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. Utilization Management Nurse Consultant (RN) – Remote Commercial Care Management | Nationwide Are you an experienced RN looking to use your clinical expertise beyond the bedside—while working fully remote? Join Aetna’s Commercial Care Management team and help ensure members receive the right care, at the right time, in the right setting. What You’ll Do - Review clinical records to assess medical necessity and appropriate benefit utilization - Coordinate with providers and facilities to support safe, timely, and efficient care transitions - Apply clinical guidelines and sound judgment to render coverage recommendations - Communicate clearly with providers and internal partners to facilitate care - Identify opportunities to improve quality, efficiency, and care integration across services Schedule & Work Environment - 100% remote (work from any U.S. state) - Monday–Friday, 8:30am–5:00pm (local time zone) - Occasional late shift coverage (up to 9:00pm EST, based on business needs) - Weekend rotation and holiday rotation (typically 1 holiday per year) - No travel required Required Qualifications - Active, unrestricted RN license in your state of residence - 2+ years of RN clinical experience (all clinical settings considered) - Comfortable working full‑time remote with rotating schedule needs (weekends and holidays) - Proficiency with Microsoft Office (Word, Excel, Outlook, PowerPoint) Preferred Qualifications - Utilization Review and/or Managed Care experience - Strong phone‑based communication skills - Ability to multitask across systems while engaging providers - Independent decision‑making with strong organization and time‑management skills Education - Associate Degree in Nursing required - BSN preferred Why Join Us? This role allows you to apply your clinical expertise at a system level—improving care quality and outcomes—while enjoying the flexibility of remote work and a collaborative, mission‑driven environment. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $29.10 - $62.32 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: 05/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

We are more than a health system. We are a belief system. We believe wellness and sickness are both part of a lifelong partnership, and that everyone could use an expert guide. We work hard, care deeply and reach further to help people uncover their own power to be healthy. We inspire hope. We learn, grow, and achieve more – in our careers and in our communities. Job Description Summary: Want to help people in our community live healthier lives? Want to be a part of changing healthcare? You can join a team that supports our 35,000 associates, providers and volunteers who are committed to our patients! OhioHealth is looking for passionate, talented students that are inspired by our mission (to improve the health we serve) and share our values of compassion, excellence, inclusion, integrity, and stewardship. And, while you’re here, you’ll gain real-world experience and build your portfolio working with professional business teams. The OhioHealth College Student Intern will be responsible for supporting the activities and projects of the department, assist management and other staff members in a specific department with a variety of tasks including projects, special events and daily activities. Responsibilities And Duties: Project Coordination: Assists management and other staff in completion of various projects and long-term assignments. Information Gathering: Aids staff by gathering pertinent information to complete a project or task assigned. Information is gathered from internal and external sources such as the Internet. Responsible for compiling information gathered into a presentation format. Provides other assistance and completes assignments specific to department as directed by management. Develop and assist in the implementation of communication plans, including writing support and tactic implementation. Support internal events as needed. Develop and update the OhioHealth intranet. Manage design projects through our project management system. Participate in team meetings and workshops. Ability to work across teams and departments on various projects. As a High Reliability Organization (HRO), responsibilities require focus on safety, quality and efficiency in performing job duties. The job profile provides an overview of responsibilities and duties and is not intended to be an exhaustive list and is subject to change at any time Minimum Qualifications: High School or GED (Required) Additional Job Description: MINIMUM QUALIFICATIONS High school degree. Pursing a degree in field where internship is offered. Proficiency in computer programs such as Microsoft Office or Desktop publishing as required by the department. Previous work. College-level student pursuing a degree in business, organization, management, marketing, communications, public relations, or other related fields. NOTE: Graduate level or postgraduate level applicants will not be considered. Work Shift: Day Scheduled Weekly Hours : 40 Department Data Analytics Join us! ... if your passion is to work in a caring environment ... if you believe that learning is a life-long process ... if you strive for excellence and want to be among the best in the healthcare industry Equal Employment Opportunity OhioHealth is an equal opportunity employer and fully supports and maintains compliance with all state, federal, and local regulations. OhioHealth does not discriminate against associates or applicants because of race, color, genetic information, religion, sex, sexual orientation, gender identity or expression, age, ancestry, national origin, veteran status, military status, pregnancy, disability, marital status, familial status, or other characteristics protected by law. Equal employment is extended to all person in all aspects of the associate-employer relationship including recruitment, hiring, training, promotion, transfer, compensation, discipline, reduction in staff, termination, assignment of benefits, and any other term or condition of employment Remote Work Disclaimer: Positions marked as remote are only eligible for work from Ohio.

