Eligibility Consultant 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. Position Summary Under general supervision, verifies enrollment status, makes changes to member/client records, and addresses a variety of enrollment questions or concerns. Maintains enrollment databases and coordinates electronic transfer of eligibility data. Responds, researches, and resolves eligibility and other enrollment related issues involving member specific information; works directly with clients, field marketing offices and/or local claim operations to achieve positive service outcomes. Applies all appropriate considerations associated with technical requirements, legislative/regulatory policies, account structure and benefit parameters in addressing eligibility matters. Develops tools, and provides coding supplements, tape specifications and error listing to clients/vendors. Acts as the liaison between clients, vendors, and the IT department with defining business requirements associated with non-standard reporting; identifies potential solutions and approves programming specifications required for testing any non-standard arrangements. Ensures all transactions interface accordingly with downstream systems; tests and validates data files for new or existing clients using system tools and tracks results to avoid

Eligibility Consultant — East Lansing-3100 West Road. Apply via Workday.

Here at Appian, our values of Intensity and Excellence define who we are. We set high standards and live up to them, ensuring that everything we do is done with care and quality. We approach every challenge with ambition and commitment, holding ourselves and each other accountable to achieve the best results. When you join Appian, you’ll be part of a passionate team dedicated to accomplishing hard things, together. Location & Eligibility: This is a remote role based in Dubai and covering Middle East region. Our Middle East team is small but highly talented and this is very much an emerging region for us with excellent growth potential. You will be our first SC hire in the region. We require a fluent Arabic and English speaker for the hire. The Role: As a Senior Advisory Solutions Consultant, you are the technical lead during the sales process. You will work with the sales team to show prospective clients how Appian’s platform works in practice. You must articulate the business value a prospective client can expect from implementing Appian solutions. This role follows our SC 2.0 model - which means moving beyond basic feature demos to act as a strategic partner for our customers. You will co-create solutions with them, using your technical background to help shape their long-term strategy. You can read more about the SC 2.0 approach here . This position requires the technical creativity to build working prototypes and the business sense to explain why they matter. You will be responsible for handling technical objections, answering detailed product questions, and making sure potential customers understand exactly how our software fits into their business and provides value. What you’ll do: Work with Account Executives to meet sales goals across large accounts in Middle East. Manage all technical aspects of a sales cycle, from initial meetings to final presentations. Work with the AE to complete comprehensive discovery and fully understand the clients busine

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. Registered Nurse must hold a CDCES- Certified Diabetes Care and Education Specialist This is a full-time telework role for a RN who resides in a compact state and holds a compact license. Working schedule: Monday-Friday, standard business hours, including 1 evening shift per week from 12:30- pm EST -The Health Coach Consultant utilizes a collaborative process of assessment, planning, implementation and evaluation, to engage, educate, and promote and influence member's decisions related to achieving and maintaining optimal health status for chronic conditions. - Assessment of members through the use of clinical tools and information/data review, conducts comprehensive evaluation of member's needs and benefit plan eligibility for available integrated internal and external programs/services. -Utilizes assessment techniques to determine member's level of health literacy, technology capabilities, and/or readiness to change. -Enhancement of Medical Appropriateness & Quality of Care: -Application and/or interpretation of applicable criteria and guidelines, health/wellness management plans, policies, procedures, regulatory standards while assessing benefits and/or member's needs to enable appropriate utilization of services and/or administration and integration with available internal/external programs. -Usi

Job Title : Medical Scientist – Haematology & Blood Transfusion Location : Cork, Ireland Hourly Rate : €35.00 – €50.00 Start Date : ASAP | Duration : Ongoing | Hours : Mon–Fri, 09:00–17:30 We are currently seeking a skilled and experienced Medical Scientist to join a dynamic laboratory team in Cork. This is an excellent opportunity to contribute to a busy diagnostic service where your expertise will be highly valued and supported. Key Responsibilities • Perform a wide range of haematology and blood transfusion tests, including morphology analysis, in accordance with laboratory protocols. • Maintain, calibrate, and troubleshoot laboratory equipment. • Ensure compliance with ISO 15189 and local health and safety standards. • Interpret complex test results and communicate findings effectively. • Collaborate with clinical teams to support diagnosis and treatment planning. Qualifications and Experience • CORU registration (or eligibility to register) • BSc in Biomedical Science (or equivalent recognised qualification) • Proven experience in haematology and blood transfusion, including morphology • Strong analytical and problem-solving skills • Excellent attention to detail and accuracy • Ability to work independently and as part of a multidisciplinary team Why Work with Us? From the moment you register, our focus is on you. Our experienced consultants understand the Irish healthcare landscape and are committed to finding roles that match your skills, preferences, and career goals. We offer: • Weekly payroll with competitive rates • Full compliance and onboarding support • Access to exclusive roles across Ireland • Dedicated consultant support throughout your placement Reasonable Adjustments : If you consider yourself disabled or require any reasonable adjustment during the re

