Care Management Associate Jobs

Become a part of our caring community The Clinical Programs Pharmacist Lead will be a part of a collaborative Pharmacy Stars team which is accountable for Humana’s Stars patient safety measure performance. The Clinical Pharmacist Lead autonomously develops, implements, and manages clinical program strategies to improve Medicare members' medication adherence and appropriate medication use. The Clinical Pharmacist lead exercises independent judgment and decision making on complex issues regarding job duties and related tasks, works under minimal supervision, and analyzes variable factors to determine the best course of action. Use your skills to make an impact Required Qualifications Degree of Doctor of Pharmacy (PharmD or RPh) from an accredited School of Pharmacy Active, unrestricted pharmacy licensure 5+ years of clinical experience in managed care or pharmacy related field, or equivalent Proficient in Microsoft Office applications (especially Word, Excel, and PowerPoint) Excellent written and oral communication skills Thrives in a fast paced, multi-project work environment while still ensuring attention to detail Successful track record in facilitating and consulting across teams and managing projects Strategic thinking and planning capabilities, organized, and detail-oriented Ability to learn quickly, work under pressure and timeline, work with ambiguity, and make complex decisions as necessary to meet business need Ability to assimilate, analyze, draw conclusions, and make recommendations from complex data Preferred Qualifications Previous experience in Medicare Stars Managed care and/or community pharmacy experience or residency/fellowship Previous experience in clinical program development and leader

Job Title Customer Project Manager (Arizona, New Mexico, Texas, California) Job Description Drive high-impact healthcare delivery at Philips as a Customer Project Manager, leading multiple complex end-to-end patient monitoring, therapeutic care, IT, and capital equipment implementations while guiding cross-functional clinical and technical teams to achieve seamless, statement-of-work-driven outcomes and an exceptional customer experience. Your role: Coordinate, lead, and motivate cross‑functional internal and external sales, clinical, and technical teams in partnership with hospital‑assigned project managers and key stakeholders. Develop and manage comprehensive project plans using Philips project management methodology and tools. Create and maintain detailed work breakdown structures (WBS) to define scope, deliverables, and execution timelines. Lead change, risk, communication, stakeholder, and resource management planning to ensure project alignment and issue mitigation. Ensure projects are delivered in accordance with the statement of work, driving successful implementation and a positive customer experience. You're the right fit if: You’ve acquired 2+ years of experience in IT project management (healthcare environment is preferred). Project management and/or Lean certifications are a big plus. Your skills include 4+ years of experience with MS Project, MS Office Suite, Salesforce.com and other standardized Project Management tools and documentation. You have at least a bachelor’s degree in a clinical field, computer science, information technology, project management, a similar field or 6+ years of relevant experience. You must be able to successfully perform the following minimum Physical, Cognitive and Environmental

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. Tuition reimbursement, the Freedom 2 Save student debt program, and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You'll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune . A company recognized as one of the best big companies to work for, as well as one of the best places to work for diversity, working mothers, female executives, and scientists. The Opportunity This position works out of our Madison, WI location within the Cancer Diagnostics business. <

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 115,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Sr. Specialist, Global Brand & Channel Marketing – Electrophysiology Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and your family, be your true self, and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with a high employer contribution Tuition reimbursement, th e Freedom 2 Save student debt program, an d FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries worldwide and named one of the most admired companies in the world by Fortune. A company that is recognized as one of the best big com

Abbott is a global healthcare leader that helps people live more fully at all stages of life. Our portfolio of life-changing technologies spans the spectrum of healthcare, with leading businesses and products in diagnostics, medical devices, nutritionals and branded generic medicines. Our 122,000 colleagues serve people in more than 160 countries. JOB DESCRIPTION: Abbott is a global healthcare leader, creating breakthrough science to improve people’s health. We’re always looking towards the future, anticipating changes in medical science and technology. Working at Abbott At Abbott, you can do work that matters, grow, and learn, care for yourself and family, be your true self and live a full life. You’ll also have access to: Career development with an international company where you can grow the career you dream of. Employees can qualify for free medical coverage in our Health Investment Plan (HIP) PPO medical plan in the next calendar year. An excellent retirement savings plan with high employer contribution Tuition reimbursement, the Freedom 2 Save student debt program and FreeU education benefit - an affordable and convenient path to getting a bachelor’s degree. A company recognized as a great place to work in dozens of countries around the world and named one of the most admired companies in the world by Fortune. The Opportunity Abbott is a global healthcare leader that helps people live more fully at all stages of life.

