Care Model Advisor Jobs

Tooth Matters is a trusted dental clinic offering professional teeth whitening services and comprehensive dental care to help you achieve a healthy, confident smile. Our clinic combines modern dental technology with expert care to deliver safe, effective, and long-lasting results for every patient. Whether you want to enhance your smile with sparkling white teeth or need relief from dental pain through advanced root canal treatment, Tooth Matters is your go-to destination for quality dental solutions. Our teeth whitening services are designed to remove stains, discoloration, and dullness caused by coffee, tea, smoking, or aging. We use safe and dentist-approved whitening techniques that gently brighten your teeth while protecting your enamel. At Tooth Matters, we customize every whitening session to suit your individual needs, ensuring visible results in just one visit. With our expert care, you can walk out with a radiant smile that boosts your confidence. Alongside cosmetic care, we specialize in root canal treatment to save damaged or infected teeth with minimal discomfort. Our experienced dentists use advanced tools and pain-free techniques to remove infection, restore tooth function, and preserve your natural tooth structure. Tooth Matters focuses on providing gentle, precise, and efficient care, ensuring that patients feel comfortable and confident throughout their treatment process. At Tooth Matters, your oral health and comfort are our top priorities. We follow strict hygiene standards and use state-of-the-art equipment to ensure every procedure is safe and effective. Our team of skilled dentists and friendly staff are dedicated to making your dental experience smooth and stress-free. Whether you need a simple whitening session or a complex root canal treatment, Tooth Matters is committed to delivering exceptional results with a personalized approach. Experience the perfect balance of technology, care, and expertise — only at Tooth Matters, where every s

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

Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to team members for review depending on case findings. Educate providers on utilization and medical management processes. Enter and maintain relevant clinical information in various medical management systems. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications 2+ years of RN experience Active RN license in the state of Indiana Ability to be licensed in multiple states without restrictions Previous experience in utilization management, case management, discharge planning and/or home health or rehab Proficient with MS Office products including Word, Excel and Outlook Ability to work independently under general instructions and with a team Preferred Qualifications Bachelor's degree MCO experience Health Plan experience working with large carriers Previous Medicare/Medicaid experience Outpatient or home health experience in Utilization Manageme

ROLE SUMMARY Pfizer Commercial Oncology is introducing the world to the next era of cancer care. With a growing portfolio of novel therapies, industry-leading R&D, and a goal of delivering eight breakthroughs by 2030 across major cancer types, we're translating cutting-edge science into market-shaping impact. Here, you'll partner with exceptional colleagues across scientific, medical, and manufacturing teams, backed by advanced digital and AI-enabled infrastructure and the authority to accelerate medicines from discovery to delivery. Guided by our values of courage, excellence, equity, and joy, you'll have the opportunity to stretch your skills and build a career that evolves with you—across teams, roles, and the Pfizer enterprise. Join us to make history — for patients, for their families, for the future. At Pfizer Oncology, we are committed to “Outdo Cancer” by advancing transformative medicines wherever we can make a profound difference in the lives of patients. Today, Pfizer Oncology has an industry leading pipeline that includes the combined legacy Pfizer and Seagen portfolio across breast, genitourinary (GU) including both prostate and bladder, hematology-oncology and thoracic therapeutic areas. The primary purpose of this position will be to provide comprehensive day-to-day administrative support to the US Prostate Franchise Lead and to support the overall Franchise business. The Administrative Assistant will report to the US Prostate Vice President. In this role, the Administrative Assistant will be responsible for (but not limited to) heavy calendar management, coordination of meetings and events, development of agendas and meeting reports, slide development for select meetings, and requests and assembly of briefing materials, arranging travel and expense report preparation. As a working professional, he/she will be expected to handle tasks independently and in a proactive manner. <

Work Flexibility: Hybrid or Onsite Join Stryker’s Global Robotics Customer Care team and support the engineering processes that help maintain and improve service operations for the Mako robotic system and related technologies. This role offers the opportunity to contribute to process development, product lifecycle activities, and continuous improvement initiatives within a regulated medical technology environment. The Process Engineer will support repair, upgrade, and service processes while collaborating across functions to ensure quality, compliance, and operational efficiency. What You Will Do Support new product and process introductions by executing engineering activities and maintaining required documentation in accordance with established development procedures. Lead process and procedure updates related to product launches, product integrations, process improvements, and audit readiness activities. Identify and implement continuous improvement initiatives that enhance service operations, process efficiency, quality, and customer experience metrics. Conduct process investigations, experimental testing, equipment analysis, and validation activities to support repair and upgrade operations. Train service personnel on new processes and procedures while ensuring compliance with quality, safety, and regulated industry requirements. What You Will Need Required: Bachelor’s degree in Engineering or a related technical field. Minimum 0 years of relevant engineering experience. Ability to read and interpret engineering drawings. Working knowledge of geometrical dimensioning and tolerancing (GD&T). Preferred: Minimum 1 year of experience in process engineering, manufacturing engineering, service engineering, or a related field.</

