Remote Enhanced Care Management Lead Care Coordinator

Manager - Cloud Management Services

The manager is responsible for leading, scaling, and maturing the Broadcom VMware Cloud Foundation (VCF) Cloud Management services practice. They will oversee technical direction, delivery excellence, and mentor a team of Solutions Architects, Consultants, and Engineers.

Project Manager I - Construction Risk Management

The Project Manager provides leadership and guidance to project staff and business lines while managing project resources and vendors. They execute project management deliverables within budget and ensure compliance with risk management procedures and industry best practices.

Lead Director, Medical Benefit Portfolio Product Management

The role is responsible for defining portfolio strategy, designing differentiated product solutions, and driving end-to-end portfolio performance. It involves leading cross-functional alignment across a matrixed organization to ensure successful execution and delivery of business objectives.

Contract System Management Analyst - Remote

The analyst is responsible for building and maintaining third-party payer contract agreements within the pharmacy management system. They also collaborate with internal departments to audit pricing tables, maximize profitability, and support system upgrades.

Incubation Management Lead

You will own the end-to-end customer experience readiness for new product, market, and geography launches. This involves embedding with product teams, managing pilot support pods, and defining stable handoff criteria for scaled operations.

Manager, Business and Program Management

The role involves supporting and optimizing the OneStream application while collaborating with cross-functional teams to deliver financial projects. Additionally, the manager will lead process improvement initiatives and provide administrative support for financial reporting and forecasting.

Case Management Coordinator - Field (DuPage, Kane, DeKalb, Kendall)

The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit access, and care plan implementation. They utilize critical thinking to evaluate member needs, identify high-risk factors, and collaborate with multidisciplinary teams to ensure quality of care.

Case Management Coordinator - Field (Lake, McHenry, Northern Cook Counties)

The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit access, and care plan implementation. They utilize critical thinking to evaluate member needs, identify high-risk factors, and collaborate with multidisciplinary teams to overcome barriers to care.

Utilization Management Nurse Consultant (UM) - Work at Home CST Zone

The UM Nurse Consultant coordinates and documents the utilization and benefit management process to ensure members receive appropriate, cost-effective care. They review clinical documentation, collaborate with providers, and facilitate discharge planning while adhering to state and federal requirements.

Case Management Coordinator - Field (Winnebago, Boone and Jo Daviess Counties, IL))

The Case Management Coordinator evaluates member needs and eligibility to develop and implement effective care plans. They collaborate with healthcare teams to ensure medical appropriateness, quality of care, and optimal health outcomes for members.

Case Management Coordinator - Field (Northwest Chicago, IL)

The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit access, and care plan implementation. They utilize critical thinking to evaluate member needs, identify high-risk factors, and collaborate with clinical teams to ensure quality of care.

Case Management Coordinator - Field (Westside Chicago, IL)

The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit navigation, and care plan implementation. They utilize critical thinking to evaluate member needs, identify high-risk factors, and provide coaching to promote healthy lifestyle choices.

Analyst, Case Management Field - Region 2 - must live in Louisiana

The analyst conducts comprehensive assessments and provides routine care coordination to support members in achieving optimal health outcomes. They collaborate with healthcare providers and community partners to address barriers to care and facilitate access to necessary services.

Analyst, Case Management Field - Region 5 - must live in Louisiana

The analyst conducts routine care coordination, assessments, and education to help members navigate healthcare resources and achieve optimal health outcomes. They collaborate with interdisciplinary teams and healthcare providers to address member needs while maintaining accurate and compliant documentation.

Analyst, Case Management Field - Region 1 - must live in Louisiana

The analyst conducts routine care coordination, assessments, and education to help members navigate healthcare services and achieve optimal health outcomes. They collaborate with interdisciplinary teams and community partners to address barriers to care and empower members in their healthcare decision-making.

