Prior Authorization Technician I

Job Title: Prior Authorization Technician I Location: Philadelphia, PA 19113 (REMOTE) Duration: 3-4 months (Contract) Shift: 40 Hours Per Week/ 5 Days per week Duties: The Prior Authorization Technician I assists in the prior authorization process. Reports directly to the Supervisor, Prior Authorization Technicians. Processes prior authorization requests received from providers, members, and pharmacies, including requests for high cost and specialty medications. Interprets and applies clinical criteria during the prior authorization review process and approves requests if applicable. Utilizes member claims history during the prior authorization review process. Makes outbound calls to obtain additional information needed to process prior authorization requests. Submits authorizations to pharmacy and medical claims processors. Forwards prior authorization requests to a pharmacist when necessary. Makes appropriate referrals to other clinical programs. Assists in directing appropriate requests to in network providers. Receives inbound calls from the customer care center with prior authorization related inquiries. Assist with Appeals processing as assigned. Ability to multitask between various tasks and systems while maintaining required productivity and quality levels. Ability to make changes in a fast-paced environment. Strong knowledge of specialty and non-specialty pharmaceuticals. Performs other job-related duties and projects as assigned. Attends required training on an annual basis. Adheres to corporate and departmental policies and procedures. Available to work weekends and holidays.

Referral Coordinator

Job Title: Referral Coordinator Location: Rancho Mirage, CA 92270 Duration: 3 Months (possibilities of Extension) Pay Range: $23 - $24/hr. on W2 Responsibilities: Coordinates incoming patient referrals, including insurance referrals, and performs front office duties. Ensures all referrals are reviewed and transcribed into Epic; manages assigned work queue(s), including medical records requests, preparation of medical charts, returning phone calls and facilitating physician’s orders in conjunction with clinical staff. Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations. Manages clinic Electronic Medical Record (EMR) incoming/outgoing referral work queues; facilitates patient appointments or referral to intended clinic accordingly and in a timely manner. Establishes and maintains an open and collaborative relationship with clinics and departments to facilitate a seamless referral process. Answers all patient questions, requests and telephone/written correspondence timely and appropriately to ensure a positive experience. Verifies accurate and complete patient, guarantor and insurance carrier information for billing and follow-up. Submits required documentation to support treatment for referral completion; ensures insurance authorization is received timely. Manages and organizes all outgoing documents sent to central Health Information Management (HIM) for scanning/indexing: ensures proper patient identification on each document and appropriateness of documents to be scanned. Requests and obtains medical record data from referring offices and organizations, as needed. Identifies and collects co-pays/deductibles based on insurance eligibility information and/or EMC uninsured cash discount quotes for emergency and outpatient services; provides patient with receipt of payment, if applicable. Coordinates with clinical staff to obtain medical records to submit to HMO insurance, if applicable. Contacts patients to schedule annual Medicare wellness visits and annual HMO physicals in collaboration with nurse, if applicable. Covers front desk duties; answers phones, retrieves voicemail messages and returns calls timely and appropriately, if applicable.

Licensed Medicare Sales Representative

Job Title – Licensed Medicare Sales Representative Locations – New York, NY 10004 Initial Duration – 3 months (with possible extension) Pay Range - $30 - $34/hr. on w2 Shift Time- 9 am – 5:00 pm. Hours May Vary due to business need Schedule Notes: · Medicare Sales Representative - Field Position - Hours May Vary due to business need - NYS Life Insurance is needed · No reimbursable expenses · Bilingual candidates preferred (Spanish, Haitian Creole, or Russian Medicare Sales Representative Position Identify and enroll eligible individuals into Client’s Medicare plan through outreach and education. Conduct home visits and community presentations at hospitals, senior centers, and other sites. · Explain plan benefits, coverage, and exclusions while ensuring compliance with marketing and regulatory guidelines. · Complete enrollment applications and reports accurately and on time. · Collaborate with internal teams to resolve member concerns and maintain strong relationships with community organizations and regulatory partners. · Support members with access to care, transportation, and related needs. Duties: · The primary function of the Quality Management Outreach Specialist is to provide support for internal and external requirements related to improving Client Health Plan’s quality performance in its programs. This includes supporting processes related to collecting, maintaining and compiling data received for incorporation into Plan reporting. · The position serves as a Quality Management member liaison, working to address member’s needs. · The primary focus is outreaching to members to administer a Health Risk Assessment (HRA) and subsequently responding to identified needs, data entry of assessments, maintenance of tracking process and reports, and implementation of treatment plans by linking member to appropriate clinical and social services. · This position will support additional ad-hoc outreach efforts to both members and providers to assist with connecting members to clinical services. Product of Role & Responsibilities: · Administer Health Risk Assessment to members as needed. · Handle requests for care coordination, assessing the request, the member’s needs, and facilitating appropriate interventions and follow up. · Maintain accurate and complete documentation of required information in compliance with risk management and regulatory requirements. · Assist member with basic benefit information. · Assist members with appointments for specialists, educational classes, and transportation. · Perform data entry of medical information; maintain tracking process and reports. · Assist Quality Management personnel to coordinate members’ appointments, equipment, social services, and home health needs. · Participate in team meetings. · Attend Client events whenever required. · Promote communication with the Care Management team and other internal departments to ensure members receive needed services and to foster member satisfaction. · Alert the appropriate Team Lead when members share clinical issues that need to be addressed. · Comply with all orientation requirements, annual and other mandatory training, organizational and departmental policies and procedures and actively participate in the evaluation process. · Share observations and provide feedback regarding workflow to ensure continuous quality improvement. · Maintain professional competences as a Quality Management Outreach Specialist. · Perform other duties as assigned

