576 opportunity jobs found

Position: Manager, Care Management Hours: Salaried Reports to: VP, Strategic Operations ABOUT US Utilize Health is an early-stage care management company specializing in populations with complex needs. Our focus is helping those with neurological diagnoses such as traumatic brain injury, spinal cord injury, and stroke. JOB OVERVIEW The Manager, Care Management provides leadership, direction, and operational oversight for Care Management Supervisors and Care Managers across the state of Tennessee. This role ensures delivery of high-quality, member-centered care through effective operations, team management, interdisciplinary collaboration, and adherence to company values and regulatory requirements. This position will be responsible for optimizing care management processes, fostering professional development, maintaining compliance, and improving member outcomes through data-driven decision-making and collaboration with internal and external partners. JOB RESPONSIBILITIES...

Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

About the Role: As the CBRE Change Management Senior Manager, you will be responsible for assisting with the planning, developing, and execution of organizational change programs and departmental strategies. This job is part of the Change Management function. They are responsible for preparing, supporting, and helping employees, teams, and departments with making organizational changes. Please Note: Starting compensation for this position ranges between $110k-$116k annually. This position is bonus eligible. This is a location-independent role with leadership based in Europe. What You'll Do: Provide formal supervision to employees. Monitor the training and development of staff. Conduct performance evaluations and coaching. Oversee the recruiting and hiring of new employees. Coordinate and manage the team's daily activities. Establish work schedules, assign tasks, and cross-train staff. Set and track staff and department...

Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Medical Management Nurse Hours: Monday - Friday 8am to 5pm depending on your time zone plus 2 Saturdays a year. Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. ** *This position will service members in different states; therefore, Multi-State Licensure will be required. The Medical Management Nurse is responsible for review of the most complex or challenging cases that...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. Sr. Change Management & Enablement Strategist About the Role: We are seeking a collaborative and execution-focused Sr. Change Management & Enablement Strategist to support employee readiness and adoption across multiple technology and experience transformation initiatives. This role plays a key part in ensuring employees are equipped,...

Job Description A client/employer of Insight Global is searching for a Defect Management Coordinator to own the end-to-end triage and resolution of digital product defects, ensure clear intake, accurate prioritization, fast routing, and timely closure. This role will act as the central link between Product, Engineering, QA, Support, and business teams. The coordinator drives SLA compliance, reduces ticket aging, improves MTTR, and strengthens overall product quality through strong operational oversight, cross-functional coordination, and continuous process improvement. We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity...

Medical Management Clinician Location: This is a virtual position, but the selected candidate must reside within a commutable distance from the Nashville, TN PulsePoint office. Virtual : This role enables associates to work virtually full-time, except for required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures essential face-to-face onboarding and skill development. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. The Medical Management Clinician ensures appropriate, consistent administration of plan benefits by reviewing clinical information and assessing medical necessity under relevant guidelines and/or medical policies. The clinician may collaborate with healthcare providers and...

Job Description The Oracle Dedicated Cloud Product Management team is looking for an experienced Senior Manager of Product Management to work across our Dedicated Region Cloud @Customer (DRCC) and Oracle Alloy offerings to focus on product Definition, Development, and Launch. The Senior Manager of Product Management for Oracle Dedicated Cloud is a leadership role responsible for defining, executing, and driving the product development with our outbound and engineering internal teams. The role carries broad influence, significant business impact, and ownership of mission-critical product releases and launches aimed at driving OCI’s growth and success in global markets. The primary objective will be to define, manage and deliver the product solutions that resonate with customers. This should include managing the full portfolio roadmap for DRCC and Alloy across its full lifecycle, partner with the engineering service teams to prioritize product and feature development, and...

At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Principal, Content Management Job Description The Senior Principal Content Management is accountable for leading the creation, organization, and optimization of proposal content across the enterprise. This position drives enterprise-wide improvements in modernizing the Request for Proposal (RFP) process, optimizing content workflows, and ensuring seamless collaboration across multiple areas. This role will be accountable for improving finalist outcomes, accelerating proposal readiness, and ensuring our messaging is consistent, compelling, and aligned with business goals. Responsibilities Lead RFP Process Optimization by acting as a rapid responder to resolve breakdowns, conduct root-cause analysis, and...

