Trabajos prior authorization remote en Dallas, TexasCrear alertas

Remote Contract Attorney - Criminal/Traffic Law: 5-15 hours per week, work from home! This Jobot Consulting Job is hosted by: Jacob Vane Are you a fit? Easy Apply now by clicking the "Apply" button and sending us your resume. Salary: $75 - $100 per hour A bit about us: We are seeking a licensed attorney in good standing (with no disciplinary history in any state) to serve as Lead Attorney on criminal law cases. This position is ideal for a self-starter who can independently manage all aspects of their cases while providing exceptional client service. • 5–20 hours per week, • Contract - open ended, • Flexible schedule, remote work (except for required in-person duties), • No minimum billed-hours requirement, • Flexible schedule, • Must be able to work remotely except for required in-person duties, • Candidate must be relocated prior to starting work (if not already in the area) Why join us? Key Responsibilities • Handle a broad range of criminal defense matters, including DUI/DWAI, domestic violence cases, traffic offenses, and juvenile delinquency matters, • Take full ownership of cases from start to finish, including motions practice, hearings, negotiations, and trial preparation/appearances, • Analyze police reports, evidence, witness statements, and procedural errors to identify suppression issues and defense angles early, • Maintain consistent, clear, and empathetic communication with clients facing high stress, high impact situations, • Manage fast-moving deadlines, court schedules, and time sensitive filings across El Paso County, • Work with investigators, experts, and internal team members to build tailored defense strategies—no cookie cutter approaches, • Prepare all cases as if they may go to trial, even when resolution is likely, • Optional: Additional exposure may include related matters such as protective orders, DMV hearings, or collateral impact advisement (employment/licensing/etc.) Job Details Requirements: • Minimum 3 years of criminal defense experience, including courtroom advocacy and strong working knowledge of Texas criminal procedures and local court rules, • Experience handling DUI, domestic violence, traffic, and/or juvenile matters, • Must reside within reasonable travel distance of El Paso County courthouses and be available for required in person hearings, • Strong ability to review and challenge evidence (e.g., stops, field sobriety tests, chemical tests, body cam footage), • Familiarity with Clio legal software and Math4Law is a plus*, • Licensed attorney in good standing with NO disciplinary history in ANY state. Interested in hearing more? Easy Apply now by clicking the "Apply" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Medical, dental, vision, 2 weeks PTO, 11 paid holidays This Jobot Job is hosted by: Brittany Packard Are you a fit? Easy Apply now by clicking the "Apply Now" button and sending us your resume. Salary: $60,000 - $85,000 per year A bit about us: Our client is a dealership in the Mount Enterprise area that is actively growing. Our client is seeking to add a detail oriented / autonomous thinker to their team that wants a long term and stable home. Relocation assistance of a $5,000k sign on bonus to assist with relocation costs. Why join us? medical dental vision 11 paid holidays 10 days of PTO after 1 year, 3 days from 91 days to 365 days. stable organization with short and long term plans for company growth flexibility to WFH for special circumstances allowed Job Details Position Title: Senior Accountant or Accounting Manager (Dealership Experience Highly Preferred) Location: Texas (Onsite; Dallas-area candidates encouraged due to planned expansion / $5000 sign on bonus to assist with relocation costs) Employment Type: Direct Hire Position Overview: We are seeking an experienced accounting professional with dealership experience to take full ownership of the accounting function and remove day-to-day accounting oversight from executive leadership. This role requires someone who understands the operational flow of a dealership environment — from Sales → Finance → Accounting → Service — and can step in with confidence from day one. The ideal candidate has prior experience working within a Dealership Management System (DMS) environment and understands how transactions move through dealership operations and impact financial reporting. This is a hands-on leadership role focused heavily on month-end close, reconciliations, financial statement preparation, and sales tax compliance (Texas). Key Responsibilities: Accounting Leadership & Oversight:. Take full ownership of the monthly close process. Perform and review account reconciliations with strong attention to detail. Prepare accurate and timely financial statements. Troubleshoot discrepancies and resolve integration or posting issues within the DMS. Ensure accounting processes align with dealership operational flow. Operational Accounting: Oversee day-to-day accounting operations while a staff member handles transactional AP/AR. Provide review and guidance over transactional work. Ensure accuracy in general ledger activity and reporting. Improve accounting workflows and internal controls. Sales Tax & Compliance: Manage and ensure compliance with Texas sales tax regulations. Review and oversee preparation of sales tax filings. Research and resolve sales tax questions as needed. Systems & Process: Leverage prior DMS experience to understand how sales, finance, and service transactions integrate into accounting. Ideal Candidate Profile: Prior dealership accounting experience (highly preferred). Experience working in a Dealership Management System (DMS) environment. Strong understanding of the dealership transaction lifecycle. Proven ability to perform detailed account reconciliations. Experience preparing financial statements independently. Hands-on Texas sales tax experience (required). Audit background strongly preferred (audit-trained mindset with independent ownership). High sense of urgency and strong follow-through. Detail-oriented with strong problem-solving skills. Comfortable operating autonomously and taking initiative. Direct report experience is a plus but not required. Work Environment: Onsite role within Texas. Fully remote is not an option at this time. Potential future opportunity for Dallas-area presence as the organization expands. What Success Looks Like: Accurate and timely month-end close. Clean reconciliations with minimal oversight required. Reliable financial statements leadership can confidently use for planning and strategy. Proactive troubleshooting of operational accounting issues. Strong ownership and urgency in driving accounting excellence. Interested in hearing more? Easy Apply now by clicking the "Apply Now" button. Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. Sometimes Jobot is required to perform background checks with your authorization. Jobot will consider qualified candidates with criminal histories in a manner consistent with any applicable federal, state, or local law regarding criminal backgrounds, including but not limited to the Los Angeles Fair Chance Initiative for Hiring and the San Francisco Fair Chance Ordinance. Information collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. By applying for this job, you agree to receive calls, AI-generated calls, text messages, or emails from Jobot, and/or its agents and contracted partners. Frequency varies for text messages. Message and data rates may apply. Carriers are not liable for delayed or undelivered messages. You can reply STOP to cancel and HELP for help. You can access our privacy policy here: jobot.com/privacy-policy

Requirements Bachelor’s Degree in Pharmacy or Doctor of Pharmacy (PharmD) required. Hours: 7:00 AM – 8:00 PM EST Monday – Friday, 7:00 AM – 4:30 PM EST Saturday and Sunday (set rotation) Location: Remote / Work from Home (must have dedicated, quiet workspace) Type: Full-time, contract Traini

Now Hiring: Remote Prior Authorization Pharmacist!!!.

