compliance: Stay compliant from day one with audit support and ongoing resources. \n • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. \n • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. \n • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. \n • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. \n • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. \n \n How Headway supports your clients \n ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. \n ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. \n \n \n Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. \n \n \n \n \n \n \n \n "

" "" Licensed Clinical Social Worker (LCSW) Wage: Up to $121.8/hour Licensed Clinical Social Worker — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Social Worker at a Master’s level or above with LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" Licensed Professional Counselor (LPC) Wage: Up to $121 an hour Licensed Professional Counselor — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Professional Counselor at a Master’s level or above with LPC, LPCC, LCPC, LCPCS, LPCC-S licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" "" Licensed Marriage and Family Therapist (LMFT) Wage: Up to $121 an hour Licensed Marriage and Family Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Marriage and Family therapist at a Master’s level or above with LMFT, LMFTS, or LCMFT licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "

" "" Licensed Clinical Psychologist Wage: Up to $185/hour Licensed Clinical Psychologists — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. About you ● You’re a fully-licensed Clinical Psychologist at a Master’s level or above with PSY, PSYP, or PsyD licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. ● You’re ready to launch a private practice, or grow your existing business by taking insurance. About Headway Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. How Headway supports providers • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner., • Built-in compliance: Stay compliant from day one with audit support and ongoing resources., • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid., • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network., • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on., • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more., • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. How Headway supports your clients ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. "" "

Overview Provides clinical leadership to promote increased compliance with a range of quality and cost measures and standards of care. Manages service delivery of inter-professional and para-professional team members working on an individual case or population of cases. Acts as a key resource in providing clinical and operational guidance and support to assigned teams and other staff to achieve and enhance team outcomes. Provides advanced nursing clinical care for patients in accordance with current State and Federal rules and regulations for nurse practitioner's scope of practice and national standards of care. Works under the supervision of the Clinical Director for the Nurse Practitioner Program. What We Provide • Referral bonus opportunities, • Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays, • Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability, • Employer-matched retirement saving funds, • Personal and financial wellness programs, • Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care, • Generous tuition reimbursement for qualifying degrees, • Opportunities for professional growth and career advancement, • Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities What You Will Do • Manages and provides the full scope of advanced nursing practice for targeted patient populations, which may include short-term treatment of members at the point of care. Evaluates patient responses to therapy/interventions. Ensures revision of the inter-professional plan of care as necessary to achieve quality outcomes., • Serves as the clinical authority on individualized care teams and leads rounds and interdisciplinary care team meetings., • Manages and provides comprehensive, advanced nursing care, including post-discharge aftercare visits, annual comprehensive assessment visits, palliative care-care management program onboarding, and change in condition assessment visits (including physical examination, comprehensive history, screening for physical and/or psychological conditions, and point of care testing). Urgent interventions (i.e., escalations for the Care Teams, RPM, and the 24/7 Line), pharmacological and non-pharmacological interventions, ordering treatments and DME, preventative health maintenance activities, care management, referrals, discharge planning, counseling, and patient education. Establishes a treatment plan based on clinical findings and determines when further evaluation by the collaborating physician, specialist, or emergency care is warranted., • Collaborates with patients, families, primary care physicians and other team members to provide assessment and care planning. Assesses, plans, and provides intensive and continuous care management across client settings., • Manages and provides clinical services in compliance with standards of Patient-Centered Medical Home standards, meaningful use of medical record data, HEDIS and QARR quality of care measurements., • Manages inter-professional team efforts regarding the medical, nursing, therapy and ancillary care provided to patients to ensure quality outcomes are achieved., • Participates in on call coverage schedule to ensure 24/7 access to practice clinicians., • Assesses, educates, and improves client and caregiver knowledge of chronic disease, self-care management, and identification of changes in health status, including appropriate responses and actions through individualized education and inter-professional interventions., • Observes and analyzes team performance patterns related to population under care and assists in developing interventions to improve team performance. Provides remedial support and guidance to interdisciplinary team members to address implementation/evaluation of plans that maintain/increase customer experience with care, cost-efficiency, and quality care compliance with regulatory standards., • Communicates with internal and external care partners regarding the needs of the patient or population to ensure interventions occur in a timely and appropriate manner. Intervenes as needed when the care plan is not executed and remediates the situation to prevent reoccurrence., • Performs procedures as outlined in collaborative practice agreement and as privileged by the Credentialing Committee., • Manages quality of medical record documentation and submits billing information in accordance with Professional Corporation policy., • Provides care in one or more care settings based on the clinical requirements: virtually, telephonically or travels to patients’ homes and/or other facilities with varying environments (e.g., elevated buildings, walk-ups, care facilities, single/multiple family homes, presence of pets, etc.) using approved transportation options., • Upon request, performs peer reviews of work performance, including quality of care, clinical documentation, coding and billing practices, communication skills, and population surveillance., • May participate in the VNS Health Medical Care at Home Quality and Professional Advisory Committee and any associated workgroups related to development of evidence based clinical models of care, peer education and training, quality improvement, medical record configuration and reporting, maximizing the use of clinical decision support systems., • May act as a preceptor for student Nurse Practitioners, providing excellent role modeling of community-based primary care practice., • Assumes responsibility for continued professional growth, and maintains professional certification and licensure., • Participates in special projects and performs other duties as assigned. Qualifications Licenses and Certifications: License and current registration to practice as a Registered Professional Nurse in New York State required Certificate (license) and current registration to practice as a Nurse Practitioner in the State of New York, with a specialty in adult health, family health or gerontology required Valid driver's license, as determined by operational/regional needs may be required Maintains credentialed status with VNS Health Medical Care at Home and associated managed care plans required Maintains NPI, Medicaid and Medicare provider numbers preferred Maintains a collaborative practice agreement with a physician in compliance with New York State regulations preferred Must be certified by ANCC or another accrediting Nurse Practitioner body – in order to bill Medicare and meet credentialing requirements required Education: Master's Degree of Science in Nursing, or other graduate degree from a nurse practitioner educational program registered by the New York State Education Department as qualifying for NP certification (licensure) required Current ANCC or AANP certification as an adult, family or geriatric nurse practitioner required Work Experience: Minimum of two years of experience as a nurse practitioner utilizing full scope of practice preferred Clinical home care experience or two years managerial experience preferred Demonstrated knowledge of HEDIS and QARR quality measures, ICD-10 and CPT coding for reimbursement of services required Bilingual skills, as determined by operational needs required Pay Range USD $109,900.00 - USD $146,500.00 /Yr. About Us VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.

" \n Licensed Mental Health Therapist (LMHT)\n \n Wage: Up to $121.8/hour \n \n \n \n \n Licensed Mental Health Therapist — Are you ready to launch or expand your private practice? Headway is here to help you start accepting insurance with ease, increase your earnings with higher rates, and start taking covered clients sooner. It’s all on one free-to-use platform, no commitment required. \n \n About you \n ● You’re a fully-licensed Mental Health Therapist at a Master’s level or above with LMHC, LPCMH, LIMHP, LMFT, LMFTS, LCMFT, LPC, LPCC, LCPC, LCPCS, LPCC-S, LCSW, LICSW, or LCSCW licensure (accepted on a state by state basis), a valid NPI number, and malpractice insurance. \n ● You’re ready to launch a private practice, or grow your existing business by taking insurance. \n \n About Headway \n Your expertise changes lives. Taking insurance makes it accessible to those who need it most. Every mental health provider who goes in-network with Headway supports people who’d otherwise be forced to choose between paying out of pocket, or not getting care at all. We make that process seamless — empowering you to accept insurance with ease, so you can do what you do best. So far, we’ve helped over 50,000 providers grow their practices, reaching countless people in need. \n \n How Headway supports providers \n • Start taking insurance, stress-free: Get credentialed for free in multiple states in as little as 30 days and start seeing covered clients sooner. \n • Built-in compliance: Stay compliant from day one with audit support and ongoing resources. \n • Expansive coverage: Work with the plans that most clients use, including Medicare Advantage and Medicaid. \n • Increase your earnings: Secure higher rates with top insurance plans through access to our nationwide insurance network. \n • Dependable payments: Build stability in your practice with predictable bi-weekly payments you can count on. \n • Built-in EHR features: Manage your practice in one place with real-time scheduling, secure client messaging, end-to-end documentation templates, built-in assessments, and more. \n • Free continuing education: Nurture your long-term professional goals and earn CEUs with complimentary courses on Headway Academy. \n \n How Headway supports your clients \n ● Increased access: Headway makes it easier for your clients to get the care they need at a price they can afford through insurance. \n ● Instant verification: Clients can easily check their insurance status and get the care they need without disruption. \n \n \n Please note: At this time, Headway can’t support mental health professionals that aren’t fully licensed. If your application was rejected for incomplete licensure, you’re welcome to reapply once you have a valid license. \n \n \n \n \n \n \n \n "

Licensed Clinical Social Worker (LCSW) body { font-family: Arial, Helvetica, sans-serif; color: #000; line-height: 1.5; } h1, h2, h3, h4 { font-weight: 700; } ul { list-style-type: disc; margin-left: 20px; } .subtitle { font-weight: 700; } Licensed Clinical Social Worker (LCSW) Up to $122/hour Fully Remote or In-Person Flexible Schedule Pay & Flexibility • Hourly Rate: Up to $122 per hour., • Predictable Income: Guaranteed bi-weekly payments., • Total Autonomy: Set your own hours with full control over your availability., • Work Your Way: Practice via telehealth, in-person, or a hybrid model. Launch or Grow Your Private Practice — Stress-Free Headway is a free platform for Licensed Social Workers that simplifies taking insurance, leading to higher reimbursement rates and fast credentialing. Our free, all-in-one HIPAA-compliant EHR centralizes credentialing, scheduling, documentation, eligibility checks, and automated billing, reducing admin time. Whether you want full-time, part-time, or supplemental income, Headway supports secure virtual and in-person care for solo providers and group practices with guaranteed bi-weekly payments. Grow your practice with insured mental health clients. What Headway Handles for You • Free Credentialing: Get credentialed in multiple states in as little as 30 days., • Higher Reimbursement: Access top-tier rates through our nationwide insurance network., • All-in-One EHR (Free): Includes scheduling, documentation templates, secure messaging, and automated billing., • Full Compliance: Stay protected with built-in audit support and ongoing compliance resources., • Broad Coverage: Work with major plans, including Medicare Advantage and Medicaid. Provider Benefits, • Rapid Growth: Most providers see their first clients within 2–4 weeks via inbound referrals., • Free Continuing Education: Access 150+ hours of complimentary CEUs via Headway Academy., • Referral Bonuses: Earn $350 for every licensed provider you refer to the platform., • Dedicated Support: Personalized practice partner and administrative back-office assistance. Requirements, • Licensure: Fully licensed at the Master’s level or above (LCSW, LICSW, or LCSCW), • Credentials: Valid NPI number and active malpractice insurance.

Territory: Queens, NY - Psychiatry Target area for territory is Queens - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include: all of Queens, NY as well the Great Neck portion of Nassau County, NY. SUMMARY: Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious, adaptable and accountable? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. Join us on our journey of growth! As a Psychiatry Account Manager, you lead the promotion of our psychiatry portfolio, executing sales and marketing strategies with comprehensive clinical knowledge to drive sales performance. Our Account Managers are adept at executing against the toughest commercialization challenges in today’s rapidly changing environment and must demonstrate strong capability in the following areas: ESSENTIAL FUNCTIONS: Business Planning & Account Leadership - Ability to use digital tools and apply data-based insights to create opportunities, develop strategy & tactics, allocate resources to enhance sales execution, monitor progress and adjust direction to maximize sales performance. Selling - Deliver messages in a clear and compelling way to customers, effectively probe customer needs to handle objections, and close every call with a commitment to action to drive changes in behavior. Customer Development - Build and maintain productive internal and external relationships based on customer needs and organizational goals, incorporating “total office” account management. Local Market & Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and SKILLS: • Bachelor of Arts or Bachelor of Sciences degree from an accredited college or university., • 2+ years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience., • Must demonstrate the intellectual capacity to score highly on disease and product training exams, including being certified on product knowledge annually., • Self-starter, with a strong work ethic and outstanding communication skills., • Must be computer literate with proficiency in Microsoft Office software., • Must live within 40 miles of territory boundaries., • Driving is an essential duty of this job; must have a valid driver’s license in good standing., • Meeting and complying with reasonable industry-standard credentialing requirements of healthcare providers / customer facilities is required for continued employment with Lundbeck. PREFERRED EDUCATION, EXPERIENCE AND SKILLS: • Previous experience within a specialty product sales force., • Prior experience promoting and detailing products specific to CNS/neuroscience including: depression, schizophrenia and bipolar disorder., • Documented successful sales performance., • Ownership and accountability for the development and execution of fully integrated account plans., • Strong analytical background, and experience using sales data reporting tools to identify trends., • Experience in product launches., • Previous experience working with alliance partners (i.e., co-promotions)., • Strong leadership through participation in committees, job rotations, panels and related activities. TRAVEL: • Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States. Travel must be able to be completed in a timely manner. The range displayed is specifically for those potential hires who will work or reside in the state of New York, if selected for this role, and may vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role. Salary Pay Range: $125,000 - $147,000 and eligibility for a sales incentive target of $40,500. Benefits for this position include flexible paid time off (PTO), health benefits to include Medical, Dental and Vision, company match 401k and company car. Additional benefits information can be found on our career site. Applications accepted on an ongoing basis. Why Lundbeck Lundbeck offers a robust and comprehensive benefits package to help employees live well and protect their health, family, and everyday life. Information regarding our benefit offering can be found on the _. Lundbeck is committed to working with and providing reasonable accommodations to disabled veterans and other individuals with disabilities during our employment application process. If, because of a disability, you need a reasonable accommodation for any part of the application process, please visit the _. Lundbeck is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in _.

