66 volunteer it jobs found

Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Job Description Oracle Cloud Infrastructure (OCI) is seeking an exceptional leader to join our Data Center Infrastructure Delivery team as the Senior Director of Low-Voltage Vendor Management. This role is designed for a seasoned professional with extensive experience in vendor management, operational excellence, and people leadership. The Senior Director will be responsible for establishing and leading a high-performing vendor management function, ensuring the successful execution of low-voltage installations across Oracle's global data center projects. Leading the Vendor Management Transformation: This Senior Director role offers a unique opportunity to shape and lead the Low-Voltage Vendor Management function, driving operational excellence and vendor partnership within Oracle's Data Center Infrastructure Delivery team. The successful candidate will have a direct impact on the efficiency, quality, and success of low-voltage installations across global data center...

Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Role Overview: Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas Makes decisions...

Job Description Are you a results-oriented sales specialist with a strong background in enterprise business transformation? Do you have a track record of driving SaaS growth across complex sectors like healthcare, distribution, and life sciences? If so, this is your opportunity to lead strategic engagements across North America and shape the future of digital business transformation. At Oracle, we are redefining healthcare and life sciences operations through intelligent, cloud-based enterprise transformation solutions. Oracle Enterprise Performance Management (EPM) Cloud connects planning and budgeting, financial consolidation and close, profitability and cost management with financial and operational systems - driving efficiency, resilience, and performance. We are looking for a high-performing EPM Sales Specialist (SSE) to lead Oracle EPM solution sales across life sciences and pharmaceutical organizations in NA. Join us and play a key role in enabling our customers'...

Job Description Are you a results-oriented sales specialist with a strong background in supply chain transformation? Do you have a track record of driving SaaS growth across complex sectors like healthcare, distribution, and life sciences? If so, this is your opportunity to lead strategic engagements across North America and shape the future of digital supply chains. At Oracle, we are redefining healthcare and life sciences operations through intelligent, cloud-based supply chain solutions. Oracle Supply Chain Management (SCM) Cloud connects procurement, planning, logistics, and inventory with financial and operational systems - driving efficiency, resilience, and performance. We are looking for a high-performing Supply Chain Solution Sales Specialist (SSE) to lead Oracle SCM solution sales across life sciences and pharmaceutical organizations in NA. Join us and play a key role in enabling our customers' digital future. Responsibilities Develop and execute regional...

Become a part of our caring community and help us put health first The Risk Management Professional 2 identifies and analyzes potential sources of loss to minimize risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines and procedures. As a Risk Management Professional 2 - HCPR Compliance, you will work with HCPR Operations to ensure operational processes are complaint with appropriate regulations and report data that accurately reflects operations. In this role you will: In this role you will: Develop data universe generation guidelines (DUGG) for audit universes by interpreting protocols/guidance and reconciling it to processes/system logic Produce monthly...

Become a part of our caring community and help us put health first The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project Management Lead designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the...

Job Description Are you looking to work at the next best company and organization? Are you craving the opportunity to make change and build new processes to improve a business and provide the best customer experience? Are you easygoing with a positive attitude even when under an extreme amount of pressure? If you answered yes to these questions, then we want you! Be a part of the Oracle Cloud Infrastructure, Data Center Supplier Management Business Services, and Sourcing team. We are combining the elasticity and utility of cloud services with the granular control, security, and predictability of on-premises infrastructure to deliver high-performance, high availability, and cost-effective infrastructure services. As we build and grow, we seek a high-energy individual to step into the Data Center Supplier Services & Business Operations team. This role requires a thinker with a strategic vision and tactical prowess. We need you to identify gaps and communicate ideas,...

Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

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...

Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager - Video Management Systems. The Global Physical Security (GPS) Systems Team is responsible for deploying, maintaining, and continuously enhancing Oracle's physical security technology landscape. Oracle seeks a highly skilled Technical Program Manager (TPM) for Video Management Systems (VMS) who will own the end-to-end lifecycle of enterprise video systems, standards, and best practices for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for VMS excellence, partnering closely with security operations, integration partners, internal maintenance...

