clinical reviewer

Commence

<div>
 Job Type
 
 
 Part-time
 
 
 
 Description
 
 
 
 At Commence, we&rsquo;re the start of a new age of data-centric transformation, elevating health outcomes and powering better, more efficient process to program and patient health. We combine quality data-driven solutions that fuel answers, technology that advances performance, and clinical expertise that builds trust to create a more efficient path to quality care.
 
 
 With human-centered, healthcare-relevant, and value-based solutions, we create new possibilities with data. We provide proof beyond the concept and performance beyond the scope with a focus on efficiencies that transform the lives of those we serve. With a culture driven by purpose, straightforward communication and clinical domain expertise, Commence cuts straight to better care.
 
 
 The Nurse Reviewer position is responsible for supporting and conducting reviews and determinations for independent dispute resolutions at both the Federal and State levels. This role involves analyzing medical records, ensuring proper documentation, and providing quality assurance checks to support the final determination. IDRE Nurse Reviewers must ensure that their decisions are well-supported with robust rationale and comply with Federal or State guidelines. This position will be responsible for resolving claim disputes submitted by various parties, such as physicians, hospitals, institutions, pharmacies, and other licensed healthcare providers. Additionally, responsibilities will include resolving disputes submitted to the Federal Independent Review (IDR) process. IDRs conduct impartial reviews of healthcare services to resolve disputes between healthcare providers. facilities and payers. IDRs provide objective assessments of billing, coding, and other issues related to disputed claims. The role requires conducting all job duties efficiently, promptly, productively, consistently, and courteously while maintaining a high level of professionalism.
 
 
 
 Requirements
 
 
 
 <ul>
 <li>
 Conduct an initial assessment of documentation from both the initiating and responding parties.
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 <li>
 Review submitted documentation to identify missing documents and determine what is required to resolve the dispute. Follow procedures to obtain the appropriate documentation.
 </li>
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 Determine the appropriate type of clinical reviewer necessary to complete the case, such as a medical coder or a physician.
 </li>
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 Prepare documents for the arbitrator reviewer assigned and provide instructions as needed.
 </li>
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 Collaborate with the legal team to facilitate resolution of disputes.
 </li>
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 Draft professional determination correspondence.
 </li>
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 Perform quality assurance checks on determinations according to Federal or State guidance.
 </li>
 <li>
 Audit and analyze patient records to ensure appropriate determination.
 </li>
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 Stay current with regulation changes and perform research on a case-by-case basis.
 </li>
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 Deliver high-quality, professional determinations free of grammar and spelling errors.
 </li>
 <li>
 Amend reports with additional clinical information when necessary.
 </li>
 <li>
 Participate in an interdisciplinary health care team to achieve positive outcomes.
 
 
 </li>
 </ul>
 
 Required Qualifications
 
 
 
 <ul>
 <li>
 Maintain an active license in nursing ( at a minimum, RN required)
 </li>
 <li>
 Five years of full-time equivalent experience providing direct care to patients
 </li>
 <li>
 Hold a non-restricted nursing license in any state in the US.
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 <ul>
 <li>
 Ability to analyze clinical documentation and apply appropriate guidelines.
 </li>
 <li>
 Strong oral and written communication skills with excellent customer service.
 </li>
 <li>
 Ability to multitask and adapt to a fast-paced environment.
 </li>
 <li>
 Strong organizational skills and attention to detail
 </li>
 <li>
 Knowledge of claim review processes includes billing, Current Procedural Terminology (CPT) coding, and Explanation of Benefits.
 </li>
 <li>
 Familiarization with navigating electronic documents like PDFs, Microsoft Excel, Microsoft Word, and experience using Microsoft Outlook.
 </li>
 <li>
 Familiarization with electronic data repositories such as SharePoint and/or ShareFile.
 </li>
 <li>
 Exceptional skills in managing sensitive and confidential information.
 </li>
 <li>
 Strong organizational abilities, written, and verbal communication skills in English.
 </li>
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 Ability to work both independently and collaboratively with other team members to include clinical reviewers, physicians, and attorneys.
 </li>
 <li>
 Skilled in prioritizing tasks to align with business needs and assignments.
 </li>
 <li>
 Appeal and/or claim dispute-related experience.
 </li>
 <li>
 Medical Coding Certification preferred
 </li>
 <li>
 Experience with Utilization Review preferred
 