Analyst, Case Management Field - Region 1 - must live in Louisiana

The Analyst conducts routine care coordination, assessments, and education to help members navigate healthcare resources and achieve optimal health outcomes. They collaborate with interdisciplinary teams and healthcare providers to address barriers to care while maintaining accurate documentation and compliance standards.

Case Management Coordinator - Field Illinois (Metro East/Southern Illinois)

The Case Management Coordinator facilitates healthcare outcomes by assisting members with appointment scheduling, benefit navigation, and care plan implementation. They also collaborate with clinical teams to identify high-risk factors and ensure quality of care through ongoing monitoring and documentation.

Case Management Coordinator OhioRISE- Field - West Region

The Case Management Coordinator facilitates healthcare outcomes by providing care coordination, support, and education to children with complex behavioral health needs. They collaborate with Child and Family Teams to monitor care plans and ensure appropriate service delivery.

Care Management Coordinator OhioRISE - Field - Northeast/Northwest Region Ohio

The coordinator facilitates healthcare outcomes by providing care coordination, support, and education to members using case management tools. They collaborate with child and family teams to evaluate needs, implement care plans, and monitor progress while ensuring compliance with regulatory guidelines.

Senior Director, Product Management, Supply Chain

The Senior Director will lead the supply chain product portfolio, overseeing strategy, roadmap development, and the migration of legacy customers to modern platforms. This role involves managing cross-functional teams, ensuring regulatory compliance, and driving product-led growth through effective stakeholder engagement and delivery planning.

Director, Claims Program Management, Property & Casualty, Remote

The Director is responsible for setting and executing the P&C claims program strategy, governance, and performance across a portfolio of delegated and partner-managed programs. This role involves leading a team to modernize claims processes through data and automation while ensuring compliance and profitable growth.

Director, Claims Program Management, Occupational Risk, Remote

The Director is responsible for the strategy, governance, and performance of a portfolio spanning various occupational and liability insurance coverages. This role manages a team of professionals and oversees complex claims, litigation, and vendor relationships to ensure profitable growth and regulatory compliance.

V108 -Case Manager - Litigation Case Management

The Litigation Case Manager will manage personal injury cases from intake through resolution, including handling both prelitigation and litigation matters. Responsibilities include tracking legal deadlines, preparing settlement demand packages, and maintaining accurate case records while communicating with various stakeholders.

Denials Management Analyst

The Denials Management Analyst is responsible for reviewing commercial and government claim denials to ensure maximum reimbursement in compliance with payer contracts and CMS regulations. They also analyze contractual issues, initiate corrective actions with third-party payers, and provide training on reimbursement processes.

IT SAP Time Management Functional Analyst

The analyst will configure and test SAP Time Management solutions, including CATS and Time Evaluation, while collaborating with development teams to deliver enhancements and reports. They are also responsible for resolving helpdesk tickets, supporting integration points, and providing training to business stakeholders.

Business Development Manager – Healthcare and Emergency Management

The Business Development Manager will develop and execute growth strategies for the Healthcare and Emergency Management service line, focusing on client acquisition and pipeline management. They will serve as a key connector between operations and clients to ensure consistent service delivery and business growth.

Clinical Pharmacist- Utilization Management

The Clinical Pharmacist will review utilization management requests for clinical appropriateness and cost-effectiveness while ensuring compliance with state and federal guidelines. They will also develop therapy-specific clinical policies and collaborate with pharmacy navigation teams to support PBM operations.

Collections Specialist - Revenue Cycle Management

The Collections Specialist is responsible for managing home infusion claims, identifying denial trends, and performing corrective actions to ensure timely revenue collection. They also communicate financial obligations to patients and maintain accurate documentation of all account activities.

Revenue Cycle Management - Collections Specialist

The specialist will manage home infusion claims by reviewing outstanding balances, identifying denial trends, and submitting appeals to ensure timely revenue collection. They are also responsible for documenting case activity and communicating financial obligations to patients.