Contract Mar 24, 2025 Administrative The data collection staff will assist the Department in its statutory responsibilities related to sex and violent offender registration.
Duties:
Incumbent enhances criminal history records by researching and collecting court documents, and by entering this data into a tracking system. This position requires the incumbent to collect court documentation from within Indiana, other states, military and federal jurisdictions, etc., to assist in registration efforts for the State of Indiana. Incumbent reports to the Sex and Violent Offender Registration and Victim Services Division of the Indiana Department of Correction. This position is Monday through Friday, in office.
Essential Functions:
Research and collect court documents and sentencing information
Analyze and interpret documents collected
Communicate with local, state, and federal law enforcement agencies
Enter data into a designated tracking system
Perform related duties as assigned by division staff
Job Requirements:
Broad experience with data collection and data entry
Broad knowledge of the Indiana Code
Thorough knowledge of the Indiana Department of Correction, as well as all levels of the Criminal Justice System
Experience and comfort with court documents and legal jargon
Broad knowledge of national criminal justice resources
Excellent written, verbal, and interpersonal communication skills
Strong organizational and time management skills
Ability to read and process data including information on crimes that is detailed, thorough, and contains sensitive material
Ability to establish cooperative working relationships with department staff and external agency staff
Minimum Qualifications:
Legal research experience and skills
Bachelor’s Degree required
Master’s Degree preferred
Equivalent work experience may also be considered
Difficulty of Work:
Incumbent must be able to handle multiple, complex tasks and make good decisions based on his or her knowledge and understanding of each specific question and assignment
Incumbent must use multiple methods in accomplishing an end result or outcome of a particular task and must be timely and accurate in completion of all tasks
Incumbent work must be accurate - consequences of inaccurate data include a negative public perception of the Department and potential public safety risks to the communities
Incumbent works independently with work being reviewed on a periodic basis for accuracy, compliance with policy, and overall project goals
Personal Work Relationships:
Incumbent must maintain working relationships with all Department personnel and external stakeholders to discuss projects related to their needs
Contract Mar 21, 2025 Healthcare The Community Well Care Coordinator must oversee the care coordination, complex case management functions for PathWays to Aging members who live in the community and who are not receiving Home and Community Based Services (HCBS) or designated as Nursing Facility Level of Care (NFLOC). The Care Coordinator must, at a minimum, be a registered nurse or similar medical professional with extensive experience in providing care coordination to members 60 years and older. This position does require local travel. This individual will work directly under the Health Services Directors to maintain the care coordination program. The individual will be responsible for overseeing care coordination teams, care plan development and care plan implementation. The Care Coordinator will be responsible for directing the activities of the care coordinators. These responsibilities extend to physical and behavioral health care services. This individual will work with the Heath Services Director, Service Coordinator Administrator, Medical Director, Provider and Member Services Managers, and with State staff as necessary, to communicate to providers and members. The Care Coordinator will provide input, as requested by the State, at State-level meetings.
Job Title: Community Well Care Coordinator
Location: Remote (Indiana) **Must be an Indiana Resident
Hours: Monday - Friday 8am-5pm
Pay: $38-48 hourly | Weekly pay
Primary Responsibilities:
Selects, develops, mentors and supports staff in designated department or region
Develops clear goals and objectives for performance management and effectively communicates expectations, and holds the team accountable for results
In order to meet the unique needs of our members, have an intimate understanding of the contractual requirements
Must travel locally
Identify, select, structure, and prioritize process improvement projects, ultimately implementing changes to meet program requirements
Ensures standardized execution of workflow processes, including conducting performance audits, quality reviews, and compliance adherence
• Assess, plan and implement care strategies that are individualized by patient and directed toward the most appropriate, least restrictive level of care
Identify and initiate referrals for social service programs; including financial, psychosocial, community and state supportive services
Communicate with all stakeholders the required health-related information to ensure quality coordinated care and services are provided expeditiously to all members
Advocate for patients and families as needed to ensure the patient’s needs and choices are fully represented and supported by the health care team
Participates in training and coaching of direct reports as needed
Conducts bi-annual field visits with direct reports to observe, provide areas of teaching, address issues and concerns and foster a good working relationship
Collaborates across Optum and UHG and interacted with Medical Directors, Site Directors, Senior Leaders, Network, Marketing, Account Management, Quality, Product, and other stakeholder
Required Qualifications:
Resident of Indiana
BSN with equivalent experience
Registered Nurse with an unrestricted License in Indiana
Experience working within the community health setting in a health care role
Driver's License
Experience or knowledge of Indiana Medicaid, Medicare, Long term care
Experience coaching or mentoring staff
Intermediate level of experience with Microsoft Word, with the ability to navigate a Windows environment
Preferred Qualifications:
• 3+ year of case management leadership experience within a healthcare industry
• Background in managed care
• Case Management experience
• Certified Case Manager (CCM)
• Experience / exposure with members receiving long term social supports
• Experience in utilization review, concurrent review and/or risk management
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Mar 21, 2025 Administrative Title: Mission Support Specialist
Location: Indianapolis, IN
Hours: Monday - Friday 8am-5pm (in-office)
The duties and responsibilities shall include:
Assist the Local Accountability Officer (LAO) with the full lifecycle management of all Personal Property by completing necessary training, acquiring an SAP property management role, and performing that role in accordance with pertinent CBP guidance.
