Remote Jobs in the United States & Canada

The IAPMO Group is hiring a Director of Government Relations to join our Government Relations team! This position focuses on state and local government affairs throughout the Midwest region and other assigned jurisdictions. We’re looking for an experienced government relations professional who can build strong relationships with policymakers and industry stakeholders, navigate complex legislative and regulatory environments, and help advance policies that support IAPMO ’s mission and organizational priorities. What You’ll Do Develop and execute state and local government relations and public policy strategies across assigned jurisdictions. Represent IAPMO and build relationships with policymakers, regulators, government officials, industry organizations, and key stakeholders. Monitor legislative, regulatory, and political developments and identify emerging issues and opportunities impacting IAPMO . Lead advocacy efforts, including testimony, public comments, position statements, and legislative and regulatory initiatives. Partner across IAPMO to support code adoption, public policy, and key organizational priorities. Promote IAPMO ’s expertise in codes and standards, testing and certification, water efficiency, sustainability, public health, and workforce development. Advance the adoption and implementation of IAPMO codes and standards and support related state and local public policy priorities. Coordinate strategic engagement with policymakers and support Government Relatio

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Education — Visual Document Understanding Type: Contract Compensation: $60/hour Location: Remote Commitment: 15–20 hours/week Role Responsibilities Evaluate the accuracy and depth of AI-generated content in Education to strengthen reasoning and rigor in model outputs . Author complex, grounded tasks with clear ground-truth outputs and objective rubrics. Review visual document understanding tasks for alignment with educational principles. Provide structured feedback to AI research teams to improve training data quality. Collaborate with subject matter experts to ensure consistency and relevance across datasets. Work independently and asynchronously to meet deadlines while improving AI model performance . Qualifications Must-Have Expertise in visual document understanding. Strong background in the Education domain. Application Process (Takes 20–30 mins to complete) Upload resume AI interview based on your resume Submit form Resources & Support For details about the interview process and platform information, please check: For any help or support, reach out to: PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity. Originally posted on Himalaya

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Audit & Controls Specialist (External / Internal SOX) Type: Contract Compensation: $80–$120/hour Location: Remote Role Responsibilities Design realistic scenarios from audit work, including audit planning, scoping, risk assessment, substantive fieldwork, sampling, testing workpapers, audit reports, and engagement wrap-up. Review AI-generated audit outputs for accuracy, evidential support, and sound professional judgment. Provide clear written feedback to improve AI performance in audit and controls tasks. Collaborate asynchronously with the research team to enhance AI model training and evaluation. Develop SOX controls documentation, walkthroughs, testing, issue tracking, and remediation validation. Qualifications Must-Have Public accounting audit background (Big 4 or regional firm) and/or internal audit/controls (SOX) background. CPA or CIA . Bachelor's degree in Accounting, Finance, or a related field. Strong written communication and attention to detail. Application Process (Takes 20–30 mins to complete) Submit a resume or a short summary of your audit experience. Complete a short form on your practice area, specialties, and certifications. Selected applicants may complete a brief sample task. Resources & Support

Type of Requisition: Pipeline Clearance Level Must Currently Possess: None Clearance Level Must Be Able to Obtain: None Public Trust/Other Required: None Job Family: Software Engineering Job Qualifications: Skills: Design, Software Development, Software Solutions Certifications: None Experience: 10 + years of related experience US Citizenship Required: No Job Description: We are seeking a highly skilled Senior Developer with over 10 years of experience in software development, specializing in Node.js, Micro-Service architecture, and Cloud Development. The ideal candidate will have a strong background in designing and implementing complex workflow systems, and experience integrating client application with back-end storage system in the cloud. Extensive hands-on experience with cloud platforms such as Azure and AWS. Proficiency with ETL tools is essential for this role. This position offers an exciting opportunity to lead and contribute to the development of scalable and innovative solutions in a dynamic environment. We are looking for a Senior Developer who is passionate about leveraging cutting-edge technologies to build scalable and innovative solutions. Join us in driving forward our mission to deliver exceptional products and services through advanced software development practices. Key Responsibilities: Design and develop scalable and secure applications using Node.js and Micro-Service architecture principles. Deploy and manage applications on cloud platforms, primarily

