Customer Service Rep II - Non-Exempt Customer Service Rep II - Non-Exempt
Mindlance · Lewisburg, TN
Job description(tap to read)
JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior authorization requirements and obtaining authorization when required. Works directly with physician offices and payers to facilitate patient access to various therapies. Representative will ensure patient insurance coverage and benefits, identify requirements for prior approval and submit for authorization. Assists with appealing prior authorization denials, retro authorization or other special cases Responsibilities Include, But Are Not Limited To Validates insurance patient's coverage, communicate any issues with benefits or coverage to the appropriate managers Checks the requirements for prior authorization and initiates as required Coordinates required paperwork, clinical notes and forms for submission to support request and initiates as required Follows up frequently to ensure visibility on authorization status throughout the approval process Basic knowledge payer payment process with detailed knowledge on the payer prior authorization process Basic ICD9/10 and CPT code familiarity, expert knowledge on subset of *** therapy codes Superior customer service skills with outstanding communication skills to use with various stakeholders; physicians, sales representatives, payer representatives, utilization reviewers, various internal and external stakeholders, Advanced Microsoft Excel skills. Ability to learn and use multiple CRM software programs as needed Good organizational skills with ability to handle multiple inquiries at the same time and critical problem-solving skills with high attention to detail Responsibilities may include the following and other duties may be assigned. Represents company to external and internal customers, answers productrelated questions, traces lost shipments, interprets and clarifies customer orders for the shipping department, takes orders over the phone when necessary. May manage webbased ordering, confers with management regarding customer credits, returns goods for credit, identifies quality assurance complaints, and writes price differentials on mail orders. May approve allocation of stock in short supply, special price quotations and bids, pricing allowances, deductions and adjustments. May manage inventories at customer facilities using EDI (electronic data interchange), forecasting, replenishment and inventory systems, focusing on stock and allocation issues to maximize service levels. OFFICE SUPPORT CAREER STREAM: Individual contributors who provide organizational related support or service (administrative or clerical) for other members within the organization. The majority of time is spent in the delivery of support services or activities, typically under supervision. DIFFERENTIATING FACTORS Autonomy: Established and productive individual contributor. Works on clerical and administrative assignments that may require application of prior experience. Works under moderate supervision, making minor adjustments to methods and processes. Organizational Impact: Works to deliver on daytoday objectives with direct impact on achievement of results for the job area, including moderate scheduling or customer satisfaction implications. Work consists of tasks that are typically routine, with some deviation from standard practice . Innovation and Complexity: Checks and makes minor adjustments to work methods to solve problems that are routine and typically exist in current work processes and systems . May be required to highlight areas of concerns/problems and puts forth solutions in own job area. Communication and Influence: Communicates typically with internal contacts within and outside of immediate team. Obtains and provides information requiring some explanation or interpretation . Leadership and Talent Management: May provide guidance and assistance to new or entry level employees. Required Knowledge and Experience: Requires full job knowledge of systems and procedures obtained through prior work experience or education. Requires minimum of 2 years of relevant experience. EEO: "Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans."
Logistics Analyst - Clearance Required
LMI · Lewisburg, TN
Senior Materiel Management Consultant 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. LMI is seeking a skilled Senior Materiel Management Consultant to support Army logistics materiel management through supply management, inventory analysis, warehousing, secondary item management, and executive decision support. Successfully demonstrate competency in project execution, client delivery, critical thinking, and relationship management while upholding the highest standard of ethical behavior. 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 • Support Army logistics materiel management programs through supply management, inventory analysis, warehousing, and strategic initiatives. • Conduct research and analysis to evaluate materiel management operations, inventory performance, supply chain effectiveness, and emerging issues. • Collect, consolidate, validate, and analyze information from multiple data sources to support executive decision making and program recommendations. • Develop executive-ready briefings, reports, decision papers, presentations, and other written communications supporting Army logistics materiel management initiatives. • Support planning, coordination, and continuous improvement of warehousing, secondary item management, inventory control, and supply management processes. • Coordinate activities and recommendations across multiple Army organizations and stakeholders to support enterprise materiel management objectives. • Monitor project activities, milestones, deliverables, inventory trends, and action items to ensure timely execution. • Facilitate meetings, working groups, and collaborative planning sessions while documenting decisions and tracking follow-up actions. • Synthesize complex operational and analytical information into actionable recommendations that improve supply chain performance, materiel readiness, and organizational effectiveness. • Develop performance metrics, dashboards, and analytical products to support leadership visibility and informed decision making. • Support strategic planning, inventory assessments, supply chain analysis, and enterprise modernization initiatives, as required. • Support business development activities, including market research, proposal support, solution development, and client engagement, as required. • Perform additional consulting, analytical, and project support activities as assigned. Qualifications MINIMUM QUALIFICATIONS • Bachelor's degree in Business, Logistics, Supply Chain Management, Public Administration, Management, Operations Research, Engineering, or a related discipline. • 10 or more years of professional experience supporting Army logistics, materiel management, warehousing, supply management, DoD, or other complex Government organizations. • Experience supporting inventory management, supply chain operations, warehousing, logistics analysis, or organizational assessments. • Strong analytical skills, including proficiency with Microsoft Office Suite and experience using spreadsheets, databases, reporting tools, and collaboration platforms. • Demonstrated ability to gather, analyze, and synthesize information from multiple sources into concise, actionable recommendations. • Excellent written and verbal communication skills, including experience developing executive-level briefings, reports, and presentations. • Demonstrated ability to coordinate with multiple stakeholders and work effectively within cross-functional teams. • Self-directed, detail oriented, and capable of managing multiple priorities in dynamic environments. • Available for occasional travel. • This position requires an active Secret security clearance. Applicants must be U.S. citizens. DESIRED SKILLS • Advanced degree in Business, Logistics, Supply Chain Management, Public Administration, Management, Operations Research, Engineering, or a related discipline. • 10+ years of experience supporting Army logistics materiel management, warehousing, supply management, or other DoD organizations. • Experience supporting headquarters-level supply operations, inventory management, secondary item management, logistics planning, or enterprise integration. • Experience writing, updating and coordinating strategic-level policy. • Experience developing dashboards, performance metrics, executive reporting, or data visualization products. • Familiarity with business process improvement, workflow modernization, automation, or digital transformation initiatives. • Experience facilitating cross-functional working groups and stakeholder engagements. • Excellent research, writing, briefing, and staff coordination skills.
