The Misch Group

Home Infusion Authorization Intake Specialist Department: Healthcare & Life Sciences Employment Type: Full Time Location: California Compensation: $35.00 - $40.00 / hour Description We are seeking an experienced Intake Authorization Specialist with expertise in home infusion and a strong knowledge of HCPCS and ICD-10 coding. The successful candidate will play a vital role in our growing business by ensuring accurate and timely authorization of services and verifying patients' insurance coverage. Key Responsibilities - Verify insurance coverage and benefits for patients. - Request authorizations for services as required. - Accurately enter patient profiles and medical documents into the pharmacy system. - Adjudicate pharmacy benefit claims, including Medicare Part D. Skills, Knowledge and Expertise - Required: Prior experience in home infusion. - Preferred: Familiarity with HCPCS and ICD-10 coding. - Experience adjudicating pharmacy benefit claims, particularly Medicare Part D. - Strong attention to detail with the ability to manage multiple tasks efficiently. Benefits - Health, dental, and vision insurance. - Paid time off, vacation, and paid holidays. - Opportunity for remote work based on qualifications. - Competitive salary, negotiable based on experience.

Bank Owned Life Insurance Producer Department: Insurance & Financial Services Employment Type: Full Time Location: Remote - USA Description We are seeking an experienced and highly specialized BOLI/COLI Producer to join our team. This is a permanent, fully remote position open to candidates across the country. We’re looking for a uniquely skilled individual with deep expertise in Bank-Owned and Corporate-Owned Life Insurance who can confidently manage complex sales cycles within the financial sector. This is not your typical life insurance sales role. As a BOLI/COLI Producer, you’ll be working with corporations—primarily financial institutions—to offer sophisticated life insurance funding solutions that help offset the costs of executive benefit programs such as Supplemental Executive Retirement Plans (SERPs) and Deferred Compensation. This consultative sales process requires engagement with various departments, including Legal, Tax, and Human Resources. Key Responsibilities - Drive the sale of BOLI/COLI solutions to corporate clients, with a primary focus on financial institutions. - Effectively communicate and collaborate with stakeholders across Tax, Legal, and HR departments. - Navigate and manage extended sales cycles, typically ranging from 6 to 12 months, with a strong emphasis on pre-sale due diligence. - Maintain a deep understanding of regulatory environments surrounding both life insurance and the banking industry as it relates to BOLI/COLI. - Build and sustain long-term client relationships through trust and high-touch service. Skills, Knowledge and Expertise - A strong, existing book of business in BOLI/COLI or similarly complex financial product sales. - In-depth knowledge and proven experience with Corporate-Owned and Bank-Owned Life Insurance. - A solid understanding of the regulatory landscape affecting both banking and life insurance sectors. - Demonstrated ability to manage and close intricate, high-value sales involving multiple internal stakeholders. - Self-driven and highly capable of operating independently in a remote work environment.

