Role Description - Create deliverables addressing common requests in the nursing domain. - Review peer-developed deliverables to enhance AI research. - Diagnose and solve real issues in your domain to advance machine learning systems. - Work independently and remotely on your own schedule. - Contribute expertise to cutting-edge AI research. Qualifications - 4+ years professional experience in nursing. - Excellent written communication with strong grammar and spelling skills. Requirements - Start Date: Immediately Application Process - Upload resume - AI interview based on your resume - Submit form Resources & Support - For details about the interview process and platform information, please check: Interview Process - For any help or support, reach out to: support@mercor.com - Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.

Role Description The Health Care Coordinator (HCC) serves as a key entry point to CareOregon’s Regional Care Teams and provides comprehensive care coordination. Responsibilities include intake, navigation of physical and behavioral health benefits, and development of individualized care plans based on member needs. The HCC collaborates closely with members, providers, and external partners to ensure timely access to services, continuity of care, and improved member outcomes. Estimated Hiring Range: $25.42 - $31.07 Bonus Target: Bonus - SIP Target, 5% Annual Qualifications - Minimum 3 years’ experience working in a healthcare setting, outpatient primary care clinic, hospital, or health insurance plan - Preferred: Licensed practical nurse (LPN), certified medical assistant (CMA), certified nurse’s assistant (CNA), or Traditional Health Care Worker (THW) certification - Experience working directly or telephonically with populations utilizing OHP - Experience working with populations impacted by mental health and/or addictions - Experience working with insurance plans and/or interviewing patients or members about their health information - Experience working in Epic Requirements - Serve as the first point of contact within the Care Coordination Team for members or providers who call CareOregon requesting assistance with physical and behavioral health needs. - Coordinate referrals from members, providers, community partners, and internal CareOregon departments and teams. - Provide call escalation support for Customer Service Representatives when necessary. - Determine navigation, care coordination and/or resource needs in response to referrals and other types of calls into the Regional Care Team (RCT) phone lines. - Identify members in crisis, triage needs requiring urgent attention, and help de-escalate high-need callers. - Triage appropriate referrals and help determine care coordinator assignment for RCT clinical care coordinators based on identified member needs. - Provide telephonic-based physical and behavioral health care coordination to eligible members and families. - Maintain a caseload of members with ongoing physical and behavioral health care coordination needs. - Facilitate access and remove barriers to necessary care and services for members and families. - Facilitate communication among members, their support systems, clinical care providers, community partners, and internal CareOregon departments. - Coordinate effectively with interdisciplinary teams for integrated care plan support of complex member needs. - Provide appropriate support to clinical Care Coordination staff involved with members. - Assist members in establishing and engaging with providers. - Refer members to appropriate agencies for community support. - Coordinate care for members residing outside of service area as required in contract. - Coordinate care for members discharging from the state hospital. - Assist in transition and discharge planning for members moving from acute care, long-term care, or other residential facilities back to community-based supports. - Take independent actions to address each member’s identified needs. - Assess for and identify physical and behavioral health care coordination needs. - Identify and appropriately address risk factors and service needs that may impact member outcomes. - Utilize a trauma-informed approach to provide member-centric physical and behavioral health care and support. - Assist members in moving through the continuum of care based on clinical, medical, and behavioral health needs. - Use motivational interviewing to coach members toward improved physical and behavioral health care behaviors and self-management. - Utilize assessment information to develop individualized care plans for assigned members. - Coordinate with providers to ensure integrated physical and behavioral health care plans are timely, effective, and consider the members’ unique needs. - Implement physical and behavioral health care coordination plans in collaboration with the member, providers, case workers and other relevant parties. - Develop working partnerships with community health care providers concerning member needs and care plans. - Maintain compliance with Coordinated Care Organization (CCO) requirements. - Complete initial and subsequent documentation for care coordination activities. - Maintain working knowledge of CareOregon Advantage (COA) and Oregon Health Plan (OHP) benefits. - Report member complaints to Appeals and Grievance team for investigation and follow-up. - Assist Quality Assurance (QA) staff in identifying behavioral health providers whose practice patterns do not conform to best practice standards. - Maintain compliance with the Model of Care requirements, if applicable. - Participate in quality and organizational process improvement activities and teams when requested. - Participate in work-related continuing education when offered or directed. Benefits - Competitive pay - Bonus opportunity - Comprehensive benefits package including medical, dental, vision, life, AD&D, and disability insurance - Health savings account, flexible spending account(s), lifestyle spending account - Employee assistance program, wellness program, discounts, and multiple supplemental benefits - Strong retirement plan with employer contributions - PTO and Paid State Sick Time based on hours worked/scheduled hours - Paid holidays, volunteer time, jury duty, bereavement leave, and more Company Description CareOregon is an equal opportunity employer. The organization selects the best individual for the job based upon job related qualifications, regardless of race, color, religion, sexual orientation, national origin, gender, gender identity, gender expression, genetic information, age, veteran status, ancestry, marital status or disability. The organization will make a reasonable accommodation to known physical or mental limitations of a qualified applicant or employee with a disability unless the accommodation will impose an undue hardship on the operation of our organization.

