289 jobs found

Company : Highmark Inc. Job Description : JOB SUMMARY This job reviews requests for medication coverage determination for prior authorization review and appeals. Through the Utilization Review system, the incumbent evaluates clinical information provided by the physician against medical policy criteria. The incumbent then uses his/her clinical knowledge compared to the policy and physician request to make a determination. At times, the incumbent may conduct additional research beyond medical policy review to make coverage determinations. ESSENTIAL RESPONSIBILITIES Make coverage determinations by evaluating physician requests for prior authorization or appeals against medical policy through the Utilization Review system. Update the system records appropriately to ensure claims are properly routed and paid. Conduct research beyond medical policy review to make decisions on medication coverage requests. Other duties as assigned. EDUCATION...

University of Iowa Health Care department of Patient Financial Services is seeking a Revenue Cycle Coordinator for the Medical Center on the University Campus (MCU) Emergency Department (ED) as a supervisory position that may have 8-15 direct reports, could be a mix of P&S and/or student positions and will serve as a resource for complex billing issues and high-level patient events. You must have outstanding customer service skills, leadership abilities and excellent interpersonal and communication skills that will enable respectful interactions with our various range of internal and external customers, including but not limited to; our patients and their families, insurance companies, physicians, nurses, and other medical personnel. To be successful you will need strong analytical skills to perform quality assurance checks, productivity audits and a broad range of accounting & financial analysis to ensure effective and...

Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Program Manager - Contract Lifecycle Management Implementation Anywhere Type: Contract Category: Program/Project Management Industry: Technology Workplace Type: Remote Reference ID: JN -032026-105956 Date Posted: 03/12/2026 Shortcut: http://careers.eliassen.com/ZA0OkN Description Recommended Jobs Description: Remote Our client is seeking a Program Manager to lead a Contract Lifecycle Management implementation within a broader Finance and Legal transformation. The role will own strategy, roadmap, and delivery across legal, finance, and technology stakeholders while managing risks, vendors, and change. The manager will drive process design, configuration guidance, and adoption to improve contract efficiency, visibility, compliance, and automation. This program leader will ensure alignment with the digital transformation ecosystem and deliver measurable outcomes. Due to client requirements, applicants must be willing...

What You Can Expect As a Project Manager I at ENGIE, you’ll be at the heart of our strategic operations at the University of Iowa, gaining hands-on experience in critical utility sectors like Power Generation, Water Treatment, Chilled Water, and Distribution. This isn’t just a support role—you’ll be driving projects forward, owning key deliverables, and building the foundation for a long-term career in energy and infrastructure. What You’ll Do—In This Role Take ownership of project planning and execution, actively shaping outcomes and driving progress across technical systems and infrastructure Monitor and analyze project budgets and schedules, proactively identifying risks and implementing solutions Provide clear, data-driven updates to clients and stakeholders, highlighting your ability to manage timelines and financials Coordinate permitting, construction planning, contractor oversight, and procurement—developing your leadership and decision-making skills...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: Use most up to date job description. To ensure a secure hiring process we have implemented several identity verification steps, including submission of a government issued photo...

Sector Knowledge and Expertise: Demonstrates a clear understanding of client’s business, its objectives, strategy and industry where they operate. Supports the Portfolio Leader in the development of portfolio/sector strategy. Demonstrates a strong knowledge of BPO and Technical Services associated with their allocated accounts and industry sector. Leverages expertise and communication skills to speak at forums both internally and externally. Account Management and Business Growth: Builds and maintains strong, long-term relationships with assigned clients. These relationships should reflect coverage of the client’s comprehensive buyer personas, including but not limited to the CIO, CMO, CTO and CXO ensuring a partnership charter with their team. Develops sustainable and profitable strategic account plan that addresses whitespace planning, cross-selling and up-selling opportunities and incorporates the full extent of Concentrix services. Ensures Financial KPIs...

Intern - Service Delivery ManagementRemote - United StatesJR012789 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose: Honesty, Reliability, Collaboration, Curiosity, Passion About the role and what you'll be doing: We are looking for potential participants for our 2026 Summer Internship Program and are excited to invite driven and self-motivated candidates to apply! Ensono is dedicated to cultivating talented individuals with...

job summary: A Supply Management Specialist is needed for an American corporation that manufactures agricultural, construction, and forestry machinery, diesel engines, drivetrains (axles, transmissions, gearboxes) used in heavy equipment, and lawn care equipment in the Dubuque, IA area. This role focuses on sourcing, data analysis, and supplier performance management to ensure efficient procurement and process improvement for low-complexity commodities.   location: Dubuque, Iowa job type: Contract salary: $17.25 - 28.04 per hour work hours: 8am to 5pm education: High School   responsibilities: Executes planning activities and supplier management tasks within defined frameworks. Develops and enforces strategies and contracts for low-complexity commodities. Performs data analysis, cost modeling, and spend analysis to support business cases. Assists Strategic Sourcing with supplier validation and performance management. Resolves invoice issues and complex...

