Job DetailsJob Location: IL Regional Office - Springfield, IL 62794-9277Position Type: Full-TimeEducation Level: Bachelor's DegreeJob Shift: DayJob Category: Administrative & ClericalSalary up to $100k (depending on experience) Centurion is proud to be the provider of comprehensive services to the Illinois Department of Corrections. We are currently seeking a Full-time CQI Specialist to join our Regional Office team in Springfield, Illinois. This is a remote/traveling position. Candidates must reside in Illinois and live a commutable distance to our regional office for meetings and site visits as needed. Based out of the regional office, the Statewide CQI Specialist develops and implements the Continuous Quality Improvement (CQI) program in accordance with the mission and strategic goals of the company, federal and state laws and regulations, accreditation standards and specific contractual requirements. Qualifications Licensure as a RN or Bachelor’s Degree (Master’s Degree preferred) in a clinical or allied health field from an accredited institution required Certification as a Professional in Healthcare Quality (CPHQ) preferred Minimum of two years of experience in health information, quality, utilization or risk management Minimum of two years of experience in Quality Assurance/ Continuous Quality Improvement preferred Knowledge of statistics, data collection, analysis and data presentation Skilled in use of computer software for maintaining statistics and developing reports Excellent problem solving and writing skills Experience in a correctional setting preferred Must be appropriately and actively certified in Cardio-Pulmonary Resuscitation (CPR) Ability to obtain a security clearance, to include drug screen and criminal background check We offer excellent compensation and comprehensive benefits for our full-time team members including: Health, dental, vision, disability and life insurance 401(k) with company match Generous paid time off Paid holidays Flexible Spending Account Continuing Education benefits Much more...

Department: 13556 Enterprise Revenue Cycle - National Service Line : Oncology: PreArrival Authorization Status: Full time Benefits Eligible: Yes Hours Per Week: 40 Schedule Details/Additional Information: Monday-Friday (8-4:30 or 8:30-5) remote Pay Range $21.85 - $32.80 Bachelor's Degree or 3 years of authorization experience required. Remote Major Responsibilities - Assess time sensitive Referral Work Queues to obtain highly complex authorizations including IP/OP Chemotherapy, Radiology, specifically related to Oncology treatment plans, IP/OP Surgeries, Molecular and Genetic Laboratory Testing, specialty related PT/OT and Speech Therapy, Psychiatry, Neuro/Psych Evaluations, and Rehab evaluations. - Manage high volume Stat request mailbox for all oncology facilities for potential life altering, high-cost treatment and procedures within a short time frame. Expected treatment within 1-3 days. - Interpret medical records to determine initial and disease progression to prove medical necessity for ordered services and complete on-line clinical requests for advanced authorization. - Manage Advocate Health preferred drug list (chemotherapy/immunotherapy/supportive drugs) with payors and correlate changes with oncology pharmacy. - Manage Advocate Health drug formulary changes with authorization updates with payors. - Review laboratory panels for Bone Marrow Biopsies to authorize Molecular Lab Studies, diagnosis specific. - Review and address monthly denials for Chemotherapy Drugs, Molecular Labs and surgeries with payors and Advocate Health Denial Management Teams (HBO/PBO). Minimum Job Requirements Education Bachelor's Degree or 3 years of authorization experience required. Work Experience Bachelor's Degree or 3 years of authorization experience required. Knowledge / Skills / Abilities - General knowledge and background in CPT and HCPCS Coding. - Must be proficient with medical terminology and be familiar with clinical considerations as these relate to oncology services. - Excellent written and oral communication skills required. - Microsoft Excel, Word, Epic experience preferred. - Databases, hospital registration, billing and clinical systems preferred. Physical Requirements and Working Conditions - Work requires typing, filing, use of telephone and sitting for prolonged periods of time. - Should be able to bend and lift up to 10lbs. DISCLAIMER All responsibilities and requirements are subject to possible modification to reasonably accommodate individuals with disabilities. This job description in no way states or implies that these are the only responsibilities to be performed by an employee occupying this job or position. Employees must follow any other job-related instructions and perform any other job-related duties requested by their leaders. Our Commitment to You: Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including: Compensation - Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training - Premium pay such as shift, on call, and more based on a teammate's job - Incentive pay for select positions - Opportunity for annual increases based on performance Benefits and more - Paid Time Off programs - Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability - Flexible Spending Accounts for eligible health care and dependent care expenses - Family benefits such as adoption assistance and paid parental leave - Defined contribution retirement plans with employer match and other financial wellness programs - Educational Assistance Program About Advocate Health Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.