Territory: White Plains, NY - Neurology Target area for territory is White Plains - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include: Westchester, White Plains, and the Bronx. SUMMARY: Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious, adaptable and accountable? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. It’s a very exciting time to join our team as we lead the way in creating positive customer experiences! As a BioPharmaceuticals Account Manager, you lead the promotion of our infusion product, driving demand creation by providing comprehensive clinical knowledge, executing sales and marketing strategies in the local market and partnering to deploy approved services necessary to meet the needs of each account/customer. Our Account Managers are adept at executing against the toughest commercialization challenges in today’s rapidly changing environment and must demonstrate strong capability in the following areas: ESSENTIAL FUNCTIONS: Business Planning & Account Leadership - Ability to use digital tools and apply customer and data-based insights to build opportunities, develop strategy & tactics and prioritize resources to enhance territory effectiveness in competitive markets. Selling - Deliver messages in a clear and compelling way to customers, effectively probe customer needs to handle objections, and close every call with a commitment to action to drive changes in behavior. Engage with multi-disciplinary customers using a total office call approach to communicate value proposition of a new delivery method. Customer Development - Entrepreneurial mindset to gain access, build and maintain productive internal and external relationships through effective communication and collaboration based on customer needs and organizational goals. Payer Access - Ability to grasp sophisticated reimbursement and distribution processes in a complex coverage landscape. Anticipates and communicates impact on product portfolio to key internal and external partners and effectively addresses payer access issues (Medicare, Medicaid, Commercial) using Lundbeck resources. Local Market & Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Demonstrates a clear and detailed understanding of the disease state and its impact on customers and patients including the full range of treatment options available. Pharmaceutical Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. Ability to apply knowledge of overall healthcare economy and industry practices. Accountability and adherence to corporate, FDA, and PDMA guidelines. REQUIRED EDUCATION, EXPERIENCE and SKILLS: • Bachelor of Arts or Bachelor of Sciences degree from an accredited college or university., • 4+ years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience., • Ownership and accountability for the development and execution of a fully integrated account plans., • Self-starter, with a strong work ethic and outstanding communication skills., • Proven track record of consistent sales performance., • Must demonstrate the intellectual capacity to score highly on disease and product training exams, including being certified on product knowledge annually., • Must be computer literate with proficiency in Microsoft Office Software., • Must live within 40 miles of territory boundaries., • Driving is an essential duty of this job; must have a valid driver’s license in good standing., • Meeting and complying with reasonable industry-standard credentialing requirements of healthcare providers / customer facilities is required for continued employment with Lundbeck. PREFERRED EDUCATION, EXPERIENCE AND SKILLS: • Previous experience within a specialty product sales force., • Infusion/rare disease sales experience in both the Outpatient Infusion setting and Specialty Pharmacy channel with a strong understanding of pricing and reimbursement., • Neurology experience specific to migraine., • Experience in both the medical or specialty pharmacy benefit market., • Experience working with high influence customers in physician clinics, integrated health systems, infusion centers and alternative sites of care., • Product launch or expansion experience, particularly in a new therapeutic class., • Strong analytical background, and experience using sales data reporting tools to identify trends., • Strong leadership through participation in committees, job rotations, panels and related activities. TRAVEL: • Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States. Travel must be able to be completed in a timely manner. The range displayed is a national range, and if selected for this role, may vary based on various factors such as the candidate’s geographical location, qualifications, skills, competencies, and proficiency for the role. Salary Pay Range: $155,000 - $172,000 and eligibility for a sales incentive target of $41,500. Benefits for this position include flexible paid time off (PTO), health benefits to include Medical, Dental and Vision, company match 401k and company car. Additional benefits information can be found on our _. Applications accepted on an ongoing basis. Why Lundbeck Lundbeck offers a robust and comprehensive benefits package to help employees live well and protect their health, family, and everyday life. Information regarding our benefit offering can be found on the _. Lundbeck is committed to working with and providing reasonable accommodations to disabled veterans and other individuals with disabilities during our employment application process. If, because of a disability, you need a reasonable accommodation for any part of the application process, please visit the _. Lundbeck is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in _.

Territory: Brooklyn South, NY - Neuroscience - Psychiatry Target city for territory is Brooklyn - will consider candidates who live within 40 miles of territory boundaries with access to a major airport. Territory boundaries include: Prospect Heights, Coney Island, Bay Ridge and Flatbush. SUMMARY: Are you a results-driven biopharmaceutical sales professional looking to be part of an organization that values being curious, adaptable and accountable? Lundbeck is a global biopharmaceutical company focusing exclusively on brain health. With more than 70 years of experience in neuroscience, we are committed to improving the lives of people with neurological and psychiatric diseases. Lundbeck employees are inspired and driven by our purpose to advance brain health and transform lives. Join us on our journey of growth! As a Neuroscience Account Manager, you lead the promotion of our psychiatry portfolio to Psychiatrist and Institutional Accounts such as community mental health centers and hospitals, executing sales and marketing strategies with comprehensive clinical knowledge to drive sales performance. Our Neuroscience Account Managers are adept at executing against the toughest commercialization challenges in today’s rapidly changing environment and must demonstrate strong capability in the following areas: ESSENTIAL FUNCTIONS: Business Planning & Account Leadership - Ability to use digital tools and apply data-based insights to create opportunities, develop strategy & tactics, allocate resources to enhance sales execution, monitor progress and adjust direction to maximize sales performance. Selling - Deliver messages in a clear and compelling way to customers, effectively probe customer needs to handle objections, and close every call with a commitment to action to drive changes in behavior. Customer Development - Build and maintain productive internal and external relationships based on customer needs and organizational goals, incorporating “total office” account management. Local Market & Therapeutic Area Expertise - Gather and validate key trends and dynamics in the market, map account linkages, and apply comprehensive therapeutic knowledge to uncover and prioritize unique opportunities. Reimbursement - Consistently demonstrate the ability to stay informed on reimbursement dynamics, anticipate and effectively address payer access issues (IDNs, Medicare, Medicaid, Commercial) using Lundbeck resources. Pharmaceutical Environment/Compliance - Ability to apply knowledge of pharmaceutical and regulatory environment, including accountability and adherence to Lundbeck policies and procedures and FDA regulations regarding the promotion of pharmaceutical and medical products. REQUIRED EDUCATION, EXPERIENCE and SKILLS: • Bachelor of Arts or Bachelor of Sciences degree from an accredited college or university, • 4+ years pharmaceutical, biopharmaceutical, biologics, medical device sales or related healthcare sales experience, • Must demonstrate the intellectual capacity to score highly on disease and product training exams, including being certified on product knowledge annually, • Self-starter, with a strong work ethic and outstanding communication skills, • Demonstrated skills at building and maintaining professional relationships with key customers, office staff and others in the customer influence network, • Must be computer literate with proficiency in Microsoft Office software, • Must live within 40 miles of territory boundaries, • Driving is an essential duty of this job; must have a valid driver’s license in good standing., • Meeting and complying with reasonable industry-standard credentialing requirements of healthcare providers / customer facilities is required for continued employment with Lundbeck PREFERRED EDUCATION, EXPERIENCE AND SKILLS: • Prior experience promoting and detailing products specific to CNS/neuroscience including: depression, schizophrenia and bipolar disorder, • Documented successful sales performance, • Ownership and accountability for the development and execution of fully integrated account plans, • Strong analytical background, and experience using sales data reporting tools to identify trends_, • Experience in calling on customers at a variety of call points, including offices, community mental health centers and hospitals, • Sales experience with buy & bill/injectable products, • Experience in product launches, • Previous experience working with alliance partners (i.e., co-promotions), • Strong leadership through participation in committees, job rotations, panels and related activities TRAVEL: • Willingness/Ability to travel up to 30% - 40% domestically to (a) regularly meet/interact with customer base and internal personnel within assigned territory; and (b) typically attend 4-8 internal/external conferences and meetings spanning locations within the United States. Travel must be able to be completed in a timely manner. The range displayed is specifically for those potential hires who will work or reside in NYC, if selected for this role, and may vary based on various factors such as the candidate’s qualifications, skills, competencies, and proficiency for the role. Salary Pay Range: $135,000 - $165,000 and eligibility for a sales incentive target of $40,500. Benefits for this position include flexible paid time off (PTO), health benefits to include Medical, Dental and Vision, company match 401k and company car. Additional benefits information can be found on our _. Applications accepted on an ongoing basis. Why Lundbeck Lundbeck offers a robust and comprehensive benefits package to help employees live well and protect their health, family, and everyday life. Information regarding our benefit offering can be found on the _. Lundbeck is committed to working with and providing reasonable accommodations to disabled veterans and other individuals with disabilities during our employment application process. If, because of a disability, you need a reasonable accommodation for any part of the application process, please visit the _. Lundbeck is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status, and any other characteristic protected by law, rule, or regulation. Lundbeck participates in _.

Doctor of Medicine | Administration Location: Bronx, NY Employer: AAS Locum Tenens Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position We are seeking a dedicated and experienced Medical Director to join our team. The ideal candidate will be a licensed physician who will split their time between team development and some patient care. The Regional Medical Director is responsible for the professional, organizational, and administrative aspects of providing quality medical care to our Treatment Center patients throughout NYC area. Compensation: $275,000- $315,000 plus bonuses and full benefits package. Key Responsibilities: Clinical Duties: Provide high-quality patient care care as needed to support clinical operations. Team Development: Spend 3-4 days a week visiting sites to mentor and develop clinical staff. Leadership: Oversee medical operations, ensuring compliance with healthcare regulations and standards. Collaboration: Work closely with administrative and interdisciplinary team to improve patient care and clinic operations. Training: Develop and implement training programs for medical staff to enhance clinical skills and patient care. Quality Assurance: Monitor and evaluate clinical practices to ensure the highest standards of care. Manage Care : Understand and Implement utilization management tactics and value-based care initiatives. Strategic Growth & Integration: Support the continued growth and integration of primary care practices and clinical programs across the organization. Partner with leadership on provider recruitment, onboarding, practice development, and clinical expansion efforts. Requirements: MD or DO degree from an accredited medical school. Board certification in Family Medicine, Internal Medicine, or a related field. Valid New York medical license, DEA, Medicare Provider ID, and Medicaid Provider ID. Proven experience in a leadership role within a healthcare setting. Strong interpersonal and communication skills. Commitment to mentoring and developing medical staff. Experience overseeing multiple providers, clinical sites, or interdisciplinary teams preferred.