Internal Medicine Physician – Clinical Department: Healthcare & Life Sciences Employment Type: Full Time Location: Georgia Description About the Practice We are seeking a Board-Certified Internal Medicine Physician for a unique, mostly non-direct care role focused on clinical oversight, diagnostic interpretation, and workflow optimization. Established in 2008, we are physician-owned and value a collaborative, innovative, and patient-centered approach to care. This is a great opportunity for a physician who enjoys clinical decision-making, operational improvement, and technology integration while maintaining flexibility and work-life balance. Remote or in-office work arrangements are available. Role Overview The Internal Medicine Physician will provide support for a team of seven providers (five physicians and two nurse practitioners) by overseeing clinical workflows, interpreting diagnostic data, and contributing to EMR optimization. The role includes limited direct patient care and is ideal for a candidate with strong diagnostic skills, leadership capabilities, and a passion for using technology to improve outcomes. Key Responsibilities - Review and interpret laboratory, radiology, and diagnostic test results - Document findings clearly in the EMR and communicate results via the patient portal - Conduct follow-up calls with patients as needed to review results and next steps - Respond to clinical inquiries, including lab result clarifications and medication questions - Approve and manage appropriate medication refills - Design and maintain EMR order sets and templates to streamline provider workflows - Create standardized follow-up protocols for abnormal test results - Support team-based care coordination and guide clinical best practices - Keep up with EMR enhancements, digital tools, and emerging technologies (including AI) - Contribute to a culture of clinical excellence, innovation, and operational efficiency Schedule & Flexibility - Full-time (4.5-day workweek), Monday–Friday, 8:00 AM – 5:00 PM - Flexibility to work remotely or in-office as long as tasks are completed on time - Office is closed on weekends and major holidays - Expected to manage urgent result follow-ups only on weekends (phone-based, minimal volume) - Minimal on-call responsibilities Qualifications - MD with Board Certification in Internal Medicine - Active Georgia medical license or eligibility to obtain - Minimum 3 years of outpatient internal medicine experience preferred - Advanced interpretation skills across labs, imaging, and diagnostics - Proficiency with EMRs and openness to evolving technologies - Highly organized and detail-oriented with strong communication skills - Ability to lead clinical improvement efforts and contribute to operational decisions Ideal Candidate - Clinically strong and detail-focused physician with diagnostic expertise - Interested in improving systems of care and operational efficiency - Thrives in a supportive, collaborative team environment - Technologically proficient and adaptable - Values flexibility, innovation, and work-life balance Benefits Compensation & Benefits - Competitive base salary with productivity bonus structure - Signing bonus and relocation assistance available - Health, dental, and vision insurance - Life and disability insurance coverage allowances - Malpractice insurance with full tail coverage - 401(k) with employer matching - Generous PTO and paid major holidays - CME allowance and reimbursement for licenses and board certification - Student loan repayment assistance available About the Community Suwanee, GA offers the perfect blend of suburban comfort and city access. Located just 20 minutes north of Atlanta, the area is known for excellent public schools, beautiful parks, a strong sense of community, and abundant recreational activities—ideal for both professionals and families.

Internal Medicine Physician – Clinical Department: Healthcare & Life Sciences Employment Type: Full Time Location: Georgia Description About the Practice We are seeking a Board-Certified Internal Medicine Physician for a unique, mostly non-direct care role focused on clinical oversight, diagnostic interpretation, and workflow optimization. Established in 2008, we are physician-owned and value a collaborative, innovative, and patient-centered approach to care. This is a great opportunity for a physician who enjoys clinical decision-making, operational improvement, and technology integration while maintaining flexibility and work-life balance. Remote or in-office work arrangements are available. Role Overview The Internal Medicine Physician will provide support for a team of seven providers (five physicians and two nurse practitioners) by overseeing clinical workflows, interpreting diagnostic data, and contributing to EMR optimization. The role includes limited direct patient care and is ideal for a candidate with strong diagnostic