Case Management Associate Jobs

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. *Must reside in the state of Illinois* Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Registered Nurse utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management nurse facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 75% of the time from home location in and around Metro

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 75% of the time from home location in and around Central Illinois(Peoria, Tazewell, Knox, Stark, Fulton, Woodford, Mar

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 50-75% of the time from home location in and around East Central Illinois (Champaign, Vermilion, Ford, Piatt, Douglas,

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. Program Overview: Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members, who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members’ health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process. The Case Management Coordinator facilitates appropriate healthcare outcomes for members by providing assistance with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources Required Qualifications • Must reside in the state of Illinois •Must possess reliable transportation and be willing and able to travel up to 50-75% of the time from home location in and around North/Northwest Suburbs of Chicago. Mileage is reimbursed per our

Job Requisition ID # 26WD100483 Position Overview We are looking for an experienced Customer Service and Vendor Operations professional with 8+ years of experience in the Customer Service industry and 2–3+ years of team leadership experience. In this role, you will be responsible for driving vendor performance, customer experience, operational excellence, and continuous improvement. The ideal candidate is data-driven, customer-focused, and skilled at building and managing strong relationships with cross-functional stakeholders and vendor partners. Responsibilities Own and drive vendor performance and customer experience metrics for assigned teams Monitor vendor performance against Service Level Agreements (SLAs), Key Performance Indicators (KPIs), and operational targets to ensure consistent performance Drive improvements across Productivity, First Contact Resolution (FCR), Customer Satisfaction (CSAT), CSCI, Average Handling Time (AHT), MRT, and Sales Leads Execute operational strategies and best practices in collaboration with vendor partners and internal stakeholders Conduct regular performance reviews, audits, and operational reviews with Operations Leads, ELs, POD Subject Matter Experts (SMEs), and OMs Ensure effective daily case management and timely resolution of customer issues Leverage Quality Assurance (QA) insights, performance data, and trends to identify coaching and process improvement opportunities Perform data analysis and Root Cause Analysis (RCA) to identify operational gaps, risks, and imp

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 Manager, Underwriting Unit Lead , you will provide leadership and strategic direction for a team supporting Medicare underwriting activities across the Public and Labor, National Accounts, and Middle Market segments. In this role, you will drive operational excellence, support profitable growth, and ensure the delivery of high-quality underwriting services that contribute to business success. You will be responsible for leading a high-performing underwriting team, achieving key financial and operational objectives, and supporting case management activities that enable accurate, timely, and competitive underwriting outcomes. This position offers the opportunity to collaborate with business partners across the organization, influence underwriting strategy, and help shape the future of our underwriting operations. Key Responsibilities Lead and support an underwriting team responsible for delivering high-quality underwriting services aligned with business objectives and performance metrics. Manage team production, prioritize workloads, and ensure the effective execution of underwriting activities in a dynamic environment. Assess staffing and training needs and develop talent to build a strong and engaged organization. Drive continuous improvement initiatives focused on productivity, process efficiency, rating accurac

This is Adyen Adyen provides payments, data, and financial products in a single solution for customers like Meta, Uber, H&M, and Microsoft - making us the financial technology platform of choice. At Adyen, everything we do is engineered for ambition. For our teams, we create an environment with opportunities for our people to succeed, backed by the culture and support to ensure they are enabled to truly own their careers. We are motivated individuals who tackle unique technical challenges at scale and solve them as a team. Together, we deliver innovative and ethical solutions that help businesses achieve their ambitions faster. About the Team: Our Customer Risk Review team is seeking an experienced Senior CDD Risk Analyst with a strong compliance and regulatory background and deep CDD knowledge. In this role, you will drive high-complexity risk reviews, lead direct customer engagements, and work cross-functionally with Quality Assurance, Compliance and Commercial teams to help scale the process while balancing risk mitigation with strategic business growth. What You’ll Do End-to-End Case Management: Manage periodic reviews for high-risk enterprise customers, from initial assessment through final remediation. This involves conducting in-depth due diligence, analyzing complex ownership structures, and adhering to all regulatory obligations and internal policies are met within strict timelines. Uphold Quality & Consistency: Maintain "First-Time-Right" accuracy, perform regular quality control checks for the team, upskill team members on quality standards, ensure accurate risk reasoning, follow SOPs strictly, and maintain high-quality decision-making across all casework. Peer Mentorship: Coach peers, guide the team through complex cases, support upskilling team quality, and foster a culture of proactive risk management. Policy Alignment & Operational Excellence: Lead calibration sessions to translate Second Line compliance requirements into pract