Agency Dept of Health and Human Services Division Health Service Regulation Job Classification Title Nurse Consultant I (NS) Position Number 60054092 Grade MH16 About Us The North Carolina Department of Health and Human Services (DHHS) is one of the largest, most complex agencies in the state, and has approximately 17,000 employees. It is responsible for ensuring the health, safety, and well-being of all North Carolinians, providing human service needs for special populations including individuals who are deaf, blind, developmentally disabled, and mentally ill, and helping poor North Carolinians achieve economic independence. Description of Work The Nursing Home Surveyor (Nurse Consultant I) position involves regulatory activities to determine compliance of nursing homes with federal and state federal and state requirements through inspections. Job responsibilities include: • Surveying nursing homes during routine surveys and complaint investigations. • Completing survey reports, including statements of deficiency and complaint allegation findings. Must pass the Federal Surveyor Minimum Qualifications Test (SMQT) after training. This is a home-based position servicing Mecklenburg and Cabarrus counties region. The Nursing Home Surveyor spends an average of three days per week in nursing homes conducting inspections. Occasionally inspections are required on weekends and night shift. Although management attempts to schedule inspections within a region, the consultant needs to expect overnight stays when the nursing home is greater than 60 miles from their home-base. Knowledge Skills and Abilities/Management Preferences Salary Range: $62,044 - $102,371 Recruitment Range: $62,044 - $80,000 Candidates now meet the minimum qualifications of a position if they meet the minimum education and experience listed on the vacancy announcement. The Knowledge Skills and Abilities/ Management Preferences are not required. Applicants who possess the following skills are preferred. - Strong clinical background, including assessment, care planning and delivery of care. - Demonstrated skills in communicating effectively. - Demonstrated ability to compose technical reports using good grammar. This position is funded in part through federal funds. This position will close at 11:59 p.m. the night before the end date. The Division of Health Service Regulation oversees medical, mental health and adult care facilities, emergency medical services, and local jails. We check to see that people receiving care in these facilities are safe and receive appropriate care. We make certain that medical buildings are built only when there is a need for them. Compensation & Benefits: The State of North Carolina offers excellent comprehensive benefits. Employees can participate in health insurance options, standard and supplemental retirement plans, and the NCFlex program (numerous high-quality, low-cost benefits on a pre-tax basis). Employees also receive paid vacation, sick, and community service leave. In addition, paid parental leave is available to eligible employees. Visit website for State Benefits Supplemental and Contact Information The North Carolina Department of Health and Human Services (DHHS) is an Equal Opportunity Employer that embraces an Employment First philosophy, which consists of complying with all federal laws, state laws, and Executive Orders. We are committed to reviewing requests for reasonable accommodation at any time during the hiring process or while on the job. For more information about DHHS: https://www.ncdhhs.gov/. DHHS uses the Merit-Based Recruitment and Selection Plan to fill positions subject to the State Human Resources Act with the most qualified individuals. Hiring salary will be based on relevant qualifications, internal equity, and budgetary considerations pertinent to the advertised position. In accordance with the Governor’s Executive Order 303, our agency supports second-chance employment for individuals who were previously incarcerated or justice-involved. We invite all potential applicants to apply for positions for which they may be qualified. Application Process Be sure to complete the application in its entirety. Resumes will not be accepted in lieu of completing this application. - Information should be provided in the appropriate areas, to include the following: Education, including high school and all degrees obtained, Work Experience, and Certificates & Licenses. It is critical to our screening and salary determination process that applications contain comprehensive candidate information. - Applicants may be subject to a criminal background check. All candidates selected for positions considered "Positions of Trust" will be subject to a criminal background check. - Due to the volume of applications received, we are unable to provide information regarding the status of your application over the phone. To check the status of your application, please log in to your account. Upon the closing date, applications are "Under Review" and will be screened by Human Resources for qualified applicants. The hiring process may take several weeks. - Degrees must be received from appropriately accredited institutions. Transcripts and degree evaluations may be uploaded with your application. The State of North Carolina/Office of State Human Resources uses the National Association of Credential Evaluation Services (NACES) as a referral resource for applicants who need to have their credentials certified as equivalent. - For a list of organizations that perform this specialized service, please visit the NACES membership website at https://www.naces.org/members. Degree/College Credit Verification Degrees must be received from appropriately accredited institutions. Transcripts, degree evaluations and cover letters may be uploaded with your application. Veterans’ and National Guard Preference - Applicants seeking Veteran's Preference