Chief Financial Officer (CFO) General Summary: The Chief Financial Officer (CFO) is responsible for overseeing and directing the overall financial operations of the Client Health Center. Reporting directly to the Chief Executive Officer (CEO), the CFO will manage financial planning, budgeting, accounting operations, grant and contract fiscal management, and financial reporting to support organizational goals and compliance requirements. ON-SITE IN NYC NO REMOTE NO RELOCATIONS Principal Duties and Responsibilities: Oversee recruitment, supervision, training, and evaluation of Finance Department staff. Supervise the Controller, Director of Revenue Cycle, and Payroll Manager. Manage payroll, purchasing, accounts receivable/payable, general ledger, and other accounting functions. Prepare financial analyses and management reports. Develop budgets for grants, contracts, and organizational operations. Ensure timely payment of taxes and insurance premiums. Oversee all organizational insurance coverage. Manage fiscal operations related to grants and government contracts. Serve as liaison with funding agencies regarding financial matters. Develop and monitor purchasing and inventory procedures. Negotiate contracts for CEO approval. Oversee reimbursement activities including Medicaid, Medicare, managed care, and private insurance. Monitor special reimbursement programs and rate adjustments. Prepare and submit cost reports and annual expenditure reports. Assist with Board financial reporting and presentations. Coordinate development and oversight of departmental and organizational budgets. Ensure compliance with financial regulations and reporting requirements. Perform other related duties as assigned by the CEO. Knowledge, Education, Skills and Abilities: Bachelor???s degree with extensive fiscal management experience, or MBA in Finance with related experience. Strong knowledge of nonprofit or healthcare financial management. Experience with grants, government contracts, budgeting, and reimbursement systems. Understanding of community health center financial operations and compliance requirements. Proficiency in accounting systems, spreadsheets, and financial reporting software. Strong analytical, communication, leadership, and organizational skills. Ability to interact effectively with executive leadership, Board members, and staff. Working Conditions / Physical Requirements: Travel to Client Health Center locations may be required. Flexible schedule beyond a standard 40-hour work week, including occasional Saturdays.

Physician Assistant | Geriatrics Location: Ridgewood, NY Employer: AAS Locum Tenens Pay: Competitive weekly pay (inquire for details) Start Date: ASAP About the Position We are seeking an experienced Nurse Practitioner or Physician Assistant for a Locums assignment to convert to Perm (within 3-6 months) at a primary care practice serving geriatric patients in a value-based care model. This is a hybrid role with blend of coverage in outpatient clinics as well as home-based patient care. Compensation: $75 – $95 per hour Position Details: Schedule: Full Time Hours Guaranteed Monday – Friday - 5 Days Per Week Patient Load: LOW DAILY CENSUS Home Care: 3–5 patients per day Clinic: Small census of 7–10 patients per day Setting: Hybrid (Outpatient clinic + home-based care), value-based primary care for elderly patients Responsibilities: Deliver comprehensive primary care services, including preventive care, chronic disease management, and acute care to Geriatric patients Diagnose, treat, prescribe medications, and develop individualized treatment plans Order and interpret diagnostic tests (labs, imaging, etc.) Document accurately in the EHR system Provide patient education and promote wellness initiatives Collaborate with physicians, nurses, and support staff to ensure coordinated, high-quality care Refer patients to specialists and manage follow-ups Ensure compliance with state, federal, and professional regulations Requirements: Active NP or PA license in NY Minimum 2 years of primary care experience National Board Certification Spanish Speaking Preferred Expedited Credentialing Medicaid and Medicare Provider Id required

Care Team Supervisor – Personal Care Services West New York, New Jersey | Full-Time | On-Site Lead with Purpose. Grow Your Career. Make an Impact. At Elara Caring, we believe the best care happens at home—and strong leadership makes it possible. Every day, our teams support over 60,000 patients nationwide, and as a Care Team Supervisor, you’ll play a critical role in leading caregivers, driving performance, and shaping the future of care in your community. This is more than a job—it’s a leadership opportunity with real growth potential. If you’re looking to step into (or continue building) a leadership career in healthcare, this role offers: • Leadership Growth – Lead, coach, and develop a team of caregivers, • Career Advancement – Clear pathways to grow within a national organization, • Operational Impact – Influence scheduling, performance, and patient outcomes, • Community Presence – Be a key player in delivering care where it matters most What You’ll Do: • Lead and support a team of caregivers to deliver high-quality care, • Own scheduling, staffing, and daily operational success, • Coach, mentor, and develop team members for performance and engagement, • Ensure compliance, documentation, and service excellence, • Partner with leadership on growth initiatives and workforce planning, • Monitor key metrics (utilization, payroll, service delivery) to drive results, • Build strong relationships with clients, families, and community partners What We’re Looking For: • Leadership experience in healthcare or a fast-paced environment, • Passion for supporting elderly or disabled populations, • Strong organizational, communication, and problem-solving skills, • Ability to manage multiple priorities in a high-volume setting, • Knowledge of home care or Medicare/Medicaid (preferred), • Reliable transportation for local travel Why Join Elara Caring? • Purpose-driven work that makes a difference every day, • Supportive, collaborative leadership team, • Competitive compensation + full benefits, • 401(k) with employer match + generous PTO, • Tuition reimbursement + free continuing education, • Career growth and advancement opportunities If you’re ready to step into leadership, grow your career, and make a meaningful impact—we want to meet you.

PMHNP with CA License The opportunity: Location requirement: This opportunity is only open to Psychiatric Mental Health Nurse Practitioners (PMHNPs) who hold an active, unrestricted license to practice in the state of California. This is an independent contractor (1099) opportunity. We are looking for licensed Psychiatric Mental Health Nurse Practitioners (PMHNP) to join our diverse network of contracted providers. Contracting with Rula is free of charge, has no minimum client requirements, and enables you to deliver high-quality patient care while also achieving your income goals. At Rula, we handle the administrative work (new client marketing, verifying insurance, credentialing, billing, support, EHR, audits, and compliance) so that you can focus on delivering great care for patients. Who we are Rula is a comprehensive behavioral health solution, dedicated to making mental health care work for everyone. Rula takes a patient-first approach, where treatment is more accessible, personalized, and effective. With Rula, it’s easy to find a high-quality therapist or psychiatric clinician who accepts insurance and is actively accepting new patients. We are deeply committed to providing high-quality care that improves the lives of patients, investing in the providers who deliver that care, and always operating in an ethical and compliant manner. What we're solving Over 65 million Americans have a treatable mental health issue — that’s 1 in 5 people. Today it’s difficult to find a provider, and for those with complicated conditions, it’s nearly impossible to find coordinated care. There’s a good chance someone close to you could have used the help, even if it wasn’t obvious to the people around them. We’re here to fix this. Our mission Rula's mission is to make mental healthcare work for everyone. Minimum qualifications: • An unrestricted license and valid DEA number registered in California., • 1+ years as a psychiatric nurse practitioner with experience with mental health assessment, diagnosis, triage, managing common psychiatric medication and treatment plans, and managing crisis situations., • Independent licensure and/or working with collaborating MD, as required by state law., • Certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP) by the American Nurses Credentialing Center (ANCC)., • Registration with state Prescription Monitoring Program (PMP)., • No suspension/exclusion/debarment from participation in federal healthcare programs (e.g., Medicare, Medicaid, SCHIP)., • No adverse actions by any nursing board, hospital or other credentialing body in the past 3 years., • A master's or doctoral degree from an accredited university or graduate program in psychiatric mental health nursing., • The ability to provide telehealth.Compensation details:, • Per session payment of $110 per initial visit (60 min) and $70 per follow-up visit (30 min), • Additional $35 payment for 90833 coding, • Direct deposit every two weeks with no need to worry about unpaid claims, • No-show protection: Rula pays you 100% of your time even when the patient no-shows, cancels late, or the claim is deniedAs an independent contractor, the amount of time you allocate to working with Rula is entirely up to you! You will: • Provide clinical assessments for patients seeking mental healthcare ,including diagnostic assessments, psychiatric workups, and treatment planning, including medication management, • Work with individuals who are struggling with mental health issues such as depression, anxiety, trauma, and addiction, • Have access to our EHR & telehealth platform, • Receive support from our Support and Care Coordination teams, • Have adequate time to engage with patients - half-hour sessions for follow-up visits and 1 hour for initial consultations, • Be free to focus on patient care. Rula Mental Health takes care of all the credentialing, billing, and marketingOur clinic offers:, • Flexibility: You set your own schedule and determine how many patients you would like to see. You can adjust this at any time., • See patients quickly: Rula takes care of the insurance credentialing process. With your help, we can get you paneled and ready to see patients in as little as 30 days. This includes setting up your Rula profile and educating you on our guidelines and HIPAA-compliant EHR system., • Practice support: We manage the administrative side of private practice, including marketing, verifying client insurance benefits, and handling the invoicing/billing process so you can accept insurance without ever interacting with it directly. Further, we have a dedicated Support team so you and your patients have the help you need when you need it., • Clinical leadership: Rula's executive team includes a licensed provider engaged in business decisions and planning, ensuring the provider perspective is always included., • Fully compliant and ethical: We are fully compliant with HIPAA and have a Medical Records team to handle all releases, audits, or record requests. Our practices align with your professional Code of Ethics and all regulatory requirements., • Clinical support: Our Care Coordination team manages Higher Level of Care requests for your patients. *When applying, please enter your first and last name exactly as it appears on your DEA license

Job Description: Care Team Supervisor, Personal Care Services Passaic, New Jersey Full-Time | Monday - Friday | 8:30AM - 5:00PM Hourly Pay Range: $21-23 per hour Must be bilingual in Spanish and English At Elara Caring, we believe the best care happens at home—where people feel most comfortable. That’s why our compassionate teams serve over 60,000 patients every day, right where they live. As a Care Team Supervisor, you’ll play a key role in leading a team of dedicated caregivers, making a real impact in the lives of our patients. If you’re ready to lead with purpose and help others thrive, we’d love to have you on our team. Why Join the Elara Caring Mission? At Elara Caring, we believe in supporting those who care for others. When you join our team, you become part of a compassionate, purpose-driven organization committed to making a real difference. What We Offer: • A collaborative and supportive work environment, • A meaningful opportunity to positively impact lives every day, • Competitive compensation packages, • Tuition reimbursement for full-time employees, • Free continuing education opportunities for all team members, • Clear paths for career growth and advancement, • Comprehensive medical, dental, and vision insurance, • 401(K) with employer match, • Generous paid time off, including holidays and family/pet bereavement, • Pet insurance for your furry family members As the Care Team Supervisor, you’ll contribute to our success in the following ways: • Coordinate and schedule personal care services, including coverage for planned and unplanned absences, • Maintain accurate client service records, plans of care, caregiver schedules, and required documentation, • Review and manage service authorizations and contract-specific requirements, • Monitor reports to ensure accuracy in billing, payroll, utilization, and service delivery, • Support branch growth initiatives and operational planning efforts, • Ensure ongoing compliance with all licensure, payer, contract, and regulatory standards, • Provide guidance, coaching, and support to caregivers to promote performance and engagement, • Ensure caregiver compliance with required trainings, certifications, health assessments, and in-services, • Conduct caregiver orientations as required, • Collaborate with payroll and timekeeping teams, • Monitor daily service delivery to ensure adequate caregiver availability and coverage, • Monitor systems to confirm authorizations align with scheduled services and Review utilization reports, • Communicate professionally and effectively with caregivers, clients, case managers, and leadership, • Represent Elara Caring in a professional and positive manner within the community, • Perform additional duties and projects as assigned to support team and organizational success What is Required? • High School Diploma or GED required, • Associate’s or Bachelor’s degree preferred, • Experience working with elderly or disabled populations preferred, • Five (5) years of experience in a fast-paced office or healthcare environment preferred, • Working knowledge of Medicare/Medicaid and home care operations preferred, • Strong computer proficiency and documentation skills, • Excellent organizational and multitasking abilities, • Professional verbal and written communication skills, • Strong leadership, coaching, and motivational skills, • Ability to thrive in a fast-paced, high-volume environment, • Bilingual fluency (Spanish, Mandarin/Cantonese, Russian, or Portuguese) may be required based on location, • Reliable personal transportation and ability to travel locally and occasionally to support audits or operational needs You will report to Care Team Manager, Lead, Branch Director, or Regional Branch Director. This is not a comprehensive list of all job responsibilities; a full job description will be provided. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender, gender identity or expression, or veteran status. We are proud to be an equal opportunity workplace. #ElaraGA Equal Employment Opportunity: 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. If you require assistance due to a disability in the application or recruitment process, please submit a request via email at recruiting@elara.com. Pay & Benefit Information: Compensation for this role will be determined based on a variety of factors, including qualifications, skills, competencies, and relevant experience. Elara offers a broad range of benefits. Learn more at _ EVerify: Elara Caring participates in E-Verify after a job offer is accepted and Form I-9 completed. Similar Jobs (1)

Director of Clinical Documentation & Reimbursement (MDS) – Full Time Location: Bronx, NY Job Type: FTE/Permanent A leading senior care campus in the Bronx is seeking an experienced Director of Clinical Documentation & Reimbursement to lead the MDS and HIM departments. This leadership role is responsible for overseeing the RAI process, ensuring regulatory compliance, and driving reimbursement accuracy through strong clinical documentation and data analysis. Position Overview This role provides operational and strategic leadership for Clinical Documentation (MDS) and Health Information Management (HIM). The Director will ensure compliance with all federal and NYS regulations related to the RAI process while optimizing Medicare, Medicaid, and Managed Care reimbursement through accurate documentation, education, and quality monitoring. Key Responsibilities • Lead and oversee MDS and HIM teams, • Ensure full compliance with RAI process and NYS DOH standards, • Drive Medicare/Medicaid and Managed Care reimbursement strategy, • Analyze MDS data to support Quality Assurance & Performance Improvement (QAPI), • Develop and implement facility-wide education on MDS updates, payment reforms, and quality measures, • Audit documentation practices to ensure accuracy and regulatory adherence, • Collaborate with department leaders to enhance quality of care through clinical data insights Qualifications • BSN required; MSN preferred, • Active NY RN license required, • Minimum 3 years of SNF reimbursement and RAI process experience, • PRI Assessor certification preferred; RAC-CT preferred, • Strong knowledge of Medicare, Medicaid, and NYS nursing regulations, • Experience with data extraction, analysis, and quality metrics (QM, QRP, VBP), • Proven leadership, analytical, and project management skills, • Excellent communication and team leadership abilities Compensation & Benefits • Annual Salary: $150,000, • Comprehensive benefits package including health insurance, retirement plans, PTO, and professional development Interested? Apply Today! If you have strong MDS leadership experience and a passion for quality, compliance, and reimbursement optimization in a SNF setting, we’d love to connect with you. Submit your resume now for immediate consideration.