Job Title: Project Management Support Specialist Location : Arnold AFB, TN - Tullahoma, TN Canvas is seeking a qualified individual to provide advisory and assistance services to the Air Force in support of program management efforts associated with specific test needs at the Arnold Engineering Development Center (AEDC) at Arnold AFB, TN. The candidate will provide a wide range of services including procurement support, contract administration assistance, and records management/administrative support, as well as supporting virtually any and all aspects of various projects, planned or underway. Duties: Provides knowledge and experience in acquisition Project Management and general organizational work now (philosophy, policies and procedures) to procurement activities, project/program management tasks, acquisition programs and organizational activities. Support will not include counseling, mentoring, judgmental/discretionary decisions or other activities related to...

As a Manager, Digital Product Management, you lead a cluster of related products, capabilities, or customer journeys. You drive the product strategy across multiple teams and ensure that every initiative contributes to a cohesive, outcome-oriented roadmap. You may directly manage other PMs or influence them through leadership in forums, processes, and product culture. Essential Functions Set the strategic direction for a product group, aligning to company objectives and customer needs Manage a team of PMs or lead without authority across squads to deliver against shared goals Coordinate roadmaps across interdependent teams and ensure clear prioritization across the portfolio Elevate product quality, consistency, and measurement by mentoring and reviewing team deliverables Partner with engineering, design, marketing, and analytics to ensure holistic product planning Advocate for customer and business needs with senior leadership and translate strategy into...

The Director Strategy Planning and Analysis for the Data and Technology Strategic Management Office is a senior leadership role responsible for shaping and executing the enterprise-wide digital transformation and technology modernization strategy. This individual will lead the Strategic Management Office (SMO) within the Data & Technology (D&T) organization, driving the definition, integration, and delivery of FedEx’s most critical transformation initiatives. This role requires a visionary leader who can build and manage a high-performing organization, establish robust governance frameworks, and serve as a trusted advisor to D&T executives and senior business partners. The Director is accountable for ensuring the portfolio of transformation programs aligns with the future-state architecture, delivers measurable business value, and positions FedEx for future success. Essential Functions Strategic Leadership and Organizational Development Lead, mentor, and...

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Director, Alliance Management. The Director, Alliance Management is responsible for actively managing and optimizing the value of the relationship between Sumitomo Pharma and assigned corporate partners. This position interacts regularly with SMPA and SMP leadership across a range of functions to drive agreed...

Position Summary As a Product Management Senior Advisor, you will manage and support the suite of medical network products available to Cigna Healthcare clients and customers. The Product Management Senior Advisor will be responsible for the management of existing medical network products and will serve as the expert supporting sales and operational readiness. This person will work closely with matrix partners across the enterprise-including Sales, Contracting, Marketing, Pricing/Finance, Operations, Analytics, Go-to-Market, Compliance and Legal, and external partners when appropriate. You will provide high-level support to clients, internal teams, and other partners by resolving product issues, analyzing trends, and contributing to continuous improvement initiatives. This role requires a deep understanding of health insurance operations, sales support, performance analytics and customer service excellence. Key Responsibilities Govern holistic network solution suite...

Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. At EY, you will have the chance to build a career as unique as you are, with the global scale, support, inclusive culture, and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. EY's people in more than 150 countries are committed to operating with integrity, quality, and professionalism in the provision of audit, tax, transaction, and consulting services. We strive to help all our people achieve their professional and personal goals through an inclusive environment that values everyone's contributions, appreciates diversity of thought,...

Position Overview Leads the development and execution of holistic, enterprise-wide category management strategies, including strategic sourcing, supplier relationship management, diversity, and risk management initiatives. Develops, executes, and manages sourcing strategies using the Company's sourcing methodology. Essential Job Duties/Responsibilities Provides strategic evaluation of category/spend information, benchmarking, and makes recommendations for sourcing strategy and supplier scorecard criteria. Develops category expertise, category management expertise, and market contacts, working closely with suppliers and internal stakeholders in all aspects of sourcing. Leads internal projects/programs. Participates in supplier negotiations, supporting senior staff, and leadership. Acts with authority with suppliers, business stakeholders, Finance, and Legal. Complies with all applicable laws/regulations, as well as company policies/procedures. Performs other duties as...

Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. At EY, you will have the chance to build a career as unique as you are, with the global scale, support, inclusive culture, and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. EY's people in more than 150 countries are committed to operating with integrity, quality, and professionalism in the provision of audit, tax, transaction, and consulting services. We strive to help all our people achieve their professional and personal goals through an inclusive environment that values everyone's contributions, appreciates diversity of thought,...

Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. In an ever-evolving IT landscape, EY stands as a beacon of trust for clients across diverse industries seeking reliable solutions to address their intricate risks and vulnerabilities. As a vital member of our Identity and Access Management (IAM) team, you will play a central role in achieving this objective by empowering clients to comprehend and navigate their complex Enterprise Identity environments. Your expertise will be instrumental in evaluating, enhancing, and devising innovative solutions, processes, and policies to cater to each client's unique IAM requirements. This is an opportunity to leverage both your technical prowess and business acumen to drive our mission and make a significant impact on global...

Location: Anywhere in Country At EY, we’re all in to shape your future with confidence. We’ll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. At EY, you will have the chance to build a career as unique as you are, with the global scale, support, inclusive culture, and technology to become the best version of you. And we’re counting on your unique voice and perspective to help EY become even better, too. Join us and build an exceptional experience for yourself, and a better working world for all. EY's people in more than 150 countries are committed to operating with integrity, quality, and professionalism in the provision of audit, tax, transaction, and consulting services. We strive to help all our people achieve their professional and personal goals through an inclusive environment that values everyone's contributions, appreciates diversity of thought,...

Position Description & Qualifications If you love high profile and challenging projects supporting the US Army, then Serco has a great opportunity for you! As the Senior Logistics Management Specialist, you will be part of the Global Logistics Augmentation and Staff Support (GLASS) team supporting the Army Sustainment Command (ASC) in Vinceza, Italy. Bring your expertise and collaborative skills to make an impact towards our military defense. At Serco, we foster a dynamic and collaborative work environment where team members contribute to innovative, high-impact projects for leading government clients. We provide opportunities to solve complex challenges, improve processes, and utilize the latest technologies to deliver top-tier products and services to our customers. The positions on this contract are located both CONUS and OCONUS in support of the Army Sustainment Command (ASC). In this role, you will: Develop and maintain LOGCAP contract requirements...

Role Title: Principal, Product Manager – Student Experience Reports to: Director of Product Management Location: Hoboken - Hybrid The Role In this role, you will own and shape key end-to-end student experiences within Pearson’s higher education courseware product. You’ll define product strategy, outcomes, and roadmaps for critical learning flows that students rely on to complete assignments, study effectively, and make academic progress. You will work closely with design, engineering, data science, and go-to-market partners to solve complex customer and business problems at scale. This is a high-impact individual contributor role where success is measured not just by what ships, but by measurable improvements in student outcomes, engagement, and trust. What makes this opportunity unique is the scope: you’ll influence experiences used by learners across the globe while helping modernize a large, mission-critical product ecosystem during a period of meaningful...

Otsuka's internship program, Intern the Otsuka Way (InTOW), offers students a unique opportunity to gain hands-on experience and develop critical skills while contributing to meaningful projects. Interns will work alongside experienced professionals, learn about the complexities of the pharmaceutical industry, and gain insights into potential career paths. By combining practical experience with professional development, our program prepares interns for future success. Our internship program also includes instructor led trainings, a leadership engagement series, as well as insightful lunch and learns. Application Deadline: Candidates are encouraged to apply within 10 business days of the posting date. The position may remain open past this window until a suitable candidate is selected. Interviews and offers: February through March 2026. Duration of internship: June 1, 2026, through August 10, 2026. Location: In Princeton 2-3 days a week Job Description ?...

Why UKG: At UKG, the work you do matters. The code you ship, the decisions you make, and the care you show a customer all add up to real impact. Today, tens of millions of workers start and end their days with our workforce operating platform. Helping people get paid, grow in their careers, and shape the future of their industries. That's what we do. We never stop learning. We never stop challenging the norm. We push for better, and we celebrate the wins along the way. Here, you'll get flexibility that's real, benefits you can count on, and a team that succeeds together. Because at UKG, your work matters-and so do you. About the Role: We are seeking a strategic and people-centric Principal Change Management Consultant to introduce and lead a change enablement function across 4-5 multi-year, enterprise-wide technology transformations. These include the implementation of an employee AI Center of Excellence, employee experience transformation, and the...