Become a part of our caring community The Pre-Authorization Nurse reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Pre-Authorization Nurse completes medical necessity and level of care reviews for requested services using clinical judgment, and refers to team members for review depending on case findings. Educate providers on utilization and medical management processes. Enter and maintain relevant clinical information in various medical management systems. Understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications 2+ years of RN experience Active RN license in the state of Indiana Ability to be licensed in multiple states without restrictions Previous experience in utilization management, case management, discharge planning and/or home health or rehab Proficient with MS Office products including Word, Excel and Outlook Ability to work independently under general instructions and with a team Preferred Qualifications Bachelor's degree MCO experience Health Plan experience working with large carriers Previous Medicare/Medicaid experience Outpatient or home health experience in Utilization Manageme
Jobs in United States
Strategic Partnerships in United States
3,166 active opportunities · Updated October 2026
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15 jobs
Explore current strategic partnerships jobs across United States. Filter by work mode, employment type, experience, department, date posted and distance.
$176.6K – $294.3K/yr
Role Summary The Director, State Policy & Government Relations, reports to the State Policy Team lead and is responsible for leading a defined portfolio of state policy priorities and government relations responsibilities in Iowa, Minnesota, and any other states identified by SPGR leadership. The state policy responsibilities include developing and supporting implementation of coordinated national policy positions and strategies that align with business and enterprise-wide objectives; act as a single point of accountability and enterprise-wide subject matter expert (SME) for a portfolio of state policy issues; responsible for developing policy platforms on priority policy issues, including collateral for external facing colleagues such as policy principles, legislative language, backgrounders, talking points, research summaries, comments letters, and testimony; responsible for analyzing, forecasting, and communicating the short- and long-term implications of changes in the state legislative and regulatory landscape to internal stakeholders, including business units, enabling functions, and senior leaders; develop and implement strategies to generate new policy evidence through contracted resources, including consulting firms and academics, to support Pfizer’s priority policy issues; participate in key trade association work groups; and represent Pfizer externally with multi-stakeholder policy coalitions, in forums related to key policy issues, and at legislative hearings. The government relations responsibilities include developing strategies to favorably influence the policy environment in Iowa, Minnesota, and any other states identified by SPGR leadership; collaborating and coordinating with colleagues in U.S. Policy and Government Relations, including Policy, Alliance Development, Public Affairs, Federal Policy and Government Relations, and BU Policy and Public Affairs, as well as with the broader Corporate Affairs org
$239.9K – $399.8K/yr
ROLE SUMMARY The Clinician Medical Monitor is accountable for providing medical and scientific expertise and oversight for Clinical Trials and serves as a single point of accountability for design, execution, monitoring, delivery and reporting of one or more clinical studies and to ensure patient safety. The clinician medical monitor may be required to design a development strategy for multiple protocols designed to obtain worldwide approval for a compound or group of compounds. In addition to study level activities, the clinician medical monitor may participate in standing committees, review compounds for potential in-licensing, including performance of due diligence reviews, and aid new business development on market opportunities and the target product profile. ROLE RESPONSIBILITIES Accountable for safety across the study Provide study team with medical advice for all medical issues during risk assessment and mitigation planning to enable quality, compliance and patient safety at the trial, site and patient level. Ensures development of and adherence to the Safety Surveillance Review Plan (SSRP). Consistent with the SSRP, performs and documents regular review of individual subject safety data, and performs review of cumulative safety data with the safety risk lead. As appropriate, the clinician medical monitor may delegate these responsibilities to the study clinician scientist identified in the SSRP. The specific components of safety data review are detailed in the appropriate SOPs and the “Safety Data Review Guide – for Clinicians.” Monitor study safety issues and provide input to serious adverse events (SAEs) reports. Provides appropriate medical context in terms of risk factors, medical history and other important medical factors required to put the SAE or AE into appropriate medical context required for benefit-risk assessm
$68.6K – $114.3K/yr
What You Will Achieve A Senior Associate Scientist (R2) position is available in the Conjugation Process Development group of Bioprocess R&D in USA - WA - Bothell. We’re seeking a passionate and creative individual to join a dynamic team of scientists and engineers focused on developing robust, scalable, and high productivity conjugation processes for the manufacture of antibody-drug conjugates (ADCs) for early- and late-phase clinical programs. The work will also involve working with commercial and clinical production facilities to ensure accurate technology transfer and successful large-scale production. You may also be involved in cutting-edge technology development projects that seek to discover new innovations for ADC process development and/or manufacturing. How You Will Achieve It Design, plan, and execute milligram to gram-scale conjugation experiments in the development laboratory. Ensures timely, effective, and high-quality documentation in electronic laboratory notebooks and internal technical reports. Communicate results and findings to stakeholders on a regular basis; present data/strategy to colleagues and management in internal and external venues (technical meetings, project team meetings, and conferences, etc.) as appropriate. Assist in or lead the technology transfer of manufacturing processes to clinical and commercial manufacturing facilities. Provide support and troubleshoot during manufacturing campaigns as needed. Work collaboratively with colleagues both within the group and cross-functionally; contribute to maintaining and improving upon our safe, effective and efficient lab operations. Qualifications Must-Have BS/BA in Chemistry, Biochemistry, Chemical/Biochemical Engineering, or other related disciplines with 3-4 years of experience, or MS in the above fields with 0-2 years of experience.
