151 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...

Our story At Alight, we believe a company's success starts with its people. At our core, we Champion People, help our colleagues Grow with Purpose and true to our name we encourage colleagues to "Be Alight." Our Values: Champion People - be empathetic and help create a place where everyone belongs. Grow with purpose - Be inspired by our higher calling of improving lives. Be Alight - act with integrity, be real and empower others. It's why we're so driven to connect passion with purpose. Alight helps clients gain a benefits advantage while building a healthy and financially secure workforce by unifying the benefits ecosystem across health, wealth, wellbeing, absence management and navigation. With a comprehensive total rewards package, continuing education and training, and tremendous potential with a growing global organization, Alight is the perfect place to put your passion to work. About the Role: The SVP of Client Relationship Management is a...

Vendor Operations Management Consultant Location: The selected candidate must reside within 50 miles of one of Elevance Health PulsePoint location. Hybrid 1 : This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. 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. The Vendor Operations Management Consultant will be responsible for vendor relationships including all functionality and coordination between the vendors and...

Remote Work: No Overview: At Zebra, we are a community of innovators who come together to create new ways of working. United by curiosity and a culture of caring, we develop smart solutions that anticipate our customer’s and partner’s needs and solve their challenges. Being a part of Zebra Nation means you are seen, heard, valued, and respected. Drawing from our unique perspectives, we collaborate to deliver on our purpose. Here you are a part of a team pushing boundaries today to redefine the work of tomorrow for organizations, their employees, and those they serve. You'll have opportunities to learn and lead in a forward-thinking environment, defining your path to a fulfilling career while channeling your skills toward causes you care about – locally and globally. Come make an impact every day at Zebra. The Lead Management Manager leads the Marketing Contact Center (MCC), overseeing the entire process for qualifying and handling all inbound...

Company description Digitas is the Networked Experience Agency, built on the vision that we create magnetic experiences that earn the right for brands to exist in human networks. Today, and tomorrow. We deliver Networked Experiences by leveraging comprehensive data, technology, creative, media and strategy capabilities. Digitas delivers ambitious outcomes via unique solutions that include Creative Experiences, Integrated Media, Addressable Relationships, Social Marketing and Total Commerce. Celebrated by AdAge as Data and Insights Agency of the Year, U.S Campaign's Brand Experience Agency of the Year, Media Network of the Year and celebrated by Forrester and Gartner, Digitas serves the world's leading brands through a global network comprised of more than 5,500 employees across over 65 offices in 43 countries. The Digitas culture is made up of fearless, inventive and generous Unicorns of all kinds. Overview Our Project Management team enables and executes great work...

We’re building a relationship-oriented bank for the modern world. We need talented, passionate professionals who are dedicated to doing what’s right for our clients. At CIBC, we embrace your strengths and your ambitions, so you are empowered at work. Our team members have what they need to make a meaningful impact and are truly valued for who they are and what they contribute. To learn more about CIBC, please visit CIBC.com What You’ll Be Doing The Head of Treasury Management Sales delivers strategic vision and national leadership to advance the growth and development of CIBC Bank USA’s treasury management sales organization. This role is pivotal in driving fee revenue and deposit growth, as well as client acquisition across the Commercial Bank and other business units. The incumbent will spearhead transformational change to align with the strategic vision of the Bank, champion overall client and revenue growth, ensure alignment with risk management objectives,...

Summary The Management Trainee position’s primary responsibility is to fulfill our mission statement, “to create the most enjoyable shopping experience possible for our Guests.” Additionally, Management Trainees perform a variety of sales, merchandising and operational tasks assigned by store management (e.g. cashiering, merchandise display and pulls, register procedures, and routine cleaning of facilities). Work directly with Store Manager to develop sales, recruiting and leadership skills in order to become a Store Manager. The Management Trainee will also share responsibility for training and motivating Teammates and act as the Store Manager in their absence. Compensation & Benefits: Pay range: $20-$24/hr The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. For sales positions, Buckle pays a base rate plus...

Summary The Captain James A. Lovell Federal Health Care Center (FHCC) is seeking a Fleet Medicine DoD Case Management Program Nurse Manager (NM), Registered Nurse (RN) for Fleet Medicine Directorate. This job is open to The public U.S. Citizens, Nationals or those who owe allegiance to the U.S. Internal to an agency Current federal employees of the hiring agency that posted the job announcement. Clarification from the agency NOTE: The 2-page Resume requirement does not apply to this position. For more information, refer to Required Documents below. Duties VISN 12 is committed to fostering and sustaining an environment which celebrates diversity, provides equitable opportunities for employment and promotion, and supports inclusiveness in our culture. Together, we strive to create and maintain working and learning environments that promote professional growth and teamwork, and are inclusive, equitable and welcoming. We embrace...