Every day, tens of millions of people come to Roblox to explore, create, play, learn, and connect with friends in 3D immersive digital experiences– all created by our global community of developers and creators. At Roblox, we’re building the tools and platform that empower our community to bring any experience that they can imagine to life. Our vision is to reimagine the way people come together, from anywhere in the world, and on any device. We’re on a mission to connect a billion people with optimism and civility, and looking for amazing talent to help us get there. A career at Roblox means you’ll be working to shape the future of human interaction, solving unique technical challenges at scale, and helping to create safer, more civil shared experiences for everyone. As a Global Mobility Lead, you will report to the Global Mobility Manager who oversees Roblox’s worldwide immigration and relocation programs. As a member of Global Mobility team, this role will serve as a Subject Matter Expert for employees, managers, and internal stakeholders on complex immigration cases, implications, and relocation logistics. This role will ensure a seamless, compliant, and positive experience for employees and their families throughout their global mobility journey. You Will: Immigration Strategy & Compliance (Core Focus): Serve as Subject Matter expert on global immigration laws. Manage the full lifecycle of global work permit, visa, and residency applications, coordinating with external legal counsel. Conduct immigration assessments, determine eligibility, and identify risks. Ensure robust compliance, maintaining meticulous records and audit trails. Monitor regulatory changes and advise on impacts. Vendor Management & Collaboration: Manage relationships with global mobility service providers (immigration firms, relocation companies, tax consultants). Collaborate and advise HR Business Partners, Legal, Finance, and Payroll to ensure streamlined processes

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. If you're looking to make a global difference in your next role, this opportunity is for you. Aetna International is seeking an Analyst, Account Manager who is passionate about delivering an exceptional customer experience and supporting the ongoing success of our Access U.S. customers. In this role, you will partner with Account Managers, customers, brokers, and internal business partners to provide day-to-day operational and service support throughout the customer lifecycle. You will help drive customer satisfaction and membership retention through proactive coordination, accurate execution, consultative problem-solving, and timely issue resolution. The Access U.S. business provides comprehensive health benefit solutions for U.S.-based employees of multinational organizations. Through a range of medical plans, wellness programs, digital health tools, global support services, and dedicated account management, Access U.S. helps employers offer competitive benefits while providing members with access to high-quality care and a personalized health care experience. Position Summar y Supports the Account Management team in delivering a consistent, high-quality experience for Access U.S. customers, brokers, and members. Provides operational and administrative support across eligibility, enrollment, benefit documentation, customer service activities, and issue resolution. Collaborat

POSITION SUMMARY [update per job] SPECIFIC JOB RESPONSIBILITIES [update per job] Requirements EXPERIENCE REQUIRED [update per job] QUALIFICATIONS, SKILLS, & KNOWLEDGE [update per job] PROFESSIONAL DEVELOPMENT EXPECTATIONS [update per job] The base salary range for this role is $[update per job]. Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays, and paid sick time. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including applicable candidate experience, skills, education and other factors permitted by law. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this position. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of colleagues in the role. All colleagues may be required to perform duties outside of their normal responsibilities from time to time, as needed. Clearwater is committed to providing reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. Please inform Clearwater/Redspin’s Recruiting team if you need any assistance completing any forms or to otherwise participating in the application process. Mental/Physical Requirements: Fast paced environment handling multiple demands. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires the ability to use a personal computer for extended periods of time. Salary Description [update per job] Disclaimer: Th