 
 </li>
 </ul>
 
 Organizational "Fit" Considerations:
 
 
 
 Schedules may vary and may include weekend and holiday shifts. This position requires established, professional relationships with internal personnel at all levels within the company and with beneficiaries, representatives, providers, and other stakeholders.
 
 
 
 Work Environment/Physical Demands
 
 
 
 The work environment and physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
 
 This is an office/remote position. While performing the duties of this job, the employee regularly works in a climate-controlled environment. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.
 
 
 This is a remote position. Candidates must be able to sit, read, work on a computer, and watch a computer screen for extended periods of time. Occasionally required to stand, walk, use hands and fingers, kneel or crouch.
 
 
 
 Commence is an equal employment opportunity employer. All personnel processes are merit-based and applied without discrimination on the basis of race, color, religion, sex, sexual orientation, gender identity, marital status, age, disability, national or ethnic origin, military and veteran status or any other characteristic protected by applicable law.
 
 
 
 
 Commence.AI is committed to providing equal employment opportunities to all applicants, including individuals with disabilities. If you require a reasonable accommodation to participate in the application process due to a disability, please contact Human Resources at (757) 306-4920 or hr@commence.ai.
 
 
 Please note that unless you are requesting an accommodation, all applications must be submitted through our online application system.
 
 
 
 Salary Description
 
 
 $45-$55/hr
</div>

IDR Nurse Reviewer

Molina Healthcare

<div>JOB DESCRIPTION Job Summary
Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
<div> 
<ul><li>Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines.</li><li>Analyzes clinical service requests from members or providers against evidence based clinical guidelines.</li><li>Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures.</li><li>Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.</li><li>Processes requests within required timelines.</li><li>Refers appropriate cases to medical directors (MDs) and presents cases in a consistent and efficient manner.</li><li>Requests additional information from members or providers as needed.</li><li>Makes appropriate referrals to other clinical programs.</li><li>Collaborates with multidisciplinary teams to promote the Molina care model.</li><li>Adheres to utilization management (UM) policies and procedures.</li></ul> 
</div>Required Qualifications
<ul><li>At least 2 years health care experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.</li><li>Clinical licensure and/or certification required ONLY if required by state contract, regulation, business operating model, or state board licensing mandates. If licensed, license must be active and unrestricted in state of practice.</li><li>Ability to prioritize and manage multiple deadlines.</li><li>Excellent organizational, problem-solving and critical-thinking skills.</li><li>Strong written and verbal communication skills.</li><li>Microsoft Office suite/applicable software program(s) proficiency.</li></ul> 

Preferred Qualifications<div> 
<ul><li>Certified Professional in Healthcare Management (CPHM).</li><li>Recent hospital experience in a medical unit or emergency room.</li></ul> 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V</div></div>

Care Review Clinician

Blue Cross Blue Shield of Arizona

<div>
 Awarded a Healthiest Employer, Blue Cross Blue Shield of Arizona aims to fulfill its mission to inspire health and make it easy. AZ Blue offers a variety of health insurance products and services to meet the diverse needs of individuals, families, and small and large businesses as well as providing information and tools to help individuals make better health decisions.
 