Intern - Capacity Management Data AnalystRemote - United StatesJR012790 At Ensono, our Purpose is to be a relentless ally, disrupting the status quo and unleashing our clients to Do Great Things! We enable our clients to achieve key business outcomes that reshape how our world runs. As an expert technology adviser and managed service provider with cross-platform certifications, Ensono empowers our clients to keep up with continuous change and embrace innovation. We can Do Great Things because we have great Associates. The Ensono Core Values unify our diverse talents and are woven into how we do business. These five traits are the key to achieving our purpose: Honesty, Reliability, Collaboration, Curiosity, Passion Role Summary As an intern at Ensono, you will have a direct impact working with your team and also take part in programming provided by our Training and Development team. This will include project work, professional development, a business challenge...

Job Description Oracle Cloud is the next generation cloud service built from grounds up for the most demanding application requirements with diverse performance, reliability, and governance requirements for a variety of customer use cases. We've focused on security, reliability, scalability, and flexibility to support existing and future enterprise level large and complex deployments while beating industry performance and pricing standards. We are rapidly expanding our footprint and continuously building innovative solutions. Do you want to be part of a highly technical team helping to establish Oracle Cloud as the leading cloud computing platform for enterprises? Are you passionate about making customers successful? Oracle Cloud is seeking a leader for the Distributed Cloud busines s. This role has a global responsibility over technical and business programs for Distributed Cloud. A successful leader will have experience in working with geographically separated teams...

Role Title: Lead Specialist, Product Management Description: This role aligns to a Principal Product Manager Location: Hoboken - Hybrid About Pearson: At Pearson, we are committed to helping people make progress in their lives through learning. We create innovative and accessible educational products and services that foster personal and professional growth. We are looking for a passionate and skilled Product Director (IC) to join our team and drive the development of cutting-edge educational products. About the Job: We embrace the SVPG Product Operating Model by empowering our product teams to solve hard problems – customer problems and business problems – in ways that our customers love yet work for our business. Our product teams are cross-functional, durable and generally comprised of a product manager, product design, tech lead and a program manager (4-in-a-box model). We staff our product teams with the skills necessary to come up with effective solutions...

job summary: A Supply Management Specialist is needed for an American corporation that manufactures agricultural, construction, and forestry machinery, diesel engines, drivetrains (axles, transmissions, gearboxes) used in heavy equipment, and lawn care equipment in the Waterloo, IA area. This role is focused on sourcing, supplier performance, and continuous improvement and will manage low-complexity commodities, analyze supply chain data, and lead risk mitigation projects to optimize cost and delivery within a manufacturing environment.   location: Waterloo, Iowa job type: Contract salary: $17.98 - 28.87 per hour work hours: 8am to 5pm education: Bachelors   responsibilities: Develop and execute strategies and contracts for assigned suppliers and materials. Conduct data analysis, cost modeling, spend analysis, and make-vs-buy studies to support procurement decisions. Manage supplier performance using the Achieving Excellence process and address chronic...

Clinical Quality Management Program Manager (Part-time) Fully Remote-United States Job Type Part-time Description Overview Tanaq Management Services (TMS) delivers professional, scientific, and technical services and information technology (IT) solutions to federal agencies in health, agriculture, technology, and other government services. TMS is a subsidiary of the St. George Tanaq Corporation, an Alaskan Native Corporation (ANC) committed to serving Federal customers while also giving back to the Tanaq native community and shareholders. About the Role We are seeking a part-time Clinical Quality Management Program Manager to serve as the primary point of contact for all contractual, technical, and administrative matters supporting the Clinical Quality Management (CQM) Program at the Defense Health Agency (DHA). The Clinical Quality Management Program Manager will provide day-to-day leadership, planning, coordination, and oversight of project staff and...

Founded in 2009, RSC2, Inc. is a Small Business Administration (SBA) Certified HUBZone Professional Services company headquartered in Baltimore, Maryland. RSC2 provides breakthrough expertise, support services, and technologies to make operations, programs and systems of record perform better. Our professional staff is trained to provide world-class services to all types of customers. We uphold the integrity and quality of our work so you can expect only the best from us. RSC2 is currently looking for a Logistics Management Specialist Level 1 to join our growing team in Fort Meade, Maryland! Responsibilities Provides expertise in the application and management of integrated logistics activities supporting the installation and fielding of systems including system support management and maintenance; system security plans, supply support and provisioning; packaging, handling, storage and transportation of deliverables; technical data and data management; field configuration...

Driven by integrity and united by the people-and-pet bond, we find strong purpose in the work we do and an even greater joy in those we get to work alongside. Together, we harness the expertise of our long-standing tradition of excellence to embrace possibility and continuously push to do what's never been done before in pet care. Discover your purpose and fuel your passions when you bring your love of pets to a team that prides itself on the power of togetherness—We are Proudly Connected. Purely Driven. For more than 30 years, our Management Development Associate program has developed our future leaders. As a Management Development Associate, you’ll embark on a personal and professional development experience a classroom can’t offer. As an Engineering Management Development Associate at Nestlé Purina, we will coach you from the start, shaping your career trajectory for continuous learning and growth. Together, we'll explore information systems, quality assurance, supply...