Per-diem Occupational Therapist – Geriatric & Home-Based Rehabilitation Multiple open roles available across all five boroughs of New York City — Manhattan, Queens, Brooklyn, Bronx, and Staten Island — as well as New Jersey — including Hudson, Bergen, and Essex counties. OUTREACH Rehabilitation New York & New Jersey Metropolitan Area Current Opportunities • Full-Time Position Available: multiple openings across Manhattan, • Per Diem Opportunities Available: Multiple - various areas. Please apply for whatever area you might be looking for. About OUTREACH Rehabilitation OUTREACH Rehabilitation is a growing multidisciplinary rehabilitation practice providing Physical Therapy, Occupational Therapy, and Speech-Language Pathology treatment throughout the New York and New Jersey metropolitan area. Our mission is to help older adults move better, function better, and live better through high-quality, patient-centered rehabilitation care delivered directly in the home and community setting. OUTREACH bridges the gap between traditional outpatient rehabilitation and home health by delivering individualized treatment in patients’ homes, senior residences, assisted living communities, and office settings. We are seeking motivated, compassionate, and clinically driven Occupational Therapists who are passionate about working with adult and geriatric populations and value autonomy, flexibility, collaboration, and professional growth. Position Summary The Occupational Therapist will evaluate and treat adult and geriatric patients within the community setting, focusing on safety, independence, cognition, functional mobility, activities of daily living (ADLs), instrumental activities of daily living (IADLs), and overall quality of life. Therapists work closely with patients, caregivers, physicians, and interdisciplinary rehabilitation team members to develop individualized plans of care that support safe and meaningful functional outcomes. Key Responsibilities • Perform comprehensive occupational therapy evaluations and reassessments, • Assess home environments for safety concerns, environmental barriers, and fall risks, • Address underlying impairments impacting ADLs and IADLs, • Perform cognitive, perceptual, and visual assessments, • Develop and implement individualized treatment plans, • Recommend and train patients in the use of adaptive equipment and compensatory strategies, • Educate patients, caregivers, and family members on home programs and safety strategies, • Collaborate with physicians, caregivers, and interdisciplinary rehabilitation team members, • Complete timely and accurate electronic documentation in compliance with regulatory and company standards Qualifications • Master’s Degree or Doctorate in Occupational Therapy from an accredited program, • Active New York Occupational Therapy License required, • 1 year of experience working with older adults preferred Preferred Clinical Experience • Geriatric rehabilitation, • Cognitive rehabilitation, • Fall prevention and home safety assessments, • Functional mobility and transfer training, • Adaptive equipment training, • Neurological rehabilitation, • Home-based rehabilitation, • Strong clinical reasoning, communication, and interpersonal skills, • Ability to work independently while remaining collaborative within a team environment, • Home care, home health, outpatient geriatrics, or community-based rehabilitation experience preferred Compensation & Benefits • Competitive : starting at $60 per visit ( based on medicare unit billed), • Paid sick leave, • MedBridge, • Flexible scheduling opportunities, • Comprehensive onboarding, mentorship, and clinical support, • Collaborative and supportive team culture Employment Type • Per Diem / PRN Why Join OUTREACH? At OUTREACH, we believe rehabilitation is most impactful when care is delivered where patients are most comfortable — in their own environments. Our clinicians are empowered to build meaningful relationships with patients while practicing with autonomy, flexibility, and strong clinical support. We are building a culture focused on collaboration, growth, innovation, and compassionate care for older adults throughout the communities we serve. Equal Opportunity Employer OUTREACH Rehabilitation is an Equal Opportunity Employer committed to fostering a diverse, inclusive, and supportive workplace for all employees and patients.

Personal Injury Paralegal - NYC Belluck Law, LLP is a nationally recognized boutique law firm with locations throughout New York. We specialize in mesothelioma and personal injury cases and are dedicated to seeking justice for clients and their families. The Firm is actively seeking a Legal Services Clerk for its Midtown Manhattan office. The ideal candidate possesses a strong work ethic and excellent attention to detail. Job Summary: This position involves routine communication with clients, ensuring accurate documentation in a digital file management platform (Litify), and drafting legal documents at all stages of litigation. Assigned cases may include those arising from motor vehicle, premises, and/or construction/labor law accidents, false arrests, medical malpractice, nursing home negligence, and negligence on the part of City, State, and other municipal entities. Individuals should be motivated, meticulous, and organizationally strong. Job Title: Personal Injury Paralegal Location: New York City Reports To: Attorneys, Executive Director, and Partners Department: Personal Injury FLSA Status: Non-Exempt Business Hours: 9:00 a.m. – 5:00 p.m. GENERAL RESPONSIBILITIES • Monitor and handle various tasks (see below) on assigned cases, • Maintain the firm’s digital file management platform, • Communicate with clients regarding status of case and medical treatment/conditions, • Facilitate attorney calls with clients, opposing counsel, etc., • Training paralegals – train new paralegals who are hired for PI, • Add/remove cases in eLaw, as needed, • Monitor eLaw and eTrack Court email notifications and update team with any necessary information. CASE WORK ON ASSIGNED CASES Enter/Process New Files: Preliminary Fact Investigation, Digital Platform Maintenance, and Initial Correspondence with Clients, Insurance Companies, and Defense Counsel • Process Insurance/No-Fault claims, • Request police reports, • Submit FOIL Requests, • Research Potentially Liable Parties, • Coordination of Process Service Obtain/Review Medical, Insurance, Employment, Workers’ Compensation, etc., records Draft Litigation Documents: • Summons & Complaint, • Bill of Particulars, • Discovery Demands/Interrogatories, • RJI and Request for PC, • Discovery Motions, • Subpoena Calendar Coordination/Organization: • Schedule depositions, attorney prep, • Order Court Reporters Settlement Document Processing: • Confirm treatment facility, Medicaid, Medicare, and private insurance liens Trial Prep: • Trial Subpoena Drafting and Service Coordination, • Prepare Trial Binder, • Expert Coordination and Material Exchanges: Expert Availability, Exchange Report, Coordinate Attorney Prep Appellate Document Drafting/Processing: • Notice of Entry and Notice of Appeal, • Prepare and file Notice of Appeal, • Enter and file new appellate matter into NYSCEF, • Prepare and service Notification of Appellate Case Number to all parties Qualifications: • Associate Degree or Bachelor’s Degree + Work Experience, • Exceptional verbal and written communication skills, • Exceptional research, investigation and critical thinking skills, • Excellent time management skills, • Familiarity with Online NYS and Federal Court Platforms: eCourts, NYSCEF, PACER, • Proficiency in MS Office Suite, specifically Adobe, Word and Excel It is the policy of Belluck Law, LLP to recruit, hire, train, promote and administer all Human Resources actions, without regard to unlawful consideration of race, creed, color, religion, age, sex, gender, sexual orientation, gender identity, national origin, ancestry, disability, pregnancy, marital status, genetic information or any other consideration made unlawful by Federal, State or local laws. In compliance with the Americans with Disabilities Act (ADA), the firm fully provides reasonable accommodations to qualified individuals with disabilities required by law. The Firm may require medical certification of both disability and the need for accommodation. The Americans with Disabilities Act (ADA) of 1990 requires individuals with disabilities be able to perform essential job functions with or without reasonable accommodations. Essential functions are the basic job duties that an employee must be able to perform, with or without reasonable accommodation. To comply with the ADA, included here are physical and/or mental requirements that are essential to the job: • Requires sitting in one place several hours at a time., • Requires occasional lifting of up to five pounds., • Public assistance or participation in lawful activity off the employer’s premises during non-work hours which does not directly conflict with the essential business interests of the Firm and, in accordance with applicable laws, is permissible.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Responsible for reviewing clinical coverage determination and appeals for different lines of business such as Commercial and Medicare. Knowledgeable in all aspects of coverage determination and appeals process and assist in meeting client expectations regarding efficiency and quality decision making. Position Responsibilities: • Evaluate and review all appeals requests to render coverage determinations based on clinical criteria and medical necessity. Performs and handles inbound and outbound phone calls with physicians, healthcare providers and/or patients to facilitate appeal requests, answer inquiries, and resolve escalations., • Collaborate with internal and external Medical Directors by providing appropriate clinical/medical data needed to perform clinical reviews per the health plan criteria., • Interpret clinical guideline criteria and appropriately utilize clinical knowledge and resources when rendering approvals and denials on all levels of appeals., • Perform peer to peer reviews with providers when requested., • Perform scientific literature evaluation using primary, secondary, and tertiary drug resources to support decision-making and recommendations to providers., • Provide detailed and thorough documentation in prior authorization cases, appeals cases, and overrides., • Make clinical prior authorization determinations in accordance with medical necessity and covered benefit guidelines within established turnaround times., • Maintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirements., • Remain current on all communications and updated processes relayed through multiple communication channels and apply to daily responsibilities., • Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and policies., • Deliver extraordinary customer care and service by responding to questions concerning customer accounts in a fast paced, structured environment within established time frames., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Minimum Qualifications: • Active, unrestricted, pharmacist license required, • 1+ years prior authorization review or appeals experience required, • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting priorities, • Have a designated workplace (an office, spare bedroom, etc.) that is visibly secure from others during work hours (closed door) and is protected from noise that could disrupt conversations, • Strong oral and written communication skills required, • Proficient in Microsoft Office Suite and experience using clinical resources (e.g. Micromedex, Lexicomp, Clinical Pharmacology) Preferred Qualifications: • Experience working with Medicare appeals preferred This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$125,000—$130,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans, Third Party Administrators (TPAs), and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Account Executive/Senior Director, PBA Client Services. Position Responsibilities: • Work closely with some of our biggest Texas-based clients and manage the complexities of working within a highly-regulated market of the TDI (Texas Department of Insurance) Provide oversight and direction to the broader Account Management team with a focus on member and client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers. Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client Anticipates customer needs and proactively identifies new opportunities within assigned accounts. Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges. Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients Partner with our Business Development, Underwriting Teams & Senior Account Executives to support our PBA Account level growth and retention efforts by providing with Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities Serve as the content expert for Health Plan/TPA clients & opportunities Identify and help contribute to process improvement efforts Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management. All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience highly preferred Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is required along with experience in supporting highly regulated business lines Track record of building trust in internal and external relationships Solution-focused problem solving and client positioning skills Exceptional written and verbal communication skills Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships A decisive individual with sound technical skills, analytical ability, good judgement, and strong operational focus and detail-oriented perspective Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines Ability to effectively work with peers in a team effort Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle Preferred Qualifications: • Experience working with clients who are subject to TDI (Texas Department of Insurance) rules and regulations #LI-BC1 This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$160,000—$170,000 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_.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Regulatory Affairs Director is responsible for leading activities of the Regulatory Affairs Department, including contracts, compliance, surveys, audits, investigations, reporting, plan development and renewal, credentialing, Fraud, Waste & Abuse Special Investigations, provider network and relations, regulatory updates and compliance matters. Essential Functions: • Review, draft, negotiate and process agreements and amendments in accordance with organization guidelines., • Lead projects involving the collection and submission of data and information related to government audits, surveys and requests., • Oversee provider contracting, including letters of agreement and associated follow-up., • Review, disseminate and handle fair hearing (FH) notices and decisions; manage FH calendar; attend FHs as needed, review and handle communications with OTDA and submit reports; prepare status reports and updates on cases., • Lead activities of the Special Investigation Unit (SIU), including SIU reporting and internal investigations., • Review and update applicable HIPAA policies and procedures in compliance with HIPAA laws and regulations., • Review OIG/OMIG requirements and best practices for compliance and program integrity; review and update compliance materials, including manuals, policies and procedures, and handbooks, to comply with regulatory requirements., • Make recommendations based on best practices and draft policies and procedures., • Review DOH and CMS plan contracts and edit plan documents in compliance with contract requirements., • Review, clarify and disseminate CMS memos and DOH guidance; keep abreast of related laws, regulations and official guidance., • Coordinate document and requests of outside counsel for litigation matters., • Oversee provider credentialing process and related activities., • Draft policies, procedures, manuals, plan and member materials., • Provide guidance and direction to Department staff., • Perform any other job related duties as requested. Education and Experience: • Juris Doctor (J.D) degree from an accredited college/university required, • Five (5) years experience with Medicare and NY Medicaid managed care contracting and compliance required, • Previous leadership experience preferred Competencies, Knowledge and Skills: • Strong customer service and team orientation, • Ability to adapt to a changing environment to achieve results, • Demonstrated leadership skills, • Skilled in organization, workflow analyses and management of details, • Advanced Microsoft Office skills, including Word, • Strong editing and proofreading skills, • Excellent written and oral communications skills, • Excellent time/project management and prioritization skills, • Ability to excel in fluid, dynamic environment Licensure and Certification: • Current, unrestricted Attorney license required Working Conditions: • General office environment; may be required to sit or stand for extended periods of time, • Ability to travel as required by the needs of the department., • 2 Days work from home; 3 Days work in Bronx office each week Compensation Range: $135,600.00 - $237,400.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: We are seeking a highly analytical and collaborative Manager to support and grow our Analytics team. This role requires strong technical skills in data analysis along with the ability to manage projects and support cross-functional teams. The ideal candidate will have experience mentoring analysts, managing business-critical requests, and contributing to a scalable data foundation that drives decision-making. This individual will play a key role in promoting efficiency, consistency, and innovation across our Analytics team. Why you'll love working here: • Our work makes a difference. We are a highly motivated team of specialists on a mission to improve the U.S. healthcare system for over 5 million members., • We value diverse perspectives. We bring our full, authentic selves to a culture that values high performance and genuine connection., • We are scaling fast. We are a rapid-growth organization with a strong financial outlook, affording stability while paving the way for innovation and creativity at every turn. Key Responsibilities: Team Support&ProjectManagement • Help set and track priorities, ensuring delivery of key analytics projects aligned with business goals., • Support the adoptionof analyticsbest practices and tools through training sessions and knowledge sharing., • Coachdata analystswithin the team, contributing to their professional development and fostering a collaborative team environment. DataExecution & Optimization • Contribute to the execution of data analytics initiatives that align with business needs., • Collaborate on the development of scalable processes for data collection, analysis, and reporting., • Identifyareas for improving efficiency through process improvements, automation, and better data practices., • Maintain documentation of key analytics processes and ensure data quality standards are upheld. Insights & Analysis • Conduct data modeling and analysis to generate insights that inform business strategy and process improvements., • Translatecomplexanalytical findings into clear, actionable recommendations using visualizations and presentations., • Contribute to proactive analytics that support operational and strategic decision-making. Stakeholder Collaboration & Communication • Partner with product managers, business leaders, and clients to understand analytics needs and prioritize requests accordingly., • Proactively manage and foster stakeholder relationships by acting as a strategic, consultative advisor with a keen understanding of businessobjectives., • Advocate for data-driven decision-making across teams and leadership. Compliance and QualityAssurance • Ensure adherence to company compliance standards, including reporting any noncompliance., • Support the development and implementation of quality controls and departmental standards to satisfy organizational and regulatory requirements., • Participate in internal training sessions to support continued learning and development., • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Qualifications & Experience: • 4-6years of experience in data analytics, business intelligence, ora relatedfield., • Experience in PBM, health plans, healthcare, or Medicare., • Familiaritywith pharmacy claims data, medical claims data, and client reporting metrics., • Expertisein SQL, Python, or R for data analysis, with strong coding hygiene and documentation practices., • Ability to perform complex analyses and synthesize findings into business insights., • Track recordof partnering closely with internal and external stakeholders to provide consultative analytics support, proactively advising on business opportunities., • Workingknowledge of data engineering fundamentals and working with cloud-based data warehouses (e.g., Snowflake,BigQuery, Redshift)., • Proven ability to prioritize and manage multiple projects in a fast-paced environment., • Excellent communication and stakeholder management skills, with the ability to present complex data insights to executives. Preferred Qualifications: • Experience working in large-scale, high-growth organizations., • Knowledge of machine learning or advanced statistical modeling techniques., • Familiarity with Agile project management methodologies., • Master's degree inComputer Science, Actuarial Science, Statistics, Economics,ora related field., • GitHub anddbtexperience. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$115,000—$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_.