 
 At AZ Blue, we have a hybrid workforce strategy, called Workability, that offers flexibility with how and where employees work. Our positions are classified as hybrid, onsite or remote. While the majority of our employees are hybrid, the following classifications drive our current minimum onsite requirements:
 
 
 <ul>
 <li>
 Hybrid People Leaders: must reside in AZ, required to be onsite at least twice per week
 </li>
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 Hybrid Individual Contributors: must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per week
 </li>
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 Hybrid 2 (Operational Roles such as but not limited to: Customer Service, Claims Processors, and Correspondence positions): must reside in AZ, unless otherwise cited within this posting, required to be onsite at least once per month
 </li>
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 Onsite: daily onsite requirement based on the essential functions of the job
 </li>
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 Remote: not held to onsite requirements, however, leadership can request presence onsite for business reasons including but not limited to staff meetings, one-on-ones, training, and team building
 
 
 </li>
 </ul>
 Please note that onsite requirements may change in the future, based on business need, and job responsibilities. Most employees should expect onsite requirements and at a minimum of once per week.
 
 
 
 This remote work opportunity requires residency, and work to be performed, within the State of Arizona.
 
 
 
 
 PURPOSE OF THE JOB
 
 
 
 Ensures accuracy and timeliness in the completion of prior authorization (PA) requests to meet contractual requirements and ensures all reviews utilize nationally recognized and evidence-based standards for the Medicaid Segment which includes Medicaid and Medicare Advantage / Dual Eligible Special Needs Plan (D-SNP), and Affordable Care Act (ACA) members. Ensures the completion, accuracy, and timeliness in the Notice of Action (NOA) process.
 
 
 
 Qualifications
 
 
 
 
 REQUIRED QUALIFICATIONS
 
 
 
 
 Required Work Experience
 
 
 
 <ul>
 <li>
 3 years of clinical experience
 </li>
 <li>
 1 year of Medicaid/Medicare experience
 </li>
 <li>
 1 year prior authorization and member and provider notification (NOA) experience
 </li>
 <li>
 1 year experience with National Committee for Quality Assurance (NCQA) standards
 
 
 </li>
 </ul>
 
 Required Education
 
 
 
 <ul>
 <li>
 Associate degree in Nursing
 
 
 </li>
 </ul>
 
 Required Licenses
 
 
 
 <ul>
 <li>
 Active, current, and unrestricted license to practice in the State of Arizona (a state in the United States) as a health professional, including RN or LPN.
 
 
 </li>
 </ul>
 
 Required Certifications
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Qualifications
 
 
 
 
 Preferred Work Experience
 
 
 
 <ul>
 <li>
 3+ years of experience in managed care
 </li>
 <li>
 3+years of experience in prior authorization/utilization review
 
 
 </li>
 </ul>
 
 Preferred Education
 
 
 
 <ul>
 <li>
 Bachelor of Science in Nursing
 
 
 </li>
 </ul>
 
 Preferred Licenses
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Certifications
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Essential Job Functions And Responsibilities
 
 
 
 
 ALL LEVELS
 
 
 
 <ul>
 <li>
 Ensures the accuracy and timeliness of prior authorization requests to meet contractual requirements.
 </li>
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 Coordinates and manages the established preauthorization review process for pre-service requests.
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 Ensures the use of nationally recognized and evidence-based standards in the completion of all pre-service reviews.
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 Utilize clinical skills, chart review, physician communication and appropriate criteria for approval of pre-service requests; escalate pre-service request(s) to the medical director for determination when criteria not met.
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 Clearly define and document review rationale to support approval, Medical Director Review and/or Notice of Action document.
 </li>
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 Initiates interdepartmental coordination to ensure quality and timely care for members.
 </li>
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 Participates in Quality Improvement Projects as directed.
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 Participate in department audits and other regulatory activities.
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 Engage cross-functionally and participate in special projects as needed.
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 Performs Notice of Action (NOA) process.
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 Participate in annual policy and procedure review and revision.
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 Perform all other duties as assigned.
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 The position requires a full-time work schedule,40 hours per week, plus any additional hours as requested or as needed to meet business requirements.
 
