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American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations.
Role Description American Health Plans, a division of Franklin, Tennessee-based American Health Partners Inc., owns and operates Institutional Special Needs Plans (I-SNPs) for seniors who reside in long-term care facilities. In partnership with nursing home operators, these Medicare Advantage plans manage medical risk by improving patient care to reduce emergency room visits and avoidable hospitalizations. If you would like to be part of a collaborative, supportive and caring team, we look forward to receiving your application! Benefits - Affordable Medical/Dental/Vision insurance options - Generous paid time-off program and paid holidays for full-time staff - TeleDoc 24/7/365 access to doctors - Optional short- and long-term disability plans - Employee Assistance Plan (EAP) - 401K retirement accounts - Employee Referral Bonus Program Essential Functions - Contracting providers and essential vendors in current service areas to maintain CMS adequacy and providing necessary services in the care of the Plan members - Insuring providers and essential vendors in current service areas meet the credentialing requirements for their appropriate service lines - Educating providers on the Health Plan(s) functions and roles in caring for its membership - Ongoing educational updates as prescribed by CMS and the Health Plan(s) policies - Conducting education presentations of the Health Plan(s) providers to ensure their understanding and commitment with the Health Plan(s) - Monitoring, maintaining and supporting provider relationships to ensure network coverage in all areas - Working with and being involved in implementation as needed - Establishing a positive work environment that encourages participation in process improvement and commitment to department/company success - Completing corporate assignments as assigned Qualifications - Must have knowledge and familiarity with all levels of medical services and ability to rapidly develop working relationships - Must be able to accept instructions and work independently in the completion of goals and assignments - Must have strong negotiation, organization, presentation, and time management skills - Must be able to effectively communicate with all levels of medical staff to explain Health Plan(s) program, benefits, and goals - Must be able to work effectively in a team environment - Excellent computer skills, including Microsoft Office Suite - Must be self-motivated, dependable, team and goal-oriented Requirements - Experience in the health care field required - Prior experience in network development/network services is preferred - Prior experience with acute and post-acute facilities is beneficial - Prior experience with Medicare Advantage plans is helpful Licensing/Certification/Education Requirements - Bachelor’s degree Other Requirements - Must be available to work 8 a.m. until 5 p.m. local time - Position requires travel to network provider locations - Teleworking is an option if criteria are met Equal Opportunity Employer Our Organization does not discriminate based on race, color, religion, sex, handicap, disability, age, marital status, sexual orientation, national origin, veteran status, or any other characteristic(s) protected by federal, state, and local laws. The Organization will also make reasonable accommodations for qualified individuals with disabilities should a request for an accommodation be made. This employer participates in E-Verify.
60+ years of award-winning EMS innovation. We’re just getting started.
• Install, configure, and test medical devices at customer facilities in accordance with company standards • Perform preventive maintenance, calibration, and safety checks on equipment • Troubleshoot and repair devices, diagnosing technical issues accurately and resolving them in a timely manner • Provide on-site and remote technical support to healthcare professionals • Train clinical staff and end-users on proper equipment operation and basic maintenance • Maintain accurate service documentation, including service reports, logs, and compliance records • Ensure adherence to regulatory requirements, safety standards, and company policies (e.g., FDA, ISO) • Manage assigned service territory, including scheduling visits and responding to service requests and engaging 3rd party resources as needed • Maintain inventory of tools, parts, and service equipment • Collaborate with engineering, sales, and customer support teams to improve customer satisfaction • Identify opportunities for service contract renewals, upgrades, or product improvements
Role Description Ambitious and growing law firm looking for a Workers' Compensation Hearing Representative to deliver excellent service to clients. Opportunities for growth and advancement. This position is within the Workers' Compensation Department at Abramson Labor Group. You will have the opportunity to interact with the clients' files throughout the lifecycle of their case and attend hearings relevant to issues that may arise during a client's case. Key Responsibilities - Managing a high-volume legal Workers' Compensation caseload - Communicating with relevant parties involved in a case - Attending all case related hearings - Maintaining case notes - Reviewing and evaluating case files - Possible traveling to assigned Workers Compensation Appeals Board (WCAB) locations to appear in hearings and trials - Other duties as assigned Qualifications - 1+ years of experience as a Hearing Representative related to Workers Compensation (Preferred) - Knowledge of CA Workers’ Compensation (Required) - General understanding of the workers’ compensation system including EAMS, E-filing, and the AME/PQME process - Strong attention to detail, with ability to observe details on a computer or other electronic screens - Excellent written and verbal communication skills - Ability to juggle multiple tasks efficiently with little supervision - Bachelor's degree Preferred - Bilingual (English + Spanish) Preferred - Proficient in all Microsoft applications, including but not limited to Word, Outlook, and Teams Benefits - Comprehensive benefits package that includes medical, dental and vision insurance coverage - Flexible time off plans including Unlimited Paid Time Off (PTO), and paid holidays Company Description At Abramson Labor Group, we're not just committed to defending employee rights—we're passionate about it. Whether you're up against a small business or a corporate giant, our highly skilled team of attorneys and legal professionals are ready to fight for you. Headquartered in vibrant Burbank, California, we focus on exclusively protecting employees throughout the entire state of beautiful California. Our dedicated attorneys, paralegals and legal assistants work tirelessly to secure the justice you deserve in all workplace disputes. We pride ourselves on delivering top-notch solutions with integrity, efficiency, and professionalism. Choose Abramson Labor Group and let us champion your cause with unwavering dedication.