Job Description Summary #LI-Remote This is a field-based and remote opportunity supporting a sales team in an assigned geography. Novartis is unable to offer relocation support for this role. Please only apply if this location is accessible to you. Company will not sponsor visas for this position. The Area Business Leader (ABL) is an enterprise thinker responsible for directing a team of Territory Account Specialists in the delivery of tailored customer experiences based on account and Health Care Provider (HCP) needs and clinical dialogue that compels the customer to act on behalf of their patients to generate demand in the relevant area. Through regular face-to-face in-field interactions, the Area Business Leader mentors their team to work cross-functionally with Healthcare Providers, Key Accounts and Systems of Care (SoC) to identify shared priorities, deliver clinical value and provide Novartis resource messaging in a patient-centered approach thereby establishing Novartis as a preferred customer partner. The Area Business Leader instills a culture of high-performance and accountability that encourages and motivates their team to complete the brand strategy and tactics. Job Description Key Responsibilities: • Recruit, develop, retain, mentor, and lead a diverse team of individuals to successfully deliver on strategic sales objectives and establish a cadence of accountability for the team, communicating, and supervising KPIs and engaging all levels of performance on the team., • Models the way for all associates by encouraging a shared vision, communicating clear expectations, promoting an environment of accountability, enabling others to act, and optimizing or advancing processes by challenging the status quo., • Monitor and mentor to ensure Territory Account Specialists are effective orchestrators of the total account call by coordinating the deployment resources to efficiently plan, communicate, and follow through to ensure customer needs are met with vitality., • Develop, implement, and cultivate a customer-centric business plan in collaboration with both customer engagement and cross-functional partners to optimize customer experience and product demand., • Serve as a member of the regional leadership team that is proactively supplying to the development of overall regional goals, business execution, team development and culture., • Embed a hard-working, customer-centric culture where teams are engaged business owners that take effective results-oriented action. The Area Business Leader champions an environment where team members are encouraged to speak up, solve problems, collaborate, experiment, and fail forward., • Possess in-depth knowledge in the areas of clinical, access and reimbursement, eye for business, territory management, and appropriate use of omni-channel marketing tools to effectively develop and mentor members of the team during regular field contacts and one-on-one mentor sessions., • Leverage analytics platforms to advise decisions and identify areas of risk and opportunity to ensure the Territory Account Specialists are deploying resources like strategic face-to-face meetings, omni-channel resources, total office calls and cross-functional partners. Essential Requirements: • Bachelor's degree required from 4-year college or university., • Leadership experience (see leveling guidelines below) in pharmaceutical, biotech, healthcare, or similarly structured industries with large, geographically dispersed sales teams. We also welcome candidates from other complex sales environments such as medical devices, diagnostics, life sciences services, insurance, consumer health, or B2B sectors, especially where strong field leadership and customer engagement are central to success. Internal Sales Associates are eligible, if successfully completed Novartis Emerging Leaders Development Program (ELDP), or 2+ years of pharmaceutical/biotech sales management experience within the last two years prior to joining the company., • 2+ years' experience as a first-line sales manager with strong, demonstrated strategic thinking and enterprise mindset., • Demonstrated success in attracting, developing, and retaining diverse talent while building high-performing, collaborative teams., • Proven ability to drive sales growth, lead cross-functional partnerships, and execute strategic initiatives in complex, multi-regional environments., • Experience managing field organizations through change, innovation, or growth is highly valued., • Candidate must reside within territory, or within a reasonable daily commuting distance of 100 miles from the territory border. Ability to travel 60-80% over a broad geography is required, with the ability to drive and/or fly within the territory. Must have a valid driver's license. Desirable Requirements: • Experience & success leading sales teams in promotion to large practices, hospitals, IDN's & SoC customers, with an understanding of reimbursement for both the out-patient (payer) and in-patient (Diagnosis Related Group, Medicare). Leveling Guidelines: The position will be filled at a level commensurate with experience. Area Business Leader I: • 2+ years' experience as a first-line sales manager with strong, demonstrated strategic thinking and enterprise mindset (e.g., brand management, market access/account leadership experience) in pharmaceutical, biotech, healthcare, medical devices, diagnostics, life sciences services, insurance, consumer health, B2B sectors or similarly structured industries with large, geographically dispersed sales teams. Area Business Leader II: • 4+ years' experience as a first-line sales manager with strong, demonstrated strategic thinking and enterprise mindset (e.g., brand management, market access/account leadership experience) in pharmaceutical, biotech, healthcare, medical devices, diagnostics, life sciences services, insurance, consumer health, B2B sectors or similarly structured industries with large, geographically dispersed sales teams. Senior Area Business Leader: • 8+ years' experience as a first-line sales manager with strong, demonstrated strategic thinking and enterprise mindset (e.g., brand management, market access/account leadership experience) in pharmaceutical, biotech, healthcare, medical devices, diagnostics, life sciences services, insurance, consumer health, B2B sectors or similarly structured industries with large, geographically dispersed sales teams. Driving is an Essential Function of this Role: Meaning it is fundamental to the purpose of this job and cannot be eliminated. Because driving is an essential function of the role, you must have a fully valid and unrestricted driver's license to be qualified for this role. The company provides reasonable accommodations for otherwise qualified individuals with medical restrictions if an accommodation can be provided without eliminating the essential function of driving. COVID-19 Vaccine Policy (customer-facing roles only): While Novartis does not require vaccination for COVID-19 or proof of a recent negative test result for COVID-19 at this time, employees working in customer-facing roles must adhere to and comply with customers' (such as hospitals, physician offices, etc.) credentialing guidelines, which may require vaccination. As required by applicable law, Novartis will consider requests for reasonable accommodation for those unable to be vaccinated. This requirement is subject to applicable state and local laws and may not be applicable to employees working in certain jurisdictions. Please send accommodation requests to _. For Field Roles with a Dedicated Training Period: The individual hired for this role will be required to successfully complete certain initial training, including home study, eight (8) or fewer hours per day and forty (40) or fewer hours per week. Novartis Compensation Summary: The salary for this position is expected to range between: • Area Business Leader I: $145,600 and $270,400 per year, • Area Business Leader II: $160,300 and $297,700 per year, • Senior Area Business Leader: $176,400 and $327,600 per year The final salary offered is determined based on factors like, but not limited to, relevant skills and experience, and upon joining Novartis will be reviewed periodically. Novartis may change the published salary range based on company and market factors. Your compensation will include a performance-based cash incentive and, depending on the level of the role, eligibility to be considered for annual equity awards. US-based eligible employees will receive a comprehensive benefits package that includes health, life and disability benefits, a 401(k) with company contribution and match, and a variety of other benefits. In addition, employees are eligible for a generous time off package including vacation, personal days, holidays and other leaves. EEO Statement: The Novartis Group of Companies are Equal Opportunity Employers. We do not discriminate in recruitment, hiring, training, promotion or other employment practices for reasons of race, color, religion, sex, national origin, age, sexual orientation, gender identity or expression, marital or veteran status, disability, or any other legally protected status. Accessibility and reasonable accommodations The Novartis Group of Companies are committed to working with and providing reasonable accommodation to individuals with disabilities. If, because of a medical condition or disability, you need a reasonable accommodation for any part of the application process, or to perform the essential functions of a position, please send an e-mail to us.reasonableaccommodations@novartis.com or call +1(877)395-2339 and let us know the nature of your request and your contact information. Please include the job requisition number in your message. Salary Range $160,300.00 - $297,700.00 Skills Desired Analytical Skill, Change Management, Coaching, Collaboration, Commercial Excellence, Complexity Management, Compliance, health care industry, Leadership, Management, Mentorship, problem solving techniques, Professional Communication, Professional Ethics, Team Work