 
 </li>
 </ul>
 
 COMPETENCIES
 
 
 
 
 Required Competencies
 
 
 
 
 Required Job Skills
 
 
 
 <ul>
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 Computer skills to include Microsoft Office applications, Word, Excel, and Outlook
 </li>
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 Ability to use electronic medical management systems
 </li>
 <li>
 Analytical problem solving skills
 
 
 </li>
 </ul>
 
 Required Professional Competencies
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Required Leadership Experience And Competencies
 
 
 
 <ul>
 <li>
 N/A
 
 
 </li>
 </ul>
 
 Preferred Competencies
 
 
 
 
 Preferred Job Skills
 
 
 
 N/A
 
 
 
 Preferred Professional Competencies
 
 
 
 N/A
 
 
 
 Preferred Leadership Experience And Competencies
 
 
 
 N/A
 
 
 
 Our Commitment
 
 
 
 AZ Blue does not discriminate in hiring or employment on the basis of race, ethnicity, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, protected veteran status or any other protected group.
 
 
 Thank you for your interest in Blue Cross Blue Shield of Arizona. For more information on our company, see azblue.com. If interested in this position, please apply.
</div>

Prior Authorization Nurse - Remote - AZ

Briljent

<div>
 
 Description
 
 
 
 We are seeking a detail-oriented
 
 Clinical Auditor Registered Nurse
 
 to support medical record reviews, billing compliance audits for the Indiana Health Coverage Programs. This role is responsible for evaluating quality of care, reviewing medical records and program policies and identifying compliance issues, preparing audit documentation and reports, and supporting appeals activities. The ideal candidate brings clinical knowledge, regulatory awareness, and strong analytical and writing skills. This is a remote position with occasional travel required within Indiana.
 
 
 
 Key Responsibilities
 
 
 
 <ul>
 <li>
 Review medical records and related documentation to evaluate provider compliance with Indiana Health Coverage Programs, CMS, AMA, and other applicable standards and regulations.
 </li>
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 Conduct medical record and compliance reviews independently and provide preliminary findings to the Lead Reviewer.
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 Identify potential documentation deficiencies, and billing compliance issues.
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 Maintain detailed workpapers documenting procedures performed, records reviewed, findings identified, and conclusions reached.
 </li>
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 Assist with audit responses and appeals as needed.
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 Ensure all work aligns with state, federal, and national healthcare and Medicaid guidelines.
 </li>
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 Stay current on clinical guidelines, policies, regulations, and Indiana Medicaid program and policy updates.
 </li>
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 Research Indiana Medicaid rules and maintain internal repositories of bulletins, policies, and procedures.
 </li>
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 Adapt quickly to changing priorities, policies, regulatory updates, and review requirements while maintaining accuracy and meeting deadlines.
 
 
 </li>
 </ul>
 
 Requirements
 
 
 
 <ul>
 <li>
 RN license preferred; Indiana license or compact license accepted.
 </li>
 <li>
 Coding certification such as CCS or CPC strongly preferred.
 </li>
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 Candidate located in or near the Indianapolis area is preferred.
 </li>
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 At least 1 year of Medicaid claims review, billing compliance, or healthcare reimbursement experience.
 </li>
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 Familiarity with Indiana Medicaid policies, payer guidelines, and documentation requirements preferred.
 </li>
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 Knowledge of CPT coding guidelines and ICD-10 standards.
 </li>
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 Proficiency in Microsoft Excel, Word, and Outlook.
 </li>
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 Strong analytical, critical thinking, problem-solving, and technical writing skills.
 </li>
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 Ability to work independently and collaboratively in a fast-paced environment.
 </li>
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 Experience working with healthcare providers strongly preferred.
 </li>
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 Knowledge of healthcare claims data and fraud, waste, and abuse preferred.
 