skills, leadership capabilities, and a passion for using technology to improve outcomes. Key Responsibilities - Review and interpret laboratory, radiology, and diagnostic test results - Document findings clearly in the EMR and communicate results via the patient portal - Conduct follow-up calls with patients as needed to review results and next steps - Respond to clinical inquiries, including lab result clarifications and medication questions - Approve and manage appropriate medication refills - Design and maintain EMR order sets and templates to streamline provider workflows - Create standardized follow-up protocols for abnormal test results - Support team-based care coordination and guide clinical best practices - Keep up with EMR enhancements, digital tools, and emerging technologies (including AI) - Contribute to a culture of clinical excellence, innovation, and operational efficiency Schedule & Flexibility - Full-time (4.5-day workweek), Monday–Friday, 8:00 AM – 5:00 PM - Flexibility to work remotely or in-office as long as tasks are completed on time - Office is closed on weekends and major holidays - Expected to manage urgent result follow-ups only on weekends (phone-based, minimal volume) - Minimal on-call responsibilities Qualifications - MD with Board Certification in Internal Medicine - Active Georgia medical license or eligibility to obtain - Minimum 3 years of outpatient internal medicine experience preferred - Advanced interpretation skills across labs, imaging, and diagnostics - Proficiency with EMRs and openness to evolving technologies - Highly organized and detail-oriented with strong communication skills - Ability to lead clinical improvement efforts and contribute to operational decisions Ideal Candidate - Clinically strong and detail-focused physician with diagnostic expertise - Interested in improving systems of care and operational efficiency - Thrives in a supportive, collaborative team environment - Technologically proficient and adaptable - Values flexibility, innovation, and work-life balance Benefits Compensation & Benefits - Competitive base salary with productivity bonus structure - Signing bonus and relocation assistance available - Health, dental, and vision insurance - Life and disability insurance coverage allowances - Malpractice insurance with full tail coverage - 401(k) with employer matching - Generous PTO and paid major holidays - CME allowance and reimbursement for licenses and board certification - Student loan repayment assistance available About the Community Suwanee, GA offers the perfect blend of suburban comfort and city access. Located just 20 minutes north of Atlanta, the area is known for excellent public schools, beautiful parks, a strong sense of community, and abundant recreational activities—ideal for both professionals and families.

Bank Owned Life Insurance Producer Department: Insurance & Financial Services Employment Type: Full Time Location: Remote - USA Description We are seeking an experienced and highly specialized BOLI/COLI Producer to join our team. This is a permanent, fully remote position open to candidates across the country. We’re looking for a uniquely skilled individual with deep expertise in Bank-Owned and Corporate-Owned Life Insurance who can confidently manage complex sales cycles within the financial sector. This is not your typical life insurance sales role. As a BOLI/COLI Producer, you’ll be working with corporations—primarily financial institutions—to offer sophisticated life insurance funding solutions that help offset the costs of executive benefit programs such as Supplemental Executive Retirement Plans (SERPs) and Deferred Compensation. This consultative sales process requires engagement with various departments, including Legal, Tax, and Human Resources. Key Responsibilities - Drive the sale of BOLI/COLI solutions to corporate clients, with a primary focus on financial institutions. - Effectively communicate and collaborate with stakeholders across Tax, Legal, and HR departments. - Navigate and manage extended sales cycles, typically ranging from 6 to 12 months, with a strong emphasis on pre-sale due diligence. - Maintain a deep understanding of regulatory environments surrounding both life insurance and the banking industry as it relates to BOLI/COLI. - Build and sustain long-term client relationships through trust and high-touch service. Skills, Knowledge and Expertise - A strong, existing book of business in BOLI/COLI or similarly complex financial product sales. - In-depth knowledge and proven experience with Corporate-Owned and Bank-Owned Life Insurance. - A solid understanding of the regulatory landscape affecting both banking and life insurance sectors. - Demonstrated ability to manage and close intricate, high-value sales involving multiple internal stakeholders. - Self-driven and highly capable of operating independently in a remote work environment.

