Eligibility Consultant in United States

Job Details: Job Description: Join Intel and Build a Better Tomorrow What We Do The Intel Foundry Manufacturing Development and Customer Engineering (MDCE) and Logic Technology development (LTD) organizations delivers process technology innovation to drive Intel's product roadmap. What We Offer • We give you opportunities to transform technology and create a better future by delivering products that touch the lives of every person on earth • As a global leader in innovation and new technology, we foster a collaborative, supportive, and exciting environment where the brightest minds in the world come together to achieve exceptional results • We offer a competitive salary and financial benefits such as bonuses, life and disability insurance, opportunities to buy Intel stock at a discounted rate, and Intel stock awards (eligibility at the discretion of Intel Corporation) • We provide benefits that promote a healthy, enjoyable life: excellent medical plans, wellness programs, and amenities, time off, recreational activities, discounts on various products and services, and many more creative perks that make Intel a Great Place to Work Benefits We provide benefits that promote a healthy, enjoyable life: excellent medical plans, wellness programs, and amenities, time off, recreational activities, discounts on various products and services, and many more creative rewards that make Intel a Great Place to Work. Find more information about our amazing benefits here: Intel Benefits Key Responsibilities MDCE/LTD Semiconductor Senior Process Integration Development Engineers are responsible for leading scientific research enabling the manufacture

Apply to join our team today! Warehouse Worker roles starting at $24.90 per hour. The pay range is $24.90 to $27.90 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently throughout a shift. Able to lift and carry merchandise weighing up to 60 lbs. occasionally throughout a shift. Able to push utility carts up to 60 lbs., use carts, hand trucks, and other equipment to move items. Stand, walk, push, pull, squat, bend, and reach during shifts

Apply to join our team today! Warehouse Worker roles starting at $24.25 per hour. The pay range is $24.25 to $28.66 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently throughout a shift. Able to lift and carry merchandise weighing up to 60 lbs. occasionally throughout a shift. Able to push utility carts up to 60lbs, use carts, hand trucks, and other equipment to move items. Stand, walk, push, pull, squat, bend, and reach during shifts. <

Apply to join our team today! Warehouse Worker roles starting at $21.85 per hour. The pay range is $21.85 to $25.02 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently throughout a shift. Able to lift and carry merchandise weighing up to 60 lbs. occasionally throughout a shift. Able to push utility carts up

Apply to join our team today! Warehouse Worker roles starting at $24.50 per hour. The pay range is $24.50 to $26.95 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role as a Warehouse Worker look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Job requirements: Able to lift and carry merchandise weighing 35-50 lbs. frequently throughout a shift. Able to lift and carry merchandise weighing up to 60 lbs. occasionally throughout a shift. Able to push utility carts up to 60 lbs., use carts, hand trucks, and other equipment to move

Apply to join our team today! Warehouse Associate roles starting at $20.70 per hour. The pay range is $20.70 to $22.80 per hour. Warehouse Worker roles starting at $23.10 per hour. The pay range is $23.10 to $25.55 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role. What does a role in Warehouse Operations look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement Maintains positive and respectful attitude while working independently and in a team environment. Please note job duties may change at any time due to business needs. Based on business needs and requirements for a role within Warehouse Operations, you will be considered for the role of Warehouse Worker or Warehouse Associate based on your responses to the questionnaire and assessment you’ll complete during the application process. Requirements associated for each of these roles are outlined below. Additional details on the specific job d

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 Review and adjust SF (self-funded), FI (fully insured), Reinsurance, and/or RX claims; adjudicates complex, sensitive, and/or specialized claims in accordance with claim processing guidelines. Process provider refunds and returned checks. May handle customer service inquiries and problems. Perform adjustments across all dollar amount level on customer service platforms by using technical and claims processing expertise. Applies medical necessity guidelines, determine coverage, complete eligibility verification, identify discrepancies, and apply all cost containment measures to assist in the claim adjudication process. Performs claim re-work calculations. Follow through completion of claim overpayments, underpayments, and any other irregularities. Process complex non-routine Provider Refunds and Returned Checks. Review and interpret medical contract language using provider contracts to confirm whether a claim is overpaid to allocate refund checks. Handle telephone and written inquiries related to requests for pre-approvals/pre-authorizations, reconsiderations, or appeals. Ensures all compliance requirements are satisfied and that all payments are made following company practices and procedures. Review and handle relevant correspondences assigned to the team that may result in adj