 
 </li>
 </ul>
 
 Physical Requirements &amp; Environmental Conditions:
 
 An employee must meet these physical demands to successfully perform the essential functions of this job. Employee is regularly required to talk or hear, sit, and utilize technology tools such as a laptop computer for extended periods of time. Specific vision abilities include close vision and the ability to adjust focus. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
 
 
 
 Briljent is a solutions-based company. Solutions come from creative ideas; ideas come from being creative with differences. Briljent believes diversity and inclusion are critical to the success of the company. Employment at Briljent is based on merit and professional qualifications. We do not discriminate against any employee or applicant because of race, creed, color, religion, gender, sexual orientation, national origin, disability, age, veteran status, marital status or any other basis protected by federal, state or local law, regulation or ordinance.
 
</div>

Clinical Auditor - RN

Deeplight

<div>DeepLight AI is a specialist AI and data consultancy with extensive experience implementing intelligent enterprise systems across multiple industries, with particular depth in financial services and banking. Our team combines deep expertise in data science, statistical modeling, AI/ML technologies, workflow automation, and systems integration with a practical understanding of complex business operations.
At DeepLight, we don't believe in &quot;off-the-shelf&quot; fixes. We deliver tailored AI solutions designed to integrate seamlessly into existing enterprise architectures, ensuring that innovation is both scalable and secure. From building robust data foundations to deploying sophisticated AI platforms, we empower our clients to lead in an increasingly automated world.
The Full Stack Developer builds the human-facing surfaces of the Agentic Workflow Automation (AWA) platform&mdash;specifically the Human-in-the-Loop (HITL) reviewer interface, the AgentOps operational dashboard, and internal AWA developer portals. Operating within the AI Centre of Excellence (AICoE) at a Band 7 / Mid-level capacity, this position works directly at the boundary between complex AI pipelines and end-users (including operations reviewers, business analysts, bank customers, and engineering teams). The role translates complex agent states, confidence scores, and exception data into high-performance, intuitive user interfaces that enable fast, informed human decisions.
Responsibilities<ul><li>
HITL Reviewer Interface: Design and build the operations reviewer queue interface, incorporating high-resolution native document image displays, extracted field overlays with per-field confidence indicators, clear exception reasoning, and optimized keyboard-shortcut workflows.</li><li>
AgentOps Dashboard: Build and maintain real-time operational dashboards that consume Azure Monitor metrics and Log Analytics data to track STP (Straight-Through Processing) rates, HITL rates, token consumption, and latency metrics (P50/P95/P99).</li><li>
System &amp; API Integration: Establish secure communication between AI core services and core banking apps via the AWA Conversation Orchestrator backend API. Connect applications to APIM-governed LLM endpoints and Orkes Conductor job status APIs.</li><li>
Internal Tooling &amp; Portals: Build and maintain the AWA Use Case Manifest authoring tool, the Prompt Management System (PMS) UI, and ground-truth annotation interfaces used by the operations team for test data preparation.</li><li>
Performance &amp; Accessibility Optimization: Ensure all web interfaces meet institutional accessibility standards, optimize application performance for lower-bandwidth branch locations, and implement graceful error handling for AI pipeline latency.</li><li>
Design System Maintenance: Build and maintain a unified, consistent AWA component library and design system across all interfaces, ensuring strict alignment with corporate brand guidelines.</li></ul> 