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 Utilization Management is a 24/7 operation and work schedules will include weekends, holidays, and evening hours. Preference for those residing in mountain or pacific time zones. Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members. Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care Communicates with providers and other parties to facilitate care/treatment Identifies members for referral opportunities to integrate with other products, services and/or programs Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function. Typical office working environment with productivity and quality expectations. Work requires the ability to perform close inspection of hand written and computer generated documents as well as a PC monitor. Sedentary work involving periods of sitting, talking, listening. Work requires sit

Become a part of our caring community As a Medical Assistant you will be the first contact for patient care, responsible for administrative responsibilities in addition to patient care. Working onsite in a clinical environment and reporting to the Center Administrator you will perform varied activities and moderately complex administrative, operational, and customer support assignments. Location Address CenterWell Senior Primary Care office located at: 4886 N Dowlen Rd., Beaumont, TX., 77708 You will be reporting to the: Supervisor, Center Administration Job Responsibilities As a Medical Assistant you will perform clinical tasks such as: You will perform pre-visit planning based on patient visit type You will obtain and record medical history and vital signs You will room patients and assist healthcare providers with medical procedures and treatments You will perform specimen collection and point of care testing You will prepare and administer medication under the direction of healthcare provider You will ensure accurate documentation in the electronic health record (HER) and electronic medical record (EMR) systems, including documentation of HEDIS and Stars quality measures Required Qualifications An active Certified Medical Assistant/CMA or Registered Medical Assistant/RMA certification from one of the following organizations: AAH, AAMA, AMT, ARMA, MedCa, NAHP, NAHT, NCCT, or NHA Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5&#43; years of experience and approval from Provider High school diploma or equivalent 1&#43; years of MA experience Phlebotomy experience Medication/vaccine administration ex

Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. What you will be doing: Beacon Biosignals is on a mission to revolutionize precision medicine for the brain. We are the leading at-home EEG platform supporting clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our FDA 510(k)-cleared Dreem EEG headband and AI algorithms enable quantitative biomarker discovery and implementation. Beacon’s Clinico-EEG database contains EEG data from nearly 100,000 patients, and our cloud-native analytics platform powers large-scale RWD/RWE retrospective and predictive studies. Beacon Biosignals is changing the way that patients are treated for any disorder that affects brain physiology. The Sleep Study Support Specialist will work within the SleepView Direct department and report to the Manager, Services. This is a second-shift position that is primarily work-from-home, with occasional on-site meetings as needed. The Sleep Study Support Specialist plays an important role in delivering a positive patient and customer experience by providing timely, accurate, and compassionate support throughout the sleep testing process. This position requires strong communication skills, attention to detail, sound judgment, and the ability to effectively manage multiple priorities while working both independently and as part of a cross-functional team. What success lo

Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. What you will be doing: Beacon Biosignals is on a mission to revolutionize precision medicine for the brain. We are the leading at-home EEG platform supporting clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our FDA 510(k)-cleared Dreem EEG headband and AI algorithms enable quantitative biomarker discovery and implementation. Beacon’s Clinico-EEG database contains EEG data from nearly 100,000 patients, and our cloud-native analytics platform powers large-scale RWD/RWE retrospective and predictive studies. Beacon Biosignals is changing the way that patients are treated for any disorder that affects brain physiology. The Services Specialist will work within the SleepView Direct department and report to the Manager, Services. This is a first-shift position that is primarily work-from-home, with occasional on-site meetings as needed. The Services Specialist plays an important role in delivering a positive patient and customer experience by providing timely, accurate, and compassionate support throughout the sleep testing process. This position requires strong communication skills, attention to detail, sound judgment, and the ability to effectively manage multiple priorities while working both independently and as part of a cross-functional team. What success looks like: Provide profe

Beacon Biosignals is transforming precision medicine for the brain, from clinical development to clinical care. For Life Sciences partners, we offer the leading at-home EEG platform for clinical development of novel therapeutics for neurological, psychiatric, and sleep disorders. Our Diagnostics business is building the most comprehensive at-home platform for precision diagnostics, combining EEG and cardiopulmonary signals to deliver reimbursable assessments for sleep and central nervous system disorders. Together, we're changing the way patients are diagnosed and treated for any disorder that affects brain physiology. We are seeking a Clinical Trial Operations Associate to join us in our mission to make brain monitoring easily accessible, interpretable, and actionable. In this role, you will collaborate with clinical research sites, project teams, and internal stakeholders to support the deployment of Beacon’s devices in clinical studies. This role focuses on study startup, site management, and live-study monitoring, ensuring the highest quality standards and compliance with regulatory requirements. This role is fully remote anywhere in the Pacific or Mountain Timezones in the U.S. and will require up to 5% travel. Beacon's robust asynchronous work practices ensure a first-class remote work experience, but we also have in-person office hubs available located in Boston, New York, and Paris. What success looks like Collaborate with project teams to support study startup activities. Act as the primary point of contact for clinical sites, ensuring smooth operations and clear communication. Provide training to research sites on the use of Beacon’s devices and study protocols, ensuring proper device usage and data collection. Monitor project progress, ensuring adherence to timelines, protocols, and quality standards. Maintain compliance with Good Clinical Practice (GCP), International Conference on Harmonization (ICH) guidelines, and regulatory standards. A