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia.
Role Description As a Member Services Representative, you will serve as the first point of contact for members seeking assistance with their health plan benefits, account status, and service-related inquiries. This is a high-impact, customer-facing role that requires empathy, attention to detail, and a commitment to delivering a high-quality member experience. Key Responsibilities: - Respond to inbound calls and digital inquiries from members regarding benefits, claims, payments, and services. - Resolve member concerns with professionalism and empathy, ensuring first-contact resolution whenever possible. - Document all interactions accurately in the system according to compliance and procedural standards. - Educate members on plan options and promote appropriate services when relevant. - Collaborate with internal departments and external partners (e.g., medical groups, facilities) to resolve complex issues. - Meet or exceed performance metrics including call handling time, resolution rate, and customer satisfaction. - Participate in ongoing training and coaching sessions to maintain up-to-date knowledge of products and procedures. Qualifications - 1-3 years of healthcare enrollment, pharmacy tech, healthcare call center dealing with insurances, or related experience. Requirements Technical & Functional: - Proficient with Windows-based systems (Outlook, Word, Excel, internet browsers). - Comfortable working across multiple systems simultaneously. - Strong problem-solving and critical-thinking skills. - Ability to work in a fast-paced, high-volume environment. Customer Service & Soft Skills: - Service-oriented mindset with a passion for helping others. - Patient, empathetic, and calm under pressure. - Positive, professional, and cooperative attitude. - Open to feedback and committed to continuous improvement. Benefits - Medical, dental & vision. - Critical Illness, Accident, and Hospital. - 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available. - Life Insurance (Voluntary Life & AD&D for the employee and dependents). - Short and long-term disability. - Health Spending Account (HSA). - Transportation benefits. - Employee Assistance Program. - Time Off/Leave (PTO, Vacation or Sick Leave). Company Description TEKsystems is a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution, and operations unlocks business value through a range of solutions. - We are a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe, and Asia. - We partner with clients for our scale, full-stack capabilities, and speed. - We are strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. - We are building tomorrow by delivering business outcomes and making positive impacts in our global communities.
Amazing customer experiences, 1 neighborhood at a time.