Overview LMI is seeking a Senior Power BI Analyst to support a federal program management office in the National Capital Region. Join our team of collaborative self-starters focused on delivering practical and efficient solutions to help our client keep U.S. borders safe and facilitate travel and trade. As part of our high-performing team, you will augment our vital work to provide “eyes and ears” technology to protect our nation. LMI is a new breed of digital solutions provider dedicated to accelerating government impact with innovation and speed. Investing in technology and prototypes ahead of need, LMI brings commercial-grade platforms and mission-ready AI to federal agencies at commercial speed. Leveraging our mission-ready technology and solutions, proven expertise in federal deployment, and strategic relationships, we enhance outcomes for the government, efficiently and effectively. With a focus on agility and collaboration, LMI serves the defense, space, healthcare, and energy sectors—helping agencies navigate complexity and outpace change. Headquartered in Tysons, Virginia, LMI is committed to delivering impactful results that strengthen missions and drive lasting value. Responsibilities Collaborate with integrated project teams, program managers, and executive stakeholders to gather reporting requirements and translate business needs into actionable Power BI dashboards, reports, and metrics. Compile, integrate, clean, transform, and analyze large datasets from multip

At Meazure Learning , we aim to empower open-minded, inquisitive, and driven people, and we love how each new addition to the team adds to our culture. Here, you can positively impact the careers of millions of test-takers and reshape the education technology landscape by working toward one vision: “To provide life-long learners across the globe the freedom to pursue their academic dreams and career aspirations safely, securely, and conveniently.” Our Vision starts with our values— Hungry, Humble and Smart . We are looking for team members who model drive for results. Team members who think of the organization and team first without ego or agenda. Leaders who instinctively collaborate and operate with emotional intelligence. This is the foundation of success for all employees at Meazure Learning . The Role: The Strategic Account Director is an important part of Meazure Learning ’s Professional Testing sales team with responsibility for not only ensuring customer delight with our testing clients, but also for growing existing account revenue. The Strategic Account Director should possess a proven track record in B2B solution sales, polished customer service skills and a passion for providing innovative business solutions. The Account Executive has a consultative sales approach with a passion for discovery work to understand a prospects business, pain points, and desired business outcomes . The Responsibilities: Establish strong client relationships and grow our business throug

About the job Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark , General Catalyst , Peter Thiel , Adam D'Angelo , Larry Summers , and Jack Dorsey . Position: Generalist Expert Type: Contract Compensation: $70/hour Location: Remote Role Responsibilities Evaluate AI-generated responses to strengthen reasoning and rigor in model outputs . Provide structured written feedback to improve training data quality and downstream performance. Develop clear, precise, and well-evidenced written rationales beyond surface-level observations. Apply strict attention to detail and accurate application of structured evaluation guidelines. Work independently and asynchronously to meet deadlines while improving AI model performance . Qualifications Must-Have Bachelor's degree from a top-500 globally ranked university preferred. Strong analytical and written communication skills. Ability to work independently and follow detailed task guidelines. Strong critical reading skills with the ability to identify nuance, implicit meaning, and gaps in reasoning. Ability to write clear, precise, and well-evidenced written rationales. Consistent and honest judgment, including the ability to give critical assessments. Strict attention to detail and accurate application of structured evaluation guidelines. Ability to work entirely without AI writing tools . Native English fluency required. Application Process (Takes

Bring more to life. Are you ready to accelerate your potential and make a real difference within life sciences, diagnostics and biotechnology? At Leica Biosystems, one of Danaher ’s 15+ operating companies, our work saves lives—and we’re all united by a shared commitment to innovate for tangible impact. You’ll thrive in a culture of belonging where you and your unique viewpoint matter. And by harnessing Danaher ’s system of continuous improvement, you help turn ideas into impact – innovating at the speed of life. At Leica Biosystems, we’re not just shaping the future of cancer diagnostics — we’re transforming lives. Our mission of “Advancing Cancer Diagnostics, Improving Lives” is the driving force behind everything we do. As a global leader with the most comprehensive portfolio spanning from biopsy to diagnosis, we empower clinicians with innovative, reliable solutions so they can give patients timely, accurate answers when they need them most. When you join Leica Biosystems, you’re not just taking a job; you’re becoming part of a passionate team that knows every moment matters when it comes to cancer. You’ll help develop diagnostic solutions that turn anxiety into answers, and aid the acceleration of next-generation, life-changing therapies. Surrounded by a diverse and collaborative global community, you’ll be inspired each day to stretch, grow, and make an impact. Learn about the Danaher Business System which makes everything possible. The Senior Regional Sales Manager, Im