Assist the federal employees in maintaining 100% accountability of all Personal Property by maintaining personnel files (CBP Form 259) for both accountable and administratively controlled property.
Assist the federal employees in the acquisition and disposal of personal property in accordance with published CBP guidance and policy.
Perform inventories twice each year for all OFAM personnel locations to maintain property accountability utilizing the current system of record (SAP).
Onboarding Support and maintain the OFAM Strategic Onboarding Initiative – by actively engaging in all activities relevant to new employee orientation, reception, integration, and in-processing by completing "Pre-Work" performance measures as well as serving as the ROM POC for delivering New Employee Orientation (NEO) for Federal Employees and Contractors. In “Hoteling” environments, provide access to CBP OnBoard (Seating Reservation System), and assign lockers.
Review new hires, separations, and transfers for all OFAM federal employees (currently the "EOD Report") and determine what, if any, actions are required, then implement and communicate those actions within each working group.
Provide direct support to OFAM and Enterprises Services personnel with Homeland Security Presidential Directive -12 (HSPD-12) Personal Identity Verification (PIV) issues; troubleshooting, maintenance, and PIV creation and issuance (at locations with card creation services).
Daily Operations include: Greeting visiting OFAM employees, stakeholders, and business partners in each location; answer questions about local facility, grant temporary or permanent access to OFAM-controlled CBP facilities and space, as appropriate.
Provide in-person office coverage in support of normal day-to-day operations in assigned CBP locations.
Contract Mar 20, 2025 Healthcare Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Pay Rate $20.00 hrly.
Monday - Friday 8:00-5:00 pm
Work remotely and local Travel is required
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Vaccinated
Home Visits
Driver’s License required
High School Diploma/GED required
Contract Mar 20, 2025 Healthcare Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Pay Rate $20.00 hrly.
Monday - Friday 8:00-5:00 pm
Work remotely and local Travel is required
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Vaccinated
Home Visits
Driver’s License required
High School Diploma/GED required
Contract Mar 19, 2025 Other Area(s) Outreach Resources: Provide resources who are trusted members of the communities served and/or have an unusually close understanding of the communities to facilitate access to health care services, improve the quality and cultural competency of those services, and improve member health outcomes. Outreach Coordinator Resources work to increase health literacy, reduce costs of services, and improve care.
Pay Rate $20.00 hrly.
Monday - Friday 8:00-5:00 pm
Work remotely and local Travel is required
Job Description
The overall approach for outreach workers is fluid and flexible based on identified quality and member outcome needs. The primary focus of the Outreach resources will be as follows:
Understand Member history and the physical, behavioral, and social factors that may be leading to less-than-ideal health outcomes or persistent gaps in care.
Utilize a whole health approach when interacting with Members and caregivers.
Working with Case Management to place outreach resources at point of care facilities to better facilitate member engagement and action.
Facilitate real time gap closure initiatives including but not limited to immunizations, telehealth visits, A1c tests, lead tests, and blood pressure readings.
Pivot priorities as necessary month to month based on HEDIS performance.
Engage member in care coordination and case management as necessary.
Educate member on health care benefits and services and monitor for over and/or underutilization.
Requirements:
Community Outreach Experience preferred
CHW Certification and/or CNA/HHA preferred
Vaccinated
Home Visits
Driver’s License required
High School Diploma/GED required
Contract Mar 17, 2025 Healthcare Care Coordinator II to support care management activities and the teams assigned to members to ensure services are delivered by the healthcare providers and partners and continuity of care/member satisfaction is achieved. Interacts with members by performing member outreach telephonically or through home-visits and documents the plan for care/services of activities.
Schedule: Mon-Fri 8:00 am to 5:00 pm
Locations: Fully Remote
Summary:
Provides outreach to members via phone or home visits to engage members and discuss care plan/service plan including next steps, resources, questions or concerns related to recommended care, and ongoing education for the member throughout care/service, as appropriate.
Coordinates care activities based on the care plan/service plan and works with healthcare and community providers and partners, and members/caregivers to accommodate changes or progress, as needed.
Serves as support on various member and/or provider inquiries, requests, or concerns related to care plan/service plan.