Case Management Coordinator (Illinois)
CVS Health · Lewisburg, TN
Case Management Coordinator We're building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Program Overview Help us elevate our patient care to a whole new level! Join our Aetna team as an industry leader in serving dual eligible populations by utilizing best-in-class operating and clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With compassionate attention and excellent communication, we collaborate with members, providers, and community organizations to address the full continuum of our members' health care and social determinant needs. Join us in this exciting opportunity as we grow and expand to change lives in new markets across the country. Position Summary The Case Management Coordinator utilizes critical thinking and judgment to collaborate and inform the case management process, The Case Management Coordinator facilitates appropriate healthcare outcomes for members by aiding with appointment scheduling, identifying and assisting with accessing benefits and education for members through the use of care management tools and resources. Key Responsibilities • Evaluation of Members: -Through the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. • Identifies high risk factors and service needs that may impact member outcomes and care planning components with appropriate referral to clinical case management or crisis intervention as appropriate. • Coordinates and implements assigned care plan activities and monitors care plan progress. • Enhancement of Medical Appropriateness and Quality of Care: Using holistic approach consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes. • Identifies and escalates quality of care issues through established channels. • Utilizes negotiation skills to secure appropriate options and services necessary to meet the member's benefits and/or healthcare needs. • Utilizes influencing/ motivational interviewing skills to ensure maximum member engagement and promote lifestyle/behavior changes to achieve optimum level of health. • Provides coaching, information and support to empower the member to make ongoing independent medical and/or healthy lifestyle choices. • Helps member actively and knowledgably participate with their provider in healthcare decision-making. • Monitoring, Evaluation and Documentation of Care: - Utilizes case management and quality management processes in compliance with regulatory and accreditation guidelines and company policies and procedures. Required Qualifications • Must reside in the state of Illinois • Must possess reliable transportation and be willing and able to travel up to 40% of the time from candidate home location. Mileage is reimbursed per our company expense reimbursement policy • Must have computer literacy in order to navigate through internal/external computer systems, including Excel and Microsoft Word. • Effective communication, telephonic and organization skills • Excellent analytical and problem-solving skills • Ability to work independently • Ability to effectively participate in a multi-disciplinary team including internal and external participants. • 2 years' experience in behavioral health, social services or appropriate related field equivalent to program focus Preferred Qualifications • Case management and discharge planning experience • Managed Care experience • Bilingual Education Bachelor's degree or non-licensed master level clinician required, with either degree being in behavioral health or human services required (nursing, psychology, social work, marriage and family therapy, counseling). Work from Home Requirements: • You must have or be able to obtain a direct/hardwired internet connection to a modem/router within 7 feet of your computer and a minimum download speed of 25 mbs download and 3 mbs upload. WiFi and satellite internet are not permitted. • A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted work during work hours. • Work-from-Home colleagues are required to work within the state and city where they have confirmed they currently live. • The company will provide equipment (keyboard, monitor, computer, headset, etc.). All new hires should provide their own workspace furniture (desk or standing desk, as this position would require you to be at your desk for extended periods of time). • If hired, you will commit to obtaining required internet speeds and adhere to all Work From Home requirements. Technical and Logistical Requirements: • Device & System Navigation: Comfortable setting up and using multiple monitors and navigating multiple applications simultaneously to streamline tasks and improve efficiency. • Communication Tools: Ability to communicate on digital channels such as via email, calendar invites, Teams messaging, and virtual meetings. • Collaboration & Scheduling: Experience with Microsoft Office 365 (Teams, Outlook, Word, Excel, PowerPoint) applications or similar (Google Workspace). • Systems Access & Security: Ability to Log in to secure systems (e.g., VPN, EHR portal), lock a computer screen when unattended, manage strong passwords, and recognize suspicious emails or links. • Troubleshooting & Support: Ability to resolve common technical issues independently, such as: restarting an application when frozen, resolving internet connection issues, and contacting IT for unresolved technical issues. • Future Growth: Openness to learning new skills in the future as the workplace environment evolves Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $21.10 - $44.99 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 08/14/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.