Job Role - Inside Sales Executive (Logistics) Company Name: Viami Logistics and Consulting LLP Apply Now: Phone: +91 7796365165 Email: Location: M 614, M Wing, 5th Floor, Mega Center, Pune - Solapur Rd, behind Noble Hospital, Magarpatta, North Hadapsar, Hadapsar, Pune, Maharashtra 411028 Job Summary: We are looking for an enthusiastic and customer-focused Inside Sales Executive to join our logistics team. The ideal candidate will be responsible for generating leads, converting inquiries into business, maintaining relationships with existing clients, and promoting the company's logistics and transportation services. The candidate should have excellent communication skills and a passion for achieving sales targets. Key Responsibilities: Generate new business opportunities through calls, emails, and online platforms. Contact prospective customers and explain the company's logistics services. Follow up on leads and convert inquiries into confirmed business. Build and maintain strong relationships with existing and potential clients. Prepare quotations and negotiate pricing within company guidelines. Coordinate with the operations team to ensure smooth service delivery. Maintain accurate customer records and sales reports. Handle customer inquiries, complaints, and provide timely solutions. Achieve monthly sales targets and contribute to business growth. Stay updated on market trends and competitor activities. Required Skills: Proficiency in MS Office and basic computer applications. Strong communication, negotiation, and interpersonal skills. Ability to work in a target-driven environment. Good organizational and time management skills. Basic customer handling and problem-solving sk Eligibility: Bachelor's degree in any discipline. 0 3 years of experience in inside sales, telecalling, customer service, or logistics sales. Freshers with excellent communication skills may also apply. Preferred Skills: Basic understanding of logistics, tra

!Staff Nurse Germany Freshers Welcome B.Sc Nursing / GNM! Greetings from Naya Jobs Consulting Pvt. Ltd.! We are hiring Staff Nurses for exciting career opportunities in Germany. Job Role Position: Registered Nurse Location: Germany Qualification: GNM / B.Sc Nursing / M.Sc Nursing Experience: Freshers & Experienced candidates can apply Salary: 2,600 2,800 per month (as per employer and experience) What We Offer German Language Training (A1 B2) Genuine Germany Placement Visa & Documentation Assistance Interview Preparation End-to-End Relocation Support Career Growth in Germany Attractive Salary & Benefits Eligibility GNM / B.Sc Nursing / M.Sc Nursing Good communication skills Willingness to learn German and relocate to Germany Know someone looking for a Germany nursing opportunity? Refer your friends and colleagues! Interested candidates can apply now or contact us for more details. +91 63809 22729 Role: Registered Nurse Industry Type: Facility Management Services Department: Healthcare & Life Sciences Employment Type: Full Time, Permanent Role Category: Nursing Education UG: Diploma in General Nursing And Midwifery, B.Sc in Nursing Key Skills Skills highlighted with are preferred keyskills Nursing Patient CareSurgicalOTOperation TheatreGynecologyGNMMidwiferyTamil NaduICUEmergencyB.sc Nursing

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 This position is for a Clinical Pharmacist working in the Prior Authorization team. - Collaborates with the technicians and prior authorization team members to process referrals, including answering clinical questions and collecting appropriate clinical/medical data needed to perform clinical assessments and reviews as per the health plan/employer-agreed criteria within the designated service level agreements. - Evaluate and review all prior authorization requests and render coverage determinations based on clinical criteria and plan design. Includes verifying insurance coverage and eligibility, interpreting clinical guideline criteria, consulting physicians and other healthcare providers, and appropriately utilizing clinical knowledge and resources while complying with department protocols. - One of the crucial responsibilities is to guarantee that the decisions regarding cases are conveyed promptly and efficiently to all the healthcare providers, health plans/employers, patients, and other healthcare professionals following agreed-upon approval & denial management processes. - Performs and handles inbound and outbound phone calls with technicians, prior authorization team members, physicians, healthcare providers, and/or patients to facilitate prior authorization requests, answer inquiries, and/or resolve escalations. - Establishes and maintains communicat

Who We Are Addepar is a global data and AI platform empowering investment professionals to turn complex financial information into actionable intelligence. Addepar unifies portfolio, market and client data in a total portfolio view and delivers AI-powered insights within investment and client workflows. More than 1,400 firms in nearly 60 countries use Addepar to manage and advise on nearly $9 trillion in assets. Its open platform integrates with nearly 650 software, data and consulting partners to power end-to-end investment operations across firms of all sizes and complexity. Addepar supports clients worldwide with offices in New York City, Salt Lake City, London, Edinburgh, Pune, Dubai, Geneva, Singapore and São Paulo. The Role As part of the broader Data organization, the Data Onboarding team ensures clients have a seamless experience connecting their accounts from various financial institutions to Addepar. This role’s primary responsibilities is to assist clients with authorisation requirements for available data feeds, permission account data to authorized Addepar instances, and addressing all feed onboarding related inquiries and requests within SLAs. Client Data Onboarding Specialists sit at the nexus of Addepar's activity and require daily engagement with customers, data providers, and personnel across the organization. Applicants must have legal authorization to work in the country where this role is based on the first day of employment. Visa sponsorship is not available for this position. What You’ll Do Manage the data feed onboarding process for new Addepar clients, which includes but is not limited to: Communicate and explain the data onboarding workflow to clients over calls and emails Provide guidance and training to clients on account eligibility and authorisation requirements (e.g LOA forms) for existing and new portfolio data feeds Provision received accounts to the appropriate Addepar environments Work closely with data providers to tri