Communicates with care managers, practitioners, and others as needed to facilitate membership and to ensure continuity of care/service.
May support performing service assessments/screenings for members and documenting the member’s care needs.
Supports documenting and maintaining member records in accordance with state and regulatory requirements and distribution to providers as needed.
Follows standards of practice and policies compliant with contractual requirements and regulatory guidelines and standards.
Ability to identify needs and make referrals to Care Manager, community based organizations, and Disease Manager.
Provide education on benefits and resources available
Education/Experience:
Requires a High School diploma or GED
Requires 1 – 2 years of related experience
Contract Mar 17, 2025 Information Technology Job Title: SYNON/2E Developer
Location: Remote USA
Job Description:
We are seeking a skilled SYNON/2E Developer with a minimum of 3 years of hands-on experience to join our dynamic team. The ideal candidate will have a strong background in both front-end (screen) and back-end (business logic) development, with a deep understanding of the SYNON/2E environment. Experience with PBM/RxClaim and additional knowledge of development tools and modern IDEs is a big plus.
In this role, you will be responsible for designing entities, defining SQL objects, debugging COBOL code, and working with change control tools on the IBMi platform. If you're a problem solver with a passion for working on complex business logic, we encourage you to apply!
Key Responsibilities:
SYNON/2E Development: Design entities, define front-end (screen) and back-end (business logic) functions within the SYNON/2E environment.
SQL & DDL: Define SQL tables and SQL View objects within the SYNON model. Utilize strong experience in Data Definition Language (DDL) and SQL to support system functionality.
COBOL Debugging: Read and debug COBOL program code running on the IBMi platform to ensure functionality and performance.
Change Control: Work with Aldon/ACMS or similar change control tools on the IBMi for effective version control and deployment.
Business Logic: Develop and optimize business logic and heavy lifting operations in back-end systems.
PBM/RxClaim: Leverage your knowledge of PBM/RxClaim to integrate and optimize solutions in the health industry (experience preferred).
Development Tools: Utilize VS Code, RDi, or other modern IDE tools to ensure effective development and debugging.
Other Tools: Exposure to COBOL ILE, X-Analysis, ROBOT Scheduler, and REST API is a plus.
Required Skills & Qualifications:
At least 3 years of hands-on experience with SYNON/2E development, including both screen and backend functions.
Proficient in SQL (DDL, SQL tables, and Views).
Solid understanding of COBOL program code, including the ability to read and debug code on the IBMi platform.
Experience with Aldon/ACMS or similar change control tools.
Knowledge of PBM/RxClaim is a plus.
Familiarity with VS Code, RDi, or other modern IDEs.
Experience with COBOL ILE, X-Analysis, ROBOT Scheduler, and REST API is highly desirable.
Strong analytical and problem-solving skills with the ability to work independently and in a team environment.
Additional Preferences:
RxClaim experience: Preferred but not mandatory.
VS Code/RDi: Familiarity with modern IDEs will be an added advantage.
X-Analysis and ROBOT Scheduler experience is a bonus.
COBOL ILE knowledge is a plus.
Ability to work in a collaborative, fast-paced environment.
Contract Mar 4, 2025 Administrative Title: Quality Analyst
Location: Indiana
Hours: Monday-Friday 8am-5pm
Pay: $19.50hr **weekly pay**
Job Description
• Responsible for activities involving quality assurance and compliance with all applicable company and regulatory requirements.
• Adheres to the QMMP (Quality Metric Management Plan).
• Conducts quality performance audits by evaluating trainee output.
• Reviews/analyzes data and documentation.
• Provides analytical reports and makes process improvement recommendations.
• Implements key process improvement efforts and influences cross-functional efforts.
• Assists in the development of systematic approaches for assuring high quality services.
• Provides feedback based on approved process documentation to improve key activities of the organization.
• Some travel may be required.
• All other duties as assigned.
• Completing SPR’s for the Indiana Eligibility Project trainees.
Requirements
• Extensive knowledge of the Indiana Public Assistance Programs (Supplemental Nutrition Assistance Program (SNAP), Medicaid, and Temporary Assistance for Needy Families (TANF) policy and guidelines including IEDSS online help.
• Experience using IEDSS.
Education and Experience (Preferred)
• Associate degree.
• Typically requires a minimum of 1 year of Indiana Eligibility Case Processing.
• Ability to synthesize and analyze complex information.
• Strong ability to read and interpret written information.
• Strong oral communication and group presentation skills.
• Clear and professional written communication.
• Proficiency in Microsoft Applications (Word, Excel, Outlook).
PME is an equal opportunity employer. We prohibit discrimination and harassment against any applicant or employee based on any legally recognized basis, including, but not limited to: veteran status, uniformed servicemember status, race, color, religion, sex, sexual orientation, gender identity, age (40 and over), pregnancy, national origin or ancestry, citizenship status, physical or mental disability, genetic information (including testing and characteristics) or any other category protected by federal, state or local law.