161559 - Hardware Engineering Technician – SSD / Lab Support

Hardware Engineering Technician – SSD / Lab Support – Folsom, CA A-Line Staffing is now hiring a Hardware Engineering Technician – SSD / Lab Support in Folsom, CA . The Hardware Engineering Technician would be working for a Fortune 500 company and has career growth potential. This would be a full-time / 40 hours per week position. If you are interested in this Hardware Engineering Technician position, please contact Lindsay at [email protected] Hardware Engineering Technician – SSD / Lab Support Compensation The pay for this position is $47.00 per hour . Benefits are available to full-time employees after 90 days of employment. A 401(k) with a company match is available for full-time employees with 1 year of service on eligibility dates. Hardware Engineering Technician – SSD / Lab Support Job Responsibilities Support Folsom SSD engineering teams with hands-on lab and validation activities Perform PCB rework, lab setups, and trace captures Manage lab operations, enforce policies, and maintain test equipment Support validation of server software stacks and custom test boards Order and track lab equipment, drives, and adapters Coordinate shipping and logistics for test materials Operate 3D printing equipment for lab use Utilize diagnostic tools such as oscilloscopes, signal generators, and analyzers Write and edit simple Python scripts for test automation or data collection

IT Customer Relationship Manager

Date Posted: 10/24/2025 Hiring Organization: Rose International Position Number: 490487 Industry: Government/Staffing Job Title: IT Customer Relationship Manager Job Location: Richmond, VA, USA, 23219 Work Model: Hybrid Work Model Details: Requires onsite 2 days a week Shift: General Employment Type: Temporary FT/PT: Full-Time Estimated Duration (In months): 9 Min Hourly Rate ($): 60.00 Max Hourly Rate ($): 65.00 Must Have Skills/Attributes: Agile, Procurement, SDLC Experience Desired: Understanding of VDOT's Organization Structure, how VDOT and VITA interact (3 yrs) Required Minimum Education: Bachelor’s Degree Preferred Certifications/Licenses: BRMP Certification C2C is not available Job Description Only qualified IT Customer Relationship Manager located near the Richmond; VA area will be considered due to the role requiring an onsite presence Required Education: • Bachelor's degree or six (6) years or more of related experience in a role within Information Technology. Desired Certifications: • BRMP Certification. Required Skills: • Experience working in Information Technology (including knowledge of SDLC, Agile Methodology, Technology Procurements) (5 Years) • Strong communication skills in writing, speaking and presenting with leadership of all levels (10 Years) • Ability to listen, build rapport, and develop credibility as a strategic partner. Be able to shift opinions using influence over positional power (10 Years) • Skilled at conflict negotiation and resolution; Experience dealing with difficult customers/being comfortable in uncomfortable situations (10 Years) • Ability to share-ownership and drive results as a team. Ability to focus on purpose, value, and results, rather than solutions (10 Years) • Ability to connect strategy to execution; Strategic thinker (10 Years) • Experience in Product Line planning, development and management (1 Years) Desired Skills: • Understanding of VDOT's Organization Structure, how VDOT and VITA interact (3 Years) About the Role : Ideal candidates for this role will innately be a strategic thinker, foster positive/purposeful interactions, build and preserve trusting relationships with assigned business partners throughout the agency. The position will also manage escalations for work within the service, product and project delivery pipelines. Responsibilities : • Meeting with and communicating directly with Agency leadership up to the Executive level on a routine basis. • Working closely with IT leadership to ensure successful and continuous delivery of all products and services by ITD. • Assigned to partner with Districts to act as a point of focus / resource for IT management, escalations, and coordination. • Partner with business and Enterprise Architecture to identify product lines, then develop and maintain a multi-year business capability roadmap. • Responsible for building and maintaining relationships with assigned business partners. • Interfacing with project managers, service and operations managers to coordinate work, prioritize requests, and manage escalations for assigned Divisions. • Identifying opportunities for new services, service improvements, and technical innovation to meet business needs. • Overseeing the management of business partner expectations as related to ITD engagement and service or product delivery. • Managing escalations related to technology procurements, projects and service delivery requests. • Identifying, championing, and communicating customer needs. • Consult and collaborate with ITD teams managing production operations and the strategic direction for systems owned by assigned business partners. • Support continued compliance with VDOT and VITA policies, standards, and guidelines. This position requires onsite 2 days a week with 3 days remote and local candidates required Start Date: 11/03/2025 Location : Richmond, VA, 23219(Hybrid) Interview type : Both Web Cam and In Person Interview Contractor will be responsible for purchasing parking through client's Parking Management Office or procuring their own parking Contract to be extended beyond 6/30/26, likely by 6-12 months Only those lawfully authorized to work in the designated country associated with the position will be considered. Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements. Benefits: For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website. California Pay Equity: For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.