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
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
A World-Changing Company Palantir builds the world’s leading software for data-driven decisions and operations. By bringing the right data to the people who need it, our platforms empower our partners to develop lifesaving drugs, forecast supply chain disruptions, locate missing children, and more. The Role Palantir’s in-house legal team works to proactively address legal issues so that Palantir can continue to drive positive impact in the world. We are deeply embedded in Palantir’s mission and culture, take time to connect with folks across the global Palantir community, and are viewed across the company as key to Palantir’s success. Legal Operations is the organizational backbone of the legal team at Palantir and our Deal Administrators directly support all aspects of revenue generation at the company. Our Deal Operations Administrators have a strong understanding of Palantir’s growth strategy, and are eager to implement and operationalize that strategy in our contracting processes. Our Deal Operations Administrators have a passion for helping others, making them an invaluable resource to our customer deal pipeline. As a Deal Operations Administrator, you will be handling a wide variety of responsibilities throughout the customer contracting lifecycle. You will support Palantir’s lawyers and contracting specialists, in collaboration with our sales team and executives, to facilitate the growth of our business by managing all aspects of contract administration. As part of the Deal Operations team, you will become an expert in your specific customer vertical, take ownership for specialized scaling projects and critical initiatives as it relates to each business unit. Throughout your work, you will take initiative, operate with resourcefulness, and execute quickly and effectively the processes that drive revenue at Palantir. You’ll leverage your excellent communication skills, and exercise tact and diplomacy in helping to manage relationships with teams acros
The mission of The New York Times is to seek the truth and help people understand the world. That means independent journalism is at the heart of all we do as a company. It’s why we have a world-renowned newsroom that sends journalists to report on the ground from nearly 160 countries. It’s why we focus deeply on how our readers will experience our journalism, from print to audio to a world-class digital and app destination. And it’s why our business strategy centers on making journalism so good that it’s worth paying for. About the Role: The New York Times is looking for a Director, HR Business Partner for the Product Engineering and Technology groups to support and partner with the Chief Technology Officer, leaders, managers and employees across the technology function, and with our Chief Product Officer. You will manage a team of two, while also supporting employees directly. You will report to the VP, HR Business Partners. The Director, HRBP plays a critical role in driving a people strategy aligned with enterprise goals. You will be the primary HR partner to support our Chief Technology Officer (CTO), Chief Product Officer (CPO), managers, and employees of the technology organization - including guidance, management of the performance enablement cycle, and oversight of process/HR administration. This is a hybrid role based in our New York City headquarters. You can expect to come into the office 3+ days per week. Responsibilities: Be an advisor, partner, and coach to senior leaders, managers, and individual contributors across our Technology group, including the Chief Technology Officer and Chief Product Officer Lead and develop a team of two HR Business Partners to manage multiple HR issues and support the business Provide daily support to senior-level department leaders, managers, and employees, providing coaching, management of employee lifecycles and performance management, and oversight of process/HR administration Lead planning, communication
The mission of The New York Times is to seek the truth and help people understand the world. That means independent journalism is at the heart of all we do as a company. It’s why we have a world-renowned newsroom that sends journalists to report on the ground from nearly 160 countries. It’s why we focus deeply on how our readers will experience our journalism, from print to audio to a world-class digital and app destination. And it’s why our business strategy centers on making journalism so good that it’s worth paying for. The New York Times Graphics team is looking for a reporter with extensive open-source and investigative reporting skills to turn raw evidence into impactful visual stories. You have a track record for uncovering exclusive information off the news. The Graphics team is a leader in using spatial and visual techniques on investigative stories, and we're looking for someone who is passionate about accountability journalism using cutting-edge reporting techniques. Below are a few examples of the kinds of stories that you will be a part of: An exclusive look at the failed columns of the Midtown Manhattan near-collapse A 3-D analysis of why firefighters' lines of sight were limited in the deadly LaGuardia Crash An investigation into the mass graves in Syria An investigation into the causes of a Miami building collapse A spatial investigation into a deadly fire in the Bronx A forensic analysis of an apartment building collapse in the Turkey earthquake Working with journalists on the Graphics team and across the newsroom, you will play an important role in shaping visual reconstructions and investigations that rely on spatial analysis or use 3-D modeling. You will gather and analyze evidence for stories across a wide range of topics for both quick-turn stories as well as longer-term enterprise. You will be expected to take the initiative in leading major storylines, with the goal of uncovering new or exclusive findings across multiple visual story fo
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. Executive Director, Technology Product Management – Medical Cost Initiatives Location: Remote Department: Healthcare Technology & Product Management Reports To: VP, Chief Health Informatics Officer (CHIO) - CVS Healthcare Delivery Role Overview As the Executive Director, Digital Product – Medical Cost Initiatives , you will lead the technology product strategy and execution for key medical cost portfolios for CVS Healthcare Delivery businesses. Core areas of focus are Care Transitions, Patient Segmentation, Chronic Condition Pathways, and Specialty Care Services. In this high-impact executive role, you will partner directly with clinical and business operational leaders to shape end-to-end technology pathways that support CVS Healthcare Delivery care models. You will lead a multidisciplinary team of product managers, Epic analysts, software engineers, data scientists, and UI/UX designers to translate clinical vision into scalable technology roadmaps that optimize patient outcomes and lower the total cost of care. The ideal candidate must have expertise with value-
