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GlaxoSmithKline - GSK logo
GlaxoSmithKline - GSK

GlaxoSmithKline - GSK is one of the world's leading science and research-based pharmaceutical and healthcare companies. The company possesses a share of approxi

National Sales Manager, Hepatology

Location

Canada

Posted

71 days ago

Salary

0

Seniority

Lead

No structured requirement data.

Job Description

National Sales Manager, Hepatology

GlaxoSmithKline - GSK

GSK remains committed to achieving bold commercial ambitions for the future. By 2031, we aim to deliver £40 billion in annual sales, leveraging our existing strong performance momentum to significantly increase our positive impact on the health of billions of patients globally. Our Ahead Together strategy is centered on early intervention to prevent and alter the course of disease, thereby protecting people and supporting healthcare systems. Our diverse portfolio consists of vaccines, specialty medicines, and general medicines. Through continuous innovation and a dedicated focus on scientific and technical excellence, we strive to develop and launch new, groundbreaking treatments that address critical health challenges. Position Summary You will lead Canada’s hepatology sales strategy and execution for a new product launch. You will build strong relationships with healthcare professionals, healthcare system partners, and internal teams. You will coach and inspire a high-performing sales team to deliver measurable impact for people living with liver disease. We value strategic thinking, clear communication, and a collaborative mindset. This role offers growth, meaningful work, and the opportunity to help GSK unite science, technology, and talent to get ahead of disease together. Responsibilities This role will provide YOU the opportunity to lead key activities to progress YOUR career. These responsibilities include some of the following: - Define and deliver the national sales strategy for hepatology in Canada, aligned with national and regional priorities. - Lead, coach, and develop a national field team to meet sales, quality, and customer engagement goals. - Build and maintain strong relationships with clinicians, specialist clinics, hospitals, and policy stakeholders. - Partner with cross-functional teams to implement sales activities and ensure seamless execution. - Use data and insights to target opportunities, measure performance, and continuously improve sales effectiveness. - Manage budgets, forecasts, and resource allocation to maximize commercial impact and patient access. Why You? Basic Qualifications We are seeking professionals with the following required skills and qualifications to help us achieve our goals - Bachelor’s degree or equivalent experience. - Minimum 7 years of pharmaceutical sales experience, with at least 3 years in a leadership role. - Proven track record in specialty care or hospital-facing environments, ideally with experience in liver disease or related therapeutic areas. - Strong commercial and strategic planning skills, including experience with forecasting and budget management. - Excellent people leadership skills with a focus on coaching and development. - Valid driver’s license and ability to travel across Canada as required. Preferred Qualification If you have the following characteristics, it would be a plus - Advanced degree (MBA or health-related) or equivalent experience. - Direct experience working with hepatologists, gastroenterologists, or multidisciplinary liver care teams. - Experience with complex patient care and reimbursement pathways. - Comfort using digital and omnichannel tools to engage customers and measure impact. - Strong analytical skills and experience turning data into practical plans. - Bilingual in English and French. Working Model This role is remote/field based. You will be expected to travel frequently across Canada and spend time in the field, with regular time at a regional office or home office. What we value from you We want someone who leads with empathy, is accountable for results, and collaborates across teams. Bring clear communication and a practical, patient-focused approach. If you are energized by building teams, solving complex problems and improving patient care, we encourage you to apply. How to apply If this role speaks to you, please submit your application. We look forward to learning about your experience and how you can contribute to our mission. #LI-Remote Why GSK? Uniting science, technology and talent to get ahead of disease together. GSK is a global biopharma company with a purpose to unite science, technology and talent to get ahead of disease together. We aim to positively impact the health of 2.5 billion people by the end of the decade, as a successful, growing company where people can thrive. We get ahead of disease by preventing and treating it with innovation in specialty medicines and vaccines. We focus on four therapeutic areas: respiratory, immunology and inflammation; oncology; HIV; and infectious diseases – to impact health at scale. People and patients around the world count on the medicines and vaccines we make, so we’re committed to creating an environment where our people can thrive and focus on what matters most. Our culture of being ambitious for patients, accountable for impact and doing the right thing is the foundation for how, together, we deliver for patients, shareholders and our people. GSK is an Equal Opportunity Employer. This ensures that all qualified applicants will receive equal consideration for employment without regard to race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), parental status, national origin, age, disability, genetic information (including family medical history), military service or any basis prohibited under federal, state or local law. GSK is committed to accommodating persons with disabilities. If you need accommodation at any stage of the application process or want more information on our accommodation policies, please contact us at canada-recruitment@gsk.com. Please do not send resumes to this e-mail and instead apply through the online application process of this posting. Important notice to Employment businesses/ Agencies GSK does not accept referrals from employment businesses and/or employment agencies in respect of the vacancies posted on this site. All employment businesses/agencies are required to contact GSK's commercial and general procurement/human resources department to obtain prior written authorization before referring any candidates to GSK. The obtaining of prior written authorization is a condition precedent to any agreement (verbal or written) between the employment business/ agency and GSK. In the absence of such written authorization being obtained any actions undertaken by the employment business/agency shall be deemed to have been performed without the consent or contractual agreement of GSK. GSK shall therefore not be liable for any fees arising from such actions or any fees arising from any referrals by employment businesses/agencies in respect of the vacancies posted on this site.