• Serve as the primary point of contact for Premier Services customers, providing timely communication and white-glove customer service. • Handle inbound customer calls, warm transfers from the Call Center, booking requests, emergencies, and escalations, ensuring issues are resolved promptly and professionally. • Manage customer follow-up requests generated through ServiceTitan Task Management when live transfer support is unavailable. • Maintain accurate customer records, contacts, billing instructions, service requirements, and account preferences within company systems, including correcting information as needed. • Build and maintain strong relationships with property managers, contractors, builders, HOAs, commercial customers, and other business partners. • Proactively communicate with customers regarding job status, estimates, approvals, invoicing, and outstanding requests. • Book and coordinate Premier Services jobs, including service requests, recalls, warranty calls, installations, and tune-ups, ensuring requests are accurately created, documented, and assigned. • Manage emergency, priority, and time-sensitive service requests while balancing customer expectations and operational capacity. • Monitor active jobs throughout the service lifecycle and provide customers with timely status updates. • Communicate customer-specific requirements to technicians, including NTE limits, purchase order requirements, site instructions, and communication expectations. • Coordinate estimates, change orders, customer authorizations, and required follow-up activities. • Review and validate Premier Services jobs created after hours or by other departments to ensure customer records, job details, billing requirements, and service information are accurate prior to invoicing. • Partner with Operations and field teams to resolve service issues and deliver a positive customer experience. • Audit job records prior to invoicing to ensure customer information, billing instructions, approvals, photos, and supporting documentation are complete and accurate. • Correct invoice details to meet customer-specific billing guidelines and submission requirements. • Submit invoices through customer portals, direct-bill processes, and other approved billing platforms. • Partner with Accounting to resolve billing discrepancies, payment delays, and customer invoicing questions. • Assist with accounts receivable follow-up and outstanding invoice resolution as requested. • Upload invoices, work orders, estimates, and required documentation to customer vendor portals. • Maintain portal activity and ensure required submissions are completed accurately and on time. • Monitor customer-specific portal requirements and communicate any changes that may impact operations or billing. • Escalate portal registration, compliance, access, or technical issues to the Premier Services Supervisor. • Partner with Operations, Call Center, Dispatch, Install Coordination, Accounting, ServiceTitan Administration, and field personnel to support customer needs and service delivery. • Provide guidance to internal teams regarding Premier Services customer requirements and expectations. • Assist with the development, maintenance, and improvement of Premier Services procedures, workflows, and documentation. • Identify opportunities to improve customer experience, operational efficiency, billing accuracy, and department performance. • Participate in special projects and department initiatives as assigned.
UnitedHealth Group is a healthcare and well-being company that’s dedicated to improving the health outcomes of millions around the world. We are comprised of
Role Description Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. Schedule: Monday to Friday, 6 AM-6 PM, local time Location: Onsite - Remote, Nationally You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: - Intake credentialing application review for completion and supporting documentation - Process name and address changes - Process initial credentialing and recredentialing applications following policy and procedures - Process status changes following policy and procedures - Perform primary source verifications (PSV) from various online sources according to the definition of primary source - Data entry and maintenance into credentialing database in accordance with internal policies and procedures - Communicate with Credentialing Committee Members, Credentialing Chair, and Chief Medical Officer (CMO) - Provide feedback to reduce errors and improve processes - Provide continuous monitoring of OIG/SAM/NPDB sanctions - Support Provider Enrollment team efforts - Develop and maintain relationships with market leadership of various levels - Anticipate customer needs and proactively identify solutions - Independently and as a team solve complex problems - Be able to act without direct supervision in a virtual, fast-paced environment - Undergo delegation and internal audits - Other duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Qualifications - High School Diploma/GED - 2+ years of experience in allied health and/or medical credentialing processes - 2+ years of experience with NCQA Standards relating to credentialing - Intermediate level of proficiency with computer skills including, but not limited to: MS Office, MS Excel, MS Word, MS Outlook, Adobe Pro, and/or MS Access Requirements - Experience with MDStaff - Experience with CAQH ProView - Provider Enrollment understanding or experience - CPCS or CPMSM Certification by NAMSS Benefits - Comprehensive benefits package - Incentive and recognition programs - Equity stock purchase - 401k contribution (all benefits are subject to eligibility requirements) Application Deadline This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.
• Respond promptly to inbound leads, web inquiries, and customer requests to ensure timely follow-up. • Qualify prospects to determine fit based on predefined criteria, capturing relevant details, and enriching CRM records. • Route qualified leads and customer inquiries to the appropriate sales or support team members for next steps. • Serve as a trusted resource to prospects by answering initial questions, positioning Momentive’s value, and building interest in the right solution. • Conduct outbound calls and targeted email follow-ups to re-engage warm leads and accelerate them through the funnel. • Capture, maintain, and expand accurate records in Salesforce CRM by logging activities, updating prospect data, and tracking engagement. • Stay current on Momentive’s products, services, and messaging to effectively answer questions and position our solutions. • Support the sales process by preparing leads for smooth handoffs and assisting with early-stage sales cycle tasks. • Analyze and synthesize lead and prospect data from multiple sources to provide insights and recommendations to marketing and sales leadership. • Develop a working knowledge of the end-to-end marketing and sales process to help identify opportunities for continual improvement.