Job DescriptionCoreWeave is The Essential Cloud for AI™. Built for pioneers by pioneers, CoreWeave delivers a platform of technology, tools, and teams that enables innovators to build and scale AI with confidence. Trusted by leading AI labs, startups, and global enterprises, CoreWeave combines superior infrastructure performance with deep technical expertise to accelerate breakthroughs and turn compute into capability. Founded in 2017, CoreWeave became a publicly traded company (Nasdaq: CRWV) in March 2025. Learn more at . What You'll Do: CoreWeave is seeking an Accounting Transformation Senior Manager to join our Accounting Transformation team which leads process and system transformations for the Chief Accounting Officer (CAO) team. The emphasis is on gaining efficiency, improving controls, and enabling scalability as CoreWeave continues its rapid expansion. This will include implementing new systems and automating numerous processes across Accounting in partnership with cross-functional business partners in FP&A, SOX, Accounts Payable, T&E, Procurement, Supply Chain, IT, HR and others. In this role, you will have an opportunity to have an enormous impact on the future of the Accounting team and the CFO's Finance Department as a whole. This role reports to the Director of Accounting Transformation. About the role: In this role, you will lead, prioritize, and execute the improvement requests related to Accounting Processes Cycles, including: • Develop the roadmap for process improvement, automation, and efficiency initiatives that take into account impacts to groups upstream and downstream from the requested improvements, • Effectively communicate roadmaps and plans to Accounting team colleagues and leadership, Finance department executives and Supply Chain business partners, • Lead process improvements and collaborate with IT to implement systems that streamline and automate processes and controls, • Receive process improvement proposals from Accounting stakeholders, assess importance, upstream and downstream change implications across the company, and resource impacts, and manage the prioritization of the list of improvements, • Proactively identify opportunities for both large and small process improvements and propose and implement solutions, • Support business stakeholders by helping develop written procedures, process maps, user acceptance test scripts, training materials and jobs aids to ensure successful go-live adoption, • Apply project management techniques to oversee the planning, execution, and delivery of key accounting-impacted projects, ensuring they are completed on time and within budget through use of project management standards and software tools, as applicable, for consistent language and status reporting., • And other duties and priorities that may arise, including, but not limited to:, • Manage and perform ad hoc initiatives as needed, • Be involved with project management of acquisition integrations, • Master's or bachelor's degree in systems, accounting or finance or related field, • Minimum 10+ years of relevant experience, • Knowledge of GAAP and financial reporting requirements required; SOX Internal Controls design, prior Big 4, prior Auditing experience, CPA preferred, • Experience with proven ability to collaborate cross-functionally in a Technology industry public company required; SaaS experience, revenue recognition, lease accounting preferred, • Deep understanding of finance application capabilities, including large scale ERP, business intelligence and reporting solutions, forecasting, procurement systems, data quality and governance, • Knowledge of functional areas (e.g., P2P, OTC, RTR, Tax, IT, FP&A, etc.) to collaborate cross-functionally preferred, • Solid knowledge and prior usage of project management tools, e.g., Jira, Asana, MS Project, Smartsheet, etc and productivity platforms, e.g., G-suite, Slack, Sharepoint, Confluence, etc, • Project or program management experience is a must; certification preferred, • Excellent written and verbal communication skills, with the ability to present technical information clearly and concisely, • Self-starter with strong analytical and problem-solving skills, with attention to detail, and willing to roll up sleeves to perform the necessary tasks, • Ability to work independently and manage multiple priorities in a fast-paced environment, • PMP, • CPA / Chartered, • You love to build., • You're curious about new business problems. At CoreWeave, we work hard, have fun, and move fast! We're in an exciting stage of hyper-growth that you will not want to miss out on. We're not afraid of a little chaos, and we're constantly learning. Our team cares deeply about how we build our product and how we work together, which is represented through our core values: • Be Curious at Your Core, • Act Like an Owner, • Empower Employees, • Deliver Best-in-Class Client Experiences The base salary range for this role is $135,000 to $198,000. The starting salary will be determined based on job-related knowledge, skills, experience, and market location. We strive for both market alignment and internal equity when determining compensation. In addition to base salary, our total rewards package includes a discretionary bonus, equity awards, and a comprehensive benefits program (all based on eligibility). What We Offer The range we've posted represents the typical compensation range for this role. To determine actual compensation, we review the market rate for each candidate which can include a variety of factors. These include qualifications, experience, interview performance, and location. In addition to a competitive salary, we offer a variety of benefits to support your needs, including: • Medical, dental, and vision insurance - 100% paid for by CoreWeave, • Company-paid Life Insurance, • Voluntary supplemental life insurance, • Short and long-term disability insurance, • Flexible Spending Account, • Health Savings Account, • Tuition Reimbursement, • Ability to Participate in Employee Stock Purchase Program (ESPP), • Mental Wellness Benefits through Spring Health, • Family-Forming support provided by Carrot, • Paid Parental Leave, • Flexible, full-service childcare support with Kinside, • 401(k) with a generous employer match, • Flexible PTO, • Catered lunch each day in our office and data center locations, • A casual work environment While we prioritize a hybrid work environment, remote work may be considered for candidates located more than 30 miles from an office, based on role requirements for specialized skill sets. New hires will be invited to attend onboarding at one of our hubs within their first month. Teams also gather quarterly to support collaboration. California Consumer Privacy Act - California applicants only CoreWeave is an equal opportunity employer, committed to fostering an inclusive and supportive workplace. All qualified applicants and candidates will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. As part of this commitment and consistent with the Americans with Disabilities Act (ADA), CoreWeave will ensure that qualified applicants and candidates with disabilities are provided reasonable accommodations for the hiring process, unless such accommodation would cause an undue hardship. If reasonable accommodation is needed, please contact: . Export Control Compliance This position requires access to export controlled information. To conform to U.S. Government export regulations applicable to that information, applicant must either be (A) a U.S. person, defined as a (i) U.S. citizen or national, (ii) U.S. lawful permanent resident (green card holder), (iii) refugee under 8 U.S.C. § 1157, or (iv) asylee under 8 U.S.C. § 1158, (B) eligible to access the export controlled information without a required export authorization, or (C) eligible and reasonably likely to obtain the required export authorization from the applicable U.S. government agency. CoreWeave may, for legitimate business reasons, decline to pursue any export licensing process.

Job Description A-Line Staffing is now hiring a Clinical Pharmacist - Prior Authorization/PBM. The Clinical Pharmacist - Prior Authorization/PBM will be working for a respected healthcare organization and has career growth potential. If you are interested in this position, please contact Alexis at 1586-422-1748 or . See additional details below. Clinical Pharmacist - Prior Authorization/PBM Highlights • The pay for this position is $53.00 per hour., • Training schedule: Monday–Friday, 9:00 AM – 5:30 PM EST (first 8 weeks, no time off permitted), • Post-training schedule: 8-hour shifts between 7:00 AM – 8:00 PM EST (Monday–Friday) and 7:00 AM – 4:30 PM EST (weekends, rotation required), • Fully Remote (WFH) position, • This position is a 6 month contract role with potential for extension or conversion to FTE., • Review Medicare Part D appeals cases for accuracy, completeness, and clinical appropriateness, • Evaluate internal notes and fax requests to extract and document pertinent clinical information, • Conduct outreach to providers to obtain additional clinical details when necessary, • Ensure compliance with CMS guidelines, Medicare timelines, and internal work instructions, • Apply clinical judgment using drug compendia and Medicare guidance to support case decisions, • Maintain productivity and quality standards while documenting all actions clearly and concisely, • Active Registered Pharmacist license in good standing in state of residence (screenshot required with resume), • Bachelor’s degree in Pharmacy or PharmD required, • Previous experience in Managed Care or PBM environment preferred, • Strong computer skills including Microsoft Excel and Word (Access, PowerPoint, and Visio preferred), • Ability to work independently in a productivity-driven, data entry-focused environment, • Experience navigating multiple systems and working with dual screens preferred, • Must have a dedicated, quiet workspace for remote work, • Wired internet connection with minimum 25 Mbps download / 5 Mbps upload (screenshot required), • Ability to remain focused and seated for the duration of shift, • High level of attention to detail, organization, and communication skills, • Candidates must be on camera for all meetings, including training and team interactions, • Attendance is critical, especially during the first 8–10 weeks of training, • Weekend work required (either rotating or one consistent weekend day)