Role Description This position represents an amazing opportunity for an ambitious clinically focused physician ready to help build a virtual consult service with an interdisciplinary team. On a day-to-day basis, you will be responsible for clinical oversight to a patient panel across the country with an interdisciplinary team. - Deliver exceptional care to a cohort of complex patients across multiple geographies, leveraging video telehealth visits and a multidisciplinary team. - Work closely with patients, caregivers, and community resources to empower patients on their journey to achieve health literacy, self-efficacy, and what matters most to them. - Work with clinical leadership to develop and standardize team-based community practice, as well as leading your multidisciplinary team. - Engage patients, patients’ caregivers/family, existing provider network & other Devoted programs to provide cohesive, comprehensive care experiences & optimal clinical outcomes. - Utilize our home grown electronic health information system (Orinoco) for visits while also providing feedback on how to improve the interface. - Steward our patient centric and open clinical culture to our patients and colleagues. Qualifications - A fellowship-trained, and board-certified physician with at least 3 years clinical experience. - Telehealth experience preferred. - Experience managing other clinicians. - Multi-state licensure preferred or willingness to obtain additional licensure as requested. Requirements - Must be licensed to practice medicine by the [MARKET] Medical Board. Benefits - 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....

Role Description The Pharmacy Technician Care Guide supports LucyRx’s clinical programs by managing medication-related tasks and assisting members in accessing lifestyle resources. This role focuses on seamless program coordination and member satisfaction. Support other clinical services as required. - First level review of prior authorizations for GLP-1 therapies, ensuring accurate documentation. - Meet standard prior authorization turnaround times, quality standards, and regulatory requirements. - Follow up to ensure timely medication fills and renewals. - Educate members on clinical programs that optimize prescription coverage, co-pay assistance, and other reimbursement options. - Guide members through accessing lifestyle vendor programs, answering questions, and resolving concerns. - Serve as a liaison between members and vendors to ensure smooth transitions. - Maintain accurate records of member interactions and updates. - Generate regular reports on member engagement and program participation for the clinical team. - Understand the pharmacy benefit plans and accurately interpret the plan information. - Communicate with clinical reviewers on issues related to formulary, non-formulary criteria, or respective policies and procedures. - Ensure that all departmental goals (including, but not limited to turnaround times, production expectations, and quality metrics) are met. - Actively participate in internal quality improvement process enhancements. - Participate in clinical services team training and professional development opportunities. - Assist with clinical program operations as required according to business needs. - Other duties as assigned. Qualifications - Certified Pharmacy Technician (CPhT) with active certification. - 2+ years of experience in a retail pharmacy, PBM and/or other managed care organization. - Proficiency in Microsoft Office Professional suite. - Project management skills. - Excellent organizational, written and verbal communication. - Familiarity with clinical programs, including weight loss. - Ability to adapt and perform duties efficiently whenever unexpected changes arise. Requirements - Bachelor of Arts or Science degree from accredited college (preferred). - Solid understanding of PBM Operations including claims submission and processing, and familiarity with medications and their uses (preferred). - Knowledge of HIPAA regulations (preferred). Physical Requirements - This is a largely sedentary role; however, some standing, walking, bending, and reaching may be required. - Regularly operates in an office or home office setting which involves utilizing a computer, mouse, keyboard, and occasionally operates other standard office equipment, such as printer, copier, phone. - Travel may be required by either car or airplane, or a combination of multiple modes of transportation. Benefits - Salary: $20.00-$25.00 per hour. Company Description LucyRx is an independent, next-generation pharmacy benefits manager (PBM) transforming how healthcare works. We’re fixing what’s broken in the PBM industry by putting people first and challenging outdated norms. For too long, traditional PBMs have prioritized profit over patients, and we believe that’s just plain wrong. LucyRx offers bold, innovative solutions powered by LucyIQ, our proprietary AI platform, to deliver actionable insights that lower costs, improve care, and simplify prescription management. While we’re new to the PBM space, LucyRx is built on decades of leadership experience and a commitment to meaningful change. We’re a nimble, remote-first team with a bold mission to redefine pharmacy benefits—and we’re just getting started. At LucyRx, we’re a fast-moving team dedicated to making healthcare simpler, fairer, and more effective. Joining us means being part of a dynamic, mission-driven group that works collaboratively to challenge outdated industry practices and redefine what’s possible in pharmacy benefits. We value accountability, innovation, and a relentless focus on making an impact. Here, you’ll find a supportive culture that encourages you to bring your whole self to work, share bold ideas, and grow alongside smart, driven colleagues who are passionate about fixing the PBM industry. If you’re ready to roll up your sleeves and make a real difference, we’d love to have you on our team.