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary The Senior Manager, Medicare Product Operations (NCOD) is responsible for providing leadership, operational oversight, and people management for the Non-Clinical Organization Determination (NCOD) team. This leader is accountable for ensuring accurate, timely, compliant, and member-centered coverage determinations while maintaining adherence to CMS regulations, and internal policies. The role oversees a team of managers and analysts responsible for evaluating member requests, issuing organization determinations, maintaining documentation, and supporting appeals- and grievance-related activities. This position serves as a key operational leader, driving quality, compliance, performance, process optimization, workforce development, and cross-functional collaboration. The Senior Manager partners with Compliance, Product, Appeals, Grievances, Eligibility, Technology, and vendor partners to ensure operational excellence and a best-in-class member experience. Responsibilities Include: Strategic Leadership Provides oversight for the NCOD operation, ensuring alignment with organizational goals, regulatory requirements, and member experience objectives. Establishes operational strategies, and performance standards that support long-term scalability and sustainability. Leads implementation of new NCOD workflo

At Freddie Mac, our mission of Making Home Possible is what motivates us, and it’s at the core of everything we do. Since our charter in 1970, we have made home possible for more than 90 million families across the country. Join an organization where your work contributes to a greater purpose. Position Overview: The Single-Family Law Department in the Freddie Mac Legal Division is seeking a collaborative, team focused attorney to join its legal staff as Assistant General Counsel. The attorney will support the single-family mortgage acquisition activities of Freddie Mac, including contract negotiations and drafting, written communications to the industry, internal and external training activities and communications, quality control matters, and new initiatives involving underwriting and purchasing single-family mortgages. Our Impact: Attorneys in the Single-Family Law Department of Freddie Mac’s Legal Division are key advisors to our business colleagues in the development and implementation of policies that support affordable and sustainable housing as part of Freddie Mac’s mission of making home possible. Your Impact: The Legal Division is committed to providing quality and timely advice and representation responsive to client needs on a variety of matters affecting Freddie Mac. As Assistant General Counsel in the Single-Family Law Department, you will: Advise internal clients on mortgage eligibility, credit policies and Freddie Mac Single-Family Seller/Servicer Guide (the “Guide”) matters, including lender eligibility; mortgage purchases; mortgage loan documents and forms; representations, warranties, covenants and remedies relating to lo

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 Reviews and adjudicates complex, sensitive, and specialized medical claims in accordance with established plan processing guidelines. Functions as a subject matter expert by providing coaching, and offering guidance on escalated or technically challenging issues. Supports customer service operations by addressing inquiries and resolving issues to ensure a positive member experience. Additional Responsibilities - Reviews pre‑specified claims and those that exceed specialist adjudication authority or processing expertise. - Applies medical necessity guidelines, determines coverage, verifies eligibility, identifies discrepancies, and implements cost‑containment measures to support accurate claim adjudication. - Ensures compliance with all regulatory requirements and confirms that payments align with company policies and procedures. - Identifies and reports potential overpayments, underpayments, and other claim irregularities. - Performs claim rework calculations as needed. - Trains and mentors as needed to enhance team performance and technical proficiency. - Conducts outbound calls to obtain required information for claims or reconsideration requests. Required Qualifications - Minimum of 18 months of medical claim processing experience with a health insurance payor or third‑party administrator. - Proven

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. This is a full-time telework position requiring 50-75% travel in the Metro East Regional counties, Illinois (Madison, St. Clair, Monroe, Clinton, Jersey, Calhoun, Macoupin, and Bond counties.) Hours for this position are Monday-Friday 8:00a-5:00pm Central Time. 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. • Evaluation of Members: Through the use of care management tools and information/data review, conducts comprehensive evaluation of member’s needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member’s benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach con