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Johnson & Johnson Innovative Medicine logo

Territory Manager, Cardiac Imaging & Structural Heart (Minneapolis, MN or Chicago, IL) - Johnson & Johnson MedTech, Electrophysiology

Johnson & Johnson Innovative Medicine

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.

Manager71 days ago
Full TimeRemoteTeam 10,001

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: MedTech Sales Job Sub Function: Clinical Sales – Surgeons (Commission) Job Category: Professional All Job Posting Locations: Chicago, Illinois, United States, Minneapolis, Minnesota, United States of America Job Description: We are searching for the best talent for Territory Manager, Cardiac Imaging & Structural Heart to be in Minneapolis, MN or Chicago, IL. About Cardiovascular Fueled by innovation at the intersection of biology and technology, we’re developing the next generation of smarter, less invasive, more personalized treatments. Are you passionate about improving and expanding the possibilities of Cardiovascular? Ready to join a team that’s reimagining how we heal? Our Cardiovascular team develops leading solutions for heart recovery, electrophysiology, and stroke. You will join a proud heritage of continually elevating standards of care for stroke, heart failure and atrial fibrillation (AFib) patients. Your unique talents will help patients on their journey to wellness. Learn more at https://www.jnj.com/medtech Purpose: The Territory Manager (TM) is accountable to achieve sales goals in the assigned territory by delivering adoption of 2D and 4D intracardiac echocardiography in structural heart procedures and market share growth, as well as other key metrics. The TM is also responsible for developing the structural heart imaging market within their territory by identifying new procedural opportunities, expanding ICE adoption into new IC programs, and driving transition from TEE-dependent workflows toward ICE-guided procedures. The TM is responsible for building and maintaining mutually beneficial relationships with physicians, hospital and Cath lab staff, and key opinion leaders to grow and develop business. The TM acts as the territory quarterback and indirectly leads a pod team including Ultrasound Clinical Account Specialists (UCASs) and partners with Regional Business Directors (RBDs) to ensure alignment and coordination in meeting business objectives. The TM is responsible for managing all aspects of the customer group, which may include members of large hospital systems/IDNs, as well as teaching and community hospitals. The TM influences clinical and non-clinical stakeholders within assigned account base to support the use of BWI ultrasound products. The TM approaches each customer from a total account management perspective, by leveraging resources appropriately, collaborating with internal and external partners, including stakeholders such as HCPs, Administrators, C-Suite, Quality, Case Management, and other emerging influencers. This role is pivotal in developing and executing strategic sales plans, fostering strong customer relationships, and ensuring operational excellence. The primary focus of this role is to lead the commercial "pivot" from TEE-dependent procedures to ICE (Intracardiac Echocardiography) as the imaging modality of choice. By integrating Johnson & Johnson’s Credo and Leadership Imperatives, the Territory Manager will inspire the local team to deliver exceptional results, uphold the highest standards of compliance, and make a meaningful impact on patient outcomes and workflow efficiencies in the field of structural heart. This role sits adjacent to Electrophysiology and is pivotal to expanding J&J’s leadership in Interventional Cardiology and Structural Heart. Functional Responsibilities: - Partners with doctors and Cath lab administrators to set up equipment evaluations and facilitate solutions to issues in a timely manner. - Develop and execute selling strategies and strategic sales plans to achieve and exceed sales objectives. - Own territory strategy includes account prioritization, procedural targeting, and ICE adoption roadmaps across structural heart programs – inclusive of market development efforts. - Create tactical and operational plans, clearly communicating these to UCASs, RBDs, and other JNJMT CV team members. - leads and coordinates UCAS pod activity by coordinating strategic efforts in order to drive product utilization throughout the assigned territory. Maintains regular communication with teammates to ensure alignment and consistency in providing optimal customer service, while maximizing time and effort. - Demonstrate deep product and procedural knowledge, clinical and procedural excellence, and expertise in new product introductions. - Serves as a source of information and support to pod members and internal partners in identifying trends, understanding competitive conditions, and sharing knowledge of best practices within the marketplace. - Capture and communicate voice of customer insights to clinical science, medical affairs, marketing, and R&D teams to inform product development, clinical evidence generation and commercial strategy. - Leverages J&J business partners (cross functionally and across business units) within customer accounts and overlapping geographies to maximize the use of resources and increase business outcomes. - Responsible for communicating business related issues or opportunities to next management. - Partners with the TMs, UCASs and RBDs to identify and resolve case issues and provide support to engender customer group loyalty and increase business outcomes. - Adheres to all Company guidelines related to Health, Safety and Environmental practices. Ensure that all resources needed to meet Company guidelines are available and in good condition. - Proactively