American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations.
RN Case Manager-Remote Weekend On-Call
Location
United States
Posted
105 days ago
Salary
0
Seniority
Lead
No structured requirement data.
Job Description
RN Case Manager-Remote Weekend On-Call
TruHealth
ESSENTIAL FUNCTIONS: To perform this job, an individual must perform each essential function satisfactorily with or without a reasonable accommodation. - Triage calls to the Nurse Practitioner - Conduct comprehensive health assessments through video, audio, or chat interactions with patients. - Assess, plan, and provide a comprehensive plan of care that proactively manages healthcare issues and addresses barriers along the care continuum for patients in the nursing home setting. - Answer calls immediately. - Monitor compliance with medications and evaluate patient response to plan of treatment; modify plan of treatment when necessary
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FassetAn all-in-one financial super app that allows people and businesses to securely invest, earn, and make payments
• Own Fasset’s P&L, growth targets, and market strategy for Indonesia. • Build and manage relationships with local partners, merchants, and financial institutions. • Lead in-market user acquisition, activation, and retention initiatives. • Represent Fasset with regulators, government bodies, and industry associations in Indonesia. • Recruit, manage, and develop a local team, including community ambassadors and business development staff. • Provide market intelligence, competitive analysis, and localisation recommendations to HQ.
Job Description Role Overview The AVP, Supplier Quality is the enterprise leader accountable for ensuring Agilent’s global supplier quality program fully complies with all applicable global regulatory, statutory, and quality management system requirements across direct materials, indirect materials, services, and external manufacturing partners. This role serves as the enterprise authority for supplier quality governance and regulatory oversight, ensuring that all externally provided materials, components, services, and externally manufactured products consistently meet global regulatory expectations, Agilent QMS requirements, and customer commitments. The AVP establishes and maintains a robust, risk-based‑ supplier quality framework designed to withstand regulatory scrutiny, support inspections, and protect product quality and supply continuity. Operating with an enterprise and growth mindset, the AVP partners closely with Regulatory Affairs, Quality Systems, Supply Chain, Manufacturing, Procurement, and CDMO Quality to ensure supplier quality requirements are clearly defined, consistently implemented, and demonstrably effective across all regions and regulatory jurisdictions. Enterprise Accountability & Regulatory Authority The AVP, Supplier Quality: - Owns and governs the global supplier quality program to ensure compliance with all applicable international regulations, standards, and health authority expectations (e.g., ISO standards, global regulatory requirements, GMP where applicable). - Acts as the final quality authority for supplier qualification, requalification, auditing, and ongoing oversight across all supplier types, including external manufacturing partners. - Defines and enforces regulatory aligned‑ escalation thresholds, investigation rigor, documentation standards, and corrective action requirements for supplier quality issues. - Approves supplier selection, corrective action plans, remediation strategies, requalification outcomes, and supplier exit decisions from a regulatory risk perspective. - Serves as the primary enterprise interface for regulatory inspections, audits, and inquiries involving suppliers, contract manufacturers, and external service providers. - Escalates material supplier quality or compliance risks that could impact regulatory compliance, product approvals, inspections, or market access. Key Responsibilities 1. Global Supplier Quality & Regulatory Governance - Define, implement, and continuously improve Agilent’s global supplier quality governance model, ensuring alignment with evolving regulatory requirements across regions. - Ensure supplier quality policies, standards, and procedures are fully integrated into the Agilent QMS and consistently applied across GMP and non GMP‑ environments. - Establish clear regulatory expectations for suppliers related to: - Quality management systems - Change control and notification - Deviation management and investigations - Data integrity and documentation - Inspection readiness and regulatory transparency - Ensure supplier quality requirements are embedded into supplier selection, contracting, quality agreements, onboarding, and lifecycle management. 2. Supplier Qualification, Performance & Compliance Oversight - Own and govern risk-based‑ supplier qualification and requalification processes that meet global regulatory and inspection expectations. - Ensure ongoing supplier performance monitoring includes regulatory compliance indicators, audit outcomes, and quality trend analysis. - Maintain enterprise level‑ visibility to supplier compliance risks and ensure proactive mitigation before regulatory or customer impact occurs. - Provide independent quality and regulatory input to sourcing decisions, dual sourcing ‑strategies, and supplier continuity planning. 3. Supplier Issue Management & Corrective Action Effectiveness - Lead or oversee investigations of significant supplier quality or compliance issues with a focus on regulatory impact and root cause. - Define expectations for timely, thorough, and regulator-‑ready investigations, including appropriate documentation and evidence. - Ensure corrective and preventive actions are effective, sustainable, and verifiable, with clear linkage to regulatory risk reduction. - Escalate systemic or unresolved issues that could impact compliance, inspections, product approvals, or customer safety. 4. Supplier Audits, Inspections & External Manufacturing Oversight - Establish and execute a global, risk-based‑ supplier audit program aligned with regulatory requirements and health authority expectations. - Ensure audit programs adequately cover: - Direct and indirect material suppliers - Critical service providers - External manufacturing and testing partners (CDMOs/CMOs) - Provide quality and regulatory oversight of external manufacturing operations, including quality agreements, change management, deviations, and inspection readiness. - Support and lead regulatory inspections involving suppliers and external manufacturing partners, ensuring consistent enterprise positioning and responses. 