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Member Of Technical Staff Tlp Jobs

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Cvshealth
📍 Work From Home, United States• Remote
27 days ago

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. Schedule: Monday-Friday 8AM - 5PM Travel: Up to 55-75% travel in and around Yale New Haven, CT. Position Summary Program Overview Help us elevate our patient care to a whole new level! Join our Community Care team as an industry leader in serving our members by utilizing best-in-class operating and clinical models. You can have life-changing impact on our Community Care members. Community Care is a member centric, team-delivered, community-based care management model that joins members where they are. 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. Family Summary/Mission Facilitate the delivery of appropriate benefits and/or healthcare information which determines eligibility for benefits while promoting wellness activities. Develops, implements, and supports Health Strategies, tactics, policies, and programs that ensure the delivery of benefits and to establish overall member wellness and successful and timely return to work. Services and strateg

REMOTEExcel
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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 Case Manager – Field in Suffolk, Brooklyn, Kings and Queens and surrounding counties, NY Position Summary: This position is a field‑based Registered Nurse (RN) role responsible for conducting member assessments for new NY Better Health enrollees, annual reassessments, semiannual reviews, and change‑in‑condition visits. The nurse will complete 2–3 home visits per day, with all documentation expected within 24 hours of each assessment. The role requires extensive travel (up to 75%) across assigned Suffolk and Surrounding Counties, NY and close collaboration with the Scheduler/CM Assistant who coordinates Work hours are Monday–Friday, 8:30 a.m.–5:00 p.m. EST. Key Responsibilities: Initial Assessments — Conduct member assessments for new NY Better Health applicants. Reassessments — Perform annual, semiannual, and change‑in‑condition assessments per regulatory and plan requirements. Clinical Documentation — Submit complete, accurate documentation within 24 hours of each visit. Care Coordination — Communicate findings to interdisciplinary teams to support care planning. Travel & Scheduling — Maintain punctuality and reliability for 2–3 daily home visits coordinated by the scheduling team. Independent Work — Operate effectively in a remote/telephonic environment while collaboratin

C
29 days ago

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. Utilization Management Nurse Consultant Clinical Precertification RN (Medicare) Remote | Full-Time | Weekday Schedule Are you a Registered Nurse ready to make an impact beyond the bedside? Join our team and use your clinical expertise to ensure members receive the right care at the right time. What You’ll Do Review clinical cases and make coverage determinations using evidence-based guidelines Collaborate with providers and care teams to coordinate appropriate treatment Apply clinical judgment to support utilization and benefit management decisions Identify opportunities to improve care quality and member outcomes Serve as a clinical resource across internal and external stakeholders What You Bring - REQUIRED Active, unrestricted RN license in the state of residence. 3&#43; years of RN experience, including 1&#43; year in Med/Surg Strong clinical assessment and decision-making skills Experience with Microsoft Office (Outlook, Teams, Excel) Ability to work Monday–Friday, 9:00 AM–6:00 PM in your time zone. Utilization Management is a 24/7 operation and work schedules will include holidays and evening hours Associate Degree in Nursing Nice to Have Utilization Management or Prior Authorization experience Managed care background</l

REMOTEExcel
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C
Citi
📍 Huntington New York United States• $61.3K – $85.5K/yr
29 days ago

The Personal Banker SAFE Act is an entry level position responsible for the assistance in the execution of sales, products or service activities in coordination with the customer service team. The overall objective of this role is to foster relations with customers to build loyalty and to help increase sales to individual consumer clients. Responsibilities: Work with business credit requests less than $250K, recognize/refer larger lending opportunities and cross sell treasury and related small business products Build referral business opportunities through Centers of Influence (COIs) and the Member Get Member (MGM) Program Assist in strategies to grow the small business client and implement appropriate sales plans to target Book of Business customers Deliver client services/outbound calls/inbound calls to acquire new relationships and deepen existing relationships through the cross-sell of relevant products and services while delivering remarkable client experience Provide Tellers and other branch staff with coaching and guidance on products and special programs, identifying client needs, and providing appropriate referrals Recognize transaction needs of clients, educate clients on all service and digital channels and leverage technology/ marketing tools available to uncover opportunities, and present product offers/financial solutions Understand and comply with Citibank policies, standards and procedures Appropriately assess risk when business decisions are made, demonstrating particular consideration for the firm's reputation and safeguarding Citigroup, its clients and assets, by driving compliance with applicable laws, rules and regulations, adhering to Policy, applying sound ethical judgment regarding personal behavior, conduct and business practices, and escalating, managing and reporting control issues with transparency. Qualifications:</u

artificial intelligenceaicustomer service
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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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

REMOTEsqlPower BITableau
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C
29 days ago

