Company : EndorsedJob Description : JOB SUMMARY This job captures all inbound inquires for utilization management review from providers and pharmacies. The incumbent assesses the request, conducts all necessary research such as verifying benefit coverage for the member, and then creates the case (data entry) in Highmark's Utilization Management system for Prior Authorization clinical review. Ensures all accurate information is entered at the onset of the process to ensure adherence to all regulatory compliance requirements and service level agreements. The requests may come via fax, Predictal Availity portal and/or service form inquiry. At times may require follow-up communication with the requestor's office (physicians or pharmacists). This role may be required to make outbound calls and/or triage cases if inventory levels require support. ESSENTIAL RESPONSIBILITIES - Obtain requests from provider or pharmacy via fax, provider portal or service form inquiry. May obtain requests from provider or pharmacy by phone in some areas of the organization. Use multiple software systems and various resource sites to determine member plans and requirements. Gather all required documentation including verification of benefit eligibility. Build cases in the utilization management system. - Use knowledge of process and judgement to evaluate identified cases that require additional notification to member, provider, and/or pharmacist. At times, outreach to providers and/or pharmacists may be required to obtain additional information. - Ensure accuracy of data entry to prevent compliance and/or downstream process issues. - Other duties as assigned or requested. EXPERIENCE Required - 1 year of Customer Service experience - 1 year of Healthcare Industry ​ SKILLS - Possess good written and oral telephonic communication skills - Ability to navigate through multiple systems simultaneously - Knowledge of administrative and clerical procedures and systems such as word processing, managing files and digital fax - Ability to interact well with peers, supervisors, and customers - Problem-Solving - Knowledge of principles and processes for providing customer service. This includes customer needs assessment, meeting quality standards for services. EDUCATION Required - High School/GED LICENSES or CERTIFICATIONS Required - None Language (Other than English): None Travel Requirement: 0% - 25% PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS Position Type Office- or Remote-based Teaches / trains others Occasionally Travel from the office to various work sites or from site-to-site Rarely Works primarily out-of-the office selling products/services (sales employees) Never Physical work site required No Lifting: up to 10 pounds Constantly Lifting: 10 to 25 pounds Occasionally Lifting: 25 to 50 pounds Rarely Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job. Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements. Pay Range Minimum: $19.66 Pay Range Maximum: $27.42 Base pay is determined by a variety of factors including a candidate’s qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets. Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact the email below. For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org California Consumer Privacy Act Employees, Contractors, and Applicants Notice

Territory Operations Manager, Cell Therapy Patient Operations – UK Field Based, UK About AstraZeneca In AstraZeneca's Cell Therapy division, we follow the science to explore and innovate. We are working towards treating, preventing, modifying, and even curing some of the world's most complex diseases. We have the potential to grow our pipeline and positively impact the lives of patients around the world. We are committed to making a difference and have built our business around our passion for science. Now we are fusing data and technology with the latest scientific innovations to achieve the next wave of breakthroughs. Come and join our AZ team where you will play a pivotal role in this exciting period of development!! The Associate Director – Territory Operations Management (AD-TOM) is responsible for leading and expanding AZ cell therapy territory and developing new therapeutic areas in cell therapy for oncological and other indications. You will develop in-depth knowledge of cell therapy treatment centre operations and maintain a strong focus on delivering patient-centered solutions. To be successful in this role, a background in building cell therapy service lines is required. You will provide operational and clinical information for our cell therapy trials and commercial products to physicians, treatment centre administrative staff, and healthcare providers. You will lead the cell therapy activation activities with a focus on collection of starting material for manufacturing, final product receipt, storage and infusions for