Financial Professional

At WFG, we believe in helping individuals and families build a secure financial future while creating opportunities for others to do the same. We are part of a global financial organization with access to top-rated insurance and investment companies, providing a wide range of financial solutions for clients across North America. Our team is expanding, and we’re looking for motivated, coachable, and purpose-driven individuals who want to make an impact — while building a career and business they can be proud of. What We Offer: Comprehensive training and mentorship programs — no prior experience required Licensing support for state insurance and securities (if applicable) Flexible hours – full-time or part-time options Performance-based income with commissions, bonuses, and residuals Leadership and business development opportunities A proven system designed for growth, personal development, and long-term success Qualifications: Must be 18 years or older and reside in the U.S. or Canada No prior financial experience required – training is provided Entrepreneurial mindset with strong communication and people skills Self-motivated, goal-oriented, and open to learning Background check and state licensing required Why Join Us: Be your own boss and build your business with mentorship and support Make a difference by helping families prepare for their financial future Be part of a positive, mission-driven community of leaders and professionals Enjoy unlimited income potential and the ability to create generational wealth If you’re ready to grow, lead, and make an impact — we’d love to connect with you! Apply now to learn more about how you can start your journey with World Financial Group.

Pharmacy Technician (162522)

Pharmacy Technician (Onsite → Hybrid) – $17.68/hr Location: Phoenix, AZ 85040 Pay Rate: $17.68 per hour Work Arrangement: Onsite (first 8 weeks), then potential hybrid/remote option based on performance About the Role We’re seeking a dedicated and detail-oriented Pharmacy Technician to join our team in Phoenix, AZ. In this role, you’ll play a key part in ensuring prescription accuracy and providing exceptional service that simplifies the customer health care experience. As a Pharmacy Technician, you will be responsible for researching and screening prescription orders , accurately entering data into our system, and resolving escalated prescription issues. You’ll collaborate with prescribers to clarify incomplete or questionable prescriptions and complete required patient correspondence. Key Responsibilities Accurately read, interpret, and enter prescription information into the computer system in a timely manner. Research and resolve incomplete prescriptions once clarification is obtained. Fax physicians for prescription clarification, substitutions, and formulary changes. Complete and document appropriate patient letters. Assist with other pharmacy operations and administrative duties as needed. Maintain confidentiality and comply with all regulatory standards. Work Arrangement Initial Training Period: Must work onsite for the first 8 weeks . Remote Flexibility: After 8 weeks, remote work may be approved based on performance and manager discretion. Work-from-Home Expectations: Must have a private, distraction-free workspace with a door, and demonstrate the ability to work independently and meet productivity standards. Qualifications Required: High School Diploma or GED (verifiable). Completion of a Pharmacy Technician Training Program . Minimum 3 months of pharmacy experience . Active Arizona State Board of Pharmacy license (technician or trainee). Include your AZ State Board of Pharmacy registration number on your resume. Basic computer proficiency and accurate typing skills. Preferred: Strong attention to detail and problem-solving abilities. Excellent communication and time management skills. Prior experience in a retail or mail-order pharmacy setting.