Job DescriptionVECRA is seeking a Full-Time BRAILLE/TACTILE SIGNING INTERPRETERS COMPANY DESCRIPTION VECRA, Inc. is a service-disabled veteran-owned small business (SDVOSB), woman-owned small business (WOSB), minority business enterprise (MBE) consulting firm implementing proven methodologies that help our clients drive growth, transform businesses, and innovate breakthrough ideas. VECRA’s extensive experience with innovative interpretation and translations, ASL services, administrative support, reporting, facilities and supply chain management, program management and staffing support services are always: Vigilant * Efficient * Collaborative * Responsive * Accurate JOB SUMMARY VECRA, Inc. has a requirement for several Braille/Tactile Signing Interpreters to provide In-person, telephonic, and video conference translator and interpreter services at various locations in the Continental United States (CONUS). Interpreters will provide medical interpretation and translation for Deaf and Hard of Hearing patients and their families. The Interpreter will follow HIPAA Laws and hold the patient’s information in the strictest of confidence. Interpreters are needed in the following geographic regions: • Texas, Eastern New Mexico, • Montana, Wyoming, Eastern Idaho, Eastern Nevada, Utah, and Colorado, • Oregon, Washington, Idaho, and Alaska, • Northern California, Nevada, Hawaii Islands, Philippines Islands, Guam, and American Samoa, • Southern California, Arizona, New Mexico, Southern Colorado ROLES and RESPONSIBILITIES, • Be familiar with the Unified English Braille System and rules of braille transcribing and be familiar with the Nemeth Code of Braille Mathematics and Scientific Notation., • Machine translation will not be used., • Contractors shall be punctual and present at relevant proceedings, demonstrate a professional demeanor, and provide all the necessary equipment and materials to perform their duties., • Be willing to complete ASL (American Sign Language) assessment by as Certified ASL Professional (exceptions can be made with proven work history and certifications)., • Complete all required documents in a timely manner., • Flexibility to work in different settings and adapt to various work environments., • Must be located in and authorized to work in the US (We do not offer visa sponsorship)., • Interpreters may be expected to perform a combination of In-Person Services, Telephonic and Video Conference Services, Document Translation Services, and Records Management. IN-PERSON SERVICES, • The Interpreters must be capable of providing in-person services when ordered., • The Interpreters must be prompt, reliable, and professional in demeanor and dress., • The Interpreters shall arrive at the facility-designated location for in-person services 15 minutes early for the scheduled meeting. TELEPHONIC AND VIDEO CONFERENCE SERVICES, • Interpreters must be capable of handling multiple participants at once., • Interpreters must be prompt and able to be online within minutes to meet with VA staff, • DOCUMENT TRANSLATION SERVICES Interpreters shall be capable of providing document translation services from English to the required language to facilitate patient and patient’s family understanding. RECORDS MANAGEMENT • Interpreters must have in their possession a cross-cut paper shredder., • 3-4 years interpreting preferably medical interpreting required, • Ability to identify and address obstacles to high-quality patient care and satisfaction; diffuse stressful situations; and to work in multi-culturally diverse environment, • Knowledge of medical terminology required, • Well-developed listening interpretative and conciliation skills, • Proficiency in Microsoft Word Excel Outlook and TEAMs, • Exhibit proficiency in ASL (American Sign Language), • Each interpreter or translator must know how to translate medical terminology to ensure exact understanding of treatments, procedures, medication names / dosage requirements, and other instructions required for care of the veteran patient, or for obtaining informed consent., • Each interpreter or translator MUST possess linguistic proficiency in English and the language to be serviced., • Must meet all qualifications and certifications as required by state and/or federal law., • A qualified translator or interpreter is defined as a vendor’s in-house or contracted translator or interpreter who is competent to interpret or translate as demonstrated through accreditation by State Interpreter Certification/National Center for State Courts, the National Board of Certification for Medical Interpreters, National Council on Interpreting in Health Care Certification, or Interagency Language Roundtable (ILR), or equivalent certifying agency., • Contractors shall be punctual and present at relevant proceedings, demonstrate a professional demeanor, and provide all the necessary equipment and materials to perform their duties., • High School Diploma or equivalentCERTIFICATIONS, • State Interpreter Certification/National Center for State Courts, • National Board of Certification for Medical Interpreters, • National Council on Interpreting in Health Care Certification, or, • Interagency Language Roundtable (ILR), or equivalent certifying agencyOTHER, • Work Authorization: Must be authorized to work in the United States., • Schedule: Monday – Friday, • Work Hours: 8:00 AM to 4:30 PM Monday through Friday in the time zone of the facility, excluding federal holidays. Each TO will specify the time coverage required and what (if any) advance notice conditions apply., • Shift: Varies; TOs may require services to be available 24/7/365 days a week to include all Federal Holidays. VA Emergency Departments normally operate with 24-hour coverage., • Onsite Locations (USA): Texas, Eastern New Mexico, Montana, Wyoming, Eastern Idaho, Eastern Nevada, Utah, and Colorado, Oregon, Washington, Idaho, and Alaska, Northern California, Nevada, Hawaii Islands, Philippines Islands, Guam, and American Samoa, Southern California, Arizona, New Mexico, Southern Colorado, • Parking is allowed only in areas not designated for patient use., • Telework or Virtual: Minimal remote work (10%); Onsite work will be required (90%), • Req Type: On call, • Salary: Commensurate with experience C2AX9Wy6Ol