our trial and future commercial sites. This includes site training and monitoring activities focused on providing operational, quality, and clinical oversight post activation. The AD-TOM will be a remote and regional based role reporting to a Regional Operations Director (ROD). Key Responsibilities: - Lead cross-functional brain-to-vein operational meetings with physician leaders across multiple disciplines and with nursing, laboratory, pharmacy, quality, and operational champions to establish patient models and develop ‑end-to-end‑ product and patient workflows that support clinical trials and future commercial products. - Develop and manage relationships with key stakeholders from the Sites assigned to your territory. - Lead and serve as the Site's primary cell therapy operations readiness contact for our multidisciplinary teams. Collaborate with Supply Chain, aligning logistics, processes, and operations with the site and needs. - Provide expertise around AZ's products and processes to all customer stakeholders. - Responsible for the operational and quality oversight, patient/cell product modelling, and field quality support of Sites in the assigned regions. - Provide exemplary customer service while building business relations with clinical and operational leaders at the Sites. - Maintain a high level of collaboration and communication with our partners in Cell Therapy Hub, Clinical Operations, Site Management and Monitoring, Supply Chain, Manufacturing, Quality, Medical, Commercial, and others to ensure appropriate management of customer healthcare centers and clinical care related to our cell therapy portfolio. - Operational and Clinical Oversight of the raw material collection, final product receipt, storage and distribution, infusion, and oversee the chain of identity (COI) and chain of custody (COC). - Lead the Site activation process using risk-based tools for certification, training, and monitoring. - Deliver training to HCPs related to the product and operational needs. Ensure access to COI/COC is provided to trained individuals in collaboration with our Cell Therapy Hub. - Lead the training distribution to the assigned region. - Oversee Site logistics and lead changes for the regional accounts in collaboration with our Cell Therapy Hub. - Respond to every detour from the established SOPs and commit to responding with the utmost experience and collegiality. - Support site quality and deviations in collaboration with our Cell Therapy Hub and Quality. - Travel up to 50% Requirements: - BA or BS degree preferably in Nursing, Life Sciences, Business or equivalent experience - Hands on experience in cell therapy with progressive levels of responsibility (e.g., from project manager to program lead or functional head). - Service Line Expertise with demonstrated understanding of brain-to-vein processes leading end-to-end programs or complex workstreams from tech transfer through clinical/commercial execution, infrastructure, meeting timelines, budgets, resourcing and quality metrics. - Experience driving operational delivery to timelines, cost, and quality. - Experience leading delivery through collaboration with internal and external providers - Excellent knowledge of cell therapy standards and regulations, with a strong grasp of ICH principles, and cell therapy regulations; contributed to inspections, CMC submissions, and quality system execution (deviations/CAPAs, change control). - Experience in selection and oversight of external providers and development of contracts. - Excellent written and verbal communication; comfortable presenting to senior leadership, authoring governance updates, SOPs, and operational playbooks; able to translate technical detail into clear, actionable plans Desirables: - Program management /Quality qualification (e.g., PMP, CPHQ) - Experience in variety of academic/Sponsor organisations and countries - Experience in early phase clinical delivery, across the product life cycle and multiple therapeutic areas - Salesforce or other customer management software systems Competitive salary and benefits package on offer! The successful candidate will have access to a flexible employee benefits fund, including holiday purchase and flexible time off, pension contributions, Share Save Plans, A performance recognition scheme and a competitive, generous remuneration package. Date Posted 17-Apr-2026 Closing Date 26-Apr-2026 Our mission is to build an inclusive and equitable environment. We want people to feel they belong at AstraZeneca and Alexion, starting with our recruitment process. We welcome and consider applications from all qualified candidates, regardless of characteristics. We offer reasonable adjustments/accommodations to help all candidates to perform at their best. If you have a need for any adjustments/accommodations, please complete the section in the application form.