ensures personal, pod and Company compliance with all Federal, State, local and Company regulations, policies, and procedures. - Provides mentoring for new sales staff members as assigned. - Organizes and completes administrative responsibilities efficiently, including timely completion of compliance training, submission of expense reports, samples reporting and other requests and assignments. Meets Company quality standards and established deadlines. - Maintain company vehicle safety protocols (Safe Fleet) in accordance with all company guidelines. - Stays current in emerging technology and techniques and all aspects of company new product launches and competitive entries. - Facilitates customer adoption of new products, technologies, and techniques. - Responsible for communicating business-related issues or opportunities to next management level. - Responsible for ensuring subordinates follow all Company guidelines related to Health, Safety and Environmental practices and that all resources needed to do so are available and in good condition. - Responsible for ensuring personal and Company compliance with all Federal, State, local and Company regulations, policies, and procedures. - Stay current on industry best practices and emerging technologies in interventional cardiology and structural heart. - Actively collaborate with EP commercial team(s) on adoption plans from targeting (constructive collaboration identification) to implementation, to ensuring we cross support one another as needed. Qualifications: - Minimum of a BA/BS, combined with a minimum of 7 years professional work experience. - 5+ years of sales experience in cardiovascular medical devices with a focus on cardiovascular and interventional cardiology products. Notably, selling, supporting, and managing structural heart products and therapies (including TAVI, LAAO, M/T TEER, TTVR, PFO, ASD and Cardiac Imaging) is preferred. - Documented sales awards and achievements preferred. - Prior management experience a plus - Capital selling experience preferred. - Breadth and depth relationships within interventional cardiologists. - Strong analytical, project management, and communication skills. - Experience working in a matrixed organization and collaborating across functions. Knowledge of healthcare regulations and compliance requirements. Physical working conditions / requirements: - Exempt position requiring the ability to establish effective work schedule that accommodates frequent disruptions to routines and flexible work hours in accomplishing objectives. - Must have and maintain advanced knowledge of healthcare industry, medical device industry, disease states, and therapeutic and institutional trends. - Must successfully complete Company training programs. - Must have valid driver’s license in the state of residence, advanced computer skills, and the ability to multitask without direct oversight of manager. - Field-based work requires driving, walking, and use of phone and computer. - Ability to manage multiple projects and deadlines in a fast-paced environment. - Willingness to travel in the US as required (up to 80%). - May occasionally lift up to 30 lbs. Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, external applicants please contact us via https://www.jnj.com/contact-us/careers , internal employees contact AskGS to be directed to your accommodation resource. At Johnson & Johnson, we want every candidate to feel supported throughout the hiring process. Our goal is to make the experience clear, fair, and respectful of your time. Here’s What You Can Expect - Application review: We’ll carefully review your CV to see how your skills and experience align with the role. - Getting to know you: If there’s a good match, you’ll be invited to complete a short-recorded video interview, giving you the chance to share more about yourself. If successful, a recruiter will also reach out by phone to walk you through the process and answer any questions. - Interviews with the team: If you move forward, you’ll meet with the hiring manager (and possibly others on the team) in one or two interview rounds, depending on the role. - Staying informed: We know waiting can be hard, so our recruitment team will keep you updated and make sure you know what to expect at each step. - Final steps: For successful candidates, you will need to complete country-specific checks before starting your new role. We will help guide you through these. At the end of the process, we’ll also invite you to share feedback in a short survey — your input helps us continue improving the experience for future candidates. Thank you for considering a career with Johnson & Johnson. We’re excited to learn more about you and wish you the best of luck in the process! #RPONA Required Skills: Preferred Skills: The anticipated base pay range for this position is : $78,000 to $83,000 Additional Description for Pay Transparency: The Company maintains highly competitive, performance-based compensation programs.  Under current guidelines, this position is eligible for an annual performance bonus. The annual performance bonus is a cash bonus intended to provide an incentive to achieve annual targeted results by rewarding for individual and the corporation’s performance over a calendar/performance year.  Bonuses are awarded at the Company’s discretion on an individual basis. This position is eligible for a company car through the Company’s FLEET program. Employees may be eligible to participate in Company employee benefit programs such as health insurance, savings plan, pension plan, disability plan, vacation pay, sick time, holiday pay, and work, personal and family time off in accordance with the terms of the applicable plans.  Additional information can be found through the link below: https://www.careers.jnj.com/employee-benefits