must attach a DD-214 Member-4 Form (Certificate of Release or Discharge from Active Duty) to their applications. - Applicants seeking National Guard Preference must attach an NGB 23A (RPAS), along with the state application, if they are a current member of the NC National Guard in good standing. - Applicants who are former members of either the NC Army National Guard or the NC Air National Guard, with honorable discharge and six years of creditable service, must attach a copy of the DD 256 or NGB 22, along with the state application. ADA Accommodations Consistent with the Americans with Disabilities Act (ADA) and the Pregnant Workers Fairness Act (PWFA), DHHS is committed to the full inclusion of all qualified individuals. As part of this commitment, DHHS will ensure that people with disabilities, or known limitations covered by the PWFA, are provided with reasonable accommodation. If reasonable accommodation is needed to participate in the job application or interview process, please contact the person indicated below. CONTACT INFORMATION: If there are any questions about this posting, please contact Talent Acquisition at talentacquisition@dhhs.nc.gov. Resumes will not be accepted in lieu of completing this application. Minimum Education and Experience Some state job postings say you can qualify by an “equivalent combination of education and experience.” If that language appears below, then you may qualify through EITHER years of education OR years of directly related experience, OR a combination of both. See the Education and Experience Equivalency Guide for details. Licensed to practice as a Registered Nurse in the State of North Carolina and one year of experience in the area of specialization. EEO Statement The State of North Carolina is an Equal Employment Opportunity Employer and dedicated to providing employees with a work environment free from all forms of unlawful employment discrimination, harassment, or retaliation. The state provides reasonable accommodation to employees and applicants with disabilities; known limitations related to pregnancy, childbirth, or related medical conditions; and for religious beliefs, observances, and practices. Recruiter: Rosa Henegan Email: talentacquisition@dhhs.nc.gov

The Tech Lead is responsible for translating product ideas and data science capabilities into production-ready AI solutions. This role partners closely with Product Management and the Data Science Leader to rapidly design, prototype, and ship AI-driven features that deliver measurable business value. This is a highly hands-on technical leadership role focused on speed, pragmatism, and production quality, balancing experimentation with scalable engineering practices. This is a remote opportunity. We are seeking contractors located in LATAM who are comfortable working in an English-speaking professional environment. Key Responsibilities AI Solution Delivery & Architecture - Lead the technical design and implementation of AI-powered product features from concept through production. - Own end-to-end architecture for AI solutions, including data flows, model integration, APIs, and application integration. - Make pragmatic decisions to accelerate delivery while maintaining system integrity. - Ensure AI solutions are secure, observable, scalable, and aligned with platform standards. Pod Leadership & Execution - Act as the technical lead for a cross-functional AI Pod. - Break down product requirements into executable technical workstreams and prototypes. - Guide rapid iteration cycles, proofs-of-concept, and MVPs, balancing experimentation with production readiness. - Review code, architecture, and technical decisions to maintain quality and velocity. Product & Data Collaboration - Partner closely with Product Management to shape problem definitions, success metrics, and delivery plans. - Collaborate with the Data Science Leader to integrate models, analytics, and data assets into product workflows. - Translate data science outputs into consumable APIs, services, and product features. - Provide technical feedback on feasibility, scope, and tradeoffs during product discovery. Operationalization & Quality - Ensure features are production-grade, including monitoring, logging, and performance tracking. - Implement guardrails around AI usage, including reliability, latency, cost controls, and failure modes. - Support experimentation frameworks, A/B testing, and post-launch learning loops. - Drive responsible AI practices, including explainability, bias awareness, and data privacy considerations. Technical Standards & Enablement - Define and enforce lightweight engineering standards for AI-enabled systems. - Promote reuse of components, prompts, pipelines, and services across AI initiatives. - Mentor pod engineers on AI-adjacent system design and best practices. - Contribute to internal documentation and shared AI patterns/playbooks. Required Qualifications - BS or MS in Computer Science, Engineering, or related technical field. - 5+ years of software engineering experience, including leading complex systems. - Strong experience designing and building production APIs and backend services. - Proficiency in Python and at least one backend language (e.g., Java, Node.js, Go). - Experience with cloud-native architectures (AWS, GCP, or Azure). - Solid understanding of data pipelines, model serving, and system observability. - Ability to work closely with product teams in fast-moving, iterative environments. Preferred Qualifications - Experience working in AI-first or data-driven product teams. - Familiarity with modern LLM platforms, prompt engineering, and agent frameworks. - Experience operationalizing ML models (model serving, monitoring, versioning). - Exposure to experimentation platforms, feature flags, and A/B testing. - Experience in Agile or product-led development environments. Total monthly compensation: $3,300—$5,000 USD