SAP Basis Administrator Department: Technology & Software Employment Type: Full Time Location: Remote - USA Compensation: $175,000 - $240,000 / year Description The candidate will support a variety of SAP development, testing, and automation environments by maintaining and supporting the production landscapes. Technical skills would range from standard daily support of SAP S/4HANA, ECC, HANA, Business Intelligence landscapes within Cloud/On premise environments hosted in various operating systems, to migrating systems, replicate and solve customer issues and troubleshooting system performance problems. Key Responsibilities - Install, configure, patch and upgrade SAP NetWeaver, S/4HANA, ECC, BW systems and Add-ons (SAP router, Solution Manager). - Manage SAP system landscapes (development, QA, production) including clients, instances, and transports. - Install and maintain SAP kernels and support packages; apply OSS notes and SAP patches. - Proactively monitor system health (CPU, memory, DB, I/O), job schedules, spool and application logs, tune parameters for performance. - Implement and manage SAP early-watch/health checks, alerting, and automated monitoring. - Administer supported databases (HANA, Oracle, MSSQL, DB2): backups, restores, high-availability, and disaster recovery planning/testing. - Manage storage, file systems, and growth forecasting, coordinate capacity planning with infrastructure team. - Manage SAP user administration, roles/authorizations (PFCG), SSO, and integration with corporate identity providers (AD/Azure AD). - Administer CTS/CTS+ and ChaRM processes; enforce transport governance and maintain transport routes. - Support release cycles, coordinate cutovers, perform system clones and refreshes. - Participate in system upgrades, migrations (on-prem ↔ cloud), S/4HANA conversions and platform modernization projects. - Implement automation for repetitive tasks (shell, PowerShell, Python, SAP tools). - Operate SAP on virtualized and cloud platforms (AWS, Azure, GCP) including cost optimization, instance sizing, and cloud-native backup/replication. - Manage SAP-specific cloud services (HANA on cloud, SAP Cloud Platform connectivity). - Support integrations, middleware connectivity, and troubleshoot cross-system issues. - SAP Solution Manager, SAP HANA Studio, HANA Cockpit, DB tools (Oracle RMAN, SQL Server), OS (Linux variants, Windows, AIX), monitoring (Nagios, Prometheus, Dynatrace), cloud consoles (AWS/Azure/GCP). Skills, Knowledge and Expertise - BS in Computer Science. - 4+ years of experience in BASIS administration, system refreshes and migrations, user support, and cloud migration. - Strong Security and Authorization experience managing multiple instances of SAP environments - 4+ years of experience managing TCP/IP based networks, enterprise applications, and databases (HANA, MySQL, MAX DB, MS SQL, and Oracle) - Experienced in at least one full cycle install implementation and two module-based implementations (HR, FICO, SD/MM). - Experienced in Configuration and maintenance of Solution manager systems and configure satellite systems. - Experienced in Single-Sign-on Microsoft Windows Domain and Enterprise Portal. - Experienced in setting up Fiori launchpad, custom roles, various apps and gateway administration. - Management of UNIX (Linux/Unix/Solaris) systems - System process standardization and system stabilization. - Good written and verbal communication skills

Commercial Insurance Producer Department: Insurance & Financial Services Employment Type: Full Time Location: Remote - USA Description We are a specialized, boutique insurance brokerage that rejects the "big box" agency model in favor of deep niche expertise. Our firm focuses specifically on risk management for Senior Living Communities, covering Independent Living (IL), Assisted Living (AL), and Memory Care (MC). Founded by industry veterans who understand the operational side of healthcare, our leadership has placed over $2 billion in premiums and protected over 250,000 beds. We operate a tech-forward, lean organization that empowers our Producers with total autonomy and true book ownership. We are looking for seasoned Commercial P&C Producers with a "Hunter" mentality to join our national team. This role is designed for the professional who is tired of private equity pressure, arbitrary sales quotas, and restrictive non-compete agreements. In this environment, you are an entrepreneur within our platform. You own your relationships, you own your book, and you are supported by a streamlined back-office that allows you to focus 100% on winning new business. Key Responsibilities - Business Development: Actively identify, prospect, and secure new commercial accounts on a national scale. - Niche Expertise: Develop and maintain a deep understanding of the Senior Living/LTC market or your specific portable niche. - Consultative Selling: Utilize proven alternative risk financing and captive insurance models to reduce client spend and improve risk profiles. - Client Relationship Management: Act as a strategic partner to clients, leveraging our in-house Virtual Assistant and Commercial Client Manager to handle administrative workflows. - Brand Representation: Represent the firm at industry conferences and networking events. Skills, Knowledge and Expertise - Licensing: Active P&C license. - Experience: 8–20 years as a Commercial P&C Producer. - Specialization: Ideally possesses experience in Senior Living/LTC or another defined, portable niche. Benefits We offer a high-incentive, commission-only structure designed for top-tier producers: - Generous Splits: 40% New Business / 30% Renewals. - Full Book Ownership: You retain 100% ownership of your book with no non-compete agreements. - Expense Account: Comprehensive coverage for travel, conferences, lodging, gas, and office needs. - Operational Support: Dedicated Virtual Assistant (VA) and Commercial Client Manager (CCM) support to scale your production. - Long-Term Wealth: Potential for equity participation based on performance. - Flexibility: Work from anywhere with no "draw" pressure or corporate bureaucracy.