AeroVironment is a global leader in intelligent, multi-domain robotic systems.
Role Description The Field Service Representative II operates and provides instruction on Unmanned Air Systems (UAS), Tactical Missile Systems (TMS), and Unmanned Ground Vehicles (UGV) in the field. In this role, one ensures all field operations follow established procedures and are conducted safely. The Field Service Representative works with engineering, technical support, and manufacturing to ensure that course material reflects current product features. - Operates and instructs on Unmanned Air Systems (UAS), Tactical Missile Systems (TMS), and Unmanned Ground Vehicles (UGV) in the field. - Participates in the AeroVironment’s Master Trainer Training Program (MTTP) in accordance with the Master Trainer Training Manual (MTTM). - Ensures all system field operations follow established procedures and are conducted safely. - Conducts all necessary UAS, TMS and UGV equipment, and material inventories. - Immediately advises Master Commanders (MCs), customer representatives, and controlling authorities of any changes affecting planned training field operations. - Maintains proper operational status of UAS/TMS/UGVs and supporting operational systems. - Maintains situational awareness of the air or ground vehicle's location, in-flight status, and threats to the aircraft or vehicle from the air and ground. - Constantly monitors whether on-site and along intended flight paths. - Continually re-evaluates risk assessments & takes appropriate actions to mitigate any elevated risk levels. - Completes all documentation required for field operations, equipment operational status, data collection, and post-flight procedures. - Captures critical information for input into after-action reports and lessons learned databases. - Applies company policies and procedures to resolve complex issues. - Works on complex issues where analysis of situations or data requires an in-depth evaluation of variable factors; exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results. - Performs duties of Site Lead/Mission Commander (MC). - As needed, conducts both formal and informal feedback sessions with assigned workers. - Develops and validates training support packages. - Ensures instructor/operator currency requirements are met and proficiency maintained in accordance with the Master Trainer Training Program (MTTP). - Coordinates directly with AeroVironment (AV) departments on system and manual currency, updates, and changes. - Ensure all flight and ground operations are in accordance with established procedures. - Supports Business Development and Sales Team activities: - Performs CONUS/OCONUS flight and ground demonstrations. - Performs CONUS/OCONUS customer service visits. - Supports Field Operations training. - Supports FSR deployments (TMS). - Captures critical information for input into after-action reports and lessons learned databases. Qualifications - High School diploma or GED equivalent; bachelor’s degree is preferred or equivalent combination of education, training, and experience. - 8+ years of relevant experience. - 3+ years of Field Operations Instructor experience. - Prior military experience or equivalent training experience in an aircraft/aerospace manufacturing firm. - Prior military instructor/Special Operations experience highly desirable. - Prefer Special Forces, SEAL, Special Tactics, Ranger, Force Recon / MARSOC, Scout, Forward Observer, TACP, or Aviation backgrounds. - Prior hobby experience with Remote Controlled (RC) aircraft helpful but not required. - Willingness to travel regularly and for extended periods within continental United States (CONUS). - Willingness to travel regularly and for extended periods to outside continental United States (OCONUS). - Demonstrated excellence in leadership. Requirements - Solid understanding of military tactics, operations, GPS and Navigation utilizing map and compass. - Exceptional analytical skills with which to solve various degrees of complex problems. - Demonstrated ability to work with little or no supervision and exercise independent judgment on a regular basis. - Ability to interpret a variety of instructions furnished in written, oral, diagram, blueprint, or sketches. - Proficiency in Microsoft Office Suite (Word, Access, PowerPoint, Excel, Outlook) and other productivity tools. - Effectively leads, trains and mentors small groups of students in meeting course objectives. - Has strong communication skills as well as interpersonal skills with the ability to work well with others across disciplines. - Focuses on teamwork, collaboration and puts the success of the team above one's own interests. - Able to excel in a fast-paced, deadline-driven environment, where small teams share a broad variety of duties. - Displays strong initiative and drive to accomplish goals and meet company objectives. - Takes ownership and responsibility for current and past work products. - Is committed to learning from mistakes and driven to improve and enhance performance of oneself, others, and the company. - Must be able to work well within a team environment, communicating with senior leadership as well as mentoring junior staff. Physical Demands - Lift and/or move between 11-20 lbs. of cases of varying size (Frequent). - Lift up to 50 pounds as well as objects of varying sizes for shipment to & set up at various customer training sites (Occasional). - Able to work outdoors in extreme weather conditions and traverse across uneven ground and varying terrain (Constant). - Stand and/or sit for long periods of time (Frequent). - Balancing, handling, fine manipulation and grasping (Frequent). - Repeatedly throw objects up to 16lbs over shoulder (Frequent). - Good manual dexterity to assemble and disassemble product (Frequent). - Crouching, reaching, and keying (Frequent). - Climbing, stooping, kneeling, feeling, overhead lifting (Occasional). Clearance Level Secret Salary Range The salary range for this role is: $29 - $44. Benefits - AV offers an excellent benefits package including medical, dental vision, 401K with company matching, a 9/80 work schedule and a paid holiday shutdown. ITAR Requirement This position requires access to information that is subject to compliance with the International Traffic Arms Regulations (“ITAR”) and/or the Export Administration Regulations (“EAR”). In order to comply with the requirements of the ITAR and/or the EAR, applicants must qualify as a U.S. person under the ITAR and the EAR, or a person to be approved for an export license by the governing agency whose technology comes under its jurisdiction.