United States
$78K - $83K / year
Job Closed
Johnson & Johnson Innovative Medicine logo

Field Reimbursement Manager - Immunology Dermatology – Fresno, CA

Johnson & Johnson Innovative Medicine

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity.

Manager71 days ago
Full TimeRemoteTeam 10,001

At Johnson & Johnson, we believe health is everything. Our strength in healthcare innovation empowers us to build a world where complex diseases are prevented, treated, and cured, where treatments are smarter and less invasive, and solutions are personal. Through our expertise in Innovative Medicine and MedTech, we are uniquely positioned to innovate across the full spectrum of healthcare solutions today to deliver the breakthroughs of tomorrow, and profoundly impact health for humanity. Learn more at jnj.com As guided by Our Credo, Johnson & Johnson is responsible to our employees who work with us throughout the world. We provide an inclusive work environment where each person is considered as an individual. At Johnson & Johnson, we respect the diversity and dignity of our employees and recognize their merit. Job Function: Market Access Job Sub Function: Reimbursement Job Category: Professional All Job Posting Locations: Bakersfield, California, United States, Fresno, California, United States Job Description: About Innovative Medicine Our expertise in Innovative Medicine is informed and inspired by patients, whose insights fuel our science-based advancements. Visionaries like you work on teams that save lives by developing the medicines of tomorrow. Join us in developing treatments, finding cures, and pioneering the path from lab to life while championing patients every step of the way. Learn more at https://www.jnj.com/innovative-medicine Johnson & Johnson Innovative Medicine’s Patient Engagement and Customer Solutions (PECS) team is recruiting for a Field Reimbursement Manager which will be a field-based position in Fresno, CA that will include Bakersfield, CA; Springville, CA; Darwin, CA; San Miguel, CA; Tulare, CA and Hanford, CA territories. PECS is committed to setting the standard on Patient Experience (Px), building more personalized, seamless, and supportive experiences to help patients start and stay on treatments across the portfolio. Job Description: An important aspect of patient’s unmet need includes helping them start and stay on their medicine for the best chance at treatment success. The Patient Engagement and Customer Solutions (PECS) organization serves patients, during their treatment journey with Janssen therapies, to help overcome challenges to fulfillment, on-boarding, and adherence. The Field Reimbursement Manager (FRM) is responsible for serving as the primary field-based lead for education, assistance, and issue resolution with healthcare providers (HCPs), and their office staff, with respect to patient access to J&J Immunology therapies. This role involves investing time (up to 50%) on-site with HCPs, assessing their education needs and facilitating collaboration with various stakeholders. A Day in the Life Every patient’s healthcare experience is unique - shaped by personal experiences and beliefs, the presence or absence of support networks, provider and payer dynamics, and socioeconomic factors. For many patients, the decision to start or stop treatment is overwhelming. J&J recognizes this, and wants to create an experience that is personalized, helpful, and hopeful. Primary Responsibilities: Primary responsibilities include the following. Other duties may be assigned. - Educate HCPs on product coverage, prior authorizations and appeals, reimbursement processes, claims submissions, procedures, and coding requirements of payer organizations (local payers, government payers, etc.) for core and launch products. - Collaborate with field support team members such as sales representatives and key account managers and serve as reimbursement expert for the local team. - Act with a sense of urgency to address critical access and affordability issues for patients. - Partner with managed care colleagues to understand current policies and potential future changes. - Conduct field-based reimbursement and access support, education and creative problem-solving aligned to FRM Rules of Engagement - Build strong, trust-based relationships with customers in all assigned Immunology accounts. - Manage territory logistics, routing, and account business planning. - Maintain and grow knowledge of national, regional, local, and account market dynamics including coverage and coding requirements. - Grow the knowledge of hub and specialty distribution channels to improve practice and patient support needs. - Collaborate with internal J&J departments such as marketing, sales, medical science, SCG, IBG, HCC, and PECS. Serve as subject matter expert regarding education and insights on access and affordability solutions across multiple payer types and plans (i.e., Medicare, Medicaid Managed Care, Commercial). - Execute business in accordance with the highest ethical, legal, and compliance standards, including timely and successful completion of all required training. Market Access Expertise: - Extensive knowledge of medication access channels (i.e., pharmacy and medical benefits including buy & bill and/or assignment of benefit (AOB) across multiple sites of care - Remains current on and anticipates changes in product coverage and access knowledge, marketplace conditions, and stakeholder practices to deliver the most effective delivery of approved materials. - Understands and adapts to the changing healthcare ecosystem to customize resourcing and messaging to HCPs and HCP staff Qualifications: REQUIRED - Bachelor’s degree (preferably in healthcare or business/public administration). An advanced business degree (MBA), or public health (MPH) is preferred. - Minimum of 5 years of relevant professional experience - Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationships. - Demonstrated expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing. - Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill, prior authorization, coding, and appeals processes) - Ability to establish relationships, collaborate, and influence across a matrix organization. - Problem-solving ability to navigate challenging access scenarios and identifies solutions in a timely and efficient manner. - Experience in working with patient support HUB services. - Valid US driver’s license and a driving record in compliance with company standards - Ability to consistently maintain up to 50% travel. - Permanent residence in the listed territory Preferred - Immunology disease state experience - Advanced degree and/or relevant certifications in prior authorization and/or billing and coding - Strong market access acumen as it relates to payer approval processes and business acumen. - Understanding of Medicare, Medicaid, and private payer initiatives affecting reimbursement of pharmaceutical and biotechnology products - Excellent technical knowledge and expertise in payer policy, including all elements of reimbursement (coding, coverage, and payment) is preferred. - Demonstrated competence with salesforce.com CRM use, Microsoft Word, and Excel #frm2026 #LI-Remote Johnson & Johnson is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, national origin, disability, protected veteran status or other characteristics protected by federal, state or local law. We actively seek qualified candidates who are protected veterans and individuals with disabilities as defined under VEVRAA and Section 503 of the Rehabilitation Act. Johnson & Johnson is committed to providing an interview process that is inclusive of our applicants’ needs. If you are an individual with a disability and would like to request an accommodation, please contact us via https://www.jnj.com/contact-us/careers or contact AskGS to be directed to your accommodation resource. Required Skills: Preferred Skills: Account Management, Coaching, Competitive Landscape Analysis, Compliance Management, Consulting, Cross-Functional Collaboration, Escalation Management, Fact-Based Decision Making, Finance and Accounting Platforms, Financial Reports, Market Access Reimbursement, Market Opportunity Assessment, Performance Measurement, Pricing Strategies, Process Improvements, Strategic Thinking, Technical Credibility The anticipated base pay range for this position is : $118,000.00 - $203,550.00 Additional Description for Pay Transparency: Subject to the terms of their respective plans, employees are eligible to participate in the Company’s consolidated retirement plan (pension) and savings plan (401(k)). This position is eligible to participate in the Company’s long-term incentive program. Subject to the terms of their respective policies and date of hire, employees are eligible for the following time off benefits: Vacation –120 hours per calendar year Sick time - 40 hours per calendar year; for employees who reside in the State of Colorado –48 hours per calendar year; for employees who reside in the State of Washington –56 hours per calendar year Holiday pay, including Floating Holidays –13 days per calendar year Work, Personal and Family Time - up to 40 hours per calendar year Parental Leave – 480 hours within one year of the birth/adoption/foster care of a child Bereavement Leave – 240 hours for an immediate family member: 40 hours for an extended family member per calendar year Caregiver Leave – 80 hours in a 52-week rolling period10 days Volunteer Leave – 32 hours per calendar year Military Spouse Time-Off – 80 hours per calendar year

United States
$118K - $203K / year
Job Closed
CVS Health logo

Case Manager, Registered Nurse - Fully Remote

CVS Health

CVS Health is a leading healthcare company operating CVS Specialty, CVS Pharmacy, CVS MinuteClinic, and CVS Caremark. In 2018, CVS combined forces with healthca