Job Description Join VitalCaring – Where Your Passion Changes Lives! Are you looking for a career where compassion meets purpose? At VitalCaring, we're more than a home health and hospice provider—we're a family that supports, inspires, and uplifts both our patients and our team members. Who We Are Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care. Why Choose VitalCaring? Work That Fits Your Life – Discover the ideal balance of purpose and flexibility. As a full-time salaried clinician, you'll enjoy the stability of a consistent role with the freedom to manage personal commitments throughout your day. Our field team thrives in an environment that empowers them to make a real impact—while still having the time and space to prioritize what matters most at home. With a generous 6 weeks of paid time off each year, you'll have the opportunity to recharge, reconnect, and return ready to do your best work. Make a Meaningful Impact – Help patients and families navigate their healthcare journey with compassion and dignity. Thrive in a Supportive Team – Work with a team who genuinely care and invest in your success. Grow Your Career – Take advantage of advanced training, mentorship, and career development opportunities. Competitive Pay & Benefits – Receive a rewarding compensation package that recognizes your dedication and expertise. Our benefits are designed to empower you with the resources, flexibility, and security needed to thrive both professionally and personally. This is a remote position eligible to those who reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, or Florida Health & Wellness Medical, Dental & Vision Pharmacy Benefits Virtual & Mental Health Support Flexible Spending Accounts (FSAs) & Health Savings Account (HSA) Supplemental Health & Life Insurance Financial & Legal 401(k) with Company Match Employee Referral Program Prepaid Legal Plans Identity Theft Protection Work-Life Balance & Perks Paid Time Off Pet Insurance Tuition & Continuing Education Reimbursement Essential Functions of an Insurance Verification and Authorization Supervisor: 1. Implements and follows established company Standard Operating Procedures (SOP) regarding insurance verification and authorization department. Responsible for employee training and mentoring, reviewing work for accuracy and efficiency, monitoring team performance. As subject matter expert for team, answers questions and provides daily support and guidance as needed., 2. Hosts and documents monthly 1:1's with direct reports to discuss performance, communicate issues, foster productive relationships, and maintain open communication with each team member., 3. Develops and communicates goals and objectives, documents and hosts annual performance reviews for each team member. Provides opportunities for professional growth and development., 4. Perform regular audits of records for accuracy, completeness, and security., 5. Collaborate with clinical and administrative staff to support department success., 6. Identifies potential Bad Debt and reports to the Revenue Cycle Manager, Revenue Cycle Director, and Vice President, Revenue Cycle in a timely fashion., 7. Generate reports and statistics related to insurance verification and authorization activities, compliance, and productivity., 8. Works with internal and external personnel to approve and clear billing per company policy and regulatory guidelines., 9. Monitors workflows throughout the day to ensure timely processing., 10. Maintains effective, professional communication with internal and external staff including communication of frequent chart errors to the department and operational leaders., 11. Serves as a subject matter expert and can perform tasks the department is responsible for., 12. Maintains compliance with internal policies, procedures, and regulations, including federal and state laws., 13. Performs all other duties as assigned. Skills for Success: * Computer skills required; knowledge of MS Office, Excel, Outlook, Teams, and similar software preferred * Strong understanding of healthcare documentation and medical terminology, especially related to home health * Knowledge of HIPAA, CMS, and state/federal regulations related to insurance and prior authorization * Proficiency in EHR system (HCHB) preferred * Knowledge of payor portals and clearinghouses such as Palmetto, Waystar, and Availity strongly preferred * Excellent interpersonal and organizational skills * Strong leadership and communication skills * High attention to detail and data accuracy * Ability to manage multiple tasks and meet deadlines Experience to Deliver on our Mission: • Three years in insurance verification or prior authorization in home health, • One year supervisory or leadership experience preferred, • Experience working with remote teams is preferred, • Reliable transportation and valid and current auto liability insurance Come home to VitalCaring where you will find your passion, find your people, and find yourself again. Together we can transform lives and foster hope through genuine caring. Explore your future with VitalCaring today.

Job Description LTK's mission is to empower the world's premium lifestyle Creators to achieve maximum economic success. We have a huge opportunity ahead of us and we're looking for team members who want to create, innovate and disrupt an industry. We empower our team members to drive innovation, create value, and continue to spearhead the creation of this industry — a game changer when it comes to career growth. Title: Product Manager – Brand Platform Location: US - Remote About the Role LTK seeks a results-driven Product Manager to own and grow the platform that powers gifting and paid collaborations between the world's top creators and brands. The Brand Platform is part of LTK's "All-in-One Creator Marketing" platform, which enables brands and creators to discover each other, collaborate, and build long-term, mutually beneficial partnerships. The Brand Platform is a key component of LTK's three-sided marketplace, connecting consumers, creators, and brands into a thriving social community. This role is central to designing the end-to-end experience for both brands and creators, including campaign creation, negotiation, digital contracting, secure payments, and performance measurement. You will help build scalable revenue streams for creators while providing brands with a high-ROI, authentic marketing channel they can trust. As a Product Manager, you will partner closely with engineering, design, data science, sales, operations, marketing, and legal teams to define, prioritize, and deliver high-impact product solutions. You will own the full product lifecycle—from discovery and definition to launch, iteration, and post-launch optimization. How You Will Make an Impact • Translate Strategy into Execution: Convert the vision of founders and senior leaders into a product strategy and roadmap that drives measurable business outcomes., • End-to-End Product Ownership: Define features, write clear user stories, manage the backlog, and make trade-offs to ensure high-quality, high-impact delivery., • Product Execution & Quality: Collaborate with engineering and design to launch exceptional products, identify and triage quality issues, and ensure features work across devices, international points of sale, and use cases., • Customer Insight & Feedback: Gather and synthesize feedback from usability tests, surveys, support tickets, and other channels to guide decisions. Use data and research to continuously optimize the campaign funnel and improve user experience., • Marketplace & Financial Systems: Architect solutions for campaign proposals, offer negotiation, digital contracting, and seamless payment systems to ensure accurate, timely payouts for creators., • Data-Driven Decision Making: Define proper instrumentation for projects, analyze post-launch results, and proactively generate insights to inform future features and roadmap priorities., • AI & Emerging Tech: Leverage AI tools (e.g., ChatGPT, Enterpret, Glean) responsibly to automate routine tasks, summarize user feedback, and accelerate insights while improving decision-making., • Strategic Impact: Understand your product area in the context of team and company objectives. Align multiple initiatives to broader goals, and use post-launch analysis to recommend next steps., • Stakeholder Management: Proactively identify impacted stakeholders across teams, integrate feedback into product decisions, and communicate updates and trade-offs clearly., • Proven Product Experience: 4+ years in product management, preferably in a multi-sided marketplace, ad-tech, mar-tech, or creator economy platform. Experience with social platforms is a strong plus., • Digital Marketing & Ad-Tech Expertise: Strong understanding of CMOs, media buyers, and performance marketers; experience with platforms like Meta Ads or Google Ads is preferred., • Marketplace & FinTech Familiarity: Knowledge of marketplace mechanics, payment systems (Stripe, Netsuite, PayPal), trust & safety, and digital contracting workflows., • Analytical & Data-Driven: Comfortable with cohort analysis, funnel optimization, financial modeling, and tools like Amplitude, Fullstory, Looker, and Athena., • Communication & Influence: Able to articulate complex product decisions, trade-offs, and data-backed rationale to engineers, stakeholders, and executives., • "Roll Up Your Sleeves" Attitude: Thrives in a fast-paced, ambiguous environment; capable of operating at both strategic and tactical levels., • Quality Ownership: Able to transition into the role of the customer prior to launch to ensure the product meets customer expectations., • Growth Mindset & Adaptability: Embraces feedback, continuously improves, and navigates rapidly changing priorities., • Social Platform API Experience: Familiarity with platforms and their insights, such as Meta/IG, TikTok, Pinterest, and YouTube is preferred., • A mindset focused on seizing opportunities and moving with urgency, • Dedication to fierce prioritization and operational excellence, • Adaptability to a dynamic, fast-moving environment, • A growth mindset and openness to feedback#LI-AJ1What we offer, • The opportunity to be part of the leading global company in creator commerce, • A remote-first, productivity-first environment, • Competitive compensation and benefits package to meet the needs of you and your family, • 401(k) with LTK company matching, • Medical Insurance, Vision Insurance, Dental Insurance, • Paid Maternity Leave and Paid Paternity Leave, • Here to win, • Commit to the journey For US-Based Roles: We are not offering new sponsorships opportunities at this time for persons requiring employment visas, such as an H-1B; authorization to work in the U.S. is a precondition of employment. Any unsolicited resumes/candidate profiles submitted through our website or to personal email accounts of employees of LTK are considered the property of LTK and are not subject to payment of agency fees. LTK is an Equal Opportunity Employer. #LI-Remote