Overview Join an amazing team that is consistently recognized for our achievements and culture, including our most recent Forbes award of being one of America's Best Midsize Employers for 2026! Position Summary: Mercury is looking for a Director to lead our Cross-Line AI/ML Research & Capability team within Product Research and Development (R&D). This leader will help shape how research is done across lines of business (Private Passenger Auto, Homeowners, Commercial Auto, Commercial Multi-Peril) by building reusable capabilities, modernizing research workflows, and applying AI and machine learning to accelerate insight generation, model development, monitoring, and product innovation. This is a high-impact leadership role for someone who combines strong insurance and analytics judgment with hands-on understanding of modern AI/ML applications. You will work across Product R&D, Mercury Technology Solutions (MTS), Enterprise Data Science (EDS), and other partners to create scalable research tools, establish best practices, and help teams adopt new ways of working that improve speed, rigor, and business impact. The right candidate is excited by both strategy and execution. They can set a direction, build a team, influence across functions, and turn emerging technology into practical capability in a regulated insurance environment. Geo-Salary Information An in-person interview may be required during the hiring process State specific pay scales for this role are as foll

Overview Who We Are: Qualfon is a global provider of omnichannel customer experience and business support solutions. From call center support to lead generation to ecommerce fulfillment, we support our clients and their customers throughout the customer journey. Our mission is to help as many people as possible pursue their total vocation - as individuals and as members of society - by creating an ever-growing number of job opportunities as we strive to become the partner of choice for our clients. At Qualfon , you’ll find more than just a job, you’ll find a place to grow, develop your career, and be part of a supportive, purpose-driven team. Starting hourly pay: $21 Responsibilities What You’ll Do: Handle incoming calls through an automated phone system, answer routine to moderately complex questions from members and providers, and direct calls to the appropriate department when needed. Investigate member and provider inquiries and provide timely responses that meet established service level agreements (SLAs). Document customer interactions in a customer relationship management (CRM) system, process written requests from members, and maintain accurate records by updating account history with the outcome of each inquiry. Collaborate with team members, supervisors, and customers to address and resolve customer service concerns. Make outbound calls to members to follow up on voicemail messages, provide requested information, or support other operational business needs. Qualific

Overview Who We Are: Qualfon is a global provider of omnichannel customer experience and business support solutions. From call center support to lead generation to ecommerce fulfillment, we support our clients and their customers throughout the customer journey. Our mission is to help as many people as possible pursue their total vocation - as individuals and as members of society - by creating an ever-growing number of job opportunities as we strive to become the partner of choice for our clients. At Qualfon , you’ll find more than just a job, you’ll find a place to grow, develop your career, and be part of a supportive, purpose-driven team. Responsibilities What You’ll Do: We are seeking experienced, consultative sales professionals to assist customers who have recently purchased a new automobile or who currently own a vehicle that is within or beyond the factory warranty period. The representative will educate customers about the value and benefits of extended service contracts, recommend appropriate coverage options, and provide customized solutions based on each customer's needs. Handle inbound customer calls regarding extended service contracts. Educate customers on coverage options, benefits, and value. Assess customer needs and recommend tailored solutions. Conduct permission-based follow-up calls with sales leads. Document customer interactions and sales outcomes. Deliver clear, professional product presentations. Serve as a Subject Matter Expert and Brand Ambassador

Life Safety Systems/Fire Alarm Engineer: This job opportunity is available at ANY location in the United States. Ideally, selected candidates will be near the U.S.-based office, but we intend to hire the "best candidates. We're looking for a Life SafetySystems/Fire Alarm Engineer who is excited about working on projects that enable the heart of our clients' business. Join us, and you'll have the chance to work on data center facilities projects. Come be a part of a vibrant, dynamic team that delivers world-class designs for well-known clients around the world! If you are someone who thrives in a fast-paced, collaborative work environment and who also enjoys working closely with clients in the Data Center market, this opportunity is for you! Our Life Safety Systems/Fire Alarm Engineers work on various projects assigned by a Department Manager. This position will play a role in the entire design process, including but not limited to: preliminary assessments concept creation leading designs with support from your peers, SME's, and BIM designers internal and external problem resolution drawing and specification production customer and vendor accessibility. Your impact: The Life Safety Systems/Fire Alarm Engineers may work on several concurrent projects and will be responsible for ensuring that projects are completed on time. As a Life Safety Systems/Fire Alarm Engineer, you'll provide technical design leadership of systems for data center buildings, which include fire alarm and d

