UNKNOWN

ADAPTED_NOW

Role Overview : The primary responsibility of Account Executive Sr. is to develop strong relationships with providers to drive for performance specifically as it relates to core providers who are on risk-based or cost sharing VBC arrangements as well as large health system contracts. + Responsible for hospital and physician network development and management; including joint operating committees (JOC) for identified groups, oversight of necessary quality review meetings with targeted providers and/or health systems.

<h2>Leaders in health care solutions for those most in need</h2>
<p>AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than&nbsp;5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing&nbsp;<a href="http://www.amerihealthcaritas.com/corporate/innovation.aspx" target="_self">innovative solutions</a> that help improve health outcomes while&nbsp;<a href="http://www.amerihealthcaritas.com/who-we-serve/government/cost-savings.aspx" target="_self">reducing costs</a>.</p>
<h3>Our mission, our goal</h3>
<p>Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.</p>

AmeriHealth Caritas

Senior Account Executive

FEED

The Butler Agency is growing and seeking Client Services Representatives to help individuals and families explore life insurance options that meet their financial goals. We provide comprehensive training and support for motivated individuals looking to build a long-term career in financial services.

The Butler Agency

Remote Sales

Manatal

Leverage modern development tools, including AI-assisted/agentic technologies, to improve developer productivity and solution quality. Skills: Strong proficiency in backend development with object-oriented or modern languages (Golang strongly preferred).

Expert In Recruitment Solutions

Software Engineer

jobdiva

By applying to our jobs you agree to receive calls, AI-generated calls, text messages, or emails from Pyramid Consulting, Inc. and its affiliates, and contracted partners. Utilize multiple systems and clinical resources to make informed decisions in utilization management reviews.

HOUR

Pyramid Consulting, Inc

Staff Pharmacist

Role Overview: The Coordinator, Provider Network Operations supports the Provider Network Operations team in managing Plan operational functions and activities; key responsibilities include: Work Arrangements: As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs.

Coordinator Provider Network

We are open to remote work in the following approved states: Colorado, Florida, Georgia, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Nebraska, New Jersey, North Carolina, Ohio, South Carolina, Texas, Virginia, Wisconsin. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.

Wisconsin Physicians Service Insurance Corp

Claims Examiner III - LPN

YEAR

As we expand into new markets and strengthen our presence in existing ones, we're looking for appraisers committed to high-quality valuations and long-term growth. Banks Valuation is a growing appraisal firm, founded and led by experienced appraisers who understand the industry firsthand.

Banks Valuation

Certified Residential Appraiser

Workable

You agree to the fact that to the extent necessary your personal data may be transferred and/or disclosed to any company within JD Power group of companies as well as to third parties acting on JD Power’s behalf, including also transfers to servers and databases outside the country where you provided JD Power with your personal data. An employee’s pay within the range is determined by a number of factors, including relevant skills, education, qualifications, experience, performance, business or organizational needs, and geographic location.

JD Power

Sr. Analyst , OEM Customer Success

sourcestack_via_bold

Key Responsibilities: Assist clients in researching and booking travel arrangements, including hotels, cruises, and vacation packages Provide accurate information about travel options, pricing, and availability Respond promptly and professionally to client inquiries via phone, email, or online messaging Maintain accurate records of client interactions and booking details Collaborate with team members to deliver exceptional client experiences Stay current on travel trends, destinations, and industry updates Participate in virtual team meetings and training sessions Requirements: Strong communication and customer service skills Friendly, professional demeanor and positive attitude Comfortable working independently and managing time effectively Basic computer proficiency and reliable internet connection Interest in travel and helping clients plan memorable experiences Previous experience in customer service, hospitality, sales, or travel planning is a plus but not required What We Offer: Flexible, fully remote work environment Comprehensive training and access to booking tools and resources Supportive team culture and ongoing mentorship Income-earning possibilities based on performance Access to exclusive travel discounts and industry perks Opportunities for personal and professional growth $45,000 - $65,000 a year We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. We help clients plan unforgettable vacations, cruises, hotel stays, and group trips while delivering outstanding customer service and expert support.

Destination Careers

Remote | Online Reservations Specialist

We are seeking an experienced Teamcenter Developer with strong hands-on expertise in ITK, RAC, and BMIDE to support the design, customization, integration, and ongoing enhancement of Teamcenter PLM solutions. Implement workflows, data model changes, access controls, and business rules within Teamcenter.

Conexess Group, LLC

Teamcenter Developer (ITK, BMIDE) - 100% Remote

Ivy Exec

OTHER

Entry-level candidates, career changers, customer service reps, teachers, realtors, mortgage professionals, and individuals looking to build a high-income skill set. If you are coachable, motivated, and ready to learn a new skill that can change your income, apply today.

Meron & Kemboi Financial Agency

Entry Level Sales Representative - Remote | 80K + | Training Provided | Inhouse leads

ExactHire

Bachelor's degree in Computer Science, Engineering, or related field, or equivalent professional experience • 5+ years of experience in AEM development, including components, templates, workflows, and DAM • Strong proficiency in HTML5, CSS3, JavaScript, and at least one modern front-end framework (React or Angular) • Experience with Java, Sling, and OSGi in an AEM context • Familiarity with Agile methodologies and tools such as JIRA and Confluence • Strong problem-solving, debugging, and analytical skills • Excellent communication and collaboration skills, with the ability to work effectively across cross-functional teams. V2Soft is a global leader in IT services and business solutions, delivering innovative and cost-effective technology solutions worldwide since 1998.