Job Description This Senior Principal Cloud Consultant within Oracle North America Consulting (ONAC) will be responsible for ensuring the successful implementation of Oracle Fusion Cloud HCM Time and Labor and Absence Management solutions. You will work with your clients to understand their business processes, provide solutions based on product and consultative expertise, and drive adoption of Oracle's modern best practices processes. Responsibilities Lead business process workshops and advise the client on the impacts of adopting Oracle Fusion Cloud Time & Labor (OTL) &/or Absence Management (ABM) solutions Lead requirements gathering sessions and support clients in defining relevant processes and obtain sign off to ensure client alignment of the proposed solution Understand Oracle's implementation methodology and use it on all engagements Configure the Oracle Fusion Cloud OTL and/or ABM solutions Conduct process...

Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Product Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards....

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...

Become a part of our caring community and help us put health first The Workforce Management Professional 1 applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Workforce Management Professional 1 work assignments are often straightforward and of moderate complexity. The Workforce Management Professional 1 assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Provides analysis of talent and staffing needs based on strategic planning at the enterprise level. Understands own work area professional concepts/standards, regulations, strategies and operating standards. Makes decisions regarding own work approach/priorities, and follows direction. Work is managed and often guided by precedent and/or documented...

Job Description Join us! Building off our Cloud momentum, Oracle has formed a new organization - Oracle Health & Analytics. This team will focus on product development and product strategy for Oracle Health, while building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an entrepreneurial spirit that promotes an energetic and creative environment. We are unencumbered and will need your contribution to make it a world class engineering center with the focus on excellence! Our products and services enable US Federal and Tribal organizations to access the right information at the right time, interoperate seamlessly and securely with other government and industry partners, and make insightful decisions informed from our leading analytics and reporting platforms. Our team is accountable for core Electronic Health Record (EHR) and ancillary solution service delivery and operation to our Federal clients...

Become a part of our caring community and help us put health first The Principal Product Manager Conceives of, develops, delivers, and manages products for customer use. The Principal Product Manager provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. A high-performing, independent role dedicated to tackling cross-team, cross-functional technology and analytics problems in with a focus on innovation, action, and speed-to-market. Primary focus will be on ensuring complete and accurate diagnosis and follow up for our members. This role will work with 2-5 developers within our team on high-profile projects. Responsibilities will include partnering with the business, gathering requirements, developing project plan including resource needs, supervising project execution, hands-on development and analysis as appropriate, customer feedback loop, executive presentation. Critical skills include independent project...

Job Description This position will be responsible for managing the Business Operations of the Tiger Institute, including the Tiger Institute Health Alliance HIE. The Tiger Institute HIE is one of founding initiatives of the Tiger Institute, a collaboration between Oracle and University of Missouri. The HIE facilitates the exchange of health information throughout Missouri and beyond. It maintains business relationships with health care providers, other HIE networks, and other healthcare related clients. In addition, it is contracted with the State of Missouri to provide health information services, leveraging Oracle technologies. This position will lead the business operations for the HIE and other Tiger Institute initiatives, as assigned. It will manage people who lead projects/programs which focus on the sales and delivery of products, services, and administrative systems. Manages employees who perform project/program management duties which involve cross-functional teams...

Job Description Join us! Building off our Cloud momentum, Oracle has formed a new organization - Oracle Health & Analytics. This team will focus on product development and product strategy for Oracle Health, while building out a complete platform supporting modernized, automated healthcare. This is a net new line of business, constructed with an entrepreneurial spirit that promotes an energetic and creative environment. We are unencumbered and will need your contribution to make it a world class engineering center with the focus on excellence! Our products and services enable US Federal and Tribal organizations to access the right information at the right time, interoperate seamlessly and securely with other government and industry partners, and make insightful decisions informed from our leading analytics and reporting platforms. Our team is accountable for core Electronic Health Record (EHR) and ancillary solution service delivery and operation to our Federal clients...