Current shift openings at this location:&#xa;&#xa;Seasonal Warehouse Associate&#xa;Sunday, Monday, Tuesday 7:00PM-5:00AM&#xa;Sunday, Monday, Tuesday 6:00AM-4:00PM&#xa;Wednesday, Thursday, Friday, Saturday 7:00PM-5:00AM&#xa;Wednesday, Thursday, Friday, Saturday 6:00AM-4:00PM&#xa;&#xa; Apply to join our team today! Warehouse Associate roles starting at $22.75 per hour. The pay range is $22.75 to $26.00 per hour. 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. Please apply with as much open availability as possible! As a progression TM, there is an opportunity to grow your pay based on your tenure in your role What does a role as a Warehouse Associate look like? Follow all safety policies and procedures to ensure a safe working environment for all team members. Attend safety trainings to learn how to work safely in a fast-paced warehouse environment. Pack, load, and ship items to stores and guests. Ensure accurate processing of merchandise to our stores and guests. Work safely, quickly, and efficiently to handle freight and move inventory throughout the warehouse. Maintain a neat, clean, and organized work area. Report to work on time and complete job tasks as assigned accurately and on time. Engage in problem solving to support continuous improvement. Maintains positive and respectful attitude while working independently and in a team environment. · Please note job duties may change at any time due to business ne

At Gilead, we’re creating a healthier world for all people. For more than 35 years, we’ve tackled diseases such as HIV, viral hepatitis, COVID-19 and cancer – working relentlessly to develop therapies that help improve lives and to ensure access to these therapies across the globe. We continue to fight against the world’s biggest health challenges, and our mission requires collaboration, determination and a relentless drive to make a difference. Every member of Gilead’s team plays a critical role in the discovery and development of life-changing scientific innovations. Our employees are our greatest asset as we work to achieve our bold ambitions, and we’re looking for the next wave of passionate and ambitious people ready to make a direct impact. We believe every employee deserves a great leader. People Leaders are the cornerstone to the employee experience at Gilead and Kite. As a people leader now or in the future, you are the key driver in evolving our culture and creating an environment where every employee feels included, developed and empowered to fulfil their aspirations. Join Gilead and help create possible, together. Job Description RESPONSIBILITIES: Provides input into or leads the development of the Target Product Profile and Clinical Development Plan for assigned molecules /products. Provides scientific and clinical guidance to cross-functional teams and colleagues to meet clinical development project deliverables and timelines. Provides input into, or otherwise leads, clinical trial protocol design, clinical study reports and health authority inquiries. Provides ongoing medical monitoring for clinical trials, including but not limited to assessment of eligibility criteria, toxicity management, and drug safety surveillance. Manages the clinical development component(s) in the prepar

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 - Supports comprehensive coordination of Medicaid and/or Medicare pharmacy services including intake and processing of pharmacy authorization requests. - Promotes and supports quality effectiveness of healthcare and Pharmacy Services. - Evaluates, authorizes approval, and communicates decisions for pharmacy requests according to clinical guidelines. - Evaluates and authorizes approval of pharmacy requests received by telephone, facsimile, and/or other means using client clinical criteria. - Determines appropriateness for medications. Communicates decision to physicians, physician’s office staff, medical management staff, members, and/or pharmacists. - Will perform clinical research to support request. - Performs non-medical research including eligibility verification, COB, and benefits verification. - Maintains accurate and complete documentation of required information that meets risk management, regulatory, and accreditation requirements. - Process requests in compliance with various laws and CMS regulations and company policies and procedures. - May communicate with Aetna Case Managers, Health Plan Staff, External Pharmacies and Health Care Providers. - Promotes communication, both internally and externally, to enhance effectiveness of medication therapy management services. - Sedentary work involving significant periods of sitting, tal

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. A Brief Overview Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing. Contributes to the efficient and accurate handling of medical claims for reimbursement through knowledge of medical coding and billing practices and effective communication skills. What you will do Handles and processes Benefits claims submitted by healthcare providers, ensuring accuracy, efficiency, and strict adherence to policies and guidelines. Determines the eligibility and coverage of benefits for each claim based on the patient's insurance plan and policy guidelines and scope. Assesses claims for accuracy and compliance with coding guidelines, medical necessity, and documentation requirements. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims. Conducts reviews and investigations of claims that require additional scrutiny or validation to ensure proper claim resolution. Communicates with healthcare providers, patients, or other stakeholders to resolve any discrepancies or issues related to claims.</sp