Your Future Evolves Here Evolent partners with health plans and providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and primary care, we seek to connect the pieces of fragmented health care system and ensure people get the same level of care and compassion we would want for our loved ones. Evolent employees enjoy work/life balance, the flexibility to suit their work to their lives, and autonomy they need to get things done. We believe that people do their best work when they're supported to live their best lives, and when they feel welcome to bring their whole selves to work. That's one reason why diversity and inclusion are core to our business. Join Evolent for the mission. Stay for the culture. What You'll Be Doing: As a Physician Clinical Reviewer, Interventional Pain Management, you will be a key member of the utilization management team. We can offer you a meaningful way to make a...

Company : enGen Job Description : JOB SUMMARY This pivotal role will lead the strategic transformation and optimization of workforce operations across enGen, encompassing both internal resources and external vendors. The Senior Director will be a key driver in establishing robust frameworks for tracking hours, managing financial allocations, and ensuring highly efficient resource deployment. This individual will possess a deep understanding of transformational initiatives, serving as a change expert who can intelligently engage with vendors, internal stakeholders, and senior leadership to align business operations with strategic objectives and deliver significant value. This leadership role is responsible for influencing, shaping, and executing high-impact strategies and initiatives delivering significant enterprise-level value. The Senior Director level demands a high degree of strategic leadership, independent decision-making, and accountability for fostering...

Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, and learning management solutions to education and faith-based organizations, serving more than 1,300 higher education institutions, 11,500 K-12 schools, 3,500 churches, and millions of individual students, families, and supporters across the globe. Our culture of service enables us to form long-lasting and trusted partnerships, while our focus on creativity and innovative solutions empowers our customer communities to thrive. As a Nelnet company, the perks at NBS go beyond our benefits package. You're part of a community, invested in you as an individual and united by our mission to create opportunities for people where they live, learn and work. The IT Service Management (ITSM) Analyst serves as the primary Major Incident Manager during assigned on-call rotations, leading real-time response to high-severity incidents and contributing to operational stability and site...

Your Blood . Your Hospital. Your Neighbors. Come join our team! LifeServe Blood Center is currently looking for a candidate with strong attention to detail and the desire to provide exceptional customer service for a part-time Product Management Technician. Through the selfless giving of volunteer blood donors, LifeServe Blood Center is able to serve more than 175 hospitals across Iowa, Nebraska, South Dakota, and Illinois by providing access to a safe, quality blood supply for hospital patients in their critical time of need. Essential Responsibilities of This Position: Performs assigned tasks and procedures as they pertain to manufacturing, storage and distribution of blood and blood-related products. Product labeling Irradiation of blood products Receiving and fulfilling orders Proper packing of blood products for transport / Arrange for transport and delivery of blood products to hospitals Tracking and reporting on product inventory Addresses...

Job Description Oracle's Global Sustainability Office is seeking a dynamic and strategic leader to serve as a Program Management Director of Sustainability Reporting & Engagement. This high-impact role will oversee the functions of external sustainability communications, regulatory and voluntary reporting/disclosures, and internal employee engagement programs. The successful candidate will provide visionary leadership, manage and develop a multidisciplinary team, and drive Oracle's sustainability disclosures and communications in alignment with corporate growth and global regulatory trends. This role is for Nashville, TN. Candidate must live or be willing to relocate to Nashville, TN for this role. Key Responsibilities: Lead, develop, and inspire a team responsible for the strategic direction and execution of Oracle's sustainability reporting, external disclosures and communications, employee engagement and business enablement. Oversee the preparation...

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 (https://www.oracle.com/cloud/cloud-at-customer/dedicated-region/) (DRCC) and Oracle Alloy (https://www.oracle.com/cloud/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...

Director, Product Management: Capital One Shopping (Remote - Eligible) About Capital One Shopping Capital One Shopping is an industry-leading consumer technology business that is changing the way people buy and save online. The team operates with extreme focus to accelerate growth of the Shopping business, find best-in-market savings for shoppers, and create unique value for our merchant partners. Technology and a rapid test-and-learn methodology are applied to nearly all of our business challenges. The team has a flat organizational structure that emphasizes clear ownership, small teams, and leverage through technology. We are looking for a Product Director to join our team to improve and integrate new product and revenue opportunities with our merchant partners, and drive cross-functional execution within Shopping. This Product Director will have a demonstrated interest and aptitude for AI. While formal on-the-job experience with AI is a plus, we highly value candidates...

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. Our objective is to provide clients with a unique business perspective on how to leverage SAP technology to enhance their operations. This is rooted in EY's SAP service line capabilities including Supply Chain, FICO, BPC, Data & Analytics, Customer, Tech/Arch and SuccessFactors. Our focus is on helping clients elevate performance and productivity. The opportunity EY's Agile Business Transformation enabled by SAP technology can help organizations address challenges in the digital era. Our EY SAP collaborative approach focuses on more than technology alone. We take a comprehensive, business-first view to address strategy, customer value, user experiences, processes, technology, and operational impacts in tandem. As...