Contract Feb 27, 2025 Administrative Job Summary
Data Capture Specialist is responsible for the accurate keying of information and scanning various documents.
Pay: 14.85/hour
Onsite Position - Marion, IN
Duties and Responsibilities
The responsibilities of the Data Capture Operator are outlined as follows and no intended to be all inclusive:
Accurately entering alphabetic and numeric data from electronic images with speed and accuracy utilizing software application to capture the appropriate data.
Reading, analyzing, and classifying documents based on certain assigned criteria.
Operating and maintaining scanning equipment, including processing documents through scanner and making appropriate adjustments to improve image capture.
Reviewing completed work and administering the company’s quality control procedures to ensure work is at or above required accuracy rates.
Assisting entire team in meeting daily and monthly KPIs and SLAs.
Following proper procedures, rules, and processes for data capture and quality assurance of data.
Utilizing appropriate and compliant safeguards to reasonably prevent the improper use or disclosure of confidential and protected information which may include Protected Health Information (PHI) and/or Personally Identifiable Information (PII) and reporting any concerns to manager.
Knowledge, Skills, and Abilities
High School Diploma or equivalent required.
Proficiency is MS Office (Word, Outlook, Teams, SharePoint).
Excellent typing skills—touch, 10 key, 45 wpm
Ability to pass reference checks, drug screen, and background checks.
Work Schedule
Monday: 9:00 a.m. - 6:00 p.m.
Tuesday: 9:30 a.m. - 5:30 p.m.
Wednesday through Friday: 9:00 a.m. - 5:30 p.m.
Contract Feb 11, 2025 Healthcare Care Review Clinician I (RN or LPN) to work with the Utilization Management team primarily responsible for inpatient medical necessity/utilization review and other utilization management activities. This position is FULLY remote, but ***MUST reside in New Mexico. The work schedule will be M-F 8:30am-5:00pm MST. Some weekends may be required.
Essential Functions:
Provides concurrent review and prior authorizations (as needed) according to policy for members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for members including Behavioral Health and Long-Term Care.
Maintains department productivity and quality measures.
Knowledge/Skills/Abilities:
Demonstrated ability to communicate, problem solve, and work effectively with people.
Excellent organizational skill with the ability to manage multiple priorities.
Knowledge of applicable state, and federal regulations.
In-depth knowledge of Interqual and other references for length of stay and medical necessity determinations.
Experience with NCQA.
Required Education
Required Education: Nursing Degree with RN or LPN licensure
Required Experience
3-5 years Utilization Management experience in a HP setting. Minimum 0-2 years of clinical practice. Preferably hospital nursing, utilization management, and/or case management.
Required License
Active, unrestricted State Nursing (RN, LVN, LPN) license in good standing.
Contract Jan 21, 2025 Healthcare RN Case Manager to conduct UAS Assessments to support care management. The position will be a field position in Boroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM. ***RN UAS Certified highly preferred. Bilingual in Spanish or Bengali is highly preferred.
Essential Functions/Responsibilities:
UAS Certified RN licensed in the state of NY.
Conduct face to face assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs.
Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members’ needs are met.
Develop an ICP/PCSP based on members’ clinical, behavioral, and social needs that addresses barriers to care.
Competently assesses members’ health status and ensures that member is receiving all necessary medical and supportive services.
Manage care transitions through effective and timely communication necessary for member care and discharge planning.
Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.
Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN License in good standing.RN Case Manager to conduct UAS Assessments to support care management. The position will be a field position in Boroughs: Bronx/ Westchester/ Manhattan, NY visiting nursing and assisted living facilities. Schedule will be M-F 8:30AM-5PM. ***RN UAS Certified highly preferred. Bilingual in Spanish or Bengali is highly preferred.
Essential Functions/Responsibilities:
UAS Certified RN licensed in the state of NY.
Conduct face to face assessments of members’ functional status, medical, behavioral, psychosocial and community resource needs.
Provides the Interdisciplinary Care Team (ICT) with assessment information and acts as facilitator to ensure that members’ needs are met.
Develop an ICP/PCSP based on members’ clinical, behavioral, and social needs that addresses barriers to care.
Competently assesses members’ health status and ensures that member is receiving all necessary medical and supportive services.
Manage care transitions through effective and timely communication necessary for member care and discharge planning.
Clarifies SWH plan medical benefits, policies and procedures for members, providers and community-based agencies.
Maintain a comprehensive working knowledge of community resources, payer requirements, and network services for target population.
Required Education:
Bachelor's Degree (a combination of experience and education will be considered in lieu of degree).
Required Licensure/Certification:
NY State RN License in good standing.