Job Description Location: Dallas, TX (Hybrid: On-site with remote weekend work) Employment Type: Direct Hire Reporting To: Logistics Manager Schedule: Rotating on-call, weekends required on a 1-in-4 basis CornerStone Professional Placement is seeking a Logistics Coordinator to join a high-performing logistics team supporting a 24/7/365 distribution facility. This position plays a critical role in managing and optimizing daily transportation operations, coordinating with producers, customers, and haulers to ensure accurate, timely deliveries, while supporting internal reporting and supply chain visibility. This role is ideal for someone with a logistics or cold chain background, who enjoys working in a fast-paced, team-driven environment and wants to grow alongside a team that's leveraging new technology and data tools like Power BI to track KPIs and performance. You’ll be joining a team of five, with one immediate hire and plans to scale. A strong training program is in place, and success will come from being a self-starter, team collaborator, and problem solver who’s not afraid to jump in and support others when your tasks are complete. Typical Day / Key Responsibilities: • Act as the key point of contact for producers, customers, and haulers regarding daily logistical operations, • Monitor incoming loads, track ETAs, and ensure consistent delivery performance, • Submit pickup schedules and daily receiving reports using logistics software and internal platforms (Ebarex preferred), • Utilize Excel (pivot tables, charts, production data) and Power BI to generate daily performance reports, KPIs, and operational analysis, • Maintain accurate shipment and producer data in internal systems (URC platform), • Identify and resolve transportation issues quickly and independently, • Contribute to rotating on-call schedule: approx. 3 shifts every 14-day cycle, with one working weekend followed by 3–4 off, • Weekend shifts are remote (laptop, monitor, and phone provided), • Help maintain supply inventories and coordinate distribution of supplies to producers, • Foster a culture of continuous improvement and team support — “know your role, and help others when yours is done” Requirements: • High school diploma required; associate degree preferred, • 2+ years of experience in logistics, transportation coordination, or supply chain support, • Prior on-call support experience preferred, • Proficiency in Microsoft Excel (pivot tables, charts, data analysis), • Experience with logistics platforms such as Ebarex or similar, • Power BI knowledge is a strong plus, • Strong communication skills, attention to detail, and ability to multitask, • Comfortable working in a high-volume environment (handling 500+ loads/month), • Must be flexible with shift coverage and on-call responsibilities, • Background check and drug screen required, • Must have legal authorization to work in the U.S. Compensation and Benefits: • Salary: $52,000, • Bonus Package: N/A, • Benefits Include:, • Medical, Dental, Vision, • Flexible Spending Accounts (Health Care & Dependent Care), • Basic and Supplemental Life/AD&D, • Short- and Long-Term Disability, • Employee Assistance Program, • Voluntary Benefit Plans, • 401(k) with up to 6% company match If you are a go-getter with logistics experience and a passion for solving problems in real-time, this is your opportunity to make a measurable impact on a growing logistics team within a stable, mission-driven organization. To apply: Send your resume to Allison Harrison at Call 817-635-0500 ext. 162 for immediate consideration. Company DescriptionCornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith. CornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!CornerStone Staffing has been servicing the Dallas-Fort Worth metroplex since 1991. We are committed to supporting our community through our core values of compassion, integrity, self discipline, and faith.\r\n\r\nCornerStone currently has 11 offices across the Metroplex to serve your needs. If you are a job seeker looking for short-term supplemental income or a full-time position that will launch a new career, we can assist you in finding the right opportunity!

Job DescriptionDescription: Soleo Health is seeking a Full time, Remote, Clearance Specialist to support our Specialty Infusion patients. Join us in Simplifying Complex Care! Soleo Health Perks: • Competitive Wages, • 401(k) with a Match, • Referral Bonus, • Paid Time Off, • Great Company Culture, • Annual Merit Based Increases, • No Weekends or Holidays, • Paid Parental Leave Options, • Affordable Medical, Dental, & Vision Insurance Plans, • Company Paid Disability & Basic Life Insurance, • HSA & FSA (including dependent care) Options The Clearance Specialist is responsible for processing new referrals including but not limited to verifying patient eligibility, test claim adjudication, coordination of benefits, and identifying patient estimated out of pocket costs. They will also be responsible for preparation, submission, and follow up of payer authorization requests. Responsibilities include: • Perform benefit verification of all patient insurance plans including documenting coverage of medications, administration supplies, and related infusion services, • Responsible to document all information related to coinsurance, copay, deductibles, authorization requirements, etc, • Calculate estimated patient financial responsibility based off benefit verification and payer contracts and/or company self-pay pricing, • Initiate, follow-up, and secure prior authorization, pre-determination, or medical review including reviewing and obtaining clinical documents for submission purposes, • Communicate with patients, referral sources, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates as needed, • Refer or assist with enrollment any patients who express financial necessity to manufacturer copay assistance programs and/or foundations, • Generate new patient start of care paperwork Schedule: • Must be able to work remote, Monday-Friday 9am-5:30pm, CST- 40 hours per week, • Must have experience with Specialty Infusion for Prior authorization/Benefits VerificationRequirements:, • High school diploma or equivalent, • At least 2 years of home infusion specialty pharmacy and/or medical intake/reimbursement experience preferred, • Working knowledge of Medicare, Medicaid, and managed care reimbursement guidelines including ability to interpret payor contract fee schedules based on NDC and HCPCS units, • Strong ability to multi-task and support numerous referrals/priorities while ensuring productivity expectations and quality are met, • Ability to work in a fast-paced environment, • Knowledge of HIPAA regulations, • Basic level skill in Microsoft Excel & Word Soleo’s Core Values: • Improve patients’ lives every day, • Be passionate in everything you do, • Encourage unlimited ideas and creative thinking, • Make decisions as if you own the company, • Do the right thing Soleo Health is an Equal Opportunity Employer, celebrating diversity and committed to creating an inclusive environment for all employees. Soleo Health does not discriminate in employment on the basis of race, color, religion, sex, pregnancy, gender identity, national origin, political affiliation, sexual orientation, marital status, disability, genetic information, age, membership in an organization, parental status, military service or other non-merit factor. Keywords: Prior Auth, Insurance, Referrals, Now hiring, hiring now, immediately hiring, hiring immediately