Labcorp is seeking a Remote Prior Authorization Specialist I to join our team! Work Schedule: Monday - Friday 8:00 AM - 5:00 PM EST Job Responsibilities - Well-versed in pre-authorization processes and policies to respond clearly to high-volume billing tasks and inquiries - Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc) - Identify issues and suggest potential improvements - Collaborate with your team and develop best practices to ensure we are providing the best service and experience to all customers - Maintain an assigned schedule, and be flexible with daily schedules when business needs change - Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization - Work directly with various vendors to ensure successful submissions of prior authorizations - Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow-ups, if necessary, to ensure timely approvals - Stay informed about insurance policies and guidelines, ensuring that all prior authorization requests align with the necessary criteria - Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases - Participate in projects that extend beyond your day-to-day to stretch you to think outside the box Minimum Qualifications - High school diploma or GED or equivalent - 1 year or more years insurance claims or pre-authorization or medical benefits work experience Preferred Qualifications - Associate’s degree - 1 year or more clinical laboratory Revenue Cycle Management (RCM) experience ​ Additional Job Standards - Ability to work remotely from a private, quiet workspace - Reliable high‑speed internet connection (minimum 50 Mbps) - Proficiency with Microsoft Office (Word, Excel, Outlook) - Strong customer service, time management, and organizational skills - Excellent verbal and written communication abilities - High attention to detail with the ability to manage multiple priorities - Solid understanding of medical terminology, insurance guidelines, and healthcare regulations - Self‑motivated, collaborative, and willing to take initiative to get work done - Strong work ethic with flexibility and a commitment to supporting positive patient outcomes - Enjoys problem‑solving in a fast‑paced, team‑oriented, and evolving environment - Provide responsive, professional support to providers, patients, and insurance representatives regarding prior authorization status and requirements Application Window Closes: 4/20/2026 Pay Range: $17.75 - $19.50 All job offers will be based on a candidate’s skills and prior relevant experience, applicable degrees/certifications, as well as internal equity and market data. At Labcorp we have a passion for helping people live happy and healthy lives. Every day, we provide vital information that helps our clients and patients understand their health. If you are passionate about helping people and have a drive for service, then Labcorp could be a great next career step! The Prior Authorization Specialist supports Labcorp’s Prior Authorization program by completing payer‑required pre‑billing activities to ensure timely and accurate payment for services. This role reviews medical policies, initiates prior authorizations, performs benefit investigations, provides patient cost estimates, and responds to billing‑related inquiries from clinicians and patients while collaborating with Sales, Operations, Billing, and Lab teams to support patient and client needs. Employees regularly scheduled to work 20 or more hours per week are eligible for comprehensive benefits including: Medical, Dental, Vision, Life, STD/LTD, 401(k), Paid Time Off (PTO) or Flexible Time Off (FTO), Tuition Reimbursement and Employee Stock Purchase Plan. Employees regularly scheduled to work less than 20 hours, Casual, Intern, and Temporary employees are only eligible to participate in the 401(k) Plan. Employees who are regularly scheduled to work a 7 on/7 off schedule are eligible to receive all the foregoing benefits except PTO or FTO. For more detailed information, please click here.  Labcorp is proud to be an Equal Opportunity Employer: Labcorp strives for inclusion and belonging in the workforce and does not tolerate harassment or discrimination of any kind. We make employment decisions based on the needs of our business and the qualifications and merit of the individual. Qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex (including pregnancy, childbirth, or related medical conditions), family or parental status, marital, civil union or domestic partnership status, sexual orientation, gender identity, gender expression, personal appearance, age, veteran status, disability, genetic information, or any other legally protected characteristic. Additionally, all qualified applicants with arrest or conviction records will be considered for employment in accordance with applicable law. We encourage all to apply If you are an individual with a disability who needs assistance using our online tools to search and apply for jobs, or needs an accommodation, please visit our accessibility site or contact us at Labcorp Accessibility. For more information about how we collect and store your personal data, please see our Privacy Statement.

