Virtual Utilization Review Specialist

locationsRemote – Nationwidetime typeFull timeposted onPosted Yesterdayjob requisition idR022183

Thank you for considering a career at Ensemble Health Partners!

Ensemble Health Partners is a leading provider of technology-enabled revenue cycle management solutions for health systems, including hospitals and affiliated physician groups. They offer end-to-end revenue cycle solutions as well as a comprehensive suite of point solutions to clients across the country.

Ensemble keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we believe that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status quo, we know they will be the difference

The Opportunity:

CAREER OPPORTUNITY OFFERING:

  • Bonus Incentives
  • Paid Certifications
  • Tuition Reimbursement
  • Comprehensive Benefits
  • Career Advancement

We are seeking Virtual Utilization Review Specialists to join our team. Essential job function include:

Resource Utilization

  • Utilizes proactive triggers (diagnoses, cost criteria, and complications) to identify potential over/under utilization of services
  • Initiates appropriate referral to physician advisor in a timely manner
  • Understands proper utilization of health care resources and assists with identifying barriers to patient progress and collaborates with the interdisciplinary team
  • Collaborates with financial clearance center, patient access, financial counselors and/or business office regarding billing issues related to third party payers

Medical Necessity Determination

  • Conducts medical necessity review of all admissions. Utilizes approved clinical review criteria to determine medical necessity for admissions including appropriate patient status and continued stay reviews, possibly from an offsite location
  • Provides inpatient and observation (if indicated) clinical reviews for commercial carriers to the Financial Clearance Center (FCC) within one business day of admission
  • Communicates all medical necessity review outcomes to in-house care management staff and relevant parties as needed
  • Collaborates with the in-house staff and/or physician to clarify information, obtain needed documentation, present opportunities and educate regarding appropriate level of care
  • Collaborates with the financial clearance center, patient access, financial counselors, and/or business office regarding billing issues related to third party payers

Denial Management

  • Coordinates the P2P process with the physician or physician advisor, FCC, Revenue Cycle team when necessary and when assigned and maintains documentation relevant to the appeal process.
  • Maintains appropriate information on file to minimize denial rate
  • Assist in recording denial updates; overturned days and monitor and report denial trends that are noted
  • Monitor for readmissions

Quality/Revenue Integrity

  • Demonstrates active collaboration with other members of the health care team to achieve the outcomes management goals including CMS indicators
  • Accurately records data for statistical entry and submits information within required time frame
  • Responsible for ConnectCare and ADT work queues assigned to VUR for revenue cycle workflow
  • Accurately records data for statistical entry and submits information within required time frame
  • Documentation will reflect all work and communication related to the FCC, payor, physician, physician advisor and in-house care management
  • Second-level physician reviews will be sent as required and responses/actions reflected in documentation

Facilitation of Patient Care

  • Prioritizes patient reviews based on situational analysis, functional assessment, medical record review, and application of clinical review criteria
  • Collaborates with the in-house care manager Maintains rapport and communication with the in-house care manager Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assignment
  • Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient’s status and interprets the appropriate information needed to identify each patient’s requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures

Communication

  • Directs physician and patient communication regarding non-coverage of benefits
  • Maintains positive, open communication with the physicians, nurses, multidisciplinary team members and administration
  • Educates hospital and medical staff regarding utilization review program.
  • Maintains a calm, rational, professional demeanor when dealing with others, even in situations involving conflict or crisis
  • Voicemail, Skype, and email will be utilized and answered in timely fashion. Hospital provided communication devices will be used during work hours.
  • Staff is expected to respond and/or acknowledge communication from the FCC via approved communication guidelines and standardized service-line agreements
  • Staff must be available as designated for meetings or training, onsite or online, unless prior arrangements are made

Team Affirmation

  • Works collaboratively with peers to achieve departmental goals in daily work as evidenced by appropriate and timely communication which is respectful and clear. Sensitive to workload of peers and shares responsibilities, fills in and offers to help
  • Actively participates in departmental process improvement team; planning, implementation, and evaluation of activities
  • Provides back-up support to other departmental staff as needed

Other Job Functions

  • Complies with FCC and department policies and procedure, including confidentiality and patient’s rights.
  • Maintains clinical competency and current knowledge of regulatory and payer requirements to perform job responsibilities (i.e., medical necessity criteria, MS-DRGs, POA).
  • Actively participates in departmental meetings and activities.
  • Participates in FCC and community committees as assigned.
  • Actively participates in conferences, committees, and task forces as directed by the FCC division.
  • Associates may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Experience:

  • Bachelor’s Degree or equivalent experience; Specialty/Major: Nursing or related field
  • Current unrestricted LPN or RN license required; RN compact license preferred
  • Five years nursing experience in an acute care environment required
  • Utilization review/discharge planning experience preferred
  • Recent experience or working knowledge of medical necessity review criteria preferred
  • Current working knowledge of quality improvement processes

Other Knowledge, Skills, and Abilities Required:

  • This is a remote role which requires access to high speed internet
  • Excellent interpersonal, communication and negotiation skills in interactions with physicians, payors, and health care team colleagues
  • Commitment to exceptional customer service at all times
  • Communicate ideas and thoughts effectively verbally and in writing
  • Strong clinical assessment, organization and problem-solving skills
  • Ability to assess and identify appropriate resources, internal and community, on assigned caseload, and to work collaboratively with health care team, providers, and payors to achieve the desired patient, quality, and financial outcomes
  • Ability to prioritize, organize information, and complete multiple tasks effectively in a fast-paced environment
  • Resourceful and able to work independently 

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Pharmacy Technician (Data Entry)

Description

From Intake to Outcomes, CareMetx is dedicated to supporting the patient journey by providing hub services, innovative technology, and decision-making data to pharmaceutical, biotechnology, and medical device innovators.

Job Title: Pharmacy Technician (Data Entry) 

POSITION SUMMARY:

Under the general supervision of the Supervisor and Pharmacy Manager, the Pharmacy Technician provides exemplary service to multiple clients including product manufacturers, physician, patients, and internal customers. Contributes to the profitability of CareMetx by ensuring personal productivity and efficient use of material resources. Must be licensed in the state of Texas.

PRIMARY DUTIES AND RESPONSIBILITIES:

  1. Maintains effective systems to support the timely release of accurate information to diverse clients.
  2. Responsible for the prescription intake of all programs specific to non-dispensing pharmacy prescriptions across multiple prescription brands. 
  3. Logs information into the appropriate pharmacy database and triages all prescriptions to the appropriate dispensing pharmacy. 
  4. Pharmacist support related to prescription processing as needed. 
  5. May assist with inbound call volume as received. 
  6. Work closely with Pharmacists and other Pharmacy Technicians. 
  7. Run eligibility checks and test claims as needed for patient prescriptions as required. 
  8. Distribute prescriptions to appropriate Reimbursement Specialists and appropriate stakeholders.
  9. Maintains and promotes a positive and professional working relationship with associates and management.
  10. Complies with all appropriate program policies and procedures.
  11. Works on problems of moderate scope where analysis of data requires a review of a variety of factors. Exercise judgment within defined standard operating procedures to determine appropriate action.
  12. Typically receives little instruction on day-to-day work, general instructions on new assignments.
  13. Perform related duties as assigned. 

EXPERIENCE AND EDUCATIONAL REQUIREMENTS:  Previous 3+ years of professional work experience as a Pharmacy Technician.

MINIMUM SKILLS, KNOWLEDGE AND ABILITY REQUIREMENTS: 

  • Pharmacy Technician license (National license preferred) 
  • Pharmacy Technician license in state of Texas (if not currently licensed, ability to obtain licensed).
  • Ability to work in a fast=paced environment 
  • Understanding of pharmacy regulations for prescription processing
  • Ability to communicate effectively both orally and in writing.
  • Strong computer application skills.
  • Strong interpersonal skills, team player.
  • Strong organizational and time management skills.
  • Strong attention to detail.
  • Adaptable and flexible to new situations.

PHYSICAL DEMANDS

 The 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.

  • While performing the duties of this job, the employee is regularly required to sit.
  • The employee must occasionally lift and/or move up to 10 pounds.

Work Environment 

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. The noise level in the work environment is usually moderate.  

Schedule: Must be flexible on schedule and hours between 8am – 8pm EST

CareMetx considers equivalent combinations of experience and education for most jobs. All candidates who believe they possess equivalent experience and education are encouraged to apply.

At CareMetx we work hard, we believe in what we do, and we want to be a company that does right by our employees. Our niche industry is an integral player in getting specialty products and devices to the patients who need them by managing reimbursements for those products, identifying alternative funding when insurers do not pay, and providing clinical services.

CareMetx is an equal employment opportunity employer. All qualified applicants will receive consideration for employment and will not be discriminated against based on race, color, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, or national or ethnic origin.