Internal Medicine Physician – Clinical Department: Healthcare & Life Sciences Employment Type: Full Time Location: Georgia Description About the Practice We are seeking a Board-Certified Internal Medicine Physician for a unique, mostly non-direct care role focused on clinical oversight, diagnostic interpretation, and workflow optimization. Established in 2008, we are physician-owned and value a collaborative, innovative, and patient-centered approach to care. This is a great opportunity for a physician who enjoys clinical decision-making, operational improvement, and technology integration while maintaining flexibility and work-life balance. Remote or in-office work arrangements are available. Role Overview The Internal Medicine Physician will provide support for a team of seven providers (five physicians and two nurse practitioners) by overseeing clinical workflows, interpreting diagnostic data, and contributing to EMR optimization. The role includes limited direct patient care and is ideal for a candidate with strong diagnostic skills, leadership capabilities, and a passion for using technology to improve outcomes. Key Responsibilities - Review and interpret laboratory, radiology, and diagnostic test results - Document findings clearly in the EMR and communicate results via the patient portal - Conduct follow-up calls with patients as needed to review results and next steps - Respond to clinical inquiries, including lab result clarifications and medication questions - Approve and manage appropriate medication refills - Design and maintain EMR order sets and templates to streamline provider workflows - Create standardized follow-up protocols for abnormal test results - Support team-based care coordination and guide clinical best practices - Keep up with EMR enhancements, digital tools, and emerging technologies (including AI) - Contribute to a culture of clinical excellence, innovation, and operational efficiency Schedule & Flexibility - Full-time (4.5-day workweek), Monday–Friday, 8:00 AM – 5:00 PM - Flexibility to work remotely or in-office as long as tasks are completed on time - Office is closed on weekends and major holidays - Expected to manage urgent result follow-ups only on weekends (phone-based, minimal volume) - Minimal on-call responsibilities Qualifications - MD with Board Certification in Internal Medicine - Active Georgia medical license or eligibility to obtain - Minimum 3 years of outpatient internal medicine experience preferred - Advanced interpretation skills across labs, imaging, and diagnostics - Proficiency with EMRs and openness to evolving technologies - Highly organized and detail-oriented with strong communication skills - Ability to lead clinical improvement efforts and contribute to operational decisions Ideal Candidate - Clinically strong and detail-focused physician with diagnostic expertise - Interested in improving systems of care and operational efficiency - Thrives in a supportive, collaborative team environment - Technologically proficient and adaptable - Values flexibility, innovation, and work-life balance Benefits Compensation & Benefits - Competitive base salary with productivity bonus structure - Signing bonus and relocation assistance available - Health, dental, and vision insurance - Life and disability insurance coverage allowances - Malpractice insurance with full tail coverage - 401(k) with employer matching - Generous PTO and paid major holidays - CME allowance and reimbursement for licenses and board certification - Student loan repayment assistance available About the Community Suwanee, GA offers the perfect blend of suburban comfort and city access. Located just 20 minutes north of Atlanta, the area is known for excellent public schools, beautiful parks, a strong sense of community, and abundant recreational activities—ideal for both professionals and families.