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary We are seeking an experienced actuarial professional to support Medicaid managed care pricing evaluation, financial performance management, and strategic decision-making. This role requires a strong combination of actuarial expertise, business acumen, technical proficiency, and leadership capability. The successful candidate will serve as a key partner to market leadership, finance, and operational stakeholders while providing guidance and oversight to actuarial analysts supporting complex Medicaid markets. This position is ideal for an actuary with strong project management skills who can balance short-term deliverables and ad hoc requests with long-term strategic initiatives, thrive in a dynamic environment, and independently develop analyses to address emerging business questions. Medicaid Pricing and Actuarial Analysis • Lead actuarial evaluation of state capitation pricing and forecasting for Medicaid managed care programs. • Evaluate and interpret complex state rate-setting methodologies, risk adjustment programs, acuity adjustments, and regulatory requirements. • Assess revenue, medical cost, utilization, and margin drivers to identify emerging trends and business risks. • Summarize and communicate actuarial analysis for business leadership. Strategic Business Support • Partner with market, product, finance, and operations tea

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Supervisor of Service Operations will maintain oversight of a team of claim processors and all claim related functions for Medicaid Claim Operations. We are seeking a highly motivated individual who will establish a clear vision aligned with company values and team goals. The claim Supervisor works with staff to align daily processing activities to successfully meet Health Plan metrics. Responsibilities will include: Managing a team of claim processors and overseeing daily operations for assigned health plan to achieve state required metrics. Manage employee performance and development. Identifies risks and barriers and collaborates with business partners to improve processes. Coaches and mentors team members, assisting with complex questions and customer interactions. Acts as liaison between staff and other areas, communicating workflow results, ideas, and solutions. Completes various business reports, including tracking, trending and results. Works with the Medicaid leadership team to allocate resources to meet volume and performance standards. Builds a cohesive team through collaboration, inclusion, and diverse thinking. Ability to work in a fast-paced production environment. Required Qualific

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Manager, Market Intelligence will lead strategic workstreams end-to-end, directing team analysis and shaping executive-ready recommendations on the enterprise's most important growth and corporate development questions. Partnering closely with the Enterprise Strategy team, this role drives market research, competitive analysis, and project management to identify growth opportunities, assess markets, and support M&A and partnership evaluation. The Senior Manager will leverage AI-enabled research and market intelligence tools to accelerate insight generation and inform enterprise decision-making, while coaching junior colleagues and building alignment across senior stakeholders. Key Responsibilities Lead one or more Market Intelligence workstreams by defining scope, structuring plans, and adjusting course as priorities evolve. Analyze market trends, competitive dynamics, macroeconomic factors, and growth opportunities to shape strategic recommendations. Direct hypothesis-driven analysis, ensuring insights are accurate, timely, and decision-ready. Synthesize qualitative and quantitative insights into clear points of view by challenging assumptions, reconciling differing perspectives, and connecting findings to broader strategic implications. Craft executive-ready narratives, business cases, and recommendations

About Prodigal Prodigal is the connected AI platform leading financial institutions use to run their operations. We work with banks, lenders, credit unions, and other financial companies that lend money to people and manage those relationships over time. These institutions make millions of high-stakes decisions every day. Who should they reach? When should they reach them? What should they say or offer? When should a case move to a human? How should that change based on the borrower, the account, previous interactions, and the regulations involved? Getting those decisions right requires a deep understanding of the people, processes, rules, and edge cases behind them. Prodigal has spent the last eight years building that understanding. More than a billion interactions between financial institutions and their customers have shaped the intelligence, guardrails, and AI agents we now run in production across North America. Today, our AI agents analyze conversations, capture context, guide human agents, decide the next action, conduct customer conversations, orchestrate outreach, and help people complete payments and resolutions. They are connected, so what is learned in one interaction can inform what happens next. We are expanding this swarm of AI agents across more of the work financial institutions do: originations, document processing, back-office workflows, servicing, and other critical operations where money, identity, people, and regulation intersect. We are backed by Y Combinator, Accel, and Menlo Ventures, and work with 100+ financial institutions across North America. Listen directly from our CTO, Cofounder - Sangram Raje About the Role We're looking for a Customer Success Manager who thrives on chaos as much as clarity. Once an account is handed to you by our AI Deployment team after the hyper-care phase, you own it, whether that means smoothing over rough edges from a still-settling rollout or building on a genuinely stable one. Either way, your job is

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Senior Construction Project Manager you are responsible for successfully managing your assigned Programs/Initiatives to a defined scope, schedule and budget. Senior Construction Project Managers collaborate directly with the Program Sponsor to define scope, develop project plans and create budgets. You will lead the coordination of day-to-day sponsor/stakeholder communications. In this role your key growth opportunities will include: refining your skills in project management and stakeholder relationship management; following best practices in preparing project plans, budgets, and schedules; issue resolution and negotiation skills; exposure to project requirements across multiple business units, including Category Management, Store Layout, Finance and Scheduling partners, Architecture & Engineering, Procurement, Legal, Merchandising & Construction filed teams; managing and growing relationships with multiple internal business units and third-party vendors. Oversee construction projects for healthcare facilities, including new construction, renovations, expansions, and infrastructure upgrades. Manage the administration of healthcare properties owned or leased by the organization by coordinating lease agreements, property maintenance, repairs, and strict compliance with applicable r