Salary Description

$30,490.45 – $38,960.02

Claims Examiner I (Remote, $15/hour)

Description

American Specialty Health Incorporated (ASH) is seeking a focused Claims Examiner to work in a production environment. This position is responsible for the accurate review, input, and adjudication of claims in accordance with regulations, ASH standards and contractual obligations of the organization. Claims is an integral department of ASH’s offerings to empower people to live longer and healthier lives. We are responsible for tracking the receipt of claims, adjudication, and payment of claims. Due to the nature of the business and always evolving rules and guidelines, Claims is a fun and fast-paced team that enjoys working side by side, developing new ideas for efficiency, and prioritizes a strong focus on exceeding regulatory and contractual standards. Our driving mission is to offer world-class customer service (and expedited reimbursement) to healthcare providers on behalf of our members. Claims offers a career path progression that begins upon hire and allows development-focused staff to achieve two promotions in just one year. We succeed as a team and we prioritize professional development, considering ourselves an operational springboard to spring talented and driven employees toward their future goals.

Remote Worker Considerations: 

Candidates who are selected for this position will be trained remotely and must be able to work from home (WFH) in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities

  • Processes claims accurately and efficiently.
  • Reviews all incoming claims to verify necessary information.
  • Determines that correct member and provider records are chosen and utilized to process claims.
  • Enters claims data and information into the computerized Claims Processing System.
  • Maintains all required documentation of claims processed and claims on hand.
  • Adjudicates claims in accordance with departmental policies, procedures, state and accreditation standards and other applicable rules.
  • Maintains production standards; for direct data entry claims this includes processing an average of 31 claims per hour, with an accuracy rate of 98.5% over each pay period.
  • Verifies data of scanned paper claims at stated standards.
  • Provides backup for other examiners within the department.
  • Promotes a spirit of cooperation and understanding among all personnel.
  • Attends organizational meetings as required.
  • Adheres to organizational policies and procedures.
  • Maintains confidentiality of all claim files, claims reports, and claims related issues.

Qualifications

  • High school diploma required.
  • 6 months data entry experience with 10 key and word processing; minimum 10,000 keystrokes per hour required.
  • Experience processing medical claims and knowledge of medical billing terminology and coding strongly preferred.
  • Proficient in MS Office.

Core Competencies

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage time.
  • Ability to work and maintain production in a work-from-home (WFH) environment
  • Demonstrated ability to show self-discipline to meet production goals.
  • Demonstrated accuracy and productivity in a changing environment.
  • Demonstrated ability to analyze information, problems, issues, situations, and procedures to develop effective solutions, and to utilize constructive criticism to improve.
  • Ability to exercise strict confidentiality in all matters.

Mobility

Primarily sedentary, able to sit for long periods of time.

Physical Requirements

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.

Environmental Conditions

Work-from-home (WFH) environment.

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

Please view Equal Employment Opportunity Posters provided by OFCCP here.

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.

Compliance Specialist (HR-Remote)

Description

American Specialty Health Incorporated is seeking a Specialist – HR Compliance to join our Human Resources (HRS) department. This position will oversee HR Compliance, lead HR audit efforts, oversee the Immigration Process and create and maintain standard operating procedures (SOPs).  

Salary Range  

American Specialty Health complies with state and federal wage and hour laws and compensation depends upon candidate’s qualifications, education, skill set, years of experience, and internal equity. $48,000 to $65,000 Full-Time Annual Salary Range.  

Remote Worker Considerations  

Candidates who are selected for this position will be trained remotely and must be able to work from home in a designated work area with company-provided technology equipment. This remote/WFH position requires you have a stable connection to your Internet Service Provider with the ability to participate by video in online meetings over a reliable and consistent network (minimum internet download of 50 Mbps and 10 Mbps upload speed).  