Job Description A bit about this role: At Devoted, our member engagement is evolving from standalone campaigns to connected, automated journeys. Within the Member Experience and Engagement team, this role will serve as the operational owner of our orchestration ecosystem—making sure journeys are executable, measurable, and sustainable as we scale. We’re looking for a highly analytical, hands-on CRM/lifecycle operator who loves turning data into personalized, automated experiences. You’ll partner closely with service designers, engineering, data, and operations teams to translate journey concepts into real-world lifecycle programs across SMS, app, email, portal, and call channels. This is an individual contributor role for someone who wants to get in the weeds, build the system, and own the operational quality of the member experience. Responsibilities and Impact will include: - Own journey orchestration system operations: Serve as the functional owner of the engagement orchestration operating platform as it is being built and scaled. Ensure journeys are sequenced, chained, monitored, and maintained across channels. Partner with engineering and product on platform build decisions, requirements, and workflow design. - Translate journey design into executable systems: Work with service designers to turn on-paper journey maps into operational lifecycle programs. Maintain logic for eligibility, suppression, prioritization, preferences, and conflict resolution across campaigns. Ensure members are not over-contacted and that no audience or data point falls through the cracks. - Lead campaign monitoring and quality control: Own campaign health monitoring. Identify operational issues such as audience mismatches, configuration errors, and deliverability risks. Create operational guardrails to keep campaigns healthy as volume scales. Develop dashboards and reporting to provide an "air traffic control" view of active and upcoming campaigns across all channels. - Forecast volume and manage capacity: Design forecasting models for upcoming campaign volume across SMS, push, email, and call channels. Partner with operations and workforce teams to anticipate load. - Build a more intelligent engagement system: Monitor member movement through journeys and flag risks or bottlenecks early. Use AI, automation, and dashboards to systemize QA, monitoring, and reporting. Act as the bridge between business needs and technical implementation, informing what the platform should do and how it should evolve. - Continuously improve performance: Run analysis on campaign performance, funnel movement, engagement trends, and member contact patterns. Bring a quantitative lens to everything from suppression strategy to lifecycle optimization. Required skills and experience: - 4-6 years of experience in lifecycle marketing, CRM, marketing operations, or engagement operations. - Experience with campaign automation or marketing automation platforms (Braze, Iterable, HubSpot, Salesforce Marketing Cloud, etc.). - Strong quantitative and analytical skills; comfortable working with large data sets capturing millions of member interactions using a variety of analysis tools (spreadsheets, dashboards, and conversational analytics). - Hands-on experience managing multi-channel member/customer journeys across email, SMS, push, in-app, and/or outbound call workflows, with familiarity working alongside service design to operationalize journeys. - Experience building operational processes, logic, or systems in a fast-moving environment. - Ability to think systemically across an entire journey ecosystem, not just one channel. - Comfort partnering with technical teams on requirements, platform evaluation, and workflow design. - Strong organizational skills and a bias toward action. - Engaged in automation, AI, and building scalable operational infrastructure. - Strong communicator who can work across service design, engineering, analytics, operations, and content teams. Desired skills and experience: - Experience in healthcare or another regulated environment. - Familiarity with self-service analytics. - Experience building monitoring, QA, or governance frameworks for lifecycle programs. - Background in content operations, platform enablement, or adjacent operational product work. Salary: $130,000 - $160,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: - Employer sponsored health, dental and vision plan with low or no premium - Generous paid time off - $100 monthly mobile or internet stipend - Stock options for all employees - Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles - Parental leave program - 401K program - And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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 Are you ready to take your clinical skills to the next level? Check out this outstanding opportunity for a Clinical Pharmacist with the Specialty Medical Prior Authorization team! The Clinical Pharmacist is an operations based role that conducts reviews of medical data collected to perform prior authorization review for specialty medications. The Clinical Pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from CVS Caremark supported systems and take inbound calls from physicians or members regarding their pending, approved, or denied prior authorizations. Operational hours are 8am-7pm CT, and we are seeking a candidate who is able to work 8am-7pm CT. Rotating weekends and occasional holidays may be required per business needs. The position is fully remote. Required Qualifications - Active pharmacist license in state of residence in good standing - 2+ years clinical pharmacist experience - 1+ years demonstrated experience issuing clinical determinations within Prior Authorizations - Current experience working within the Novologix system, specifically Aetna Medical Prior Authorization Operations - Current experience issuing clinical determinations within Aetna Medical PA Preferred Qualifications Excellent interpersonal skills Demonstrate problem solving ability and attention to detail Ability to work effectively in a team environment with great dependability Excellent oral and written communication skills Ability to quickly assess and adapt to constantly changing situations Required to possess a high mental agility and alertness Ability to effectively communicate with pharmacists, other clinical colleagues, healthcare professionals, and members Ability to effectively prioritize work while exhibiting a high level of urgency with all calls and assignments Follows all prior authorization procedures to ensure a timely and accurate process on each prior authorization Ability to effectively train and mentor representatives on the PA team Call center, PBM, or clinical experience Strong Microsoft Office skills Experience utilizing CAS, Novologix, Sales Force, RxClaim, and PeopleSafe. Education Bachelor of Pharmacy or PharmD Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $45.43 - $93.08 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. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. 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. We anticipate the application window for this opening will close on: 04/22/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.