Inizio Engage is a global strategic, commercial and creative engagement partner that specializes in healthcare.
• Supporting field teams in the execution of strategic plans and campaigns • Support ongoing brand initiatives including transition from retail to specialty pharmacy partners • Broadening brand awareness by fulfilling basic office needs that reinforce product acquisition within healthcare settings • Engage with Healthcare Professionals in the support of product access points and management of client materials within assigned territories • Establish phone presence; commanding & disarming, ability to create rapport, network, build, and maintain productive business relationships • Adhere to new therapeutic areas and channels of business and adapt to organizational change • Leverage and use customer networks, resources and tools via phone/web to expand connectivity, reach and interest across stakeholders • Verify and complete required data entry including details of the target’s responses, notes and any follow-through actions in accordance with policies and procedures set by the client • Maintain call productivity and metrics, which are required by Inizio Engage and the client • Manage daily call activity to optimize time and maximize the achievement of objectives • Listen and respond appropriately to customer needs and questions • Demonstrate thorough knowledge of the Client’s products and ensure clear, concise and accurate communication of product information and benefits of specialty pharmacy network with target audiences • Successfully complete the Client’s product training and meet training expectations set by the Client
Role Description We are hiring Healthcare Survey Agents to support our client. In this role, agents will conduct outbound calls to hospitals and healthcare clinics to complete brief surveys related to their after-hours and emergency response protocols. Strong communication skills, professionalism, and attention to detail are essential for success in this role. This is a full-time, remote opportunity for residents of the following states: - AL - GA - ID - IA - IN - KS - LA - MI - MS - NV - NC - ND - OH - OK - PA - SC - SD - TX - TN - UT - VA - WV - WI - WY Requirements - Minimum 1 year of customer service/call center or office experience required - Technical savvy able to toggle between multiple browsers & systems using dual monitors - Strong verbal and written communication skills - Self-motivated, dependable, and able to work independently - Must be 18 years of age - Must pass a background check in compliance with state and federal laws - Previous remote work experience preferred Responsibilities - Make outbound calls to hospitals and healthcare clinics across the U.S. - Conduct brief surveys focused on after-hours and emergency response protocols - Ask approximately 3 standardized questions per call - Accurately document responses during each call using provided systems - Maintain a professional and courteous demeanor with healthcare staff - Follow call scripts and guidelines to ensure consistency and compliance - Handle a high volume of calls while maintaining quality standards - Protect confidential information and adhere to company policies - Communicate any issues or escalations to supervisors as needed - Meet performance and attendance expectations in a remote work environment Work Schedule & Compensation - Hours: Full-time, 40 hours/week - Shifts: Monday–Friday 10:00am-6:30pm CST - Training: Paid, typically 2 week, Monday–Friday, 9:30 AM –6:00 PM CST - Pay: Starting at $14/hour + $1/hr shift differential for nights/weekends - Status: Full time- Benefit (40 hrs) eligible 1st of month after 60 days Equipment & Work Environment - Company-provided equipment for full-time, permanent employees - Must have a secure, high-speed internet connection and dedicated workspace - Childcare for anyone 4 years of age and younger is required. If you're a good communicator and looking for a steady, full-time work-from-home job, this could be a great fit for you. We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.
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