You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Conduct review of delegated entities for compliance with quality, service performance and utilization, credentialing reviews and medical record audits. Perform community activities related to clinical initiatives such as health fairs and communicate with agencies and providers. - Perform quality on site reviews of delegated entities, physician office/clinics, resolve quality issues, generate written summary of findings and follow up as directed by the Medical Director and/or Credentialing and Quality Improvement Committee (QIC). - Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues. - Audit medical records, review administrative claims and analyze data and interventions for quality improvement studies and activities - Function as the primary liaison between community resources/agencies and the company related to clinical initiatives and technical guidance. - Schedule and chair meetings with delegated entities in accordance with their contract. - Gather data and compile various utilization and quality improvement reports. - Develop and implement Corrective Action Plans. - Recommend changes/enhancements to the Quality Improvement policies and procedures. - Identify best practices, research new processes and recommend program enhancements. - Coordinate QIC activities and monthly meetings. - Oversee the enforcement of contract terms regarding data submission for delegated entities. - Participate in the development of reporting and data outcome reports. - Performs other duties as assigned - Complies with all policies and standards This is a fully remote position; candidates must be able to work within the Central Time Zone. The ideal candidate will have prior experience conducting high‑volume phone outreach to members or providers, strong communication and presentation skills, and prior HEDIS experience. Education/Experience: Bachelor’s degree in Nursing preferred. 3+ years of clinical, quality improvement or healthcare experience. 2+ years of experience in quality function in a healthcare setting. License/Certification: LPN, LVN, RN, PA, or LCSW license preferred. CPHQ (Certified Professional in Healthcare Quality) preferred. Pay Range: $33.71 - $60.67 per hour Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

The Enterprise Information Technology’s Project Management Office (PMO) is seeking an experienced EIT Project Manager II to lead complex IT Information Security initiatives, including security controls, compliance, risk mitigation, and secure delivery. In this role, you’ll manage projects end‑to‑end and partner closely with senior leadership. Our ideal candidates will bring: - Strong PMO experience - Exposure to Infrastructure & Operations and Information Security services - Experience with data analysis using AI and/or building AI agents to streamline and enhance day‑to‑day work - Stakeholder Management - Strong Executive Reporting & Communication Skills - Prior BCBST PMO experience preferred Note: - Sponsorship is not available for this role. - This position is fully remote; however, candidates will be required to attend a final round of onsite interviews at our Chattanooga, TN headquarters. Job Responsibilities - Manages enterprise projects with little assistance. - Updates and maintains current project information within the established project management tool. - Manages scope and the execution of change management processes. - Ensures the procurement of hardware, software and human resources as needed for the project. - Manages project costs, and works with project owners, stakeholders, and delivery team to manage project quality. - Tracks and reports risks and issues. - Proactively evaluates project activities. - Builds contingency plans. - Executes corrective actions when necessary. - Implements risk response plans to manage risk. Job Qualifications Education - Bachelor’s degree or equivalent work experience required. Equivalent experience is defined as 4 years of professional work experience. Experience - 4 years experience in business or information technology project delivery. Skills/Certifications - Experienced in Agile, Scaled Agile, and Waterfall methodologies. - Ability to lead and motivate cross-functional, interdisciplinary teams to achieve project goals. - Must be a team player, be organized, and handle multiple projects. - Has a successful track record completing projects on time and on budget. - Must be comfortable with professionally challenging key stakeholders at all levels of the organization. N/A Number of Openings Available 1 Worker Type: Employee Company: BCBST BlueCross BlueShield of Tennessee, Inc. Applying for this job indicates your acknowledgement and understanding of the following statements: BCBST will recruit, hire, train and promote individuals in all job classifications without regard to race, religion, color, age, sex, national origin, citizenship, pregnancy, veteran status, sexual orientation, physical or mental disability, gender identity, or any other characteristic protected by applicable law. Further information regarding BCBST's EEO Policies/Notices may be found by reviewing the following page: BCBST's EEO Policies/Notices BlueCross BlueShield of Tennessee is not accepting unsolicited assistance from search firms for this employment opportunity. All resumes submitted by search firms to any employee at BlueCross BlueShield of Tennessee via-email, the Internet or any other method without a valid, written Direct Placement Agreement in place for this position from BlueCross BlueShield of Tennessee HR/Talent Acquisition will not be considered. No fee will be paid in the event the applicant is hired by BlueCross BlueShield of Tennessee as a result of the referral or through other means.