Customer Service Representative Location : "United States” Employment Type: “Full-time” Supporting: “Customer Care” About Us We're the largest minority-owned CX provider, delivering digital-first, people-centered experiences for some of the world's most respected brands. For over 25 years, we've been helping businesses solve their toughest customer experience challenges—and we do it better than anyone else. As a Top Place to Work, we're serious about creating an environment where people show up as their genuine selves. Which means when you succeed, we all do. Here's What the Job Really Looks Like You're a natural problem-solver who's good with people. You know how to listen to what someone's really asking for (not just what they're saying), and you can explain solutions in a way that makes sense. You stay calm under pressure, you're detail-oriented enough to keep information accurate, and you genuinely care about leaving customers better off than when they reached out. If that sounds like you, this role is a great fit. How You'll Make an Impact Guide customers through questions, concerns, or challenges they encounter while using the product or service Listen actively to understand the root of the issue and provide clear, effective solutions Record detailed call information for auditing, reporting, and follow-up purposes Maintain and update customer records to ensure accurate and current information Identify opportunities to introduce customers to new or enhanced services that

Vendor Business Development | Equipment Finance | Northeast Altius Search Group is recruiting for a Vendor Business Development position for one of our clients in the Equipment Finance Industry. Our Client is an equipment finance lessor that partners with dealers, distributors, and manufacturers to help provide financing solutions for their customers. This is a remote position targeting customers in a Southwest territory. Knowledge/Skills Required Origination of small- to mid-ticket vendor financing programs. Develop and maintain vendor leasing programs from qualified equipment manufacturers, distributors, dealers, and/or resellers. Work with vendors and their customers to structure and present financing products for a variety of equipment. Account management from application through funding. Origination of new relationships while managing and growing existing accounts. Negotiation of lease terms & pricing. Facilitate the gathering of credit information for underwriting. Provide front-line sales and support for financial products to manufacturers and equipment resellers. Essential Job Functions Market the equipment finance services to potential customers through outbound calls and marketing materials to cultivate relationships. These customers primarily consist of regional equipment resellers (dealers) in established markets. Support existing manufacturer programs by following up and managing ongoing transactions. Expedite ongoing transactions. Facilitate prompt payment o

Job Summary The Technical Services Engineer, RIS is the first point of contact for users, providing expert support, troubleshooting issues, and contributing to a seamless healthcare IT experience. This role works closely with cross-functional teams to resolve incidents, maintain high service quality, and continuously improve support processes. Requirements Expanded Essential Duties and Responsibilities Serve as the primary RIS technical support resource for customer healthcare IT projects. Provide second-level support for RIS and healthcare IT systems, troubleshooting and resolving escalated technical issues. Respond to customer inquiries via phone, email, and ticketing systems in a timely and professional manner. Coordinate projects and take ownership of tasks while serving as the primary point of contact for customer communication and issue resolution. Collaborate with IT, Product, Engineering, and Project Management teams to escalate and resolve complex issues. Monitor and triage support queues, assigning tickets to the appropriate product or functional teams. Maintain detailed records of incidents, resolutions, workflows, and system changes within the ticketing system. Contribute to continuous improvement initiatives, including support processes, knowledge base documentation, and root cause analysis efforts. Ensure compliance with healthcare regulatory standards and internal IT policies. Support and maintain strong relationships with key customers by providing proactive c

Spacelift is the infrastructure orchestration platform built for the modern software era, managing the full lifecycle for both traditional IaC and AI-accelerated infrastructure. It integrates with Terraform, OpenTofu, CloudFormation, Pulumi, and Ansible in a single governed workflow so you deliver secure, compliant infrastructure at scale. Developer self-service, Golden Paths with guardrails, an OPA policy engine, and drift detection accelerate developer velocity while maintaining control. Spacelift Intelligence adds AI-powered provisioning and diagnostics across traditional and AI-driven workflows. Spacelift was founded in 2020 by long-time DevOps practitioner Marcin Wyszynski and successful entrepreneur Pawel Hytry and has raised $82.3M in funding over four rounds from top venture capital firms, including Insight Partners, Blossom Capital, Hoxton Ventures, Inovo Venture partners and Five Elms Capital. Why This Role This is an opportunity to help shape the next chapter of Spacelift ’s growth. You’ll join a company with strong product-market fit, a world-class customer base, and a significant market opportunity. You’ll have the autonomy to build a high-performing East region, develop exceptional sales talent, influence our go-to-market strategy, and make a meaningful impact on the company’s trajectory. About the Role We are looking for an experienced RVP to lead our East Sales organisation. This is a frontline leadership role focused on building a high-performing enterprise s