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary As a Senior Program Manager you are responsible for successfully managing your assigned Programs/Initiatives to a defined scope, schedule and budget. Senior Program Managers collaborate directly with the Program Sponsor to define scope, develop project plans and create budgets. You will lead the coordination of day-to-day sponsor/stakeholder communications. Senior Program Managers typically manage programs with a capital budget of $1M - $50M. Sr. Program Managers report to the Director of Construction Program Management and manages a team of Program Managers and Program Coordinators consisting of about 3-8 employees and/or contractors. In this role your key growth opportunities will include: refining your skills in program management and stakeholder relationship management; following best practices in preparing project plans, budgets, and schedules; issue resolution and negotiation skills; exposure to project requirements across multiple business units, including Category Management, Store Layout, Financial and Scheduling partners, Architecture & Engineering, Procurement, Legal, Merchandising & Construction filed teams; managing and growing relationships with multiple internal business units and third-party vendors. Senior Program Managers may have direct reports (CVS or contract employees) who need to be managed. Managing these workers may include; Coaching & Cou

This is where your work makes a difference. At Baxter, we believe every person—regardless of who they are or where they are from—deserves a chance to live a healthy life. It was our founding belief in 1931 and continues to be our guiding principle. We are redefining healthcare delivery to make a greater impact today, tomorrow, and beyond. Our Baxter colleagues are united by our Mission to Save and Sustain Lives. Together, our community is driven by a culture of courage, trust, and collaboration. Every individual is empowered to take ownership and make a meaningful impact. We strive for efficient and effective operations, and we hold each other accountable for delivering exceptional results. Here, you will find more than just a job—you will find purpose and pride. Your role at Baxter As the Senior Manager, Customer Success, you will lead the strategy, transformation, and ongoing development of Baxter's Customer Success organization within Customer Experience & Delivery. You will be responsible for driving product adoption, customer outcomes, retention, and value realization across Baxter's growing connected care portfolio. This is an opportunity to shape the future of a critical function that sits at the intersection of customer experience, technology, healthcare operations, and commercial strategy. We are looking for a leader who enjoys building and scaling organizations. While Baxter has a talented and passionate team in place, the Customer Success function is still evolving. Today, the team supports customer adoption, engagement, renewals, and escalations, but the goal is to create a more proactive, standardized, and metrics-driven customer success organization. The ideal candidate has experience building or transforming Customer Success teams and can introduce best practices, playbooks, custo

ABOUT THIS ROLE GHX connects healthcare suppliers and hospitals across North America, processing over 2.2 million Purchase Order (PO) documents per year through its ADM (Automated Document Management) platform. The platform processes the majority of documents automatically; documents the system cannot process with sufficient confidence are routed to a human review queue. The Document Review Specialist verifies those flagged documents and corrects extraction errors at the field level. Every correction feeds directly into model retraining — you are not maintaining a status quo, you are actively improving the platform’s accuracy over time. This is a precision operations role, not conventional data entry. KEY RESPONSIBILITIES Document Verification & Field Correction — 95% Verify documents like purchase orders, invoices, etc. flagged by the platform as requiring validation Compare extracted field values against the source document image and correct every discrepancy at the field level Verify and correct core fields, including vendor name, PO/Invoice number, line item descriptions, quantities, unit prices, delivery dates, and ship-to addresses Sustain throughput of ~30 documents per hour at a field accuracy rate of 99% or above Self-audit daily output before shift-end submission to catch and correct errors before they enter the system Flag ambiguous, damaged, or edge-case documents per the team escalation protocol; do not attempt to resolve documents outside defined parameters Calibration & Continuous Improvement — 5% Participate in team calibration sessions led by the Supervisor to maintain consistent field interpretation standards Surface recurring error patterns to the Supervisor (e.g., consistent misread of a specific supplier’s PO template) through the team escalation channel Complete structured onboarding and participate in refresher sessions as document types and field standards evolve REQUIRED QUALIFICATIONS Bachelor’s degree in any discipline 1–3 years of

ABOUT THIS ROLE GHX connects healthcare suppliers and hospitals across North America, processing over 2.2 million Purchase Order (PO) documents per year through its ADM (Automated Document Management) platform. The platform processes the majority of documents automatically; documents the system cannot process with sufficient confidence are routed to a human review queue. The Document Review Specialist verifies those flagged documents and corrects extraction errors at the field level. Every correction feeds directly into model retraining — you are not maintaining a status quo, you are actively improving the platform’s accuracy over time. This is a precision operations role, not conventional data entry. KEY RESPONSIBILITIES Document Verification & Field Correction — 85% Verify documents like purchase orders, invoices, etc. flagged by the platform as requiring validation Compare extracted field values against the source document image and correct every discrepancy at the field level Verify and correct core fields, including vendor name, PO/Invoice number, line item descriptions, quantities, unit prices, delivery dates, and ship-to addresses Sustain throughput of ~30 documents per hour at a field accuracy rate of 99% or above Self-audit daily output before shift-end submission to catch and correct errors before they enter the system Flag ambiguous, damaged, or edge-case documents per the team escalation protocol; do not attempt to resolve documents outside defined parameters Process Documentation & Reporting — 10% Create and maintain Standard Operating Procedures (SOPs) for document review workflows, and update them as document types and field standards change Build and maintain process maps for end-to-end document review flows, including exception and escalation paths Perform basic analytics — collate production and quality data, and pull routine and ad-hoc reports on throughput, accuracy, and error trends as required Calibration & Continuous Improvement —