We take play seriously. We’re looking for curious adventurers ready to find their party, fueled by imagination and drive to build what’s never been built before. At Hasbro and Wizards of the Coast, you’ll collaborate with passionate teams to reimagine our iconic brands and create experiences that spark joy, connection, and community through the magic of play. This is your chance to shape legendary play that lasts a lifetime. At Wizards of the Coast, we connect people around the world through play and imagination. From our genre-defining games like Magic: The Gathering® and Dungeons & Dragons® to our growing multiverse, we continue to innovate and build new ways to foster friendship and connection. That’s where you come in! About the Role: We're looking for a thoughtful and detail-oriented Trust & Safety Analyst to help support and uphold the values of our Wizards Play Network (WPN) and Organized Play programs. In this role, you'll help ensure a positive, safe, and welcoming environment across our global community by working with partners and players to resolve concerns with care and consistency. You'll manage a caseload of investigations, communicate outcomes internally and to our community. You will collaborate with internal teams to promote transparency, fairness, and trust. By blending case management, policy application, and trust & safety principles, you'll play an important role in maintaining the integrity of our play spaces and supporting a healthy experience for our game communities. Responsibilities: Conduct complex, sensitive investigations end to end, gathering evidence from internal systems and external context, documenting findings, and applying program rules with sound judgment. Communicate clearly with partners and players about policy outcomes, maintaining professionalism in all interactions. Define and improve the processes and standards the broader team uses to manage inquiries, investigations, and communications with ti

Banking hasn't changed much in decades. We're changing that. One product at a time. Lunar is a Nordic challenger bank building the future of financial life with AI at the core. Our engineers, designers, and product people work on problems that actually matter. Making money simpler, smarter, and more rewarding for a million of registered users across the Nordics. Fully licensed and founded in 2015, with offices in Copenhagen, Aarhus and Stockholm. We move fast, we build with purpose, and we're just getting started. As our new FCP Onboarding Specialist you'll join the Financial Crime Prevention team based in Copenhagen, working to make sure every business customer starts their Lunar journey the right way — compliantly, quickly, and with care. What will you do? Own the end-to-end onboarding process for new business customers, keeping it smooth, compliant, and efficient from first contact to approval. Apply your KYC and AML expertise to assess and mitigate risk without letting it slow things down — quality and speed matter equally here. Handle complex cases independently using our custom-built case management system, making sound judgements under pressure. Collaborate closely with the broader FCP teams to ensure our processes meet regulatory requirements and hold up to scrutiny. Act as a knowledge partner for junior colleagues and contribute actively to improving workflows, automation efforts, and team performance. What are we looking for in you? 2+ years of experience in KYC, AML, or business customer onboarding — ideally from a regulated financial institution or fintech. Fluency in Danish and English, both written and spoken. A structured, detail-oriented way of working and a strong sense of risk awareness. Comfortable working with autonomy in a fast-paced environment where the goalposts move and priorities shift. A collaborative mindset — you take pride in your own output and actively help the people around you raise theirs. Benefits and perks 4 days in the office. W