Summary The Management Trainee position’s primary responsibility is to fulfill our mission statement, “to create the most enjoyable shopping experience possible for our Guests.” Additionally, Management Trainees perform a variety of sales, merchandising and operational tasks assigned by store management (e.g. cashiering, merchandise display and pulls, register procedures, and routine cleaning of facilities). Work directly with Store Manager to develop sales, recruiting and leadership skills in order to become a Store Manager. The Management Trainee will also share responsibility for training and motivating Teammates and act as the Store Manager in their absence. Compensation & Benefits: Pay range: $18-$22/hr The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. For sales positions, Buckle pays a base rate plus...

Summary The Management Trainee position’s primary responsibility is to fulfill our mission statement, “to create the most enjoyable shopping experience possible for our Guests.” Additionally, Management Trainees perform a variety of sales, merchandising and operational tasks assigned by store management (e.g. cashiering, merchandise display and pulls, register procedures, and routine cleaning of facilities). Work directly with Store Manager to develop sales, recruiting and leadership skills in order to become a Store Manager. The Management Trainee will also share responsibility for training and motivating Teammates and act as the Store Manager in their absence. Compensation & Benefits: Pay range: $20-$24/hr The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications and other job-related reasons. For sales positions, Buckle pays a base rate plus...

Collaborate with leadership in the oversight of a portfolio of real estate assets acquired by the department. Monitor contracts for property maintenance, consultants, demolition, construction, and other activities. Oversee routine maintenance and the security of all assets and serve as primary point of contact for properties under assignment. Evaluate properties and assist in planning for potential acquisitions and subsequent redevelopment. Minimum Qualifications Graduation from an accredited college or university with a Bachelor's Degree and Three (3) years in managing distressed properties, real estate assets or directly related experience or An equivalent combination of education and/or experience is required. Valid driver's license and proof of automobile insurance is required. This position is considered a safety-sensitive position. Candidates who are selected to fill safety-sensitive positions must pass a required drug test as part of the...

Company: Oliver Wyman Description: About Oliver Wyman Oliver Wyman, a Marsh (NYSE: MRSH) business, is a management consulting firm driven by deep industry insight, bold innovation, and a collaborative approach that cuts through complexity to help organizations navigate their most defining transformative moments For more information, visit oliverwyman.com , or follow us on LinkedIn and X . Job Overview: The Head of Talent Management for Health & Life Sciences (HLS) serves as a strategic leader in Talent Management, partnering closely with HLS Leadership to shape and execute talent strategies that directly align with organization’s overarching business goals. You will be responsible for the full scope of Talent Management related topics for the HLS Affiliated Consulting Group (ACG). By leveraging a holistic understanding of the business strategy, the Head of Talent Management will inform all facets of talent strategy—ensuring that the right talent...

We help the world run better At SAP, we keep it simple: you bring your best to us, and we'll bring out the best in you. We're builders touching over 20 industries and 80% of global commerce, and we need your unique talents to help shape what's next. The work is challenging – but it matters. You'll find a place where you can be yourself, prioritize your wellbeing, and truly belong. What's in it for you? Constant learning, skill growth, great benefits, and a team that wants you to grow and succeed. We are seeking a highly motivated and experienced Solution Sales Executive to drive strategic sales efforts across Corporate accounts in the Midwest region . This role is centered on selling the SAP Business Transformation Management (BTM) suite , empowering clients to accelerate digital transformation, streamline enterprise architecture, and optimize end-to-end business processes. As a key player in our enterprise sales team, you will be responsible for creating and...

503 N. Washington Street Naperville Illinois,60563 BMO is the 8th largest bank in North America and the 4th largest commercial lender with aggressive growth ambitions in the U.S. We are driven by a single purpose: to Boldly Grow the Good in business and life. Our Purpose informs our strategy, drives our ambition, and reinforces our commitments to progress: for a thriving economy, a sustainable future, and an inclusive society. Analyzes credit information to support lending decisions and processes for new and existing Commercial banking loans and credit solutions in an assigned portfolio of clients. Makes credit decisions and recommendations in compliance with bank policies and procedures while maintaining an exceptional client service environment. Performs financial analysis and calculations, assesses client creditworthiness, prepares detailed credit summaries, analyses financial performance and risk profiles of clients within the portfolio. Utilizes financial models...

Summary The Product Management Senior Manager is responsible for leading the planning, development and management of AI-driven products and services within the firm. This role involves overseeing the entire product lifecycle, from ideation to execution and launch, ensuring that AI products meet market demands and deliver high value to customers. This role blends expertise in artificial intelligence, product management, and leadership to ensure the successful execution of AI initiatives aligned with business goals. The Senior Manager will collaborate closely with internal teams, including legal stakeholders, engineering, IT, knowledge management, and marketing, to create innovative AI solutions that drive business outcomes. Duties And Responsibilities Define and drive the product strategy and roadmap for AI-powered solutions in alignment with the firm’s goals. Maintain a robust roadmap for AI products, balancing near-term customer needs with long-term vision. Stay...