Job Overview: Accountable for execution and oversight of local operational clinical trial activities and has ownership, oversight and impact on local regulatory and financial compliance, at a country operations level at the client. The position has a significant impact on how a country can deliver country-specific trial commitments and objectives especially during study start-up. The ability to indirectly influence investigators, vendors, external partners, and country managers to deliver these commitments is a must. This includes adhering to budget targets and agreed payment timelines, addressing and resolving issues, maintaining expertise in country-based regulations, laws and procedures with minimal support from the client management. The position requires skilled knowledge of budget and contract negotiations, the local ethics, legislation and regulatory environment, submission and approval processes, development of local Informed Consent as well as other site ready and ongoing study deliverables. The position requires the ability to proactively develop risk management and mitigation plans in the country and resolve issues locally. Summary of Responsibilities: - FINANCIAL (as applicable): - Ownership of country and site budgets. - Development, negotiation, and execution of Clinical Trial Research Agreements (CTRA). - Through continual interaction with local clinical team/s successfully delivers clinical and financial contracts within fair market value. - Oversight and tracking of clinical research-related payments. - Payment reconciliation at study close-out. - Oversight of FCPA, Denied Parties Screening and maintenance of financial systems. - Financial forecasting and tracking of operational budget in conjunction with the client manager. - COUNTRY SUBMISSIONS and LOCAL LANGUAGE MATERIALS (as applicable): - Responsible for execution and oversight of clinical trial country submissions and approvals for assigned protocols. o Development of local language materials including local language Informed Consents and translations. o Works in partnership with IRB/IEC and Regulatory Authority in submission and approval related interactions for assigned protocols. - Deliver expertise in country-based regulations, laws, and procedures. o Provide an oversight and tracking of clinical research-related payments. - Overlook payment reconciliation at study close-out. - MANAGEMENT and QUALITY OVERSIGHT: - Responsible for managing country deliverables, timelines, and results for assigned protocols to meet country commitments. - Contributes to the development of local SOPs. - May oversee contract workers and local vendors as applicable. - COLLABORATION: - Works in close collaboration internally with Clinical country operations (CRD, CRM, CTC, CRA), Country Quality Manager (CQM), Finance, Medical Affairs, Regulatory Affairs, Pharmacovigilance, Business Compliance, Legal and regional operations, Head Quarter functional areas and externally with vendors and sites, IRB/IECs and Regulatory Authorities to ensure country deliverables are obtained for submissions, budgets, CTRAs and local milestones. - Collaborates closely with Regional Operations to align country timelines for assigned protocols. Provides support and oversight to local vendors as applicable. - LOCAL PROCESS OVERSIGHT: (as applicable): - Oversight and coordination of local processes and SOPs. o Responsible for clinical and ancillary supplies management, importing and exporting requirements, supplies destruction, local electronic/hard copy filing, archiving and retention requirements, and insurance process management. - Enters and updates country information in clinical, regulatory, safety and finance systems. - And all other duties as needed or assigned. Qualifications (Minimum Required): - University/college degree (life science preferred), or certification in a related allied health profession from an appropriately accredited institution, nursing certification, medical or laboratory technology. - In lieu of the above requirement, candidates with a minimum of four (4) or more years of relevant clinical research experience in pharmaceutical or CRO industries or experience in a health care setting will be considered. - Fortrea may consider relevant and equivalent experience in lieu of educational requirements. - Thorough knowledge of ICH Guidelines and GCP including a basic understanding of regulatory requirements in other countries. - Thorough understanding of the drug development process. - Fluent in local office language and in English, both written and verbal. Experience (Minimum Required): - Good organizational and time management skills. - Working knowledge of ICH, FDA, local regulatory requirements, IRB/IEC and other applicable regulations/guidelines; familiarity with investigator start up documents; previous interaction with operational project team and investigative sites preferred. - Excellent communication skills, oral and written. - Self-motivation with the ability to work under pressure to meet deadlines. Works well independently and in a team environment. - Detail and process oriented. - Positive attitude and approach. - Interact with internal and external customers with a high degree of professionalism and discretion. - Multi-tasking capability. - Good computer skills with good working knowledge of a range of computer packages. - Ability to lead and develop junior staff. - Problem solving and Process Improvement is essential to this position. Requires the ability to pro-actively identify issues and risks, analyze root cause, and propose solutions to problems and escalate to management as applicable. Specific examples of common problems include: - Issues in budget / CTRA negotiations. - Quality and compliance issues. - Regulatory and legal issues. - Issues related to functional area deliverables that could jeopardize protocol milestones. - Minimum of eight (8) years of clinical research experience. Preferred Qualifications Include: - Master or other advanced degree. - PMP certification. Learn more about our EEO & Accommodations request here.

• Understand customer’s remediation and service needs for projects • Advise customers on scheduling and project progress • Arrange for the delivery of equipment, rentals, and corresponding purchase orders • Prepare project reports for management and timely project data submission • Prepare field invoices for billing including required documentation • Attend site walks for bidding opportunities • Plan, coordinate, and manage hazardous waste site remediation projects • Oversee teams performing lab pack services • Complete waste profiles and regulatory documentation • Perform emergency response site evaluation activities • Oversee emergency response team and ensure Health and Safety policies adherence • May be on call due to emergency response nature of business • Perform other job-related duties as assigned or apparent