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: We are seeking a highly motivated and talented Data Engineer I (Analytics Engineering) to help build and scale Capital Rx's analytics foundation. This role focuses on developing high-quality, analytics-ready datasets and a consistent metrics/semantic layer that power reporting, self-service BI, and operational insights. You will work heavily in dbt and Snowflake to design durable data models, define trusted business metrics, and ensure data quality through testing, documentation, and observability-partnering closely with operational, product, and analytics stakeholders to translate business questions into reusable data products that drive measurable outcomes. Position Responsibilities: • Partner closely with operational and analytics teams to translate business needs into analytics-ready data models, curated data marts, and reusable datasets., • Build and maintain dbt projects (staging intermediate marts), including model layering, macros, exposures, packages, and source freshness to accelerate delivery and improve reliability., • Design and evolve dimensional models (facts/dimensions, grain, SCD patterns) and analytics patterns aligned with key business domains., • Own metrics definitions end-to-end: establish KPI logic, naming standards, calculation rules, and governance; maintain a metrics/semantic layer so stakeholders use consistent definitions across tools and teams., • Implement robust data quality practices (dbt tests, constraints, anomaly checks/monitoring) to ensure reliable downstream reporting and decision-making., • Produce clear documentation and enablement assets (dbt docs, lineage, data dictionaries, metric definitions, onboarding guides) to support self-service analytics., • Optimize warehouse performance and cost in Snowflake through SQL tuning, incremental models, appropriate materializations, and efficient data design., • Use disciplined software engineering practices (Git-based workflows, peer review, CI checks, versioning, environment promotion) to deploy changes safely and repeatably., • Proactively identify and resolve data-related issues, ensuring system reliability and data integrity., • Provide ongoing support for critical analytics data products and participate in an on-call rotation as needed., • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: • Bachelor's degree in Computer Science, Information Technology, or a related field (or equivalent practical experience)., • Strong SQL skills and experience building analytics datasets in a modern cloud data warehouse (Snowflake preferred)., • Hands-on experience with dbt core (model development, tests, documentation, macros, deployments)., • Solid foundation in data modeling (dimensional/Kimball concepts, facts/dimensions, grain, slowly changing dimensions)., • Experience defining and managing metrics: translating business logic into consistent KPI definitions, documenting edge cases, and maintaining metric governance over time., • 1+ years of experience delivering production-grade analytics models/marts or BI-ready datasets (internships/co-ops may be considered depending on leveling)., • Ability to collaborate effectively with both technical and non-technical stakeholders; strong communication and documentation skills., • A self-motivated, detail-oriented individual with the ability to tackle and solve intricate technical challenges and deliver high-quality work. Preferred Qualifications: • Experience in healthcare, PBM, insurance, or other regulated data environments., • Deep familiarity with Snowflake and experience supporting multiple warehouses or databases as environments evolve (e.g., Redshift and/or Postgres)., • Familiarity with semantic/metrics layer patterns and practices (e.g., consistent metric definitions, metric governance, semantic modeling approaches) and enabling KPI consumption across BI tools., • Experience with CI/CD for analytics (automated tests, PR checks, environment promotion) and data observability/monitoring practices., • Working knowledge of Python for data tooling or analytics enablement (e.g., automation, validation checks), and comfort collaborating with orchestration/workflow tools when needed. This range represents the low and high end of the anticipated base salary range for the NY-based position. The actual base salary will depend on several factors such as experience, knowledge, and skills, and if the location of the job changes. Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$100,000—$120,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Join our first-of-its-kind Integrated Benefits team as a Benefit Operations Specialist, where you will play a pivotal role in delivering comprehensive medical and pharmacy benefit programs for Judi Health clients. You will lead benefit configuration, claims testing, and quality assurance processes, ensuring accuracy and efficiency across all implementations. This position offers the opportunity to influence operational best practices and contribute to a team that is redefining how integrated benefits are delivered in the healthcare space. Position Responsibilities: • Responsible for all aspects of benefit configuration, including new plan setup, plan change setup, claims testing, and regular audits, • Drives cross-functional collaboration with the product/dev team as well as additional stakeholder teams to ensure client customized requests are configurable for both new plan setups and plan changes, • Clearly communicate benefit configuration setup and testing process or specific test claims to clients in a concise way that can be understood by users who are not experts in benefit areas, • Make recommendations to streamline the work processes and systems that impact plan/benefit design to create efficiency and quality outcomes, • Works cross-functionally to create new benefit options aligning with market needs, including expansion in government programs, • Develop standards and custom batch testing scenarios and inputs, reviewing test claims output to validate claim accuracy against the clients' benefit design, • Develops standard policy and procedures, training materials and provide education for training and presentation to cross-functional teams, • Maintain acceptable and appropriate quality levels and production SLA response time, • Participate in client meetings to assess new client benefit information or change requests to ensure design of Judi logic ties to the benefit configuration intended to meet client needs, • Partner with leadership to develop benefit plan designs and ensure that the plan designs meet client requests, Health Plan strategic/business parameters, and all regulatory and other oversight agencies' requirements, • Partner with Client Services team as clients go live and troubleshoot benefit-related discrepancies, errors, and problems, • Support general business or team needs, as assigned, • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance Qualifications: • Bachelor's degree preferred, • 5+years of TPA / health plan experience in Medical Benefit configuration, benefit testing, claims monitoring, SPD creation, Medical Coding or other applicable department needs, • 3+ years of experience with Cigna a plus, • Pharmacy, Dental, or Vision experience a plus, • Self-funded plans, Medicare/Government programs and ERISA experience preferred, • Tremendous attention to detail, ability to shift priorities easily and ability to work in high paced, deadline drive environment., • Exceptional written and verbal communication skills, • Experience working with product/dev teams and familiarity with Agile, preferred, • Preferred: experience working with structured or unstructured data in Excel, SQL, and other data visualization tools Certifications: • IFEBP certification a plus This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$75,000—$90,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Join our mission to transform pharmacy benefits and healthcare navigation as a Data Engineer II (Analytics Engineer). You will build and maintain reliable data models within Snowflake with dbt, and improve data quality and observability. Partner with analysts, data scientists, and software engineers to deliver trusted, well-documented datasets that power analytics and products. Position Responsibilities: • Build, test, and document Snowflake data models and business logic in dbt, • Apply and improve data quality, testing, observability, and lineage standards, • Collaborate with cross-functional partners to define data contracts and interfaces, • Contribute to Capital Rx's modular data platform and client-specific data configurations, • Participate in design reviews; propose scalable, maintainable patterns, • Monitor pipeline health, troubleshoot incidents, and drive root-cause fixes, • Optimize cost and performance of jobs, storage, and queries with guidance, • Write clear documentation and support knowledge sharing, • Adhere to the Capital Rx Code of Conduct, including reporting of noncompliance Preferred Qualifications: • 3+ years in data engineering, software engineering, or related field, • Strong SQL and Python; solid understanding of ETL/ELT and dimensional/data vault modeling, • Hands-on dbt experience (models, tests, documentation, deployments), • Experience with orchestration (Dagster or Airflow) and scheduling best practices, • Familiarity with Spark/Databricks and cloud data warehouses (Snowflake preferred), • CI/CD for data (Git-based workflows, environments), and basic IaC familiarity, • Data observability and testing (dbt tests, lineage tools), • Understanding of security, governance, and privacy for PII/PHI (HIPAA awareness), • Effective communication and collaboration with technical and non-technical stakeholders, • Bonus if you have Exposure to healthcare data (claims, eligibility, provider directories), • Performance tuning in Snowflake (warehouse sizing, clustering, caching) Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$120,000—$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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Location: Remote or Hybrid (Local to NYC or Denver area) As an Account Manager focused on PBA and Medicare, you'll be at the forefront of delivering seamless client experiences by managing benefit changes, implementing new plans, and ensuring pricing accuracy-all while driving impactful solutions that directly shape business success. You'll lead key quality assurance initiatives, proactively identify claim discrepancies, and collaborate across teams to streamline processes, making a tangible impact on client satisfaction and operational efficiency. Your expertise will be essential in shaping client strategies, resolving complex issues, and upholding the values that keep Capital Rx ahead of the competition. Position Responsibilities: • Partner with clinical account manager (CAM) and account executive (AE) to manage clients through the entire lifecycle from implementation through go-live and renewal on a designated book of business, • Support implementation as a critical member of the client management teams with all day-to-day client requirements, • Responsible for timely and accurate management and execution of all client benefit requests, including benefit changes, eligibility changes, override requests, demos and new implementations, • Analyze incoming client requests and work with internal and external teams to complete required plan documentation, • Support implementation of new plans, pricing, and networks, consistent with strategic or administrative intent, • Lead pre- and post-implementation quality assurance and testing to validate coding accuracy, • Lead claim reviews to proactively identify discrepancies or inaccuracies and develop solutions to address, • Travel requirements not to exceed 25%, • Handle and resolve sponsor and member issues, escalating as needed, • Research and respond to claims processing and system configuration inquiries, • Coordinate integration of other data inputs into client management processes, • Collaborate cross functionally to support general client operations, as required, • Responsible for relationship management and contribution to successful NPS and Account Management Survey results, along with retention support, • Responsible for adherence to the Capital Rx Code of Conduct, including reporting of noncompliance. Qualifications / Profile: • Undergraduate bachelor's degree, with record of strong academic performance, • 5+ years of proven experience in PBM / health plan, benefits consulting, healthcare, • Track record of building trusting internal and external relationships, • Track record of leading cross-functional initiatives, driving high performance, meeting deadlines, and executing on deliverables, • Experience working with structured and unstructured data, • Proficient in Microsoft Office, SQL a bonus, • Ability to balance multiple complex projects simultaneously, • Exceptional written and verbal communication skills, • Extremely flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$80,000—$100,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Capital Rx is seeking a strategic, client-focused Clinical Account Consultant to support all aspects of clinical functions to service client clinical needs. In this role, you'll ensure client satisfaction, retention, and trend management, while providing clinical support to clients across all lines of business. You'll collaborate directly with clients to develop and implement formulary and clinical strategies, support contract renewals, and contribute to clinical process improvements. If you're passionate about delivering exceptional service with a focus on clinical excellence and driving healthcare innovation, we'd love to hear from you! Position Responsibilities: • Support clinical aspects of implementation for new clients, plans, plan changes, and other clinical plan set-up requirements. This may include gathering client clinical intent and plan requirements, building/coding plans and formularies, conducting peer-review quality control, and reviewing testing and claims output., • Actively address all clients' clinical needs including the management and implementation of custom formularies, clinical criteria, and clinical strategies., • Comprehend and effectively explain formulary, benefit, and clinical programs to clients, including intervention components, member and plan experience, book of business experience, and regulatory requirements as it directly pertains to clinical functions., • Meet with clients to discuss clinical trends, review relevant pharmacy data, and provide recommendations with supportive rationale for formulary, clinical and plan management strategies., • Analyze and interpret pharmacy claims data to identify clinical and plan trends and to offer insights for individual clients and across multiple clients., • Communicate drug information to clients and respond to plan-specific clinical inquiries; support resolution of member-specific inquiries., • Collaborate with cross-functional teams to support sales initiatives, requests for information (RFI), requests for proposal (RFP), and prospect presentations., • Actively attend and contribute to sales meetings and client presentations with a focus on clinical operations and clinical account management., • Lead key internal clinical operations initiatives and general business needs/operations, as required., • Identify and contribute to clinical process improvement efforts., • Certain times of year may require meeting participation, testing, claims review, or other requirements outside of standard business hours, including weekends., • Responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: • Doctor of Pharmacy (PharmD) degree from an accredited institution, • Current, unrestricted registered pharmacist license(s), • Relevant experience of 3-5 years in a health plan or pharmacy benefits management (PBM), • Direct account management experience supporting clients across multiple lines of business, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel, • Experience working with large datasets and analyzing raw data in Excel, • Ability to balance multiple complex projects simultaneously, • Exceptional written and verbal communication skills, • Flexible, highly organized, and able to shift priorities easily, • Attention to detail & commitment to delivering high quality work product, • Ability to travel and present to small and large groups Preferred Qualifications: • Completion of managed care residency, preferred, • Prior account management experience of at least three (3) years, preferred, • Prior experience with Medicare line of business, preferred 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. Remote, US Salary Range $145,000.00 - $165,000.00 USD This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$145,000—$165,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: Responsible for taking incoming requests for first, second level and external appeals while ensuring high level of customer service and maximizing productivity. Work with appeals team for multiple lines of business such as Commercial, Exchange and Medicare, ensuring the proper submission of appeals for review by pharmacist and medical directors. Position Responsibilities: • Maintain quality and productivity standards for all cases reviewed while meeting established turnaround time requirements., • Remain current on all communications and updated processes relayed through multiple communication channels and apply to daily responsibilities., • Follow all internal Standard Operating Procedures and adhere to HIPAA guidelines and policies., • Review all cases received, to verify if case meets qualifications for appeal review., • Performs triple check to ensure quality reviews and handling in accordance with policies and procedures., • Updates case types, sends appeal acknowledgements, and submits case information to independent review organizations., • Communicate effectively with appeal pharmacists regarding internal and external appeals., • Make verbal outreach attempts to obtain necessary information for case review and record accurate information obtained on the call., • Exhibit excellent phone and communication skills while providing complete and accurate information to members and providers., • Performs all other related duties as assigned Minimum Qualifications: • 1 + years' experience working as a certified pharmacy technician in a managed care or PBM setting required., • Active, unrestricted certified pharmacist technician license required., • Excellent organization details and strong detail orientation., • Strong oral and written communication skills., • Ability to work independently with minimal supervision, stay productive in a remote, high-volume, metric driven environment with shifting priorities., • Ability to work 12pm-9pm EST hours Preferred Qualifications: • Experience working with commercial and medicare appeals preferred Nothing in this position description restricts management's right to assign or reassign duties and responsibilities to this job at any time. Remote, US Salary Range $60,000.00 - $65,000.00 USD New York, NY Salary Range $78,800.00 - $98,500.00 USD Denver, CO Salary Range $72,000.00 - $90,000.00 USD About Capital Rx Capital Rx is a full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA), advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes. As a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Capital Rx 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$60,000—$65,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Location: Remote (For Non-Local) or Hybrid (Local to NYC area) About Capital Rx: Capital Rx is a full-service pharmacy benefit manager (PBM) overseeing prescription benefit plans on behalf of employers, unions, and government entities in the commercial space and provides Pharmacy Benefit Administration (PBA) services to Health Plans and TPAs. Advancing our nation's electronic healthcare infrastructure to improve drug price visibility and patient outcomes, as a Certified B Corp, Capital Rx is executing its mission through the deployment of JUDI, the company's cloud-native enterprise health platform, and a Single-Ledger Model, which increases visibility and reduces variability in drug prices. JUDI connects every aspect of the pharmacy ecosystem in one efficient, scalable platform, servicing millions of members for Medicare, Medicaid, and commercial plans. Together with its clients, Capital Rx is reimagining the administration of pharmacy benefits and rebuilding trust in healthcare. Position Overview: The Account Executive/Strategic Account Executive - PBA Services is responsible for managing the planning, execution, growth & retention and client satisfaction of assigned clients in the Pharmacy Benefit Administration (PBA) market segment including Health Plans with multiple lines of businesses, Third Party Administrators (TPAs), commercial employer groups, and other Platform services. Additionally, this position will lead and collaborate through the broader Account Management team and with internal Capital Rx teams/departments as the client voice and advocate to ensure ongoing client satisfaction, retention, and to achieve client priorities and contractual obligations. This position acts as the quarterback and leader of the broader Account Management team who are aligned in support of our clients. This position reports to the Senior Director, PBA Client Services. Position Responsibilities: • Provide oversight and direction to the broader Account Management team with a focus on client satisfaction, trend management, client growth & retention, and regulatory compliance to meet client specific objectives, client priorities and service model deliverables, • Lead and develop the client relationship strategy and the strategic business planning process across the clients in your portfolio while incorporating other internal staff where and when needed to build and foster relationships with influencers and decision makers, • Maintain thorough knowledge and tracking of contractual obligations on assigned book of business, including financials, performance guarantees, terms, and reporting/compliance, • Manage and facilitate the Account renewal and contracting process with a focus on client retention and the client financial/PNL management, • Serve as the relationship lead on assigned book of business, incorporating other internal staff where and when needed to the relationship; build and foster relationships with influencers and decision makers at the client, • Anticipates customer needs and proactively identifies new opportunities within assigned accounts, • Develop and maintain comprehensive knowledge of our business, including products and services to field questions from the client side and to answer timely & accurately, • Collaborate with internal teams to customize offerings and solutions, aligning with Health Plan/TPA Account needs and market demands - assemble internal resources to overcomes challenges, • Analyze and interpret current pharmacy and healthcare trends, competitor activities, and industry regulations to inform strategic decisions, provide proactive recommendations for plan management and enhance the company's positioning within the PBA Services segment, • Lead, coach and support the Account Team on the effective positioning of the Capital Rx value proposition, our suite of Capital Rx Products and Solutions and JUDI capabilities available to our PBA clients, • Partner with our Business Development & Underwriting Teams to support our PBA Account level growth and retention efforts by providing Capital Rx sales support and market differentiator positioning, including RFP support, Broker/Consultant engagement and Best & Final support for prospective, existing and new and client business development needs, • Provide ongoing direction, coordination and coaching to the broader Account Team to align the Account Team understanding of the assigned client(s) business lines, strategies, key stakeholders & decision makers and priorities, • Serve as the content expert for Health Plan/TPA clients & opportunities, • Identify and help contribute to process improvement efforts, • Be accountable & own the client end-to end, inclusive of service model deliverables, contractual negotiations, client escalations and PNL management., • All employees are responsible for adherence to the Capital Rx Code of Conduct including reporting of noncompliance. Required Qualifications: • Bachelor's or advanced degree in health administration, business, or relevant professional experience. Bachelor of Pharmacy (B.S. Pharmacy) or Doctor of Pharmacy (PharmD) degree from an accredited institution is a plus, • Relevant professional experience for at least five (5) years in pharmacy - working within a health plan, managed care, or pharmacy benefits management (PBM) focused on Health Plans and Payer Commercial (Insured, Self-Funded, Exchange) and Government Program (Medicare & Medicaid) business lines. Health plan industry experience preferred, • Market and operational knowledge of Medicare Part D, Medicaid and Health Exchange pharmacy is a plus along with experience in supporting highly regulated business lines, • Track record of building trust in internal and external relationships, • Solution-focused problem solving and client positioning skills, • Exceptional written and verbal communication skills, • Ability to work with and influence peers in a team effort; leading cross-functional initiatives, meeting deadlines, and executing on deliverables while building strong internal relationships, • A decisive individual with sound leadership and technical skills, analytical ability, good judgement, and strong detail-oriented perspective, • Flexible, highly organized, and able to shift priorities easily and work independently to meet deadlines, • Ability to effectively work with peers in a team effort, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and large data sets and other industry software programs, • Ability to travel and present to small and large groups; travel is estimated to be up to 25% and be variable by season and business cycle. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$160,000—$170,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary: The Utilization Management Pharmacist plays a vital role in promoting safe, effective, and appropriate medication use. This position is responsible for reviewing prior authorization requests, supporting clinical programs, and providing expert guidance to members, providers, and pharmacies. The role combines clinical decision-making with a strong focus on service excellence in a fast-paced, collaborative environment. Position Responsibilities: • Review and make timely, evidence-based decisions on prior authorizations, appeals, and override requests using clinical guidelines and benefit criteria., • Ensure compliance with federal, state, and internal regulations across Commercial, Exchange, Medicare, and Medicaid plans., • Accurately document clinical decisions and maintain thorough records in accordance with regulatory and accreditation (URAC/NCQA) utilization review standards., • Provide clear, empathetic support to members, prescribers, and pharmacies by responding to clinical inquiries via phone, demonstrating professionalism, active listening, and a patient-centered approach., • Stay current with clinical prescribing guidelines, internal policies, and regulatory changes, and apply them to daily responsibilities., • Follow all internal procedures, job aids, and HIPAA guidelines to protect patient privacy and data security., • Identify and report potential fraud, waste, and abuse., • Support training and development of new and existing team members as needed., • Assist leadership with special projects, process improvements, and operational initiatives Minimum Qualifications: • Minimum of 6 months to a year of prior authorization or utilization management experience, • Active, unrestricted, pharmacist license, • Bachelor's or Doctor of Pharmacy degree, • Minimum of 2 years of pharmacy practice experience, • Experience in managed care or pharmacy benefit management (PBM), • Strong communication, writing, and organizational skills, • Ability to manage multiple priorities in a high-volume, metric-driven environment, • Availability to work after hours, weekends, and holidays on a rotating schedule Preferred Qualifications: • Call center experience 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. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$125,000—$130,000 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_.