At Eisai , satisfying unmet medical needs and increasing the benefits healthcare provides to patients, their families, and caregivers is Eisai ’s human health care (hhc) mission. We’re a growing pharmaceutical company that is breaking through in neurology and oncology, with a strong emphasis on research and development. Our history includes the development of many innovative medicines, notably the discovery of the world's most widely-used treatment for Alzheimer’s disease. As we continue to expand, we are seeking highly-motivated individuals who want to work in a fast-paced environment and make a difference.If this is your profile, we want to hear from you. The Medical Coding Manager provides medical coding expertise to clinical teams by coding/recoding of adverse events, concomitant medications and other data points using MedDRA and WHO Drug dictionaries. This role reviews the coded data listings for accuracy and consistency within a study, within a project, and across projects, and follows up with clinical representative(s) as to questions arising from the QC data review. The Medical Coding Manager acts as a resource to the clinical teams on dictionary and coding related issues including, but not limited to, use of the Standard MedDRA Queries (SMQs) and Standard Drug Groupings (SDGs). This role participates in the development of adverse events of special interest (AESI) listings, and other lists of dictionary terms for use in identifying subjects of interest, under the supe

We’re here for one reason and one reason only – to cure cancer. Every moment is dedicated to developing treatments and every action moves us one step closer to our goal. We’ve made incredible scientific breakthroughs and our pioneering personalized CAR T-cell therapies have changed the paradigm. But we're not finished yet. Join Kite, as we make even bigger advances in cancer therapies, and help shape where our business and medical science goes next. 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 Kite and help create more tomorrows. Job Description The Marketplace Director reports to the Executive Director, West Cellular Therapy Team and is accountable for the overall business performance of a defined regional marketplace. This role serves as the single point of accountability for regional demand generation, account engagement, and execution of territory strategies, partnering closely with cross functional field and headquarters stakeholders to drive sustainable growth and patient access across the portfolio of Kite CAR-T cell therapies. The Marketplace Director operates with an ownership mindset, leads through influence in a matrix environment, and ensures teams are enabled, aligned,

Pay: $135,000.00 - $195,000.00 per year Why This Is a Great Opportunity Build meaningful expertise in family law while handling substantive matters from strategy through resolution. Take ownership of your own cases and appear in court as lead counsel. Enjoy a fully remote practice with the flexibility and autonomy to do your best work. Work closely with clients during some of the most important and challenging moments of their lives. Grow within a collaborative, client-focused legal team that values professionalism, teamwork, and high-quality advocacy. Handle a varied caseload spanning divorce, custody, child support, property division, modifications, and enforcement matters. Location: Fully remote within Texas, with a preference for candidates in the Austin area. Candidates must reside within approximately 100 miles of Austin and be able to appear in court when needed. A dedicated home workspace, high-speed internet, and multiple monitors are required. Note: Candidates must have an active Texas Bar license in good standing, at least 2 years of family law experience, and demonstrated experience serving as lead attorney on their own cases and representing clients as lead counsel in courtroom hearings or other proceedings. About Us We are a focused family law practice committed to providing thoughtful, effective representation in complex and often highly personal legal matters. Our team values strong advocacy, clear communication, professionalism, teamwork, and exceptional clie

Pay: $140,000.00 - $240,000.00 per year Why This Is a Great Opportunity Own the technical architecture behind next-generation GPU and AI compute deployments. Design sophisticated GPU clusters from client requirements through production-ready architecture. Work directly with NVIDIA Reference Architecture, high-speed networking, storage, connectivity, and availability strategy. Solve challenging infrastructure problems where performance, reliability, power, cooling, and hardware constraints all matter. Have significant technical ownership over designs supporting enterprise and neocloud deployments. Collaborate closely with deployment, data center, supply chain, and program leadership to turn architecture into real-world infrastructure. Join a fast-growing AI infrastructure environment where your technical decisions directly impact customer outcomes. Competitive bonus and equity opportunity in addition to base compensation. Location : Remote nationwide, with preference for candidates based in the US. Travel to data center partner sites is required. Note : Must have 7+ years of directly relevant experience in solutions architecture, network engineering, or systems engineering supporting GPU, HPC, or large-scale compute infrastructure. Candidates must have hands-on GPU cluster design experience plus strong InfiniBand, RoCE, or high-speed Ethernet networking expertise. Generic cloud architecture or enterprise networking experience without meaningful GPU/HPC infrastructure exposure