Bank Owned Life Insurance Producer Department: Insurance & Financial Services Employment Type: Full Time Location: Remote - USA Description We are seeking an experienced and highly specialized BOLI/COLI Producer to join our team. This is a permanent, fully remote position open to candidates across the country. We’re looking for a uniquely skilled individual with deep expertise in Bank-Owned and Corporate-Owned Life Insurance who can confidently manage complex sales cycles within the financial sector. This is not your typical life insurance sales role. As a BOLI/COLI Producer, you’ll be working with corporations—primarily financial institutions—to offer sophisticated life insurance funding solutions that help offset the costs of executive benefit programs such as Supplemental Executive Retirement Plans (SERPs) and Deferred Compensation. This consultative sales process requires engagement with various departments, including Legal, Tax, and Human Resources. Key Responsibilities - Drive the sale of BOLI/COLI solutions to corporate clients, with a primary focus on financial institutions. - Effectively communicate and collaborate with stakeholders across Tax, Legal, and HR departments. - Navigate and manage extended sales cycles, typically ranging from 6 to 12 months, with a strong emphasis on pre-sale due diligence. - Maintain a deep understanding of regulatory environments surrounding both life insurance and the banking industry as it relates to BOLI/COLI. - Build and sustain long-term client relationships through trust and high-touch service. Skills, Knowledge and Expertise - A strong, existing book of business in BOLI/COLI or similarly complex financial product sales. - In-depth knowledge and proven experience with Corporate-Owned and Bank-Owned Life Insurance. - A solid understanding of the regulatory landscape affecting both banking and life insurance sectors. - Demonstrated ability to manage and close intricate, high-value sales involving multiple internal stakeholders. - Self-driven and highly capable of operating independently in a remote work environment.

Commercial Insurance Producer Department: Insurance & Financial Services Employment Type: Full Time Location: Remote - USA Description We are a specialized, boutique insurance brokerage that rejects the "big box" agency model in favor of deep niche expertise. Our firm focuses specifically on risk management for Senior Living Communities, covering Independent Living (IL), Assisted Living (AL), and Memory Care (MC). Founded by industry veterans who understand the operational side of healthcare, our leadership has placed over $2 billion in premiums and protected over 250,000 beds. We operate a tech-forward, lean organization that empowers our Producers with total autonomy and true book ownership. We are looking for seasoned Commercial P&C Producers with a "Hunter" mentality to join our national team. This role is designed for the professional who is tired of private equity pressure, arbitrary sales quotas, and restrictive non-compete agreements. In this environment, you are an entrepreneur within our platform. You own your relationships, you own your book, and you are supported by a streamlined back-office that allows you to focus 100% on winning new business. Key Responsibilities - Business Development: Actively identify, prospect, and secure new commercial accounts on a national scale. - Niche Expertise: Develop and maintain a deep understanding of the Senior Living/LTC market or your specific portable niche. - Consultative Selling: Utilize proven alternative risk financing and captive insurance models to reduce client spend and improve risk profiles. - Client Relationship Management: Act as a strategic partner to clients, leveraging our in-house Virtual Assistant and Commercial Client Manager to handle administrative workflows. - Brand Representation: Represent the firm at industry conferences and networking events. Skills, Knowledge and Expertise - Licensing: Active P&C license. - Experience: 8–20 years as a Commercial P&C Producer. - Specialization: Ideally possesses experience in Senior Living/LTC or another defined, portable niche. Benefits We offer a high-incentive, commission-only structure designed for top-tier producers: - Generous Splits: 40% New Business / 30% Renewals. - Full Book Ownership: You retain 100% ownership of your book with no non-compete agreements. - Expense Account: Comprehensive coverage for travel, conferences, lodging, gas, and office needs. - Operational Support: Dedicated Virtual Assistant (VA) and Commercial Client Manager (CCM) support to scale your production. - Long-Term Wealth: Potential for equity participation based on performance. - Flexibility: Work from anywhere with no "draw" pressure or corporate bureaucracy.