Leidos is seeking a detail-oriented Cybersecurity Analyst with expertise in Security Accreditation to support the assessment, authorization, and continuous monitoring of information systems. The successful candidate will ensure systems comply with government and industry cybersecurity requirements while supporting the organization's Risk Management Framework (RMF) processes. Primary Responsibilities: Lead and support the security accreditation process for information systems. Develop, maintain, and review security authorization packages. Conduct security control assessments in accordance with RMF and applicable security standards. Collaborate with system owners, engineers, and stakeholders to implement security controls. Perform security risk assessments and recommend mitigation strategies. Monitor systems for compliance with cybersecurity policies and standards. Maintain Plans of Action and Milestones (POA&Ms) and track remediation activities. Support continuous monitoring activities, including vulnerability management and security reporting. Prepare documentation for Assessment & Authorization (A&A) activities. Participate in internal and external cybersecurity audits. Stay current on cybersecurity threats, regulatory requirements, and best practices. Basic Qualifications: Bachelor's degree in Cybersecurity, Information Technology, Computer Science, or related field (or equivalent experience). 3–7 years of experience in cybersecurity, information assurance, or security compliance. Experience implementing or supporting the NIST Risk Management Framework (RMF). Knowledge of: NIST SP 800-37 NIST SP 800-53 NIST SP 800-171 FISMA FedRAMP (preferred) Experience with vulnerability assessment tools such as Tenabl
Become a part of our caring community The Senior Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Humana Pharmacy Benefits Management (PBM) Strategy Enablement team partners with PBM teams to improve processes that will help our members improve their lives through better health outcomes. This role, within the Process Improvement (PI) team of Strategy Enablement, will work closely with PBM leaders, as well as key partners in leading and delivering on initiatives and process capabilities that enable improved effectiveness, efficiency, and experiences (member, provider and associate). The Senior Process Improvement Professional: Researches best business practices within and outside the organization to establish benchmark data. Defines and leads business improvement projects aligned with business strategies and operational priorities. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on member experience, increased productivity and efficiency and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is perf
Become a part of our caring community The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder effective care. Ensures patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations. May create member care plans. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Reports to the Regional CM Manager. Use your skills to make an impact Required Qualifications Must have an active, unrestricted SC Licensed Masters Social Worker (LMSW), Licensed Professional Counselor (LPC) OR an active, unrestricted compact Registered Nurse (RN) license . 2 or more years of experience working as a behavior
Become a part of our caring community The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works on problems of diverse scope and complexity ranging from moderate to substantial. The Lead Technology Leadership Professional works with design engineering and test team to drive products from design completion to volume production release. Performs various engineering tests to verify and validate product designs. Supports product evaluation and qualification on leading edge technology components. Ensures that production schedules are followed and product(s) meet specifications and quality requirements. Interacts with product engineering, quality, manufacturing and marketing teams to analyze and provide technical support to help resolve customers' product related problems/issues. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Use your skills to make an impact Required Qualifications Bachelor's degree 2 or more years of project leadership experience Experience with the technologies in use in the application(s) or infrastructure Experience with unit testing and mocking Ability to manage multiple tasks and deadlines with attention to detail. Ability to communicate effectively and deliver presentations to senior leaders Advanced experience leading special projects and producing metrics, measurements and trend reports Must be passionate about
Become a part of our caring community The Automation Engineer identifies and implements solutions (hardware and software) for improvement of the high-quality automation infrastructure. The Automation Engineer work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Automation Engineer designs, programs, simulates, and tests automated processes, and is responsible for detailed design specifications and other documents. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. Use your skills to make an impact Required Qualifications Bachelor's degree or relevant and equivalent years of experience in lieu of degree requirement. 4+ years of technical experience related to automation. Strong knowledge and understanding of Claude code Experience using AI coding assistants such as Claude code, Github, Copilot, or similar developer productivity tools. Hands-on experience leveraging Claude Code for test automation development, debugging, script generation, and software quality engineering. Experience developing automation using Java, Python, or JavaScript. Experience with Selenium, Playwright, Cypress, or equivalent frameworks. Experience testing REST APIs and backend services. Experience with CI/CD pipelines and automated deployments. 2+ years of experience in Software QA testing in a SAFe Agile environment. Strong experience with black box, web-service integration and server back-end testing.</
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