Wilson is seeking a motivated, consultative and experienced Recruitment Consultant to join our collaborative, dynamic and talented team. Someone that will play an integral part in acting as a trusted client advisor and candidate advocate. In this role, you will combine cutting-edge recruitment strategies and market intelligence to deliver the best talent to meet the critical recruiting needs of our clients. We’re looking for individuals who demonstrate a strong, independent work ethic, knowledge of best practices for attracting top talent, the ability to develop and nurture strong working relationships and a passion for providing excellent client satisfaction. Our Recruiters provide an exceptional candidate experience through management of all aspects of the recruiting process including sourcing, screening, interviewing and recommending candidates for both interviews and for hire. YOU WILL: Oversee the selection process including identifying and assessing candidates, conducting initial phone screens, facilitatinginterviews and gathering feedback from our clients and candidates. Build and maintain a strong network of candidates through market research and on-going bench management, demonstrating the ability to anticipate client needs and hiring manager preferences by delivering strong submit-to-interview and interview-to-offer ratios. Develop a creative and proactive recruitment strategy to identify both passive and active candidates. Present strong talent for open positions a

Job Description: DataRobot delivers AI that maximizes impact and minimizes business risk. Our platform and applications integrate into core business processes so teams can develop, deliver, and govern AI at scale. DataRobot empowers practitioners to deliver predictive and generative AI, and enables leaders to secure their AI assets. Organizations worldwide rely on DataRobot for AI that makes sense for their business — today and in the future. We run agents and models in production for enterprises that cannot move their workloads to a public cloud: regulated industries, sovereign deployments, air-gapped and customer-managed clusters. The control plane is the layer that makes that possible. It deploys the agents, it deploys the models those agents call, and it decides how every workload is placed, scaled, isolated, routed to, and torn down across Kubernetes clusters and heterogeneous accelerators, on our cloud and on the customer's. Agents and models are one deployment problem here. An agent is a long-lived workload with session state and unpredictable fan-out, calling models with wildly uneven cost profiles, and both land on the same finite pool of accelerators. Allocating that pool correctly is the job. You will own this layer as a product. You will spend your time in design reviews, in the API contract, and in production data. What you will own The deployment and workload API. Resource model, lifecycle semantics, versioning, backward compatibility, and the error behavior cus

AnewHealth is one of the nation’s leading pharmacy care management companies that specializes in caring for people with the most complex, chronic needs—wherever they call home. We enable better outcomes for patients and the healthcare organizations who support them. Established in 2023 through the combination of ExactCare and Tabula Rasa HealthCare, we provide a suite of solutions that includes comprehensive pharmacy services; full-service pharmacy benefit management; and specialized support services for Program of All-Inclusive Care for the Elderly. With over 1,400 team members, we care for more than 100,000 people across all 50 states. Job Details Pharmacy Technicians in our Patient Care Center of Excellence may hold multiple duties to ensure ExactCare’s patients receive quality care out of their pharmacy services. They will work in a closed-door pharmacy environment, spending their time speaking with patients, doctors and facilities on the phone in addition to the outline job duties and responsibilities. Job duties will vary from phone work and navigating multiple pharmacy software systems to supporting the various stages of patient care/contact. These areas of responsibility will fluctuate based on organizational needs, allowing the Pharmacy Technician to develop multiple skillsets. This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to provide an exceptional patient experience. ExactCare Pharmacy provides a fast-paced, high energy e

Position Summary: The Appeals & Grievances (A&G) unit manages Healthfirst member complaints, grievances and appeals that are presented by the member or provider pertaining to the authorization of or delivery of clinical and non-clinical services. A&G works in collaboration with divisions within and outside the organization to resolve issues in a timely and compliant manner. The A&G Clinical Specialist is the subject matter expert responsible for all clinical case development and case resolution while ensuring compliance with Federal and/or State regulations. The incumbent will manage his/her own caseload and is accountable for investigating and resolving member or provider initiated cases. Manages all Department of Health (DOH) and executive complaints as needed. The incumbent may also handle clinical claim appeals that come from Healthfirst participating and non-participating providers. This is either a remote or on-site position located at either the 100 Church Street location in New York City or the 1101 Greenwood Avenue location, Lake Mary, Florida. This position may require attendance at A&G/ Operations divisional meetings and Town Halls, some of which may require travel to one of the locations (T&E will be covered according to policy). Duties and Responsibilities: Responsible for case development and resolution of clinical cases, such as: Pre-existing Conditions, Prior Approval, Medical Necessity, Pre-certification, Continued Stay, Reduction, Ter