• Develop, mentor, coach and manage CTMs, and PCTMs to progress their skillset as per Precision for Medicine quality standards. Advocate individual growth and career development • Work with the Clinical Operations Management Team and management of other functional areas to continually improve and enhance CTM expectations and procedures to promote quality, consistency and efficiency while achieving established Key Performance Indicators (KPIs) • Collaborate with the Resourcing team to ensure Clinical Operations resource allocations and needs are appropriately met • Generate action plans and provide developmental/strategic oversight to optimize CTM services, with a focus on high quality delivery of individual/team/departmental goals • Provide on-going feedback and development to manage the performance of direct reports • Provide technical support and guidance (including scope definition, risk identification, escalation and mitigation, resource planning, goals, and deliverables) to assigned CTMs • Ensure all assigned CTMs have the proper resources, training, materials, and access to systems to deliver on the expectations of their position • Ensure CTMs uphold high quality standards and maintain compliance with established SOPs, working guidelines, project plans and all regulatory requirements • Ensure CTMs provide timely and accurate updates of all required administrative material (SOPs, T&E, etc.) on company systems. • Recognize, exemplify, and adhere to Precision’s values that center on our commitment to quality, our people, clients, and performance • Perform other duties and departmental initiatives as assigned by Leadership

Role Description Responsible for the oversight, coordination, and management of the functional and financial outcomes during acute illness requiring hospitalization for patients of the Carle Foundation Hospital. Facilitates the care of patient by ensuring that admissions and continued days are medically necessary, cost-effective, and provided in the appropriate level of care to qualify for reimbursement. The UM staff RN will function within the IP Care Coordination Department to ensure that the most cost-effective and appropriate use of health care services for patients treated by Carle Foundation Hospital. - Ensures efficient patient flow and throughput - Initial assessment of all new patients for correct status (admission/observation/outpatient) based on UR medical necessity criteria - Performs concurrent reviews of all patient charts to ensure proper resource utilization as necessary to identify practice trends - Keeping LOS within patients working DRG - Send clinical documentation to insurance companies per their request - Communicate with physicians on status changes and documentation - Refers cases for secondary review when appropriate - Refers cases for escalated medical review when services do not meet medical necessity criteria and/or appropriate level of care - Documents utilization reviews/issues in appropriate locations, including but not limited to case management/utilization review software - Track Avoidable days - Educates and assists physicians in resource utilization - Participate in extended care reviews and attend meetings - Review cases for potential quality indicators and refers to UM Leadership - Works with Appeal staff to actively appeal cases concurrently and retrospectively Qualifications - College Diploma - Nursing - Registered Professional Nurse (RN) License Illinois Upon Hire - Satisfactorily complete all required continuing education regarding the care of acute stroke patients - Case Management Certification preferred - Able to establish professional relationships with all healthcare providers - Work independently and collaborate - Strong communication and organizational skills - Attention to detail Salary Range The compensation range for this position is $35.87 per hour - $58.37 per hour. This represents a good faith minimum and maximum range for the role at the time of posting by Carle Health. The actual compensation offered a candidate will be dependent on a variety of factors including, but not limited to, the candidate’s experience, qualifications, location, training, licenses, shifts worked and compensation model. Benefits Carle Health offers a comprehensive benefits package for team members and providers. To learn more visit careers.carlehealth.org/benefits .

Role Description Trillium Health Resources has a career opening for a Clinical Pharmacist to join our team! The Clinical Pharmacist will assist the Clinical Pharmacy Director in providing pharmacy clinical services. Responsibilities include: - Assisting the Clinical Pharmacy Director in providing clinical oversight for the development and implementation of the pharmacy program plan for clinical services. - Evaluating medication reconciliations and providing Medication Management referrals, education, and outreach to Care Management, providers, and members. - Assisting pharmacy team members with pharmacy related information/projects. - Supporting/performing educational activities for Trillium colleagues, providers, and members when necessary. - Assisting in the development and maintenance of cost-effective pharmacy programs, including management of the formulary; utilization management programs; and responding to internal questions. Qualifications - Bachelor's degree in Pharmacy or higher degree in Pharmacy. - Minimum three (3) years’ experience as a pharmacist. - Registered pharmacist in the State of North Carolina with a current North Carolina pharmacist license. - Must have a valid driver’s license. - Must reside within North Carolina. - Must be able to travel within catchment as required. Requirements - Medicaid pharmacy benefits management experience (preferred). Benefits - Typical working hours: 8:30 am – 5:00 pm; flexible work schedules available for some positions with management approval. - Work-from-home options available for most positions. - Health Insurance with no premium for employee coverage. - Flexible Spending Accounts. - 24 days of Paid Time Off (PTO) plus 12 paid holidays in your first year. - NC Local Government Retirement Pension (defined-benefit plan). - 401k with 5% employer match and immediate vesting. - Public Service Loan Forgiveness (PSLF) qualifying employer. - Quarterly stipend for remote work supplies.

Role Description Join a paid research initiative in collaboration with a leading AI research organization focused on advancing healthcare operations, member experiences, and enterprise decision-making. We are seeking professionals currently working in large healthcare organizations to participate in a compensated online research survey. This study aims to better understand: - Operational workflows - Cross-functional collaboration - Technology adoption - Organizational challenges - Perspectives on emerging AI solutions within healthcare and health services environments Your insights will help inform the development of practical AI technologies designed to enhance efficiency, decision-making, and collaboration across healthcare enterprises. This is a fully remote, independent contractor opportunity involving a one-time online survey. Key Responsibilities - Complete a structured online survey lasting approximately 30 minutes. - Share insights from your day-to-day responsibilities and organizational workflows. - Provide feedback on operational processes, technology adoption, communication practices, analytics, customer or member experience, and strategic initiatives. - Discuss common challenges encountered within large healthcare organizations. - Offer perspectives on how AI-powered tools can improve efficiency, collaboration, and decision-making across healthcare functions. Qualifications - Currently employed by a large healthcare, health services, health insurance, pharmacy benefits, managed care, or related healthcare organization. - Currently working in one of the following functional areas: - Operations - Strategy - Product Management - Program Management - Sales - Account Management - Customer Experience - Marketing - Communications - Clinical or Pharmacy Leadership (non-patient-facing) - Information Technology - Engineering - Data & Analytics - Actuarial - Finance - Legal - Compliance - Experience working within enterprise healthcare or health services organizations. - Familiarity with organizational workflows, operational processes, and cross-functional collaboration. - Comfortable participating in structured research studies and providing thoughtful professional feedback. - Ability to independently complete an online survey. Engagement Details - Format: Online research survey - Duration: Approximately 30 minutes - Location: Remote (United States) - Compensation: Paid upon successful completion of the survey Why Participate - Contribute to the development of next-generation AI technologies for healthcare organizations. - Share professional insights that can improve healthcare operations and enterprise decision-making. - Help shape AI-powered tools designed to support healthcare professionals and organizational teams. - Participate remotely with a flexible, one-time time commitment. Equal Opportunity Statement We are committed to providing equal opportunities to all qualified participants without regard to legally protected characteristics. Reasonable accommodations are available upon request. Contract Information - Participation is offered as an independent contractor engagement. - The survey is completed remotely on your own schedule. - Compensation is issued upon successful completion of the survey. - Project opportunities may be extended or modified based on research requirements. - Participants will not be required to access or disclose confidential or proprietary information from any employer, client, or institution. - Please note that visa sponsorship is not available for this opportunity.