Job Description:\n\nIMPACT Group is a certified woman-owned career coaching firm based in St. Louis, MO that focuses on relocation, outplacement, and leadership development solutions. Our team of 300+ is united on one idea: People can succeed professionally and personally even through difficult career challenges and transitions. We are building a better world by empowering people to find and grow great careers. As employees transition in, within, and out of a company, IMPACT Group is by their side providing one-on-one coaching, innovative technology, and personalized job search or career development programs to help them find the best career path for them.We’re on a mission to maximize human potential in an increasingly tech-enabled world. While partnering with companies of all sizes – large and small, national and global – our business model emphasizes the importance of providing the highest quality of services available to transitioning employees and their families. Be a part of moving careers forward!Job SummaryThe Business Development Manager – New Business will work to establish and expand IMPACT Group’s footprint by focusing on three main areas: Generating new business for IMPACT Group in leadership development and outplacement, Serving as a subject matter expert in leadership and outplacement to help understand client needs and scope client projects.We are seeking a Business Development Manager – New Business to join our growing team. This role is- nearly fully remote with about 10-15% travel to clients.Key ResponsibilitiesGenerating new business for IMPACT Group:Sells new business with net new customers.Utilizes conceptual selling and strategic selling principles to target and win business for IMPACT Group.Works with marketing team on following up on qualified leads to turn those leads into customers via targeted outreach and follow-up.Carries an individual quota and seeks out new opportunities to develop IMPACT Group’s presence with new and existing customers for leadership development and outplacement.Creates and implements a territory plan for acquiring new customers in the Region.Utilizes conceptual selling and strategic selling principles, including building relationships with multiple stakeholders to target and win business for IMPACT Group.Prospects for leads utilizing a variety of strategies including leveraging personal networks, LinkedIn, networking events, referrals, etc.Works with marketing team on following up on qualified leads to turn those leads into customers via targeted outreach and follow-up.Utilizes salesforce.com (SFDC) to track prospects and potential business opportunities.Develops and maintains mastery in positioning and leveraging IMPACT Group services and solutions to customers.Serving as a subject matter expert in leadership development and outplacement to help understand client needs and scope client projects:Supports senior client level relationships; makes presentations to clients, establishes credibility through expertise.Serves as a subject matter expert in leadership and outplacement programs with clients. From experience in delivering our workshops and coaching programs, provides examples and stories to help communicate the results and impact of the work we do.Evaluates client needs in conjunction with the leadership and outplacement delivery teams.Proposes existing solutions or when required discusses options for tailored programs in conjunction with the solution expert to meet the clients’ needs.Writes proposals and statements of work detailing leadership and outplacement solutions.Qualifications5+ years of selling experience in selling solutions including outplacement and/or leadership with a strong emphasis on account development and management.5+ years of selling to Human Resources departments or equivalent.Proven prospecting and business development track record for net new and current accounts.Exhibits a high level of sales professionalism and a strong work ethic as well as being highly motivated and detail-oriented.Has had individual responsibility for revenue goal(s).Comfortable calling on and working with C-level executives.Extensive relationships with mid- and senior-level HR executives.In-depth and up-to-date knowledge and understanding of career management, coaching and leadership development.Understanding of organizational structures, cultures and decision-making processes gained through significant employment history or consulting experience.Strong consultative selling attributes, skills or natural inclination.Works independently, resourceful, enjoys working in a fast paced environment with tight timelines, able to navigate and make decisions in novel situations amidst a level of ambiguity.Comfortable working remotely from an independent workspace or home office.Proficient in Word, Excel, and PowerPoint. and SalesforceWhat Makes You a Great FitStrong entrepreneurial mindset with a desire to grow rapidly.Demonstrated ability to grow sales year-over-year.Optimistic / positive / thrives in a fast paced, high energy environment.Action oriented, willing and able to make decisions.Excellent selling, interpersonal and critical thinking skills.Active listener as well as an articulate and adaptable communicatorAt IMPACT Group, we believe that diversity drives innovation—and that work should be accessible to everyone. We are an Equal Opportunity Employer committed to equity and inclusion across race, ethnicity, gender, sexual orientation, gender identity, disability, age, neurodiversity, veteran status, and every intersection in between.We support flexible, remote, and hybrid work arrangements and are intentional about creating an environment where all team members—whether in-office or remote—can contribute fully and thrive.Accessibility is a priority. If you need accommodations during the application or interview process, or while working with us, we’ll partner with you to ensure a barrier-free experience.We know that people are at the heart of every successful transition—whether it's relocation, career change, or professional development, we are committed to building a team that reflects the diverse individuals and communities we serve across the globe Applicant Data Disclosure & Privacy Notice (GDPR + CPRA) This Applicant Data Disclosure & Privacy Notice (“Notice”) explains how IMPACT Group (“Company,” “we,” “our,” or “us”) collects, uses, shares, retains, and protects personal data in connection with our recruiting and hiring process, including when you apply for a job through our applicant tracking system (“ATS”). This Notice applies to applicants, candidates, and individuals interacting with our recruitment process (“Applicants”). 1) Who We Are (Controller / Business) Company Name: IMPACT Group Address: 12977 North Outer 40 Drive, Suite 300, St. Louis, MO 63141 United States Email: Phone: + 1 800-420-2420 GDPR Data Controller For individuals located in the European Economic Area (EEA), United Kingdom, or Switzerland, IMPACT Group is the data controller of your personal data. California CPRA Business For California residents, IMPACT Group is a “business” as defined under the California Privacy Rights Act (“CPRA”). 2) Categories of Personal Data We Collect We may collect the following categories of personal data from you, depending on the role and recruitment stage: A. Identifiers & Contact Information • Name, email address, phone number• Mailing address (if provided)• Online identifiers (e.g., IP address, device identifiers) B. Professional & Employment-Related Information • Resume/CV, cover letter, work history, education• Certifications, languages, skills, portfolio, writing samples• References and referral information (if provided) C. Recruiting Process Information • Interview notes, assessment results, communications• Application status, scheduling history, outcomes D. Sensitive Personal Information (Only When Permitted/Required) We may collect limited sensitive personal data only where permitted by law and/or relevant to the hiring process, such as:• Disability or accommodation needs• Work authorization/immigration status (as required)• Diversity/equal opportunity data (optional, where applicable)• Background check results (only after applicable notice/authorization)We do not use sensitive personal information to infer characteristics about you for unrelated purposes. E. Technical & Usage Data (ATS and Website) • Log data, browser type, operating system• Interaction data within our career site/ATS 3) Sources of Personal Data We collect personal data from:• You directly (applications, communications, interviews)• Recruiting sources you authorize (e.g., LinkedIn or job boards)• Referees you provide (where permitted)• Service providers supporting recruiting (e.g., ATS, assessments)• Background check providers (only where applicable and authorized) 4) Purposes for Using Personal Data We use your personal data to:1. Process your application and evaluate your qualifications2. Communicate with you about roles, interviews, and outcomes3. Conduct interviews and assessments (where applicable)4. Verify information provided (e.g., references, work eligibility)5. Perform background checks (only when permitted/authorized)6. Comply with legal obligations, including employment and recordkeeping laws7. Improve our recruiting process, including system administration, analytics, and security8. Maintain talent pools (with your consent where required) 5) Legal Bases for Processing (GDPR) If you are located in the EEA/UK/Switzerland, we process your personal data under one or more of these legal bases:• Legitimate Interests: to manage recruitment, assess candidates, and secure our systems• Contract / Pre-contractual Steps: to take steps at your request prior to entering an employment contract• Legal Obligation: to comply with employment, tax, immigration, and equal opportunity laws• Consent: for certain optional activities (e.g., keeping you in a talent pool, diversity data where required)You may withdraw consent at any time where processing is based on consent, without affecting the lawfulness of prior processing. 6) CPRA Notice at Collection (California Applicants) If you are a California resident, the CPRA requires that we disclose the categories of personal information collected and the purposes for which it is used.We collect the categories listed in Section 2 above for the business purposes described in Section 4, including:• recruiting and hiring decisions,• security and fraud prevention,• legal compliance,• internal operational purposes.We do not sell your personal information.We do not share your personal information for cross-context behavioral advertising (as defined by the CPRA). 7) How We Disclose/Share Personal Data We may disclose personal data to:A. Internal Stakeholders• HR, recruiting staff, hiring managers, and interviewers• Internal legal, IT, finance, and security staff (as needed)B. Service Providers / ProcessorsWe use vetted third-party providers that support recruitment, such as:• Applicant Tracking System provider• Interview scheduling tools• Video conferencing platforms• Skills/assessment providers• Background check providers (where applicable)These parties are required to use personal data only to provide services to us and to protect it appropriately.C. Legal and Compliance DisclosuresWe may disclose data if required to comply with law, regulation, legal process, or government requests, or to protect rights and safety.D. Corporate TransactionsIf we are involved in a merger, acquisition, or asset sale, your data may be transferred as part of that transaction, subject to confidentiality protections. 8) Automated Decision-Making We do not make hiring decisions based solely on automated decision-making that produces legal or similarly significant effects.If we use automated tools to assist with recruiting (for example, to help sort applications), they are used with human review and appropriate safeguards. 9) Data Retention We retain applicant data only as long as reasonably necessary for recruiting and legal compliance.Typical retention periods:• Unsuccessful candidates: [e.g., 1–3 years] after the hiring decision• Hired candidates: data may be transferred into personnel files and retained per employment record retention rules• Talent pools: retained until you request deletion or after [e.g., 2 years] of inactivity, whichever occurs firstRetention may vary by jurisdiction and legal requirements. 10) International Transfers (GDPR) Because we are U.S.-based, your information may be transferred to and processed in the United States or other countries where we or our service providers operate.Where required under GDPR, we use appropriate safeguards such as:• Standard Contractual Clauses (SCCs) approved by the European Commission, and/or• Other legally recognized transfer mechanismsYou may request more information about these safeguards by contacting us. 11) Your Rights A. GDPR Rights (EEA/UK/Switzerland)You may have the right to:• Access your personal data• Correct inaccurate or incomplete personal data• Request deletion (“right to be forgotten”)• Restrict processing• Object to processing (including based on legitimate interests)• Data portability (where applicable)• Lodge a complaint with your local supervisory authorityB. CPRA Rights (California Residents)You may have the right to:• Know what personal information we collect, use, and disclose• Access specific pieces of personal information• Delete personal information (subject to exceptions)• Correct inaccurate personal information• Limit the use and disclosure of sensitive personal information (where applicable)• Not be discriminated against for exercising your privacy rightsTo exercise your rights, contact us using the information in Section 12. 12) How to Submit a Privacy Request To exercise privacy rights, please contact:Email: Subject Line: “Applicant Privacy Request”Mail: 12977 North Outer 40 Drive, Suite 300, St. Louis, MO 63141 United StatesWe may need to verify your identity before fulfilling your request. If you use an authorized agent (California), we may request proof of authorization. 13) Security Measures We use reasonable administrative, technical, and organizational safeguards designed to protect applicant data, such as access controls, encryption (where appropriate), and vendor security requirements.No system can be guaranteed 100% secure, but we work to protect your personal data against unauthorized access, loss, misuse, or alteration. 14) Equal Opportunity and Optional Demographic Data Where permitted or required, we may request optional demographic information (e.g., gender, race/ethnicity, disability status) to support equal employment opportunity reporting and diversity initiatives.Providing this information is voluntary (where applicable) and will not affect hiring decisions. 15) Children’s Privacy Our recruiting process is