Why Patients Need You    Everything we do, every day, is in line with an unwavering commitment to the quality and the delivery of safe and effective products to patients. Our science and risk-based compliant quality culture is innovative and customer oriented. Whether you are involved in manufacturing, testing, or compliance, your contribution will directly impact patients.    What You Will Achieve    The Rare Disease, Area Rare Cardiac Specialists (ARCS), will target health care providers (HCPs), spanning general cardiology, across IDN/Health Systems, group practice accounts, other.  In this role, this individual will primarily be responsible for the execution of ATTR-CM disease awareness with appropriate customer stakeholders, working closely with the Cardiac Account Specialist (CAS) to ensure seamless customer interactions throughout the patient journey.  The role will report into the Area Business Manager (ABM).    The Area Rare Cardiac Specialists (ARCS) will demonstrate strong business acumen, and an expert understanding of the complexities associated with their local healthcare ecosystem.  The incumbent will utilize this knowledge to develop in-depth sales business plans; and in collaboration with other customer facing colleagues (i.e. CAS), the individual will then execute upon those plans to accelerate new patient starts through increased disease state awareness in the territories (CAS) they overlay.  To accomplish these goals, the individual will effectively utilize approved marketing resources to educate customers and build meaningful relationships to drive patient recognition.   The Area Rare Cardiac Specialists (ARCS) must strictly abide by all company policies and applicable government regulations.      How You Will Achieve It     Account Planning Collaboration - Prioritize customers opportunities and projects to maximize impact; leveraging all available data sets and stakeholder input to inform optimal decision making via the target lists provided - Develop territory business objectives (business plans) and define key performance metrics that are aligned to brand objectives thus meeting/exceeding goals via the prioritized customer target lists - Maintain active customer profiles, plans and data sets via company planning resources  - Continually evaluate and refine call planning to optimize schedule based on unique local territory factors such as access, geographic span, collaborative commitments, and customer alerts via targets identified via prioritization per ABM direction Hybrid Execution / Advanced Selling Skills  - Utilize advanced selling skills and approaches (e.g., PSSF) - Understands complex selling environment within each local market the ARC is overlaid to support - Utilize approved brand messaging via PSSF to align with customer priorities; tailor messaging based on segment and/or individual customer needs  - Appropriately adapts messaging in complex selling environment - Partners with customers to connect Pfizer resources and services to better meet the needs of their patients.  - Grow and maintain relationships with appropriate stakeholders and decision makers  - Build an in-depth understanding of local market factors and customer landscape  - Possess an in-depth expertise in the ATTR-CM disease area, the diagnostic procedures related to ATTR-CM and related diseases, and the Vyndamax clinical profile (as appropriate)  - Educate customers on the ATTR-CM disease in order to raise disease awareness  - Educate customers on the diagnostic procedures (through approved messaging/resources) related to ATTR-CM to support patient identification and treatment  - Demonstrate brand value proposition as a solution to customer and patient needs (per indications)  - Implement approved marketing educational programs across customer segments and present approved materials to deliver value added messaging in a compelling and compliant manner where applicable/appropriate.   - Demonstrate change agility in the ever-changing marketplace/landscape; effectively cope with change and decide to act without having all the details.  Coordination  - Coordinate with other customer facing teams to elevate the customer experience - Coordinate with other Subject Matter Experts (SME’s) where, when, & how appropriate to accelerate our internal approach to meet our customers needs.   - Coordination primarily with the CAS’ that the ARCS prioritized target lists overlay and with the Rare Disease ROC (Cross Functional Account Team) Members where/when appropriate/compliant (i.e. Key Account Managers) per CAS/ARCS coordination Demonstrates Business Acumen  - Proactively gathers insights from customers and understands the impact of changing market dynamics.  Connects insights gathered from different customers to anticipate business opportunities / threats across local markets.   - Demonstrate an in-depth understanding of all available market/customer data by utilizing available reports and applying insights in local planning  - Act decisively by prioritizing resource utilization to meet customer needs  Professional Development  - Pursue individual learning opportunities and look for ways to build, challenge, and add value in current assignments  - Understand and manage own interpersonal strengths and limitations and recognizes how others are responding to their behaviors.  - Be coachable and committed to elevating individual capabilities  Culture & Values  - Coordinate and collaborate with CAS and other colleagues (local and HQ – where appropriate via ‘Ways of Working’) to deliver appropriate resources to local customers.   - Emulates best practices and shares customer insights, contributing valuable perspective to colleagues across the Area.  - Proactively engage leadership to drive innovation and new approaches that help exceed business objectives.  - Facilitates open and honest conversations with peers and leaders and provides candid, actionable, and solutions focused feedback  - Ensure effective and compliant utilization of promotional materials.  - Ensure successful, compliant selling activities of in-line products  - Complies with all Corporate Policies and Procedures, while conducting all job-related activities with integrity and adherence to Pfizer's high standards of business conduct.    MUST-HAVE  - Minimum of 3 years of previous pharmaceutical, biotech, or medical device sales experience  - Bachelor's Degree required OR an associate’s degree with 8+ years of experience; OR a high school diploma (or equivalent) with 10+ years of relevant experience. - Demonstrated ability to formulate, develop, write, communicate, and monitor the execution of Territory business plans  - Demonstrated history of strong teamwork / collaboration  - Strong analytical skills are required with a demonstrated history of applying market / customer insights to inform sales planning and execution; demonstrated track record of assessing customer (Account and/or HCP) needs and bringing relevant and appropriate tools / resources to drive performance  - Consistently follows and supports company policies  - Valid US driver’s license and driving record in compliance with company standards. Any DUI/DWI or other impaired driving citation within the past 7 years will disqualify you from being hired.   NICE-TO-HAVE  - Rare Disease and/or Specialty Cardiovascular experience and expertise strongly preferred  - Product launch experience preferred  - Hospital Sales experience preferred  - Experience calling on large academic centers and hospital systems    PHYSICAL/MENTAL REQUIREMENTS  Ability to travel domestically and stay overnight as necessary.  Valid US driver’s license and a driving record in compliance with company standards required    NON-STANDARD WORK SCHEDULE, TRAVEL OR ENVIRONMENT REQUIREMENTS   2-3 overnights maybe required per month  Other Job Details: Last Day to Apply: April 19, 2026 The annual base salary for this position ranges from $108,600 - $250,700. During initial new hire sales training, you will be classified as a salary non-exempt employee which entitles you to overtime pay. Upon your training certification, you will become an overtime exempt employee. In addition, this position offers an additional Sales Incentive bonus. We offer comprehensive and generous benefits and programs to help our colleagues lead healthy lives and to support each of life’s moments. Benefits offered include a 401(k) plan with Pfizer Matching Contributions and an additional Pfizer Retirement Savings Contribution, paid vacation, holiday and personal days, paid caregiver/parental and medical leave, and health benefits to include medical, prescription drug, dental and vision coverage. Learn more at Pfizer Candidate Site – U.S. Benefits| (uscandidates.mypfizerbenefits.com). Pfizer compensation structures and benefit packages are aligned based on the location of hire. The United States salary range provided does not apply to any location outside of the United States.  Relocation assistance may be available based on business needs and/or eligibility. Candidates must be authorized to be employed in the U.S. by any employer. U.S. work visa sponsorship (such as TN, O-1, H-1B, etc.) is not available for this role now or in the future. Sunshine Act Pfizer reports payments and other transfers of value to health care providers as required by federal and state transparency laws and implementing regulations. These laws and regulations require Pfizer to provide government agencies with information such as a health care provider’s name, address and the type of payments or other value received, generally for public disclosure. Subject to further legal review and statutory or regulatory clarification, which Pfizer intends to pursue, reimbursement of recruiting expenses for licensed physicians may constitute a reportable transfer of value under the federal transparency law commonly known as the Sunshine Act. Therefore, if you are a licensed physician who incurs recruiting expenses as a result of interviewing with Pfizer that we pay or reimburse, your name, address and the amount of payments made currently will be reported to the government. If you have questions regarding this matter, please do not hesitate to contact your Talent Acquisition representative. EEO & Employment Eligibility Pfizer is committed to equal opportunity in the terms and conditions of employment for all employees and job applicants without regard to race, color, religion, sex, sexual orientation, age, gender identity or gender expression, national origin, disability or veteran status. Pfizer also complies with all applicable national, state and local laws governing nondiscrimination in employment as well as work authorization and employment eligibility verification requirements of the Immigration and Nationality Act and IRCA. Pfizer is an E-Verify employer. This position requires permanent work authorization in the United States. Pfizer endeavors to make www.pfizer.com/careers accessible to all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process and/or interviewing, please email disabilityrecruitment@pfizer.com. This is to be used solely for accommodation requests with respect to the accessibility of our website, online application process and/or interviewing. Requests for any other reason will not be returned. Sales