Requirements 
We need you to have:<ul><li> 
An advanced proficiency in building highly responsive web applications using React, TypeScript, and modern CSS frameworks.</li><li>
Mastery of complex asynchronous data flows and state synchronization using tools like Redux, Zustand, or React Query.</li><li>
A strong capability to build interactive, performance-optimized operational dashboards using charting libraries such as Recharts or D3.js.</li><li>
Be competency in implementing WebSockets or Server-Sent Events (SSE) for streaming updates and live data synchronization.</li><li>
The ability to design and consume structured REST APIs and construct Backend-for-Frontend (BFF) layers using Node.js or Python (FastAPI/Express).</li><li>
A minimum of 5 years of professional full-stack software development experience, with a clear focus on enterprise web applications.</li><li>
Hands-on experience integrating secure identity providers and authentication protocols, specifically OAuth2, OIDC, and Microsoft Entra ID.</li><li>
Practical experience working with Docker and deploying/managing frontend container workloads within Kubernetes environments (specifically Azure Kubernetes Service - AKS).</li><li>
Holder of a Bachelor's degree in Computer Science, Software Engineering, or an equivalent technical field.</li></ul>
It would also be great if you have:<ul><li>
Familiarity with React Native or native iOS/Android development to facilitate mobile banking application integrations.</li></ul><ul><li>
Experience developing complex overlay layers, drawing tools, and bounding-box annotations on high-resolution canvas scans.</li><li>
Knowledge of configuring Azure Static Web Apps, Azure Front Door, and Content Delivery Networks (CDNs).</li><li>
A practical understanding of rendering live LLM token streams smoothly within conversational or chat interfaces.</li><li>
A conceptual understanding of machine learning metrics, loss functions, and probability distributions to improve data visualization designs.</li></ul> 

Benefits 
The benefits you'll enjoy as part of this role include: 
<ul><li>
Competitive salary
</li><li>Comprehensive personal health insurance
</li><li>Visa Sponsorship for the successful individual</li><li>
Professional development and certification support</li><li>
Subscription reimbursement relating to your role</li><li>
Opportunity to work on cutting-edge AI projects</li><li>
Monthly Employee Incentive program</li><li>
Career advancement opportunities in a rapidly growing AI company</li></ul> 
This position offers a unique opportunity to shape the future of AI implementation while working with a talented team of professionals at the forefront of technological innovation. The successful candidate will play a crucial role in driving our company's success in delivering transformative AI solutions to our clients. 
 
At DeepLight AI, we recognise that diversity drives innovation. We are committed to fostering an inclusive environment where individuals with different thinking styles can thrive and contribute their unique strengths to our specialised AI and data solutions.
Our goal is to ensure our application and interview process is accessible, predictable, and fair for all candidates.
If you require any specific adjustments to the application process, or if you require any reasonable adjustments should you be successful in being processed to the interview stage, please do let us know. This information will be kept strictly confidential and will not impact hiring decisions.</div>

Full Stack Developer

Planned Parenthood

<div>About Us: Planned Parenthood is committed to creating a dynamic work environment that values diversity, equity, inclusion, respect, integrity, customer focus, and innovation. We are committed to creating a welcoming space for all people on our staff, in our health centers, and in our community. We do this by tending to the team, respecting and honoring all people, jumping in, trying and learning, caring for our business, and returning to our mission.

Abortion Care: At PPRM, we all work in abortion care. This role supports abortion care through direct clinical triage, patient education, and follow-up, ensuring timely and empathetic support to those navigating abortion services.

Our Ideal Candidate:
<ul><li>2&ndash;4 years of administrative, or compliance support experience. Prior legal assistant experience is strongly preferred</li>
<li>Strong organization and communication skills; ability to multi-task</li>
<li>Ability to manage sensitive information with prioritization with strict deadlines</li>
<li>Proficiency with common workplace technologies, including Microsoft Outlook, Excel, and Adobe applications</li>
</ul>
What You'll Do:

Policy &amp; Document Management
<ul>
<li>Maintain the non‑clinical and Policy Library, including version control, approvals, review cycles, and publication</li>
<li>Governing document maintenance (C3 and C4)</li>
<li>Coordinate regular policy reviews and track updates and approvals</li>
<li>Ensure policies, procedures, and forms are accurately labeled, stored, and accessible</li>
<li>Maintain documentation inventories and crosswalks as needed for audits and accreditation</li>
</ul>
 Audit Support
<ul>
<li>Maintain accreditation and audit evidence libraries and document trackers</li>
<li>Coordinate document collection, formatting, and submission preparation for audits including tracking of high-risk clinical audit completion and follow up</li>
<li>Support compilation of workplans, attestations, corrective action documentation, and supporting materials</li>
<li>Complete non-clinical internal audits as necessary
</li><li>Track deadlines, follow‑ups, and reviewer requests</li>
</ul>
Compliance, Legal, Operations &amp; Tracking
<ul>
<li>Maintain compliance calendars, logs, trackers, and dashboards as assigned</li>
<li>Support committee operations (including CRQM), such as agendas, materials, and minutes</li>
<li>Support intake and routing of compliance‑related documentation and requests</li>
<li>Triage the legal inbox and legal requests</li>
<li>Track and manage statutory and regulatory requirement for PPRM&rsquo;s owned and leased properties</li>
<li>Assist with compliance data collection and reporting initiatives under leadership direction</li>
</ul>
Administrative &amp; Program Support
<ul>
<li>Provide administrative and operational support to Compliance &amp; Risk leadership and managers including tracking CLIA proficiency testing and incident management tracking
</li><li>Provide Administrative and operational support to the General Counsel</li>
<li>Assist with document formatting, proofreading, and standardization</li>
<li>Support compliance training, logistics, and documentation tracking as needed</li>
<li>Assist with Medical Records requests when the Compliance and Medical Records Specialist require additional support and provide coverage for that role when they are out of the office</li>
</ul>
Legal Intake &amp; Administrative Triage
<ul>
<li>Track and coordinate legal requests once matters are identified as Legal‑owned, separate from Compliance‑owned items.</li>
<li>Maintain a Legal request log aligned with the standardized Legal intake and triage workflow</li>
<li>Surface urgent or externally driven matters (deadlines, subpoenas, claims, Board visibility) to the General Counsel for awareness&mdash;without assessing legal risk or merit.</li>
</ul>
Legal&ndash;Compliance&ndash;Finance&ndash;Risk Handoffs
<ul>
<li>Manage administrative handoffs when matters transition between Compliance, Risk, Finance, and Legal (e.g., investigations, regulatory issues, contracts with elevated risk).</li>
<li>Ensure continuity of documentation, timelines, and assigned owners when escalation occurs.</li>
<li>Support standing Legal&ndash;Compliance&ndash;CFAO coordination meetings administratively (agenda prep, action tracking). or is out of office</li>
<li>Maintain licensing and supporting documentation for clinical regulatory bodies including CLIA and Boards of Pharmacy, under direction of leadership</li>
</ul>
Project &amp; Initiative Support
<ul>
<li>Provide administrative support for strategic initiatives, workplan system implementations and special projects</li>
<li>Assist with policy rollout and change management, including scheduling training, communicating updates, and tracking adoption</li>
<li>Compile and organize department updates, KPI dashboards, and briefings</li>
<li>Assist in the preparation of board and leadership meeting materials related to risk, compliance, legal, operations</li>
</ul>
Travel &amp; Expense Management
<ul>
<li>Coordinate travel, lodging, and logistics</li>
<li>Reconcile expenses and ensure alignment with organizational policies</li>
</ul>
Other Duties as Assigned
<ul>
<li>Provide additional operational or administrative support to advance departmental priorities</li>
</ul>
<div>Salary Range:$25.28 to $30.19 
<ul><li>Although our full pay range is included above, the budgeted hiring range for new hires is $25.28 to $27.74 and based on related professional experience.</li></ul></div>
<div>
Schedule: Full-time; Exempt; Benefits Eligible</div>
<ul><li>Monday - Friday: 9am - 5pm; Hybrid opportunity with ability to work onsite 20% of the time.</li>
</ul>
Benefits:
<ul>
<li>Medical/Vision/Dental, with extended mental health coverage.</li>
<li>Accrued PTO and Sick Time</li>
<li>401k/Safe Harbor Contributions (PPRM contributes up to 3% of your pay to your 401k after 1 year of service).</li>
<li>Employee Loan Program</li>
<li>Employee Assistance Program and WorkLife Partnership.</li>
<li>Paid Family Leave/Paid Parental Leave and MORE!</li>
</ul>
To learn more about our amazing benefits visit us HERE. (https://www.plannedparenthood.org/planned-parenthood-rocky-mountains/careers)