Job Description Hi, we're Oscar. We're hiring a UM Program Operations Manager to join our UM Strategy team. Oscar is the first health insurance company built around a full stack technology platform and a relentless focus on serving our members. We started Oscar in 2012 to create the kind of health insurance company we would want for ourselves—one that behaves like a doctor in the family. About the role: The Manager of UM Program Operations is the "Execution Engine" of the UM Strategy team. While our strategists identify what we should do, you own the how. You are responsible for the flawless execution of high-impact programs like Gold Carding, Provider Incentive Programs, and the maintenance of our Prior Authorization (PA) List. You will ensure that every program is operationally sound, regulatory compliant, and scales effectively as our footprint expands. You will report into the Director, UM Authorization Strategy. Work Location: This is a remote position, open to candidates who reside in: Dallas, Texas. You will be fully remote; however, our approach to work may adapt over time. Future models could potentially involve a hybrid presence at the hub office associated with your metro area. #LI-Remote Pay Transparency: The base pay for this role is: $105,808 - $138,886 per year. You are also eligible for employee benefits, participation in Oscar's unlimited vacation program, and annual performance bonuses. Responsibilities: • Lead the end-to-end execution and refresh cycles for "Gold Card" and "Provider Incentive" programs. This includes managing provider entry/exit criteria, coordinating the clinical audit framework, and ensuring accurate provider status updates., • Act as the primary owner of the "Source of Truth" for the Prior Authorization list. You will lead the cross-functional governance process to ensure code additions, removals, and modifications are clinically adherent and accurately reflected across all internal systems and public-facing documents., • Ensure all UM programs meet state and federal mandates, including emerging "Gold Card" legislation and transparency requirements. You will be the team's point of contact for Legal and Compliance audits., • Develop and maintain the Standard Operating Procedures (SOPs) for net-new initiatives. You ensure that as the team innovates, the operational "blueprints" exist to make those innovations repeatable., • Drive the recurring refresh cycles for auto-approval rules and provider incentive programs, ensuring they remain current with shifting clinical guidelines and medical policies., • Lead the end-to-end management of cross-functional implementations/projects, including project plan creation, stakeholder engagement, managing cross-functional relationships to drive collaboration, edge case mitigation, and on-time completion., • Evaluate overall departmental performance by creating, gathering, analyzing and interpreting data and metrics as well as assisting in development of departmental metrics and implementation of mitigation strategies., • Collaboratively works with all relevant internal and external stakeholder groups to formulate proactive implementation, communications, and program strategies for successful change management and risk mitigation initiatives, • May oversee team members directly as well as mentors team members and promotes colleagues' growth and professional development, • Compliance with all applicable laws and regulations, • 4+ years of experience in program management, • 3+ years of experience in delivering projects / programs, • 2+ years of experience in managing prior authorization list process (updates, coordination), • Experience using data and metrics to drive improvements in programs, • Experience / background in a fast-paced operations environment, • Experience managing Gold Card programs and updates, • Experience managing the Prior Authorization List process, • Successfully executed enterprise-wide initiatives: defined project plans, coordinated resources, managed implementation activities, and developed all processes associated with program rollout and ongoing support, • Master's Degree, • PMP Certifications or Program Management Certifications, • Lean/Six Sigma Certifications At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job Description This role is a direct hires only, we appreciate independent recruiters and per our policy we kindly request NO SOLICIATIONS or STAFFING AGENCIES including Billing RCM companies contacting us during the hiring process. About the Role: We are seeking a highly motivated and detail-oriented Medical Billing Accounts Receivable professional to join our Internal Medicine team, our clinic is located 20 minutes South of Downtown Dallas. As a key member of our team, you will be responsible for managing the billing and collections process, ensuring timely and accurate payment from insurance companies and patients. Your attention to detail with ability to multitask and work collaboratively with other team members will be critical to your success in this role. You will have the opportunity to work with a diverse patient population and make a meaningful impact on their healthcare experience. This is an in-person, Full-time (40 hours per week) position Monday to Friday from 8am to 5pm, and 1 Saturday per month 9am to 5pm. IN PERSON POSITION ONLY. NO REMOTE or Hybrid CANDIDATES WILL BE ACCEPTED Benefits: 401K/ Profit Sharing/ Medical, Vision, Dental Insurance, Life Insurance, Short and Long Term Plans Minimum Qualifications: • High school diploma or equivalent, • 2+ years of experience in medical billing and Medical Accounts Receivable collections (required), • Knowledge of medical billing codes and terminology, • Knowledge and experience of insurance benefits, • Experience interpreting and working ERA & EOB's, • Prior-Authorization in diagnostic testing, • Strong Collections skills, • Billing experience in an Internal Medicine and /or Family Medicine setting, • Proficiency in Microsoft Office, specifically Excel and EMR PM software, • Experience with identifying reasons for denials and appealing denials, • Experience with electronic medical records (EMR) systems eClinicalWorks is a plus, • Appointment Scheduling, • Insurance Verification, • Medical Account Receivable Collections, • Patient Accounts Collections, • Prior Authorizations for Diagnostic Medical services, • Denial Management, • Understand payer contracts, fee schedules to ensure the claims have been processed accordingly, • Experience working with healthcare insurance codes and documentation, • Manage the billing and review aged accounts, identify, and appeal unpaid/denied claims, • Verify insurance coverage and obtain necessary Prior-authorizations for services, • Communicate with insurance companies and patients to resolve billing issues, • Maintain accurate and up-to-date patient records and billing information, • Provide administrative support to the Front Office, answering phones, updating patient demographics and scheduling appointments, • Post Payments accurately, and charge entry, • Responsible for answering all patient billing questions arising from services rendered, • Generate A/R reports, weekly, and monthly billing summary reports for weekly meetings, • Timely follow-up and resolution of all outstanding A/R including unpaid claims for all payers, • Manage patient accounts and monitor account details for non-payment, and other irregularities, • Collaborate with other team members to ensure balances are accurate and generate patient statements, • Investigate and document actions taken to resolve billing discrepancies, as well as unusual charges and credits In this role, you will utilize your strong attention to detail, analytical skills, and ability to work collaboratively with others to ensure accurate and timely payment for medical services. You will also use your knowledge of medical billing codes and terminology, as well as your proficiency in PM software and Microsoft Office, to manage the billing and collections process. Additionally, your experience with electronic medical records (EMR) systems and certification in medical billing and coding (e.g. CPC, CCS-P) will be beneficial in this role.