Responsibilities  

  • Researches, documents, and ensures compliance of State and Federal Employment Laws.
  • Monitors compliance with federal, state, and local regulatory requirements including US employment and leave laws.
  • Researches new and existing regulations, identifies processes and updates policies as needed.
  • Maintains a comprehensive catalog of all state and federal HR employment laws and ensures required notifications including labor law posters are posted timely.
  • Updates the monthly Compliance Workforce spreadsheets with additions and changes to regulatory mandates.
  • Works with their manager, HR Managers and Legal Council on implementing new laws to ensure compliance with employment laws in all 50 states.
  • Ensures corporate compliance with government regulations.
  • Tracks and ensures all Certificates of Insurance (COIs) are up to date and adhere to company policy.
  • Tracks, audits and ensures HR is in compliance with California Consumer Privacy Act (CCPA).
  • Oversees Audits and SOPs.
  • Takes the lead and acts as liaison between HR and Delegation Support on external audits.
  • Organizes and gathers information requested for external audits.
  • Maintains a report of all audits and responses.
  • Works with HR management on ensuring SOPs are complete and followed in all areas of HR.
  • Proactively evaluates current processes and provides recommendations for improvement.
  • Oversees Immigration Process.
  • Oversees Immigration paperwork and stays abreast on Immigrations laws. Seeks guidance and refers matters that involve legal or business risk matters to their manager.
  • Acts as a liaison and point of contact for ASH and external counsel for all immigration needs.
  • Manages immigration cases ensuring legal compliance, optimal processing timelines and maximum efficiency.
  • Collaborates with their manager to conduct the appropriate due diligence and to strategize and develop short- and long-term solutions and business plans as they relate to immigration needs.
  • Educates Talent Acquisition team and Department Managers on US immigration regulations and updates.
  • Maintains public access files, ensuring files are current and compliant.
  • Maintains and recertifies I-9s to ensure ASH employees are eligible to perform labor and services in the United States.
  • Proactively communicates with employees and other relevant contacts regarding the status of their visa cases and extensions.
  • Ensures integrity of PERM Green Card process, including job description review, accurate minimum requirements and extensive strategy discussions with managers and HR which includes the business necessity defense of job requirements.
  • Supports the recruitment process in connection with PERM Green Card process, including coordinating recruitment with external legal counsel, analyzing resumes, and preparation of recruitment reports to defend findings.
  • Creates, develops and maintains immigration records for reporting and tracking data/case quarterly ensuring compliance with budget and service level agreements. Responsible for continual learning and education regarding Immigration laws and regulations.
  • Oversees Affirmative Action Plan (AAP).
  • Develops AAP internal and external communication procedures.
  • Assists in the identification of AAP/EEO challenges and recommends effective solutions.
  • Designs and implements an internal audit and reporting system that measures the effectiveness of ASH’s program and determines the degree to which AAP goals and objectives are met and identifies the need for remedial action.
  • Keeps the Sr. Manager, Talent Acquisition informed of equal opportunity progress and reporting potential concerns.
  • Serves as a liaison between the Company and enforcement agencies.
  • Processes audit reports quarterly for review prior to government report preparation.
  • Assists Sr. HRIS Analysts in preparing and submitting the EEO-1 and Vets-100 reports annually by the required deadlines.
  • Works with the Sr. Manager, Talent Acquisition to develop and deliver training to management and staff annually to outline ASH’s affirmative action goals and progress towards said goals.
  • Works with Sr. Manager, Talent Acquisition to provide training to all personnel involved in the recruitment, screening, selection, promotion, disciplinary and related processes to meet ASH’s affirmative action, ADAAA and VEVRAA goals.

Qualifications  

  • Bachelor’s degree in related field or equivalent experience. If equivalent experience, high school diploma required.
  • A minimum of 5 years of experience assisting or overseeing compliance efforts in a Human Resources department.
  • Current knowledge of states and federal compliance, immigration legislation, affirmative action plans, leave of absences and current HR practices and trends required.
  • Project Management experience preferred.
  • Proficient in MS Office.
  • Demonstrated ability in quality assurance.

Core Competencies   

  • Demonstrated ability to interact in a positive, respectful manner and establish and maintain cooperative working relationships.
  • Ability to display excellent customer service to meet the needs and expectations of both        internal and external customers.
  • Excellent listening and interpersonal communication skills to identify critical core competencies based on success factors and organizational environment.
  • Ability to effectively organize, prioritize, multi-task and manage
  • Demonstrated accuracy and productivity in a changing environment with constant interruptions.
  • Demonstrated ability to analyze information, problems, issues, situations and procedures to develop effective solutions.
  • Ability to exercise strict confidentiality in all matters.

Mobility  

Primarily sedentary, able to sit for long periods of time, able to answer telephones.  

Physical Requirements  

Ability to speak, see and hear other personnel and/or objects. Ability to communicate both in verbal and written form. Ability to travel within the facility. Capable of using a telephone and computer keyboard. Ability to lift up to 10 lbs.  

Environmental Conditions  

Work-from-home (WFH) environment.  

American Specialty Health is an Equal Opportunity/Affirmative Action Employer.  

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.   

Please view Equal Employment Opportunity Posters provided by OFCCP here.  