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 Fraud, Waste, and Abuse (FWA) Analyst II identifies and develops potential healthcare fraud leads through data mining, claims analysis, and investigative research. As a key contributor to the SIU lead development process, this role evaluates provider, member, pharmacy, and ancillary healthcare billing patterns for signs of fraud, waste, abuse, and other anomalies. The Analyst II uses internal claims data, analytical tools, business rule results, and industry intelligence to assess potential FWA concerns and determine whether they warrant formal investigation. This role requires strong analytical skills, healthcare claims expertise, and the ability to translate complex data into actionable investigative leads and recommendations. Essential Responsibilities Lead Development & Fraud Detection Develop proactive and reactive leads to identify potential fraud, waste, and abuse. Generate FWA leads by mining claims databases, reporting tools, and investigative systems. Validate and refine leads generated by business rules to assess their credibility and investigative value. Examine spike analyses, utilization trends, payment anomalies, and outlier reports for unusual billing patterns. Evaluate provider, member, pharmacy, DME, transportation, and facility billing for indicators of fraud or abuse. Moni

REMOTEsqlPower BITableau
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H
Humana
📍 Miramar• $64K – $87.5K/yr
29 days ago

Become a part of our caring community The Occupational Therapy Assistant assists the Occupational Therapist with client related activities and performs delegated procedures commensurate with education and training. All services are initiated and provided under the direction of plan of treatment established by a physician. Evaluations are performed by peers. Occupational Therapist Assistant (OTA) job duties and responsibilities are to participate as a team member who contributes to total client care under the direction and supervision of a Licensed Occupational Therapist. Administer treatment program in accordance with the Plan of Care. Teach activities of daily living. Provide training in proper use of prosthetic devices and adaptive equipment. Observe, records and reports to supervisor conditions, reactions and responses related to assigned duties. Observes and reports to Licensed Occupational therapist changes in the client’s condition and level of function, results of testing and responses to therapeutic program. Provides appropriate documentation of services in keeping with Agency policies and procedures. Respects patients’ rights, cultural beliefs. Maintains strictest confidentiality of all patient/Agency information. Adheres to all Agency policies and procedures including HIPAA. Accepts only those assignments for which qualified. Use your skills to make an impact Required Qualifications Currently licensed in the State of Florida CPR certification OSHA Certificate HIV/AIDS Certificate HIPAA Certificate Alzheimer's Certificate Medical Errors Certificate Domestic Violence Certifica

recruitment
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C
1mo ago

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. Title: Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care team member operating within a Value-Based Care model, which prioritizes patient health outcomes and long-term wellness. In this model, the Center Nurse supports the health of patients by utilizing standards, guidelines and pathways for care delivery to prevent complications before they occur. Our Center Nurses drive quality care through clinical assessments, chronic condition management, and collaborating with the care team to reduce avoidable hospitalizations. You will foster an engaging and welcoming environment through effective team communication and delegation, empowering everyone on the team to deliver the best care to our patients. Our Center Nurses report to the Practice Manager. Core Responsibilities: Support patient assessment and prioritization for both walk-in and telephonic triage to ensure patients receive the right level of care and avoid unnecessary hospital visits. Execute protocol-driven chronic condition management. Perform skilled nursing procedures including wound care and medication administration (including vaccines). Provide comprehensive patient and caregiver education regarding chronic conditions and preventative care in person, over the

C
1mo ago

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. Title: Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care team member operating within a Value-Based Care model, which prioritizes patient health outcomes and long-term wellness. In this model, the Center Nurse supports the health of patients by utilizing standards, guidelines and pathways for care delivery to prevent complications before they occur. Our Center Nurses drive quality care through clinical assessments, chronic condition management, and collaborating with the care team to reduce avoidable hospitalizations. You will foster an engaging and welcoming environment through effective team communication and delegation, empowering everyone on the team to deliver the best care to our patients. Our Center Nurses report to the Practice Manager. Core Responsibilities: Support patient assessment and prioritization for both walk-in and telephonic triage to ensure patients receive the right level of care and avoid unnecessary hospital visits. Execute protocol-driven chronic condition management. Perform skilled nursing procedures including wound care and medication administration (including vaccines). Provide comprehensive patient and caregiver education regarding chronic conditions and preventative care in person, over the

G
1mo ago

Gong harnesses the power of AI to transform how revenue teams win. The Gong Revenue AI Operating System unifies data, insights, and workflows into a single, trusted system that observes, guides, and acts alongside the world’s most successful revenue teams. Powered by the Gong Revenue Graph, AI-powered intelligence, specialized agents, and trusted applications, Gong helps more than 5,000 companies around the world deeply understand their teams and customers, automate critical sales workflows, and close more deals with less effort. For more information, visit www.gong.io. At Gong, you will join a company built on innovative products, ambitious goals, and passionate people. We are shaping the future of revenue intelligence and we want people who are excited to build what comes next. You will work with a team that dreams big, moves fast, and cares deeply about the craft and about each other. Here, transparency and trust are core to how we operate, and every person has the opportunity to make a visible impact. If you want to grow, stretch, and do work that truly matters, Gong is the place to do the best work of your career. As a Mid-Market Sales Manager you will build and develop a team of Account Executives within a fast-paced environment. This team will be focused exclusively on selling Gong Foundations to net new customers. RESPONSIBILITIES Hire, train and develop an accomplished team of net-new Mid-Market Account Executives focused on hunting and closing new business Develop and coach the sales, product, and industry skills of each team member, with an emphasis on prospecting and new business acquisition Assist your team throughout their sales cycles to help them land six figure new-logo accounts Regularly report on both team and individual results, including new logo/pipeline generation metrics Identify and make recommendations for improvement in the areas of process, efficiency and productivity across the new business sales motion QUALIFICATIONS Located in the tri-