V2Soft

AEM Developer

Perform prospective, concurrent and retrospective review of inpatient, outpatient, ambulatory and ancillary services to ensure medical necessity, appropriate length of stay, intensity of service and level of care, including appeal requests initiated by providers, facilities and members. Two (2) to four (4) years of clinical experience which may include acute patient care, discharge planning, case management, and utilization review, etc.

<p>Kyyba group of companies are privately held and specialize in staff augmentation, application software and project solutions. In operation for more than 15 years, we have earned an enviable track record and reputation within all the industries we serve. Our unique processes and maturity enables us to understand the needs of the business organizations and provide business solutions that match the real and compelling needs of our customers. </p>
				<p>Headquartered in Michigan, Kyyba has multiple office locations and we serve local, regional and national client base consisting of Fortune 500 and middle market companies. Kyyba extends the above solutions and services to a broad spectrum of industry verticals ranging from automotive, insurance, technology, financial, transportation, government and so on. </p>
	
		
		
	

KYYBA, Inc

RN Review Analyst

Is responsible to document the Uses Cases and Product Requirements in the Product Requirement Specification including non-functional product requirements, process and project execution requirements, requirements for test and validation, requirements for manufacturing. Identifies and creates the Use Cases (End-to-end functions) of the system, product or platform with support from Product Systems Feature / Function Lead (Owner).

Zobility

Systems Engineer

Compiles, develops and aligns architectural models of current and proposed capabilities and solutions across the enterprise to support strategy and investment decisions, portfolio management, program and project management, solution and service design and development and service management. Experience Required: Specialist Exp: 10+ yrs in IT; 5+ years of Information/Data Architecture, Data Engineering, or advanced Database Design/Modeling experience in designing or implementing OLTP/RDBMS databases, Data Warehouse, Data Marts.

Architect Specialist

Experience Required: • 7+ years of hands-on IBM Sterling OMS development/implementation experience in enterprise environments • Strong expertise in OMS functional and technical areas, particularly around orchestration workflows and core OMS modules: Participant Modeling, Process Modeling (Sales, Returns & Exchanges, Purchase/DropShip, Transfer Orders), Sourcing, Payments and Invoicing, GIV, Custom Agents, SDF, Catalog, etc. • Experience working in containerized versions of IBM Sterling OMS • Experience in customizing IBM Sterling OrderHub and/ or CallCenter modules • Strong hands-on development skills in Core Java and microservices architecture • Strong experience with RESTful services, JSON, and integration patterns.

Back-end Software Development Engineering Senior Engineer

Event Logistics & Coordination – Experience transporting meeting materials, coordinating event needs, and ensuring all required resources are available on-site. Include: Knowledge in all Trust retiree benefits – MAPPO, TCN, ECP, BCN, BCNA, MOTN MAPPO.

UAW Retiree Account Contractor

Current state-issued associate, provisional, temporary, intern, candidate, or other supervised-practice credential in counseling, clinical social work, marriage and family therapy, or a related mental health discipline. We are looking for an Associate Mental Health Therapist to join a collaborative telehealth team focused on delivering ethical, accessible, and evidence-informed behavioral health care.

Gotham Enterprises Ltd

Associate Mental Health Therapist

The primary purpose of a Specialist, Market Development, Robotics & Intraoperative Technologies is to provide competent clinical service, technical support, training, and implementation of the Valence Robotic Navigation System and other ATEC enabling intraoperative technologies in spine surgeries to hospitals, surgeon customers, and sales agent representatives, in one or two assigned development geographies. For roles based in the United States that require access to hospital facilities, must be eligible for and maintain credentials at all required hospitals, including meeting any applicable physical requirements or vaccination requirements (including the COVID-19 vaccine, as applicable).

Alphatec Spine

Market Development Specialist, Robotics & Navigation (Midwest)

Gotham Enterprises Ltd is seeking Michigan clinical supervisors who can help developing clinicians build stronger clinical judgment and professional confidence. Eligible licenses may include LPC, LMFT, LMSW with clinical specialty, or other approved independent clinical license.

Work From Home Jobs in Ypsilanti, MI

Senior Account Executive AmeriHealth Caritas

Remote Sales The Butler Agency

Software Engineer Expert In Recruitment Solutions

Staff Pharmacist Pyramid Consulting, Inc

Coordinator Provider Network AmeriHealth Caritas

Claims Examiner III - LPN Wisconsin Physicians Service Insurance Corp

Certified Residential Appraiser Banks Valuation

Sr. Analyst , OEM Customer Success JD Power

Remote | Online Reservations Specialist Destination Careers

Teamcenter Developer (ITK, BMIDE) - 100% Remote Conexess Group, LLC

Entry Level Sales Representative - Remote | 80K + | Training Provided | Inhouse leads Meron & Kemboi Financial Agency

AEM Developer V2Soft

RN Review Analyst KYYBA, Inc

Systems Engineer Zobility

Architect Specialist KYYBA, Inc

Back-end Software Development Engineering Senior Engineer KYYBA, Inc

UAW Retiree Account Contractor KYYBA, Inc

Associate Mental Health Therapist Gotham Enterprises Ltd

Market Development Specialist, Robotics & Navigation (Midwest) Alphatec Spine

Mental Health Counselor Supervisor Gotham Enterprises Ltd

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