Build something people love Wealthsimple is Canada’s leading financial innovator. The company offers a full suite of simple, sophisticated financial products across managed investing, do-it-yourself trading, cryptocurrency, tax filing, spending and saving. Wealthsimple currently serves more than 4 million Canadians and holds over $155 billion in assets under administration. The company was founded in 2014 by a team of financial experts and technology entrepreneurs, and is headquartered in Toronto, Canada. We're proud of what we've built — and we're just getting started. Read our Culture Manual and learn more about how we work . About the team The Financial Risk team is responsible for protecting Wealthsimple and its clients from fraud while enabling safe, fast, and scalable money movement. We own the Decision Platform — a real-time rules engine that processes streaming data to make fraud decisions across every major payment rail — as well as the tooling and automations that power fraud investigation workflows, transaction decisioning, account restrictions, and deposit holds. Our systems are the infrastructure layer that payment and money movement teams plug into to move money safely. About the role This is a platform PM role with a dual mandate: prevent fraud by building and tuning real-time interventions and decision rules, and enable fraud investigations by building automations and tooling that make our fraud operations team faster and more effective. You'll own a broad surface area — from the streaming decision engine that blocks fraudulent withdrawals in milliseconds, to the case management system that routes alerts to investigators, to the restriction and suspension frameworks that protect compromised accounts. What you'll do Own the product vision and strategy for the Financial Risk platform, balancing fraud prevention with client experience - every intervention has a cost, and you'll need to make sharp tradeoffs between friction and protection. Drive the road

Secure Every Identity, from AI to Human Identity is the key to unlocking the potential of AI. Okta secures AI by building the trusted, neutral infrastructure that enables organizations to safely embrace this new era. This work requires a relentless drive to solve complex challenges with real-world stakes. We are looking for builders and owners who operate with speed and urgency and execute with excellence. This is an opportunity to do career-defining work. We're all in on this mission. If you are too, let's talk. Okta is The World’s Identity Company. We free everyone to safely use any technology anywhere, on any device or app. Our Workforce and Customer Identity Clouds enable secure yet flexible access, authentication, and automation that transforms how people move through the digital world, putting Identity at the heart of business security and growth. At Okta, we celebrate a variety of perspectives and experiences. We are not looking for someone who checks every single box we’re looking for lifelong learners and people who can make us better with their unique experiences. The Technology Data and Intelligence (TDI) team at Okta is dedicated to boosting internal efficiency through the implementation of secure, scalable, and innovative systems. About the Role We are looking for a Senior Salesforce Product Analyst to join the TDI team and help scale our internal systems with a focus on security and reliability. You will leverage your deep knowledge of CPQ and Sales Cloud, covering everything from provisioning to case management, to partner with GTM teams and uncover data-driven efficiencies. In this role, your work will bridge the gap between business needs and technical solutions to drive operational success. Key Responsibilities: Requirements Gathering and Analysis: Work closely with business stakeholders to understand their requirements and challenges, translating them into detailed and actionable user stories. Conduct thorough analysis of existing proc

The Starting Hourly Rate / Salario por Hora Inicial is $18.50 USD per hour. The Pay Range / Rango salarial is $18.50 USD - $27.75 USD per hour. ALL ABOUT TARGET As a Fortune 50 company with more than 400,000 team members worldwide, Target is an iconic brand and one of America's leading retailers. Working at Target means the opportunity to help all families discover the joy of everyday life. Caring for our communities is woven into who we are, and we invest in the places we collectively live, work and play. We prioritize relationships, fuel and develop talent by creating growth opportunities, and succeed as one Target team. At our core, our purpose is ingrained in who we are, what we value, and how we work. It's how we care, grow, and win together. ALL ABOUT ASSETS PROTECTION Assets Protection (AP) teams function to keep our guests, team and brand safe and secure and lead through crisis events. They protect profitable sales by mitigating shortage risks, preventing, investigating and resolving theft and fraud to ensure product is available for our guest. At Target, we believe in our team members having meaningful experiences that help them build and develop skills for a career. The role of a Target Security Specialist can provide you with the: Skills using intelligence-led tactics to keep team members and guests safe and secure Experience in crisis response, safety and crowd management; providing support to both guests and team members Skills in de-escalation as well as experience with recovering stolen merchandise to prevent shortage Ability to utilize Target's video surveillance system Ability to properly document cases using industry case management systems As a Target Security Specialist, no two days are ever the same, but a typical day will most l

Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs and requirements. This evaluation aims to achieve and/or maintain an optimal wellness state. The Coordinator does this by guiding members/families toward resources and facilitating interaction with them. These resources are appropriate for the care and wellbeing of members. The Care Coach 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Position Responsibilities: Support the ongoing member transitions in and out of the Indiana Medicaid programs, the Contractor's enrollment, and among care settings. Complete transitions and assists with the planning and preparation for them, and the follow-up care after. Works with the Member Advocate Coordinator and other member-focused departments of the plan. This collaboration ensures continuity and coordination of care and member and provider communication through the initial transition, ongoing benefit plan, and MCE transfers. Ensure the transfer and receipt of all outstanding prior authorization decisions, utilization management data, and clinical information such as prevention and wellness programs(s), care management and complex case management notes. Help with transitions from the custodial setting to the home and community-based setting. We ask that you have telephonic and in-person meetings within an assigned region. The purpose of these meetings is to work with various stakeholders, including long-term care members, hospital/rehab staff discharge planners, family members/POA's, PCP's, and other healthcare professionals. The ultimate goal is to prevent custodial placements whenever possible. Assess and evaluate member's needs to establish a member specific car

Our Purpose Mastercard powers economies and empowers people in 200+ countries and territories worldwide. Together with our customers, we’re helping build a sustainable economy where everyone can prosper. We support a wide range of digital payments choices, making transactions secure, simple, smart and accessible. Our technology and innovation, partnerships and networks combine to deliver a unique set of products and services that help people, businesses and governments realize their greatest potential. Title and Summary Manager, Customer Performance, Brand Overview Mastercard operates the world’s fastest payment processing network, connecting consumers, financial institutions, merchants, governments, and businesses in more than 210 countries and territories. Every day, everywhere, we use our technology and expertise to make payments safe, simple and smart. We know safety and security are the top priorities of our customers, cardholders and partners, so we won’t stand still in developing new and better ways to keep payments safe. Do you have experience managing investigations, risk, compliance, audit, merchant monitoring, or brand protection processes? • Do you have strong knowledge of investigative case management, referral intake, evidence review, customer response evaluation, and assessment support? • Are you a people leader with sound judgment, stakeholder management, and program execution skills? • Are you collaborative, detail-oriented, and able to manage a global investigations function that complements operations, enablement, and governance routines? Mastercard’s Franchise Brand Performance Team advances ecosystem health and profitability by engaging our customers to optimize performance and to enhance the strength of our brand, acceptance network, and data. Role • Ensure investigations are

JOIN OUR TEAM As a Customer Care Back Office Advisor , you are part of the team that supports the everyday customer experience at Westwing. You will work behind the scenes to support customer inquiries, resolve issues, and make sure every customer receives efficient, helpful, and solution-oriented support throughout their journey. Your day-to-day work covers a wide range of customer care topics across the different markets in which Westwing operates, from product and payment-related questions to delivery topics, returns, and collections. You will work closely with our Front Office team and external partners to coordinate solutions, ensure customer concerns are addressed effectively, and help deliver the best possible outcome in a timely manner. Bringing reliability, empathy and a strong solution-oriented mindset to every interaction, you will play a key role in strengthening customer loyalty and reflecting our brand values at every customer touchpoint. This position is unlimited and based in Munich. WHAT YOU'LL DO Support the management and resolution of customer issues by coordinating with external partners, including suppliers, carriers, and warehouses Assist the Front Office team with customer claims and escalations, ensuring timely and effective resolutions Monitor and document issues and process gaps throughout the customer journey, from purchase to delivery Collaborate closely with Logistics Operations, Finance, Quality, Supply Chain, and other internal stakeholders to resolve cases and improve processes Identify recurring customer needs and contribute to continuous service and process improvements Ensure a high standard of quality, accuracy, and professionalism across all customer-related communications and case management activities YOU COME WITH Experience in Customer Service, Customer Support, or a similar customer-facing role Strong organisational skills with the ability to prioritise effectively in a fast-paced environment Ability to collaborate confiden