ElderServe Health is a mission-driven, nonprofit managed care organization serving the New York metropolitan area. ElderServe provides long-term services and supports to more than 20,000 older adults and adults with disabilities across New York City, as well as Westchester, Nassau, and Suffolk Counties. ElderServe primarily serves a frail and elderly membership who is predominantly dual-eligible and enrolled in Medicaid managed long-term care, Medicare-only and integrated Medicaid-Medicare plans. The CareSource and ElderServe affiliation addresses these critical long-term care needs to help members be as healthy and independent as possible. Job Summary: The Assistant Clinical Director is responsible for managing the day-to-day activities of care coordination. It ensures delivery of quality service and performance of the staff and team. The Director provides support to the team for care management issues, problem resolution, complaint resolution and other member services related issues. Manages and coordinates the activities of RSH MLTC care coordination team to ensure that care coordination meets with regulatory guidelines and the organization's objectives. Performs all duties inherent in the managerial role; ensures staff training, evaluates staff performance, participates in hiring, retention, evaluation and disciplining and termination of staff. Essential Functions: • Plans, organized, direct, coordinate and evaluate clinical aspects of RSHP Programs., • Plans and administers the operational and fiscal aspects of the Program., • Prepares and administers the Program's Annual Budget in conjunction with Senior Management Staff., • Develops policies and procedures governing client care., • Establishes appropriate, New York State code compliant, personnel policies and procedures including those relating to hiring practices, health status examination, and periodic evaluation. Orientation and in-service education., • Participates in hiring, retention, evaluating, disciplining and termination of staff., • Ensures compliance, consistent with health rules of the New York State Department of Health., • Performs/reviews yearly evaluations of employees' performance for Management, Clerical and Professional staff., • Develops job descriptions for each category of personnel, which clearly identify the scope of practice, responsibility and accountability of the individual filling the position., • Recruits and provides sufficient staff required to meet the Program's responsibilities., • Assures adherence to good personnel practices in regard to hiring, retention, evaluation, counseling, discipline and termination of personnel., • Plans, delegates, supervise and evaluate client care services provided by the Program., • Participates in developing standards which insure safe and therapeutically effective service to clients and families., • Oversees the clinical supervision of staff to assure standards of care are met and/or assures that appropriate supervision is provided., • Participates in the negotiation of contract/agreements where applicable to provide services for the Program., • Participates in the negotiation of contract/agreements where applicable to provide services for the Program., • Approves staff participation in continuing Education Programs and schedules, • Monitors effectiveness of documentation in meeting regulatory and reimbursement requirements., • Provides direct supervision of the Management staff., • Plans and arranges for consultants to meet staffing levels., • Prepares for the participation in certification visits from Regulatory/Accrediting bodies., • Ensures after hours phone coverage for Members., • Represents Program to community., • Performs outreach, marketing and liaison responsibilities., • Perform any other job related duties as requested. Education and Experience: • Bachelor's degree in nursing required, • Master's degree in nursing or healthcare related field preferred, • Equivalent years of relevant work experience may be accepted in lieu of required education, • Three (3) years experience in home care, care management or related field required, • previous experience with NY State regulations regarding Medicaid , Managed Long Term Care Health Plans required, • previous management experience preferred Competencies, Knowledge and Skills: • Proficiency in Microsoft Office products, specifically Word and Excel, • Ability to define problems, collect data, establish facts and draw conclusions, • Ability to interpret an extensive variety of technical instructions and deal with several abstract, concrete variables, • Demonstrated knowledge of Medicare and Medicaid regulations, • Knowledge of applicable Federal, State and Local regulations, • Ability to effectively communicate information to chronically ill / geriatric members, • Demonstrated ability to integrate age specific requirements with individual developmental, mental, social and cultural needs, • Leadership and management skills, • Strong collaboration and conflict resolution skills, • Exception communication skills (written and verbal) with the ability to present information in a variety of different formats to all levels, • Ability to develop, prioritize and accomplish goals/time management skills Licensure and Certification: • Active, unrestricted Registered Nurse (RN) license in state or practice required, • Case Manager Certification preferred Working Conditions: • Three days a week in Bronx office; Two days a week remote, • General office environment; may be required to sit or stand for extended periods of time, • Up to 15% (occasional) travel based on the needs of the department may be required Compensation Range: $113,000.00 - $197,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package. Compensation Type: Salary Competencies: • Fostering a Collaborative Workplace Culture - Cultivate Partnerships - Develop Self and Others - Drive Execution - Influence Others - Pursue Personal Excellence - Understand the Business This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds. #LI-RW1