Military Service Coordinator
US Government Jobs · Lewisburg, TN
Military Services Coordinator The Military Services Coordinator (MSC) in the Veterans Benefits Administration (VBA). The MSC performs liaison activities and conducts regular visits to out-based locations to assist active duty personnel in filing for future VA benefits. MSCs provide benefits dissemination briefings and claims intake to transitioning active duty, reservists and guard members as well as to Veterans throughout the community during Outreach programs and events.
Building Construction Plans Examiner I/II
Arlington County · Lewisburg, TN
Construction Plans Examiner I/II The Community Planning, Housing and Development (CPHD) Department is hiring a Construction Plans Examiner I/II to join its Inspection Services Division (ISD). The Examiner is responsible for examining construction documents for commercial structures/buildings, including new construction, additions, and alterations to existing buildings to ensure compliance with the building design standards adopted by the Virginia Uniform Statewide Building Code (VUSBC). Projects are complex due to size, multiplicity of structures, advanced design of installed systems, and advanced construction methods and techniques. This position may also be responsible for reviewing other projects such as residential structures and one and two-family dwellings. Responsibilities Specific duties include: • Review and approval of construction documents for compliance with the International Building Code, International Residential Code, and VUSBC; • Interpret and enforce codes, regulations and ordinances; • Conduct field visits to survey and evaluate buildings and systems; • Provide code consultation services to builders, developers, engineers, property owners, architects and other governmental agencies; • Represent the division and the County at meetings and public hearings; and • Develop, participate, and defend code change proposals at the local, state, and national level. The successful candidates will possess the following skills: • Analytical thinking to perform work in accordance with accepted code standards and applicable legal ordinances and regulations. • Considerable knowledge of and the ability to apply modern principles and practices of building and architectural technical field. • Knowledge of, and a commitment to, customer-service and client-focused service-delivery systems, including knowledge of computer applications relevant to the field. • Skill in collaborating with architects, engineers, developers, contractors, and government professionals to facilitate compliance with applicable permitting, engineering, and code requirements. • Ability to establish and maintain effective working relationships with diverse staff, community representatives, clients and professional peers, including effective verbal and written communication skills. Qualifications • Bachelor's Degree in a field related to construction, buildings, or related field; and • Some responsible experience in building engineering/construction, including experience working with construction plans. Substitution: Additional qualifying experience in an area or areas of specialization (e.g., plumbing, construction, mechanical or electrical engineering) may substitute for the education requirement on a year for year basis. Desirables: Preference may be given to candidates with one or more of the following: • Bachelor's degree in architecture, Engineering, Construction Management, or a related field. • Experience working with the International Building Code and International Residential Code; • Experience reading and interpreting construction documents, specifications, codes, regulations and/or ordinances; • Experience responding to public inquiries; and/or • Certification by International Code Council (ICC) or a Virginia Residential or Commercial Building Plans Examiner. Special Requirements: • Please attach a Resume to this application. • Certification as a Residential or Commercial Building Plans Examiner is required within 12 months of employment. • Completion of the Virginia Code Academy Core Module training within 12 months of employment. • The employee may be required to drive a County vehicle to perform duties away from the primary worksite. Applicants must obtain, by the time of appointment, a valid driver license. The applicant must authorize Arlington County to obtain, or they must provide a copy of their official driving record. Any offer of employment may be contingent upon a favorable review of the applicant's driving record. • A pre-employment criminal records check will be conducted. It may include checks of the following: criminal record, driving record, education, professional licensure, and credit history. You may be required to sign a release authorizing the County to obtain your background information. Work hours: Monday through Friday, 8:00 a.m. - 4:30 p.m., with flexibility. This is a fully remote position. This position is eligible for County government employee benefits that include health, dental, vacation and sick leave, commuter transportation subsidies, tuition reimbursement, as well as a generous retirement plan. For more information, click here. Arlington County is committed to advancing diversity, equity, access, and inclusion across all our services, activities, and programs. Learn more about our commitment. Your responses to the Supplemental Questionnaire are considered part of the selection process. Please do not enter "see resume" as a response to the questions. Each section of the application must be completed. A resume may be attached; however, it will not substitute for the completed application. Incomplete applications will not be considered. In accordance with § 19.2-392.15, applicants are not required to provide information regarding sealed arrests, charges, or convictions in response to any questions or inquiries during the hiring process. Required Skills: Analysis, Construction Analysis, Hand or Power Tools, Interpersonal Skills, Mathematics, Problem Solving, Reading and Writing