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. At Baxter, our mission is to save and sustain lives. As a Sr. Clinical Solutions Specialist, you will partner with healthcare organizations to implement and optimize Baxter's Care Communications solutions, including nurse call and digital health technologies. In this role, you will apply your clinical knowledge to assess workflows, support system implementation, and guide organizations through the adoption of technology solutions that enhance communication and care delivery. Success is measured by the effective deployment of clinical solutions, customer adoption, and achievement of implementation milestones. Your Team You will be part of the Care Communications Clinical Operations team, supporting healthcare customers throughout the implementation lifecycle. The team works closely with Project Managers, Implementation Specialists, Engineers, Account Managers, and Care Communications leaders to deliver clinical technology solutions

call center BPO executive, also known as a customer care executive or customer service representative (CSR), is responsible for providing customer service and support to callers: Answering phones Responding to customer questions Assisting with customer issues Handling customer complaints Resolving customer complaints Ensuring a positive customer experience Building strong customer relationships BPO stands for business process outsourcing, which encompasses a broader range of activities than call centers. BPO includes customer-facing tasks like sales and marketing, as well as behind-the-scenes tasks like accounting and HR. Call centers, on the other hand, primarily focus on customer communication and support

call center BPO executive, also known as a Customer Care Representative (CSR), is a frontline employee who provides customer service and support through various channels. Their responsibilities include: Customer service: Answering customer questions, complaints, and concerns Technical support: Providing assistance with products and services Communication: Communicating with customers via phone, email, chat, or social media Problem resolution: Evaluating problems and providing solutions Building relationships: Ensuring a positive customer experience and building strong customer relationships Other duties of a call center representative include: Processing orders, forms, and applications Taking orders Processing returns Providing information about products and services

Where Performance Meets Purpose Iconic golf brands. Commitment to excellence. Colleagues who care. Working at Acushnet Company means you bring your background and experience to a company with a rich history of creating the best products for dedicated golfers around the world. Your performance has purpose at Acushnet Company. What You Will Be Doing: As a member of the Titleist & FootJoy Marketing Team, the CRM/Email Marketing Specialist is responsible for planning and executing global and local communication strategy with consumers through direct management of email marketing programs, customer lifecycle and retention marketing programs, and connecting customer data from throughout the organization. The CRM/Email Marketing Specialist will become a thought leader as it relates to customer lifecycle management and optimizing engagement with consumers through our CRM platform. The successful candidate will partner with DTC teams, creative, digital marketing, and product marketing teams to maximize lifetime value of consumer relationships as well as drive engagement and growth throughout each community through various marketing initiatives. Primary Responsibilities · Mange & maximize e-mail marketing program: Accountable for email marketing execution, creative briefing and development process, QA and deployment, and performance evaluation. This includes managing the local campaign calendar, managing the creative production process by leveraging our Digital Marketing and Creative teams to build appropriate content briefs, creative & copy development, and site experience. Grow triggered email program by driving revenue through on-going optimization of creative, messaging, promotion, cadence and templates. · Develop sophisticated cross-channel consumer journeys to achieve specific business objective

Where Performance Meets Purpose Iconic golf brands. Commitment to excellence. Colleagues who care. Working at Acushnet Europe means you bring your background and experience to a company with a rich history of creating the best products for dedicated golfers around the world. Your performance has purpose at Acushnet Europe. Based in St Ives, Cambridgeshire, our golf products are recognized globally for their unmatched quality, made possible by the dedication and pride we put into everything we do. Looking to kick-start your career in data analytics with a global company? We're looking for a Data Analyst to join our team on a 6-month fixed-term contract. This is an excellent opportunity for a graduate or someone early in their analytics career to gain hands-on experience in a global business, supporting our Brand, Sales and Business Intelligence teams with meaningful data and insight. What you'll be doing &#x1f539; Collecting and analysing market, sales and consumer data. &#x1f539; Updating and maintaining Power BI dashboards and reports. &#x1f539; Designing, analysing and reporting on consumer surveys. &#x1f539; Supporting Brand and Sales teams with ad hoc analysis and reporting. &#x1f539; Assisting the BI team with data preparation and SAP-related projects. &#x1f539; Improving customer segmentation and business reporting. &#x1f539; Helping colleagues make better use of data and visualisation tools. What we're looking for &#x1f539; Degree-level education or equivalent. &#x1f539; Some experience in data analysis, business intelligence, market research or reporting through work experience, internships or university projects. &#x1f539; Strong Excel skills and experience using Power BI or similar reporting tools. &#x1f539; A curious, analytical mindset with excellent attention to detail.