P
1mo ago

Why project44? At project44, we believe in better. We challenge the status quo because we know a better supply chain isn’t just possible—it’s essential. Better for our customers. Better for their business. Better for the world. With our Decision Intelligence Platform, Movement, we’re redefining how global supply chains operate. By transforming fragmented logistics data into real-time, AI-powered insights, we empower companies to connect instantly, see clearly, act decisively, and automate intelligently. Our Supply Chain AI enhances visibility, drives smarter execution, and unlocks next-gen applications that keep businesses moving forward. Headquartered in Chicago, IL, with a 2nd HQ in Bengaluru, India, we are powered by a diverse global team tackling the toughest logistics challenges with innovation, urgency, and purpose. AI at project44 We expect every project44 team member, regardless of role or function, to actively leverage AI in their day-to-day work. Whether you’re building product, serving customers, managing people, or running operations, AI is a tool you’re expected to use with intent, curiosity, and judgment. We don’t expect everyone to be a data scientist. We do expect everyone to be an intelligent user of AI: able to identify where it adds value, direct it effectively, evaluate outputs critically, and govern it responsibly. We invest in our team’s AI fluency because we believe it’s a competitive advantage for every person at project44, not just our engineers. If you’re driven to solve meaningful problems, leverage AI to scale rapidly, drive impact daily, and be part of a high-performance team – we should talk. Customer Success Manager We are looking for a Customer Success Manager to join our EMEA Customer Experience Team, working alongside Professional Services, Managed Services, Sales, Support, Product and Engineering to ensure our customers realize lasting value from th

aisalesforcesupply chain
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The Team Member-Purchase to Deliver is responsible for executing day-to-day activities in the purchase requisition to receipt cycle. This includes creating and processing purchase orders, managing post-PO processes (such as order acknowledgment, vendor coordination, BG tracking, and inspection coordination), and supporting the receipt of materials and services. The role ensures timely and accurate processing of procurement transactions in SAP and Ariba, maintains compliance with governance processes, and supports the resolution of operational issues under the guidance of the Lead-Purchase to Deliver. GCC will also build Future Leaders capabilities for Senior Functional Leadership roles in the Adani Group businesses. Vision for the GCC is to be the most Trusted & Value-Adding Partner to all its Stakeholders through Highest Quality of Services at most efficient cost consistently. Key deliverables for GCC: Source: Adani Group | Job ID: 58359

SAPprocurement
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The Team Member-Purchase to Deliver is responsible for executing day-to-day activities in the purchase requisition to receipt cycle. This includes creating and processing purchase orders, managing post-PO processes (such as order acknowledgment, vendor coordination, BG tracking, and inspection coordination), and supporting the receipt of materials and services. The role ensures timely and accurate processing of procurement transactions in SAP and Ariba, maintains compliance with governance processes, and supports the resolution of operational issues under the guidance of the Lead-Purchase to Deliver. GCC will also build Future Leaders capabilities for Senior Functional Leadership roles in the Adani Group businesses. Vision for the GCC is to be the most Trusted & Value-Adding Partner to all its Stakeholders through Highest Quality of Services at most efficient cost consistently. Key deliverables for GCC: Source: Adani Group | Job ID: 57209

SAPprocurement
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The Team Member-Purchase to Deliver is responsible for executing day-to-day activities in the purchase requisition to receipt cycle. This includes creating and processing purchase orders, managing post-PO processes (such as order acknowledgment, vendor coordination, BG tracking, and inspection coordination), and supporting the receipt of materials and services. The role ensures timely and accurate processing of procurement transactions in SAP and Ariba, maintains compliance with governance processes, and supports the resolution of operational issues under the guidance of the Lead-Purchase to Deliver. GCC will also build Future Leaders capabilities for Senior Functional Leadership roles in the Adani Group businesses. Vision for the GCC is to be the most Trusted & Value-Adding Partner to all its Stakeholders through Highest Quality of Services at most efficient cost consistently. Key deliverables for GCC: Source: Adani Group | Job ID: 57207

SAPprocurement
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The Team Member-Purchase to Deliver is responsible for executing day-to-day activities in the purchase requisition to receipt cycle. This includes creating and processing purchase orders, managing post-PO processes (such as order acknowledgment, vendor coordination, BG tracking, and inspection coordination), and supporting the receipt of materials and services. The role ensures timely and accurate processing of procurement transactions in SAP and Ariba, maintains compliance with governance processes, and supports the resolution of operational issues under the guidance of the Lead-Purchase to Deliver. GCC will also build Future Leaders capabilities for Senior Functional Leadership roles in the Adani Group businesses. Vision for the GCC is to be the most Trusted & Value-Adding Partner to all its Stakeholders through Highest Quality of Services at most efficient cost consistently. Key deliverables for GCC: Source: Adani Group | Job ID: 57208

SAPprocurement
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