COVID-19 Protocol: Vaccination against COVID-19 will no longer be a condition of employment. However, all Health Center/Patient or Community Facing Employees, must have the COVID vaccine or wear a mask at all times beginning November 1st. Proof must be uploaded upon hire. You will upload a picture or pdf of your vaccination card(s) prior to your start date.
Flu Protocol: All employees working directly with patients, the community or working in a health center will be required to have the flu shot or wear a mask during patient/community contact or while in the health center from November 1 &ndash; April 30 each year (Flu Season). Proof must be uploaded upon hire. You will upload a picture or pdf of your vaccination card(s) prior to your start date.
Background Check Required: Planned Parenthood of the Rocky Mountains is an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment, and does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable law.<h4 class="jobSectionHeader">
Education</h4>
Required<ul><li>
High School or better</li></ul>
Equal Opportunity Employer 
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights (https://www.eeoc.gov/poster) notice from the Department of Labor.</div>

Compliance, Risk & Quality Management (CRQM) & Legal Specialist

Quest Global

<div>Job Requirements 
 
At Quest Global, it&rsquo;s not just what we do but how and why we do it that makes us different. With over 25 years as an engineering services provider, we believe in the power of doing things differently to make the impossible possible. Our people are driven by the desire to make the world a better place&mdash;to make a positive difference that contributes to a brighter future. We bring together technologies and industries, alongside the contributions of diverse individuals who are empowered by an intentional workplace culture, to solve problems better and faster. 
<ul><li>
Provide Safety and Quality excellent across Controls Alliance</li><li>
Lead System Level Integration</li><li>
Complex Project reviewer across value streams</li><li>
Ensure Project Risks Identified</li><li>
Approve Project Risk Mitigation Plan</li><li>
Support development of system level solutions</li><li>
Lead RCAs Across Value Streams</li><li>
Establish controls standards road map for Value Stream</li><li>
Mentor and Coach Technical Architects</li><li>
Input on Technical Depth Heat Map</li><li>
Identify Technical gaps</li><li>
Develop and Teach System Level Training</li><li>
Overall Project Quality Ownership</li><li>
Share Best Practices Across Value Streams</li><li>
Design Practices</li><li>
Lead Kaizen Events</li></ul> 
We are known for our extraordinary people who make the impossible possible every day. Questians are driven by hunger, humility, and aspiration. We believe that our company culture is the key to our ability to make a true difference in every industry we reach. Our teams regularly invest time and dedicated effort into internal culture work, ensuring that all voices are heard. 
We wholeheartedly believe in the diversity of thought that comes with fostering a culture rooted in respect, where everyone belongs, is valued, and feels inspired to share their ideas. We know embracing our unique differences makes us better, and that solving the worlds hardest engineering problems requires diverse ideas, perspectives, and backgrounds. We shine the brightest when we tap into the many dimensions that thrive across over 21,000 difference-makers in our workplace. 
Work Experience
 
<ul><li>Bachelor's degree in engineering or higher with minimum 15 years of experience HMI / User Interface Screens Development.</li><li>
Minimum 6 years of experience in performing technical reviews</li><li>
Excellent knowledge about New Units and Services Upgrade processes</li><li>
Hands-on experience on use of physics based simulation platforms for software validation.</li><li>
Demonstrated the capability of having system level knowledge</li><li>
Demonstrated global mindset and ability to collaborate effectively across cultures</li></ul> 

Benefits 
 
Perks best in company standard as per regional laws.</div>

Senior Architect - HMI Screens Development

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