5. Cross Functional‑ Leadership & Regulatory Enablement - Partner with Regulatory Affairs, Quality Systems, Supply Chain, Manufacturing, Procurement, and CDMO Quality to ensure aligned regulatory interpretation and execution. - Enable scalable, compliant onboarding of new suppliers, materials, and external manufacturing capabilities without compromising regulatory rigor. - Serve as a trusted advisor to executive leadership on supplier related‑ regulatory risk, compliance posture, and inspection readiness. Leadership Expectations (Agilent) The AVP, Supplier Quality demonstrates Agilent Leadership Expectations by: - Creating clarity and confidence in regulatory expectations across a complex, global supplier network - Thinking enterprise first, ensuring regulatory decisions balance business needs with long‑ term‑ compliance and reputation - Challenging the status quo to strengthen supplier compliance, audit effectiveness, and inspection readiness - Providing visible, decisive leadership during regulatory inspections, supplier crises, and compliance escalations - Leading with a growth mindset, continuously improving supplier quality systems in response to regulatory trends - Building an inclusive, accountable culture that develops future leaders in supplier quality and regulatory oversight Qualifications Education - Bachelor's degree in engineering, life sciences, quality, or related technical discipline required; advanced degree preferred Experience - 10+ years of progressive experience in supplier quality in regulated manufacturing environments - Demonstrated leadership of global supplier quality programs subject to regulatory oversight - Deep expertise in supplier audits, regulatory inspections, corrective action systems, and compliance risk management - Expertise in root cause analysis, problem solving and applying lean approaches when establishing supplier quality processes and procedures. - Experience in implementation of supplier quality programs that drive proactive engagement of suppliers - Proven ability to lead and influence in global, matrixed organizations Critical Skills & Competencies - Enterprise level expertise‑ in QMS governance and regulatory compliance - Strong understanding of global regulatory expectations and inspection practices - Proven ability to drive risk ‑based, regulator ‑ready decision making - Executive presence and credibility with regulators, auditors, and senior leadership - Strategic mindset combined with operational discipline and attention to compliance detail Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least March 19, 2026 or until the job is no longer posted. The full-time equivalent pay range for this position is $217,440.00 - $339,750.00/yr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: https://careers.agilent.com/locations Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_posting@agilent.com or contact +1-262-754-5030. For more information about equal employment opportunity protections, please visit www.agilent.com/en/accessibility. Travel Required: 35% of the Time Shift: Day Duration: No End Date Job Function: Quality/Regulatory
Field Reimbursement Manager
Magnus MedicalWe are creating the next generation of neuromodulation technology to improve quality of life rapidly and effectively.
• Support the commercial team by addressing coding, billing, and reimbursement concerns throughout the sales, onboarding, and implementation process. • Conduct virtual and onsite meetings with customers to educate on appropriate use of procedure codes, documentation requirements, and billing best practices for SAINT. • Collaborate with revenue cycle teams and relevant stakeholders to ensure clean claims submission and timely reimbursement. • Review and interpret medical records to assess alignment with payer medical policies and documentation standards. • Partner with internal and external stakeholders to identify, anticipate, and resolve reimbursement-related challenges that impact patient access and provider adoption. • Work closely with external teams to align on payer strategy, track field-level trends, and jointly address prior authorization, claims, denials, and appeals support needs for the provider sites. • Work closely with the field sales team to identify provider sites that may benefit from reimbursement education, claims support, or workflow optimization. • Address coverage, access, and reimbursement questions from provider accounts in collaboration with external teams, consistent with policy and compliance requirements. • Perform periodic claims reviews with practices to help ensure proper reimbursement and proactively identify any underpayments or denials. • Maintain a strong understanding of Magnus policies, payer requirements, and the evolving reimbursement landscape to perform all duties in a compliant and informed manner. • Stay current on market access and payer trends impacting behavioral health and neuromodulation technologies. • Provide relevant reimbursement and access insights to key stakeholders, including practice administrators, billing staff, and providers, to support efficient patient access to SAINT.
• Define the end-to-end partner lifecycle across Marketplace, Referral, and Reseller programs. • Design the onboarding strategy — including how we shrink time-to-revenue and accelerate activation. • Create scalable workflows, use cases, and partner journeys that drive measurable growth. • Identify friction points and proactively redesign processes to improve speed, clarity, and partner experience. • Establish clear operational standards and success metrics across all partner types. • Evaluate handoffs from partner acquisition through onboarding, activation, and revenue realization. • Build activation frameworks that drive early wins and repeatable success. • Translate partner strategy into clear requirements for Operations and Enablement teams. • Define and standardize KPIs across partner programs. • Manage and develop a team of two, setting clear priorities aligned to strategic goals.