If you are a qualified individual with a disability or a disabled veteran, you have the right to request an accommodation if you are unable or limited in your ability to use or access our career center as a result of your disability. To request an accommodation, contact our Human Resources Department at (800) 848-3555 x6702.  

ASH will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the Company’s legal duty to furnish information.  

Operations Supervisor

Are you excited by the thought of helping entrepreneurs across the country realize their dreams of building their own company? We have a bold vision of increasing the number of people who succeed in small business. To date, our team has put $5B of funding to use, helping launch over 20,000 businesses and creating nearly 100,000 jobs to the economy. We’re doing this by delivering innovative funding solutions and building the latest technology to help entrepreneurs across the country start and grow their small businesses. Our purpose goes beyond supporting entrepreneurs – we want our employees to feel as empowered as our entrepreneurs to make an impact on our clients and their careers.

Values

Adaptability: Change isn’t scary. You embrace opportunities to adapt and bring others along.

Connection: Connection is important. You lift others up because when they grow you grow.

Excellence: You thrive outside of your comfort zone. You jump at the chance to make things better and have insatiable curiosity.

The Role

Lead and support a full-function team in client operations. This individual will be responsible for delivering the products, service, and experience that we promise to our clients while identifying process improvement needs, sharing best practices with peers, implementing policies/procedures within their team, and supporting the career development of individual team members. In addition, this role will lead their team to overcome obstacles and challenges standing in the way of team and client success.

What You’ll Be Doing

  • Coach and develop a team of remote full-function employees who are responsible for all aspects of client services including but not limited to plan administration, client communication, and quality assurance.
  • Allocate resources daily and weekly to adjust team focus towards goals attainment.
  • Support company and team vision and values through role modeling and coach desired behaviors.
  • Regularly communicate progress, results, challenges and obstacles with senior leaders and others involved in product management.
  • Setting performance goals and delivering ongoing feedback.
  • Lead the team to resolve escalated client issues efficiently and effectively.
  • Cultivate strong team collaboration in alignment with PACED Values and Guiding Principles.

Additional Functions

  • Partner with other managers and senior leaders on special projects, reporting and process improvement.
  • Act as team ambassador for cross-department initiatives and projects.
  • Recommend changes for organizational and process improvement.
  • Support the team and the company by utilizing visual management to monitor performance and goal achievement.
  • Performs other duties as required.

Requirements

  • Must be 18 years of age
  • 2+ years of customer care or client relations experience, preferably in a lead or supervisory role
  • Ability to work in a fast-paced environment to meet deadlines while managing multiple priorities
  • Demonstrate interpersonal leadership skills, including emotional intelligence, navigating team conflict, and motivating team members
  • Passion for developing others including teambuilding, coaching, and mentoring
  • Clear communicator
  • Ability to work in an autonomous environment where you can be a self-directed, independent worker
  • Ability to create an inclusive workplace where everyone feels a sense of belonging by empowering all our employees to speak up, ask questions, and be seen.

Other Requirements

  • Must pass a background check
  • Must meet work from home requirements to qualify
  • Complete continuing education based upon current certifications

For this position there are minimum work from home requirements that must be met in order to perform the essential functions in a remote work from home (WFH) environment. These include 1) a space to work out of (i.e., home office) and 2) High speed internet

Benefits

  • Our People are Key to Success: Work with a team of smart, creative, fun and highly motivated people
  • When You Grow, We Grow: Continue to learn with ongoing training, career pathing, and supportive leaders. For the last three years, Guidant has promoted more than 20% of our organization into new and exciting roles!
  • Wellness: Top benefits and perks including comprehensive health coverage (with free premium option), competitive salary, paid parental leave and a generous 401k match. Be able to disconnect with Paid Time Off of 3 weeks and 11 Paid Holidays.
  • Flexible Work Arrangements: Work from the enjoyment of your home office. We work with entrepreneurs every day; we want you to have autonomy within your work structure with company provided equipment.
  • Awesome Culture: Be part of Guidant’s award-winning culture and have the experience to connect through coffee with senior leaders or hit a home run being part of our company sporting events.
  • Empowering Equity and Inclusion: Be part of an inclusive work environment that gives employees a voice to speak up, be heard, and supported.

This is a fully and permanently remote work from home opportunity with a growing and stable company available in select states across the US: AZ, FL, GA, ID, KS, LA, MI, MN, NC, NE, TX, UT, VA, MO

The wage for this position is between $65,000 – $70,000 annually