Job Description Why NetSuite? One word - transformation . At NetSuite, we believe the cloud is here to stay, and so do our 20,000+ customers. We believe businesses should not be bogged down by the overhead of bulky data centers and expensive personnel to run it all. Businesses need to be lean, efficient, and agile. NetSuite is literally transforming business worldwide by providing a cloud-based, unified system that delivers unprecedented capabilities to drive the business forward. Founded in 1998 as THE cloud ERP pioneer, today NetSuite has transformed the business operations of our customers without the high costs and inefficiency of on-premise systems. Transform your career at NetSuite At NetSuite, we work hard, and we work smart. We hire fierce competitors. We hire individuals that are fearless trailblazers. NetSuite employees take the hill, we prefer action over inaction, we are tireless in our mission, and we pause only to celebrate our success. And we...

Job Description About Oracle NetSuite Do you want to advance your career with the world's first cloud company? Since 1998, Oracle NetSuite has been on a mission to deliver an agile, unified application suite that gives leaders a complete view into their business. Our team is growing, and we're looking for people like you to help us make a global impact. As the leading cloud business system, NetSuite includes financials, inventory management, HR, professional services automation, commerce, and more. Tens of thousands of customers all over the world trust NetSuite to give their businesses the visibility, agility, and control needed to make data-informed decisions quickly. NetSuite is a place where you can build your career and have fun while doing so! We're invested in our people, our customers, and the community. As part of Oracle, our benefits are second to none. Joining our passionate team means that you're ready to take your career to the next level. With priceless...

Job Description The Sr. Technical Program Manager, Operations Excellence, will drive the design, execution, and continuous improvement of operational excellence initiatives for Oracle Health products. In this strategic role, you will ensure operational reliability, regulatory alignment, and the evolution of programs that enhance the performance and maturity of Oracle Health's offerings. You will be accountable for governance frameworks related to defect management, incident response, Corrective and Preventive Actions (CAPA), operational maturity assessments, and related excellence programs. You will play a key role in orchestrating cross-functional collaboration, including facilitating global operations meetings with senior leadership to align on priorities, monitor progress, resolve escalations, and drive accountability for operational outcomes. Success in this position demands exceptional program and product management expertise, the ability to synthesize insights into...

Become a part of our caring community and help us put health first The Autism Care Navigator, (ASN) collaborates and oversees member assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet an individual's comprehensive health needs through communication and available resources to promote quality, cost-effective outcomes. Coordinate medical, behavioral and other services for beneficiaries with a primary diagnosis of ASD, as defined by the ACD. Additionally, this role serves as a Humana Military liaison to TRICARE beneficiaries, providers and others involved in the care planning for beneficiaries receiving services under the TRICARE program. The Care Manager, Telephonic Behavioral Health 2 (Focus on Retirees) serves as a primary advocate for assigned beneficiaries receiving care under the Autism Care Demonstration (ACD). The ASN (Autism Care Navigator) collaborates and oversees the assessment, planning, facilitation,...

Job Description Job Description As a Program Manager, Data Center Infrastructure, you will play a critical role in supporting the successful delivery of large-scale data center development programs. Your work will be instrumental in driving consistent execution across projects by coordinating schedules, tracking financial and risk performance, and ensuring alignment with established program standards. Partnering closely with project delivery teams and stakeholders, you will help translate strategic objectives into disciplined, day-to-day execution that supports the organization's broader development goals. From a program execution perspective, you will be responsible for implementing and maintaining standardized processes that promote predictability, efficiency, and transparency across the portfolio. You will engage with internal teams and external partners to support accurate reporting, timely issue identification, and effective escalation of risks or constraints that...