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary The Pharmacy Value Programs Senior Project Manager will lead the development, execution, and continuous improvement of innovative pharmacy benefit costsavings programs across all lines of business, including Commercial, Exchange, Medicare, and Medicaid. In this highly crossfunctional role, the Program Manager partners closely with internal teams, external vendors, and pharmacy partners to design and implement strategic initiatives-from specialty pharmacy partnerships to benefit design optimization and manufacturerdirect solutions-that reduce overall drug spend while maintaining or enhancing member experience. This role is responsible for maintaining detailed implementation plans, operational workflows, and training materials while ensuring program quality and compliance through structured audits and documentation. The Project Manager also collaborates with Analytics to produce opportunity assessments and savings reporting, and supports the commercialization of new offerings through pricing, marketing enablement, and RFI/RFP contributions. The ideal candidate brings deep experience in healthcare cost management, strong analytical capabilities, exceptional communication skills, and a strategic mindset with the ability to identify inefficiencies and drive longterm product and process improvements in a fastpaced environment. Position Responsibilities: • Program Development & Management: Collaborate with key stakeholders to develop and maintain new and existing drug cost containment programs for all lines of business (Commercial, Exchange, Medicare, and Medicaid). Programs include, but are not limited to, partnerships with innovative mail & specialty pharmacies, benefit design optimization, and integration with manufacturer direct offerings., • Program Planning and Execution: Engage with appropriate stakeholders and cross-functional teams to ensure successful implementation and execution of programs., • Program Maintenance: Regularly update and maintain comprehensive implementation plans, workflow guides, trainings, and other documentation., • Quality Assurance: Implement quality control processes to ensure program compliance with established standards and guidelines. Conduct and document audits and work with appropriate stakeholders to implement corrective actions as needed., • Vendor management: Own relationships with and provide oversight of third-party vendors (including pharmacies) to administer programs with emphasis on member experience and cost savings., • Data Analytics & Reporting: Use reporting tools and partner with our Analytics team to develop and maintain opportunity analyses and ongoing savings performance reporting., • Commercialization: Support the go-to-market strategy of savings product offerings including pricing, marketing, and implementation. Support RFI and RFP submissions., • Continuous quality improvement: Evaluate evolving industry and market landscape and analyze prescription claims data to identify opportunities for improving existing products and developing new products. Supports quality improvement programs/projects as required. Required Qualifications: • Bachelor's Degree required, • 4+ years of experience applicable to health care cost management, such as in a health plan, PBM, value-based care, or managed care environment; consulting, advising, or tech enablement focused on the preceding areas also considered applicable, • Ability to balance multiple complex projects simultaneously with minimal direction, • Great time-management and organizational skills to manage multiple active projects simultaneously, • Exceptional written, verbal, and presentation skills, • Experience working with data reporting tools, conducting data analyses, and effectively consuming/interpreting data reports and visualizations Preferred Qualifications: • Master's Degree in relevant field (PharmD, MBA, MHA/MHP, etc.), • Experience with prescription drug channels and payment workflows (pharmacy reimbursement, rebate administration and GPO relations, regulatory requirements, etc.), • Experience with health insurance or health benefits administration (pharmacy benefits in particular), • Strong experience in developing, implementing, and using data and workflow management technology solutions (e.g., customer relationship management (CRM), Jira/Salesforce, collaborative Excel workbooks in SharePoint, etc.), • Experience with programming languages relevant to data analytics, such as SQL or Python, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Ability to think strategically and identify inefficiencies, develop long-term solutions, and challenge and improve existing processes through automation and redesign, • Highly detail-oriented and analytical, • Ability to travel occasionally as needed for internal, client, and vendor/partner meetings This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$93,200—$147,000 USDNew York, NY Salary Range$117,600—$147,000 USDDenver, CO Salary Range$108,000—$135,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. Position Summary The Market Access Programs Senior Project Manager will lead the development, execution, and continuous improvement of innovative market access programs across all lines of business, including Commercial, Exchange, Medicare, and Medicaid. In this highly crossfunctional role, the Program Manager partners closely with internal teams, external vendors, and pharmacy partners to design and implement strategic initiatives-from specialty pharmacy partnerships to manufacturerdirect solutions-that enhance member experience and reduce overall drug spend. This role is responsible for maintaining detailed implementation plans, operational workflows, and training materials while ensuring program quality and compliance through structured audits and documentation. The Project Manager also collaborates with Analytics to produce opportunity assessments and savings reporting, and supports the commercialization of new offerings through pricing, marketing enablement, and RFI/RFP contributions. The ideal candidate brings deep experience in healthcare cost management, strong analytical capabilities, exceptional communication skills, and a strategic mindset with the ability to identify inefficiencies and drive longterm product and process improvements in a fastpaced environment. Position Responsibilities: • Program Development & Management: Collaborate with key stakeholders to develop and maintain new and existing market access programs for all relevant lines of business. Programs include, but are not limited to, innovative pharmacy network configurations and partnerships with supply chain stakeholders., • Program Planning and Execution: Engage with appropriate stakeholders and cross-functional teams to ensure successful implementation and execution of programs., • Program Maintenance: Regularly update and maintain comprehensive implementation plans, workflow guides, trainings, rules sets, and other documentation as relevant and required., • Quality Assurance: Implement quality control processes to ensure program compliance with established standards and guidelines. Conduct and document audits and work with appropriate stakeholders to implement corrective actions as needed., • Vendor management: Own relationship with and provide oversight of third-party vendors and/or partners (pharmacy providers or manufacturers) to administer programs with emphasis on member experience and value capture for clients., • Data Analytics & Reporting: Use reporting tools and partner with our Analytics team to develop and maintain opportunity analyses and ongoing savings performance reporting., • Commercialization: Support the go-to-market strategy of program offerings including pricing, marketing, and implementation. Support RFI and RFP submissions., • Continuous quality improvement: Evaluate evolving industry and market landscape and analyze prescription claims data to identify opportunities for improving existing programs and developing new programs and/or partnerships. Supports quality improvement programs/projects as required. Required Qualifications: • Bachelor's Degree required, • 4+ years of experience applicable to health care,, such as in a health plan, PBM, pharmacy, manufacturer, value-based care, or managed care environment; consulting, advising, or tech enablement focused on the preceding areas also considered applicable, • Ability to balance multiple complex projects simultaneously with minimal direction, • Great time-management and organizational skills to manage multiple active projects simultaneously, • Exceptional written, verbal, and presentation skills, • Experience working with data reporting tools, conducting data analyses, and effectively consuming/interpreting data reports and visualizations Preferred Qualifications: • Master's Degree in relevant field (PharmD, MBA, MHA/MHP, etc.), • Experience with prescription drug channels and payment workflows (pharmacy reimbursement, rebate administration and GPO relations, regulatory requirements, etc.), • Experience with health insurance or health benefits administration (pharmacy benefits in particular), • Strong experience in developing, implementing, and using data and workflow management technology solutions (e.g., customer relationship management (CRM), Jira/Salesforce, collaborative Excel workbooks in SharePoint, etc.), • Experience with programming languages relevant to data analytics, such as SQL or Python, • Proficient in Microsoft Office Suite with emphasis on Microsoft Excel and PowerPoint, • Ability to think strategically and identify inefficiencies, develop long-term solutions, and challenge and improve existing processes through automation and redesign, • Highly detail-oriented and analytical, • Ability to travel occasionally as needed for internal, client, and vendor/partner meetings This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$93,200—$147,000 USDNew York, NY Salary Range$117,600—$147,000 USDDenver, CO Salary Range$108,000—$135,000 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_.

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, • Judi, the industry's leading proprietary Enterprise Health Platform (EHP), which consolidates all claim administration-related workflows in one scalable, secure platform. Together with our clients, we're rebuilding trust in healthcare in the U.S. and deploying the infrastructure we need for the care we deserve. To learn more, visit _. PositionSummary: We are seeking a highly technical and detail-oriented Senior Analyst to support our growing Analytics team. This role requires deepexpertiseinpharmacy claims analysis,data analysis, reporting frameworks, and coding best practices. The ideal candidate will have a strong background in executing analyticsprojects, collaborating with cross-functional teams, andprovidingactionable insights to support business decisions. With more than 3 years of experience in data analyticsand pharmacy consulting, this individual will drive efficiency, consistency, and innovation within the organization'sAnalyticsteam. Key Responsibilities: • AnalyticalProject Execution, • Lead analytics projects, collaborating with business stakeholders to develop and deliver reporting solutions and actionable insights., • Produce strategic insights on program performance, compliance, utilization trends, and financial projections., • Ensure data integrity by developing and maintaining clear documentation of query logic, methodologies, and key assumptions., • Cross-Functional Collaboration, • Work cross-functionally with internal teams to align analytical insights with business objectives, regulatory requirements, and financial considerations., • Proactively engage and partner with stakeholders on project scoping, logic development, and documentation., • Advocate for data-driven decision-making across teams and leadership., • Client Consulting, • Interpret current pharmacy and healthcare trends, and meet with clients to provide proactive recommendations for plan management; find ways of adding value to the client curating offerings tailored to the client's specific needs, • Data Analysis and Reporting, • Apply expertise in data analytics to identify opportunities for process optimization, automation, and improved reporting methodologies., • Translate complex data findings into actionable insights, creating visualizations and presentations for stakeholders ranging from operational teams to executive leadership., • Build and maintain standard and ad hoc reports., • Compliance and Quality Control, • Ensure adherence to company compliance standards, including reporting any noncompliance., • Support the development and implementation of quality controls and departmental standards to satisfy organizational and regulatory requirements., • Participate in internal training sessions to support continued learning and development. Qualifications & Experience: • 3+ years of experience indata analytics, business intelligence,consulting,ora relatedfield., • 1+ years of experience in pharmacy industry (PBM, consultant, manufacturer), • Experience working with pharmacy claims data, medical claims data, and client reporting metrics., • A decisive individual who possesses a strategic focus as well as an operational, implementation, and detail-oriented perspective, • A strategic planner with sound technical skills, analytical ability, good judgement, and strong operational focus, • A well-organized and self-directed individual who is able to work with minimal amount of supervision, • Capability to efficiently complete tasks in a fast-paced environment, • Proficient in Microsoft Office and industry related software programs, • Proficiency in SQL, Python, or R for data analysis, with strong coding hygiene and documentation practices., • Strong ability to work cross-functionally with business stakeholders., • Excellent written and verbal communication skills with the ability to present insights effectively., • Experience mentoring team members and leading knowledge sharing., • Attention to detail & commitment to delivering high quality work product. Preferred Qualifications: • Experience working in large-scale, high-growth organizations., • 1+ years of experience with health plans, healthcareproviders, or Medicare/Medicaid plan management., • Hands-on experience with BI tools such as Tableau., • Familiarity with Agile project management methodologies., • Bachelor's degree in Computer Science, Actuarial Science, Statistics, Economics, or a related field., • GitHub and dbt experience. This range represents the low and high end of the anticipated base salary range. The actual base salary will depend on several factors such as: experience, knowledge, skills, and location of the job. Remote, US Salary Range$72,800—$115,000 USDNew York, NY Salary Range$92,000—$115,000 USDDenver, CO Salary Range$84,400—$105,500 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_.