Manager71 days ago

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is a remote work from home role anywhere in the US with virtual training. American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. Key Responsibilities - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured clients. - Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory standards while assessing benefits and/or member’s needs to ensure appropriate administration of benefits. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. - Assessments utilize information from various sources to address all conditions including co-morbid and multiple diagnoses that impact functionality. - Consults with supervisor and others in overcoming barriers in meeting goals and objectives, presents cases at case conferences for multidisciplinary focus to benefit overall claim management. - Using a holistic approach, consults with clinical colleagues, supervisors, Medical Directors and/or other programs to overcome barriers to meeting goals and objectives. - Utilizes case management processes in compliance with regulatory and company policies and procedures. - Utilizes motivational interviewing skills to ensure maximum member engagement and discern their health status and health needs based on key questions and conversations. - Identifies and escalates member’s needs appropriately following set guidelines and protocols. - Need to actively reach out to members to collaborate/guide their care. - Perform medical necessity reviews. Required Qualifications - 5+ years’ experience as a Registered Nurse with at least 1 year of experience in a hospital setting. - The AHH RN Case manager position requires the nurse to support members across multiple states. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license. Nurses residing in non‑compact states must hold an individual, state‑specific RN license for each state they support. - 1+ years’ experience documenting electronically using a keyboard. - 1+ years’ current or previous experience in Oncology, Transplant, Specialty Pharmacy, Pediatrics, Medical/Surgical, Behavioral Health/Substance Abuse or Maternity/ Obstetrics experience. Preferred Qualifications - 1+ years’ Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care. - 1+ years' experience in Utilization Review. - CCM and/or other URAC recognized accreditation preferred. - 1+ years’ experience with MCG, NCCN and/or Lexicomp. - Bilingual in Spanish preferred. Education - Diploma or Associates Degree in Nursing required. - BSN preferred. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $155,538.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. This job does not have an application deadline, as CVS Health accepts applications on an ongoing basis. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

United States
$54.1K - $155K / year
Job Closed

Grand America Hotels & Resorts seeks a Digital Experience Manager to join the Marketing Technology team and support the hotel and ski resort properties – Sun Valley Resort, Snowbasin Resort, Grand America Hotel, Westgate Hotel, and Little America Hotels. This is a remote position. Candidates must reside in one of the following states: CA, AZ, UT, ID, CO, WY, or MT. The Digital Experience Manager oversees the implementation and optimization of guest-facing digital platforms, ensuring seamless experiences across web, mobile, and eCommerce touchpoints. This role manages day-to-day platform operations while executing strategic initiatives to improve guest experience and drive business results. A key aspect of this position is navigating the unique needs of multiple properties with distinct brands, audiences, and seasonal patterns - from luxury urban hotels to destination ski resorts. Key Responsibilities: Guest Experience Management: - Manage and execute improvements to guest-facing digital platforms - Identify and implement optimization opportunities to improve conversion and guest satisfaction - Oversee website content operations and maintenance - Monitor platform performance and coordinate improvements - Track and report on key performance metrics Platform & Vendor Management: - Manage day-to-day eCommerce platform operations in partnership with property revenue and product managers - Own eCommerce product merchandising strategy, including product positioning, display, promotional placement, and purchase flows, coordinating with property Product Managers to align with revenue goals and POS capabilities - Serve as primary point of contact for digital technology vendors & agencies - Coordinate with our web development & IT teams, both internal & agency partners, to prioritize and execute digital projects - Support implementation and quality assurance of new guest-facing technologies Project Management: - Manage project scope and requirements for digital experience initiatives - Coordinate with internal teams for execution while managing project timelines - Facilitate cross-functional collaboration to meet objectives - Use data to guide implementation decisions, including A/B testing and conversion rate optimization Team Leadership: - Manage and develop the Digital Experience Specialist, providing day-to-day direction and growth opportunities Required Qualifications: - 2-5 years' experience in digital product management or similar role - Strong understanding of eCommerce platforms and content management systems - Experience coordinating with technical vendors and agencies - Familiarity with A/B testing and methodologies - Proficiency with Google Analytics or similar digital analytics platforms - Proven track record of successful project delivery - Excellent communication and stakeholder management skills - Familiarity with Agile methodologies - Understanding of web development and UX best practices - Foundational knowledge of SEO principles as they relate to website structure and content Preferred Qualifications: - Experience in hospitality/tourism and/or ski industry - Experience evaluating or implementing AI-powered tools for websites and commerce platforms (e.g., personalization, chatbots, search optimization, content generation) - Experience with mobile app platforms - Background managing technical projects across multiple brands or properties

United States
Job Closed