Who we are Graviton Research Capital is a privately funded quantitative trading firm. We trade across a multitude of asset classes and trading venues using a diverse range of concepts, from time series analysis and stochastic models to machine learning and statistical inference. We analyse terabytes of data to identify pricing anomalies and drive innovation in financial markets. Role Overview We are looking for a Program Manager who thrives at the intersection of rigorous engineering and predictable delivery. You will not just "manage tasks" — you will orchestrate the development lifecycle for mission-critical systems. Your goal is to ensure that our elite engineering teams can focus on high-performance code while you own the execution strategy, dependency mapping, and release discipline. Key Responsibilities Lead Agile ceremonies (Sprint Planning, Stand-ups, Retrospectives) tailored for deep-tech engineering teams. Transform high-level trading requirements into granular, executable backlogs. Own capacity planning and burn-down metrics to provide high-visibility delivery timelines. Navigate the complex interplay between engineering teams (e.g., Connectivity, Core Infrastructure, Simulation) to prevent bottlenecks. Build and maintain advanced Jira dashboards, automated roadmaps, and Confluence documentation that serve as the "single source of truth" for stakeholders. Proactively identify technical debt, architectural blockers, or resource gaps that threaten release stability. Continuously refine Agile methodologies to suit low-latency, performance-sensitive development cycles (where "Definition of Done" includes rigorous performance benchmarking). Eligibility & Required Skills 5+ years of experience as a TPM, Program Manager, or Scrum Lead in a product-engineering environment (HFT, FinTech, Networking, or Kernels/Systems). A strong grasp of the software development lifecycle for high-performance systems. While you won't write code, you must understand concepts li

Role: Application Reliability Engineer Location: Gurgaon Who we are Graviton Research Capital is a privately funded quantitative trading firm striving for excellence in financial markets research. We trade across a multitude of asset classes and trading venues using a diverse range of concepts, from time series analysis and stochastic models to machine learning and statistical inference. We analyse terabytes of data to identify pricing anomalies and drive innovation in financial markets. Key Responsibilities and Deliverables The ideal candidate will possess a strong background in technical support, with a passion for problem-solving and a commitment to excellence. As an Application Reliability Engineer, you will be responsible for: Monitor production services and respond quickly to alerts, incidents, and outages to ensure smooth operation and minimal downtime. Monitor trading systems and infrastructure., Triage issues across trading support services, databases, and infra; escalate and coordinate with the right owners, and drive root-cause analysis and ensure fixes are implemented for long-term stability. Serve as the first line of defense for trading operations. Proactively identify, address recurring issues, and build automation to reduce manual intervention. Improve observability by enhancing monitoring, logging, and alerting systems. Develop and maintain operational runbooks and SLO/SLA metrics. Eligibility and Required Skills Possess a degree in a highly analytical field, such as Engineering, or Computer Science 2-5 years of experience in Python, Shell/Bash scripting. Experience with Linux and shell/bash online tools. Hands-on experience with databases (SQL, NoSQL) Strong problem-solving and analytical skills Excellent communication skills Ability to remain calm and analytical under production pressure Good to have: Familiarity with monitoring/alerting stacks (Prometheus, Grafana, ELK, etc.) Familiarity with distributed messaging (Kafka) and caching systems (Red

The pay range per hour is $20.82 - $37.45. You may also earn additional compensation in the form of a shift differential, ranging from $2.00 to $3.50 per hour, based on eligibility. Pay is based on several factors which vary based on position. These include labor markets and in some instances may include education, work experience and certifications. In addition to your pay, Target cares about and invests in you as a team member, so that you can take care of yourself and your family. Target offers eligible team members and their dependents comprehensive health benefits and programs, which may include medical, vision, dental, life insurance and more, to help you and your family take care of your whole selves. Other benefits for eligible team members include 401(k), employee discount, short term disability, long term disability, paid sick leave, paid national holidays, and paid vacation. Find competitive benefits from financial and education to well-being and beyond at https://corporate.target.com/careers/benefits . About us: Working at Target means helping all families discover the joy of everyday life. We bring that vision to life through our values and culture. Learn more about Target here . Target Global Supply