Registered Nurse (RN) Pediatric Home Health.A Nursing Role Built for Focused, One-on-One Care.At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the h

Registered Nurse (RN) Pediatric Home Health.A Nursing Role Built for Focused, One-on-One Care.At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the h

The professional registered nurse Inpatient Services RN CAP 1 is.Clinical Advancement Program (CAP).This may include delegation of.RNs, LVN/LPNs and Patient Care Technicians.As a member of the kidney disease health care team, this position participates in decision-making, teaching, leadership functi

Registered Nurse (RN) Pediatric Home Health.Eligible candidates may qualify for a $1500sign-on bonus* as part of their total compensation package.Bonus eligibility and payout structure will be discussed early in the interview process.A Nursing Role Built for Focused, One-on-One Care.At Care Options

The Inpatient Services Charge Nurse is an additional “responsibility” assigned to the Inpatient Services RN, for a limited period of time, and for specific additional duties, as assigned by the Program Manager.The Inpatient Services Charge Nurse ensure.PRINCIPAL DUTIES AND RESPONSIBILITIES:.Unde

Registered Nurse (RN) Pediatric Home Health.A Nursing Role Built for Focused, One-on-One Care.At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the h

Description Summary: The RN Navigator Home Health Review monitors home health patients to ensure patients continue to meet the CMS criteria for services.They are a member of the patient’s care team and act as a patient advocate, providing proactive outreach to CHRISTUS Health value-based payer pat

This role requires the ability to work lawfully in the U.Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.Now hiring for new training classes starting in May 2026!.At Spectrum, we keep our customers conne

This role requires the ability to work lawfully in the U.Does this sound like you? If so, consider starting your career at Spectrum as a professional Customer Service Representative on our billing team.Now hiring for new training classes starting in May 2026!.At Spectrum, we keep our customers conne

As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations.As the facility leader, you will be part of a close-knit, collaborative team responsible for delivering unique care plans and providing dialysis treatment t

Product Testers are wanted to work from home nationwide in the US to fulfill upcoming contracts with national and international companies.We guarantee 15-25 hours per week with an hourly pay of between $25 / hr.There is no payment required in order to apply or to work as an In-Home Usage Tester.You

A successful candidate has the ability to direct, prioritize, and manage multiple patients simultaneously.

Healthcare Customer Service Representative - Member Service Specialist.Join a reputable and established healthcare organization as a.Customer Service Representative or Member Service Specialist.Monday to Friday! No nights or Weekends!.Call center or high-volume inbound call experience preferred.Job

Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the

PURPOSE AND SCOPE: The professional registered nurse Inpatient Services RN CAP 1 is an entry level designation into the Clinical Advancement Program (CAP).This position is accountable and responsible for the provision and coordination of clinically competent care including assessment, planning, int

Registered Nurse (RN) Pediatric Home Health Sign-On Bonus Opportunity! Eligible candidates may qualify for a $1500sign-on bonus* as part of their total compensation package.Bonus eligibility and payout structure will be discussed early in the interview process.A Nursing Role Built for Focused, One

Registered Nurse (RN) Pediatric Home Health A Nursing Role Built for Focused, One-on-One Care At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the

Registered Nurse (RN) Pediatric Home Health.Eligible candidates may qualify for a $1500sign-on bonus* as part of their total compensation package.Bonus eligibility and payout structure will be discussed early in the interview process.A Nursing Role Built for Focused, One-on-One Care.At Care Options

Registered Nurse (RN) Pediatric Home Health.Eligible candidates may qualify for a $1500sign-on bonus* as part of their total compensation package.Bonus eligibility and payout structure will be discussed early in the interview process.A Nursing Role Built for Focused, One-on-One Care.At Care Options

Call Center / Remote] - Anywhere in U. Competitive pay / Medical, dental & vision / 401k / PTO - As a Customer Service Rep at Planet Home Lending, you will: Respond to borrower inbound calls concerning their account, ensuring high quality service and adhering to productivity and regulatory requireme

Registered Nurse (RN) Pediatric Home Health.A Nursing Role Built for Focused, One-on-One Care.At Care Options for Kids, pediatric home health nursing is intentionally different.Instead of juggling multiple patients, alarms, and constant interruptions, you provide dedicated, one-on-one care in the h