Company Description Turner & Townsend is an independent professional services company specializing in programme management, project management, cost management and consulting across the property, infrastructure and natural resources sectors. With 104 offices in 44 countries, we draw on our extensive global and industry experience to manage risk while maximizing value and performance during the construction and operation of our clients’ assets. Job Description Overview: Do you want to be part of our successful Graduate Development Program supporting top clients for Turner & Townsend across the U.S. We are hiring an ambitious and forward-thinking Project Management Analyst to work in our growing team. The route to becoming a professional at Turner & Townsend involves development in various competencies. The Turner & Townsend Graduate Development Program has been designed to provide recent graduates, with less than two years of industry experience,...

Company Description Turner & Townsend is an independent professional services company specializing in programme management, project management, cost management and consulting across the property, infrastructure and natural resources sectors. With 104 offices in 44 countries, we draw on our extensive global and industry experience to manage risk while maximizing value and performance during the construction and operation of our clients’ assets. Job Description Overview: Do you want to be part of our successful Graduate Development Program supporting top clients for Turner & Townsend across the U.S. We are hiring an ambitious and forward-thinking Cost Management Analyst to work in our growing team. The route to becoming a professional at Turner & Townsend involves development in various competencies. The Turner & Townsend Graduate Development Program has been designed to provide recent graduates, with less than two years of industry experience, with...

Company Description Digitas is the Networked Experience Agency, built on the vision that we create magnetic experiences that earn the right for brands to exist in human networks. Today, and tomorrow. We deliver Networked Experiences by leveraging comprehensive data, technology, creative, media and strategy capabilities. Digitas delivers ambitious outcomes via unique solutions that include Creative Experiences, Integrated Media, Addressable Relationships, Social Marketing and Total Commerce. Celebrated by AdAge as Data and Insights Agency of the Year, U.S Campaign’s Brand Experience Agency of the Year, Media Network of the Year and celebrated by Forrester and Gartner, Digitas serves the world’s leading brands through a global network comprised of more than 5,500 employees across over 65 offices in 43 countries. The Digitas culture is made up of fearless, inventive and generous Unicorns of all kinds. Overview Our Project Management team enables and executes great work in the...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Optiv. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. This position will be fully remote and can be hired anywhere in the continental U.S At Optiv, we've created a team that combines Organizational Change Management (OCM) and Project/Program Management (PM) methodologies to meet our clients where they are and help them navigate change to achieve their cybersecurity maturity goals. In this role, this individual will be expected to utilize and customize proven OCM and PM approaches and frameworks to advise, educate, and implement clients...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for EPAM Systems Inc. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. EPAM is seeking a seasoned Senior Account Director to drive strategic growth in our Consumer & Services practice. This leader will combine deep industry expertise with a strong consulting and technology background to shape transformational engagements with some of the world’s most recognized CPG and retail brands. In this role, you will own executive-level relationships, expand accounts through innovation and thought leadership, and partner with global delivery teams to...

Lensa is a career site that helps job seekers find great jobs in the US. We are not a staffing firm or agency. Lensa does not hire directly for these jobs, but promotes jobs on LinkedIn on behalf of its direct clients, recruitment ad agencies, and marketing partners. Lensa partners with DirectEmployers to promote this job for Wabtec. Clicking "Apply Now" or "Read more" on Lensa redirects you to the job board/employer site. Any information collected there is subject to their terms and privacy notice. Company Description Wabtec Corporation is a leading global provider of equipment, systems, digital solutions, and value-added services for freight and transit rail as well as the mining, marine, and industrial markets. Drawing on nearly four centuries of collective experience across Wabtec, GE Transportation, and Faiveley Transport, the company has grown to become One Wabtec, with unmatched digital expertise, technological innovation, and world-class manufacturing and services,...

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 Description Work Arrangement This role is based remotely but if you live within a 50-mile radius of Austin, Detroit, Mountain View or Warren, you are expected to report to that location three times a week, at a minimum. Role Summary The Manager, Performance Management, will lead the build, launch, and ongoing operations of GM's new global function responsible for formal performance management. This role oversees the design and implementation of global standards, SOPs, Workday workflows, and case administration processes, and will manage the team responsible for end-to-end formal performance management across all regions. Key Responsibilities Lead the build effortrequiredto stand up the Performance Managementfunction, including development of global standards, definitions, and process maps. Design andfinalizeglobal SOPs, templates, manager guidance, and country-specific localization for informal vs. formal performance management. Partner...

Manager, Product Management (PXDP50) Product Management at Capital One is a booming, vibrant craft that requires reimagining the status quo, finding value creation opportunities, and driving innovative and sustainable customer experiences through technology. We believe our portfolio of businesses and investments in growth and transformation will result in a company with the scale, brand, capabilities, talent, and values to succeed as the digital revolution transforms our society and our industry. About The Team The Product Manager on the DFS Card Data Integration team will be responsible for migration of DFS data to Capital One internal systems. Fast paced environment that will require collaboration on intake management, use case refinement, partnering with internal and external teams, stakeholder management, progress tracking, and Agile practices for delivery. Capital One Product Framework In this role, you’ll be expected to demonstrate proficiency in five key areas...